Li Min changed into a white coat and went to the nurse's office on the eleventh and twelfth floors first, and after asking Ming Corey if there was anything wrong, he explained to the nurse that he went to the general surgery department.Dr.
Pan Zhi and Dr.
Jin took three or four interns and two newcomers to do preoperative preparations at this time.When Pan Zhi saw Yan Hong and Li Min coming in, he immediately instructed the intern to push the cart to pick up the patient, hand over the medical records in his hand to Dr.
Jin, and greet him with a smile."
Why did you get here?
Is there something wrong?
”"It's fine."
Yan Hong was overjoyed."
What good things did you buy in the afternoon?"
Yan Hong happily counted the events of the afternoon.Li Min waited for her to finish before asking, "Teacher Pan, what kind of patient?"
”"Intestinal obstruction.Admitted during the day for conservative treatment.Can't you get on?
”Li Min hurriedly shook his head and said, "I don't want to have surgery for intestinal obstruction anymore."
I can't stand it. ”Pan Zhixiao: "That's it, if you encounter an intestinal obstruction, the operating room can stink for two days after removing feces."
Are you going to see that surgery tomorrow?
”"yes.Teacher Pan, you are busy, I can ask the nurse for medical records. ”"The medical records and CT films are all with Director Xie, and he is in the duty room.""
Good.I went to him.Kevin Lu, follow me to the duty room. ”Li Min waved goodbye to Yan Hong, and called Lu Kaiwen and himself to go to the duty room to find Xie Xun.Yan Hong saw that Pan Zhi had something to do, so he said that he wanted to go back.Pan Zhi sent her to the elevator."
Pan Zhi, tomorrow's surgery is for Director Liang to find Minmin to fight for your face."
Yan Hong was afraid that Pan Zhi would think too much, so he hurriedly picked the important thing and said."
I understand.Director Liang told me. ”Pan Zhi looked at Yan Hong dotingly and smiled, reached out to touch her hair and retracted his hand."
I won't go back tonight, you can find Liu Na and Leng Xiaofeng to go back to the dormitory together."
The dormitory building is too messy now. ”"Well, I know.Go back.I'm going to the pediatrics. ”* Xie Xun is working hard in the duty room, looking back and forth at the fluorescent lamp one by one.There were several CT and MRI films scattered messily on the duty bed.Li Min's knock on the door interrupted his train of thought, which immediately caused his displeasure."
Who?"
This impatient cold voice, the whole surgery he Xie Xun is unique."
Senior Brother Xie, it's me, Li Min."
The door opened quickly, and Xie Xun asked with a strained face, "Why did you just come here?"
I thought you were promoted to director and you had to watch the film before you went on stage. ”"Senior brother is mean to me, I will find Senior Sister Su to complain tomorrow."
It's been a year since he took the stage, and Li Min is not very afraid of him now."
Okay, you're amazing."
Xie Xun opened the door, watched Lu Kaiwen follow Li Min in and said, "You will take him to the stage tomorrow?"
”Li Min was stunned for a moment, and immediately shook his head and said: "He has only been in clinical practice, and this liver cancer has gone up, and the hook may not be able to pull it well, so it is better not to do it."
Senior brother, you and Director Liang have both brought newcomers, and the two of you have arranged people. ”"Then what are you bringing him here for?
Looking at CT films?
Can he read it?
”Li Min frowned, what kind of evil did this person hit today, why is he so venomous!
If Lu Kai Wenming had been assigned to the provincial doctor in the new year, wouldn't he have offended people first?
Shouldn't I talk to Su Ying?
She thought so in her heart, but replied: "The operating room is now strictly managed, and Senior Brother Pan's intestinal obstruction surgery, he can't enter the operating room to watch, so it's better to come here with me and listen to Senior Brother talk about liver cancer." ”Xie Xun listened to Li Min's explanation, but he didn't have Lu Kaiwen, and asked Li Min: "They should be ready for the operation, right?"
I heard them all night making a fuss. ”"Senior Brother Pan instructed the students to push the patient."
Xie Xun let out a sigh of relief, separated the scattered pile of films from CT and MRI, and put them into two brown paper bags.said to Li Min: "Let's go to the office to see."
The fluorescent lamp here is not as good as the reader. ”Li Min went over to the bedside table, picked up the medical record folder, and walked out of the duty room.The two of them were preparing for tomorrow's surgery, Li Min looked through the medical records, and Xie Xun frowned and inserted the film into the reader.He explained to Li Min: "This patient was admitted last week and was directly admitted to the bed managed by Director Liang.I saw that the medical records were all written by the intern brought by Director Liang, and I only knew that we would have this operation tomorrow. ”"Well, I just found out today.However, Director Liang said that he was also on it, and it was fine. ”"He said he had surgery?
Does he lie at you or at me?
”Xie Xun exhaled heavily from his nostrils, and said angrily: "He asked me to pick two newcomers, regardless of which group."
You can do it, even as an intern. ”"Won't it?"
Li Min suspiciously reminded Xie Xun: "This is liver cancer." ”"Am I still lying to you?
Or you call him and ask him to go. ”Li Min stood still, hesitated for a moment and asked, "Senior Brother Xie, you said that Director Liang is not afraid that we will do something wrong?"
Free novels bring you joy and joy ---> storyskyline.net
”Xie Xun immediately glared: "You eat dry rice."
How many examples of liver surgery have you followed me on?
Not to mention that you can learn it once, you have to do it ten times to experience it once.You've done it more than a hundred times!
”Kevin Lu was frightened by Xie Xun's words: What kind of logic is this!
Xie Xun didn't clip him out of the corner of his eyes, took out the CT film from the film bag, inserted it into the film reader and told Li Min to say, "Come and take a good look." ”Li Min stared at a few CT films, looked at them carefully, and scratched them with his fingers: "Judging from these photos, this left lobe of the liver is inferior to the outside, which must be completely removed."
Right?
”"Yes.Go on. ”"This should also be a sporadic tumor nodule, and the left internal nodule also has to be cut.Is it cut in part or in full?
”Xie Xun nodded: "Although his liver cancer is confined to the left lobe, in fact, I think it is good to remove the left half of the liver from here."
Not only is the surgery much simpler, but it can also completely sweep away the potential and undetected cancer. ”"But it looks good here on the left side.""
yes, that's awkward."
Xie Xun hugged his elbow and frowned: "Keep the left outer top, and only cut part of the left inside, it's hard for Director Liang to find such a surgical examination school for you." ”"It's not about me, it's about you, senior brother, I'm just an assistant.""
Don't worry, I'll give you more opportunities when the time comes."
Xie Xun smiled sadly.Li Min suddenly felt that tomorrow's surgery would not be so good.If he messes up, he won't let Pan Zhi lose face."
No, I have to call Dean Chen.Tomorrow, Director Liang will have to do this operation. ”"Go ahead, you hurry up."
With such an attitude, Li Min hesitated for a moment and said, "Senior brother, you have to tell the truth, otherwise I will call Senior Sister." ”"Little girls like to sue."
Xie Xun sneered at Li Min, shook the MRI film in his hand and said, "I told you that if you look at this picture carefully, I think the basis for the complete resection of the left lobe of the liver is here."
Believe it or not, let's bet that we cut it down here to do pathology, and we will definitely find cancer cells when we go back.If not, the recurrence will also start here. ”Li Min pushed his glasses up and reached out to compare the MRI in Xie Xun's hand with the CT film on the reader.After looking at it for a while, I couldn't find a theoretical basis to support Xie Xun's words.She raised her eyebrows and asked, "Why did Teacher Xie say that?"
”Xie Xun's face cleared slightly: "It's not called Teacher Pan." ”This man!
Li Min rolled his eyes."
Am I wrong?
Is your internship a six-week or eight-week internship?
Yes?
How many times a week does he take you on stage?
I started taking you to surgery in November last year, and it is normal to have two or three surgeries every night shift, so I don't deserve you a word of thanks?
”Xie Xun asked Li Min aggressively.What is the reason for this person's stinky face today?!
Li Min smiled good-naturedly and said, "Deserve it."
Senior Brother Pan came over in November last year and said don't call him Teacher Pan, this is not a special situation today. ”Xie Xun didn't give up: "I care so much about you!"
If you want to call him Senior Brother Pan, forget it.Whenever you call him Mr.
Pan, remember that I have taken you to surgery for more time than him. ”"Yes, yes.You taught me so much more than he did. ”Li Min hurriedly said, "When I call him Teacher Pan again, I will definitely call you Teacher Xie." ”"That's pretty much it."
Xie Xun's face turned clear.Li Min rolled his eyes again and gave him: "Teacher Xie, please speak." ”Xie Xun took out a pen and dragged a piece of paper to draw a picture with satisfaction, and explained while drawing: "These are the veins of the posterior upper edge, the left liver left, the left inner lobe, and the left outer lobe.Normally, except for the posterior upper margin, these branches converge into the left hepatic vein, and now there is a tumor in the left lateral lobe, and there are several scattered and suspicious small nodules in the inner lobe.If the upper left lateral lobe that is also collected in the left lateral meridian of the liver is retained, in my experience, it is very unlikely that the left lateral upper lobe will not be affected.And tomorrow, let's see where the upper edge of the branch gathers.If we go directly into the inferior vena cava, we will keep this part of the liver, regardless of the risk ratio.If it also converges on the left hepatic vein, it can only be "Li Min quickly answered: "The left lobe of the liver is completely removed." ”Xie Xun nodded."
But Mr.
Xie, you say this, I think that according to your experience, there is a high possibility that the left lateral upper part will be affected, is it necessary to keep it?
The left lobe of the liver was completely removed, and it didn't have any effect. ”Li Min flipped out the patient's liver function test sheet and pointed it out to Xie Xun one by one.Xie Xun spread his hands: "So my opinion is lobectomy." ”Then the liver is lobectomy."
Preoperative summary, signing of the surgical consent form," Li Min began to look through the medical record folder to find things: "Have you explained to the patient and family how to cut it?"
”"No, I don't.I'm waiting for you to come and write it. ”Li Min gave Xie Xun a pair of white eyes."
What time is it, it's not done yet.Didn't Director Liang bring a resident doctor and an intern?
”"God knows.I said don't roll your eyes, little girl.If you turn too much, it will cause continuous and irreversible changes in the oblique muscle.It's going to be squinted.Well, that's always the case. ”Xie Xun squinted his eyes and lost most of the whites of his eyes."
It's ugly to death.You've become squinted. ”*Li Min was busy in the Department of General Surgery for almost two hours before all the preoperative preparations were done.The patient's family saw that Li Min was very young and still a woman, so they secretly called Xie Xun aside to inquire."
Director Xie, is she okay?
Will I have surgery?
”"Of course.Director Liang's wife's relatives had glioma, and she had a craniotomy this morning.That's microsurgery.Director Liang specially asked her to come over for your brother's operation, just because she was better than us old men in the fine place.When the time comes, all of us young doctors outside the general public will go to see it.You said that if she doesn't do well, Director Liang will?
”Xie Xun said that the patient's family nodded again and again."
Then Director Liang is on it?""
AhhThe key point is that Director Liang definitely can't do it, watching me and Dr.
Li do it. ”Li Min is going back to trauma surgery, and Pan Zhi has not yet pushed back the patient with intestinal obstruction."
Free novels bring you joy and joy ---> storyskyline.net
Mr.
Xie.What kind of intestinal obstruction is that, why does it take so long?
”"Would you like to go over and have a look?""
Okay."
Li Min said to Lu Kaiwen: "You go and tell the nurse, we are going to the operating room." ”() The distance is a bit far