Gou is practicing medicine in the clinic

"This is exactly what I want to tell you. Nostril bleeding is divided into front-end bleeding of the nasal cavity, front-end septum bleeding, back-end nasal bleeding, intracranial hemorrhage, etc. Rupture and injury of the dura mater at the base of the skull will lead to bleeding of the brain tissue, and then through The ruptured oral cavity flows into the nasal cavity.

Unfortunately, your cousin's condition should be classified as intracranial hemorrhage, not a wound in the nasal cavity as you think.

Also, I observed that his nasal bleeding was mixed with yellow fluid.

This should not be nasal discharge, but cerebrospinal fluid. If the nasal cavity is blocked under such circumstances, it is very easy to cause retrograde infection.

Meningitis and intracranial infection will then occur.

Not only is treatment expensive, ranging from tens of thousands to hundreds of thousands, but it may also lead to lifelong disability or even death. "

Li Jingsheng said a lot, but his family members didn't seem to understand.

But he listened to the fact that the treatment fee was tens of thousands or hundreds of thousands.

He was so frightened that he trembled.

"This, the consequences of this are too serious. Doctor, why don't I take my cousin to the hospital."

Not to mention hundreds of thousands, even if it only costs tens of thousands, it is not something he can afford.

I thought I could save some money by taking my cousin to the clinic for treatment.

Listening now, if you are not careful during the treatment process, something big may happen.

"It is indeed safer and more secure to go to the hospital for hospitalization. You should go to the hospital quickly. Remember, do not block your nostrils and let the blood and cerebrospinal fluid drain out."

Li Jingsheng just didn't want to take on such high-risk patients.

He had just experienced a medical incident not long ago, so he was extra careful when practicing medicine.

"What the doctor said is that nostril bleeding should not be blocked. As long as you listen to the doctor, nothing will happen. How much does it cost to go to the hospital? We have just opened the store, and we are still short of the money to purchase goods. This The fruit shop should just close down."

The female family members quit.

Her husband didn't understand what Li Jingsheng said, but she did.

I just bought a store, who would have thought that something like this would happen.

They asked their cousin to help with the decoration. They originally wanted to save some money, but instead they ended up in trouble.

"It's not easy for you both. You can be cured in the clinic!"

My cousin spoke.

Although he broke his head and suffered severe pain, this cousin was definitely a kind person.

Hearing the young couple quarreling, he took the initiative to ask for treatment in the clinic.

"Uncle, thank you for being considerate of us. Let's get some medicine or something from the clinic first, treat it for two days and then see how it goes. I heard people say that this clinic has the best medical skills nearby."

This time, the male family member did not shout to take his cousin to the hospital, but directly agreed.

"Doctor, can my cousin's injury be treated here?"

"You can give it a try. The main thing is that you should pay attention to recuperating at home. The recovery period will be longer due to outflow of cerebrospinal fluid. In terms of medication, I will use some antibiotics to prevent intracranial infection to minimize the risk of infection..."

Li Jingsheng also knows how difficult it is for this family.

I took this job.

In his opinion, although this patient's treatment has some risks, the main risk is not in the treatment.

It’s about whether the patient can rest properly.

In fact, most diseases require cooperation between doctors and patients.

If the patient does not listen to the doctor's advice, no matter how smart the doctor is, there will be nothing he can do.

In hospitals, we often encounter situations like this.

When Li Jingsheng worked in the Department of Pediatric Medicine at the First Hospital, some patients already had bronchitis. After taking the medicine, he warned the patient not to smoke again for a while.

As a result, the patient secretly hid in the safe escape passage of the stairwell to smoke while the doctors and nurses were not paying attention.

The patient's condition recurred repeatedly and he was hospitalized for more than two weeks before being discharged.

What’s even more frightening is that both Li Jingsheng and the responsible nurse warned the patients not to drink alcohol. As a result, the patient secretly ate two ounces and was taken to the rescue in the middle of the night.

Cephalosporin is paired with wine and sent away directly.

Fortunately, after rescue, the patient was out of danger. For this matter, Li Jingsheng was scolded twice by his superior doctors and the leaders of the medical department, and he could not find anyone to express his grievances.

The responsible nurse was a trainee nurse and was scolded to tears.

Didn't come back the next day.

I don’t know if he changed careers or was transferred to another department for internship.

Li Jingsheng gave the patient a series of treatments, prescribed medicine, and explained the lying position so that the patient could seek medical attention at any time if he felt any discomfort.

……

After five days in a row, the patient with a skull base fracture had no intracranial infection and the bleeding had stopped long ago.

Just a little bit of cerebrospinal fluid leakage.

There's nothing you can do about it, the recovery time will be quite long.

It will take at least a month or two for the skull to heal.

Generally, there is no danger after five days, and the situation is basically stable. As long as you continue to recuperate, you can slowly recover.

Li Jingsheng is still very busy every day.

The high-end colonoscopy business has begun to take off. Sometimes, four can be received in a day.

It also allowed him to take this opportunity to get to know the elites of Jiangli City and the counties below, and even the villages and towns.

These people either have children who are doing well and are extremely wealthy.

Or I have achieved something in my career.

Their reasons for conducting colonoscopies are also varied. Basically, out of ten colonoscopies, only one or two will detect large polyps or other lesions. Most of the time after colonoscopy, there are no problems.

In addition to the colonoscopy business, Li Jingsheng also gradually followed Wang Weiwei in doing some difficult interventional treatments in cardiovascular interventional treatment.

After his rescue, no less than [-] patients were successfully rescued.

There are also some patients whose condition is so severe that interventional treatment is ineffective or is too difficult to place a stent. The patient ultimately died despite ineffective rescue efforts.

Among the two most dangerous types, one is acute myocardial infarction, which causes cardiac and respiratory arrest.

Although some people can press the person back through cardiopulmonary resuscitation, the myocardial infarction is too serious and eventually cannot be stabilized, and the patient still dies. The second type is aortic dissection.

Li Jingsheng only knew that this disease was dangerous before, but he had not seen its power.

Until one day, he, Wang Weiwei and others rescued a patient with chest pain.

As soon as the person was pushed into the interventional room, his blood pressure dropped instantly.

The cause was aortic dissection.

At that speed of death, doctors had no time to save him.

One second ago, the person was still good.

The next second, my blood pressure plummeted and disappeared almost instantly.

In the past, he saw colleagues in the emergency department, as long as a patient was found to have aortic dissection, no matter how good the patient's condition was, they would immediately issue a critical illness notice to the family members.

He felt it was a bit of a fuss.

It wasn't until he saw the patient disappear in an instant not long ago that he realized how valuable the experience of his predecessors was.

On this day, Li Jingsheng was eating Chinese food in the hospital cafeteria.

She didn't eat with Ou Qinglan because she had more patients recently, and Professor Wu put an extra burden on her.

She is also very motivated.

Coupled with the support and help of Li Jingsheng behind him, Ou Qinglan's strength has improved astonishingly.

His status in the second group and even in the entire orthopedic surgery department also rose quickly.

Among the many resident doctors, her level even catches up with those who have worked for three years.

While Li Jingsheng was eating, he summarized today's treatment experience with several of his doctors.

At present, he has passed on the bone-touching technique to Ye Hui, Liu Xian, and Jin Yanyu.

Jin Yanyu was the last person to be taught the art of bone touching.

But when it comes to touching bones, this kid's talent is astonishing. Even surpassing Ye Hui and Liu Xian.

It really made Li Jingsheng feel a little surprised and pleasantly surprised.

As the scope of his medical skills becomes wider and wider, there is a great need for several apprentices who can take over to share the diagnosis and treatment tasks in terms of manual bone setting.

Jin Yanyu is extremely talented in bone touching. On the first day he learned to touch bones, he was able to figure out the basic bone positions.

It only took a week to feel the blood vessels around the bones.

This made Li Jingsheng even wonder if he was cheating too?

Yang Luqing and Doctor Chen have not yet been taught the bone-touching technique.

Dr. Chen is still practicing hard on his basic skills.

He was one of those with particularly poor talent, so Li Jingsheng could only let him practice his basic skills one by one. After you have laid a solid foundation, you can then teach other more advanced bone-setting techniques one by one.

As for Yang Luqing, he still has to work harder to acquire the core medical skill of bone touching.

It hasn't moved Li Jingsheng's heart yet.

"Teacher, can I ask you for half an hour's leave today?"

Jin Yanyu asked.

"Why did you ask for leave?"

Li Jingsheng would not grant leave easily.

There has to be a valid reason.

Jin Yanyu's eyes flickered.

"Can I tell you later?"

He obviously didn't want other colleagues to know.

"Then just send the message to my mobile phone! If the reason is legitimate, I will grant your leave."

Li Jingsheng wonders what this kid wants to do when he gets off work half an hour early?
  If you just learned the bone-touching technique and it's gone, you must give it a good hammering.

Not long after, he received a message from Jin Yanyu.

"Today is Ye Hui's birthday. I want to decorate the private room half an hour in advance and give her a little surprise. I am going to invite you and all the colleagues in the clinic to have dinner together to celebrate Ye Hui's birthday. I will also treat you to the honor."

Jin Yanyu has been pursuing Ye Hui.

Li Jingsheng knew this.

Yang Luqing also did not give up, but since the assassination of Li Jingsheng, Yang Luqing has fallen behind.

"Leave allowed!"

After knowing the reason for taking leave, Li Jingsheng agreed to Jin Yanyu's request for leave.

When Li Jingsheng was about to finish eating, Director Zhang from the Department of Cardiothoracic Surgery came over with two of his doctors.

"Dr. Li, can you come over and help me perform an operation after get off work today?"

"Director Zhang has spoken and is happy to help. What time will you arrive?"

"It looks like 19 o'clock. I know that you have a lot of outpatient patients, and you are often busy until six or seven o'clock. The patient was a lung cancer patient. It was found to be in the early stage at the time and he underwent surgery. But now it has only been eight months. If the tumor recurs again, is it because it was not completely removed or is it due to other reasons? I will ask you to help me give advice when the time comes."

The surgeries that Director Zhang invited him to perform were all difficult or problematic surgeries.

As long as lung cancer is discovered early, it will usually be fine if it is removed.

Can achieve healing effect.

But tumors have one characteristic: they like to relapse and metastasize. It is these two things that have taken away the lives of countless patients.

There are many reasons for tumor recurrence.

Not cutting cleanly is one of the most common reasons.

There is also a point of view that if the tumor gets on the scalpel during the removal process.

Then when the scalpel cuts into normal tissue, it is still possible for cancer cells to stick to the normal tissue, thus laying the foundation for future recurrence. (End of chapter)