I really don't want to be a doctor

Chapter 55 Preparing for Surgery
Deng Liming was really in trouble.

He hesitated a little.

It seems that no matter how this patient is treated, it is not the most perfect.

Let's talk about the operation. If there is no problem when the stomach is opened and the money from the patient's family is returned, how can I explain it to the patient's family.

According to reliable data, 25% of patients can not find any problems during laparotomy, but in order to give an explanation to the family members of the patients, the appendix is ​​usually removed.

It can be regarded as an explanation for the expensive operation fee.

In this patient, it is quite possible that the laparotomy will not find the problem.

The patient had repeated examinations but found no problems at all. The possibility of non-organic disease is very high.

But let's talk about conservative treatment.

This patient has been undergoing conservative treatment for three years, and he also went to Sihe Provincial People's Hospital for conservative treatment of this disease, but the effect was not good.

Deng Liming scratched his face.

"I think this patient needs surgical exploration."

Yu Wenxing stood up and said in a deep voice.

Deng Liming looked at Yu Wenxing in surprise, wondering why this boy was speaking so earnestly at this time.

Normally Yu Wenxing would not express any opinions, but Deng Liming felt that he was a surgery maniac.

The kind of surgery that takes place all day long.

So now that he suddenly expressed his opinion, Deng Liming was a little surprised.

"reason?"

Deng Liming asked concisely.

"If the stomach doesn't go in, how can we be sure that the patient has a non-organic disease? Even if we want to rule out organic disease, we must at least give the patient a basis for exclusion."

Yu Wenxing's voice was very heavy.

The patient has already come to the hospital. If the doctor doesn't work hard, why does the patient come to the hospital?

Don't you need money for conservative treatment?

"Then what if no problem is found after entering?" Zhang Qiang asked.

"It's a good thing that no problem is found! Isn't it better that there is no problem? Do we have to find out some difficult and complicated diseases to show how skilled a doctor is?"

"What we need to do is try our best to help patients relieve their pain, not necessarily be able to help patients solve their pain."

"Everyone only accepts simple patients and performs simple surgeries, so where do the complex patients go?'

Yu Wenxing's question is a bit sharp,

Zhang Qiang's face turned red at that time.

It is human nature to seek advantages and avoid disadvantages.

But as a doctor, you have to go against this common sense. Instead, you know that there are tigers in the mountains and prefer to travel in the mountains with tigers.

"It's nice to be young."

Li Xiaojun sighed.

"Okay, then the patient will have an operation, and I'll be on stage. Liu Jun, explain the situation to the family members, and after signing, call the operating room to pick it up."

Deng Liming also made a decision.

"Director, what about the cost??"

"Let her try to make up for the expenses. After all, we have to deduct money from us for arrears. We treat patients, and we have to pay the money the other way around. There is no such reason."

"But try to save her as much as possible."

Deng Liming sighed again.

the word money,
Too heavy.

"director."

When Liu Jun dared to lift his foot, Yu Wenxing spoke again.

Deng Liming glanced at Yu Wenxing suspiciously.

"I think the risk of this patient's routine laparotomy is relatively high if he directly undergoes a routine laparotomy, and the postoperative recovery time is relatively long, which is not conducive to the patient's recovery. I do not recommend laparotomy."

Deng Liming's face suddenly became better.

What's wrong?

Even if you don’t do it, you still have something to say.
Do you have something to say?
So what the hell do you mean?
Liu Jun was also dumbfounded.

Originally, this patient could have an operation, so he was very grateful to Yu Wenxing for his help.

Yu Wenxing is now a celebrity in the department.

Liu Jun sometimes wants to have an in-depth exchange with the two.

But Yu Wenxing spent all day in the operating room, leaving Liu Jun with no chance.

I thought this preoperative discussion meeting was the beginning of a good relationship between the two,
结果
Then you said that surgery is not recommended?

Are you kidding me?

"Then Doctor Yu, what do you mean?"

However, Deng Liming quickly realized that this Yu Wenxing was not a random person.

"I recommend a laparoscopic full abdominal exploration."

"hiss"

The sound of gasping for air came and went,
Deng Liming took a sip of tea, and then realized,
Why didn't I think of that! !

After being said by Yu Wenxing, everyone reacted.

Yes, there are better choices at home.

Actually, it's not their fault.
Either they have barely touched laparoscopy,
Even those who have been in contact, such as Deng Liming and Li Xiaojun, the time is very short, and their thinking has not changed at all. When they talk about abdominal examination, the first thing that comes to mind is laparotomy.

"But, can you do it?"

Li Xiaojun asked.

You are an intern who can do laparoscopic appendectomy. I can believe it. After all, it is an appendectomy after all, but this is an abdominal cavity exploration.

There should be no hospital or doctor who is so bold as to ask an intern to do abdominal exploration, right?

Even if it is a laparoscopy, it is still an exploration, right?

Yu Wenxing smiled.

"Teacher Li, actually you still haven't changed your thinking. Secondly, laparoscopic abdominal exploration is even simpler than laparoscopic appendectomy. We just go in and have a look. If we find a problem, can't we just open the abdomen directly?"

Exploratory laparotomy is a major operation, which is a great blow to the patient's body and economy. After all, it is an operation requiring a 20cm incision.

This is why in this patient, everyone has different opinions on whether to perform a laparotomy.

without any exaggeration,

Even if the laparotomy found nothing wrong,
That has to be said that there are some small problems.

After all, few people dare to open such a large opening in a patient and then close it again.

……

One word caused huge waves.

Yes indeed,

Every time you do laparoscopic appendectomy, don't you also do abdominal exploration?
Upper right, upper left, lower left, pelvic, lower right.

Just not that careful.

Moreover, the treatment is not done under laparoscopy. If a problem is found, the laparotomy will be performed at that time, and the damage to the patient will be much smaller.

"It's a good idea."

Deng Liming nodded, agreeing.

"Let's arrange this operation first,"

Yu Wenxing wanted to help this little patient get rid of his pain as soon as possible.

"Row."

Deng Liming nodded, "Doctor Liu Jun, please transfer your patient to Li Xiaojun."

Liu Jun didn't shirk it either, everyone is willing to take care of easy patients.

After the pre-operative discussion was over, their respective ward rounds, Li Xiaojun and Yu Wenxing went first and asked a few simple questions.

Song Rentou held the sign by himself, and started to round the room as carefully as a textbook.

From head to toe, from front to back, see, touch, tap and listen.

He did it slowly but meticulously.

The first time he came to make such a ward round, he frightened the patient so much that he thought he was suffering from some serious illness, but now he is used to it and cooperates very well.

The No. [-] operating room was ready, and Deng Liming, Li Xiaojun, and Yu Wenxing came on stage.

(End of this chapter)