294 Accidents after being well prepared
"Xiaoji, the patient's family will be back soon." Meng Qingfei finally breathed a sigh of relief, "You go on."
"Not more, grapefruit may also react with allergy drugs, anti-rejection drugs, and blood pressure drugs like nifedipine."
"So there are so many." Meng Qingfei said to himself.
"Teacher Meng, you are great, I don't think there is anything wrong with the patient falling asleep in the waiting area, you can see it." Ji Xiang praised.
His praise was genuine.
Similar diagnoses are extremely difficult, starting from inexplicably snoring in the waiting area, to contacting family members without waiting for the patient's laboratory tests, every detail is full of clinical experience.
Of course, Ji Xiang admired Meng Qingfei very much.
Although he is a little bit more reluctant, sometimes he does not look at the medical records and does not dismantle the line, for fear of encountering a small probability of 1 in 10,000 events, but that is also part of the clinical experience.
Meng Qingfei shook his head, and then laughed, "My biggest advantage is Gou."
"Teacher Meng, look at what you said."
"I was a tiger when I was a kid." Meng Qingfei said, "My neighbor has five sons, and Yishui is in his twenties. If his house wants to repair the wall, he has to smash the eaves of my house. In the countryside, men talk a lot is hard. My parents were instigated, and finally I stood up and pointed a stick at them, saying I forgot everything."
Ji Xiang laughed, what Meng Qingfei said was really picturesque.
"How old were you?" Ji Xiang asked.
"8 years old. Later, my mother said that the brothers said that I was still young, and if I got into a feud, I would be in trouble when I grew up, so I didn't touch the eaves of my house. But the more I grew up, the more cowardly I became, the more reluctant I became, and I became what I am now."
"It is said that 3-year-olds look young, and 8-year-olds look old, but it's not accurate for me to see them."
"Teacher Meng, I don't think you're bad, but I think you're very powerful, if the general doctor at least has to wait for the lab test to come back."
"The level is different, they can't eat it, I can eat it." Meng Qingfei waved his hand, not caring about it, "Xiaoji, you are very powerful, grapefruit and estazolam have a reaction, I don't know about this."
"Teacher Meng, to be honest, I don't think you are cowardly at all." Ji Xiang repeated it very seriously.
"Oh?" Meng Qingfei raised his eyebrows.
"I remember a patient who had plastic surgery on the atrial milk, and asked you to remove the stitches, but the patient didn't take the medical records and you didn't remove anything."
"And then?"
"The patient in front of you didn't wait for the test results to come back, so you contacted the patient's family directly." Ji Xiang smiled, "You are willing to take responsibility for emergency patients, even if the diagnosis is wrong, you will bear the consequences in order to buy time. But slow diagnosis patients, after all, it accounts for a slow word, and you are not in a hurry."
Meng Qingfei really didn't expect a young man like Ji Xiang to see through his behavior at a glance, and his good impression of Ji Xiang increased greatly.
"It's amazing." Ji Xiang gave a thumbs up and praised.
While chatting, the patient came back with a test sheet.
After the microscopic hematuria was full of vision, Meng Qingfei then prescribed a bunch of tests to determine that the patient had rhabdomyolysis.
The patient was a little confused and unhappy, but the patient's family members who came immediately forcibly took him for an examination.
After more than an hour, the patient was admitted directly into the U, and until this time the patient still did not feel much discomfort. ….
It can be said that the diagnosis and treatment of this patient were timely.
After handing over to the doctor on duty, Meng Qingfei finally relaxed.
"Xiao Ji, don't you rotate to the emergency department?" Meng Qingfei asked.
"Like, I don't see the emergency department in the rotating grid."
"Really, the emergency department only trains people, how can doctors not rotate to the emergency department. Who sets the rules, fault!" Meng Qingfei had some regrets.
"I'll be on duty with you when I have time." Ji Xiang said with a smile.
"Is urology still used to it?"
"Transferred to osteopathic surgery next Monday." Ji Xiang Road.
"That's fast, you turn three in the blink of an eye
It's been a month."
……
……
"That's fast, you've been in rotation for three months in the blink of an eye." Deng Chaohong said while doing the operation.
"Teacher Deng, I'll go to the chest in the next department." Zhao Tianjiao said.
"It's okay, you can tell me on the chest side, just come back for surgery if you have surgery." Deng Chaohong smiled.
However, he didn't talk too much, the patient in front of him was extremely difficult to operate, and casually said a few words to soothe the tense nerves, and then Deng Chaohong continued to concentrate on the operation.
The patient had advanced cancer with bone metastases, invasion of the lumbar 4 vertebrae, and severe pain.
The disease is incurable, and the patient's survival time is limited.
However, the tumor erodes the vertebral body, causing paraplegia and severe pain.
The pain makes every day feel like hell for patients, with no quality of life to speak of. The purpose of surgery is not to cure, but to reduce the pain of survival and improve the quality of life.
Deng Chaohong was also forced to undergo this operation.
Cutting the vertebrae, the thought of bleeding made Deng Chaohong's scalp numb.
The normal lumbar 4 vertebral body bleeding is about 4-5000, and he can't help it, he really can't resist the pleading of the patient's family before he comes to the stage.
In preparation for the operation, the patient's family, relatives and friends went to the blood bank to donate 5,000 blood of the same type.
Cutting the skin, Deng Chaohong was about to start the operation, and he said in a deep voice, "Let's prepare blood."
"Professor Deng, do you want blood?" The itinerant nurse went to call the blood bank and said very unhappily when she came back, "The blood bank said that the 120 ambulance went to the blood station and only took 3,000 fresh frozen red blood cell suspensions back."
"What!" Deng Chaohong was stunned, his hand froze in mid-air, "I have read the list of blood donations from the patient's family, and it is indeed 5,000."
"It's only 3,000, can surgery still be done?" The itinerant nurse asked.
Deng Chaohong felt that his hands were a little numb, and he knew very well what happened in the middle.
"When I first went to work 20 years ago, I said that after the blood exceeded a certain amount, I and my immediate family members would use blood for free, and they could use it as they pleased." The itinerant nurse said, "I was young and fooled. My master told me that it was impossible, don't listen to them fooling people."
"How do you see now? The blood in the blood bank is called a small one, and a lot of blood is used......
Deng Chaohong scolded his mother in his heart.
Just before taking the stage, Deng Chaohong knew what virtue the blood station was, and made a special phone call to confirm. The person who answered the phone was a young man, and he said very simply, there is blood, come and get it.
So Deng Chaohong was relieved to go to the operation.
But they are really not human, and they directly expose themselves on the stage.
"Professor Deng, I have seen the operation to cut the vertebral body." The itinerant nurse said solemnly, "There are 6,000 bleeding all, you are confident in your level, it is okay to have 5,000, but 3,000 is definitely not enough."
"......" Deng Chaohong was silent, he also knew that there was no need for the itinerant nurse to say.
"When the time comes, the patient will be thrown on the operating table because of the lack of blood, don't blame me for not reminding you."
The itinerant nurse said in an accentuated tone.
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