Li Min waited until half past nine before pushing the patient into the operating room as requested.After changing into her hand clothes, she noticed that there was an extra skin shredder in the operating room No. 4."
Director Fan sent it over after work yesterday."
The head nurse explained to Chen Wenqiang."
We haven't used this thing either, we've been working on this this morning, so let's send someone over later.""
Hmm.Then let's get started. ”Chen Wenqiang nodded and spoke.So Li Min took Dr.
Ma and the interns to brush their hands, and Dr.
Zheng avoided Chen Wenqiang's sight and stayed by the patient's side.When Li Min came back, according to the parts agreed with Dean Chen, let Dr.
Ma disinfect and prepare to take the skin, Dr.
Zheng saw Chen Wenqiang brush his hands, and quietly asked Li Min: "How much skin to take?"
”“0.5%。”
Seeing that Dr.
Zheng was puzzled, Li Min had no choice but to add: "Half a slap."
Only 5% of the scabs were cut today.You didn't do your homework first?
”"I spent most of the night last night," Dr.
Zheng rubbed his face."
I don't know what's going on, I've been doing this and that for the past two nights, far worse than your night shift a few nights ago."
Some people work night shifts to recruit trouble, and the originally good hospitalized patients will have headaches, stomach discomfort, and even itchy wounds when they go to his class, and even patients who have to remove stitches, and even urgency, painful urination, constipation, or something.It's all a small matter, and when you meet an experienced nurse, you can solve it casually.But if the night nurse doesn't do anything, then let's see, lie down for a while, get up, toss a few times, and the night will be about the same.Li Min watched Dr.
Ma's disinfection, and when he saw Dr.
Zheng's tired face, he comforted him casually: "I'm going to start the night shift this week."
I'm telling you, every time I work my first night shift, one dies.I don't know if I can break this cycle this time. ”Director Liu wrote her medication record on the anesthesia record, looked up and said to Li Min, "Senior sister, maybe it will be broken this time."
You're a bride now. ”The head nurse has been nailed to this operating room because of the peeling machine.When she heard this, she said, "Yes, you can definitely rush away."
However, I heard from my sister that there are many more patients dying in the Department of Internal Medicine this year than in previous years. ”"This year, it's cold and snowy.Influenza after influenza.The older ones can't resist it. ”"There is an influence of this factor.I'll tell you that there is a dormitory area in Tiexi, and the day before yesterday it stopped breathing, and dozens of people froze down at once.In the past few days, the Department of Internal Medicine has not known how many myocardial infarctions have been received, and they are all from that piece. ”Dr.
Zheng continued: "I was called to the cardiology department last night to help, and I was admitted to the hospital for 13 heart attacks in one night. ”Then he shook his finger-open palms at the head nurse."
What do you mean?
You mean five dead?
”"Five lived."
The atmosphere in the operating room immediately changed sharply, and Chen Wenqiang brushed his hands back and asked, "What are you talking about?"
”The head nurse told him about the increase in the number of cardiac deaths, and Chen Wenqiang sighed: "Not only the cardiology department, but also the respiratory medicine department, there have been many deaths of pneumonia, all of whom are elderly.Although there are many deaths at this time of year, if their heating is not repaired, our pediatrics will be choked first.Today we will have two children in one bed. ”"How's that going to work?""
No, it can't be helped.Parents would rather risk being infected in the hospital than have their children hospitalized with frostbite at home.Anyway, it's just a matter of being hospitalized a day earlier and half a day late. ”"Why is the heating on the other side of Tiexi broken?
Why hasn't it been fixed yet?
”"The central heating that was changed last year, I heard that it was a large pipe connection, and it was frozen in several places.Give me the cutter. ”Chen Wenqiang put on a surgical gown, put on gloves, asked for a skin-cutting knife and began to debug."
Head nurse, is the isotonic saline ready?""
Ready.""
Director Liu, have you started?""
Yes, you can."
Holding a roller peeling knife, Chen Wenqiang carefully removed the skin on the outside of the patient's thigh, which was as thin as a cicada's wing, half the size of a palm."
Oil yarn."
Li Min opened his mouth to ask for something."
Doctor Li, here you go."
The instrument nurse put a double-folded, palm-sized piece of oil gauze on the large gauze and handed it to Li Min."
Apply pressure and bandage first."
Li Min put the gauze on the wound after cutting the skin, and pressed under his hands.The head nurse came over with a wide piece of gauze and said, "You let go and leave it to me." ”Li Min took a step back and found that Chen Wenqiang had finished treating the skin that had just been removed, and was about to soak it in the isotonic saline."
Turned the patient sideways."
Chen Wenqiang ordered.Dr.
Zheng hurriedly acted as the main force with Dr.
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Ma and others, and then the interns disinfected under the guidance of Chen Wenqiang."
Tsk, how did this burn like this?!
It's a shame that I wore a big padded jacket in winter. ”"He's on the front line.I didn't wear a big padded jacket.If you want to wear it, it won't be like this.But I heard from the escort that he ran fast, and their team ran out of the two of them. ”The swarthy scarlet crust was thick and hard, and the large round knife could only start from the periphery and open a gap first."
Cut off all the back?""
Nope.If you only shave your right shoulder first, you should ensure the function of the shoulder joint later. ”"This person's luck is not bad, the back of his neck is not burned heavy.""
A mixture of deep II.° and shallow II.°, even if there is no infection in the later stage, scar relaxation must be done, otherwise the rotation of his head will be restricted.""
Do you have that bone eating forceps from the orthopedic department?""
Ready.I packed and sent the things on your surgery list after I had all the points on it. ”The head nurse replied.The instrument nurse took the rongeur and asked, "Dean Chen."
Want to use it now?
”"Hmm.Give me. ”The eschar was cut under Chen Wenqiang's hand.After cutting for a while, Dr.
Ma asked, "Dean Chen, cut all along this line?"
”"Hmm.""
Let me try?""
Okay."
Chen Wenqiang gave the things to Dr.
Ma.Dr.
Ma was originally an orthopedic specialist, and when he was in his thirties, he was much more energetic than Chen Wen when he used bone rongs.Clatter along the preoperative gentian violet marker to cut the eschar."
On top of this, this part is cut separately, cut a few more paragraphs."
Chen Wenqiang instructed Dr.
Ma to use the rongeurs in his hand to exert force, and Li Min and the intern used a small bend to lift the edge of the eschar as much as possible to facilitate Dr.
Ma's operation.…… The eschar is cut off, and the underlying tissue is at the junction of the depth and shallowness II.°, and there is already a precursor to liquefaction.Chen Wenqiang wanted to pass over the allogeneic skin, compare it on the cut eschar, and then began to alternately use a large round knife and tissue scissors to clean up the subcutaneous necrotic tissue of the eschar until it was a healthy surface."
Tsk, Dean Chen, you're ruthless enough.""
No, you can't be ruthless.If you don't clean it up, today's skin grafting will be waiting for failure.Give me that piece of skin.Use the thickest needle to draw the isotonic saline you just had. ”Soon, the suspension mixed with the patient's own skin particles was tiled onto the xenogeneous skin.As if holding a rare treasure, Chen Wenqiang gently and carefully covered it little by little on the bare and healthy tissue.Then he examined it again and again and said, "All right, oil yarn." ”"Head nurse, you can add some Vaseline to this oil yarn next time.""
That's not enough.I'll give you another box. ”The head nurse brought another white enamel plate, and the instrument nurse picked one out and showed it to Chen Wenqiang."
Dean Chen, is this okay?""
Yes.Xiao Li, when I returned to the ward, I remembered to remove this bandage and leave it naked. ”"Hmm.""
The bracket you used last time, let the logistics weld a stainless steel.""
Okay."
When the two burn patients were done, the hour hand pointed to just over 1 p.m."
Dean Chen, go back and rest.I'll do the post-operative ones. ”"Well, then I'll go back."
At this time, Chen Wenqiang was also tired after working the night shift.After watching the entire operation, Pan Zhi returned to the ward and asked Li Min, "What can I do for you?"
”"Not for now.If you don't take a break in the afternoon, help me change my medicine in the evening.I want to finish my surgery and go home and take a few hours off.In the afternoon, Dean Chen was not there, and Director Shi worked the night shift.As long as Dr.
Zheng is alone, I'm afraid he won't be able to support him. ”Li Min didn't know why he felt that Dr.
Zheng was unreliable.Knowing that he was going to do burn scab grafting today, and counting less than ten pages of textbooks, he dared to go to the operating room without reviewing it, and he was also very capable.Pan Zhi immediately agreed."
Okay, I'll go back to lunch and pick you up.Can you go to the maternity department for me after dinner and before 9 o'clock?
I'll squint for a while. ”"Okay.You can do it until 10 o'clock.I'll have an early meal in the evening and then I'll pick you up from the maternity department. ”"Okay."
The two of them decided to go their separate ways.
*It was almost three o'clock when Li Min got home.Mu Jay kept her food warm."
Pan Zhi called and said how many hours can you rest in the afternoon?""
yes.He went to Corey in the afternoon to see his family, and I went to the obstetrics department for him after dinner in the evening, and I guess I will come back at ten o'clock. ”"Doesn't your department have a general hospitalization?"
Li Min told me about the pre-operation."
He had a lot of things to do last night, and he didn't even preview today's surgery, I'm afraid that his spirit during the day today will not be enough."
Li Min pulled the food into his mouth three times and divided five by two, and asked Mu Jie after eating: "There is no rice at home?"
”"Eat less and sleep better.What time do I call you?
”"It's ten o'clock.""
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Well, go to sleep."
Li Min got into the quilt and soon fell asleep.After two nights of expeditions, she not only felt that her physical strength could not keep up, but also her energy.If she hadn't dared to speak in the operating room in the morning, she would have asked for a stool to sit on.Maybe it's really like what the head nurse and Director Liu of anesthesia said, Li Min's bride status has washed everything away, and she can sit in the obstetric duty room this night, while reading Yan Hong's third edition of "Obstetrics and Gynecology" textbook, while chatting with Yan Hong.Since Li Min became the general hospitalist, it has been difficult for the two to have a good chat.Naturally, I won't give up on tonight.Speaking of which, it came to the inexplicable head."
Minmin, do you know it, someone in our department lives upstairs in Leng Xiaofeng's one-bedroom apartment.When they got off the night shift yesterday, they watched Xu Qiang come out of Leng Xiaofeng's house, and asked who Xu Qiang was and how did he come out of that house?
She was afraid that Xu Qiang would come to that house to steal things. ”"What did Xu Qiang say?"
He said that her girlfriend was inexplicable and borrowed Leng Xiaofeng's house to live.And then today, someone in our department asked me if the one in the endocrine department was inexplicably married. ”"She's married?
It's not that she worked the night shift and Xu Qiang went to live. ”Li Min asked Yan Hong in surprise.I don't think that person can live together before marriage."
I don't have much contact with inexplicable people, that is, to the extent that I meet and say hello on the road.She won't tell me when she gets married.Maybe she'll tell you. ”"I don't need her to tell me, Xu Qiang can tell you about Pan Zhi.Xu Qiang has a good relationship with all the surgeons.That's all but me.If you don't believe it, go home and ask your family Pan Zhi.But Rainbow, for some reason, I always feel that Xu Qiang is a little evil.I can't tell where it's evil.I told you that if it weren't for our director Shi to blame me on the matter, I wouldn't want to deal with him. ”"Huh?
I haven't seen you reject Xu Qiang so much in the past. ”"I'm not rejecting him.I just think, there are so many hospitals in our provincial capital, and he has taken down several affiliated hospitals of the Medical University, isn't he enough?
What do you do and run to the provincial hospital?
”"Yes, too.He always came over to his classmates, who didn't know that he and Liu Na were friends. ”"yes, right here.You said that it is not easy for Nana and Gong Hai, and the ones they earn are just enough for the two of them to spend.He and Nana used to divide the fund-raising house, but now the people who know him in the provincial court don't know that he has made money as a medical representative.If anyone knows about the past and talks about the past, Nana won't have to bear extra pressure. ”"Hmm.Yes, too.Then Gong Hai and him were still classmates.Alas, if you say this, I also hope that he will not come to the provincial hospital, otherwise it would be awkward to think about it.But let me tell you, when my family Pan Zhi was outside Puwai, he often passed, but this time I didn't see him after the New Year. ”"Rainbow, then I'll say something about the villain's heart.I guess it's because the chest side is a unified drug rebate, not like the general surgery department, and your senior brother Pan just came over, and it's not good to ignore the medication habits of Dean Chen and Director Shi, and he can't play any promotional role just looking for Senior Brother Pan.You say, don't you?
”"Well, most likely.Then he's still going to look for you, right?
”Yan Hong looked at Li Min inquiringly."
He's not coming to me again.I have already handed over the work of the hospital manager to Dr.
Zheng, and he can go to Dr.
Zheng if he has something to do in the future, and it has nothing to do with me. ”Li Min concealed that Xu Qiang had the matter of acting as an agent for specialized drugs in neurosurgery."
I'm telling you, I don't like the medical representatives.If they eat the medicine thoroughly, they can come to explain the product, but they like to tell you that the dosage of this provincial hospital is poor, and they are sad in the company or something. ”"No matter how sad they are, we can't abuse drugs for the sake of helping them.Minmin, you don't bother with them.Obstetrics and gynecology also comes.Director Li pushed them all to the head nurse, and they were all received by the head nurse. ”"Then they must be angry?""
That can't be helped.We're all so busy at work, so we don't have time to receive them. ”The two talked like this for several hours, until it was almost ten o'clock, Pan Zhi came to take over, Mu Jie came to pick up Li Min home, and there were several waiting mothers in the obstetrics department, and none of them showed signs of giving birth.Pan Zhi came and asked, "Senior sister, have you ever had a caesarean section?"
”"Nope.It's been a quiet day.It was as if there were no patients in the entire ward.The nurse didn't come to see us once. ”"You're so good."
Pan Zhi was very envious."
If you can't say it, it's all in the middle of the night.""
yes.When I took over the shift, I made rounds and there were several people who were going to give birth, but now there is no movement, so I have to go to the second half of the night.It was Min Min who calmed down the little ones who were about to be born and told them to come tomorrow. ”Li Min ignored their envy: "It's good that I have that ability."
Okay, I'll go back, you two hold on to the rest of the night. ”※※※※※※※※※※※※※※※※※※※※ the character involved in this chapter, Li Qin, the head nurse of the operating room, has a personal relationship with Director Liu of the Department of Obstetrics and Gynecology.I had a difficult birth with the help of Director Puwailiang, and I saved the lives of mother and son.Director Liu and Liu Xiuyu, who are in their early 40s, were admitted to the Medical University after graduating from high school in 77 years and were classmates with Director Chai of the Department of Pathology.Xu Qiang, a graduate student in pathophysiology at the Medical University, a medical representative, Liu Na's ex-boyfriend in the Department of Stomatology, and the younger brother of Liu Na's sister Liu Hong.Now I am inexplicably patting and dragging () from the graduate students of Director Luo of Endocrinology