The phone rang again.As soon as Xie Shanqian grabbed the phone, she heard her say urgently: "Please find Dr.
Li, my general surgery Dr.
Huang." ”"Doctor Li, the general surgery call, Dr.
Huang is looking for you."
Li Min got up and went over to answer the phone, Mu Jie's eyes fell on the phone receiver, he wanted to know what that Doctor Huang and Li Min were talking about."
Hey, Dr.
Huang, I'm Li Min."......
"Good, good.I'm going to go to the operating room. ”Li Min put down the phone and dialed the obstetrics department to find Su Ying."
Director Su, the acute gastric □□ that was admitted just now needs emergency surgery.I'll go to the operating room first.I'm ready to keep it in the medical record.The night nurse is already preparing for the operation. ”......
"I don't know if it's a simple repair or a large part of the stomach."
It depends on the opinion of the director of the general foreign program.Or would you call you when the surgery is over?
”......
"Okay, thank you for your care." ”Li Min put down the phone and told Xiao Jiang: "The acute gastric □□ outside Puwai pushed the operating room to go, and I went over immediately."
Nian Ko here, Director Su will come over immediately. ”"Okay, you go over and get busy.When you get back from the operating room, remember to call the door first. ”"Okay."
Li Min went over to pack up the books and notes on his desktop, and at the same time said to Mu Jie: "I have to go to the operating room, the stomach □□ just now has surgery."
You go to sleep in the duty room. ”"How long?""
Maybe two or three hours.I don't know the specifics.If it's fast, Corey will be fine, and he can see Director Su have a caesarean section.Won't be back sooner anyway. ”Mu Jie followed Li Min out, "I'll take you to the operating room."
When I came back, I slept in the duty room" Without waiting for Li Min to press the elevator, the medical elevator went down to the 11th floor.Li Min said: "There are people on duty 24 hours a day in the medical elevator.Go back, the nurse is waiting to lock the door. ”The elevator door opened, and the elevator worker said to Li Min: "Dr.
Li, Dr.
Huang just took the patient into the operating room, let me come and pick you up." ”"Thank you."
Li Min stepped into the elevator, and the elevator worker pressed the button to close the door.Li Min and Mu Jie beckoned, and the elevator closed the door and went up.Li Min quickly changed into his hand clothes, and when he passed by the place where he brushed his hands, he found that Director Li was soaking his hands.She asked in surprise, "Director Li, why are you here?"
Dr.
Huang said that he was looking for their department director. ”"Their department director knew that I was in the pediatric department tonight, so he asked me to replace him.Have you seen a plain abdominal x-ray?
”"Not yet.I treated that patient and gave him gastrointestinal decompression and a bedside film at the same time.Later, Dr.
Huang went back and I explained my illness to him.And then we had a problem with Corey, so we didn't bother to ask about this patient. ”"What's the matter with Corey?""
In the afternoon, a 52-year-old patient with appendicitis who was pregnant for the first time was admitted, and in the evening, he had an appendectomy with Director Liang."
Li Min brushed his hands while answering Director Li's question."
At nine o'clock, she had abdominal pain, asked for an obstetric consultation, and was preparing for a caesarean section."
Director Liang saw that it was time for him to soak his hands, so he asked Li Min while wiping his hands: "You have done a simple repair of gastric perforation, if you have to do a large part of the stomach incision for a while, do you dare to do it?"
”Li Min nodded excitedly.Then he said, "I'm afraid Dr.
Huang will be unhappy." ”Director Li smiled and didn't say anything, and went to the operating room first.This child's character is not wrong, and he gets carried away and pounces on it without seeing the benefits.Li Min was soaking his hands, and Dr.
Huang came out after laying out the operation list."
Senior sister came very quickly.""
The medical elevator came quickly, thank you for your message."
Dr.
Huang smiled, watched the second hand of the electronic clock turn when it was time, and got up to wipe his hands with a gauze towel."
Senior sister, will your Director Li let me be an operator?"
Li Min also came to the time, "I don't know this."
Have you had surgery with him?
”Doctor Huang's face darkened, shook his head and said, "Forget it, senior sister, you strive to be an operator, I'll help."
He hadn't seen me have had surgery, so he wouldn't have reassured me as an operator. ”The two of them went to the operating room with their front and back feet, Li Min grabbed the surgical gown and shook it open, and asked Director Li who was standing against the wall while wearing it."
Director Li, where am I standing?
Ask the patrol nurse to set me up a footstool. ”"You stand in the position of the surgeon.Xiao Huang does a help. ”The anesthesiologist is trying to persuade the patient: "Don't cry.With so many tears of yours, it won't be yours when they come out. ”The instrument nurse laughed out loud when she heard this."
My stomach.It's not mine anymore. ”The patient was crying a little uncontrollably."
Hurry up and put him to sleep."
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The patrol nurse raised her eyes and gave orders."
Okay."
The anesthesiologist immediately administers the medication.When it comes to the power of the operating room, the patrol nurse is very big, and anyone, including the surgeon, has to rely on his nose.Unless you achieve the status of the head of the department.After Dr.
Huang and Li Min were dressed, Director Li asked for a scalpel, used the tip of the knife to draw a line on the patient's skin with his backhand, and said to Li Min, "That's it."
You're lucky, this patient is emaciated and easy to do. ”"Yes."
Li Min took the scalpel, looked up and asked the anesthesia, "Is it okay?"
”"That's it."
The anesthesiologist administers intravenous medication to put the patient asleep.Otherwise, this man would not only cry that he had eaten for nothing tonight, but also continue to cry that his stomach might have to be cut off.Then it was not only the nurse who protested, but also glanced at Director Li several times in dissatisfaction.The patient's crying and crying made no sense, like someone who would like to operate on him and not want to sleep.In the delivery room of the obstetrics department, Su Ying and the obstetrics and gynecology doctors on duty got together.Several mothers, supported by their families, walked back and forth in the corridor with a chirp."
I don't know what's wrong tonight, I just checked a few of them again, not only everyone's uterine opening is slow, but the one who opened four fingers is afraid that it will be a pillow horizontal position.Alas, I'm so worried, I'm really afraid that these mothers won't be able to give birth naturally. ”Dr.
Zhao, who is on the night shift of obstetrics tonight, has graduated from medical college for three years.And the gynecologist on duty is about forty years old and fifty years old.She leaned back in her chair, her head a little bit, a little in the world, and she was napping.Su Ying really couldn't see her too obvious and irrelevant appearance, so she gently pushed her: "Sister Zhang, don't sleep, you have to have a caesarean section." ”"You two can do it.Don't pull me and let me sleep for a while.Today, I did two full cuts in a row, Xiao Su, I'm not your age, I'm really tired.Besides, it's my turn to gynecology now. ”"How's that going to work!
If you look at the delivery room, we must have to leave one person here to guard these laborers, and we can't leave them all to the midwives, right?
Xiao Zhao is now on the obstetrics side, so naturally she has to stay. ”"Alas.How could I be so unlucky!
Recently, your obstetrics department has taken in too many mothers. ”"If you give birth to a child in our provincial hospital, can you not accept the outpatient clinic.This wave is all about the child's birthday and celebrating with the country.And the two midwives on night duty tonight, so many mothers, do you think it is possible to take another one to pick up the child in the operating room?
”Dr.
Zhao actively kept more manpower for himself."
Oh, Xiao Su, even if I go to the operating room with you, it's not enough people.There is still a short one to pick up the child.Hurry up and find someone, don't delay. ”Dr.
Zhang is not ambiguous.Su Ying sighed: "I am today's second-line class.Who else do you say?
Looking for a director?
She's working the night shift tomorrow night.Sister Chen didn't rest last night.Alas, from Director Liu's rest, to three people taking turns on the second-line shift, this shift will tire me to death. ”"What then?
Anyway, we're one person missing.Someone has to pick up the kids offstage. ”Dr.
Zhang was very calm.Su Ying sighed again: "Director Li of the Department of Trauma Surgery is doing stomach surgery in the operating room tonight, and they have already opened the stage.Let's see if their operation is about to be fast, there are three of them, so if it can't work, call one to come and help.Director Li must not have so many words, and then you pick up the child, how about it?
”"Okay, I'm fine, it's all up to you."
Don't call yourself on stage, Dr.
Zhang breathed a sigh of relief.I've been standing for most of the day, and I really don't want to stay up on the operating table overnight.In the future, it will be recommended that obstetrics and gynecology be completely separated, and each will have its own shift.Thanks to the blessing of this gastric perforation patient's emaciation, the previous exposure of the surgical field was very smooth, and the steps were the same as the last gastric perforation repair, Director Li inevitably held the small bend, watched Li Min and Dr.
Huang operate, and occasionally reminded them a few words.But when I opened the peritoneum, I saw a small amount of exudate in the abdominal cavity, and fortunately there was no food debris.Dr.
Huang said, "Fortunately, my sister asked the nurse to pull out all the food he ate.Otherwise, food debris leaks into the abdominal cavity, and it is proper peritonitis. ”Director Li pulled the hook and opened his mouth to correct Dr.
Huang: "The gastric juice has entered the abdominal cavity from the perforation, and he has peritonitis." ”"Yes.I was wrong. ”Dr.
Huang has a very good attitude.This person has a tendency to talk, and he keeps talking when he comes to the stage, Li Min thinks he is too nervous, and if he doesn't say it, it is likely that he doesn't know how to work."
This patient would have been fine.But the nurse had just finished pumping the stomach contents for him, and he was clamoring to go to the toilet to urinate.He said he tripped over the toilet and that he didn't fall, but got stuck in the urinal.Wait for the time to come back just in time for the bedside order.Did the junior sister see the free gas under his diaphragm?
”"See."
The film is plugged into the reader."
No broken ribs, right?""
There were no broken ribs in the film.I'll give him a good check-up and get a chest X-ray if necessary. ”The anesthesiologist interjected with interest: "So he knocked his stomach out on the urinal?"
Oh my God, this is the first time I've seen a piercing in more than a decade. ”"He has the foundation to eat a lot in front of him.I don't have any abs, let alone bump into it, I can sneeze it. ”Li Min and Dr.
Huang are both students taught by a template, although the two are cooperating for the first time, but under the supervision and guidance of Director Li, they also successfully exposed the rupture in the anterior wall of the stomach - in the lower left of the free part.Li Min was full of eagerness to be able to perform a large gastrectomy, but now it was like being poured a basin of cold water on his head, and he was poured cold on his heart.She looked at Director Li and waited for Director Li to open his mouth to decide on the technique.Dr.
Huang was also disappointed.Director Li said lightly: "Check that there are no ruptures in other parts, so let's suture the whole layer." ”※※※※※※※※※※※※※※※※※※※※ a hospitalist, I can't wait to have some surgeries that I can do with my feet upright.For example, if you do a lot of it, well, it would be good...... () The distance is a bit far