005: Deceiving too much
"Uncle, it's a bit cold." Liu Banxia said, lifting Liu Liyou's clothes and applying some coupling agent on it.
"Uncle, did you usually notice the mole that is as big as a bean on your neck? There is some divergence around it. This is called a spider nevus. Patients with cirrhosis have such symptoms."
"There is a lot of water in your abdomen. Now it has been squeezed into your lungs, so you are a little uncomfortable when you breathe. But it doesn't matter, we'll just pull it out later."
Even if this patient does not provide him with the opportunity to take the lead surgery, he has to do his best to receive the patient. As a doctor, the first thing to do is to be responsible to the patient.
"Doctor, do you still need to have surgery? Can you do that kind of minimally invasive?" Liu Liyou's wife asked worriedly.
"Dandan, what is the blood pressure I just measured?" Liu Banxia asked Xu Dan.
"Ah, the blood pressure was 130/80 just now." Xu Dan said hurriedly.
Liu Banxia looked at Liu Liyou's wife, "Don't worry, we can get rid of ascites in a while. Although this is also a surgery, it is just a minor surgery, which looks similar to ordinary sutures."
"We don't have to go to the operating room. We can get admitted to the hospital later. We can get it in the ward. However, it's the first time you've been getting ascites, so you won't get too much, and you'll get it slower, otherwise it will be bad for your health."
"After you have the ascites, you can stay in the hospital for a day. Never move around to avoid ascites seeping out of the puncture hole and causing other symptoms."
Ding! Get 30 experience points, 50 proficiency in diagnostic skills
"Sister Li, please take the patient's family to hospital." Liu Banxia looked at Zhou Li again.
Shi Lei, who was watching from the side, frowned slightly, and Liu Banxia also noticed it and replied with a bright smile.
Liu Banxia stood up, walked to Liu Liyou's wife and lowered her voice, "Go to the ward to ask the uncle to urinate more so that he will not hurt his bladder when he is pumping ascites. Seeing that the uncle seemed a little nervous, I won't tell him anymore, so that he won't worry."
"Doctor, thank you." Liu Liyou's wife was very happy.
Although the doctor is very young, he thinks so thoughtful. His boss is chattering, but he is actually very timid.
"Okay, Sister Li, let's go up later. Dandan will help me when the time comes." Liu Banxia said.
Abdominal puncture is not a difficult task. If pericardial effusion is accumulated, Liu Banxia would not dare to get started by herself.
"You're so proud? I thought you forgot." Shi Lei said angrily after Liu Liyou and his wife left.
"How can I do it? Who brought it out? Brother Shining Stone." Liu Banxia said with a smile, and then looked at Xu Dan, "Dandan, when the doctor asks you to take your blood pressure in the future, you should inform the doctor in time after the dose is finished so that the doctor can make a judgment."
"Ah..., I'm sorry, Dr. Liu, I will definitely not forget it next time." Xu Dan was startled.
"You're welcome, I've helped so much, just remember it. Just..."
"Liu Banxia, come here."
I still have to encourage Xu Dan. Her uncle is outside the gods. But before he finished speaking, the voice of Qin Hai, the director of the emergency department, came over.
Liu Banxia turned her head and saw that he was shocked. It was not only Qin Hai who came over, but also his boss, Zhou Shuwen, deputy director of general surgery, and Qi Wentao who was standing next to Qin Hai.
"Why are the two leaders here in person? Send me a message and I will appear in front of the leader in a flash." Liu Banxia hurriedly ran over and said with a smile.
If only Qin Hai were the only one who cared about it, he wouldn’t like him anyway, so what else could he do? But there was also a famous sword sword Zhou Shuwen next to him, so he had to make a gesture.
Zhou Shuwen can be said to be the real direct department of the Second Hospital. After graduating from Binhai Medical College, he went to Hopkins to get a doctorate. His medical skills are also really clever. He became the deputy director of General Foreign Affairs in a very short time. If it weren't for the prestige of the old director, he would have become the chief director long ago.
"Don't smile, let me ask you, Wang Mingxing, who just received the diagnosis, what medical judgment did you use to do abdomen enhancement CT based on?" Qin Hai asked with a calm face.
Qin Hai's voice was not small, and the doctors and patients in the other clinics also looked at it according to the sound.
"Director Qin, I made a judgment based on the patient's judgment that he had mild jaundice in his eyes, had recently lost weight, and his mother had breast cancer and died the previous year. I suspect that the patient's liver and gallbladder problems were some problems." Liu Banxia also put away her smile and said seriously.
"Just based on this? Why are you so capable?" Qin Hai glanced at him.
"Although you are a doctor, it also represents the image of our second hospital. Do you know what the patient's family said? It is said that because the child's words were not serious during the treatment and offended you, you would have given you an over-medical treatment."
"This problem is very serious and is something that our hospital has always attached great importance to. If I hadn't rushed over and comforted the patient's family in time, I might have caused a lot of trouble."
"Old Zhou, Liu Banxia is your general foreign doctor. I often come to our emergency department to help, and I am very welcome. The emergency department is heavy and no one is willing to come. But you should also manage it well. If you want to become a doctor, you must be virtuous first. I don't welcome such people."
This sentence is a bit heavy, and even Zhou Shuwen's face sank. At the same time, he was also a little curious. Why did Qin Hai, a director of the emergency department, do with Gui accompanying the doctor?
No one is a fool. Qin Hai was so anxious that he made a final decision. His intention was too obvious, and his purpose was to pass the blame. If this matter cannot be handled well, he would have to take the blame from the outside world.
Actually, this is nothing. Although Liu Banxia’s reason just now sounds a bit far-fetched, it is also a legitimate reason. The key is the impact of this matter on Liu Banxia, and he may not be able to successfully complete the rules for accompanying him in the Second Hospital.
This means that he has been abandoned for the past three years in the Second Hospital. You come to accompany the rules but can't get the accompanying license. What are you playing?
"Director Qin, I took care of Liu Banxia. I arranged for the patient to do abdominal enhancement CT only after asking the patient's family for consent. I don't think he has any responsibility." Shi Lei spoke.
"Xiao Shi, whether there is any responsibility depends on the result." Qin Hai glanced at Shi Lei lightly.
"You can wait until the blood test results come out and then make the next diagnosis based on the blood test results. Otherwise, what will happen to our hospital after it is spread? If the foot is sprained, you will have to undergo abdomen enhancement CT? Then, will you have to undergo a head magnetic dysfunction if your hand is injured?"
"Doctor Liu, we old man is ready. When will we pump water for him?"
At this time, Liu Liyou's wife and Zhou Li came over.
"Sister, I'll have something to do here for the time being." Liu Banxia said hurriedly.
"What water is smoking?" Qin Hai frowned and asked.
"The patient has severe ascites and mild cirrhosis. Now the ascites have squeezed into the lungs and have difficulty breathing." Shi Lei said in a hard voice.
Qin Hai glanced at Shi Lei, then looked at Zhou Shuwen, "Old Zhou, I think that given the current situation, it is not appropriate to let Liu Banxia treat patients in our emergency department."
"After all, Wang Mingxing's father still needs to be comforted, and it is not good to make trouble. I don't avoid relatives. It is true that Wen Tao is my nephew, but with the current rules and regulations to accompany the doctor, medical skills are also possible. I can do abdominal puncture for this patient. Wen Tao, go upstairs and prepare."
Liu Banxia's eyes suddenly widened. Looking at the lonely and stubborn hair above Qin Hai's head, he wanted to pull it off.
Don’t you bully people like this? You have to grab even an abdominal puncture now? Or do you want to grab it openly?
Chapter completed!