In the office, Dr.
Yang had already finished talking to his escort and signed the consent form for surgery.He smiled and called for Xiao Huang to come in.In front of the escort, he said, "This is your share."
You say hello to the night nurses in the Department of General Surgery, and ask them to find Dr.
Li if they have something. ”Dr.
Huang was very happy, smiled and agreed, and went to the Department of General Surgery to make a phone call.Dr.
Yang walked out and flipped the folding page of the temporary doctor's order to Xiao Jiang: "Intramuscular injection of 10mg diazepam, 0.5mg atropine." ”Dr.
Huang put down the phone and said to Dr.
Yang: "I said okay over there, I will find Dr.
Li if I have something." ”Dr.
Yang nodded, "After giving the preoperative medicine, push him to the operating room."
I'll go first. ”Doctor Huang wanted to speak and stopped, and at the moment when he hesitated, Dr.
Yang left.Li Min and Mu Jie stood in front of the open window of the elevator room, and the distance between the two was one step away, but from Dr.
Yang's point of view, their bodies seemed to fit together.He "snorted" and pressed the elevator button, coughing again.Mu Jie turned around and smiled at him, but Dr.
Yang inexplicably felt that the smile was a little infiltrating, and before he could react, Mu Jie came to him in an instant, and his two big hands had already pinched his shoulders like steel claws.The two of them are about the same height, and it seems that Dr.
Yang is two times bigger.The pain in his shoulder immediately made Dr.
Yang half a head shorter.His arms hung down weakly, and he groaned in pain, trying to raise his left knee to defend himself, but suddenly found that Mujie's knee was waiting there.Doctor Yang had to follow Mu Jie's hand to bend his knees and collapse his waist, and he kept telling him to forgive: "Brother Mu, let go quickly, I am going to have surgery soon, it is an emergency operation." ”Mu Jie was relieved and asked him in a cold voice, "Do you know why?"
”"Yes, yes.I'll stay away from Dr.
Li in the future. ”Dr.
Yang and Mu Jie looked at each other, and the murderous aura in Mu Jie's eyes made Dr.
Yang feel a cool breeze from the tail vertebrae to the back of his head."
Hmph.It's good to know. ”Mu Jie almost whispered in Dr.
Yang's ear: "Li Min is my fiancée, don't forget what I am doing risking my life in Laoshan!"
If you have something, neither the troops nor the localities will spare you. ”"Yes, yes, yes."
The elevator came, and Mu Jie pushed Dr.
Yang inside.Dr.
Yang stumbled a few steps into the elevator.He turned around in panic and immediately pressed the button to close the door, only to see Mu Jie's eyes staring at him.Mu Jie clapped his hands, and he was satisfied to see Dr.
Yang's frightened white face.The elevator doors closed with Mujay's laughter.When Mu Jie turned around again, he found that the corners of Li Min's mouth were upturned and the smile on his cheeks was faintly looking at him."
Let's go, let's go back to the office."
Mu Jie stretched out his hand towards Li Min, "Isn't there a medical record that hasn't been written yet?"
”Li Min looked at Mu Jie's outstretched hand and hesitated for a moment, then took the book that Mu Jie had just stuffed into her hand and held it with one hand, and hesitantly handed over his other hand.Mu Jie immediately grabbed Li Min's hand tightly.The big brown hands were dry, warm, generous, firm, and powerful, and they immediately wrapped Li Min's smooth and greasy hands that had stopped their flesh and bones and had just been smeared with petroleum jelly.Dr.
Huang took the medical records and led the escort to push the patient to the elevator room, and happened to see a man's big handbag with contrasting colors, strength, and size holding Li Min's hand, and the two walked slowly side by side towards him.Dr.
Huang's eyes suddenly darkened, and his heart was filled with an indescribable sour taste, and he thought that he had more opportunities in the same surgery than others.But he still nodded at Li Min quite gracefully and said, "Doctor Li, the general surgery department is going to trouble you to help you see it for a while." ”"Okay.I'm not sure, so I'll call you in the operating room. ”"Okay."
The medical elevator came down quickly, and Dr.
Huang led the patient in, and when he turned around, he caught a glimpse of the back of the man and woman holding hands and going to the ward together.Dr.
Huang led the patient to the operating room, handed the patient over to the patrol nurse who came out to pick up the person, and he went to the locker room, but saw Dr.
Yang wearing the pants of the hand-washing gown, standing in front of the mirror naked/naked, hissing in his mouth, and his face was not very good-looking.Dr.
Huang glanced at Dr.
Yang's shoulders, pretended not to see the finger marks on his shoulders, and went to change his clothes.When he finished changing into his hand clothes, he saw that Dr.
Yang hadn't moved, so he reminded: "Dr.
Yang." ”"Hmm.Good. ”Dr.
Yang put on a set of hand washing clothes, felt that he could still grasp the cystoscope under the movement, frowned and took the lead to go out, opened the hat bucket angrily, grabbed the hat buckle and grabbed the mask."
Dr.
Yang, I didn't have a chance to speak in your department just now, and when I examined the patient, I saw that there were several ulcer wounds about 0.5 cm in size on the back of his □□, one third of the way near the □□, and I couldn't find it if I didn't pay attention to it.I asked the patient repeatedly, but he didn't want to explain clearly. ”Dr.
Yang immediately turned his head to stare at Dr.
Huang, and the mask that he had not yet worn was on the side of his face.He changed color and asked, "What did you say?"
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Why didn't you say it earlier?
Could it be that you don't see the relationship between the two?
”Dr.
Huang shrank back and muttered, "When I first checked, I really didn't expect to go there. ”"What are you doing with that brain!"
Dr.
Yang angrily called out to Dr.
Huang: "Go, quickly tell the nurse in the operating room to draw blood first, and then operate according to the special protection in a while."
You've checked AIDS, syphilis, hepatitis A, hepatitis B, hepatitis C, and so on. ”"Yes, yes."
Dr.
Huang instantly lost half of his spirit, and went to the nurse in despair.When he finished the laboratory test and walked into the operating room after brushing and soaking his hands, the patient had been laid with sterile towels in the lithotomy position and waiting on the operating table, begging Dr.
Yang for something across the headframe.Dr.
Yang has already put on his surgical gown and is ready to go to the cystoscopy."
Doctor Yang, I beg you, don't talk to him about my condition?""
What is the relationship between the two of you, don't you understand it yourself?
Didn't you tell him that you must not infect him?
No, he should have been infected by you. ”"I didn't think I'd get this disease.""
I believe you when you say that.But if you are sick, you have to be treated first, and if you infect others without it, your circle will be so big, and in the end, no one can escape. ”"Yes, yes, I should have healed first.I don't know if it was infected to me by the one who lacked virtue for eight lifetimes.But don't tell him, wait for me to talk to him in the next two days. ”"That's fine.He should also have his blood drawn tomorrow for a full examination.Then do a full treatment. ”"Can you let him be a few days late?
Otherwise, you see that after the operation, I don't even have a person to bring water and buy food. ”Dr.
Yang hesitated for a moment and said, "It's okay to be a few days late?"
Xiao Huang, come and help.Is it okay to have anesthesia?
”"That's it.""
Then I'll go to the mirror.""
Let's go."
Dr.
Yang carefully operated the cystoscope, and after a while, the forceps came out with a pus-filled "fine clip", which the woman used to cut fine hair.The pus and blood almost wrapped the clamp tightly.With a "ding" sound, the clamp fell into the stainless-steel dirt basin."
Show him, then pour some salt water and rinse it off."
Dr.
Yang breathed a sigh of relief.M, if you can't get it out, you have to think that this thing has grown together with the urethral mucosa.The salt water washes away most of the pus, and then it falls out of the original appearance of the "fine clips" that have been corroded and shed some of the black paint.The second and third were taken out one after the other.Dr.
Yang straightened his waist, looked at the X-ray on the reader, and said to the patient who was lying down wiping his tears: "Take out these three clips in the urethra."
I told you to go back with a urine bag for a few more days, at least for a week, and drink more water during this period, otherwise the urethral mucosa will be sticky, and the urethra will be narrowed in the future, and you will suffer.Don't say anything about pleasure, it's hard to pee, you know?
”"Yes."
Dr.
Yang bent down and continued.There are not only clips in the bladder, but also shadows - I don't know what it is, M's, it's not like that!
Thinking that I had asked this patient for a long time, I couldn't tell what I had stuffed it in or how long it had been stuffed in, and Dr.
Yang felt even more tired while being angry.It's been almost an hour, and Dr.
Yang straightens up tiredly, looking at the contents of the dirt basin, he is a little stupid.There are 12 "fine clips" inside, which is probably stuffed into a single plate.When my daughter was young, I once took my child to the purchase and sales agency to buy this kind of clip, which seems to be 12 boards.In addition to this, there are also mung bean grains that are highly suspected to have peeled off.Dr.
Yang feels that after today's operation, his technique of using cystoscopy has reached a higher level, especially the ability to take foreign bodies under cystoscopy, and there are not many people in the province who can compare with him.He really didn't think wrong - there are not a few patients in the province who are "hidden treasures"."
Get 10 vials of gentamicin and 1000 saline to flush the bladder."
The patrol nurse agreed to knock on the bottle.Xiao Huang, who has been holding the cystoscope all the time, is not only stiff with his legs, but also with his waist that can't stand up.Doctor Yang looked at Dr.
Huang, who was trying to stand up straight, and thought about whether he wanted to offend the young man.He said to Xiao Huang: "Supporting the cystoscope is a chore, if this patient doesn't insist on your help, Li Min from our department will do this job."
Here, look: this is the bladder triangle.This is the opening of the ureter in the bladder.When we do cystoscopy, we must avoid damage to the ureter at the bladder opening, otherwise it will cause stricture and lead to a series of lesions of the kidney. ”Under his guidance, Dr.
Huang smiled, and he didn't come in vain."
When getting off the mirror, we should pay attention to the relationship between the urethra and the pubic symphysis, and the same as the lower urinary catheter, straighten the □□ in this position to ensure an upright state, go down the anatomical position, and not poke it hard.Another thing is to have enough lubricating oil.The seal in the disposal bag is simply not enough.If you want it to go well, you must use paraffin oil to dip it on the other side. ”Dr.
Huang nodded again and again, humbly accepting Dr.
Yang's guidance.His humble appearance of being taught made Dr.
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Yang very useful.Then I inevitably said a few more words."
When you dip in paraffin oil, don't care what the nurse says, it's just ticking and wasting a little, which is better than when you go down the urinary tube and is jerky and damages the urethral mucosa.Keep in mind that the older you are, the harder it is to treat the strictures caused by damage to the urethral mucosa. ”"Doctor Yang, give you Qingda Liquid.""
Good.Xiao Huang, come, you put medicine into your bladder. ”Dr.
Yang held the cystoscope by himself and gave Dr.
Huang a chance to get started."
Thank you, Dr.
Yang, for your advice.I really don't know so much about the catheter.Our provincial hospital is here in urology, and you are the first. ”Dr.
Huang was very happy to let go and do something else, and began to flatter Dr.
Yang.Dr.
Yang was in a good mood when he was praised, so he couldn't help but open the conversation."
If you encounter prostatic hyperplasia and difficulty urinating in the elderly, don't be in a hurry, and get a 17-gauge urinary catheter when you come up.That's embarrassing yourself.That one is too thick, one is not able to go in, and the other patient holds urine for a long time, nervous, and smooth muscles will spasm.Do not use a urethral probe test.To go to the pediatrician, you need a thinnest urinary catheter.Go in first to get the urine out, and then you change him to a thick one size every day, and he can withstand a 13-gauge or higher urinary catheter in a week. ”This is Dr.
Yang's experience.After Dr.
Huang injected 1000ml of the liquid medicine into it, Dr.
Yang slowly withdrew the cystoscope."
Give me a No. 15 catheter and apply some more paraffin oil.""
Okay.Look at it, Dr.
Yang. ”The patrol nurse handed over the gauze stained with paraffin oil in a curved tray, "You can wipe it yourself as much as you need." ”"Okay, thank you."
When Dr.
Yang was a surgeon himself, he was able to restrain his spirit and not laugh at the little nurse.The urinary catheter went down smoothly, he clamped the urinary catheter with a small curved hemostat, watched Dr.
Huang connect the urine bag and throw it down, and the patrol nurse squatted under the operating table to hang the urine bag."
It's best to keep this Qingda liquid in the bladder for 15 to 30 minutes."
Dr.
Huang nodded.Then ask the patrol nurse, "Is the proctoscopy ready?"
”The nurse replied, "I'll have to wait another ten minutes." ”"Well, then wait a minute.After 15 minutes, the liquid medicine is released again, and then the proctoscopy is lowered. ”() The distance is a bit far