Gou is practicing medicine in the clinic

The two were discussing the cause of the patient's illness when the thin, dark doctor under Director Lin came over.

He stood at the door and knocked.

"Director Lin, the patient's stool results are out."

"Well, go get busy!"

Director Lin nodded to his doctor, then clicked on the computer and saw the patient's latest test results.

Urine routine was normal.

A routine stool occult blood test was positive.

Indicates that the patient has blood in his stool.

This made Director Lin's heart beat hard twice.

"Dr. Li, it seems that this patient really needs an abdominal CT. You may also need to ask Director Xiao from the Department of Gastroenterology to come for consultation."

"It should be very necessary to check the abdominal CT scan with plain enhancement. Fecal occult blood is positive, but the patient does not respond to melena or blood in the stool, indicating that the symptoms may be mild. You can also ask the patient about his symptoms in this regard. My personal feeling It’s not very good, I’m afraid it’s a malignant tumor.”

Li Jingsheng sighed secretly.

Sometimes the more you fear something will come, the more it will come.

This patient's family's financial situation was not bad to begin with, but after shouldering heavy mortgage and car loans, he spent a lot of money on his children's education, which made matters worse.

Being under such high pressure for a long time, anxiety, insomnia, work pressure, and life pressure are like heavy mountains weighing on me.

The patient's mood has been in a depressed state, which is very harmful to the body.

Then because of high pressure, resorting to smoking and drinking to relieve stress is equivalent to further damaging the body.

It is conceivable that even if the body is made of iron, it cannot resist it.

Now I hope it is only found out in the early stage and there is still a chance for surgery.

At this time, the emergency department called.

"Dr. Li, the epiglottis of the patient with acute epiglottitis is swollen again. We are going to do tracheotomy and intubation, but the patient firmly disagrees. Come here quickly."

It was Director Yan who called personally.

When there are more patients, there will be more things to do.

The female patient's condition was very dangerous. Li Jingsheng introduced her to the emergency department. As a result, her life was now in danger, but she refused to cooperate with the treatment.

I guess Director Yan just didn't curse.

This patient introduced to vascular surgery is even more difficult. Judging from the current situation, the probability of being diagnosed with a malignant tumor is very high.

When the family members know the truth, they will be afraid that the sky will fall again.

Li Jingsheng hurried to the emergency department. Director Yan, the nurse and his doctors were at Han Xiaoqing's bedside.

The person has been pushed into the emergency room.

The nurse is working hard on Han Xiaoqing's ideological work.

It's just that sometimes what the nurse says doesn't work.

Many patients and family members sincerely look down on nurses, thinking that they are just giving injections and don't understand anything.

In fact, nurses know as much medical knowledge as doctors.

It's just that the professional division of labor is different. A nurse is more like a virtuous wife, doing some detailed work behind the scenes.

In addition to their main duties, doctors do some work that is more likely to be remembered by patients and their families.

For example, performing surgery, prescribing, diagnosing, etc. on patients.

Relatively speaking, nurses have much smaller authority, so their status is always limited.

Sometimes, a hundred words of patient persuasion by a nurse are not as effective as one sentence by a doctor.

"Han Xiaoqing, what's going on? Your life is almost gone, why are you still refusing to cooperate with the doctor in performing a tracheotomy?"

After Li Jingsheng entered the emergency room, he found that her face was cyanotic.

This is a symptom of hypoxia.

She could no longer speak.

He could only shake his head at Li Jingsheng, his eyes full of pleading and grievance, and even tears welling up in his eyes.

She wrote a sentence on the paper.

"Please wait a little longer, I believe I can get through it!"

When encountering such a stubborn patient, the doctors and nurses were speechless and more helpless.

If the patient does not agree, the patient can be controlled and forced to undergo surgery if his family members sign it.

It’s just that doctors generally don’t do that.

"Open your mouth and I'll check it for you."

Li Jingsheng was thinking about how to persuade this patient.

The best way is to start with the actual condition of the disease.

After Han Xiaoqing opened her mouth, Li Jingsheng took a flashlight to search and pressed her tongue down with a tongue depressor, and then he could see clearly the condition of the epiglottis.

The color is less red.

The space between the epiglottis becomes smaller.

If the swelling continues, the patient will definitely suffocate.

After Li Jingsheng observed carefully, he made a judgment secretly.

The swelling has not increased much since morning.This shows that the swelling of epiglottitis has been significantly slowed down and effectively controlled.

The color is less red. According to his clinical experience, this often indicates that the inflammation is beginning to subside and get better.

Although the patient's epiglottis space has been squeezed to a very small level, reaching a relatively dangerous level, it has not reached an extremely dangerous level.

Facing the patient's pleading eyes, Li Jingsheng knew very well that she would rather risk her life than agree to a tracheotomy easily. She must be afraid of losing her career as a host.

She is a freelance host and cannot be compared with those TV hosts.Her risk tolerance is much weaker.

If you have a tracheotomy, you will definitely not be able to work for a long time.

At that time, the little market that was finally won will be taken away by other hosts.She needs to open up the market again, and this process will be extremely difficult.

In addition, after she had a tracheotomy, she was worried that her appearance and voice would be affected, and her competitiveness would weaken, which would make it even more difficult.

Precisely because it had so many serious impacts, she persisted and refused to undergo a tracheotomy until the last moment.

"Director Yan, I just checked the condition of her epiglottis and throat. The hematoma should have reached its peak and will not swell anymore. Han Xiaoqing is a freelance host. It is indeed not easy to build the foundation of his current career. Okay. That's good. I'll postpone going back to the orthopedic clinic for an hour and stay here. If her epiglottis really blocks the entire airway, I will immediately perform a tracheotomy and intubation for her.

You have something to do, go ahead and do it.

If you are worried, you can also guard here for a while. "

Li Jingsheng said this because he was relatively familiar with Director Yan.

And his ability has been recognized by Director Yan.

"With you here to watch over me, what else should I worry about? I can leave this patient to you and do whatever needs to be done. Career is nothing compared to life!" Director Yan saw Li Jingsheng standing there. The patient knows that it is useless to persuade him.

He uttered a curse word and left directly.

When leaving, he told the doctors and nurses to cooperate with Li Jingsheng.

He was very confident in Li Jingsheng's surgical ability and medical skills, but he was worried that Li Jingsheng would be too emotional.

It is said that kindness to the enemy is cruelty to oneself.

Doctors who are too kind and accommodating to patients are also cruel to themselves.It's easy to get into trouble.

Everyone is happy that nothing happened to the patient. They also say good things about the doctor and are grateful.

As long as something happens, they will immediately turn against each other.

At that time, all kinds of complaints and lawsuits will be filed, and doctors will be treated completely as enemies.

Li Jingsheng stood beside the hospital bed, ready to perform tracheotomy and rescue on the patient at any time.

Time passed by minute by minute.

Every second seems extremely long and difficult.

He was closely monitoring the patient's breathing.

After about half an hour, the patient needed to open his mouth wide to breathe.

The nurses and doctors in the emergency room were stamping their feet anxiously, but Li Jingsheng, the 'emperor', was not in a hurry, so it was useless for them to be 'eunuchs' and worry.

At almost 10 minutes, the patient's breathing seemed to be less rapid.

Another 10 minutes passed, and the patient's breathing continued to improve, and his complexion also improved significantly.

Cyanosis begins to improve.

Before, even inhaling oxygen was useless.

She had difficulty breathing because her airway was severely narrowed.Oxygen inhalation can improve symptoms, but it cannot fully meet the patient's body's demand for oxygen.

At this time, the nurses and doctors in the emergency room who were originally anxious breathed a sigh of relief.

[Health value +1000. 】

Li Jingsheng's health instantly increased by a thousand.

With such a large amount of health points, plus the remaining ones, accumulated in recent days, it is possible to upgrade the placement technique to a higher level.

"Han Xiaoqing should have passed this level!"

Li Jingsheng stood up and checked her throat and epiglottis again. The swelling had stopped.

The color of the epiglottis looks a bit better than before.

And the gap in the middle of the epiglottis seems to have expanded a bit.

This indicates that the patient's epiglottis has begun to reduce swelling.

That is to say, she didn't come to the hospital for treatment until it was more severe, otherwise she wouldn't have to go through such a dangerous test.

Through this clinical accumulation, he gained new insights into the understanding and handling of dangers.

In order to avoid accidents during clinical diagnosis and treatment, doctors often draw a relatively high safety red line.Without waiting for the disease to reach the real danger level, as long as there is a trend or sign, decisive measures will be taken.

It is equivalent to nipping the danger in the bud.

Doing so, under normal circumstances, is beneficial to both doctors and patients.

But in Han Xiaoqing's situation, the implementation of treatment measures will cause great harm to the patient.Might as well lower the safety line.

At least today's persistence is of great significance to Li Jingsheng.

Helped patients keep jobs they might have lost.

Unnecessary treatment measures are also avoided.

"Stay in bed and rest well. Your epiglottis has begun to reduce swelling. As long as you keep it up, you can resume normal breathing tonight at most."

After Li Jingsheng finished his instructions, he explained a few words to the medical staff in the emergency room, and then left in a hurry.

In order to help Han Xiaoqing gamble, he sacrificed an hour of his personal time.

This also means that he is likely to need to work overtime for more than an hour after getting off work in the evening.

Returning to the manual reduction clinic, hard work is not to be mentioned.

After get off work, he received messages from two departments.

Director Lin sent him a message. The patient had an abdominal ultrasound and found multiple low echoes of varying sizes in the liver, with halo-like echoes around them.

This is a very bad inspection result.

Looking at the patient's CT results, it was found that there were multiple low-density lesions in the liver.

It can basically be concluded that the patient is likely to have liver cancer. (End of chapter)