In the office, several men were still spewing clouds."
Lao Li, what tests have you not done for lung cancer?""
There are a lot of items that must be checked in surgery, which are basically those prothrombin in the laboratory or something.Tomorrow morning, the blood will be drawn and sent for testing, and it will basically be all the day after tomorrow.Lung radiograph, lung CT, B-ultrasound, and electrocardiogram are all examinations done by internal medicine in the past few days. ”"If I can have surgery, it's scheduled for Friday.""
Okay, I'm fine.Lao Liang, are you going up with me?
”Director Li answered Chen Wenqiang and asked Director Liang.Director Liang comfortably spit out a puff of cigarette, grabbed the teacup at hand, and poured a few sips of water.smiled with satisfaction and said, "Lao Chen's cigarette is good, and he smokes hard enough."
The Hongta Mountain in my house is also real, and I feel that it is much worse than this. ”Chen Wenqiang smiled: "I like me to bring two for you two tomorrow." ”The cigarette was brought from his eldest brother during the Chinese New Year, and a whole box of 250 cigarettes was given to him.Although the packaging looks the same as that of the tobacco monopoly, it feels more mellow when you smoke it."
Then I'll thank you in advance.Lao Li, I'm okay with you for lung cancer, and I will definitely be able to pull the hook. ”"Isn't your hook overkill?
There is Xiao Li to do that job.I'm pointing to you to help me share some of the burden.You've also seen the CT scan of lung cancer, and I hope it can be done smoothly. ”The more the rivers and lakes run, the less timid they become, and it's not bad at all for Director Li to say this.Make adequate preparations before the operation, plan for the worst, and go all out during the operation......
"Lao Chen, you don't go?"
”Director Liang asked Chen Wenqiang.Director Li and Chen Wenqiang glanced at each other tacitly.Chen Wenqiang took another puff of cigarette before saying, "Doctor Wang and I went to Xiao Liu's stage."
Xiao Li followed the two of you to do lung cancer. ”Dr.
Liu and Dr.
Wang, who were immersed in writing medical records, looked up at the three of them and continued to do their own work.There are six doctors in Corey and two major surgeries are prescribed at the same time, and Chen Wenqiang's arrangement is the most appropriate.Director Li smiled and said Chen Wenqiang: "This time, you don't have to worry that our department will not have surgery this week." ”Chen Wenqiang smiled: "Four major surgeries a week, and there should be no more emergency departments like today." ”This is really worrying about not having surgery, and I can't bear it with more surgeries."
On Friday, two tumors were prescribed at the same time, but no one could take care of anyone."
Director Liang reminded Chen Wenqiang, "There are pancreatic cancer and breast cancer postoperatives in the ward. ”"It's okay, there is Zhang Zhengjie to take care of the house, and we don't have to worry about the ward.And Dr.
Yang also lives in Cory?
With them, what else is there to worry about. ”With these two people guarding the ward, Chen Wenqiang did not have the slightest worry."
Then, Dr.
Yang's hospitalization expenses can be waived or waived for him."
Director Liang saw that everyone was looking at him, so he smiled and said, "Should he be punished for being drunk on duty?"
I think it definitely should be.But the three-month bonus was enough for him to remember.It's all in the same department, and if you look up and don't look down, you can save some money so that he can rest assured about Corey in the future. ”"Okay, I don't have any opinions, it's okay to do it all."
Chen Wenqiang felt that Dr.
Yang was holding his breath enough, so he did not object to Director Liang's proposal.Director Li suggested: "If you want to do this, you and Zhang Zhengjie have to talk about it."
Otherwise, it seems that Lao Chen is now the dean, pressing him and asking him to agree.It is likely to be a bad dish. ”Director Liang did not doubt him, and said briskly: "Okay, I'll go to Director Zhang and say." ”Doctor Liu raised his head and answered: "Lao Yang has been on fire these days.His daughter-in-law came once and quarreled with him once.Alas. ”Dr.
Wang said: "Thanks to the fact that the patients in Corey were fine that night, otherwise Lao Yang would not have to eat and walk around."
Hey, Dean Chen, how do I remember that Lao Yang still had vegetable leaves and rice grains hanging in his hair that night?
”"How do I know what you remember."
Chen Wenqiang didn't want to see Dr.
Wang, who loved to play tricks, and the truth of that night was what he wanted to hide."
It's not just me who remembers.When I did the CT scan, the people in the CT room said that he had the smell of vegetable soup in his hair. ”Chen Wenqiang didn't answer.After taking two puffs of cigarette, I saw that Dr.
Wang was still watching him wait.He said, "I didn't go in a few minutes earlier than you that night."
I said that if you have such a good spirit, think more about your pancreatic cancer patients.Take care of him with more care, don't get out of the pancreatic fistula. ”Seeing that Chen Wenqiang avoided answering his own questions, and taught himself a lesson with the attitude of the hospital leaders and senior doctors, Dr.
Wang had no choice but to avoid the important and said lightly: "Director Liang sews carefully and tightly during the operation, don't you watch it all, Dean Chen?!"
If you want to have a pancreatic fistula like this, you really have to accept your fate.Hey, Dean Chen, when I was studying at the Medical University, they were doing parenteral nutrition support.If our patients increase their energy supply, will the wound heal better?
”"You're talking about using fat milk?"
After Dr.
Wang confirmed, Chen Wenqiang decisively objected: "I remember that when the medical representative of that company promoted the product, he mentioned that diabetes is a contraindication.In this patient, half of the pancreas is cut off, and the function of the pancreas must be affected, and it is not suitable to give fat milk. ”When Dr.
Wang saw Chen Wenqiang, he immediately objected, thinking that the patient's pancreas was cut off in half, and the secretion of pancreatic lipase was insufficient......
Fat emulsion, a long-chain fatty acid, should rely on the conversion of pancreatic lipase in the body before it can be absorbed and used by the body.Therefore, he no longer insisted, and said, "I have forgotten the contraindications of fat milk." ”With that, he lowered his head and continued to write the medical record carefully, and the tip of the pen almost cut through the paper.Because of Chen Wenqiang's words, not only did the patient have to take care of it himself, but he also had to write the operation records and the big medical records that should have been written by Li Min.Although he is dissatisfied, he can't be tough with Chen Wen, who has already become the dean, he can still carry it.Director Li said: "Other patients can try to give three to five days before and after surgery."
Having fatty acids to supply high calories is better than relying on that glucose alone.In addition, the high energy supply helps the wound heal.After the festival is the operation season, patients who are generally in poor condition can also use a little to improve their physical fitness. ”"You want to use it?"
Chen Wenqiang asked Director Li directly."
yes.It is suitable for use, and there is only benefit to giving it before and after surgery. ”Dr.
Liu said, "Has our provincial hospital entered the fat milk?"
”Chen Wenqiang immediately replied: "If not, let the pharmacy hurry in." ”"That's why you and Director Fan said yes.Others may not buy it. ”Director Liang is also interested in fat milk."
Don't.We are official salt in this matter, and we don't need private salt.Xiao Liu, you go and call Director Fan and ask her if she has fat milk, and what procedures do we need to submit if she is taking medicine.What else do you want to use, and submit it to the dean's office meeting to discuss the medicine. ”That is to say, but will Director Fan of the Pharmacy Department ask Chen Wenqiang to submit the drug application, and it must be discussed and approved at the dean's office meeting?
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If you hand it to the meeting, will anyone else stop it?
Everyone knows the outcome of the application.Chen Wenqiang smiled, not knowing the obvious changes brought about by his promotion to dean, but he was still happy in his heart.When Li Min returned to the office, only Director Liang was left in the room who was eating with a lunch box."
Xiao Li, that share is for you.Today, the pancreatic cancer family wanted to invite us to eat out, and I pushed it because I had to be on duty at night.Let him go to the Four Seas Restaurant to get a few meals and come back. ”"Thank you, Director Liang.I was so hungry that I forgot I hadn't eaten at noon. ”Li Min put down the report sheet in his hand, pressed it with an inkwell, and walked to the nurse to wash his hands.There were two lunch boxes, one large and one small, Li Min moved the lunch boxes on them, and the two pink tickets folded in half were blown by the breeze and swayed on the lid of the big lunch box."
This?"
What a surprise."
You deserve it.Put it away.It's time for someone to come and pick up the lunch box in a moment. ”"Thank you, Director."
Li Min thanked Director Liang very gratefully.It is the luck of a little doctor like Li Min to meet a practitioner who is not the kind of practitioner who holds all the money by himself.She pinched the corners and stuffed the money into the pocket of her white coat, carefully twisted the spoon, and began to eat a warm "noon" meal in the evening."
Have all the breast cancer tests come out?""
Hmm.It is basically within the normal range, and there are no contraindications to surgery. ”Li Min swallowed the food in his mouth, looked up at Director Liang, and answered his question seriously.Today, Director Liang's support in the operation allowed her to contact the fourth-level surgery ten years in advance, and she understands and is very grateful."
I'll go back tonight and take a good look at the part about breast cancer, and I may arrange a preoperative discussion tomorrow.The surgery is basically done the day after tomorrow.Director Li's lung cancer, you and I will work together with Director Li to set the stage.The treatment methods that may arise after pancreatic cancer surgery are well prepared. ”After Director Liang pulled the last few bites in the lunch box into his mouth, he explained a series of things to Li Min."
Yes."
Li Min replied briefly.The so-called preoperative discussion is likely to be whether Li Min remembers the basic processing ideas in the textbook.Li Min knew that she had homework to review tonight."
Dr.
Liu received an osteosarcoma, it is Director Chen and Dr.
Wang who are on the stage, you have time to take a look.These may be discussed tomorrow. ”"Yes.I'm going to be ready tonight. ”There are three parts to prepare, Li Min doesn't want to stay up late, so he can only squeeze in the time to learn English.Director Liang smoked for a while, took out a few copies of "Practical General Surgery" from his drawer and handed them to Li Min."
I have time to take a closer look at these books, and the operation we did today can be used as a case summary submission.If there is nothing to do during the 'Eleventh' period, write the first draft first.That pancreatic cancer, you should take care of it more. ”"Okay."
Li Min said briefly, but his heart became excited.The word "medium" prefixes.The two talked for a while, and the patient's family came in to pick up the lunch box, and after Li Min thanked him, he treated himself as if he was off work during the day shift, and routinely went to inspect the patients he managed.The focus is on looking at the breast cancer patient who has surgery.The patient's family gathered around her bedside.When she saw Li Min coming, she stood up and said hello, and the nurse in the next bed also greeted and talked to her."
Dr.
Li.""
Didn't Dr.
Li work the night shift, why did he come here at this time?""
I had an operation today."
Li Min smiled and nodded in response to the person who greeted her, first went to see the others, and finally turned to the breast cancer patient."
I just got your CT report back.No metastases were found.Other examinations did not reveal any restrictions on surgery. ”The family rejoiced."
And when will my mom be able to have surgery?"
The patient's son asked impatiently."
It's a major operation, and tomorrow Corey will do a pre-operative discussion, and if there are no accidents, it may be the day after tomorrow."
The happiness of the family was clearly visible on their faces."
Dr.
Li, is my mother fine after surgery?"
Li Min pursed her lips and smiled: "Hmm." ”When the patient's eldest daughter came out with her, Li Min said to her: "Tumor resection surgery is done in the early stage of breast cancer, and the five-year survival rate after surgery is very high.How long you can live after surgery depends on whether it is early and which type it is. ”"Typing?""
Yes, some tumors are highly malignant and some are low.Don't tell your mother, lest it increase her psychological burden.You know?
”"Hmm."
The patient's eldest daughter still understood what Li Min meant.Li Min nodded at her and went to see the people in the other wards.
※※※※※※※※※※※※※※※※※※※※Thank you to the little angel who voted for me to vote for the overlord or irrigate the nutrient solution~ Thank you to the little angel who voted for [landmine]: 1 kitten of Sansan Aizawa; Thanks to the little angel who irrigated [the nutrient solution]: 10 bottles; Thank you very much for your support, I will continue to work hard!
() The distance is a bit far