(Thanks to my friend firebat 1980 monthly pass for encouragement)

"Doctor Liu, do you have something on your mind?" Xu Chengjun asked curiously after receiving Liu Banxia.

"A little bit, but you can rest assured that it won't affect today's surgery. Liu Banxia said.

"I still believe you, I thought you wouldn't be able to take care of me after you set up the emergency center. Xu Chengjun said.

"Dean Xu, it's really hard to say in the future. Yesterday was only the second day, and there were more patients who took the initiative to see the doctor. We have also received some first aid that has been matched by the dispatch, and now the intensity is gradually increasing. Liu Banxia said.

"By October, it is estimated that it will be running at full power. Otherwise, the intensity of the reception of the city hospital and the first affiliated hospital is too great, and we have to help them share some of it. ”

"Hahahaha, I believe this. Especially with Director Zhou sitting in the emergency center, with the help of you and Shi Lei, the patient really doesn't have to worry about this. Xu Chengjun said with a smile.

"After operating for a period of time, the number of people will be more after word of mouth. In the future, we will receive patients who need to be referred, and that's when we are really busy. ”

"You're not just in the emergency department. Although there is no rating yet, it is estimated that after a year of experience, I will participate in the rating, and then it will be different. ”

"Hehe, I've borrowed your good words. I would also like to ask this patient with a liver cyst, why does he want to stay in the district for surgery?" asked Liu Banxia.

"It's not about money, it's too expensive to go to Binhai City. It's not that I didn't want to go, the schedule is too long. When I finally mentioned it, they agreed. Xu Chengjun said.

Liu Banxia nodded, "Most of the situation seems to be similar, Lao Qin didn't come over to toss again, right?"

"No, but I heard that Lao Qin also accompanied a lot of money last time. It's also unlucky, so it's good to be careful. Xu Chengjun said casually.

"Did you really lose money? which family bit him?" Liu Banxia asked in surprise.

"Do you dare to make trouble in the hospital, can you do it if you don't eat enough?" Xu Chengjun asked rhetorically.

"And I've probably heard a little about that, Lao Qin also has his own lack of rigor. If they really sue, this will be the result in the future. ”

"It's early, and when the time comes, it's disgraceful, even if you can spend less money, it's not good-looking. It's good now, we all have to learn from it. ”

"Isn't it, I told the people in our emergency department, even if it is a WeChat consultation from relatives and friends, you have to be cautious and cautious. An negligence is not good to put your career into. Liu Banxia said.

"In fact, now there are people in the community where I used to rent a house and I have added me to WeChat for consultation, and I always ask them to come for a check. As I get older, it's even harder for me to make a diagnosis. ”

It's also a little embarrassing to mention this, don't look at the bad relationship with Lao Qin, and I also feel a little embarrassed.

He didn't see the detailed WeChat chat records, but he felt that Lao Qin must not have seen the photos of the spots, otherwise he wouldn't have been confused and identified as urticaria.

The differences in symptoms are too great to confuse them. Even if Lao Qin is a bit fucked up and not a good person, his medical skills are also online.

This time it was Lao Qin who was unlucky, and next time he didn't do well, he might be tricked. Because in this kind of case, the fault is often the doctor.

Even if it's because the patient describes it inaccurately, and then you make a judgment, the fault is almost always on your side, depending on how much weight it occupies.

Because you're a doctor, you're a doctor with professional knowledge. If the patient is not comprehensive, why don't you ask more? Even when you visit a doctor, you may not be comprehensive, let alone WeChat consultation.

After a few idle words, he also arrived at Jinshui District Hospital.

After greeting everyone, Liu Banxia picked up the case that was going to be operated on today.

Now Jinshui District Hospital has made two more small oolongs and the examination is very comprehensive, and the two appendicitis patients are very routine surgeries, and the small incisions are done. Patients with cholecystitis are slightly more tricky, with gallstones, which can be slightly more troublesome to deal with.

The most serious is the patient with a liver cyst, which has developed adhesions. I saw it when I was doing laparoscopic exploration, and Liu Banxia also carefully watched the report during the exploration.

"Dean Xu, if the operating room can be arranged, can you help me arrange it?" asked Liu Banxia.

"This patient with a liver cyst has some severe adhesions, and it will take a little more time to deal with it, about five and a half to six hours. ”

"No problem, our whole hospital is here for you today. Xu Chengjun said happily.

"Then I'm not welcome, you can arrange someone else. What happens after 20 minutes? It takes about an hour and a half after the first three are done, and then we go straight to the liver. Liu Banxia said.

Xu Chengjun was shocked, even if he could remove the time arranged by the patient, would it be too tense to have three surgeries in an hour and a half?

"I was able to cut two appendectomys, each in about fifteen minutes, and the stitches were done. Add in the time of brushing your hands in between, fifteen minutes is enough, that's forty-five minutes. ”

"Forty-five minutes is enough for gallbladder removal. I once picked a gallbladder with a lot of adhesions and some suppuration, around the same time. However, it is also necessary to give the patient anesthesia in advance, otherwise it will be a waste of time to wait for anesthesia. ”

"Cheng, I'll listen to you today, the second appendectomy will be anesthetized in advance. Xu Chengjun nodded vigorously.

Liu Banxia's words sounded very arrogant at first, but now that he has broken down the time, he doesn't feel anything. Liu Banxia's hand is fast enough, as long as the one with whom he is matched today can keep up, there is really no problem.

There is a reason why Liu Banxia is in such a hurry for the first three surgeries, and the removal of liver cysts is the first one he did outside the hospital. There is no Zhou Shuwen and Shi Lei to support him below, so he has to be more cautious.

As for Liu Banxia, these doctors in Jinshui District Hospital also have enough understanding. It's not once or twice, it's amazing every time.

As soon as I heard that he was going to speed up today, many people's interest was even higher. Sure enough, I used to hide my strength, but now I'm playing real kung fu.

There was already a teaching business with Jinshui District Hospital, and Liu Banxia did not bring any assistants this time, which also gave Jinshui District Hospital great convenience.

Today's Liu Banxia really did not disappoint them, and his strength was full of strength. Eliminating the need to wait for anesthesia is really time-saving.

The first operation took 13 minutes and the second one took 14 minutes and 17 seconds, and it was two appendectomys.

The third gallbladder removal is slightly more complicated and is laparoscopic. However, it didn't take long, 27 minutes and 37 seconds, which was much shorter than he expected.

After three surgeries, Liu Banxia gained 400 experience points, 300 points of diagnostic skill proficiency, 220 points of dressing change skill proficiency, 120 points of suture skill proficiency, 400 points of appendectomy skill proficiency, and 300 points of gallbladder removal skill proficiency.

In fact, he didn't expect such a result to be there, and now that he thinks about it, he has to thank the patient named Li Xue.

He was a gel with extensive adhesions in his abdomen, and after that surgery, he had a lot more experience in dealing with adhesions.

It's a pity that there is no honor and rating, and it is now difficult to obtain it in such a routine low-grade operation.

"If you don't accept it, you can't do it, your hands are really the same as flying. Xu Chengjun said with emotion.

"Actually, my hands are a little itchy these days, and now there are many doctors in the emergency center, and the operation has to come in turns, and I am embarrassed to occupy them. Liu Banxia said with a smile.

"There are really a lot of stones in the gallbladder of this patient just now, and there is not much space left in it after the dissection, and there seem to be some signs of calcification in the gallbladder wall, so you have to be more careful when you go back to do the pathology. ”

Xu Chengjun nodded, "I also noticed it, I hope there is no cancer." In fact, some patients are like this, coming to the hospital is delayed until the end, and there is no way to delay it any longer. ”

"Last time I had a patient who had been diagnosed with rectal cancer, but he wanted to find a hospital that could give him an accurate answer and could save his anus, and it dragged on for two months, and there were extensive adhesions in the abdominal cavity. Liu Banxia said.

"I cleaned up with Shi Lei for a long time, but in the end I still didn't survive. I owe him thanks to him for dealing with adhesion so quickly today. ”

"My friend used to joke with me that I basically walked there and I was going to get sick. I said no way, we can see symptoms that many people don't notice. ”

"Isn't that the case, I don't like to open my mouth when I see it now, as long as it's not particularly serious. As soon as you say it, his first reaction is that you want to make his money. Xu Chengjun said with emotion.

"The next patient also said the same thing, he had hepatitis and gallstones. Under the stimulation of the two compartments, this has a cyst. ”

Let's talk about coming to the operating room, this patient does not need to be anesthetized in advance, and the general anesthesia works quickly.

Liu Banxia did much more cautious in this operation, but it was not as easy as just cutting the appendix and removing the gallbladder.

But even so, it was very enjoyable for the people in Jinshui District Hospital. If you don't accept it, don't look at Liu Banxia's youth, the craftsmanship is really in place.

They will also perform such operations on patients, but the gap is really big compared to the current Liu Banxia.

Ding! The surgery is complete

Gain 400 XP, 100 Diagnostics Skill, 200 Suture Skill, 200 Dressing Change Skill, 600 Liver Surgery Skill, and 3 Glory Points

This operation is rated as Perfect, and you will receive 500 experience points, 200 diagnostic skill proficiency points, 250 suture skill proficiency points, 250 dressing change skill proficiency points, 1000 liver surgery skill proficiency points, and 10 glory points

Looking at the system reward, Liu Banxia sighed very emotionally in his heart, he was really still in the ranks of leapfrogging and killing monsters, otherwise the system would not be so generous.

Shaking his neck, he glanced at the operation timer, 5 hours and 27 minutes. It's okay, and the time saved can be eaten beautifully.