923 Patients with frequent colds
(Thanks to Jiafeng, Louis can encourage monthly tickets)
The atmosphere at the emergency center is very good today because everyone knows how great it is to have a surgeon with good skills to the entire emergency center.
The reputation of the entire emergency center has been improved, and the big guys can also increase their popularity, so there will naturally be more small money.
For the emergency center, Liu Banxia is a rising star. As long as Liu Banxia can grow firmly, the reputation of the emergency center will not be bad.
Then other doctors will work hard and have a third and fourth knife. Then the emergency center will be really amazing in the future.
"Hey? What did Shi Lei do?" Liu Banxia asked after looking around.
"There is a patient with acute abdominal pain who was diagnosed with appendicitis and peritonitis, so he was directly pushed to the operating room." Qi Wentao said.
"I'm really busy. Lao Chen and the others seem to have surgery in the afternoon. I have to take a break. If there is another surgery, you can go and watch it for you." Liu Banxia said.
"Then the relationship is better, I haven't done it very much recently." Qi Wentao said.
"If there is a suitable surgery in the future, if I don't have any arrangements, I can take over the post for you." Liu Banxia said.
"Isn't it the same when I was a hospitalization officer? I had to do work and have surgery, otherwise my hands would have to give birth. But at that time, I asked Shi Lei to do it, so you can do it as you please."
Qi Wentao nodded with a smile.
This also provided him with a convenient condition, otherwise it would be really not so easy for him to be in the hospital.
"Congratulations, although I just caught up with a tail." At this time, Du Fancheng came over.
"Thank you, how are your department doing recently? Are you busy?" Liu Banxia asked.
"It's okay, but our busy schedule is mainly concentrated in the morning. The regular cases are mainly chronic ENT diseases, and they are not as busy as you." Du Fancheng said.
"And here is an emergency center, not like an outpatient clinic, there are more patients there. Anyway, I think it's pretty good, and I won't be that tired."
"When winter comes, I will be busy for a while, and patients with allergic rhinitis have to come to the previous round. Now there are many patients with rhinitis, but some patients are not so serious."
"By the way, I remembered this, how was the treatment of that patient with sinus fungal infection?" Liu Banxia asked.
"We have to continue to treat it. Fungal infection is not that easy to treat, especially in the sinus position, where the drug stays for a short time." Du Fancheng said.
"Now I just do nasal lavage, keep it as clean as possible, and take medicine slowly. There is no other way, but it is better to clean up athlete's foot."
"The increase in rhinitis patients in the past two years is actually related to over-constructing nose hair. Nose hair is also the first priority in the nasal cavity. It is cleaned up and breathing is very exciting. Who will block the bacteria?"
"Does there be professional nose hair trimmers on the market now?" Liu Banxia asked curiously.
"Yes, but you have to buy better quality ones. And when using it, you don't just rinse it with water, and you have to disinfect it frequently." Du Fancheng said.
"I had a patient who used this before I came here. But it may have evolved into suppurative sinusitis because of the lack of hygiene control."
"The nose hair can be properly repaired to achieve aesthetic effect. If you have to be so delicate, it will be bad if you are too overly damaged, and it will make the nasal cavity very dirty."
"Hey..., we are each good at one another." Liu Banxia sighed.
This is also a common problem for doctors. Those who are good at that subject often focus on this when chatting.
When he was chatting with everyone at home, he would also talk about some general surgery cases when reminding everyone. Or cases he listened to doctors in other departments to make everyone pay attention.
"Mr. Qi, I will send a car accident patient in a while, with blunt trauma in his chest and abdomen." At this time, the dispatch nurse shouted.
"Mr. Qi, if you need to go on stage, you can come and I will help you watch." Liu Banxia said.
This is what I just said. Now that there are patients, I will just go to the hospital directly.
"Okay, Huang Bo is treating the doctor and calling him a doctor in his heart." Qi Wentao said.
After saying that, Qi Wentao also changed into disposable surgical gowns and was ready for the treatment.
In fact, for Liu Banxia now, he is also a little tired.
I got up in the middle of the night and had such a big surgery. I was planning to take a short rest at noon, but Tang Feifei came over.
If I had to fix her bones for a long time, it was also pure physical work.
Anyway, he decided today that he would not have surgery unless necessary, otherwise he would have to waste physical strength and a mixture. The emergency center is also very strong now, so there is no problem with him.
"Okay, you can rest for a while, I'll go back too." Du Fancheng said.
"Okay, just call me if you have anything. Anyway, my job is to help everyone solve their problems, and I won't do anything else." Liu Banxia nodded with a smile.
At this time, the ambulance also stopped at the door. Liu Banxia only saw a person wearing a motorcycle suit and a helmet pushing down. No need to think about it, this car accident might be very big.
When riding a motorcycle, it’s just a meat-wrapped iron, and it’s so professional, I guess sometimes I can play with speed and passion. But many times this passion will be defeated by a car accident, and a slight scratch may be a major accident.
"Teacher Liu, are there any other arrangements?" Xu Yinuo walked over.
"Nothing is wrong, it's a little calm this afternoon. Anyway, Wang Chao also came to work in the evening, so you can have a good sleep tonight." Liu Banxia said.
"Hey..., I would have been better if I had slept for a while yesterday, and today I also went to the operating room to see it." Xu Yinuo said.
"There are so many opportunities in the future. Now I see it, it is not very effective. It will take a long time to get in touch. There are not many such surgeries, and you also need a lot of basic skills to accumulate now."
Xu Yinuo nodded, knowing that Liu Banxia was telling the truth.
"Director Liu, are you busy now?" At this time, Wang Huan walked out of the internal medicine clinic.
"You can watch it for me here." Liu Banxia threw down a sentence, ran towards Wang Huan and walked over.
"A patient who was treated in the morning just came out, and she was a little confused." Wang Huan said.
"A twenty-three-year-old man has a poor mental state, a headache, and a cold. According to his description, he is prone to colds. His body temperature was 39 degrees, he had a dry cough, and he auscultated the heart and lungs. It was nothing except that the breathing sounds of both lungs were worse."
"The key is the result of blood tests. No significant increase in the white blood cell index was seen. No runny nose was seen, the tonsils were normal, and the chest X-ray was also normal, and no lesions were seen."
Hearing him say this, Liu Banxia became interested.
Patients have fever, dry cough, and headaches, which are very similar to upper respiratory tract infections, which are commonly called colds. However, if they are upper respiratory tract infections, they will be reflected in the tonsils.
Some patients will not have runny nose for the time being due to fever, and will appear later.
What if it is not an upper respiratory tract infection, but pneumonia? This is also a bit wrong. The chest x-ray is very clean, but the breathing sound of both lungs is a bit poor.
And there is another interesting point, that is, the patient's white blood cell index has not increased significantly.
Fever is usually manifested as inflammation. Whether it is the upper respiratory tract or lungs, most of them will also be reflected in the white blood cell index.
After walking into the clinic, Liu Banxia also saw the patient. She was really in poor spirits and occasionally pinched her eyebrows with her hands.
A simple physical examination was performed for the patient, which was the same as Wang Huan said, and did not show any further progress.
"What do you think? This case is a bit strange." Liu Banxia said.
"I plan to reduce the fever first, and also do blood training, and then stay in the hospital for observation." Wang Huan said.
"The body temperature is already a little high now. I don't know if it's a viral cold. But it's not right. According to him, it has been a long time, intermittent, otherwise it wouldn't be said to be susceptible to colds."
"Young man, do you usually do exercise?" Liu Banxia asked.
"Some, but I've been missing these two months, so I'm afraid of catching a cold. I'm so annoying. I didn't get the final exam in the last time," said the patient.
"Doctor, is this a terminal illness? Is it leukemia? They say that leukemia is prone to frequent colds."
"How is your usual diet?" Liu Banxia continued.
"It's good when I don't catch a cold, and it's normal. I'm too lazy to eat when I catch a cold. It's said that my resistance has become worse." The patient said.
"Combined with your current situation, I think you should do an HIV screening." Liu Banxia thought for a while and said.
"It's not that you have any abnormal behavior, but that you are an alternative. And there are no clear indications for your symptoms."
The young man was a little stunned, "Doctor, I don't have a girlfriend yet."
"That's right, so I said this is just an alternative screening." Liu Banxia said patiently.
Even so, it scares the young man. Of course, I know what kind of disease HIV is, how could I have this disease?
"Don't worry, it's just a screening. I'll give you a heat-relieving treatment first and then give you a hospital. We have to figure out why it's so easy to catch a cold." Liu Banxia said.
Ding! Task release: Patients with frequent colds
Open task: The patient reported that he had frequent colds and his symptoms were inconsistent with upper respiratory tract infection and pneumonia. The host needed further examination and diagnosis. Task reward: Depending on the diagnosis results.
Although the young man was a little scared and a little resistant, he still nodded. What if? What if he accidentally got it?
"Do you think it's possible? I didn't find any signs of enlarged lymph nodes during my hand diagnosis." Wang Huan asked with a frown.
"I'm not sure, this is for insurance." Liu Banxia said with a wry smile.
It's a little helpless, but this young man's illness is a bit like a little.
Chapter completed!