Surgery for the child with acoustic neuroma was done as scheduled.Director Wu also deliberately followed up in the operating room to watch the operation.Due to the accurate positioning and adequate preparation before surgery, there was no abnormality that required stopping the operation during the brainstem evoked potential monitoring.After the operation, Director Wu said to Director Zhou and Chen Wenqiang: "It would be great if I could record this operation, it would be perfect." ”"yes.The surgery was perfect. ”Chen Wenqiang watched Li Min bandage the child's wound and agreed with Director Wu's statement."
The rest is up to fate."
Maybe the child's life is really bad, and the anesthesia woke up more than expected, so Director Zhou had to stay by the bedside until he was about to get off work.On the night after the operation, there was a high fever, the body temperature was close to 39 °C, and Dr.
Wang on duty urgently checked that the blood picture was still in the normal range, so he gave a physical cooling, but there was no effect.On the morning of the first day after surgery, Li Min went to work to watch the child, urgently checked that the total number of white blood cells in the blood was more than 10,000, immediately prescribed a blood culture checklist, and then went to Chen Wenqiang to discuss cerebrospinal fluid culture.Chen Wenqiang watched Li Min circling around the child, comforted her, and said, "This child just has a strong stress reaction.The examination of cerebrospinal fluid will be held in two days.It takes 72 hours for the results of the blood culture, or at least 36 hours, so it's useless for you to be anxious. ”"I just see this kid as pitiful.Yesterday was a normal fever after surgery, and we could barely see the intense absorption heat of the child's reaction, but today the body temperature exceeded 39 °, and the white blood cells also went up, even the infection was not so fast. ”Li Min was worried about pulling her hair.The reason she felt sorry for the child was that his parents immediately applied for a second child after receiving the diagnosis of autism and acoustic neuroma.Although he did not say that he would give up treatment, his enthusiasm for this child was not as good as when he first saw him in pediatrics.The medicine that should be used and the energy mixture that should be given have been given.All that's left to do is physical cooling every two to four hours.Saturday afternoon was a half-day break before Li Min's night shift.But in fact, there was not much time left after the late lunch, barely enough for her to do the laundry, and then she had to go back to Corey to participate in the lecture.But after taking over, Li Min couldn't bear it anymore and ran to the care unit and instructed the nurse who did special care to physically cool the child.Boss Xiao Chen was reluctant, she didn't want to move."
Dr.
Li, I just did a physical cooling an hour ago, and it didn't have any effect.Maybe it's an infection. ”"Don't talk nonsense.Why don't you hope for a little better?
Director Wu of the Department of Pediatrics of this surgery stared at it from beginning to end, and only said that the operation could not be recorded for teaching purposes.Where the infection is possible.Maybe he'll wait for you to make a move, and the temperature will drop down. ”really responded to Li Min's words, the effect of physical cooling this time was good, and the child's body temperature was 38.4°."
Look, I'll just wait for you to do it."
Xiao Chen also felt inexplicable that the child's body temperature had dropped by half a degree."
Okay, if you really wait for me to do it, I'll cool him down again in two hours."
When Li Min came back from acute appendicitis at almost 9 o'clock, the child's body temperature dropped to 38°C."
Amitabha.I'll just say I'll wait for you to do it.You see, the body temperature is not down.It certainly won't rise again tonight. ”"I know that you are looking forward to a normal fever after surgery, and it is useless to chant Buddha."
The parents of the child looked passively at the nurse's busyness.Li Min couldn't look at them and said, "Or the child's mother will stay here tonight." ”The child's mother pouted and said, "I watched it all night yesterday and was very tired. ”"There is a nurse in the custody room tonight, Xiao Chen, it's better for you to stay.I'll go back to bed early tomorrow. ”The child's father said, "I don't need my parents to accompany me in the pediatric ward. ”"There's a neonatal ward over there.Mainly premature babies, and those born within a month. ”Nurse Xiao Chen swallowed your family's five-and-a-half-year-old words back under Li Min's hint."
If you're willing to stay here, keep it."
This parents do."
You go out and discuss, leave one person here."
Xiao Chen kicked the couple out, closed the door and said to Li Min: "Is it difficult to cool down physically?"
I taught them, they were reluctant to do it, and they had never seen such parents. ”"Alas, they got the second child quota.""
No wonder.Okay, Dr.
Li, you go and get busy, I'll watch here, I won't call you if it's okay. ”The child's body temperature inexplicably went all the way down.And after it fell, it did not rise again all night.It was Director Li who came early on Sunday morning to take over.Li Min can't figure out how he and Director Liang exchanged on Sunday's day shift now.But for her, it's good that someone will take over.Director Li changed into a white coat and asked about the child's condition."
What is the child's temperature?""
When he took over last night, the nurse gave him a physical cooling, which dropped to about 38.4°C.I came back from appendicitis surgery at nine o'clock, and my body temperature was around 38°.Then midnight dropped to 37° and there was no more fever. ”"That's purely postoperative heat absorption."
*After the high fever after surgery, the child began to cry, and no one could find the cause.Then crying and crying began to choke.Li Min looked at the child's emaciated little face, and Za Sa's hands did not coax the child's father, so he had to give the child a 48-piece puzzle he bought for his nephew to play.After watching Li Min spell it out, the little boy reached out and took the puzzle box that Li Min had scrambled.I sat on my hospital bed and slowly tried to piece it together.It's good not to cry.Li Min was afraid that he would cry and ask other questions.The little boy played very seriously, and Li Min didn't look up when he changed his dressing.Sure enough, an autistic child prefers to immerse himself in his own world and fiddle with toys he can get his hands on."
Shall we both play together?"
The child looked up at Li Min, probably remembering that Li Min gave him the puzzle, and after hesitating for a while, he handed Li Min a piece.This is the meaning of accepting Li Min."
This child caught a cold last spring, and after the fever, he became introverted, not only did he not like to play with children, but occasionally he cried at home for no reason like just now, and he would not be quiet until he was tired.Well, his mother can coax him to talk well. ”The child's father watched Li Min play well with the child, explained a few words, and then added: "I am busy with work, and this child has only been close to his mother since he was a child. ”After playing puzzles with the child for a while, Li Min felt that the child's autism, if the parents could play well with him, they might be able to improve a lot.She wanted to fight for the child, so she sighed and said, "You want another small one, can you bring it?"
Didn't Director Wu tell you that your child is mild with autism, and if he is still able to communicate with others and grasp treatment, this child can still grow up like a normal child?
”"How do you get it?"
The child's father was not very positive, and this sentence was only a polite question."
I don't know the specifics.It's interdisciplinary.But you see the first time I played with him, he accepted me.Why don't you ask Director Wu and ask him to help you find a doctor specializing in psychology.Before systematic treatment, I suggest that you take the initiative to approach your child and play games with him, so that you can't wait for him to cry and get tired and quiet down. ”"Okay, let's do our best."
Li Min looked at the attitude of the patient's father, and knew that what he said was also in vain, he did not listen to it, let alone do it.Alas, the poor child.* She returned to the office in a low mood, and saw Dr.
Yang and Dr.
Wang explaining the condition to the family of the patient with "prostatic hyperplasia"."
He had prostatic hyperplasia that needed surgery.You're hospitalized for this, too.But I didn't make an appointment for him last week, and the results of the colonoscopy came back.Speak to them, my king. ”Dr.
Wang smiled and said: "You have to thank Dr.
Yang for asking about the medical history carefully, otherwise you will come to the hospital again if you have stomach pain or intestinal obstruction, one is that colon cancer is in an advanced stage, and the best time for surgical treatment will be lost."
After a second laparotomy, the intestines in the stomach are adhered together, and it is difficult to operate if there is bleeding anywhere. ”The surrounding family members were a little confused - how did it become colon cancer?
It is not surprising that such an attitude of the family falls in the eyes of Yang and Wang, and it is difficult for anyone to naturally accept the arrival of cancer, and then follow the doctor's train of thought, follow the doctor's arrangement and sign the surgical consent form.Therefore, after giving these family members a period of time to digest Dr.
Wang's words, Dr.
Yang coughed lightly and spoke again."
That's right.No matter what the reason for the patient to come into the hospital, we must ask Ming three meals, two stools, and sleep.As a result, your old man said that he was generally constipated for a few days, and then felt that his stomach was swollen, and then he would have diarrhea.His diarrhea was pulled several times a day, and finally it was like pus and snot.His stool habits, combined with his carnivorous diet in recent years, and his retirement sitting and playing mahjong all day, I made an appointment for him to have a colonoscopy. ”The family members know about colonoscopy.They had also heard about the old man's constipation.But after a few years, the old man doesn't have to take laxative medicine, it looks like he eats well, sleeps well, and is unhappy except for playing mahjong and losing a little money, but he has been tossing for the prostate for the past two years."
Why is colon cancer?"
The patient's wife muttered to herself.Dr.
Wang ignored this.He continued: "When I did a colonoscopy on him, I found that he had extensive polyps in his colon.Just like this photo, polyps like him are not old or young. ”Dr.
Wang took a pen and drew the shape of the colon on the blank case paper."
Free novels bring you joy and joy ---> storyskyline.net
Right here in the middle of the descending colon, there are a couple of polyps, and they look different from the others.You think, since I gave him a colonoscopy, I naturally want to take the suspicious polyp for pathology.This pathology is to look at the cells under a microscope.This is a tumor or colon adenocarcinoma cell, so this is not the case for you.Discuss what to do about it. ”"Can it be removed?""
Yes.Adenocarcinoma of the colon grows slowly and metastasizes slowly, which is a common feature of colon cancer.But your old man has been doing this for several years, and we can't guarantee that there will be no transfer. ”"Is my dad's life in danger?""
At present, if the tumor of the colon is not moved, it may not be more than a year or even more than a year, and his constipation will become 'intestinal obstruction'.Let's make such an analogy.It's like a bunch of people going out, and three or four people are stuck at the door, and no one can get out.But the back kept squeezing forward, and he felt sick to his stomach.When the crowd became more and more powerful, ah, all of a sudden, the blocked door was knocked down, and the stool that had accumulated for several days was discharged together.When the tumor in the colon grows larger and larger, the intestinal lumen is blocked, and it becomes an intestinal obstruction.No matter how much it accumulates, the intestinal tube can't be pushed over, and the feces accumulate in the intestines, so you have to have surgery.At that time, there may have been lymphatic metastases, or direct metastases to adjacent organs. ”"So what do you mean, my dad is going to have a two-part surgery this time?
One is to remove colon cancer, and the other is to remove the prostate?
”There are still people in the family who understand, and they can grasp the focus and purpose of Dr.
Yang and Dr.
Wang's conversation with them."
Yes."
Dr.
Yang gave an affirmative answer."
If the prostatic hyperplasia is not cut off, the old man suffers.But colon cancer is not cut, and there may only be a year left for him.Now that surgery is done, it is no longer a cancer that was detected early. ”"Then let's talk about it.Don't tell my dad just yet, okay?
”"Okay, you discuss it as soon as possible, the more the cancer matter is delayed, the greater the danger to life.""
When will surgery be scheduled?""
Fight for this week.But it's going to be Friday at the earliest. ”It's the end of ※※※※※※※※※※※※※※※※※※※※, don't keep the nutrient solution, pour it here, thank you, it's a little far away