472 Trying to get away with it
(Thanks to my friends for being empty and lonely and cold 671112, and thanks to my friends Mu Muge, Shang Chengjiu, Silly Heart, and Book Friends for 110316151302234 monthly ticket encouragement)
"Teacher Liu, is it really a lung lesion?" asked Liu Yiqing.
"I'm not sure now, but I also fooled the child's parents just now, so don't learn this in the future. Liu Banxia said.
Liu Yiqing was stunned for a moment, "Why didn't I find out? Everything that should be said has been said, where is there any fooling?"
"It's just that I modified it when I just described it, and it's equivalent to an operation, but I only used probing to fool around. Liu Banxia said.
"I was scared that the parents of the child would be too worried about the surgery and would refuse again. Exploration is generally easier to accept than surgery, and it is also pleasing to the ear. ”
"But this child's situation is really complicated, and it would be easier to deal with it if there is something abnormal about the heart sound. Then the related related symptoms can be inferred and can be examined with clear indications. ”
"The point is that nothing is very clear, and even the current thoracoscopic exploration may only be due to the effect caused by dazzling eyes, and I am a little worried. ”
"Help me leave a message with Chen Xuehai's operating room, telling him to come to me after he gets off the stage, there is something urgent. He has to continue to fool around, otherwise he is so short on time, and he is really choked enough to do it. ”
It doesn't mean that if you become the general manager of hospitalization, you can give orders to the doctors in all departments at will, but this general manager is actually a position that can manage everything and nothing.
His current general right to be hospitalized has also been improved because of Zhou Shuwen's relationship, and even so, he can't arbitrarily assign Chen Xuehai to perform surgery.
Everyone's surgery is scheduled, and if you add it in at will, it will disrupt the plan. The surgeon is still so tired, and the surgery is really not so easy to add.
"Mr. Liu, you can be regarded as coming back, and it is time to help us take care of the general out. As soon as he returned to the emergency hall, Wang Chao greeted him.
"Why did it become so lively? are you busy?" asked Liu Banxia in surprise.
"There was a series of rear-end collisions just now, and the injuries were not very serious, but for the sake of health, they still came to us for examination. Wang Chao said.
"There are six cars and sixteen people. Liu Yiqing was also taken away by you, and we all lack a capable man here. Hurry up, let's greet these first, and you can see that there are critical patients to receive them quickly. ”
"Cheng, listen to Mr. Wang's orders. Liu Banxia said, and then walked to the guidance table.
Wang Chao glanced at him helplessly, and began to skin again. When the treatment is finished, you have to ask what is the matter.
The patient assigned to him was a 14-year-old boy whose family complained of abdominal pain.
"Is the abdominal pain severe?" asked Liu Banxia.
"It's not serious, but it lasts a long time. Intermittently, for three or four years. And sometimes if you don't eat the right food, you will vomit. The child's mother said.
Liu Banxia frowned, such similar abdominal pain has also been contacted, and most of the diseases of mesenteric ischemia and compression will cause such an effect.
"Come, lie down first, I'll check. Three or four years, that's a long time. Have you been to the hospital before?" Liu Banxia said.
"I took him to see him last summer, and the doctor said that it might be because of the pressure of studying, and the examination did not detect any illness at that time. The child's mother said.
Liu Banxia did some routine examinations for the child during the physical examination, and the first thing was to rule out appendicitis and gallbladder pain. Then I listened carefully to the bowel sounds, and there was nothing unusual.
"It hurts a little bit now. At this time, the child frowned and said.
"Then let's do an ultrasound examination here, although the price will be a little higher than going upstairs to do it, but it is the onset period, how about being able to see it more accurately?" Liu Banxia looked at the child's mother.
This also needs to be explained, otherwise it is a problem as soon as it is found to be higher than the normal ultrasound price.
The child's mother did not hesitate and nodded directly.
The ultrasound was pushed over, the couplant was applied, and Liu Banxia looked at it directly.
After a few sweeps, Liu Banxia paused, took a few images, and marked them.
"My current diagnosis is that the child has some intestinal malrotation because the abnormal rotation of the intestine is causing the child's abdominal pain and vomiting. Liu Banxia said.
"I also need to do another color ultrasound to look at the blood vessels to confirm the diagnosis, which is not so clear on my machine. ”
"Let's put it this way, the superior mesenteric vein is shown here, and now it runs to the left front of the superior mesenteric artery, which is not normal. ”
"Doctor, is that serious?" the child's mother asked.
"If the diagnosis is confirmed, surgical intervention is required, otherwise it will affect the blood flow and cause intestinal necrosis. In fact, there are some performances now, so I'm going to open the ultrasound inspection. After Liu Banxia finished speaking, he started to operate.
"Doctor, it doesn't look like a blood vessel on it. The child's mother hesitated slightly.
"It's a medical image, and it's different from what we see intuitively. Go ahead and do it, and if you are diagnosed, make preoperative preparations and try to have the surgery done this afternoon or evening. Liu Banxia said.
"It's not good to say when this situation will suddenly worsen, and a series of complications such as intestinal obstruction and intestinal necrosis may occur. ”
The child's mother nodded hurriedly, there was not so much time to waste now.
Don't look at him just treating one patient, at this time Wang Chao and they also eased up, and the rest of the patients don't have to worry about him.
In fact, it was because of the illusion of chaos caused by the influx of so many patients at once, and now it is all smooth.
"You guys go eat first, I'll wait here for Dr. Chen. When it came to the meal, Liu Banxia said.
"Teacher Liu, you won't secretly eat a sweet lunch with your wife, will you?" asked Xu Yinuo curiously.
"She's abandoned me for the night. It seems that she is preparing any year-end prizes for her employees, and she muttered last night. Liu Banxia said helplessly.
"My wife's employees have prizes, and I don't know if the employees of 'uh-huh' have prizes. Xu Yinuo muttered.
"Yes, it was supposed to be scheduled after the year. If you're in a hurry, you can get one first. Liu Banxia said with a smile.
Liu Yiqing glanced at Xu Yipromise with pity, this stupid girl, you are about to fall into the fire pit.
"Haha, forget it, I'll go eat first. Xu Yinuo felt unusual, dropped a sentence and ran away.
"What a great opportunity, she wasted it. Chao, do you want to receive the prize?" Liu Banxia looked at Wang Chao again.
"Thanks, I still don't need it. Wang Chao said seriously.
"What kind of prizes are you talking about? Do we have anything outside of our hearts?" At this time, Chen Xuehai walked over.
"Dr. Chen, there are a lot of surgeries scheduled in the past two days, and there will definitely be prizes. Liu Banxia said.
"What's the matter with me? Tell me, I have a right lung removed in the afternoon. Chen Xuehai said.
"Uh...... , let's not talk about it yet, I'll do a magic trick for you. Liu Banxia said very cautiously, and then plugged the child's CT film into the viewing lamp.
Chen Xuehai glanced at it, "Everything is normal, don't you say I'm leaving." ”
"Take a closer look, look here, is it normal?" Liu Banxia hurriedly tapped on the small shadow that could disappear.
At first, Chen Xuehai didn't pay much attention to it, but when he looked at it, he felt that something was wrong. He took off his glasses, pinched his eyebrows, and looked there again.
"Interesting, this is your patient, what kind of disease?" asked Chen Xuehai after looking at it for a while.
"Do you want to know what the disease is?" Would you like to describe the patient's symptoms to you?" asked Liu Banxia.
Chen Xuehai shook his head, "I'm just interested in this shadow and want to know what caused it." ”
"Actually, the process of seeking knowledge is very exciting, don't you have an idea?" Liu Banxia asked again.
Chen Xuehai glanced at him, "Your kid is too bad, the patient has been admitted in, when will you do the investigation?"
Liu Banxia gave a thumbs up, "It depends on your arrangement, but you can come in your time." The child had symptoms of high fever, breathing pain, chest pain, cough, and dyspnea, and his condition improved after using Tylenol, and the medical history was two years. ”
Chen Xuehai frowned, "The afternoon operation starts at one twenty o'clock, half past four, let's set the time here first." If the situation is complicated after the thoracotomy, I will ask someone in the operating room to contact you and make preoperative preparations. ”
"I'm going to eat first, and I'm going to have to rest for a while. We normal people can't compare to monsters, where do we have so much physical strength to squander. ”
After finishing speaking, Chen Xuehai left in a hurry.
Liu Banxia blinked, "Liu Yiqing, is the monster that Dr. Chen said is me?"
Liu Yiqing was happy, "It should be almost the same, anyway, your operation time is really long." ”
"Hey...... , forget it, don't worry about him. Liu Banxia sighed.
Originally, it was a game to get away with it, but it would be very laborious to tell Chen Xuehai directly. It's good now, Chen Xuehai has a strong interest.
As for his counterattack, let's not consider it for the time being. The patient should be ranked first, and it is more prudent to let Chen Xuehai do the exploration.
Although the instrument examination may be blurry at times, the shadow that disappears is likely to be the main cause of the child's illness.
"Chao, what should I do if I want to eat chicken legs at noon?" Liu Banxia looked at Wang Chao again.
"If you want to eat it, you can buy it yourself. Wang Chao said cautiously.
This is definitely not a chicken leg thing, who knows if this thing is going to bully itself again.
"Oh, that's a pity. Liu Banxia said a little exaggeratedly.
"Okay, I'll buy it for you. Wang Chao compromised.
"Do you want to do bad intestinal rotation?" asked Liu Banxia with a smile.
"Really?" Wang Chao didn't believe him.
"Just the kid you asked me to take in just now, now go upstairs to do color ultrasound. Liu Banxia said leisurely.
Wang Chao sighed in his heart, this is fate, if he receives the treatment, will he save a chicken leg?