Chapter 653 You are not omnipotent.
Teaching is an important job for Liu Muqiao.
If Antai Hospital wants to develop, it is not enough for him alone, he must build a team.
Among the professors introduced this time, many are experienced professors who are experienced in teaching, and together they are responsible for the training of the team.
Liu Muqiao has a habit. No matter how simple the patient is, he has to stop, ask about the condition, and listen to what the patient has to say.
This is very important.
When a patient is hospitalized in the hospital, his biggest fear is that doctors and nurses don’t care about him. Indeed, many patients report that sometimes they don’t see their attending doctor for several days.
Liu Miqiao did this because he considered that in addition to taking medicine and injections, patients also need psychological care. Sometimes, with a word of encouragement and a positive answer from the doctor, the patient's mood will immediately improve, and the disease will heal much faster.
In fact, medicine is one aspect of disease, and the psychological effect is also great, even greater than the effect of medicine.
Only some of the drugs currently used have certain efficacy, and many drugs have no obvious pharmacological effects at all, so why are they effective?
Hint.
The role of suggestion is very important.
In medicine, this kind of medicine is called a placebo.
Liu Muqiao still remembers that in his sophomore year, he studied "Pharmacology" and did an experiment. Each person was given a pill. The teacher said: "What you got in your hands is ephedrine. Ephedrine has the effect of accelerating the heart rate."
Count your heart rate before eating, and after eating, count your heart rate again ten minutes later.
In fact, of the 20 students, 10 took ephedrine and the other 10 took glucose.
Glucose does not increase heart rate.
The final experimental results showed that the heart rates of all the students who took ephedrine increased; the heart rates of 7 students who took glucose also increased.
This is the placebo effect.
Pain can also be reduced through suggestion therapy, and in some individuals, the pain may even disappear.
Liu Muqiao was very impressed by that experiment.
Therefore, when he examines patients, he must give adequate care to any patient.
This is a kind of teaching by words and deeds, and it is also building a culture. Antai Hospital cannot only be built on technology, but also on culture.
"Look at my finger, keep your head still, and follow my finger with your eyes." Liu Maqiao is checking the patient's eye nerves and muscles.
"Close your eyes."
"Whistle."
He is examining the facial nerve, one of the cranial nerves.
……
"Hold my hand and use force." Then, he checked his muscle strength.
"It's very good, Lao Zhao. Keep taking medicine, check and exercise, and you will recover. Don't worry about the sequelae."
He is encouraging the patient.
Lao Zhao was a patient who was saved by Liu Miqiao himself. He had a brainstem hemorrhage of 5 ml, which was a major hemorrhage.
When he came to the 23rd hospital bed, Liu Miqiao turned his head and said to a new doctor: "Come and check this patient."
The new doctor is a little nervous.
In fact, he has been working in clinical practice for 5 years and is considered a skilled doctor. However, he still feels nervous in front of Liu Miqiao.
After asking about the medical history, he did another examination, and then waited for Liu Miqiao's criticism and correction.
"Yes, you must examine every patient carefully. You cannot rely on feelings or experience. You must obtain daily data and conditions."
Liu Muqiao is quite satisfied.
"In the future, our Antai Hospital must have such a culture, a culture of meticulousness! To achieve this, we must turn this requirement into a habit, and the habit will become natural. You must remember."
The group of people behind were all nodding.
I have never heard of such a request in the past.
"Remember, medicine is only one aspect of treating a disease. Psychological comfort is very important. I ask you to read more books on psychology."
Liu Muqiao's "Encyclopedia of Neurology" contains psychological knowledge. He sometimes talks about it when he hands over his shift early in the morning.
Half of the patients hadn't finished reading, and their cell phones rang.
It's a call from the liver surgery department.
Sun Tao said that a patient with liver rupture needed Liu Muqiao's support for emergency surgery.
Liu Miqiao had no choice but to give up and continue his ward rounds, and soon appeared in the operating room.
Hu Bolong was sweating profusely.
"I'm in shock. I can't stop the bleeding. My liver is damaged in many places." Hu Bolong glanced at Liu Miqiao.
Liu Miqiao didn't have time to put on surgical clothes, so he wiped his hands with iodophor, put on gloves in a hurry, and went on stage.
The circulating nurse took the surgical gown and prepared to put it on Liu Miqiao.
"We'll talk after the bleeding stops."
Liu Miqiao had already put his hand under the patient's liver.
He planned to use his bare hands to stop the bleeding first.
However, the blood pressure is zero.
Liu Miqiao's fingers can't feel the pressure of blood pressure either.
Failed to stop bleeding with bare hands.
This is the first time.
"Ligate the blood vessels." Liu Maqiao said firmly.
This is a very serious decision.
Ligating blood vessels does not mean ligating damaged blood vessels, but ligating normal blood vessels in the liver.
The liver is divided into left and right liver lobes and lingual lobes, and is divided into 8 regions.
Ligating blood vessels means sacrificing part of the normal liver tissue.
After the blood vessels are ligated, the liver in this area becomes useless and has no blood supply, so it can only be removed.
To remove a normal liver is a big decision.
However, Liu Muqiao was very determined.
This also shows that after careful consideration, he decided to save the patient's life at the expense of most of his liver.
Just do it.
Liu Muqiao clamped blood vessels in three areas at once.
Not enough.
The blood is still coming out.
Ligate two more areas.
Five-eighths of the blood is blocked.
In other words, five-eighths of the liver will be removed.
However, this is not a big problem. The liver is an organ that can regenerate. Only five-eighths of the liver is left. After a period of time, it will grow back.
Although this is the case, it is still difficult to make the decision to remove so many livers.
The key is that the liver function was not evaluated before the operation. Who knows whether the liver function is normal?
What should I do if my liver function is not good?
Liu Muqiao weighed the pros and cons and decided to save his life, so he cut off more than half of his liver.
The bleeding stopped, the blood pressure came up, and my life was saved for the time being.
"If you don't come, I really don't dare to make up my mind." Hu Bolong said.
"If hesitates any longer, the patient will die," Liu Miqiao said.
"Why did you fail to stop the bleeding with your bare hands this time?" Hu Bolong felt strange.
"Without blood pressure, how can I feel the pressure? In other words, the patient has almost no blood left, and there is no way to stop the bleeding with bare hands." This was also the first time Liu Muqiao encountered such a situation.
"Haha, I thought you were omnipotent." Hu Bolong said with a smile.
Liu Muqiao also said "hehe" twice.
Are there omnipotent people in this world?
Sun Tao lost his crutches, so he could still walk slowly.
He followed Liu Muqiao out of the operating room, "Starting next month, I will be on the operating table."
Liu Muqiao stopped, turned his head and looked at Sun Tao, "Okay? You have to know that every operation we do is not an ordinary operation, and which one takes more than a few hours?"
"If I don't learn from you, I will fall far behind."
"You can leave green hills without worrying about having no firewood. You are still young and there are still many days ahead of you."
Haha, you are still young!
These words sounded so awkward because they came from Liu Maqiao’s mouth.
Liu Muqiao noticed Sun Tao's expression and smiled, "Don't mind, that's what I meant."
Sun Tao also smiled, but he smiled bitterly.
Chapter completed!