The patient is a very emaciated old man, pale and slightly apathetic.If it weren't for the nameplate at his bedside that said he was 55 years old, Li Min would have thought he would have to be over 60 years old or even older."
Master Hu, this is the director of our department, Director Liang, he is the chief physician of the Department of General Surgery.Now come and see you and ask you something about your illness.I am a doctor in this department, and my surname is Li. ”Li Min first introduced to the patient.The patient looked at Director Liang and then at Li Min, and fixed his eyes on Director Liang.Li Min took out his small notebook and wrote it down, he was conscious and his ability to recognize was normal."
What about Dr.
Wang?
When are you going to have surgery on my dad?
”The man who asked him looked less than thirty years old, strong and sturdy.Judging by his appearance and age, he should be the patient's son.Dr.
Liang stood a step or two at the end of the bed with a smile, waiting for Li Min to answer the man's question."
Dr.
Wang is preparing your father for the operation.You have to do everything you need to prepare before you can go to the operating table.Soon. ”Li Min patiently comforted him."
My dad couldn't stand the pain, he didn't want to talk anymore.What are you going to do to prepare?
How long will it take?
”The young man who asked the question was anxious, and kept reaching out to wipe the sweat from his head.Li Min slowed down and comforted him in a lower voice: "Your father's surgery is not small, it is very likely that he will need a blood transfusion, and we will have to test the blood type beforehand," "Will it take a long time?"
”"There's also a blood crossover test.It is that the red blood cells and serum supplied to the blood bank are mixed with your father's serum and red blood cells respectively to see if agglutination occurs.So that the blood transfused into your father's body does not match your father's and coagulation reactions occur.Dr.
Wang is busy with these pre-operative preparations. ”These things are all done in the laboratory, but it is not wrong to say that Dr.
Wang is busy with these preoperative preparations.Dr.
Wang happened to come over with the consent form for surgery, and when he heard Li Min say this, he smiled and nodded with satisfaction, and greeted the patient's wife and son.He had to give a preoperative explanation to the family and complete the signing process of agreeing to the operation.Li Min immediately gave up the position in front of the bed to Director Liang so that it would be convenient for consultation and physical examination."
Lao Hu, I heard that you have stomach problems.How long has it been?
”Director Liang stepped forward and asked while rubbing his hands."
Fifteen or sixteen.Or longer. ”The patient was very cooperative, and also stretched out his fingers, which had been smoking for a long time and had been burnt yellow, and slowly untied the blue and white striped shirt."
What kind of medicine do you usually take?
How does it hurt?
”"I've eaten a lot of methaquinidine, Sanjiu Stomach Tai Granules, Livzon Dele, etc.""
Does it work?""
It used to be okay.It's just that around the Spring Festival, it's not very useful. ”"Or is it the same pain as before?""
It's not.It started to hurt faintly years ago.Same as before, but different.Alas, I can't tell, it's just a feeling that is getting heavier.I can't help the pain when I wake up early today. ”"What did it hurt in the first place?
Over here?
”Director Liang's hand lightly drew a range under the patient's xiphoid process."
It's here."
The patient nodded in acknowledgement, then drew a larger circle in his abdomen, "It seems to hurt everywhere now."
My back hurt in the past two months. ”"How's the dinner going these days?"
The patient shook his head: "I can't eat anything, so I have to drink some two-pot heads, gruel, and eat some pickled cucumbers and other small pickles." ”"What about this morning?""
I only drank half a bowl of rice soup.""
Have you ever vomited?"
The patient shakes his head."
Where's the poop?""
I often have diarrhea, sometimes many times a day.I went to the health center to get a lot of medicine, but it was useless to take it.I can't even walk. ”"Is your stomach bloated?""
No swelling."…… The nurse came in with a disposal cart."
Director Liang, it's time to indwell gastrointestinal decompression and lower urinary catheter.""
Okay, let's get off the catheter first.Then you wait for me to do a paracentesis and then you get a gastric tube. ”This patient has already shown what abdominal tenderness, abdominal muscle tension, tenderness rebound tenderness and so on are in Director Liang's abdominal examination.Li Min neatly shook the patient's head of the bed completely down and made the patient lie on his back.Put on a mask and give the little nurse a hand.The little nurse's movements were very quick, and she did a good job of indwelling catheterization in three times and five by two.There is not much urine in the urine bag and it is yellowish in color.Then I changed my gloves and started to do belly skinning."
Master Hu, I'll do a paracentesis for you, so that I can find out why you have a stomachache."
Master Hu is full of faith in a doctor of Director Liang's age.Director Liang unfolded the puncture bag and put on gloves, and Li Min disinfected the part to be pierced.With the cooperation of the little nurse, Director Liang laid out a hole towel, inhaled 2ml of lidocaine, put a pichu on the opposite side of the McStalk point, anesthetized layer by layer, and pressed with gauze."
Master Hu, this is to give you an anesthetic first.Don't be nervous. ”"Not nervous."
Director Liang held the skin with one hand and inserted the needle from the anesthesia with the other vertical.The patient's abdominal wall is thin, and the yellow mixed with a little reddish liquid is aspirated not very deep into the needle.The amount is not much.Director Liang frowned slightly, pulled out the puncture needle, and injected the liquid into the two test tubes.Li Min disinfected with iodine, and the little nurse pressed the puncture site with gauze.After Li Min took the prepared adhesive tape and fixed it, he called a patient's family to come over, taught him how to press the puncture point, put the patient in a lateral decubitus position, and slowly shook the head of the bed."
Okay, you can do gastrointestinal decompression."
Director Liang carried the puncture bag in one hand and two test tubes in the other, and explained to the patient on the bed: "I will operate on you in a while." ”After handing over the puncture bag to Sister Luo to pack, Director Liang pinched the two test tubes in his hand and looked at them intently for a while."
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Xiao Li, do you know why I didn't ask you to do a puncture?"
Li Min shook his head.Just now, she didn't understand that Director Liang was going to do the puncture by herself until Director Liang put on her gloves."
Don't offend Dr.
Wang.He is not like Dr.
Yang, who is lustful in the open.His man......"
Sister Luo said on the side, "His man is smeared with honey on his mouth."
You will be thanked for killing you.Your little girl's family, it doesn't hurt to stay away from such a man. ”Li Min nodded again and again with a correct attitude, indicating that he had been taught.Dr.
Wang came in with the consent form for surgery.He said with a smile: "Director Liang, I have prepared this surgical consent form, and I have also called from the operating room."
What are you?
”"Peritoneal puncture fluid."
Dr.
Wang's face immediately changed."
You open two orders and send someone to the laboratory quickly.Did you explain to the family that it was an exploratory laparotomy?
”"Yes."
Dr.
Wang's answer was a bit vague."
Alright.You and Dr.
Liu go to the operating room first.Xiao Li and I took the patient over. ”"Yes."
Dr.
Wang agreed, with both relief and disappointment in his tone, took two test tubes, and left with a full heart."
What's wrong?
Not a gastric perforation?
”Sister Luo asked with a puzzled face."
Do you have to open it to see?"
Director Liang pretended to be a hypocrisy and beckoned Li Min to bulldoze the car.Director Hu looked at the image in front of him and picked up the phone."
Trauma, right?
Is Chen Wenqiang here?
”......
"I am Director Hu of the Department of Radiology. ”......
"You don't have to go to him.You tell him: I showed him the breast cancer patient he sent carefully, and I found no metastases.You tell him that the CT report will be given to him tomorrow morning.If you're in a hurry, let him come and get it himself. ”Then before the nurse who answered the phone said anything, a busy sound came out of the phone, and Lao Hu picked up the phone.The nurse in charge hurriedly wrote down the contents of the phone call in the shift book.Dr.
Wang lowered his head and pondered while brushing his hands, and Dr.
Liu saw that he was preoccupied, and waited for a while to see him get better.I couldn't help but bump him with my shoulder when I soaked my hands."
What do you want, my lord?
You're a sorcerer for a while. ”Dr.
Liu's reminder did not make Dr.
Wang's face change, but made his face more solemn."
Da Liu, I think I should give the position of the surgeon to Director Liang for a while."
Doctor Liu's eyes widened in surprise, is this still the same Doctor Wang he knows?
Is this still the same Dr.
Wang who grabbed surgery and grabbed no scruples?"
What's wrong, my lord?"
Dr.
Liu's concern for Dr.
Wang is not false."
Director Liang did a paracentesis, and the aspirated fluid was yellow and blood-colored.Very pale blood.Rinse meat like liquid. ”"Isn't it fresh blood touching the veins?""
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It's not."
Dr.
Wang's tone was low.Thinking of his explanation to the patient's family, he became melancholy."
Da Liu, you said that I gave the surgeon to Director Liang, do you think he will accept it?"
…… Dr.
Liu didn't know what kind of statement he was suitable for.In good conscience, Director Liang is a very serious old doctor who does things, and he usually treats people with crooked eyes.But the king has always been very enthusiastic about himself, though......
But who doesn't think about themselves!
Dr.
Liu was silent, and Dr.
Wang had no choice but to continue to find reasons for himself to give up the position of the surgeon."
Da Liu, I didn't mean to retreat.You know I still want to do this surgery.But only an all-round general surgeon like Director Liang can carry out the unexpected things that may be encountered during the operation. ”Dr.
Liu nodded silently.But in his heart, he said disapprovingly: "You also know that Director Liang is a master of general surgery."
So why do you always think about the position of director of general surgery?
”After getting the nod from Dr.
Liu, Dr.
Wang was immediately relieved.He hummed softly, "I'm a wolf from the north......
Doctor Liu listened for a while, saw that the time was up, and stood up to wipe his hands."
King, you should be a star, I think you sing so well, and with this appearance, you can compare with Fei Xiang."
Dr.
Wang laughed.Li Min held the medical records with a pensive face, and followed the patient's family members to walk in front, while Director Liang chatted with the patient's eldest son while smoking.Seeing that the nurse took the flat car in, Li Min turned back to Director Liang and said, "Director Liang, you should tell him that malignant tumors are more likely." ”Director Liang smiled: "Xiaohu, take a look, look, although our Dr.
Li is young, she graduated from the University of Medicine." ”He patted the patient's eldest son on the shoulder."
Specifically, your family members should be mentally prepared.I hope it's not what I told you about. ”Xiaohu nodded: "Thank you, Dr.
Li."
Director Liang just told us.My dad, my dad......
I'll leave it to you. ”His expression was sad, and he bowed deeply to Director Liang and Li Min.When he raised his head, there was still a trace of uncertain expectation in his eyes, hoping that his father was just what Dr.
Wang began to say, "the possibility of stomach perforation is relatively high".But he also understood that what Dr.
Wang later told him that "the ascites that was extracted is not very good" was the words that might be closer to his father's real condition.My father has lost too much weight for most of the past six months.I said and persuaded him how many times to go to the hospital to see, but he always used old stomach problems as an excuse.If it is really as Director Liang and Dr.
Li said, his heart will sink infinitely......
And the brothers and sisters around him, as well as his mother, all looked at him inexplicably.Director Liang stood in the position of the surgeon reserved by Dr.
Wang, "Da Liu, you and Dr.
Li will change positions." ”Dr.
Liu obediently swapped places with Li Min."
Lao Zhou, it's up to you this time."
Dr.
Liang spoke to Director Zhou of anesthesia."
Okay, no problem.Your old Liang's platform, I will definitely give you a good follow. ”"Okay?"
Director Zhou looked at the monitor, turned around and replied to Director Liang affirmatively: "It's okay." ”The large round blade sliced open the abdomen of the sleeping patient.Four people on the operating table, eight hands occupy the area illuminated by the shadowless lamp.Big hands, small hands, strong and slender, all move equally fast.The phone of the trauma surgery department rang like a chase for life, suddenly and wildly.※※※※※※※※※※※※※※※※※※※※ summary: The patient was admitted to the hospital with an acute abdomen after having had stomach problems for many years and after gallbladder removal.The doctor who first visited the doctor asked for a medical history, and adopted a non-cooperative, foolish attitude.When the gray-eyed director came out, he asked something he hadn't said.Here is a brief part of the () is a bit far away