(Thanks to my friends for the winter and summer wind and thunder, the twinkle of the stars, and the encouragement of the very Brother Xiao monthly pass)

"What the hell are you telling me? Didn't you just say that surgery is more dangerous and you can't do surgery, why can you do it now?"

After Liu Banxia and the patient's parents explained the situation, the patient's father broke out.

"Please stay calm, I ......"

"Su Wenhao, let me explain. Liu Banxia patted Su Wenhao on the shoulder.

"We didn't find a large tumour in your child's lungs during the check-up because of the complications of gallstone pancreatitis, which is the first condition we diagnosed, affected the tumour and complicated by acute pericarditis. ”

"Acute pericarditis has affected your son's breathing, and making sure your son is breathing smoothly is the first thing we need to consider. ”

"What do you eat? What have you been checking for so long since you came to the hospital? Don't you know how to get tested if my son is not sick?" the patient's father was still emotional.

"We did multiple auscultations when your son was admitted to the hospital and the auscultation sounds in the lungs and heart were completely normal. If you feel that there is a problem with our treatment, you can go to the medical department of our hospital or the medical commission to complain to us. Liu Banxia said calmly.

"But the most important thing at the moment is your son, what we are doing now is drainage, and we can only achieve the purpose of temporary relief. When the amount of fluid produced exceeds the amount of drainage, it can also pose a threat to the child's life. ”

"Is my son's tumor cancer?lung cancer?" the patient's father finally calmed down.

"Although no pathology tests have been done, we suspect that it is non-small cell carcinoma of the lung. The degree of malignancy is very high, and the five-year prognosis is not very good. Liu Banxia said.

"I just talked to the cardiac surgeons and there are two ways we can solve the problem. The first is the surgery that Dr. Su has just recommended to remove the tumor, which can also remove the gallbladder. ”

"The second is what he hasn't had time to talk about, and we can use chemotherapy to take conservative treatment. However, if chemotherapy for such a large tumor wants to be effective, it must be at least four courses or more, and it will increase due to the impact of pancreatitis. ”

"And throughout the chemotherapy period, your child will still have a pericardial effusion and will need to be watched at all times. It is also painful throughout the chemotherapy process, and surgery is recommended for us. ”

"There are only two options available at the moment, which will give you an hour or so to think about it. If it is longer, the danger to the child is even greater, and it may be too late. ”

"Thank you, doctor, let's think about it. The patient's mother said.

Liu Banxia nodded and pulled Su Wenhao to the side.

"Teacher Liu, I ......"

Liu Banxia waved his hand, "Let you communicate more with the patient's family, just let you get used to it, not all the patient's family members can stay calm and restrained after hearing the diagnosis of their relatives." ”

"They are all people with no medical knowledge, and they all want to come to the hospital and the doctor can see all the symptoms at a glance. ”

"Communication with patients' families is also a very important part of our work. If the patient's family is able to cooperate? That will give us more time. ”

"But there's also a point? You don't have to get used to them when you encounter those who are messing around. It's like the medical troubles I encountered before, not giving them a chance to make an inch. ”

"Thank you, Mr. Liu. Su Wenhao said seriously.

"Thank you, thank you, too, because you care too much about the patient? Too anxious. Nothing more now? Stay by the patient's side and talk less. Liu Banxia said with a smile.

Su Wenhao nodded? Ran straight over.

"The patient's family hasn't made a decision? In the past two days, the temperature has cooled down again, and there are more patients. Chen Xuehai walked over.

"I gave them an hour? It is estimated that they will be able to make a decision in half an hour. Liu Banxia said.

"I'm just as surgical as you are? The tumor was really too big, the chemotherapy effect was too slow, and the patient had to suffer a lot. ”

In fact, he was a little anxious in his heart, and there was still one lying in the ICU? He was also involved in the patient's care? I'm also thinking about it.

But this patient was his serious patient, and he had to follow, at least after they had made a choice.

"Teacher Liu, what did you teach Su Wenhao just now?" Liu Yiqing came over again.

"It's my unique skill that I'm teaching, and I've been staring at your business ability all this time? Neglected to communicate with the patient's family exercises, I will have to make up for it later. Liu Banxia said.

Hear him say that? Liu Yiqing's face was bitter.

Not all illnesses can be solved after coming to the hospital, whether it is brought by ambulance? Or a patient who actively seeks medical attention, there is a risk of losing this patient.

"Don't look at me like that? Won't I give you a boost in this regard? How can you be on your own in the future?" Liu Banxia said with a smile.

"Tell them all, right? It can be regarded as a psychological preparation. Communication with the patient's family will be an important parameter that will affect your future appearance. ”

Looking at Liu Banxia's smiling expression, Liu Yiqing was very depressed.

You have to listen to what Mr. Liu says, otherwise he will really give you "little shoes". What was the torture of the big guy when the first chief surgeon was operated?

Now that he's said so, it means that you may have to miss out on your beloved surgery for the rest of your life. Because the "cute" Mr. Liu knows everyone too well, the more you want to have surgery, the more he will find fault with you.

"Mr. Liu, the patient's family has agreed, and the operation can be done. After waiting for a while, Su Wenhao ran over happily.

"Have you explained to the patient's family the possible complications?" asked Liu Banxia.

Su Wenhao nodded vigorously, "I've already talked about it, I transferred the information from outside my heart." ”

"Okay, let's take the patient to make preoperative preparations, I will arrange the operating room, and Dr. Chen, who is outside the heart, will personally perform the surgery. Is there a problem with gallbladder removal?" Liu Banxia then asked.

Su Wenhao nodded again, "No problem." ”

"Okay, you guys go to the stage first, and I'll go to the operating room to supervise you later. Liu Banxia said with a smile.

Su Wenhao walked away, and Liu Banxia beckoned to Wang Huan in the internal medicine clinic.

"You go first, I still have three patients here, I'll look for you as soon as I'm done." Wang Huan shouted.

Liu Banxia didn't hesitate any longer, and ran directly to the ICU of the emergency center.

"Mr. Liu, are you here to see the patient with high fever?" asked Su Hongbo, the attending doctor in the ICU.

"Yes, I just delayed a little below, how is the situation?" Liu Banxia nodded.

"I'm already critically ill, heart failure. And judging from the current vital signs, it may be complicated by multi-organ failure in the future. Su Hongbo said.

"We have now been put on a ventilator and treated for anti-infective and anti-heart failure. If it doesn't get better after a while, I'm going to call you to organize a multidisciplinary consultation. ”

"The current symptoms are complex, and although the patient's family has been contacted, nothing useful has been provided. Just like Dr. Wang's record when he received the doctor, he thought it was a cold and didn't pay much attention to it. ”

"The anti-infective drugs we use now are broad-spectrum antibacterial drugs, and if we can't find the real problem of inflammation, the next treatment is very difficult. ”

Liu Banxia frowned, and also checked the patient's follow-up examination on the computer next to him.

I also did an MRI of the chest and abdomen, and no tumor was found, and the results of the head CT were also benign, and no problems were found.

The results of the blood culture have not yet come out, and it will take a bit longer, and maybe the patient will not be able to wait for that time.

"Dr. Su, the patient's body temperature has risen by another degree. Then the nurse came running.

"Put on the ice blanket and cool down physically. Su Hongbo said.

Chen Xuehai, who is outside the heart, will have surgery in a while, and Wu Xiaoyue is also undergoing surgery. After a while, Wang Huan will be able to come up after receiving the consultation, and I will call the doctor in my heart, let's touch it first. Liu Banxia thought for a while and said.

"If the situation continues to deteriorate, I will call the people from the inpatient department to come over, why can't this patient be so confused. ”

"Judging from the current performance, I personally think that it is a disease that has something to do with the heart. Su Hongbo said.

"But we also had an echocardiogram and didn't find any problems. It was also confirmed with the patient's family that the patient did not have any history of heart disease. ”

This condition is complicated, this is Liu Banxia's first thought. In general, most patients with heart problems will have a history of heart disease, and now they can only find a needle in a haystack to find the cause.

Xu Guosheng and Wang Huan came up together, and when they came up, the patient had already developed symptoms of jaundice, which means that the liver function is damaged and the liver is also in trouble.

"I also agree with Dr. Su's judgment that now it's the heart and liver, and then maybe the kidneys or lungs. Xu Guosheng said.

"Now the cause is difficult to find, and from the time of the patient's onset to the present, the rate of his deterioration is increasing. I estimate that by the time dinner comes, it will probably become multi-organ failure. Wang Huan said.

"At that time, even if we find out the cause of the disease, I'm afraid we won't have so much time to rescue. Mr. Liu, you recall carefully and see if there are any omissions when we receive the treatment. ”

Liu Banxia smiled bitterly and shook his head, "If it weren't for you feeling wrong, I'm afraid you would have let this patient go." Now we can only do cooling, anti-infection, and immunity, right?"

Su Hongbo nodded, "If you don't find out the real cause, you don't dare to use drugs indiscriminately, which may make the patient's organs fail faster." ”

The big guys' hearts are heavy, and if there is enough time, they will definitely be able to find out, but what is missing now is time.