403 If you have a problem, find Banxia
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"If you think about it carefully, did you slowly have such a pain when your father was training you harshly?" asked Liu Banxia.
The patient guy thought about it carefully and nodded, "But the pain at that time was different from now, and it was like a fork in the air at that time." ”
"Then you recall carefully, does your dislike of eating not refer to the taste or smell of the food itself, but that you will feel uncomfortable after eating?" Liu Banxia frowned and asked.
"How to describe it, it's okay to eat, but also hungry. But after eating, the pain will be worse, and occasionally there will be some diarrhea and vomiting?"
"Yes, yes, that's it. When you're done, you vomit, no matter what you eat. The more I vomited, the more it hurt, so I didn't dare to eat more. Dr. Liu, do you see what's wrong?" the guy was full of surprise.
"Is the main location of the pain here?" Liu Banxia said, pressing his hand on the patient's rib cage.
The patient nodded violently, and the joy on his face became stronger.
What Liu Banxia said was examined in other hospitals, and no one asked at that time, and Liu Banxia said it so accurately just now, he should have a chance.
"It's not good to say now, I have to add a test, abdominal CT angiography. It's a contrast agent that is put into your veins, and it can be a little uncomfortable. Liu Banxia said.
"It's okay, you can check it out, just show me what the disease is. The guy said excitedly.
"Wait, I'll arrange it. Liu Banxia said.
I was also a little excited in my heart, not only because of the direction of diagnosis, but also because I helped Xu Peichen.
"Banxia, is this an eyebrow?" Seeing that the young man was happily holding on to his injured foot and jumping away, Xu Peichen also walked over from the consultation room.
"First do a CT angiogram of the abdomen, I suspect it may be median arcuate ligament compression syndrome, which is celiac artery compression syndrome. Liu Banxia said.
"But now it's just my assumption, and I'll know what's going on when the CT film comes out. Hopefully, it can help him solve his pain somewhat. ”
Xu Peichen patted him on the shoulder, "I don't know much about these, if you really diagnose it, he will be easy in the future." Can it be treated?"
Liu Banxia nodded, "If you want to cure it, you have to do surgery, let Shi Lei go up when the time comes, my wound is not good, Director Zhou won't let me go on stage." ”
Xu Peichen was happy, "It's very uncomfortable not to be on stage, right?"
Liu Banxia nodded pitifully, "It's really uncomfortable, I'm jumping around today to relieve my boredom." Director Xu, I think you are also a little short of people here?"
Xu Peichen nodded, "There is no shortage of people in all departments of the hospital, and our hospital has been recruiting people, but it is still not enough." ”
"For today's medical students, both bachelor's and master's degrees are a bit insufficient. In order to get a promotion and salary in the future, many people will take the Ph.D. exam, and every year because of this, there will be a shortage of nearly ten personnel in our hospital. ”
Liu Banxia grinned, "I don't dare to think so far now, it's better to work honestly and be done." ”
"You've done a good job in the emergency center, and you've been mentioned a lot at the recent meeting. Don't relax, work hard. Xu Peichen said.
"If you don't think there's any interest over there, you can come to our orthopedic department for two years. I'll give you a deputy director, not only to deal with orthopedic matters, but also to treat other diseases by the way. ”
"Director Xu, do you think that if I dare to run now, Director Zhou will not chase after me. Liu Banxia said with a wry smile.
"Hey, Lao Li regrets it now, he should have acted decisively at that time. Xu Peichen sighed.
The attending physicians and deputy chief physicians of the orthopedic department on the side were so envious that the old Li in Xu Peichen's mouth could only be the vice president Li Mingwu.
A few months ago, Liu Banxia was still a small standard training, and he was cautious when he came to the orthopedics department. But if you look at it now, it is already an existence that can communicate with the directors of various departments on an equal footing.
Don't look at Xu Peichen as the director of orthopedics, it's because he doesn't want to be a bigger official. Orthopedics is a very busy department, but I don't have the heart to worry so much.
Now Xu Peichen dares to do it for Deputy Director Liu Banxia, and he is definitely not joking.
Liu Banxia's orthopedic skills are verified, and his debridement skills are currently at the super-first-class level of the Second Hospital. And he also has experience in presiding over work in the emergency center, if he comes to the orthopedic department, he will definitely be Xu Peichen's right-hand man.
Sometimes people can't really compare with each other, and the current Liu Banxia is just a resident doctor, but the strength of the people is strong, can the big guys not be rare for such people?
Anyway, he came over, and Xu Peichen didn't want to waste him, so some dislocated patients directly let him come to receive treatment.
Liu Banxia will not postpone such a job, but he will still follow the rules, he has to shoot first, and then reset. Even if he had the skills to reset directly, he had to follow this rule now.
This is a serious rule in the hospital, you can't just have confidence in yourself, you have to make the patient satisfied. Otherwise, maybe that patient is unhappy and thinks you're joking, and a complaint is enough to drink a pot.
However, his method is also a little different from others, and it is faster to deal with it than other doctors. Basically, as long as the patient enters, he first looks at the film, touches it casually, and resets it directly after chatting a few words.
If it weren't for the fear of the patient's pain, I'm afraid I wouldn't even need to talk.
"Dr. Liu, Dr. Liu, the doctor who watched the CT film said, let me hurry up and find you, and say that your guess should not be bad. "Just as he was receiving the consultation, the emaciated young man jumped in on crutches.
"I'm sorry, he's been suffering from illness for more than ten years, and now he's finally getting a little eyebrows. Liu Banxia hurriedly said to the patient lying on the bed.
"It's okay, understand, hey......" The patient had just answered half a sentence, but was interrupted by Liu Banxia's bones.
"Okay, it's a dislocated facet joint. Shoot another film, put on a waist brace and you're done. Liu Banxia said with a smile.
The patients looked at him helplessly, this doctor's hand was really fast.
After a handover here, Liu Banxia led the emaciated guy to the outside and inserted his CT film into the viewing lamp.
The emaciated patient task is complete
Gain 500 XP, 800 Diagnostics Skill Mastery, and 5 Glory
This mission is rated as Flawless, gaining 500 XP points, 500 diagnostic skill proficiency points, and 5 glory points
"It's basically certain, it's celiac artery compression syndrome. You can't understand too much medical knowledge to explain to you, that is, the ligaments here in your abdominal cavity have compressed your celiac artery blood vessels, resulting in insufficient blood supply. Liu Banxia said.
"Now you see that this blood vessel is a little narrow, and every time you eat or exercise, it makes this pressure more severe, so you usually have a small pain, and occasionally a big pain. ”
"This may have something to do with the overtraining you did when you were a kid, when your body is overloaded, there is always some damage. Combine your situation ......"
Before Liu Banxia finished speaking, the patient waved his hand directly, "Doctor Liu, you just tell me if I can treat it, please, okay?"
As he spoke, tears flowed down the patient's face.
Liu Banxia patted him on the shoulder, "There are two ways to cure it." One is to maintain the status quo, but it can be temporarily relieved by injecting anesthetic drugs into the celiac ganglia. The other is to perform surgery to relieve the compression and allow the blood to flow freely. ”
"Surgery, surgery, surgery. No, can you keep me from pain first?" the patient was a little incoherent with joy.
Liu Banxia smiled and nodded, "Of course you can, the operation is not something that can be done, your current physical fitness is too poor, it is best to recuperate for two days." ”
"In this case, I'll tell Director Xu about your situation, and then I'll take you away. I will go to my place to recuperate for you for two days, and the pain will be relieved by anesthetics in these two days. ”
"Okay, let's do what you say. The patient only nodded violently, and happily grabbed Liu Banxia's arm and shook it vigorously a few times.
People don't often say that they are as happy as a child, and this patient is like that.
Don't persuade others to be kind without others suffering. In the same way, you can't understand how happy the young man is now without "enjoying" the pain all the time.
After asking, Xu Peichen went to the operating room for surgery, and it seems that the rest of the work has to be handed over to himself. After completing the procedures for transferring departments, Liu Banxia directly took the guy back to the emergency center.
"Wang Chao, this patient is in your charge. Celiac artery compression syndrome, anesthetize the ganglion first, make him comfortable for two days, and operate directly the day after tomorrow. Liu Banxia said.
"Okay, leave it to me. Wang Chao nodded.
"Don't worry, I can't operate on you because I have injuries on my body, but I'll ask our emergency center experts to do it for you. Liu Banxia looked at the patient and said.
"Okay, thank you Dr. Liu, it's best if you can hurry up, I really want to get a good night's sleep." The patient said.
Liu Banxia nodded, "Don't worry, Doctor Wang will be able to take care of the rest." First of all, I have to set up the hospital bed, and I have to call the family to share the joy together. ”
"Well, I forgot. The guy said happily.
"Okay, but it's not bad, it's a three-game winning streak on the first day of resuming work. Zhou Li came over.
"Don't praise me, I'll be really proud if I praise me again. Liu Banxia said seriously.
"Did you hear what they said?" Zhou Li asked with a smile.
"What did you say?" asked Liu Banxia curiously.
"If you have a problem, find Banxia. Banxia is not omnipotent, and no Banxia is absolutely impossible. Zhou Li dropped a sentence and walked away.
Liu Banxia couldn't laugh or cry when he heard it, why did he still have such a saying.