The old man who had had a stomach perforation in the morning was falling asleep in a daze.Even when he was asleep, the family members who cared for him did not dare to take it lightly, this time it was two young men holding his left and right arms.Director Li said to them, "Just let the nurse fix his arm."
You can't look at it like this, he can't pull out the stomach tube in a day or two. ”The patient's daughter brushed the gray hair on her sideburns, wiped away the faint tears from the corners of her eyes, and said, "Director Li, Dr.
Li, my dad doesn't want the nurse to tie his hands, it's uncomfortable."
We were willing to look at my dad like a disobedient child. ”She smiled apologetically at Director Li and Li Min's stunned expressions, and then continued, "Let you laugh."
I lost my mother when I was a teenager, and my brother was only a year old at that time, and my father was reluctant to give it away.The six of us brothers and sisters all relied on my father's hard work to resist the big bag, and we were raised well.Now there are more than 30 people in our six families, all of whom are lined up to work to take care of my father.Don't worry, we'll keep an eye on him and won't let him pull out the stomach tube and drip it. ”The person who said it was a little excited, and the person who listened was also a little moved.Director Li nodded: "Not bad."
The old man is blessed, and you are all filial sons and daughters.But be sure to keep an eye on him, lest he suffer more. ”"Yes, yes, we'll watch him."
Director Li said a few more words and took Li Min to see the appendicitis in the 5th ward.Li Min followed Director Li half a step behind him with the medical record folder, which made Director Li feel very good.But when they pushed the door in, they saw the girl sitting on the bench, holding the young man's hand, and weeping and talking.The movement of the two of them opening the door and entering interrupted the heartfelt whispering of the young couple, who were preparing to travel and get married.The woman wiped her tears and stood up, tried to squeeze out a smile and said, "Director Li, let's operate on him." ”"Don't."
The man, who was half-leaning on the head of the bed for the infusion, immediately sat up straight and tried to stop it.But just such an action hurt him a little bit."
Director Li, I think I'm okay, maybe I'll be fine after this bottle of medicine is dropped."
He said it very seriously, but the sweat on his forehead and his slightly hideous expression revealed that he was gritting his teeth and enduring the pain."
Director Li, he is in a lot of pain now than in the morning.You don't have to persevere, what if you hurt again when you are away from home, can we go to the hospital for surgery now?
”The girl's expression is resolute, and there is a truth that cannot be refused in her whispered persuasion.The man said, "Xiaohui, I didn't hold a wedding for you, and then I made you miss the wedding arrangement, I, I'm so sorry for you." ”The girl shook her head, tears streaming down her face.Director Li said, "You two still have a lifetime to live."
You can't travel this year to get married, can't you take her out on a trip next year?!
It's a big deal to go out for a few days every year. ”"Yes, yes, if you feel sorry for me, take me out for a few days every year.Shall we have surgery now?
”Director Li's words reached the young man's heart, and he began to waver a little."
But, but ......"
"It's nothing, it's not very likely that you want to suppress the current symptoms after three days of dripping."
However, there is a good chance of an appendix perforation this afternoon.Girl, let his family come over so that they can sign for surgery. ”The young man did not speak out against Director Li's proposal.The girl asked, "Director Li, is it okay for me to sign?"
”"If only you got a marriage license."
The girl immediately took out two red books from the backpack on the bedside table, a red satin bag/skin, with a gilded "marriage certificate" printed on it, and the top and bottom of the three characters were surrounded by auspicious golden patterns of dragons and phoenixes.It was the first time Li Min had seen the marriage certificate, and she was a little curious to look over.The woman opened the marriage certificate and showed it to Director Li and Li Min, and said a little shyly: "We were the first to get the marriage certificate this morning." ”Happy smiles rippled on the faces of both of them at the same time.Director Li held his glasses and looked at the photos on the marriage certificate very carefully, then looked at the men and women in front of him, and nodded: "In this way, you are qualified to sign." ”"Director, are we going to do it under local anesthesia or give him an epidural?"
Li Min asked while flipping through the medical records."
Local anesthesia."
Li Min turned to the next page and showed Director Li the contents of the medical record in his hand."
Okay, so be it.I went to write the operation order. ”Li Min hurriedly took out the operation notice from the end of the medical record and handed it to Director Li.Director Li took it and smiled.He nodded as he took his things and went out.There are a lot fewer things to explain in the local anesthesia.The patient is still young and in good general condition, but Li Min still wrote everything that should be written."
Do you usually drink?
Liquor?
”"Drink.The 60-degree old white dry can't put me down for half a catty or eight taels. ”Li Min was stunned when he heard this, this is not very good."
With such a amount of alcohol, you may have to increase the dose of anesthetic during the operation, which may lead to accidents."
The girl nervously shook the man's hand and asked, "What will happen?"
”"Generally, people who drink a lot of alcohol will have a tolerance to anesthetics.For example, a normal person 5 grams of anesthetic is enough, he may need 8 grams or more.A large dose of medicine will increase the burden of liver and kidney metabolism, and some toxic side effects will occur. ”The two looked at each other, and the man hesitated and said, "I can bear it, and I should be able to do it without anesthetic."
When I was a soldier, there was a drill and the boss broke a hole in my leg, so I wrapped it and continued to keep up with the team.Later, I had more than a dozen stitches, but there was no need for anesthetic. ”"You, why didn't you write to tell me?""
Am I not afraid that you will be worried?"
The man didn't care about what he said, but the dodge in his eyes revealed his weakness.The two of them affectionately complained to each other and put Li Min aside.Li Min felt like a big 200-watt light bulb."
Ahem, ahem."
Li Min coughed lightly and handed the operation consent form to the two of them."
See for yourselves, if you don't understand anything, come to the office and look for me.I had to go back and give the pre-operative instructions and have the nurse come and prepare the skin for him. ”The man took the consent form and asked Li Min, "Who will operate on me?"
”"Director Li and I."
Li Min closed the medical record folder, "Where did you have the operation, it is basically like this preoperative explanation."
Hurry up and sign it, send it to me, I still have a lot of things to arrange. ”"Okay."
The man readily agreed, and the girl politely sent Li Min out.Director Li filled in the anesthesia method and surgeon on the operation notice, picked up the phone and dialed the operating room."
Hey, I'm a trauma surgeon.Is the head nurse absent?
”......
"We have an acute appendicitis, local anesthesia, and we will take the patient over in a moment. ”…… In the operating room, Director Li put on a surgical gown and stood on the side of the assistant.Li Min, who went to soak her hands again after disinfection, came back, she looked at Director Li's standing, and when the surgical gown she grabbed was shaken open in her hand, it hung on the ground."
Director Li, I'll do it?"
Li Min's voice was full of excitement."
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Well, you can do it.If I can't do it well, I'll take it over at any time. ”Director Li replied lightly.Li Min was eager to try, and the nurse on the patrol said while tying her with a surgical gown: "I didn't see you so excited last time I had a craniotomy. ”The patient lying on the operating table lifted his head, and he wanted to sit up and take a look.Director Li hurriedly held him down, "Don't move, this operating table is narrow, be careful of falling down." ”"Okay, I don't move.Did Dr.
Li do it for me?
”Director Li replied, "Dr.
Li is doing a good job."
I didn't hear from the nurse that she had done all the craniotomy.That's a lot harder than your appendicitis. ”The patient blinked and replied to Director Li: "I believe you, Director Li."
Anyway, if you can't do it well, you can take over at any time. ”The patrol nurse went over to tidy up the headframe.Li Min put on gloves and said to the patient: "I had a large gastrectomy the year before last, and the bureau teacher gave me a full score." ”Director Li couldn't help but laugh and said to the patient: "She can cut her stomach, what are you afraid of!"
Besides, I've been a surgeon for more than 40 years, and I'm going to take full responsibility for your operation. ”The patient smiled and said, "I believe you."
When I was in the army, the health soldiers sent us out for three months of training, and when they came back, they would stitch up our wounds.Did you look at that dog-like scar on my leg?
That's the anesthetic is useless.If I scream, I won't be able to take my platoon with me. ”"Lidocaine, diluted into 1%.You were a soldier?
”Director Li began to chat with the patient, but his eyes were fixed on Li Min, who measured the distance between the patient's umbilicus and the anterior superior iliac spine with his hand, and drew a white line on the skin with the tip of the knife.After Li Min finished rowing, he looked up at Director Li and asked softly, "Okay?"
”"Okay."
The patrol nurse took the medicine and showed the instrument nurse the logo on the bottle.The instrument nurse tilted her head carefully and read out the words above: 20 ml of water for injection, 20 ml of lidocaine injection 400 mg.Then she showed it to Li Min again, and turned the bottle to let Li Min read the handwriting on it.After Li Min confirmed again, he dissected the bottle with the broken neck and carefully poured the liquid into the small stainless steel bowl held by the instrument nurse; Then put away the empty amp autopsy bottle, and check it again after the operation."1 20 ml syringe."
Director Li spoke, "Don't be that kind of disposable, it's hard to use." ”The nurse on the patrol said, "I have prepared a glass syringe for you."
If our provincial hospital refuses to use disposable syringes, there are only a few of you who are old. ”The instrument nurse followed: "How convenient it is to use it all at once." ”"I'm old, and I'm not used to plastic things.This plastic looks convenient, but it is troublesome to dispose of afterwards.If you bury it underground, it won't rot for ten or eight years, what will you do in the future?
Groundwater must not be polluted. ”"Director Li, what do you want to do so much.Now you don't have to bring your own basket to buy groceries, who doesn't use plastic bags. ”"Hmph, it's convenient for the light map, and then it's going to harm the children and grandchildren.Here begins, layered infiltrate.Young man, I'm starting to give you numbing medicine, it's going to hurt.It's like a big mosquito bite. ”"Well, it's fine."
The lying patient's tone was relaxed, "I believe you." ”Li Min injected anesthetic into the skin and under the skin in turn.Penetrate into the skin, suck back, no blood return, push the drug.The 20 ml of anesthetic was quickly finished.Director Li and Li Min pressed the pinhole with a piece of gauze, and Director Li pinched the patient's skin with small curved hemostatic forceps and asked, "Does it hurt?"
”"It doesn't hurt.""
I'll tell you, our surgery is local anesthesia, you know the whole process, but if it hurts, you have to talk.Take his blood pressure again. ”Director Li motioned for Li Min to move, and the two of them tightened the skin at the incision with gauze.The large round blade in Li Min's hand cut vertically.The patient tilted his head to look at the nurse on the stage, and his attention was on blood pressure.() The distance is a bit far