I really don't want to be a doctor

Chapter 15 Gossip
"Call all the doctors on duty and have a meeting."

Deng Liming told Li Xiaojun, sat in the office, picked up the thermos, and blew on the goji berries on the water while thinking.

Yu Wenxing was also thinking about how to solve this problem.

If it was another patient who insisted on not having surgery, Yu Wenxing would definitely not say a word and explain the condition clearly. As long as the patient's family members sign and agree, Yu Wenxing believes that he will not continue to pester him.

It is not too late to talk about the operation until the patient and family members agree.

But Mama Liu is different.

After all, they were his relatives. He hoped that Liu Ma's prognosis would be better, and he hoped that Liu Ma's complications after surgery would be less.

Soon, all the doctors from the general surgery department arrived.

Several desks are placed in the middle of the office, and the doctors in Corey sit around.The intern sits on a bench by the door of the office.

Deng Liming was sitting at the top, with two older middle-aged people on the left and one on the right.

Liu Xuejun and Jiang Guoqiang.

The four resident physicians also sat on both sides.

Next to Liu Xuejun are Li Xiaojun and Liu Jun.

Next to Jiang Guoqiang are Zhang Qiang and Qi Lei.

After everyone sat down, Deng Liming said, "Discuss a medical record."

After speaking, he handed Liu Xuejun the inspection materials of Liu Ma, and then continued talking.

"The patient is 43 years old, female, with metastatic right lower quadrant pain for 5 hours. According to the physical examination, the tenderness of the right lower quadrant is obvious, and there is mild tenderness in the remaining area, and the tension of the right lower abdominal muscle is obvious. At present, it is considered acute suppurative appendicitis or peritonitis."

Deng Liming didn't speak very fast. As he spoke, everyone looked at the information. By the time Deng Liming finished speaking, everyone had finished reading.

"Tell me."

This can also be regarded as a medical record discussion. According to the rules, those with lower seniority will express their opinions first.

Of course, general interns have no right to speak.

"The patient considers acute suppurative appendicitis and should be operated on as soon as possible."

Zhang Qiang spoke first.

Qi Lei nodded, "The surgical instructions are clear and emergency surgery can be performed."

Liu Jun also nodded, "Agreed"

Li Xiaojun sighed, "I agree too."

Jiang Guoqiang thought for a while, "This patient is currently considered to have suppurative appendicitis, and antibiotics must be given before and after surgery."

Everyone nodded. After all, the senior doctor pointed out something different.

Liu Xuejun thought for a while, "Director, this patient should have surgery. After all, he has already started to suppurate and develop symptoms of peritonitis. If the surgery is not performed, the intra-abdominal infection will worsen, and even septic shock may occur. There should be no need to discuss this patient. ?”

Deng Liming nodded when he heard the words, "But this patient doesn't want to have an operation, and she doesn't agree."

"Then there is no need to discuss it. The patient and his family members disagree with the operation. All we can do is conservative treatment or transfer to a higher-level hospital. There is no point in discussing it here, right?

Now is not the past few years, patients have to listen to the doctor whether they agree or not, now it is required to respect the patient's right to choose, including which hospital to treat and whether to have surgery.

Director, I still have an operation unit, so I will go up first. "

After speaking, Liu Xuejun was ready to leave.

He is a man of swift action.

"But this patient is a nurse from our hospital, Liu Lin from the emergency department." Director Deng sighed.

"Head nurse Liu?" Liu Xuejun paused for a moment, then sat back on the chair.

"Speaking of which, she also deals with medicine, how could she refuse the operation?" Liu Xuejun couldn't figure it out.

Li Xiaojun said: "First, fear of pain, second, fear of unsightly wounds, third, fear of fat liquefaction."

"..." Liu Xuejun was speechless.

That doesn't seem like something a head nurse should worry about at all, does it?
Deng Liming took another sip of tea, "Let's discuss."

Everyone stopped talking.

This is a hot potato!

Who dares to talk nonsense?

Let’s talk about surgery, can it solve these three problems?

Say no to surgery, acute suppurative appendicitis is an absolute indication for surgery, and conservative treatment is basically impossible to succeed. Once severe intra-abdominal infection occurs, causing septic shock, life will be in danger.

"The director is sharing the pot."

This idea popped up in everyone's mind.

Seeing that no one spoke, Deng Liming frowned even tighter. .

There was a knock on the door, and everyone turned their heads to look. Ran Dingguo came in with his head stuck out, his eyes stopped on Deng Liming, and he shouted

"Director Deng..."

Deng Liming nodded, "We are still discussing, please..."

"I want to hear it too." Ran Dingguo felt a little embarrassed.

Deng Liming thought for a while and let Ran Dingguo in.

First of all, Head Nurse Liu is an employee of the hospital after all, and her wife is also half of the hospital.

Secondly, Ran Dingguo is considered a well-known real estate boss in Jiangzhong County, and everyone knows him.

Thirdly, this can be regarded as a step in doctor-patient communication, and family members participate in the treatment.

Ran Dingguo came in, and Ran Xiaoyu also ran in.

The long chair the interns were sitting on was right by the door, and only Yu Wenxing and Yang Le were sitting there, and Ran Dingguo sat on the chairs as soon as they came in.

Deng Liming wanted to stop him, but when he saw Ran Xiaoyu sitting on the stool, he swallowed his words back.

As a result, as soon as the two people came in, the atmosphere in the office became even heavier.

At this time, it depends on who can't hold back first.

The first to speak must take responsibility.

Liu Xuejun didn't hold back at first.

His surgery is about to begin.

"Director, let me talk first. Head nurse Liu's three issues can be discussed separately. First, she is afraid of pain, so we can give general anesthesia, and strengthen the analgesic and sedative after the operation. Second, she is afraid that the wound will be unsightly. There is no way to be sure before this thing is on stage. With Head Nurse Liu's body shape, I think it is 6cm..."

He paused, "I think it shouldn't be difficult to open a hole about 8cm long,"

He paused again, "If the appendix is ​​in good condition, if the appendix is ​​in good position, if everything goes well..."

"The 8cm incision should not be easy to do. Unless the appendix can be seen through the abdominal cavity." Someone started, and everyone was no longer dull. Jiang Guoqiang first objected, "The patient is too fat. Probe the incision with the lower right quadrant."

"It is good to explore the incision in the right lower abdomen, but the length of the incision must be elongated. The patient is too fat, and the small retractor should not be able to pull so much fat. The large retractor needs a larger incision."

"The patient's appendix is ​​purulent now, and there is a high possibility that the appendix cannot be found. It is better to make a large incision than not to find the appendix."

"I also agree with the use of a large incision. As for fat liquefaction, first of all, you can stop the bleeding by entering the abdomen without using an electric knife, press more for a while, and use infrared light in the early postoperative period to minimize the possibility of fat liquefaction."

Everyone chattered in unison, probably meaning that head nurse Liu's operation should be done logically, but the incision must be not small.The larger the incision, the more difficult the wound must be to clean up, and the greater the chance of fat liquefaction.

(End of this chapter)