At the end of the day's work, it was almost nine o'clock when Li Min ate the dinner prepared by Mu Jie.Fortunately, after rectal cancer surgery, everyone ate a meal together, it was really a simple meal, and no one even drank a sip of beer, because Corey had a three-year-old child with acute intussusception waiting for surgery.Not long after his second birthday, the child had been hospitalized several times for recurrent intussusception.The parents of the child are both working in this hospital, and the letter is Director Liang, who not only refuses to transfer to the hospital, but also refuses to go to the general surgery department for hospitalization.Director Li tried his best to persuade the transfer to the hospital that the operation failed, and the children who became ill yesterday and failed to respond to conservative treatment could only be sent to the trauma surgery."
Enema reduction is ineffective, and compression is ineffective."
Director Liang rubbed his hands and said, "I reset your child three times, right?"
”The parent nodded."
With such repeated intussusception, have you done all the reasons I told you to avoid?"
The child's parents are both doctors in internal medicine, and they nodded again and again and replied: "The child is brought by his grandmother, and everything is done according to what you say every day." ”Director Liang pondered for a while and said, "Then I have to prepare for surgical reduction."
Lao Li helped make a preoperative preparation, and a few of us went to have lunch and came back immediately, very quickly. ”No matter how anxious the parents of the children are, they have to let someone go to lunch, and it is more than two o'clock in the afternoon.Again, they want to wait and see if the child may be able to recover after the compression enema."
Lao Chen, the pediatric surgery still has to be done quickly.""
Where?
From the outside, our seventeen-story building looks quite decent, and the wards of various departments have increased a lot, but in fact, it is really not enough, where can we vacate the place for pediatric surgery?
Besides, pediatric medicine and surgery have to be put together. ”"You just have to move the non-surgical department out.""
It's easy to say.Build another seventeen-storey?
No, it will take another three years to use it. ”"You don't need to cover it that high!
Ten floors, no, eight floors are enough to move the internal medicine department and so on.There are 10 floors missing without an operating room, which can be used in less than a year, and it saves money. ”"You say that eight layers are enough now, and it won't be enough for a long time.The internal medicine department is three large and three small, and I see that the medical oncology department of the Affiliated Hospital of the Medical University has been separated, and after ten floors, it will be enough for the internal medicine department to use it themselves.The seventeenth floor on this side really separates all departments of surgery, and there is no place for pediatrics. ”"When the time comes, we will build a pediatric center.You can't eat a bite to become fat, move the internal medicine department, and these seventeen layers in three or five years can still be used. ”Li Min listened to them muttering while brushing her hands, these things they were thinking about were too far away from her, and she was anxious that she didn't have time to flip through the book just now to take a look at the contents of intussusception.But Director Liang seemed to see through Li Min's apprehension, and asked her unsparingly when she was disinfecting: "Xiao Li, what are the reasons for intussusception in young children?"
”"There are congenital anatomical causes, such as a larger than normal range of movement in the bowel; There are also pathological causes such as tumors, polyps; There are also transient physiological causes such as gastrointestinal disorders, and there may also be peristalsis abnormalities, related to eating and exercise. ”The two- and three-year-old child was lying on his back on the operating table after general anesthesia, and his distended abdomen showed his weakness.This poor child."
Xiao Li guess what type of nesting this is?"
Li Min glanced back at the X-ray on the reader, smiled and sent the sterilized curved disc and oval forceps to the designated place."
Director Liang gave me points.This is the ileocecal-colonic type. ”Li Min quickly laid out the surgical towel, then soaked his hands for a minute, and came back to put on a surgical gown and gloves.When she stood on the operating table, Director Liang and Chen Wenqiang had already opened their peritoneum in this moment.The color of the bowel in the field of view is suspicious."
Warm saline gauze.Let's see if we can reset it first. ”The patrol nurse immediately prepared warm salt water.When he covered the gauze for a while, Chen Wenqiang looked at the intestinal tube and sighed: "Even if you reset this time, I don't think this child will be able to escape intussusception next time."
If you look at his mesentery, it's an anatomical problem. ”Director Liang turned sideways and asked the child's father to look at the place Chen Wenqiang was pointing."
That's why the child has repeated intussusception.I can help him reset it with my hands first, and then use some medicine to try if the intestinal tube can still be saved, but it is difficult to guarantee that it will not happen again next time.Do you think we should wait for the color of the bowel to return, or should we remove this part of the bowel now?
”Only then did Li Min understand why he didn't wait for his return to have an open surgery.It turned out that the parents of the child had already come to the operating room to see the operation.The child's father closed his eyes and said, "Cut it off."
Otherwise, there is a high probability that there will be adhesions after this operation, and it will be more difficult to do the operation again. ”"Good.Then we'll cut it. ”The child's mother couldn't help but let out a small sob."
Xiao Liu, send her out."
Chen Wenqiang spoke, and without waiting for Director Liu to pass, the child's father hugged his wife and pushed him out.A low comforting word came from outside the door of the operating room: "I won't let you go in to see the operation, I'm afraid you'll be sad."
How did you let Dean Chen and Director Liang operate on the child?
”The voice became quieter and quieter, until the stomach was closed, and the couple did not come back."
This kid's post-op?""
Send it to the pediatrician, let the pediatrician be seen.There are many tumor surgeries in our department, and we can't spare someone to take care of him. ”"You're forcing Director Wu to find a doctor by himself.""
Don't talk nonsense, he wants to build a pediatric surgery himself."
*Although the child was sent to the child, she still had to write the major medical record written by Li Min.After she finished writing the surgical record for rectal cancer, she went to the pediatric department to sit opposite Leng Xiaofeng and write the medical record."
Minmin, do you want to get you food at night?"
Leng Xiaofeng wanted to reconcile with Li Min."
No, I don't.Thank you.Mujay said he made dumplings tonight. ”In front of outsiders, Li Min and Leng Xiaofeng are still in a friendly state for the past two months, but they both know what is different."
Oh, you've got a mouthful."
Leng Xiaofeng deliberately said exaggeratedly with a hint of envy: "I heard that Mu Jie's dumplings are very fragrant. ”"Don't envy me.When Wu Dong comes back, you ask Wu Dong to make dumplings for you.He was soon on winter break. ”Leng Xiaofeng smiled and bowed his head.It just so happened that Director Wu walked into the office and heard Li Min's words, and immediately said: "Where do you have to wait for so long for the winter vacation, Xiaofeng, go over and help you Aunt Fan make dumplings in the evening." ”"Okay."
Leng Xiaofeng agreed very simply.The doctors in the office looked at the director, and then looked at Leng Xiaofeng's state, sure enough, Jiang is old and spicy, and the director is close to the water and the building is the first to get the moon, and the fat water does not flow into the fields of outsiders.* It's time to get off work, Li Min has finally finished the day's work, and the shift log has been written, just waiting for Dr.
Wang to come over and do another verbal handover with him.The phone rang."
Doctor Li, Doctor Wang is looking for you.""
Hey, I'm Li Min."......
"Okay.You're out as soon as possible. ”"What's the matter?"
Chen Wenqiang asked Li Min."
Dr.
Wang said that he was moving to a bachelor dormitory, and he was moving things, so let me work the night shift for him for a while.""
Can't he move after the night shift?"
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Sister Luo pursed her lips after washing her hands and said, "Yesterday he arranged you like that, and today he wants you to help him replace him, and this person's face can really open his mouth."
He just bullied you, young and tender, embarrassed to refuse him.Doctor Li, just wait and see, he can come over quickly when he is young. ”Li Min had to substitute for the shift, which was quite helpless, and she could only listen to Sister Luo's nagging silently.What else should I do?
Don't you want to be a substitute?
Dr.
Liu left after the night shift, he didn't want to talk to Dr.
Yang, and the remaining four were all directors - which one should be on duty for Dr.
Wang?
She could only take advantage of everyone's inattention to call Director Chai's house, tell Mu Jie about the substitute, and then tell him that she would call him when she left Corey.
*Dr.
Wang is really busy at this moment.Because when he got off work at noon yesterday, he was blocked by Yang Weihua.Yang Weihuayang told him with the letter of introduction in his hand: "I have opened the letter of introduction for divorce.At two o'clock in the afternoon, we will meet at the Civil Affairs Bureau and complete the divorce procedures today. ”Regarding the fact that Yang Weihua was able to issue two divorce introduction letters from the hospital office in his absence, Dr.
Wang didn't want to say a word.He only responded with a blank face: "Okay."
If you are not afraid of regrets, you can leave if you want. ”He didn't go home for a lunch break, so he found a small restaurant outside and dealt with a few casual bites, and then went to the Civil Affairs Bureau to wait for Yang Weihua.The divorce procedures of the two went smoothly, and the clerk of the Civil Affairs Bureau did not persuade them to say a word, so they filled out the form and stamped it when they went.What else does Dr.
Wang not understand!
After completing the formalities, he went to the logistics office of the provincial hospital to find the administrator of the single dormitory building.He fell in love with the four-person room where the doctor lived.After handing over the cigarette and chatting a few words, he went straight to the point and offered to live in the four-person room."
There are already three people living in that house, do you really want to live with them?"
The administrator usually has little contact with the attending doctor like Dr.
Wang, and he has no chance to establish a good relationship, but now that the opportunity has been delivered to the door, he can't react a little."
Can you see how you can get him out?"
Dr.
Wang said very politely."
The longest time for those who come here for further study is a year, and these men bring a few changes of clothes and a few books, and it is easy to carry less things.Besides, you see me alone, if you have to occupy a big room, there is no need not to say it, and it will cause you trouble, right?
This half-pull room, which is a third smaller, suits me best.When the hospital builds a dormitory building, I will be qualified to share the house. ”The administrator felt that what Dr.
Wang said was very reasonable, and then spent half an afternoon and a morning really stuffing the three doctors into different rooms.Dr.
Wang only got the news at noon today, and he asked two family members of the patient to help him clean up, and then he went inside to move things one by one.Although the schedule is quite tight, he is indeed like Sister Luo said, isn't it okay to move after the night shift tomorrow?
Will it work?
In his opinion, no.Because he had elective surgery on the morning of the night shift tomorrow, he arranged for Wang Qiuyun's husband to have a gastroscopy at 4 o'clock in the afternoon.But this is unnecessary in Yang Weihua's eyes - she has already moved her usual things back to her parents' house, the two-bedroom house, if she can, she doesn't want to take another step.* Li Min only thought about the reason why Dr.
Wang spoke to him for a while, and he understood that Dr.
Yang and Dr.
Wang's ex-wife are cousins of the same clan, and it is difficult for Corey to find someone else to replace him except himself.Maybe he selectively forgot what he said to Dr.
Liu yesterday.Li Min could only think like this to calm his boredom with him, and then read a book while waiting for Dr.
Wang to come over and take over.This is the time to wait for the emergency department of internal medicine.The emergency patient sent by the internal medicine department was a cerebral hemorrhage, and the CT film had already been taken.Female, 65 years old, with a history of hypertension for more than 20 years, coronary atherosclerosis, myocardial insufficiency, arrhythmia and diabetes for more than 10 years.Blood pressure and blood sugar control are less than ideal.However, if the bleeding blood vessels and the surrounding brain tissue are compressed on the CT film, if the bleeding is not stopped immediately, the patient will soon have brain herniation, and the only way to die is to die.The general condition of this patient is really tricky.After Li Min did the physical examination and explained the patient's condition to the patient's family, the patient's daughter interrupted her and said, "The internal medicine doctor told us that my mother must have a craniotomy to stop the bleeding immediately."
When do you think my mom will be able to have surgery?
Can you hurry up?
”Ha, in such a hurry to ask for surgery, it saves the trouble of explaining that you have to do surgery.However, the general state of the patient will cause trouble after surgery, and Li Min must explain it clearly.12345......
"If your family understands and accepts these, sign them here."
I immediately made pre-operative preparations. ”Li Min explained while writing.Several hands reached out together to grab: "I'll sign." ”"Don't rob!
I'm going to rewrite it.It is sufficient for the spouse or eldest son to sign on behalf of the spouse. ”After getting the signature of the patient's family, Li Min quickly filled out the temporary medical order form and handed it to the nurse: "Make preoperative preparations." ”She herself called Chen Wenqiang and reported the patient's underlying illness in detail."
Okay, I know, I'll let Lao Zhou come over to give us the stand, you can make preoperative preparations first."
Leaving the phone, Li Min told the patient's children: "Dean Chen will come over to operate on your mother immediately."
He is an expert in neurosurgery in the provincial hospital and a well-known chief physician in the provincial capital.As long as there is a possibility of rescue, he will definitely spare no effort. ”After explaining everything, Li Min went to the dressing room to see the nurse to make preoperative preparations.The patient was lying on the flat cart that had pushed her to the trauma surgery, with a screen blocking most of her view."
The skin test was done, and the urethral catheter was finished.Prepare the skin now. ”When the nurse on duty saw Li Min entering, she hurried to report."
I'll prepare the skin, you can help me get some more soap foam."
Li Min picked up the razor, first touched a large amount of soap foam on the patient's head, and then tried to keep the razor perpendicular to the scalp."
Dr.
Li asked me to come, this is not a job that you women would do.You do what we can't do. ”Li Min didn't dare to compete with him for a razor, so he had to give up the shaving job he snatched from the nurse.Forget it, shave your mother's head if you want."
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Shave cleanly, and be careful not to scratch your scalp."
*Chen Wenqiang came over after frying, and Li Min had already made all the preoperative preparations and was about to take the patient to the operating room.He came to Corey first to see if Li Min's preparations were perfect.After Chen Wenqiang checked it, Li Min pushed the flat car to the elevator room.Five or six family members of the patient gathered around Chen Wenqiang."
Dean Chen, are you operating on my mother?"
Chen Wenqiang pinched the CT film and replied in surprise: "It was Dr.
Li who did it." ”"She's so young?""
Dean Chen, you are an expert in neurosurgery.""
You can't ......"
Several of the patient's sons and daughters surrounded Chen Wenqiang, expressing their dissatisfaction with Chen Wenqiang's lack of surgery."
What's wrong with being young?
You go to the dry clinic to see the old Red Army who was hospitalized, and his cerebral hemorrhage half a month ago was operated on by Dr.
Li.The old Red Army is deeper than your mother's bleeding site, and it's not easy to operate.Now I can help people walk slowly.You can go check it out. ”Li Min looked back at Chen Wenqiang, who was talking eloquently, and shook his head, he was an assistant in the operation.Chen Wenqiang did not continue to fool the patient's family, but put on a heartfelt appearance and told them the truth: "I will be Dr.
Li's assistant for a while, and if there is anything, I will be the next surgeon."
So you can rest assured, right?
”The patient's family was relieved to let him into the locker room.Li Min waited for someone to come out of the operating room to pick up the patient, and then followed Chen Wenqiang into the operating room through another door.The patient's children surrounded Li Min again, "Doctor Li, it's not that we don't believe you." ”"My mom will ask you.""
Okay, I'll be conscientious."
The operation went smoothly, and the bleeding blood vessels were found in front of the CT film, and a few silver clips were put on to effectively stop the bleeding, and then the blood vessels that were not bleeding or oozing blood were checked.However, whether patients can recover from so many underlying diseases after surgery is a very serious challenge.After the operation, Chen Wenqiang explained the possible outcome of the patient's condition to the patient's family, and Li Min gave medical advice on the side."
The surgery was very smooth and successful.Tomorrow I will take another CT scan, and you can see the bleeding site today, which has stopped the bleeding beautifully.Now you have one person here to nurse each other, and you change shifts every eight hours.Your mother can't go to the ground in a day or two, you have to be prepared to take care of her for a long time. ”The patient's children agreed one by one and discussed the matter of retaining the patient on their own.Chen Wenqiang is satisfied with this operation."
Xiao Li, I'll go back.When Dr.
Wang comes, you remember to ask him to focus on this postoperative one. ”"Yes."
Li Min was also very happy, she readily agreed to come down and explain the doctor's instructions to the nurse, so that the nurse could take care of it carefully.When Li Min came out of the custody room, he dragged his tired steps back to the office, but saw Mu Jie sitting in his place, with a cloth bag of thermos bucket on the table, and saw her come in and show a mouthful of white teeth that made people envious and jealous."
Tired, aren't you?
Wash your hands and eat. ”The usual words made Li Min feel as if most of his fatigue had flown away at once."
How long have you been here?""
It's only been a while.Before steaming the dumplings, I asked the operating room and counted the time for you to get off the stage.Is it tasty?
I changed the zucchini stuffing today. ”"Well, it's delicious.How many more do you eat?
”"I've eaten it."
Li Min was really tired, and he didn't care that it was already late, so he ate eight of the ten dumplings that Mu Jie brought over, and then drank a few more mouthfuls of porridge and ate half of the shredded potatoes.The rest?"
It's a pity."
Mu Jie took Li Min's chopsticks and spoon, and pulled the remaining dumplings, porridge, and shredded potatoes into his mouth in two bites.Holding the steamed pork ribs, he said to Li Min very temptingly: "Today's pork ribs are delicious."
I'm steaming very tender.A bite?
You won't get fat in just a small bite. ”Li Min hesitated."
It's okay with a small bite."
Li Min couldn't bear Mu Jie's bewitchment, so he took a small bite with his chopsticks.She chewed and tasted slowly, nodded and praised, "It's very tender and delicious."
Eat again tomorrow at noon?
”"Okay.Do you have time to eat tomorrow at noon?
”Mujay crunched down on the brittle bones."
Beware of cracked teeth.Tomorrow is going to have elective surgery for esophageal cancer......
"Li Min didn't dare to say that he could have time to eat steamed pork ribs."
My teeth are strong."
Mu Jie rubbed the top of Li Min's head a few times, his eyes were full of doting smiles: "Wait until one day you don't arrange major surgery, let's steam pork ribs at noon and eat." ”This is what Dr.
Wang saw when he came in, and he couldn't be more heartbroken for him who had just divorced.He opened his mouth to interrupt the affectionate couple interaction."
Oh, Dr.
Li is sorry to let you work for so long.""
It's fine.I thought you didn't come here so late tonight, and you were going to change the night shift with me for tomorrow night. ”Dr.
Wang glanced at his watch, "It's up to you, if you want to change the two of us, you can change it temporarily."
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Anyway, we have elective surgery tomorrow. ”"Then let's change it.I'm on the night shift tonight, and you're tomorrow night. ”It's already nine o'clock.But Li Min thought of Dr.
Wang in the blink of an eye and changed his words: "Oh, that's so embarrassing."
You were on the night shift only the day before yesterday, and there is still elective surgery tomorrow, so I will be on the night shift tonight. ”said as if he took care of Li Min."
Okay, then I won't change it."
Li Min didn't bother to talk to him anymore, so he thought he came over tonight for an emergency craniotomy.She picked up the thermos bucket and said to Mu Jie, "You wait for me for a while, I have to write the transcript of the craniotomy before I can go back." ”"Good.You write it now, I'll take it and wash it briefly. ”Mu Jie took the thermos bucket and took it to the pool outside to rinse.Li Min explained to Dr.
Wang: "There is an intussusception in the pediatric department, which was operated on in the afternoon, and the parents of the child are both internal medicine, so you have to go over and have a look in a while."
There was a cerebral hemorrhage in the intensive care unit, who had just undergone surgery.Our group also had a partial thyroidectomy and a radical rectal cancer surgery done today.I've written it all down in my handover book. ”"Okay, I'll take a look first.That you just had a craniotomy?
Did you do it with Dean Chen?
”"yes.High blood pressure causes small blood vessels to rupture. ”"Then I'll report you two to work overtime?""
Okay."
Dr.
Wang is willing to fill in the overtime form, so there is no need for the nurse on duty to talk to the head nurse.Dr.
Wang's sale is good, and it doesn't matter to Li Min.Dr.
Wang went out to fill out the overtime form, and after writing it, he felt that he didn't owe Li Min anything.If she hadn't asked Li Min to take over, where would she have the opportunity to perform a craniotomy at this point in time.He thought so in his heart, and after writing the overtime sheet, when he brought it to Li Min to confirm the signature, he told Li Min what it meant......
Li Min said to him very sincerely: "Actually, I should thank you.Today's surgery, Dr.
Chen asked me to be an operator.This is a second-level surgery in neurosurgery, and it is only performed by a junior attending physician.Moreover, this patient has many underlying diseases, so Dean Chen specially invited Director Zhou of anesthesia to come to the stand. ”Li Min got his wish and saw a trace of astonishment on Dr.
Wang's face, and then his usual "sincere" expression of not smiling, "Congratulations, you can do the attending physician-level surgery." ”Li Min's rapid progress poked at the sourness of his depressed surgery for the past two or three years.It is true that he was promoted to attending doctor three years ago, but he is not yet and cannot reach the ranks of senior attending doctors."
Thank you."
Li Min smiled a little proudly and said, "This is the second time that I have performed such an operation.Liu Xiuming, who was in the car accident, was also a craniotomy I performed on her, and she was discharged from the hospital yesterday. ”Mu Jie came back and packed the thermos bucket, wiped his hands and rubbed it on the top of Li Min's head, and said to her with an affectionate smile: "Hurry up and write the operation record."
The moonlight outside is so good, you finished writing it early, and we can take a walk under the moon together for a while. ”Then he looked up and smiled and said to Dr.
Wang: "Little girls like to show off their abilities, don't be like her." ”Li Min covered his long hair, glanced at Mu Jie dissatisfiedly, and said to him with disgust: "Don't mess with my hair." ”Dr.
Wang was choked by the intimacy of the two, and he turned around and left silently.※※※※※※※※※※※※※※※※※※※※ life is a bit far away from here + one ().