175 Boy with nosebleeds

"Brother, do you really have to do it? can't you think of individual ways?" Qiu Huaili asked with some hesitation.

"What do you still want? It's already out of the sinus road, and basically it's a fistula if it becomes inflamed a few times. If there are mouths at both ends, it is a fistula, and now you have only one mouth that is the sinus tract. Liu Banxia said.

"We can't guarantee now that your Dou Dao will have only one exit in the future, and it will fork off halfway by itself, how can there be several exits?"

"You, don't let me be in a hurry. Brother Guan, take care of him, and then take him to check. Your ID card is in your bag, right? I'll register for you directly. ”

Qiu Huaili was very helpless, and Guan Wei also told him this when he was just checked. In addition, Liu Banxia said that there would be such a situation when he brought him over, but he didn't expect it to happen.

Then he, the big boss, followed Guan Wei to do the inspection again, and Jiang Tao was so curious that he couldn't do it.

"What is your relationship?" Jiang Tao asked.

"It's just an ordinary relationship, but when it comes to seeing a doctor, I'm a little shy about getting sick, so I have to be stronger. Liu Banxia said with a wry smile.

"And then maybe it's because of this disease, I feel a little ashamed, so I'm very resistant. There is still a superior ward, right? Come to the highest standard, not bad for money. ”

"You don't need to ask for any more opinions, do you?" Jiang Tao asked with a smile.

"No, he can't follow everyone in line to change the dressing. Okay, tomorrow his daughter will have surgery, and when he finishes the examination, I will meet him for a while, and I can do it tomorrow afternoon. Liu Banxia said.

Jiang Tao nodded, it is also very good, the ordinary senior ward is very popular, and the real senior ward is also a little deserted. A lot of expenses there have to be self-paid and cannot be reimbursed.

Qiu Huaili was still relatively lucky, although there was a new sinus dao, and it did not become a more complex multi-sinus dao. As for when the operation will be, he will have to wait for him to go home and discuss it with his family.

Liu Banxia stretched his waist, not to mention that this afternoon was all about serving the old Qiu family. When I returned to the emergency department, I went to see Uncle Cao again, and his recovery was quite good. It's just that diabetes is really annoying, and the wound healing speed is really slow.

"Why don't you take a good rest if you're so dedicated?" Wei Yuan asked.

"I can't let my boss keep working for me, I'm distressed. Liu Banxia said seriously.

"You kid, but I really miss him. By the way, Qi Wentao has decided to stay in the emergency department, and the relationship between the two of you has to be well settled, but don't affect Corey's work. Wei Yuan whispered.

"You don't know Director Zhou's character, even if you are his student and have a problem at work, he will clean you up. It has always been a clear distinction between public and private, and you add it up yourself. ”

Liu Banxia frowned and nodded, he thought that after talking to Qi Wentao last time, he would be able to be transferred directly to the Department of General Surgery. I thought that he was also stubborn, so he had to stay in the emergency room.

This involves a new issue, Qi Wentao is a graduate student, and his admission standard at that time was that he needed to be accompanied for two years after graduation. Unlike now, the pilot schools have begun to implement the four-in-one certificate, and there is a regular certificate for master's graduates.

Although he said that he was still the general inpatient in the emergency department and could manage Qi Wentao, it was not like that.

With the regulatory certificate, Qi Wentao's disposal authority will be much greater, just like his current self. I only have a management name in the name, and I have the right to make decisions in some things.

But if Qi Wentao is not well-behaved and often finds awkwardness with himself, this job is not so easy to do.

Some little sorrows, it is not easy to be a doctor, it is not that you learn surgical skills, and you are only responsible for treating diseases and saving people. You are living in this society, and these things also need to be straightened out.

No one else can help with this matter, and he has to settle it himself. Moreover, Zhou Shuwen was able to agree to Qi Wentao's application, which can be regarded as another test for Liu Banxia.

After cleaning up the mood, it was time for dinner. I ate very well at noon today, and Liu Banxia asked others to go first, and he was here waiting for Chen Jianxin and Wang Chao, who came to be on duty tonight.

This is another headache for him, and when the emergency department is really up and running, he will have to be responsible for scheduling. In principle, it is not allowed to be replaced, so as not to cause someone to work too long and too tired.

But you can't guarantee that anyone will have an emergency, so you'll have to adjust when the time comes. Don't look at it as a small thing, it can also affect interpersonal relationships.

"Why don't you two go to dinner?" Liu Banxia asked as she looked at Liang Xiaolin and Qing Keva.

"Wait for you together, we are a team, we have to eat together. Qingkova said.

"Okay, let's wait here for a while. Sister Li is on duty tonight, and I don't know if she can bring us something delicious. Liu Banxia said.

"Oh, Sister Li's sauce bones are so delicious. Liang Xiaolin said happily.

Liu Banxia was amused, and after getting along for a long time, Liang Xiaolin was not as cold as she looked. But you have to be there for a long time to get to know you really well.

"Doctor Liu, there is a child with a nosebleed, you are here to receive the treatment?" shouted Shen Lin, who was at the triage desk at this time.

"Okay, let's dispose of a room. Liu Banxia said.

Debridement of the child, Liu Banxia didn't dare to let Liang Xiaolin and Qingkova get started. In the entire department of the second hospital, an emergency department and a pediatric department are often the most troublesome departments.

The emergency department is also often crowded here, and most of the patients are traumatic, which can easily cause conflicts in the process of treatment.

Nowadays, parents attach great importance to their children, and when you take the infusion, because the child's arm is crooked, you will be punched by the parent. What about flu season? It's even worse, and they want their children to see a doctor.

Judging from the current situation, there is definitely a lot more shortage of pediatricians in various hospitals than doctors in emergency departments. That kind of pressure is really not something that ordinary doctors can bear.

The little patient was a small boy, eight years old this year, who walked in with his hands raised in a surrender pose and his head up.

"Fell while playing?" Liu Banxia asked the mother of the child who came with him.

"Well, I didn't look at it and fell. The child's mother said helplessly.

"Mom, Hao Hao doesn't hurt, Hao Hao doesn't cry. The little guy said.

The appearance of the little guy amused everyone, and it is rare to see such a cheerful and strong little patient.

"Haohao is so powerful, does your nose hurt, and my uncle will pull out the toilet paper blocking my nostrils in a while, okay?" Liu Banxia said.

"Uncle, does it hurt?" After seeing Liu Banxia put on a mask and gloves, the little guy finally became a little nervous.

"It doesn't hurt, Uncle has to check you to see if you have any falls on your nose. Such a handsome Haohao, his nose is also very good-looking. Liu Banxia said after sitting down.

Hearing Liu Banxia praise like this, the little guy was so beautiful that his two calves shook.

I have to say that today's children are not ordinary, not as hurried and confused as Liu Banxia was when he was a child, and today's children know a lot.

Carefully pulling out the toilet paper ball stuffed in the left nostril, Hao Hao frowned.

"Hao Hao is so good, doesn't it hurt at all, uncle will touch Hao Hao's nose again. Liu Banxia coaxed the little guy and said.

Not to mention children, sometimes adults can easily hurt the nasal cartilage when they fall. As we often see in movies, a punch knocks the nose crooked, and then the protagonist casually lifts it with his hand and straightens it again.

The same may happen, but imitation is not recommended. If you really find that your nose is crooked, it is best to go to the hospital and ask a knowledgeable doctor to help reduce it.

The normal condition is not necessarily the nasal cartilage, but it may also be the nasal bridge bone. If you reset it casually, you will have to have major surgery.

"The nasal bones are normal, just clean the lower nostrils. Hao Hao is so powerful, if you change to someone else, you have to cry your nose. Liu Banxia said with a smile.

The little guy's tolerance is still good, Liu Banxia didn't have much simple inspection, and he was also praised by Liu Banxia for his hard work.

It's just that when he wiped the blood in his nostrils, Liu Banxia slowly frowned, and the habitual chatter in his mouth was gone.

"Can I ask how long the little guy has been injured in the fall?" Liu Banxia looked at the little guy's mother.

"It's been about thirty minutes, and I stopped the car and waited for a while. The little one's mother said.

Liu Banxia took out the flashlight and shone it into Haohao's left nostril. You can see that there is still some fresh blood in the nostrils of the little guy, which is infiltrating and oozing slowly.

Ding! boy with a nosebleed

Open-ended Mission: The host detects oozing blood from the patient's wound and suspects an underlying condition that requires further investigation. Task rewards will be awarded based on the diagnosis results

That's why he frowned just now, normally a nose fall and bleeding is a broken capillary. It's over, and if the nasal bone is not injured, there is nothing.

But this little guy is different, he has already stopped the bleeding with toilet paper at home, and there is still fresh blood when he just cleaned up.

"When the child had traumatic injuries before, how long did it take for the blood to clot?" asked Liu Banxia, who raised his head.

"This ...... I haven't paid much attention to this, I'm usually very well cared for, and I haven't been hurt much. However, Hao Hao used to like to pick his nose, and he often picked out bleeding at that time, and it took two years to come over. The little one's mother thought for a moment and said.

"I didn't worry about him about this matter, at that time, the kindergarten often called me when I was at work, and I was really the little ancestor of the family. ”

Liu Banxia hesitated a little, this is another new information.

This child's bleeding time and clotting time are a bit long, and the normal situation should not be oozing blood until now.

Bleeding time and coagulation time are a corresponding test index, and there will also be corresponding standard values, whether the time is long or short, it means that the body is in condition.