445 You can't go yet
(Thanks to my friend for the encouragement of my friend who can't wake up, and thank my friend Liu Yi for the encouragement of the monthly pass)
Liu Banxia returned to the emergency center, and then Wang Chao came over with a smile, he didn't know what this thing was thinking.
"Gee, it's time to tilt the surgery in favor of the interns lately. Attending physicians and residents should be in a position of guidance and let the interns be more hands-on. Liu Banxia said.
The smile on Wang Chao's face froze, and he looked at him with a very resentful look, "I haven't said anything yet, why do you want to retaliate." It's so sad, at least you have to give me a sealed chicken leg, right?"
"Hehe, we're really not afraid. Liu Banxia said with a smile.
"Forget it, I'm sorry for you. Wang Chao shook his head.
"I would like to inform you of a patient, the patient who had Lao Xiao's craniotomy last night just woke up, and after the examination, he lost his speech function and lost his speech. ”
"As for whether there are other symptoms, we need to observe further. At present, there is no problem cognitively, but aphasia can affect a lifetime. ”
"That's the price of impulsiveness, and you have to fight if you drink something. Liu Banxia was also a little helpless.
Aphasia is only one of the sequelae of subdural hemorrhage, but there are also motor, mental, cognitive, and intellectual aspects, which may have an impact.
After all, the brain is a very delicate organ, otherwise why do you need to repeatedly explain the possible complications to the patient or family members before craniotomy?
Even if you do it completely routine and don't find any problems during the operation, the patient may have problems after the surgery. Sometimes you can't explain it clearly in medicine, so you have to explain it before surgery.
And this patient is already like this, no matter who did it, it may not be so easy to get the patient's understanding. It's not just about money, it's about how many years you will be sentenced.
At this time, Wu Mingyu beckoned to him, and he knew that this was the result of the inspection.
"It has been diagnosed, although it is not very big, but the edges are irregular and the development rate is still very fast. Do you just call Director Xu to come for a consultation, or do you want to find it after a biopsy?" Wu Mingyu said.
Ding! Completion of the consultation
Gain 300 XP and 50 Diagnostics Skill Mastery
Congratulations to the host level for reaching level 51, 139015/145180, gaining 1 attribute point and 5 glory points
"Have you communicated with the guy?" asked Liu Banxia.
"Not yet, I saw that he was a little scared, so he didn't dare to say it. Wu Mingyu said.
"Let's just say it, after all, it's still early days, and there shouldn't be a transfer at such a big point. Liu Banxia said.
Bone cancer is a very scary type of cancer that develops rapidly and has a poor prognosis. If it progresses to the stage of transfer, it means that your life has entered the countdown.
Although there are no biopsy results yet, judging from the current examination results and symptoms, there is no doubt that it is malignant.
Benign tumors don't develop so quickly and the edges are smooth. In fact, if you do a biopsy, it is not as good as freezing during surgery. Because such malignant tumors are likely to develop exponentially after being stimulated.
When he came to the consultation room, the young man's face was extremely pale. Now, if there is no more speculation in his heart, his heart is big enough.
"I'm your attending doctor, this is Dr. Wu from the Department of Orthopedics, and you should have some guesses in your heart. Liu Banxia said.
"At present, the advice we can give is to go straight to the hospital for surgery, and check whether the intraoperative examination is benign or malignant. But there are some things that need to be communicated to you in advance, and if it is malignant, what should we do. ”
"The common coping method is dissection therapy, that is, replacing your right hip bone, and then supplementing it with chemotherapy to clean your body, which is safer and has a better prognosis. ”
"However, most of the artificial joint replacements have a life limit, more than ten years, more than 20 years, when the artificial hip bone reaches the life span, it still needs to be replaced. ”
"And it's important to note that after the artificial joint is replaced, you have a long recovery period. With six weeks as the boundary, you can only do some small rehabilitation in the first six weeks, and after six weeks or three months, you can do more exercise. ”
"After all, it is a hip replacement, and there will be some muscle atrophy after surgery, so there will be a lot of discomfort. This will take more time to get used to, and there will be a length difference between the legs. ”
"Of course, this is the worst-case scenario we expected. At best, we are worried that it is just a benign tumor. ”
"The reason why I made it clear to you directly is that one is because you have a guess, and the other is because you need to make a decision. We also had to make an appointment with Director Xu of the Department of Orthopedics, and Director Xu would have to do such an operation. ”
"Doctor, I'll interrupt. That means if I had a hip change, would my life have been saved?" the patient asked.
"We can't give you 100% guarantees, but we can tell you responsibly. If the tumor is malignant, the treatment plan we have just recommended to you is the most used and the most effective. Liu Banxia said.
"If that's the case, can I just tell my parents, or just tell them that I don't have a disease and need a bone replacement?" the patient asked.
This made Liu Banxia and Wu Mingyu stunned.
"I can afford the treatment myself, and I can go to the hospital in a moment and then I'll tell them I'm going to go out. The patient continued.
"But it's almost the New Year, and you really don't tell them about such a big operation?" Liu Banxia asked with a frown.
"My dad has heart disease, my mom has high blood pressure, don't let them worry about it. During the operation, it will be left to you to judge. I'm lucky if it's benign, but I have a feeling that it should be malignant. The patient said.
"Okay, listen to you, then let's go through the formalities directly, Dr. Wu, you can help contact Director Xu." Liu Banxia nodded seriously.
Wu Mingyu nodded, and he also admired the patient's decision.
This patient was completely handed over to Wu Mingyu, and Liu Banxia couldn't help at all.
"Doctor Liu, you can be regarded as finding the old man's son. ”
As soon as he walked out, the comrade police officer ran over happily.
"It's not easy, I have to go over and ask for a few words. Liu Banxia said.
The people who came over were in their forties, and they were quite particular about dressing.
"Thank you, doctor. After seeing Liu Banxia, the patient's son hurriedly said.
"I still have to thank him, if he hadn't found out and brought it here, maybe he would have gone somewhere. I also have to tell you that this situation can no longer leave people. Liu Banxia said.
"Hey, it's been less than a year since I took over, and at the beginning I said that I wouldn't live with us, so I found a house outside and hired a nanny. The patient's son said.
"The original nanny was very good, and the new daughter-in-law of the family went back early this year. I caught one on the spot, and I can't find anyone anymore. When I find her, I'll ...... Comrade policeman, I'd better call the police. ”
"We will accept this matter, but don't worry about it first, we still have to solve the old man's problem. Yesterday I was a little frozen, some pneumonia, and I was given an infusion just now, so you have to settle the bill. Comrade police officer said with a smile.
"Gotta knot, gotta knot, you are all like saving my father's life. When you are old, you should be blessed, but you have Alzheimer's. The patient's son said.
"I used to love reading the most, and I moved several boxes of books for him. At that time, there were still some spirits, and they didn't live in the same community with us for fear of embarrassing the two of us. I wanted to go to a nursing home, but I didn't. ”
"Recently, it has also been the end of the year, and I am a little busy with business, so I am a little negligent on the old man's side. How could I have thought of encountering such a thing...... It's fucked up. ”
I can't comfort you with this, you really can't say it when you meet such an immeasurable nanny.
Now this situation should be that the old man was lost, and then he was scared and ran away. But if you can run away from the monk, can you run away from the temple? When you find out, call the police in time and quickly look for it in the surrounding area, maybe you won't let the old man suffer this crime.
The patient's son thanked him again before going through the procedure.
I have to say that sometimes I am really helpless to get this disease, and a family like him is obviously not bad for money. But even so, you can't avoid such a disease, and the nanny you hire should spend a lot of money every month.
"Comrade police officers and doctors, thank you so much. I'm going to take the old man back, do I need another infusion?" asked the patient's son after settling the bill.
"The old man was scratched by a cat, so there will be some high fever. However, the impact is not large, and the pneumonia is not very serious. Go home and observe, and if the body temperature is over 38 degrees, put a cool wet towel. Liu Banxia said.
"There may also be herpes and pimples on the wounds on the hands, so you don't need to worry about this, it will be a little itchy, just wipe it with iodine. Tetanus is indicated, and as for the rabies vaccine, you can control it yourself. ”
"Okay, thank you, doctor. The patient's son nodded, then walked over to the bedside.
"Dad, I'll help you up, it's time for us to go home. Your eldest grandson is going to make up for the holidays today, and he said to stay with you. Yaru is also at home to make your favorite pork and cabbage stuffed dumplings, let's go home and eat. ”
I don't know if the old man understood, but he nodded with a smile anyway, and stood up holding his son's arm.
After getting out of bed, it was not very convenient to walk, and after just walking two steps, I was incontinent.
"You wait, you can't go yet. Liu Banxia shouted, and his brows furrowed.
"Oh, doctor, I'm sorry, it's all dirty. ”
Seeing Liu Banxia frowning, the patient's son hurriedly said.
The police officer comrades on the side also glanced at Liu Banxia with some surprise, the contact time was not long, and they would not lose their temper with the patient's family because of this matter, right?