The patient's family strongly requested the operation, and Chen Wenqiang and Li Min also explained to Director Qian and the family the most likely outcome after the operation.After the patient's wife and eldest son signed the consent form, the patient who was ready for the operation was immediately pushed to the operating room for emergency embolectomy.Director Shi's words in the morning were at the bottom, and Chen Wenqiang called Yang Yu to come to the stage, and Yang Yu was a little overwhelmed with excitement.Li Min was also surprised, because Yang Yu belonged to the newcomer on the chest side, and even if he was a master in today's operation, he should be an intern.But she only pursed her lips and added Yang Yu's name to the operation notice, swallowing why she back into her stomach.Although Chen Wenqiang brought Yang Yu to the stage, he also asked him seriously: "Yang Yu, you just go up to have a look this time."
Don't do it; Do not move when you enter the cranial cavity; Don't make up your own mind at any time. ”Three no's in a row condensed Yang Yu's boiling blood.But he still said seriously: "Dean Chen, I won't do it casually. ”Sure enough, Yang Yu belongs to the wave of people who have the ability to see.Scalp to stop bleeding, cut the thread he did decently.When Li Min opened the dura, he immediately withdrew his hand and took half a step back.This half-step gave Li Min and Chen Wenqiang a habitual workspace, and also made Chen Wenqiang and Li Min look down on him.After entering the cranial cavity, the operation was replaced by Chen Wenqiang.He carefully placed two "pugs" on the proximal end of the internal carotid artery, and then chose the C4 segment without vascular branches, the adjacent anterior cerebral artery ACA, and the bifurcation of the middle cerebral artery MCA.Very carefully, he tentatively reached in two Venturi forceps, clamped the blood clot, and then gently, slowly, and steadily pulled the blood clot out.Everyone held their breath as he moved.Li Min and Yang Yu on the stage solidified like cement pouring, and they were afraid that their slight movements would affect Chen Wenqiang.A blood clot with a length of about 6 centimeters was completely lifted out by Chen Wenqiang.Blood clots are clearly divided into three parts: a white thrombus on the head, a gradual transition in the middle, and a newly attached red thrombus in the tail.Chen Wenqiang let out a sigh of relief, only he knew the pressure and thrill just now.In the worst case, the thrombus has been adhered to the blood vessel wall, and if the thrombus is dragged down hard, causing avulsion and damage to the intima of the blood vessel, the damaged intima will be the bane of the formation of blood clots again.Fortunately, the thrombus was lodged shortly after the bifurcation of the anterior cerebral artery ACA and the middle cerebral artery MCA; Fortunately, the thrombus has not yet adhered to the endothelium."
Rinse."
The prepared heparin sodium solution was handed to Li Min's hand.Chen Wenqiang watched Li Min rinse the C4 segment twice, and then instructed Li Min to prepare to suture the incised internal carotid artery.
*Director Qian took a long breath and said with a little flattery: "Dean Chen, you have taken out this plug completely, and I think it can be used as a teaching specimen." ”Chen Wenqiang handed over the work of suturing the blood vessels to Li Min, and he stared at Li Min's movements and replied to Director Qian's words: "Old Qian, don't look at the complete and smooth removal of the embolus, the time for his brain tissue to cut off the blood supply, we conservatively estimate that it will definitely be more than 12 hours."
I'll be honest with you, there is little hope that he will be able to recover after surgery.But we can all say in advance, if you can't wake up in half a month, you will take the patient over. ”"Good.I'll take it if I don't wake up. ”Director Qian knew that these surgeons did not have so much patience for inpatients who had been "lying in bed" for a long time.Even if there are beds in the department, they transfer patients who are about the same and have no value for further treatment to the district hospital for rehabilitation."
Dr.
Li, this blood vessel is well sutured."
Director Qian rarely goes into the operating room.It was the first time he saw Li Min have surgery.Seeing that Chen Wenqiang dared to hand over the internal carotid artery to Li Min, he almost blurted out something against it.When he saw Li Min's meticulous and smooth movements under the microscope, he still saw that Li Min was basically finished sewing, and then he praised it."
That's it.Without these two moments, she dared to apply for an exception in surgery?!
There is Xie Xun as an example in the front. ”After Chen Wenqiang tested that the internal carotid artery after suturing did not leak blood, he instructed Li Min to lower the drain and close the skull.The operation went smoothly and the atmosphere in the operating room eased.The patrol nurse went out for a walk, and when she came back, she told the new story of the Dou family's sisters and brothers being broken as a joke."
Doctor Li, you don't know how powerful that kid from Dr.
Wang's family is, he actually instructed that beautiful sister named Pearl to deceive the door of the Dou family.The daughter of Director Luo's family was not ambiguous, and she heard that the son of Dr.
Wang's family rushed in to beat people.Fortunately, these two children were not at home yesterday, otherwise they would not have had to fight yesterday afternoon. ”"The two children in Dr.
Dou's family are underwhelmed.The younger brother rushed out and was about to pinch the little girl's face, and if he couldn't pinch his face, he would pick up his hair.My sister doesn't care about it, and she scratches people when she comes up.Director Luo went to the rack and didn't be a sister, so she scratched the back of Director Luo's hand three skins.That's Director Luo's quick response, otherwise he would have scratched his face. ”Li Min followed the words of the nurse who patrolled the station and only talked about Director Luo's injury, without mentioning his neck at all.After she finished sewing the dura, she stitched a few stitches on her scalp to instruct, and then pointed out the interval between the specific needles, and let Yang Yu suture them, helping Yang Yu to receive the needles from time to time, and then hinting at his needle entry point.Director Hu felt strange when he saw Chen Wenqiang taking Yang Yu to surgery, and now it is even stranger to see Li Min pointing Yang Yu.He asked Chen Wenqiang without words: "This is Dr.
Yang's son, right?"
”Chen Wenqiang nodded: "Yes, Lao Shi usually carries it."
I didn't have time today, so I brought him up.Xiao Yang, you should learn from Dr.
Li, this basic operation has passed, and you can go up to be an assistant for any operation. ”Director Qian asked Chen Wenqiang suspiciously: "Are you in love?"
”Chen Wenqiang scolded him with a smile: "You're old and confused, aren't you?"
What do I like?
Xiao Li hasn't left his hand yet. ”Director Qian thought about it, Chen Wenqiang's daughter is only in her third year of high school, and she is still far away; Listening to his meaning, he also asked Li Min to leave and accept other students.But he let Li Min teach Yang Yu the basic operations of the patients he sent and under his nose, and if there was nothing, he cut off his head.Director Hu looked at Chen Wenqiang and smiled treacherously, how do you look at this matter, how does it reveal an unusualness?
- If it were only Dr.
Yang's son, Chen Wenqiang's temper would not take care of him.Don't look at stepping on him a few times for his unobtrusive father, it is Chen Wenqiang, who doesn't rub sand in his eyes, has a gentlemanly demeanor.Qin Zhang, who was standing and watching the operation, the envy in his eyes was about to turn into substance.I am in the same group as Yang Yu, and I have poured mold for eight lifetimes.As long as the chest surgery should be Yang Yu's, it must be Yang Yushang.It can be himself or Yang Yu's, and Director Shi will definitely fight for him.There is also a fight for accuracy.Like today's operation, it was supposed to be an opportunity for interns, but Dean Chen brought him to the stage.Li Min almost taught him how to put needles in and out of this scalp that was difficult to suture.This idiot's luck is so good!
* When Li Min came out of the locker room, he saw Director Qian stopping Dean Chen from talking."
Lao Chen, this is a little bit of the family's heart, I missed lunch time, let's just eat casually.Don't you give me this face?
We've been comrades for decades. ”"Old Qian, I'm really not polite to you, or it's not a festival, and it's nothing if I go out with you to eat and drink.But I have something to do in the evening, and I have to go over early to help with things.That's not good to go with the smell of alcohol, you have to understand me. ”Director Qian and Chen Wenqiang have known each other for many years, and when I heard him say that he still had to be a junior Zhang Luo, he knew that he was not the one who took Qiao, so he had to stop thinking about him going.He turned his head and asked Li Min, "What about Dr.
Li?"
You should be free, right?
”Li Min smiled and said, "Director Qian, keep the accounts first."
My parents came, and I went back to eat with them.They're going home tomorrow. ”Another reason for not going is that my parents want to invite Yan Hong and his parents to dinner tonight, and I have to hurry home to help my parents.Director Qian saw that they were not available, so he told the patient the truth.After Li Min had almost processed all the paperwork after the operation, the patient's eldest son pushed an envelope in front of her."
Dr.
Li, this is a little bit of our family's heart."
Li Min hurriedly excused himself.I couldn't excuse myself, so I had to tell the truth: "Although your father's surgery was successful, the important thing for this kind of surgery is the location of the cerebral vascular infarction and the time of the infarction.We discussed your father's situation before the operation, and the obstruction site has been too long, and there is little hope that he will wake up.Let's put it this way, even if there is half a chance of awakening, I will accept your heart. ”"Dr.
Li, we don't mean that my dad must be able to stand up and be discharged from the hospital.Our family's meaning is a big holiday, and neither you nor Dean Chen are allowed to rest.He said that the operation was given, and the operation was done beautifully, and Director Qian told us about the operation.You see, it's past two o'clock, and I haven't eaten lunch yet.This means that if you don't accept it, these people in our family will not be able to do it, and the emperor is not short of hungry soldiers.We just thank you.You really don't accept it, and Director Qian is embarrassed to be there.We can't let Director Qian deliver it. ”To put it mildly, the patient's eldest son left the envelope anyway.Li Min regretfully blocked the letter in the drawer, this money is not his own for the time being.You have to wait until the patient is transferred to another department and is fine, or when he or she is discharged from the hospital.
*It's half past two o'clock when Li Min arrives home.Her mother asked her daughter if she hadn't eaten lunch yet, and she brought out a plate of dumplings from the steamer."
Hurry up and get some cushions, eat and sleep for a while.""
Hmm."
Li Min ate the dumplings slowly and asked his parents about the Dou family's siblings.After his parents explained the matter in detail, Li Min put down his chopsticks and said, "Mom, I'll send some food to Xiaozhi and Luo Tian in a while."
I'm going to reward these two little guys.It's so relieving. ”"Don't get involved today, and talk about it when you have a chance later, otherwise the upstairs and downstairs neighbors will look like something.How old are you, and you still do things so freely.How can we reassure you at home?
”Li Min was dumbfounded by her mother.She grabbed her chopsticks and stuffed dumplings into her mouth with all her might."
Hey, you eat slowly.I choked up. ”A glass of warm water was handed to Li Min's left hand.After watching Li Min drink two sips of water, her father asked her, "Did Dr.
Dou ask you to sew up his daughter's wound later?"
”"Nope.I went to the operating room, and I went to the emergency room to have a thrombectomy for the cerebral infarction.Was his daughter badly injured?
”"It's pretty powerful, here in the forehead.The girl must have hit the hard spot in the corner of the table.Thankfully not the eyes!
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The little boy in his house was smashed in the head.It should have been smashed with a small bench where he was sitting.It is estimated that Dr.
Wang's son smashed it.Alas, you neighbors, you are not like the children of intellectuals, but not much like those who grew up in a working-class quarter. ”"Dad, I think Xiao Zhi and Luo Tian did a good job.Otherwise, Director Luo and I will be scratched in vain. ”"What if Luo Tian and Wang Xiaozhi can't beat the Dou family siblings?""
Dad, Xiao Zhi's name is Yang Yi.After Dr.
Wang and Dr.
Yang of the ophthalmologist divorced, the child changed his surname to Yang with his mother. ”Li Min avoided his father's questioning.But she thought for a while and said, "If you can't beat it, I guess I won't open the door and go to someone to beg for a beating."
Mom and Dad, have you found out, these three families are all divorced and remarried.My downstairs Dr.
Wang and Dr.
Yang are said to have a good relationship.Dr.
Yang and I lived upstairs in a dormitory in a single dormitory for almost half a year, and his marriage to Director Luo was guarded by Director Shi.It's all my own. ”Then she told her parents about the strangeness of today's surgery, when Dean Chen brought Yang Yu to the stage."
It stands to reason that there is no such thing as bringing Yang Yu to power.Dean Chen said that the current number of patients in neurosurgery is enough for the two of us. ”"You're going to school next year?"
Li Min was asked by his father.After thinking for a while, he said, "Is it to prepare for next year?"
”But she was immediately relieved."
It's better to choose Yang Yu than to choose someone else.He graduated from junior college, and at his current level, he can't affect me for three years. ”"But when you finish three years of study, his surgical level will not be worse than your current level.""
Mom, that's not what you said.Surgery, it's like my grandma's rap play, it's not just a matter of finding a child to practice for ten years.I don't think he has much talent in surgery, but Dean Chen reluctantly kept him in neurosurgery, and he will have to work hard for more than ten years in the future, and he will be able to stand on his feet when he becomes an attending doctor.Besides, I didn't leave the hospital to study for three years, probably half a year, or even less, and then go back to work in Corey.He doesn't affect me. ”"Actually, it's not Yang Yu's business.I think Director Shi of our department, yes, is Director Shi," Li Min told his parents about Director Shi."
He grew up in a provincial town, and he has a good relationship with anyone, and he can talk to anyone.I don't think there's anyone he doesn't know, there's nothing he can't solve.In fact, he didn't do anything bad to me, and he helped me and Yan Hong a lot when he bought furniture.It's just that I feel that he is different from others. ”Since going to work, Li Min has rarely talked to his parents about the unit.Catching up with the free time today, she poured out her doubts.Then he asked, "Do you think Director Shi will come forward to mediate this matter?"
”Li Min's parents exchanged glances and said, "It's just a child fighting."
After such a time, the children of the Dou family should no longer have the intention of bullying Pearl.Children, when the wound heals, we will be able to play together after a while.There is no need for others to mediate. ”"That Director Shi of your department, you still have to maintain your vigilance.Everyone is comrades, don't go far, and you can't get closer.You are a girl's family, and the surgeons are all men, even if it is upstairs and downstairs, you don't want to go in.If there is something, go to the unit and say it. ”"Hmm.I don't go to anyone's house at all.Not available.I mean it.Don't believe you.Today, Dean Chen also asked me if I would not leave the provincial hospital.Intern No. 13 was going to change departments, and I had to write their internship comments before that.Actually, it's not much different if I have or don't have this holiday. ”Li Min counted the things he had to do on his fingers to his parents.At the end, he sighed, "It would be good if I retired." ”"We're not retired yet.You've only been on the job for a year. ”"Then I will work hard while I am alive, and I will rest when I die.""
What did you say, you kid?""
Hey, Chinese."
Li Min stuffed the last dumpling into his mouth, picked up the plate and headed to the kitchen.I found that there was no preparation for a treat in the kitchen."
Mom and Dad, didn't you say that you would invite Rainbow to her parents tonight?"
Li Min asked in a raised voice while washing the dishes."
At noon, Yan Hong and Pan Zhi came over and took all the things prepared by our family.said that their family had Xiaoyan to help, and Xiaoyan's cooking was good, so we didn't have to work hard.It's okay to eat together in the evening. ”Li Min washed the dishes and chopsticks, put them on the drain rack to control the water, and looked at the dumplings in the steamer.Then he reached out and took hand polish from the windowsill and applied it.She walked back to the living room and said, "I have to be in the hospital 24 hours a day this year, otherwise I will ask someone to help me this time." ”"Touch how much money you still have in your wallet, you still have someone at home."
Li Min took out Mu Jie's remittance slip from his wallet and showed it to his parents."
The fortune teller said that I have wealth in my life, and there is no shortage of small money to spend.Look.You don't have to worry about me.The mountain people turn evil into good fortune and become auspicious. ”That smug look was exchanged for a finger on her forehead from her mother."
It's not just a year's allowance for Mujay.You can save a little bit of money. ”"Mm-hmm, I'll save money.It turned out that there was no time and no money if he wanted to spend money, but this time he had money and time, and Yan Hong couldn't go to the street again.But it would be nice to wait until she gives birth next year. ”Liang Gong smiled and said nothing, and when Yan Hong gave birth to a child, he didn't have time to go on the street, so he didn't remind his daughter first."
Go sleep.I'll show you something. ”"Then I'll sleep for a while.I've got an alarm clock here, and I'll get up by myself when it's time. ”Li Min went back to her small room to sleep, while her parents went to the kitchen, took out the prepared dumpling filling from the refrigerator, and the noodles from the rice cooker and began to make dumplings.A bamboo curtain was placed on a plate and frozen into the refrigerator.Then I filled the previous board, and put the previous plate into several plastic bags, and then freeze it in the refrigerator.They hope that when their daughter can't catch up with the meal, she can cook some dumplings to eat.* At four o'clock, Yan Hong knocked on the door: "Minmin, Minmin." ”Li Min didn't get up for a while, and she stretched her hair in the hall.Hearing Yan Hong calling her, she immediately ran over to open the door."
Rainbow, what's the matter?""
Let's go see Liu Na?""
Okay.I wanted to see her yesterday afternoon.You come in and wait for me for a while, and I'll clean myself up. ”"I'm not going in.I'll go home and get some fruit.You can clean it up in ten minutes, right?
”"Ten minutes?
OK. ”Li Min quickly cleaned himself up, and didn't forget to greet his parents: "Parents, Caihong'er and I will come back when we go to see Liu Na."
It's just the third floor of a unit. ”"Go ahead.Speak tactfully. ”"Uh-huh, I will.""
Bring over the dumplings from this lunch box, which were steamed at noon.Tell her that she must be distilled thoroughly at night, Liu Na has a body, and she can't eat cold food. ”There was a knock on the door."
Uh-huh.Rainbow is calling me.I don't have the keys with me, Mom. ”Li Min hurriedly went out."
It's still the same hairy girl.I haven't seen much progress since I worked. ”*The atmosphere of Liu Na's house is very good.Director Chai had already told Dr.
Chen that Dean Chen had agreed.Liu Hong is very much looking forward to being a neighbor with her sister.But she changed her mind and became worried about the 6,500 yuan house payment.The doctor comforted her and said, "I'll borrow it from my classmates who stayed in the affiliated hospital to do clinical work."
Anyway, I'll be out of school next year, and it won't take a year or two to pay it back. ”Liu Hong saw that the house payment had been settled, and her mood improved again.Liu Na also took the opportunity to say: "You can ask Yan Hong's family to help with the decoration."
When we were in this house, she said that she could pay for the renovation later. ”"Then you don't lay the floor?"
Liu Na deflated and went back.Because she didn't feel uncomfortable today, she was caught by her sister in the morning and taught a lesson.When the doctor saw that his wife had brought up this stubble again, he comforted her: "She didn't think it through at that time.You've told her about it, don't talk about it anymore. ”Gong Hai looked at Liu Na, who was suffocated by her eldest sister, and didn't dare to say that the bonus in the CT room is also a lot, and they can support a little when the bonus is issued next month.Liu Na is regretting that she was counted down by her sister because she didn't pave the floor.The doctor clapped his hands and said, "Then we'll borrow money and clean it up all at once."
At that time, you can be confined here, which is much more comfortable than you are at the medical university. ”When Li Min and Yan Hong knocked on the door, the four of them had just discussed the matter.Liu Na saw Li Min and Yan Hong coming, and welcomed them in very happily."
Nana, I was waiting for my parents at home yesterday morning, and I wanted to come over with Minmin to see you yesterday afternoon, but she encountered such an incident again.Last night I worked the night shift, and she just came back from surgery.Are you alright?
”Yan Hong handed the fruit to Gong Hai and apologized for explaining the reason why he came.I said hello to the doctor and his wife."
I'm fine, I'm glad you're here."
Liu Na's happiness comes from the heart."
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Minmin, how are you hurting?
I want to go over and see you. ”"I'm a little more worried if you didn't go.Don't bother you today?
”"Hmm."
Liu Na was embarrassed.Yesterday, that image was seen by Li Minquan, and she regretted it.She grabbed Li Min, leaned on Li Min's ear and said, "Don't tell others." ”"I didn't say it, you can rest assured.Brother, this is the dumpling that my parents made.My mother said that Nana and they had to distill thoroughly when they ate it, and they couldn't eat it cold. ”Li Min handed the lunch box to the doctor.The four of them really didn't make dumplings.The doctor thanked him and took the lunch box to the kitchen.Liu Na smiled and said, "Minmin, Caihong'er, I have good news for you: my brother-in-law is coming to work in the pathology room, and my sister's family is also going to move here." ”"Congratulations.""
Dean Chen has given the fund-raising room?""
Well, the two-bedroom and one-living room is half price, and it's in Xiaofeng's unit.""
If only I could change your unit.How nice it is for you and your sister to live upstairs and downstairs. ”"The second floor has been renovated early, and everyone has moved in."
Yan Hong ignored Li Min and Liu Na's unnutritious nonsense, and she asked Liu Hong: "Senior sister, are you decorating?"
”Liu Hong smiled and said, "Load, I must lay the floor at one time."
However, we have to make up the payment for the house first, and the money for the renovation may be paid to you a little later.I don't know if it's convenient?
”"Well, that's fine.I'll pay for the renovation first.However, on Pan Zhi's father's side, there are still several families who are rushing to work, and it may not be until the end of the month to pour out.If you can get the keys as soon as possible, you can buy materials and install them with these families, which will not only save you money, but also be much faster. ”The doctor smiled and said, "We'll go back to school tomorrow and make up for it."
I just have to wait for Director Chai to make a report and the hospital council here to discuss and approve it. ”Everyone knows that this discussion is a formality, but it is necessary to take it seriously.Li Min and Yan Hong sat for a while before leaving, and Liu Na wanted to send them downstairs."
Nana, go back quickly.After a few steps, we will be able to reach our two homes. ”Liu Na insisted on going downstairs, and Gong Hai had to accompany her.When she got downstairs, Liu Na said abruptly: "Minmin, Rainbow, I regret not being able to participate in yesterday's group wedding." ”"What do you want to do now?
Isn't it better for the child to be safe than anything else?
Pan Zhibu and I didn't have a wedding.Nana, don't think about it anymore, ah!
”"Nana, you still participated in the rehearsal.Senior Brother Gong accompanied you, and it can't be said that you didn't participate in the group wedding, right?
”Liu Na was much better under the persuasion of Li Min and Yan Hong.She then asked about Xiaofeng's performance at the wedding.Li Min said with certainty: "It's about the same as the brides around her."
You know some nurses are prettier than those of us who are undergraduates, orthopedic nurses you've ever seen.Those people are just wearing sacks, and they are not comparable to a few of us in gold and silver. ”Saying this truthfully is really a panacea for Liu Na's heart.Gong Hai saw that Liu Na was completely relieved of his knot, and hurriedly took her home.() The distance is a bit far