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Colonoscopy 1


The elevator went up, and Director Liu regained his gentle appearance, and said softly and sincerely: "Director, Director Li, Director Liang, please have a meal with Dean Chen in the evening, are you free?"

”Director Li met her red and swollen eyes, and was embarrassed to refuse her, so he nodded silently in agreement.Director Zhou and Director Liang also nodded in agreement."

Senior sister, if you have anything to do tonight, come and have a meal with us, and meet your senior brother."

Director Liu said this, and Li Min had no choice but to say, "I'm fine, thank you senior sister for remembering me." ”When the elevator reached the 11th floor, Director Li took the lead and walked out, followed by Director Liang and Li Min."

Are you scared?"

Director Li looked back and asked.Li Min replied honestly: "I'm quite afraid." ”"I didn't expect this to happen.Clinically, the more you work, the less courageous you are, and you can't imagine what will happen to you one day.What's even more terrifying is that there are still some people in the courtyard who fall into the well when they see the hole.If you are not careful, you will never recover. ”Director Li seemed to be talking to himself, and it was like talking to Li Min.Li Min didn't know how to answer, so he could only nod.Director Liang said, "You scared the child. ”"It's not a bad thing for her to be wary of others earlier.If Lao Chen hadn't come forward today, Xiao Liu would not have been a scapegoat?

!

”The three of them entered the office, and Director Liang greeted, "I'll ask the head nurse to order a few of us."

Wash your hands first and try the new dishes of Four Seas Restaurant. ”When she opened the lunch box and saw that the first one was sauerkraut, she couldn't help frowning: whether it was sauerkraut or large intestine, she didn't like to eat it."

Hahaha."

Doctor Liang laughed, "Lao Li, did you say that the head nurse was too narrow."

Knowing that Xiao Li was going to see a rectoscopy in the afternoon, he ordered such a dish at noon. ”"You also have to accompany Xiao Li to the endoscopy room in the afternoon.Did you eat it?

”"Eat in.There's nothing you can't eat.That year, I made a biliary roundworm in the county hospital, and when I came home at noon, my wife came back late from something, so I cooked noodles for the children to deal with it.Xiao Li, can you imagine it?

The roundworms are so long, and the noodles are so long, and the thickness and thickness are about the same. ”Li Min was choked with nausea, and removed the lunch box with fried sauerkraut and large intestines between Director Li and Director Liang, "You two eat." ”Director Li also laughed, and after chewing a piece of large intestine carefully, he praised: "It tastes good." ”Then he said Li Min: "Xiao Li, you can't do this."

That year, I participated in labor, and dog days went to turn over the sauce jar.The maggots in the big sauce jar, the white flowers are squirming in the sauce jar in pieces, just like the rice in your lunch box. ”"Gross."

Li Min couldn't control herself anymore, turned around and ran to the nurse's office.Behind him were two old men laughing unscrupulously and proudly.Nurse Sister Jiang couldn't help but laugh when she saw Li Min come out, and she always liked to tell cold jokes: "Doctor Li was scared by the maggot sprouts and rice of those two old men?

”Li Min endured the nausea and nodded: "It's too much, how can people eat." ”"That's it for them.If you eat something fragrant, they won't talk about it next time. ”As he spoke, Xiao Jiang walked to the door where the two offices were connected."

Director Li, Director Liang, don't deceive people too much.Dr.

Li is a little girl, and you are disrespectful to the old. ”Director Liang smiled and said, "Look at our little ginger, he just understands things.Lao Li, you're going too far. ”"You didn't say roundworm noodles first."

Director Li tried his best to shirk and blame Director Liang for his name."

Then you can blame me, it was the head nurse who started the trouble first."

Director Liang defended himself.Chen Wenqiang walked in and asked, "What's wrong with the head nurse?"

It's a good meal today.Who decides?

”As he spoke, Chen Wenqiang reached out and lifted the lunch box that had not yet been opened, and Director Liang hurriedly stopped him: "Wash your hands."

How the same as a child. ”Chen Wenqiang retracted his hand curtly and came out to see Li Min's luck sitting on the bench."

Why didn't Xiao Li go to dinner?

I think you've got your share there, too. ”Nurse Jiang replied for Li Min: "I was disgusted by the maggot sprouts of the old Li head." ”"If you don't eat, he'll be able to eat double.I saw his hand twenty years ago.Let's go, let's eat.We who do surgery, we have a craniotomy in the morning, and we eat steamed brain flowers as usual at noon. ”Chen Wenqiang walked over, Li Min had to stand up, pretended not to hear what he said, and followed him back to the four dishes laid out on the desk."

Come on, Xiao Li, this is the shredded potatoes that the head nurse ordered for you.Girls are vegetarians, and if I want me to say that potatoes have to be braised to be flavorful. ”When Director Li saw Li Min coming back, he diligently pushed a lunch box over."

Thank you, Director Li."

Li Min tried to throw the maggot buds behind him, closing his eyes and pulling the rice in the lunch box into his mouth.Director Liang and Director Li smiled heartily, and Chen Wenqiang opened the last lunch box."

Sweet and sour tenderloin, two pieces per person.My chopsticks are useless.Don't rob it, Lao Liang, just give it to you first, you snatch it carefully. ”"You know what.The dish has to be eaten to be delicious.Xiao Li, the head nurse ordered two of your favorite foods. ”Director Liang smiled and fought with Chen Wen for tenderloin.Director Li concentrated on eating pork ribs and stewed autumn beans, and scolded the two people who grabbed the vegetables with a smile: "The more you live, the more you return to the filling, and you actually grab the meat." ”After Li Min finished washing the lunch box, he saw that the three of them were already spitting out clouds."

Lao Li, when Dr.

Zhao was anesthetized, why didn't you two ask him, do you want to wait for Director Liu?"

Chen Wenqiang couldn't hold back until he finished eating, and pretended to be okay and asked.Chen Wenqiang's words came out, and it happened that Director Li spit out a smoke ring without care, and then he naturally replied without frowning: "Old Chen, that kid graduated from the Wei Academy and went to study for another five years, right?"

In the last two years, I went to the Medical University to study anesthesia.That's a pig, and it's time to learn to do tracheal intubation in two years, right?

Xiao Li, what is the main point of endotracheal intubation?

”Li Min was wiping the water on the lunch box, and replied without looking back: "Pay attention to the cervical spine leaning back above 80 degrees, so that the mouth, laryngeal axis, and pharyngeal axis are in a straight line, between the base of the tongue and the epiglottis, provoke the epiglottis and expose the glottis." ”"How can you be sure that it is in the trachea?"

Director Li then asked.Li Min took the lid of the lunch box and turned around, looked at Director Li, and then looked at Chen Wenqiang."

If the intubation is successful, if the patient is awake, there will be choking; There is a sound of air flow when pressing on the chest; Artificial ventilation: bilateral symmetrical chest undulations; The respiratory sac expands and contracts with breathing; Auscultation of breath sounds – I haven't heard the breath sounds of a patient under general anesthesia, and the book says that there are clear alveolar breath sounds. ”Li Min was shocked after answering, Dr.

Zhao should know that he would make these judgments, and then put himself in a position!"

Remember the point.Have you ever been intubated?

What to choose for endotracheal intubation and when to choose a tracheostomy?

”Director Liang asked questions while praising them."

When rescuing critically ill patients, non-invasive endotracheal intubation is preferred, followed by tracheostomy.""

So, Lao Chen," Director Li flicked his cigarette ash and said indifferently, "Is it necessary what you asked me just now?"

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I don't need to say much about studying medicine.This is the most talented.Some people have no talent, they just can't do clinical work.If I could have thought that he had studied for eight years and could do even a tracheal intubation wrong, I would have scolded him back to his grandmother's house. ”Director Li said that at the end, he took a big puff of cigarette hard, and then choked and coughed.He coughed and said angrily: "It's not difficult to have general anesthesia, it's hard!"

But what can't be done by starting to follow the process?

”Director Liang said to him: "Alas, if you smoke like this, all the good cigarettes will be ruined for you."

Lao Chen, it's not popular for you to ask Lao Li what he said.Are you prejudiced?

Why don't you ask me?

I'm standing on the sidelines and watching the kid get intubated. ”Chen Wenqiang gagged, and Li Min turned around and continued to wipe the lunch box."

You, you, Lao Li is the teacher who has just entered the clinic.You haven't seen through him after all these years?

Let me tell you that in Lao Li's eyes, the patient is his enemy of life and death, how he should save it, and how he will save it. ”"Who said anything to you?"

Director Li asked Chen Wenqiang."

Nope.That's what I asked.No one said anything. ”Chen Wenqiang avoided Director Li's gaze."

I want to build a thoracic surgery.Lao Ding's case, lung adenocarcinoma, the tumor is not big, he is less than 60 years old, his physique is good, and the survival rate in the next five years is definitely a fight.It's done, that's my ready-made sign before I retire.I didn't live for five years, and after the tumor surgery, it was a life-saving fight, and no one would blame me.I am guilty of taking the patient's life to rectify the Zhao family for the sake of the old thing?

And let me tell you, this is a cancer patient today, and the family is prepared.I really have a bad heart, waiting for him to give it to other patients......"

Director Li didn't say any more, and Chen Wenqiang and the others understood what he meant."

Lao Li, don't be angry, don't take □□ to your heart.You know I ......," Chen Wenqiang said dryly."

Of course I know you.It's just such a small half-day effort, who can make you have such an idea, so do you still need to ask?

”Li Min didn't dare to look back when she heard this, she could imagine Chen Wenqiang's embarrassment.But I heard Director Liang say haha: "Lao Chen, you asked three questions at the meeting today, which is really good.Lao Li and I want to slap you.That little Liu invited you, Lao Zhou, and us to dinner at night.If you want to apologize, get Lao Li two bottles of good wine.You know what Lao Li likes to drink. ”Chen Wenqiang understood that Director Liu was to thank himself, and he also understood that Director Liang was to change the topic, so he immediately said, "Okay."

I went home in the afternoon to get two bottles of good wine. ”Director Li likes wine, and when he saw Chen Wenqiang say this, he knew Chen Wenqiang's temperament well, so he didn't pursue it anymore.also laughed and said, "Xifeng or Wuliangye, do you have it?"

”"Yes.I'll get you the same. ”Chen Wenqiang agreed very happily.These things were all moved by Shu Wenchen from the capital.When I gave it to him, I reminded him that he was okay and communicated more with the directors of the surgical department."

I can't drink that much.If you drink too much, your hands will tremble. ”Director Li was humble."

You take it home and drink it slowly."

Chen Wenqiang sincerely apologized for his suspicion of Lao Li's behavior just now."

Then you're welcome.What happened to that kid yesterday?

”Director Li took the initiative to change the topic again."

It's okay, it's stable.This morning, I was busy with a newborn in the obstetrics and gynecology department, with a brain contusion and laceration.Alas. ”Chen Wenqiang sighed and told the matter of the child in the obstetrics and gynecology department.Finally, he shook his head and sighed: "What is suffocation at birth, is it worth it."

Take good care of it, and when you grow up, you can support yourself.Why do you have to be a professor!

”"Dean Chen, that man will be sentenced, right?"

Li Min turned around and asked Chen Wenqiang."

I was arrested by the Public Security Bureau in the morning.If the kid had been okay in the end, he might have been sentenced a few years less. ”※※※※※※※※※※※※※※※※※※※※ said this during the meal, it was a little vice of the surgeon () a little far away