The next morning, the eight interns all wore bright dark circles under their eyes, and the head nurse smiled and teased these interns who had just entered the department: "Oh, how can you all become national treasures after a night's hard work." ”Seeing that everyone was silent, Lu Kaiwen knew that it was not okay to keep the head nurse so cold, so he replied with a snort: "Teacher Li left a lot of homework yesterday, and then followed Teacher Wang and Teacher Li to surgery at night. ”"All eight of you are on stage?"
The head nurse was very surprised, and dragged the nurse on duty to look at the shift book.Seeing the four hospitalized patients in the night, acute cholecystitis, epidural hematoma, and two cases of appendicitis relieved.Fortunately, it's okay, nothing serious.Lu Kaiwen waited for her to finish reading, and continued to answer: "There are not all eight people on stage, we have four people on the hook, and four people are visiting the operation." ”The head nurse suddenly smiled, she was like an aunt in the kindergarten teaching children who had never seen the world and had just entered the kindergarten, and said earnestly: "Our department usually has at least two emergency surgeries at night, don't you have to stay up late every day if you do this."
Dean Chen, Dean Chen. ”In the raised shouts of the head nurse, Chen Wenqiang slowly paced into the nurse's office."
What's the matter?
Early in the morning, it's like a soul. ”Chen Wenqiang was unhappy, because he had just met the courteous Dr.
Yang in front of Director Luo's father's bed, and the accompanying guest was Director Shi.After a little thought, he understood that it was Director Shi who instigated Dr.
Yang to come.If Dr.
Yang had such an eye, he should have followed up with the operating room last night."
Didn't you eat breakfast?
Dean.How unhappy early in the morning. ”"Nope.What are you going to say?
”"Do you think these eggplants look like frosted?
It's like this for 24 hours, and you can't go into the care room for a week.You'll have to give them a good shift, so they can all work night shifts. ”Chen Wenqiang glanced at the interns and said disapprehantly: "They can't choke tonight, so they will naturally go to sleep."
What time is it, isn't it time to change shifts?
”"Almost, let's change shifts."
The head nurse gave an order, and in the blink of an eye, the medical staff who should have arrived at the post crowded the nurse's office.Xiao Chen, the nurse on the night shift, read the postoperative situation of the newly admitted patients last night very carefully, and then the four ...... to be operated on today When she finished reading, everyone breathed a sigh of relief.The head nurse immediately said, "The meeting is over, what should you do, what should you do?"
”When everyone dispersed, the head nurse called Xiao Zhai: "Xiao Zhai, come here."
You write down your Sister Chen's handover just now. ”Xiao Zhai rolled his eyes: "Why?"
”"Let her learn what brevity is.Now there are fewer patients who have such shifts, and if there are ten or twenty postoperative ones, you don't have to hand them in until noon. ”Xiao Chen's face turned red all of a sudden, and he said very aggrievedly: "I wrote all the shifts according to the requirements." ”"It would be nice for you two to mix well.Xiao Zhai, you write last night's shift first, Xiao Chen, you remember to copy it before you can leave the night shift. ”The noisy nurse duty room was full of people, and no one noticed the content of the head nurse explaining them.Li Minti slipped through the medical records to find the day shift nurse: "Who is on the disposal shift, I have a preoperative medication here."
It's in the upstairs 1st ward. ”"It's gone, it's already gone."
Li Min turned back to Dean Chen: "Teacher, you go to the operating room first, and I will take the patient over immediately." ”"Good.Don't forget to bring it as an intern. ”Li Min looked at Wang Dali, who was following Chen Wenqiang, and said, "You go to the operating room with the dean, and you will stand on the stage today." ”Wang Dali was so happy that he couldn't speak, nodded at Li Min, and followed Chen Wenqiang step by step.Lu Kevin silently followed Li Min down the stairs, rushing to push the cart to pick up the patient.* The head nurse blocked Chen Wenqiang at the place where he changed his shoes in the operating room."
Dean Chen, your doctor is too disagreeable.Last night was a disaster for dozens of sets of hand clothes.You don't have to fold it, you don't have to pack it, do you?
”Chen Wenqiang laughed and haha: "Last night was special, the intern entered the department on the first day, and it will definitely not be tonight." ”The head nurse said dissatisfiedly: "It's not the first day of internship in orthopedics and general surgery, why aren't people like yours?"
As for the interns in your department, this is the first day of internship. ”Wang Dali stood behind Chen Wenqiang and was embarrassed and suspicious: Dean Chen doesn't seem to be powerful enough!
The head nurse of the operating room dares to make a loud noise!
Director Liang pushed the door in at this time, and knew that it was Chen Wenqiang who was responsible for the situation in front of him, so he immediately reminded the head nurse: "Kiss Li, why did you bully our Dean Chen again?"
He's a tiger and he's not powerful, you think he's a sick cat. ”Director Xiang and the orthopedic doctor also squeezed in, and then Director Liang said: "Your Li Qinqin is a tigress, so Lao Chen is a sick cat." ”"Old Xiang, your skin is tight, isn't it?"
Chen Wenqiang hurriedly corrected his position.Director Liang drove Chen Wenqiang inside, and said to the director: "What a gentle woman we kiss Li, how can you say that people are tigresses!"
Li kissed, twisted him a few more times, and I went to tell his wife, his mouth was idle again. ”Xiang changed his shoes and walked inside: "You think she is gentle." ”Chen Wenqiang stood there blocking the way to the director: "Head nurse, hurry up and bring the oval forceps, I'll block him for you." ”The head nurse's eyes had already widened: "Lao Xiang, you wait for me not to give you loose skin, I'm sorry for the tigress you said." ”Then she pointed at Chen Wenqiang, who was about to escape, and said: "Only one student will be allowed to come to see the operation in the future, and if it is like last night, don't want to let the interns visit the operation." ”Dr.
Liu opened the door to go in, and when he saw this, he hurriedly closed the door and retreated, blocking Dr.
Wang, who had just sent the patient into the operating room and was about to come in to change his shoes."
Don't go in, the head nurse is angry.Why did you bring so many students into the operating room last night, you were crazy with joy?
”Dr.
Wang sneaked a glance at the head nurse who was full of majesty, but he didn't dare to brave the "artillery fire" to enter the operating room.When the head nurse left for something, she hurriedly took the students into the locker room.Dr.
Liu had already changed into his hand clothes, and teased him with a smile: "You know it's amazing."
Do you want my brother to save you?
”He is several years younger than Dr.
Wang.This brother made Dr.
Wang unable to scream."
Don't call?
Then I'll go out and wait for you to disinfect. ”"How can you fall into the ground!
It's not enough buddy to be righteous. ”But Dr.
Wang immediately found that Dr.
Liu was leaving, so he quickly stretched out his hand to stop him and said, "Call, call your brother." ”Seeing that he admitted the account, Dr.
Liu smiled and took the students to disinfect first.The head nurse was guarding their operating room, and when she saw that it was Dr.
Liu who came to disinfect, she immediately glared and said, "Aren't you the operator?"
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Why did you change Dr.
Wang?
”"People have ordered people.What can I do. ”The head nurse grunted angrily, "You tell him not to think that he will hide."
Dozens of sets of hand washing clothes are also thanks to him for being able to do such a harmful thing.Hum!
You made him wait for me. ”Dr.
Liu explained to the intern: "Look, the head nurse of our operating room is the most reasonable.As long as she is a surgeon, she is reborn and will never use the pliers to screw people.Ming'er had a lot of things, and she forgot about it. ”The intern had never seen this, and nodded stupidly.* Li Min took Wang Dali to brush his hands first, and Chen Wenqiang took Lu Kaiwen to cooperate with the anesthesiologist to put his body in a position.Director Liu smiled and asked, "Dean Chen, how is it like to take students?"
”"Then you have to ask Xiao Li.""
Are you the shopkeeper?""
I can't say that, I'm not going to take him in a position.Let me tell you that the interns in our department will be assigned homework by Xiao Li, and then whoever takes the students will read the homework by themselves. ”"Then you'll save half of the work."
Chen Wenqiang smiled: "That's that." ”Today's hemangiomatous meningioma is special.CT scans showed low intensity for T1W1 and high intensity for T2W2, and the contrast scan was significantly enhanced.Preoperative CT film confirmed that the tumor was rich and dilated, with high water content and abundant tumor cells, which was different from the common fibrous tumors.Director Li reversed the habit of not coming to the operating room for many days to see the operation, and entered the operating room in advance before Li Min laid out the surgical towel.He said while helping Chen Wenqiang tie the strap of the surgical gown: "You two should be a little more careful with this meningioma today."
I don't think it's that easy to deal with. ”"Hmm.""
Who's the magician?"
Chen Wenqiang hesitated for a moment and said, "The location of this tumor is relatively superficial, and Xiao Li should be able to take it down." ”Director Li was silent for a moment and said, "Pulling out the seedlings has boosted. ”"Why don't you let her try it first, I'm on stage anyway, and it's convenient to change people."
Director Li nodded silently.Lu Kaiwen and Wang Dali, who were standing on the side and didn't know the relationship between the two of them, were stupid.Xu Li, the instrument nurse, shouted vigorously at Wang: "You stand over after wearing a surgical gown, don't pollute it."
What size gloves do you wear?
”Wang Dali immediately left Lu Kevin to go to the head frame, and then stretched out his hand to the little nurse very honestly."
Sister Feng, bring the old gloves of No. 7 and a half or the new gloves of No. 8."
Li Min came back with her hands, Sister Feng walked over to tie her surgical gown, and Director Li saw that Li Min was wearing gloves and advised: "Today's surgery should be done slowly, and the blood vessels should be dealt with." ”"Yes.I'll be careful. ”Li Min stood in the position of the surgeon, measured the incision position with his fingers and asked Director Liu, "Is it okay?"
”"That's it.""
Small bends, round knives, gauze."
Li Min asked for the equipment he needed and looked at Chen Wenqiang."
Let's go."…… Successfully opening the dura mater, Li Min turned his head sideways and said to Sister Feng, "Microscope." ”Sister Feng helped Li Min and Chen Wenqiang take the eyepieces, and Li Min stretched out her hand to Xu Li: "Meningeal hook, peel ion." ”Chen Wenqiang reached out and asked for a meningeal hook and a spoon-shaped ion.With the cooperation of Chen Wenqiang's hands, Li Min pushed away the normal brain tissue with the peeling ions, and then handed the meningeal hook in his hand to Wang Dali: "Hold on, don't move." ”"Hmm.""
Pipe knife."
Li Min's eyes stared at Shuye, and his palm turned to Xu Li.Xu Li slapped the round-headed peeling ion, commonly known as the "pipe knife", into Li Min's palm.Watching Li Min either insert the needle-like stripping ions into the capsule of the brain tumor and gently separate them, or use a "tube knife" to expand the scope of the peeling.The surgical plan and approach have been determined for a long time.They should cut off the blood vessels in the cerebral cortex as much as possible, pushing away the blood vessels and brain tissue covered by the hemangioma about 3 x 4 cm in size, and then completely separating the hemangioma from the cerebral cortex.In this way, the damage is minimal, but the difficulty of surgery is extraordinary.Wang Dali stupidly held on to the meningeal hook and watched Li Min slowly move the needle-like peel ion with a tip of only 1mm thick.Except for Chen Wenqiang, who put on a microscope, no one can see Li Min's progress exactly.Half an hour later, Li Min shouted, "Wipe your sweat." ”Sister Feng quickly pressed the gauze on Li Min's forehead and temples, and Li Min and Chen Wenqiang's heads did not move in the slightest during this process."
Xiao Li, let's not rush, just take our time."
Chen Wenqiang told Li Min."
Yes."
After another half an hour, just when Wang Dali thought he was stiff, Chen Wenqiang took the meningeal hook from his hand and ordered: "Go down and move for ten minutes before coming up." ”Wang Dali had no choice but to reluctantly leave the position of the second assistant, and stood with his hands in front of his chest and crossed his fingers to move his fingers."
Lao Chen, what's wrong?"
Director Li couldn't see the operation process clearly without a microscope, and he didn't want to be in a hurry, so when the operation entered the microscopic stage, he sat far away."
It's going well, it's already a quarter of the way off.""
Not bad."
As long as the two of them peeled off the ions and meningeal hooks, they never asked for other instruments, which means that the surgery did not damage the capsule of the hemangioma.() The distance is a bit far