(Thanks to Silence529, An Lin Xiaoxiao, book friends 20190313163058013, mangmangliu monthly ticket encouragement)

The unusual surgery and strange cases suddenly pushed Liu Banxia to the forefront.

The same thing is true, and often it is a consequence theory.

During the entire operation, Liu Banxia did not follow the pre-operative discussion plan, which was within the defined range. After all, through careful observation, he really discovered the patient's subtle symptoms.

This is successful and worthy of praise.

Of course, if the patient is really pancreatic head cancer, he has been observing for so long and wasting so much surgery time, but it is not explained by "caution".

Pancreatic duodenectomy is a major operation. The longer the patient is anesthetized, the more likely it is to have complications. Others have artificially delayed their time, so this is the issue that can be discussed.

Even if administrative penalties are not imposed at that time, some people will say something that is not very good later.

But now there is no problem, and the result is good. Zhou Shuwen also gave affirmation. What else can others say?

Now Liu Banxia has brought his interns to discuss this case. It can be considered as taking a break from her busy schedule. After all, she has just finished and can still recall it.

"That, let me tell you. At present, ours is a case seminar, not a self-criticism meeting. A comrade who keeps criticizing himself can consider adding chicken legs or pig trotters after the meeting." Liu Banxia said with a smile.

Everyone looked at Wang Huan happily. It was him just now, and he started to check on himself.

Wang Huan glanced at Liu Banxia helplessly, "Okay, pig's trotters, pig's trotters."

"Hehe, that's right. I followed suit and consulted without seeing it, but I won't admit my mistake." Liu Banxia smiled and took over the conversation.

"The patient's condition is very special. Judging from the performance of the initial examination, it fully meets the standards for pancreatic head cancer. It has strong inducement, and what induces us is the autoimmune system disease caused by IgG4."

"I didn't pay much attention to autoimmune diseases in the past because I didn't have so thorough medical research on this aspect. Because this disease is often not routine and prevalent, it's so special."

"But we cannot ignore that with the increasing number of testing methods and the development of medicine, there are more and more "new" diseases."

"Are these new diseases really new diseases? I think apart from some epidemic viruses, they have strain mutations and evolution, many diseases are not new diseases."

"Just talk about this patient, if he had gone back a few years, he would probably not even have the idea of ​​a puncture biopsy after receiving the treatment, but would go directly to the stage to perform the incision."

"Several years later, this patient is a patient with a good prognosis of pancreatic head cancer. In other words, this patient is in line with the prognosis of pancreatic head cancer and has not been able to survive."

"Because there is chemotherapy next, cancer patients have no way to use chemotherapy to fight poison. Healthy people also have chemotherapy, so they cannot kill the enemy and are self-harm."

"But I also want to say that during the entire diagnosis of this patient, neither me nor Brother Wang had any problems in the medical procedures, and they could stand the test."

"If I hadn't had the chronic pancreatitis caused by IgG4, I would have to follow the book for a long time. I wouldn't have heard of it before."

"I called everyone, including the interns, to hope that everyone can start their brains and see if we can come up with an operation process that may avoid misdiagnosis of similar diseases?"

Everyone nodded unconsciously. How to prevent misdiagnosis is the important issue. As Liu Banxia said, yesterday's treatment process was completely in line with the rules.

"Let me say a few words." Chen Xuehai said.

"In our hearts, we rarely encounter such a situation. The most troublesome thing about us is related lung diseases, which are sometimes difficult to deal with."

"But for us, even if it is sometimes risky, we still need to make some decisions. Actually, I think that many times we can just be worthy of our conscience."

"We have done a good job in the treatment of patients, and we will do our best to learn and give diagnosis and related treatment. After all, specific diseases like this are rare. As long as we are serious at work and do not miss any abnormalities, this can play a certain preventive role."

"In this case, both Mr. Liu and Wang Huan did a good job. I am not a general foreign doctor, but when I saw such a CT film, the judgment I gave was also pancreatic head cancer."

"After all, in our usual treatment, the diagnosis of pancreatic cancer that CT can help make is more than 80%, or even more than 90%.

"Then they noticed abnormalities in the examination of tumor markers, and the patient began to become lucky at this time."

"If I judged this case, I might not have observed every organ carefully like Mr. Liu, but followed the preoperative discussion plan."

"Although pancreatic puncture is likely to cause pancreatic leakage, when we face unfamiliar diseases, we can only do conventional means."

"The key is the process, the process is very important. If there is no examination of tumor markers, there will be no celebration now. Just hold your head and cry."

The smiles on everyone's faces were closed, and this was reasonable.

The process is very important and the details are also very important, so you must be serious when receiving the doctor and not be careless or distracted.

"Haha, to sum it up, attitude determines everything." Liu Banxia said with a smile.

"Do you remember the patient with ectopic pregnancy upstairs? The situation is now very transparent and you are negotiating compensation with the hospital in their county."

"It is said that the explanation given by our colleague was that when we were doing ultrasound, the intestinal tube happened to block it when we were sweeping, so we didn't see clearly and thought it was okay."

"I will not comment on the real situation at that time, but I think if I can be more careful, even if I am blocked by the intestinal duct, I can continue to check it."

"We also had a similar small situation when we were treating patients in our hospital. One of our young comrades was told to cry at that time. But I believe that when this young comrade did ultrasound at the bedside of the emergency patient in the future, he would never forget the crypts and the slums."

Xu Yinuo looked at him helplessly. He was talking about himself, so why not just say his name? Everyone knows it.

"The process is important, the details are important, and the attitude is important. Every operation we do during the treatment process is very important. We always think about these things and we must be much more accurate in the next treatment."

"To be honest, it is also to avoid risks for ourselves. Sometimes when we encounter a patient who is entangled, he wants to make mistakes for you even if he is right. Anyone who has a little negligence will be infinitely magnified after being caught by the other lawyer."

"The doctor's job is becoming increasingly difficult. While we are treating diseases and saving people, we must also protect ourselves. Otherwise, how can we save people in the future? We have to wait for others to save them."

The interns were happy, and then looked at Wang Chao, and Wang Chao seemed helpless.

"The next thing is the second thing. Liu Yiqing and Su Wenhao are about to go to pediatrics and ICU for internships. They should have been there for a long time, but because of the Chinese New Year, there are fewer patients and they pushed them back." Liu Banxia continued.

"It's very good now. There are not a few empty beds left in the ICU. The children's kindergarten is about to start school, and there will be another wave of flu diseases. It's time to need people."

"If these two comrades go there for internships, can you tell me if everyone has any good suggestions. At least they are the first group of people to go there, and many of them don't understand it."

"Be prepared for your fatigue and keep up with nutrition. That is another kind of high-load work of intensity, don't destroy your body." Shi Lei said.

"We have to supplement electrolytes and trace elements. The work intensity and pressure are high there, so we can only pay attention to it myself." Wei Yuan also said.

"Don't interfere, don't just attack, you have to give me some rewards." Liu Banxia said hurriedly.

"Mr. Liu will give the reward, after all, Mr. Liu takes the lead. After their internship, Mr. Liu can invite him to dinner or something. I think it's good." Wang Chao said seriously.

Liu Banxia rolled her eyes, "I'm the only one who is a fool? Let's go to work together, go to work together."

"There is no serious person, just gathering a small pile here." Xu Yinuo muttered.

"Teacher Liu, do you really not give us some extra rewards?" Liu Yiqing asked with a smile.

"Why don't you give me? Isn't it worth it to give you one more day off? It's so satisfying to take two days off in a row." Liu Banxia said seriously.

"Stingy, go find your teacher's wife to play with you then." Liu Yiqing said.

"The landlords' family don't have any surplus food. You can't always bear the couple, right? You have learned your kindness and have to be brave enough to take on the heavy responsibility after finishing your internship. Alas... don't leave, I haven't finished it yet." Liu Banxia said mutteringly.

No one paid attention to him, and he knew that he had started to fool him again. He couldn't listen, otherwise he might be fooled like something.

Although sometimes I know that I am being fooled by the great devil and I am very alert, I still get trapped.

Just like this ICU and pediatric rotation, it was originally very resistant, but it was a little bit exciting now.

It is considered a new journey on the road of medical care, and it can improve one's own strength.

No one knows when this idea came to mind, including Su Wenhao. Anyway, now that everyone is together, the most talked about is a rotation, but they are all very energetic.

This is what was deceived by Liu Da Demon King. Every day, it is painful and happy. It can really torture people and learn real things.
Chapter completed!