(Thanks to my friend for the encouragement of the Meal An Tianxia monthly ticket)

Looking at the film and test report brought back by the hiccup patient, Liu Banxia sighed in her heart. His second period was overestimated.

He also told the interns to exercise communication with patients or their families, but for a while he didn't know what to say to the patients.

"Doctor, just say it, I can hold on." The patient spoke first.

"The tumor of the pancreas has become very large. Judging from the current test indicators, it may have developed to the third stage. Even if the surgery is performed, the prognosis effect is not very good." Liu Banxia said after careful consideration.

"Himmer..., doctor, how long can you live without surgery?" the patient asked.

"It may only take three or four months. After the surgery and chemotherapy, the survival rate for two years will be about 40%, and the survival rate for five years will be lower." Liu Banxia said.

"Your family members have not come here. I can guess that you haven't figured out how to tell your family members yet, so I will tell you the actual situation. As a doctor, of course I hope you can undergo surgery, after all, there is still a chance after the surgery."

"But you have to tell you clearly that the prognosis effect is very poor. Now we can see that the tumor has invaded the blood vessels, which is almost the indication of stage 3."

"If I were asked to recommend it, we should first use chemoradiotherapy to treat it conservatively and see how it works. Although pancreatic cancer is not very sensitive to chemoradiotherapy, there are still some opportunities."

"If you choose to have surgery, we can do it too. But even after the surgery, it needs to undergo chemotherapy and treatment. I think you should discuss it with your family and don't think about taking care of everything yourself."

The patient punched the chest hard, "Doctor, that is to say, if I have surgery, I will waste a lot of money and then continue to suffer, just to live a few more months?"

Liu Banxia hesitated and nodded. The patient spoke very bluntly, and that's what he meant.

Moreover, in the stage of pancreatic cancer, surgery is basically not recommended in stage 3. This is because the prognosis effect is too poor. Although the progress of death can be delayed, the time you have won will be spent with pain.

"Thank you, the doctor."

The patient stood up and said seriously, then walked out of Liu Banxia's office.

Ding! The patient who loves to hiccup is completed

Obtain 200 experience points, 100 proficiency in diagnostic skills

The experience given is very pitiful because the patient's condition is not that complicated.

However, Liu Banxia didn't care about this anymore. Rubbing her face was the helplessness of the doctor. Known medical methods did not provide any help to the patients, and this helplessness was very thorough.

"The situation is not very good?" Wei Yuan asked after Liu Banxia came out of the office.

"It's the third stage, it invaded the blood vessels. Judging from his appearance, he should have given up treatment and enjoyed the rest of his life." Liu Banxia said.

"Hey..., actually I think this choice is good." Wei Yuan sighed.

He is also a general foreign doctor, so he naturally knows what stage 3 pancreatic cancer represents. It is precisely because of his understanding that he gives up.

"How is your cirrhosis patient?" Wei Yuan continued to ask.

Liu Banxia smiled bitterly and shook her head, "I haven't found the donor yet. If I can't find it tomorrow, it depends on what my family members think. Su Hongbo is not optimistic and has been seriously ill two people."

"Although Su Hongbo did not make it clear, it might not be possible even if he happened to find it tomorrow. His heart failure may be a bit serious."

"Then don't think so much. Not every patient who is waiting for an organ transplant can have a perfect ending. There are only so many in our hospital. Many patients with kidney disease have no place to get acupuncture after dialysis." Wei Yuan advised.

Liu Banxia nodded. He also knew that this was the case, but it was another idea to actually meet his own patients.

"Doctor Liu, I just received a notice that two yachts collided and four patients would be sent to our hospital." At this time, the dispatch nurse shouted.

"Four patients? Brother Wei, are you going to be the one round?" Liu Banxia asked.

"Okay, let us have four supervisors and assistants, let the interns go there." Wei Yuan said.

"Listen to everyone, Xu Yinuo, Huang Bo, Miao Rui and Li Hao are responsible for the treatment of the next four injured. Let's move, the yacht collided."

Hearing his words, Xu Yinuo and the others took action, put on disposable surgical gowns, rushed to the gate of the emergency center to wait.

"The patient fell into the water and had some low temperature shock."

After waiting for a while, the first ambulance arrived.

"Follow me and go to the clinic for treatment." Xu Yinuo said.

Wang Chao took a look and followed directly.

"Body temperature is 36 degrees Celsius, blood pressure and heart rate are 110. A laceration on the head, an open fracture of the tibia on the left leg, which has been tied to stop bleeding, and replenished blood and fluids." The second ambulance also rushed over.

"Follow me and rescue the room." Huang Bo said.

This time I followed Liu Banxia because Miao Rui was led by Wei Yuan and Li Hao was led by Qi Wentao, and the patient also had an open fracture.

"Ensure the monitor, rapid blood test. Dr. Liu asked the patient to check the fracture of the left leg. I will do the first trauma test." Huang Bo said.

Liu Banxia walked around the clinic bed, lifted the blanket covered by the patient, and touched it with her hands. "The open fracture of the distal cervical fibula on the left cervical fibula is suspected to be damaged. The temperature of the left foot is low and there is no blood circulation."

"The laceration on the body was stopped from the bleeding, and it can be sutured. The heart sound and lung sound are normal, and the abdomen are soft. Everyone left, tibial X-ray of the left leg, called Doctor Wu, and made an appointment with the operating room." Huang Bo said.

Liu Banxia nodded. There was nothing wrong with this operation. Even if it was changed to himself, when the authority related to orthopedic surgery was delegated, he still needed to call the orthopedic doctor to come and take a look and give a treatment procedure.

Moreover, this patient may have injured his blood vessels, so the emergency responder tied him to stop the bleeding. This is the patient who needs to go on stage immediately. If the blood circulation cannot be restored as soon as possible, his left foot may be useless.

The patient here has figured out the situation, and Liu Banxia has come outside again.

"Your patient is fine either?" Liu Banxia asked when she saw Wang Chao coming too.

"It's just drowning, and there are some hypothermia, just adjust it." Wang Chao said.

There is no problem with this patient. At most, there will be some lung infections at that time, which is nothing compared to the patient just now.

"I have to go to the stage directly. A hole was cut in my abdomen, sea water was poured in, and intestines were damaged." At this time, Wei Yuan and Miao Rui pushed the patient out from the second room of the rescue room, threw a sentence and rushed to the elevator.

The patient's condition is a bit complicated, and he must have lost a lot of blood. Moreover, because the sea water is dirty, it also causes a certain degree of pollution to the abdominal cavity.

The long exposure of the intestinal duct also puts the patient in danger of his life.

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Liu Banxia and Wang Chao came to the third room for rescue, where Li Hao and Qi Wentao were receiving treatment.

"There is no problem with vital signs. The right humerus was directly broken by the propeller. The broken arm has not been found yet." Qi Wentao said when he saw them coming in.

Liu Banxia frowned. Although the patient who had just been sent to the operating room was in danger of his life, as long as he was rescued, nothing happened.

The prognosis of this patient was the worst among the four patients. If the limb was broken for too long, it would not be able to be connected even if it was found.

Moreover, most people are used to using their hands as their right hands, which will bring great difficulties to the patient's future life.

"Wang Chao, you have a rest first, there is still a surgery waiting for you." Liu Banxia said.

Wang Chao nodded and walked out, while Liu Banxia watched Li Hao debride the patient's broken arm.

This is also a meticulous job. Although it does not require as meticulous as Liu Banxia used to operate, it also requires removal of inactivated and infected tissue.

"Finished, found, where is the patient?"

I just waited less than ten minutes, and there were shouts outside.

When Liu Banxia walked out, she saw a first responder holding a broken arm wrapped in plastic wrap.

"Here, Qi Wentao, take the operating room to debride the broken arm. After debridement, push the patient in. I will call the orthopedic doctor again." Liu Banxia said hurriedly.

"good."

Qi Wentao responded, took the broken arm and ran towards the elevator.

Liu Banxia hurriedly took out her cell phone and called Xu Peichen.

"Doctor Liu, Director Xu is undergoing surgery." After the phone was connected, the nurse's voice came.

"Please ask me if there is any orthopedic doctor who can do a broken limb replantation, the humerus on the left arm." Liu Banxia said hurriedly.

"Doctor Liu, Director Xu said that Deputy Director Wang of orthopedics should not have no surgical task this afternoon." The nurse said after waiting for a while.

"Thank you Director Xu for me." After saying that, he hung up the phone, found out the phone number of Wang Bo, deputy director of orthopedics, and dialed it directly.

"I am Wang Bo, please speak." After the three-way ring, Wang Bo answered the phone.

"Hello, Teacher Wang, I am Liu Banxia from the Emergency Center. We have just received a patient with a humeral amputation on the left arm. You need to do a broken limb replantation."

"Okay, I'll go over to your side and coordinate the operating room." Wang Bo did not hesitate at all.

"Thank you, Teacher Wang." Liu Banxia said hurriedly.

Even if saving people is like putting out a fire, Wang Bo should be so happy, it is a favor.

Now Liu Banxia's heart was finally relieved. Residual surgery for broken limbs is not that easy to do. Blood vessels and nerves, and any difference is a failure.

If you are lucky, all four patients will be able to be treated successfully today. For the current emergency center, this is a heart-wrenching injection.

"Teacher Liu, the patient's wound has been cleaned. However, the contamination is too serious, and there are still many inactivated tissues without blood vessels." At this time, Li Hao walked out.

After hearing his words, Liu Banxia was like being poured with a basin of cold water. For the patient, this is really news that is so bad that it cannot be worse.
Chapter completed!