The head nurse buttoned the clip on her hat and stood at the door and said, "Dr.
Li, that colonoscopy has been changed to two o'clock in the afternoon, and it will almost pass." ”"Okay.I washed and wiped all these lunch boxes.Thank you, head nurse. ”"Thank me for what I'm doing, the food money is accumulated by the department, I'll make a call.Have you eaten that sauerkraut fried large intestine?
”The head nurse asked with a malicious smile as she filled the bag with a lunch box.Li Min was embarrassed and embarrassed to say the head nurse.Director Liang hurriedly said, "She didn't touch a mouthful."
Hahaha.Let's go, I'll accompany you to the endoscopy room. ”The latter sentence blocked Li Min's words to blame him."
Doctor Li, Director Liang will accompany you, then I won't go, there will be a bunch of things in the afternoon.The patient has completed the hospitalization procedures, and after the examination, he can be pushed back to our department. ”Li Min hurriedly nodded in thanks: "Okay, good."
Then you don't have to go over to the head nurse, thank you. ”If no one is with him, the endoscopy room may not let Li Min in.The head nurse is willing to arrange time, of course, it is worth Li Min's thanks.On the way to the endoscopy room, Li Min gave Director Liang a detailed description of the palpation examination of the anal examination the day before yesterday.At the end, Director Liang muttered, "Please have a gynecological consultation tomorrow."
CT scan to see if the uterus has been infiltrated by the tumor.I asked the head nurse to change the proctoscopy to colonoscopy, firstly, it may be uncomfortable for two days after colonoscopy, and secondly, it is not to miss possible lesions of the colon.At this time, if you are hospitalized, you can also do almost all the other examinations before the holiday. ”This patient's surgery was also performed by Director Liang, and his arrangement was still different from Li Min's original plan to wait for the results of the rectoscopy to be readmitted to the hospital."
Worried she's not rectal cancer?"
Director Liang asked Li Min about her secret thoughts.Li Min nodded frankly and admitted that Director Liang was right."
Because anal diagnosis is only for reference, the specific pathology of microscopic examination is necessary to confirm the diagnosis."
Director Liang smiled: "Naturally."
I asked the patient carefully, and the medical history was also leaning towards rectal cancer.Let's do a colonoscopy for her, and leave her in the hospital first if she is uncomfortable after colonoscopy.If it is rectal cancer, I will do a preoperative examination tomorrow to see if there are any distant metastases and whether there are any contraindications to surgery. ”Sure enough, ginger is old and spicy.Li Min said admiringly: "The director has thought it through. ”Director Liang sighed: "If it is unreasonable to retain patients, where will the bonus come from?"
You are young and don't know the importance of money, and a penny can stump a hero, that's not wrong at all.In the future, when you have tasted the difficulty of not making money, you will work harder and change your ways to make money.Alas, I just don't know if this patient is trying to save her life or if she is also stupid to keep □□. ”The importance of money, where does Li Min not know as Director Liang said......
In the two months since she went to work, she and Yan Hong have never been so happy when they bought clothes; Although he didn't say it explicitly, it was also to the extent that he wanted to avoid Liu Na and Leng Xiaofeng.The provincial hospital seeks development in the middle of several affiliated hospitals of the Medical University and teaching hospitals, and does not want to let go of every potential patient.The special position of trauma surgery, for the sake of bonuses, also makes winning patients a top priority for everyone in the department.Li Min and Director Liang walked to the door of the endoscopy room and saw the female worker who was driving the elevator waiting in front of the door with her mother."
Director Liang, Dr.
Li."
With a flattering smile on her face, she greeted her.Director Liang nodded, pushed open the door of the endoscopic room and entered.Li Min smiled at her: "It's not time yet, you wait a little longer." ”followed Director Liang in.The two doctors and a nurse in the room were preparing, and when they saw Director Liang enter, several people greeted them with a smile: "Director Liang is here?"
”"Director Liang has nothing to do but go to the Three Treasures Palace, and I have an acquaintance who wants to be a mirror today?""
The one outside the door, I'll come and see her for a microscopic examination.This is Dr.
Li who was assigned by our department.Xiao Li, come to meet people. ”"Oh, Director Liang is taking students?
Isn't the training cancelled this year?
My surname is Lu, and his surname is Lu. ”Dr.
Lu's enthusiastic attitude is towards Director Liang.Everyone in the provincial hospital knows that Director Cheng is in poor health, and he rarely performs major surgery in person.In the major surgery of the general surgery, people who know the inside story have begun to look for Director Liang's shot."
I'm the road to the sky.If there is something to do in the future, Dr.
Li will come over directly. ”Doctor Lu's eyes were flexible, and he immediately guessed Director Liang's intentions, and greeted Li Min very politely, and Dr.
Lu also nodded."
Doctor Lu is good, Doctor Lu is good."
Li Min responded to the two with a smile in response to the polite attitude of the two of them hugging the younger students.Director Liang took out his signature smile and said nonchalantly: "It doesn't matter if I cancel the regular training, I am willing to bring people."
You say don't you?
”"Of course."
Dr.
Lu is very fond of the venue.Dr.
Lu put on a hat and mask and said to the nurse, "It's almost over, you can call the patient in." ”Then he asked Li Min: "Has Dr.
Li ever had a colonoscopy?"
”Dr.
Lu asked.Li Min shook his head, "I only know the general steps." ”This is also a surprise reading.There are a lot of things in surgery, and when it comes to endoscopy, which I haven't learned, I can only temporarily cram, and open the book to learn what I encounter.The nurse led the people in.When the old lady saw Li Min, her nervous expression eased, and she asked expectantly, "Doctor Li, will you do it for me?"
”Li Min smiled and shook his head: "I don't know this."
Dr.
Lu and Dr.
Lu will do it for you.Swing the lateral decubitus position?
”Dr.
Lu nodded, the nurse came over and closed the curtain, asked the patient to change his pants and put himself in a position, and after intramuscular injection of 10mg of diazepam and 0.5mg of atropine, Li Min put on a mask and gloves, helped lay out the sterile list, and stood opposite the patient to face the screen.The colonoscopy went well, and the old lady's big rough and thick hands full of meat pits were tightly grasping the edge of the bed.Li Min patted her on the shoulder, "Don't be so nervous, take it easy." ”The old lady grinned and shook her head and closed her eyes.Li Min didn't guess what she meant, her eyes glued to the screen.Dr.
Lu held the control switch of the colonoscope with his left hand, and slowly lowered the fiberscope with his right hand.The process of the lower colonoscopy went smoothly, the old lady only frowned slightly, and Dr.
Lu, who was making notes in front of the display screen, said, "This is the ileocecal department."
Not bad, the mucous membranes are smooth and intact. ”The pink mucous membrane is so clear that even the water droplets on the intestinal wall can be seen clearly.Dr.
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Lu slowly turned the switch to withdraw the fiberscope."
This is the colon liver flex.There is nothing abnormal in this section of the ascending colon. ”"There was no abnormality in the transverse colon."
Dr.
Lu's eyes were fixed on the display of the switch in his left hand, and his right hand moved slowly.After saying that there was no abnormality in the transverse colon, he stopped the fiberscope."
There are polyps here."
Dr.
Lu paused and slowly adjusted the magnification magnification.I saw a pedunculated polyp, with a smooth surface and good mobility, and the color was slightly redder than the normal intestinal tube, "It's a polyp." ”"The size is about 0.3*0.5cm, do you want to take the pathology?""
Not yet.Look at the back again. ”Director Liang spoke."
The lower colon is here, here, and there are a lot of polyps.But it's normal to look at the color. ”Li Min struggled to keep up with the shaking of the screen, silently counting the number of polyps, counting back and forth, there were about a dozen.Little by little, the fiberglass was pulled out, and another nurse with gloves brought a bucket of water.It should be a peracetic acid solution inside.She put down the bucket and asked, "How many are there this afternoon?"
”The nurse replied, "That's it this one this afternoon, and the others will go tomorrow morning."
If it hadn't been for the head nurse of the trauma surgery department, I would have finished work later this morning. ”This is to let Director Liang and Li Min know the favor of their department.Director Liang looked back at the two of them and said with a smile, "Let the head nurse invite you to dinner." ”The two nurses grinned, "That's a good feeling."
Anyway, you have a high prize money.It has to be accumulated in your department. ”The bonus of trauma surgery is counted in the unit of yuan, and the fraction is crossed out into the department's accumulation.This makes other departments with relatively small bonuses, especially those who can't calculate the points, envious.The fiberoptic colonoscopy continued to be withdrawn, and the nurse later reached out to help the fiberoptic tube withdraw."
Here."
Dr.
Lu stretched out his hand and dotted it with a ballpoint pen on the display.Dr.
Lu lowered the magnification of the fiberscope, and the picture like a volcanic crater began to appear on the display, quickly filling the entire field of vision.Now you can see the firm and stiff bulge on the rectal wall, the cauliflower-like tissue, the range is about 5*4CM, there is pus on the surface, the color is dark and red, accompanied by erosion, it is difficult to move.Dr.
Lu carefully zoomed in again and carefully took four places for biopsy.Bleeding immediately after the biopsy site.Li Min watched a clip appear under the camera and clamped the bleeding part.But the hemostatic effect is not satisfactory, probably the texture is crispy?
Removing the fiberscope further, what is seen is a circle of internal hemorrhoids with obvious congestion.Dr.
Lu quickly filled out the report form, signed it, and handed it to Dr.
Lu to read."
Director Liang, Dr.
Wang of your department, came to us for gastroscopy that day, and it was very slippery.I also said that it was a pity that he didn't come to the endoscopy room. ”"He is a candidate for the director of general surgery, how can he come back to our laparoscopic room for three cats and two dogs."
Dr.
Lu handed the fiberscope tube to the nurse, took off his gloves after the control part was placed, and signed the report with a pen, but the exit was much sharper.Director Liang should also go back to Puwai, right?
My dad always told you that your surgery was good.I heard that Director Cheng is retiring. ”"I know so much.Listen to the arrangement of the hospital leaders.Wherever we are, we are all working.You say don't you?
”Director Liang smiled and played Tai Chi.The nurse who had just given the injection helped the dressed patient up, "You sit and wait, I'll let your daughter in." ”The old lady looked at Li Min and asked earnestly, "It's not rectal cancer, right?"
”Li Min barely pulled out a smile.Before she could find out the words of comfort, the old lady waved her hand and said very happily: "Girl, you don't have to be embarrassed."
I have heard you speak. ”Dr.
Lu said to the female worker who opened the elevator who came in to get the results: "Your mother will hand it over to Director Liang and Dr.
Li, and arrange the operation as soon as possible."
Xiao Zhang, have you seen the flat train of trauma surgery?
Send the patient over first. ”The female worker immediately said, "I've pushed the cart here."
Thank you.Thank you. ”Dr.
Lu and Dr.
Lu waved their hands and went about their own business.Li Min and Director Liang helped the patient get into the flat car, the female worker pushed the car, and several people went back to the trauma surgery together.On the way, the old lady asked Director Liang, "When will I be able to have surgery?"
”() The distance is a bit far