(Thanks to my friend manggliu, book friend 20170825224958876, and self-imposed monthly pass for encouragement)

People in the emergency department are counting the days with their fingers crossed, and they are all looking forward to September 9th. They are all worried about moving to a new house and upgrading their equipment.

At the very least, no matter what inspection you do in the future, you don't have to run back, you will deal with it nearby. The results of the instrument inspection can also be transmitted in real time, and there is no need to wait for the registration of each department before it is displayed.

This is the power of modern technology, and of course, it must be supported by sufficient funding.

Although I haven't moved there yet, some pictures have also begun to circulate in the circle of friends in the emergency department. They wanted to encourage Liu Banxia to come over and give it a shot, but this thing was a little lazy.

"Okay, just get excited. Liu Banxia clapped his hands.

"To stand on the last shift, there are currently two patients in our emergency department, one is Han Lin who is waiting to be discharged, and the other is Li Xue, who was admitted to the hospital yesterday and is preparing to have rectal tumor removal surgery today. ”

"After moving to the new building, we had to bring these two patients with us. However, Han Lin will stay for one day at most, and Li Xue will stay for a few more days. ”

"The emergency patients who came today also had to deal with it with a good spirit. Especially for patients who visit at night, they should not be negligent just because they are moving. Qing Keva, Huang Bo, Miao Rui, and Li Hao came to the stage with me for internships, and Wang Chao served as an assistant. ”

"Hehe, thank you, Mr. Liu, I'm really short of intestinal surgery. Wang Chao hurriedly said.

"You guys make the final preoperative preparations for the patient, and I'll wait for you in the operating room. Liu Banxia looked at Huang Bo and said.

The four of them are also very excited, that is, they are happy to be on stage today, and they are also looking forward to their new home.

After moving to a new home, I definitely see more patients. At that time, according to Liu Banxia's character, they will really have a lot of opportunities to come to power.

As far as the time spent here is concerned, there are several times more hands-on opportunities than the rest.

"Mr. Liu, did you say that the last time things were like that?" asked Wang Chao as he walked to the operating room.

"What's the matter?" Liu Banxia was a little curious.

"It's the patient with toxic epidermal necrosis, the day before yesterday was still like that, there was nothing to do yesterday and today, did you communicate with Lao Qin?" Wang Chao said.

"How do I know this, even if he finds Lao Qin, he can't tell me. It should be like this, anyway, the medical department wanted to throw it on our emergency head because I scolded it. Liu Banxia said with a smile.

"Actually, I'm a little panicked for Lao Qin, I don't know what's going on with this matter. I think the most likely thing is that the patient can't describe it clearly, and then Lao Qin is sloppy. ”

"But I can't help it, I can't run away if I get it. This also strengthened my confidence that I would not treat people casually, and I was so kind at that time that I might dig a big hole for myself. ”

"There's another thing, didn't I ask you to prepare for the popularization of medical knowledge a long time ago. When you interview the day after tomorrow, you also have to say a few words. I have already reported this matter to Director Zhou, and he let me make my own decisions. ”

"My God, Mr. Liu, my brother, this can't work, right? If I say it, what will Dr. Shi, Dr. Wei, and so many doctors do?" Wang Chao panicked.

"What to do? They don't like that. They all belong to the lord who makes a fortune quietly, and then except for me, that is, you, you can't let the intern doctor go, right?" Liu Banxia said.

"Isn't there another department, and then it won't be our general surgery. Wang Chao said.

"Yes, but they weren't involved in the preparations. Even I have a concept at most, don't you do a lot of work? Why are you still hypocritical? You have been impersonated?" Liu Banxia quipped.

"The key is that this is going to be on the news, it's too revealing, I'm afraid of being hated. Wang Chao said with a wry smile.

"Don't worry, if you attract hatred, you almost always hate me, and everyone else is enough. Liu Banxia said.

Wang Chao can have this idea, which proves that his mind is still sober, and this honor is not in vain. It's also high or low, Shi Lei and Wei Yuan are not interested.

I came to the operating room and brushed my hands on stage.

Today's anesthesiologist is still Wang Lei, and it will almost be this configuration in the future.

"It's going to be tomorrow, it's going to open at 9 a.m. Wang Lei said.

"Isn't it, I'm looking forward to it. It would be nice if the big guys could have a good rest today, there are no big things these days, and small things are constant. Liu Banxia said.

"Doctor Liu, do you want Xu Dan to cooperate with you? Dandan is very talented and familiar with it quickly. Liu Mei spoke.

"Ah...... No, no, no, I can't. Xu Dan on the side only shook his head.

"It's okay, Sister Mei, you help her take care of it. Liu Banxia glanced at Xu Dan, and the matter was decided.

Xu Dan was a little embarrassed, there was still a big gap between observing on the side and going to the battlefield in real time. That is, Liu Banxia is someone she is more familiar with, otherwise she may really escape.

At this time, the patient was also pushed in, and it was very uncomfortable to insert a gastric tube, but he just beckoned to Liu Banxia.

"Don't worry, we'll definitely do our best to perform anus-preserving operations. The details of the operation have been communicated, and if everything goes well, I will go straight to it, and if there are any questions, I will communicate with your family personally. Liu Banxia said.

"Thank you, Dr. Liu, it's a shame to hang the bag. The patient said.

Liu Banxia nodded, "Don't worry, let's start here, if everything goes well, you will be on the hospital bed in two hours to recover." ”

After finishing speaking, Liu Banxia gave Wang Lei a look and went straight to work. Whether it can be saved, and how much time it will take for this operation, depends on the actual situation of the patient.

Li Hao opened his abdomen, and Huang Bo helped. After the patient was successfully anesthetized, Liu Banxia said.

Li Hao walked up and stood on the main knife position, and Xu Dan also handed over the scalpel very quickly.

In order to encourage Xu Dan, Liu Banxia gave a thumbs up. It's just that Xu Dan doesn't have time to play with him, and he is still very nervous.

The job of opening the abdomen is really too simple for these interns led by Liu Banxia.

When Liu Banxia had surgery, these people also had the experience of opening their abdomen, which was nothing more than the length and position of the incision.

This time, the patient did not use laparoscopic surgery, because he was worried that there might be a situation of digging the tank, and it would be too delayed to change the abdomen to open the abdomen at that time.

And the normal laparotomy operation can also save some money for the patient, and then there is chemotherapy, which is the big one.

The abdominal tissues opened layer by layer, and Li Hao, Huang Bo, and Xu Dan cooperated very well. It's just that after the peritoneum was opened and the entire abdominal cavity was completely exposed, the entire operating room fell silent.

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"Exploring the abdomen, there is a lot of gelatinous matter in the abdominal cavity, which is widely adhered to the surrounding organs, and it is judged that the inflammation has infected the entire abdominal cavity. After being silent for a while, Li Hao said.

"Can you judge this operation?" asked Liu Banxia.

"The adhesions are so severe that if the tumor is removed now, it will most likely injure the tissues of the rest of the organs. Unless...... , Teacher Liu, you should be able to, right?" asked Li Hao.

Liu Banxia shook his head, "Shut your belly, I can't do it either." The adhesions are too severe, and they have invaded the surrounding tissues. If we do, there is a high chance of causing heavy bleeding. ”

"At least all the surgical options we prepared today are not suitable for this patient. Let's close the abdomen first, wake the patient up, and continue to discuss. ”

Such a result is also something he did not expect, and the root cause of it is that the progress of cancer is too fast. If the patient had made a decision at the beginning of the day, instead of thinking about the problem of anus preservation, there would have been a chance at that time.

After the abdomen was closed, Wang Lei also began to wake up the patient. The atmosphere in the operating room was still very low, and the feeling was a little more painful than the outright loss of the patient.

"Dr. Liu, is it done so quickly?" the patient's wife hurriedly asked, as soon as he came outside.

"We had an open abdomen and found extensive adhesions in the abdominal organs, so we didn't do it. Next, I will explain the details to you, and finally leave it to you to choose. ”

Hearing Liu Banxia's words, the family members were also stupid. The question of their relationship was whether they could keep the anus. I never thought that I wouldn't even have the opportunity to have surgery.

There are family members of the rest of the patients here, and it is not the place to speak. Liu Banxia can only briefly introduce it, and the details will go back to the ward first.

"Doctor Liu, don't I even have a chance to have surgery?" asked the patient lying on the hospital bed, looking at Liu Banxia.

"I can't say no, but the chances are low. Liu Banxia said.

"If we had had surgery, the anus would have been unsaved. How much rectal asection is unclear. But these are not important, the important thing is that the adhesion of organs and tissues is very serious. ”

"If we only remove the tumor and don't remove the adhesions, it doesn't make much sense to do the surgery or not. At present, it is also very difficult to really clean these adhesions, and you have a good chance that you will not be able to get off the operating table. ”

"Taking a step back, even if the adhesions are not so infiltrated, we can mark the boundaries with laparoscopic ultrasound. After a successful surgery, you only have about a 10% chance of survival. ”

"It's a major surgery and it's going to be very damaging to your body. Without surgery, you will be able to reunite with your family for a few months. ”

The patients were silent, and the family members were left crying.

"Dr. Liu, am I delaying my condition?" the patient asked.

Liu Banxia shook his head, "In the case of adhesions, no one can find out if you don't open your abdomen or do laparoscopic exploration." ”

"That'...... If I do, what is the success rate?" the patient asked.

"In terms of the difficulty of the surgery and the postoperative condition, it may not even be 3%. Liu Banxia said very directly.

This sentence is not so easy to say, but Liu Banxia still has to say it calmly. Because this is the patient's right, no one can replace it.

Whether to have surgery or not is up to the patient to choose.