"I'll leave on the 26th!"
Before Li Min finished speaking, he was already choked with his vocal cords.Mu Jie suddenly felt guilty.I might as well go home at the end of February.Even if Min Min can't go with him, it's better to have a hope of coming back in five days than to leave so early."
Minmin."
Mujay held his lover in his arms."
Huh?""
I ......," Mu Jie couldn't say that he wouldn't go back to Shandong.After his father remarried, he ignored him.But when my mother was alive, he was really a good husband and father.If you want to blame, you have to blame yourself for being a shallow parent.The two hugged each other silently, and they both knew in their hearts that the countdown to separation, which had been avoided for several days, suddenly accelerated.All tenderness can only appear in dreams in the future."
Minmin, when you go to the retest next month, call me in advance.""
Okay.""
I'll pick you up then.""
Okay.""
When I learn to drive, I'll drive back to see you."“……”？"
Still don't."
Li Min said abruptly."
Why?""
It's not safe.""
I'll drive carefully.""
I'm afraid other drivers aren't careful enough.Mu Jie, the crash is not something you can be careful about, I have seen dozens of car accidents in the past year or so.You are safe and secure in the barracks.Good no good?
”"Okay.""
Call me when it's convenient?""
Okay.""
Think of me every day." ……？
Mu Jie sighed: "I hate to take you to the barracks in my arms, to look at and hug you all the time." ”"Heroes are short of breath," "Children are long." ”The little children of love, in this long night of parting, naturally have to do something they should do.But the consequences of indulgence appeared early the next morning.* "Minmin, it's time to get up.You had surgery today. ”"Well, what time is it?""
It's 6:50.""
I'll sleep for another 5 minutes."
Li Min rolled over and fell asleep again.…… After a few 5 minutes in a row.Mu Jie chased to the door with a milk pot, and in the other hand there were pies and eggs on the plate."
I'll have breakfast and then I'll go.""
It's too late.""
Come, drink the milk, eat the eggs, it won't take 1 minute, and the dizziness in the middle will not be good."
Sure enough, the threat of motion sickness was big enough, and Li Min took the milk pot and drank it.Not only did she eat the eggs on the plate on the shoe cabinet, but she also stuffed half a pie into her mouth, and finally a boiled egg handed by Murje was also put in her coat pocket and taken away.Yan Hong and his family left first.Li Min chased hard behind.But after such a short journey, when she arrived at the elevator room, she could only look at the elevator that Yan Hong and Pan Zhi were taking, stopping on the 6th floor, stopping on the 8th floor, and finally stopping on the 12th floor, and the elevator on the odd floor came down.Because she was in a hurry, when she arrived at the elevator, the breakfast she had just eaten made her feel a little uncomfortable.Waiting for the elevator just happened to give her time to breathe and suppress this discomfort."
Director Li."
Someone greeted Li Min."
Director Li."
The tightly wrapped woman shouted at Li Min a second time.Li Min looked around and found that no one answered, and she realized that it might be calling herself.She asked the unknown person, "Are you calling me?"
”"Yes.Director Li. ”The person who called Li Min found that Li Min didn't recognize him, so he explained with a smile: "My mother is going to be discharged from the hospital today."
She had the first brain tumor surgery after the Chinese New Year. ”"Oh.That's your mother. ”Li Min finally knew the woman in front of him.She really can't remember the patient's family."
I have completed the discharge procedures for her, you go to the inpatient department after 8 o'clock to settle the bill, and then tell the head nurse to hand over the quilt and pillow clearly before leaving.""
Uh-huh.Thank you, Director Li. ”"You're welcome."
Li Min walked out of the elevator quickly, and as he walked, he took out the key and prepared to open the door of the director's office.When she came out of her white coat and opened the door again, the woman handed her the two bags in her hand."
Director Li, you walked fast just now, I didn't catch up, this is a gift prepared by our family, you and Dean Chen in duplicate.""
Good.Thank you. ”Li Min took the things and put them next to the door, and came out to lock the door.He and Chen Wenqiang were able to come in this house, and Chen Wenqiang came over after changing into a white coat in the hospital.In other words, to himself, this director's office is no different from the original inpatient general duty room on the twelfth floor.* Li Min raised his feet and prepared to go to Ward 1, where Dr.
Ma and Dr.
Deng were already standing at the door of the ward.This time, the three interns assigned to the neurosurgery department turned out to be very clever.As soon as he saw Li Min appear in the corridor, he immediately followed after Dr.
Ma and Dr.
Deng.When Chen Wenqiang arrived, what he saw was that Li Min was leading people, and he had already checked the neurosurgery patients on the eleventh floor."
Teacher."
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Li Min greeted Chen Wenqiang."
Dean Chen."
The trainee doctors and interns are in unison.Chen Wenqiang nodded at everyone and asked Li Min: "Is there anything abnormal about the patients on our floor?"
”"Nope.It was normal before the operation.I asked very carefully about the one who was going to have surgery today. ”The patient who underwent surgery today was the focus of Li Min's morning rounds."
I haven't seen the two burns left.""
Then go over and take a look."
There were only two sets of old surgical gowns that could be changed in the burn unit, and this time, including the trainee doctors and interns, stood at the door of the burn unit.The intermittent scab cutting and scab removal surgery lasted for a month, probably because of the young age, the strength of the body, and the strong desire to survive, and the two injured people tolerated it well."
Not bad."
Chen Wenqiang is very satisfied.The xenomorph skin of the previous transplants, the microparticle skin on the tissue under the cover, has expanded and fused into patches.The exterenogeneous skin that is rejected should be collected by the burn patient.Chen Wenqiang also allowed them.It's just that in the recent skin grafts, only the surviving scalp can be selected as the skin source for transplantation.With the skin crusher that Director Fan bought, as well as the timely supply of xenoskins that she guaranteed, the two patients can always perform the surgery in a timely manner according to the injury without worry.It's just that every time the skin is removed, the difficulty and pressure are getting bigger and bigger.Li Min and Chen Wenqiang tried their best to be careful, and they hated to take only a few layers of cells from the surface, because there were too few good skins available for skin extraction.Some places where the cortex is already thinner and the blood circulation is poor, even if it is intact, cannot be used.Such as calves, dorsum of feet, armpits, groin, etc.The skin in these places is intact, and there is no need to do skin grafting, which is enough for God to favor them as doctors.* At the morning meeting, Lu Qing, the head nurse who came back after a three-day break, did not look very good.After her mother-in-law was discharged from the internal medicine department, I don't know if it was out of the psychology that time was running out, and she began to eat meat more intensively.After she tactfully persuaded once, she did not dare to express any opinion on the matter of the old man's eating meat.Then last week, the old lady who had weighed almost ten pounds in a month fell to the ground with just one action of lowering her head to tie her shoelaces......
She not only has to do funerals, but also has to deal with the questions of the uncles, uncles, and concubines in the countryside.The focus is whether the two of them want to kill the old lady!
The hospital security guards and police all went to the hospital, so that they could not affect the rest of the neighbors, so they suppressed the matter.They are all mourned, but these people from her mother-in-law's family are still staying at her house and haven't left.When Chen Wenqiang took Li Min and others to the twelfth floor, Director Shi was chatting with the head nurse about it."
Did your daughter send Wang Jing's house?""
Hmm.Those two children are in the same class, let Wang Jing take care of it for me.I just can't take care of it. ”"How's your rice going?""
I bought another 100 catties the day before yesterday, so old people don't have enough to eat for a few days.""
Where's the oil?""
It's almost bottoming out."
Chen Wenqiang looked at the electronic clock, and there were still a few minutes until eight o'clock, so he said to Director Shi: "The head nurse is a brainstormer.If you help her, you'll help her to the end. ”Director Shi looked at Xiao Jiang and asked, "What should you do if you encounter this incident with Xiao Jiang?"
”"What kind of rice to buy, what kind of oil to buy, delicious food and drink, they will live in your house until the Qingming Festival, and until the two of you go back to bury the old lady."
Thinking that these people would have to stay for 10 days, the head nurse was going to collapse.She asked hesitantly, "No, the family land is no longer planted?"
”"You two have delayed planting, and you will compensate for the autumn harvest."......It's time to get the shift." ”Chen Wenqiang broke the silence, and those who can't figure it out, just think about it slowly.This is also the reason why he doesn't want Lu Qing to go to the neurosurgery department to continue to be the head nurse.She is the most suitable partner with Lao Shi.After the night shift nurse finished the shift, Dr.
Yang, as the night shift doctor, said: "The patient on the 11th floor last night was normal.On the twelfth floor, the patient with a space-occupying lesion in the lungs who operated today was nervous, I gave 1g of chloral hydrate at 11 o'clock at night, 10ml of 10ml of 10% solution, and the patient fell asleep within half an hour, and there was no adverse reaction this morning. ”The nurse had already said it just now, and Dr.
Yang mentioned it again."
Down to the doctor's order book?"
Chen Wenqiang asked."
It's down, and the temporary doctor's order is also down."
Since Dr.
Yang arrived on the twelfth floor, he has been cautious everywhere.Dr.
Wang Dazhi, who went to the Department of General Surgery from the emergency clinic, and his actions are like a template copied.It surprised all the people who knew them in the provincial court.Director Shi nodded, indicating that he knew about this matter, and then he instructed Pan Zhi."
Remember to remind me of the anesthesia.""
Yes."
Then Director Shi continued: "There are more surgeries in the department today, and there is a craniotomy on the eleventh floor.On the twelfth floor, there is a thoracotomy and a radical prostatectomy.Everyone cheer up, don't delay work because of personal matters. ”"Yes."
After Director Shi, as the head of the department, reminded everyone in the department, he asked Chen Wenqiang: "Dean Chen, do you have anything else?"
”"Nope.""
Adjournment."
The morning meeting was over, and the young doctors began to get busy.For Li Min, if the two burn patients on the eleventh floor were to be changed and the patients to be operated on were pushed to the operating room, it would be an hour later."
Doctor Ma, Doctor Deng, you two take an intern to change the dressing.Interns look at it first and don't interfere.The rest of me is the one who follows me. ”Chen Wenqiang saw that Li Min was assigned, so he said, "I'll go to the operating room first." ”"Okay."
Lu Qing's mind is always on the affairs of the family, and she is still immersed in what to do with those people in her in-law's family who live for another ten days.Xiao Jiang couldn't look at it, pulled her and said, "What about you?"
”"He was the homeroom teacher in the third year of junior high school, and he went back to school on Monday.He led the graduating class, and he was so busy that he couldn't see the sun at both ends. ”"Then I think you're idle.Tonight you go to the 11th floor to give a craniotomy to the special care.At noon you go home and bring your valuable, better clothes to the ward.Don't let your partner keep money at home.The rest of them can live if they love it. ”Lu Qing's eyes immediately regained their brilliance, and he tugged on Xiao Jiang's sleeve and said, "Thank you."
I didn't think of that. ”"You're too sincere."
*Director Shi took good care of Dr.
Yang very much, and asked him to bring Dr.
Zheng, the general inpatient officer, Dr.
Huang, who had advanced studies in urology, plus an intern student to the stage, and he himself brought Pan Zhi, an undergraduate student who was transferred from the general foreign rotation.There was also an intern on stage."
Are you okay with that?"
Dr.
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Yang asked Director Shi in the locker room.With the help of Dr.
Zheng, it is better than bringing two interns to the stage."
Okay.You do what you do.I'm fine.I am composed of standard teaching hospitals on stage.Dean Chen, do you think so?
”Criteria for teaching hospitals: Director/Deputy Chief Physician + Attending Physician + Resident Physician + Intern Students.Chen Wenqiang nodded.Then he asked, "You can recruit a doctor, did you submit the application to the medical office?"
”"Nope.Now that the amount of surgery in Corey is barely enough for Xiao Pan and the others, they have fewer opportunities to get started when they come to the doctor. ”"If only you had a good idea.""
You have to be careful with the one today."
Director Shi reminded Chen Wenqiang."
Hmm."
Today's neurosurgery craniotomy was performed by a 16-year-old boy with a brain tumor.He had headache and dizziness for 2 years, blurred vision for 6 months, and was suspected of germ cell tumor in a municipal hospital, and underwent 10 times of radiation therapy, but the tumor did not shrink significantly, and the symptoms did not decrease in the slightest.After Chen Wenqiang was invited to the consultation, he took the patient over.After he picked up the patient, he asked Li Min to redo all the examinations for the patient in the provincial hospital.After repeated discussions with Director Hu of the Department of Radiology, he finally decided to undergo surgery.Director Rang Shi said that Chen Wenqiangman could let the municipal hospital do it himself after pointing out the treatment.When he takes the patient over, it means more trouble."
Lao Chen, I see Xiao Li bringing the patient?"
Director Liang also had surgery today, and in view of the fact that Dr.
Wang Dazhi and Dr.
Wang were very well-behaved after entering the ward, he brought Dr.
Wang and Yang Yu to the stage today."
Really?
Then I'll be gone. ”"Be careful."
Director Liang shouted behind him."
AhhChen Wenqiang said yes and went out."
This old Chen."
Director Liang shook his head."
He's innocent."
Director Shi sighed."
yes.It hasn't changed for decades. ”Seeing that there was still a young doctor on the side, Director Liang swallowed the sentence "Dogs can't change their" back into his stomach.But that sentence was like shit, tossing and turning in his stomach, and he ran to the bathroom twice before anesthesia, still feeling sick to his stomach.Director Zhou of the Department of Anesthesiology noticed his abnormality.walked over and patted him and said, "Lao Liang, what's wrong today?"
Got a bad stomach?
”"Nope.Let me tell you," Director Liang dragged Director Zhou aside, crackled and poured out the sentence that had been held for a quarter of an hour at Director Zhou."
Do you think he can't change his?"
Director Zhou smiled: "Lao Chen, he has that temperament."
You've seen him shrink his head back.In addition, he is expected to become the executive director of the Neurosurgery Association this year, and he also wants to be promoted to the top of the ranks......
If he doesn't take over these tricky things, he will have to let the Affiliated Hospital of the Medical University rub his ass.The city hospital didn't ask him for a consultation, and if he didn't pick him up, and when the meeting was held at the end of the year, it would definitely be taken out by the professors of the Affiliated Hospital of the Medical University. ”"Hmph.Reputation is also harmful. ”"Didn't you watch that kid's film, and it's not like there is no room for surgery.""
I mean, the patient's family is difficult, and the boy's general condition is too bad.""
It's okay, I went to see the child yesterday, after Lao Chen took the child over, Xiao Li gave him psychological counseling for a few days, and his spirit was much better.""
Alas, Lao Chen is so fateful, no matter how he gets into trouble, someone will help him.I don't know if it's good or bad.What if no one could hold it that day?!
”"Director Liang, our machine is sterilized.""
Okay, I'll brush my hands."
Director Liang answered and left.Director Zhou repeated several times that "Laipi dogs can't change their", and felt that this was a very pertinent evaluation of Chen Wenqiang.But this evaluation also succeeded in disgusting Director Zhou.""
"This old Liang, he is sincere and wants to disgust me." ”* Li Min changed into a wash gown and was blocked in the lobby of the operating room by the head nurse."
I said auntie, you are not allowed to bring so many people into the operating room next time.Look at you, this operation, a doctor and three trainees watched together, did you use the operating room as a stage?
”"Good, good.I won't dare next time. ”Li Min hurriedly begged for mercy."
A maximum of two visits.I won't give any more to visit. ”"Yes, yes."
Li Min brought so many people this time, mainly because the two doctors worked too hard, and the three interns were too well-behaved.There is another craniotomy tomorrow, and next week's one is not confirmed.She was yelled at by the head nurse, smiling and making assurances, and Dr.
Ma and the others were also a little embarrassed.Dr.
Deng said, "Next time, we'll look at it differently." ”Li Min nodded and said, "Tomorrow can only be visited by two people."
Doctor Ma, Dr.
Deng, the two of you take turns to go on stage and visit, and the three of you students have arranged your own order to take turns to visit. ”The reason why interns are not scheduled to have surgery is because the students in this class have been selected by the medical school and have little chance of pursuing surgery in the future.
*In operating room 6, the boy in the prime of his youth looked pale and thin, and his spirit was not very good.Director Liu has not yet started anesthesia."
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Senior sister, come quickly.The patient waits for you to come in before they cooperate. ”Li Min was wearing a hat, a mask, and glasses, and although the boy couldn't see people clearly, he instinctively stretched out his hand to the door and said, "Director Li, are you here?"
”"yes, I'm here.Let's start anesthesia, okay?
”"Okay.""
Get some sleep, wake up, the surgery will be done, and you can go to school next semester.""
Hmm.If I can do well, I will also be admitted to the medical university to become a doctor in the future. ”"Work hard, and you will be admitted to the Medical University."
Sister Feng used to tie the boy with dripping, and the boy was very cooperative with her.Sister Feng finished pricking the needle and said, "Director Li, you can take care of this student."
Yesterday the head nurse sent out several interns.Not only did he have to stop the stage for three days, but he also asked the hospital office to withhold the teacher's bonus. ”Li Min hurriedly thanked Sister Feng first, turned to Dr.
Deng and the three interns in hand-washing clothes and said, "Doctor Deng, please take care of them." ”"Okay, no problem."
She said to the intern again: "You all follow Dr.
Deng, and you can follow what he does."
Don't let the head nurse catch the irregularities and get out. ”"Yes."
The three good babies leaned against the wall and replied in unison.Sister Feng saw that Li Min had arranged the interns, so she said: "The students who came back don't know what's going on, it's been half a year since the internship, and the concept of sterility hasn't been established." ”Not only did she complain about these interns, but she also had to help prepare things for Xu Li, the instrument nurse, and teach the interns she carried.One of the interns answered, "The interns you did here last time were all in the top 100 of our grade.It took two exams before I came. ”"What about you?""
We?
Our internship is divided into two parts.Internal medicine and gynecology are interned in affiliated hospitals, and surgery and pediatrics are out there.As for who can come to your hospital in the provincial capital for internship, who goes to the other teaching points outside, and how it is divided, we don't know. ”The people in operating room No. 6 understood that the first batch was the top students among the current graduates of the medical school, and the latter batch was random.Li Min does not participate in such chats, she inserts the patient's CT and MRI films into the reader.Turn on the lights and look closely.
*"Senior sister, you can put yourself in a position. ”"Good.Doctor Ma, you go to disinfect.Dr.
Deng, come here and help. ”Li Min led the patient into a prone position, fixed his head with a head frame, and placed the external occipital tuberosity at the highest point.This is an important surgical marker.Then she beckoned Chen Wenqiang, who was still by the wall with his eyes closed, and said, "Teacher, draw a line now?"
”Chen Wenqiang walked over, but he didn't take the cotton swab in Li Min's hand, and asked, "How are you going to draw?"
”Li Min reversed the cotton swab and made a × at the extraoccipital tuberosity, and then started from the junction of the frontal bone and the parietal bone, and drew the sagittal suture in the middle of the patient's skull, through the × just now, all the way to the back of the neck.Then, starting from the occipital tuberosity, draw the upper collar line to the lateral end of the superior collar line of the right auricle, above the mastoid process, and at the projection position on the surface of the transverse sinus.Chen Wenqiang nodded, these two are fixed, and there is basically nothing to say.These two points are the places where the surgical incision should be studied."
This third point I chose is in the sagittal seam.For the first point, I think it is best to make the first line parallel to the sagittal suture and the third line parallel to the upper neckline, so that the surgical field of the three cisterns is best exposed. ”"Yes.Let's draw. ”With Chen Wenqiang's permission, Li Min immediately finished drawing the other two lines.Then she walked over to the dirt basin and placed the used cotton swab in the basin.She was so cautious because the gentian purple cotton swab fell outside the basin, which would definitely attract Sister Feng's shouting; Another caution in the marking is because this boy's situation is special, and there is no room for half a point difference in surgery, let alone failure.Although the surgical approach of neurosurgery will be selected according to the location of the tumor, today this is a relatively standard parieto-occipital craniotomy inferior supratentorial approach."
Teacher, I'm going to brush my hands.""
Hmm.Go ahead. ”Chen Wenqiang hugged his elbows and looked at the four lines drawn by Li Mincai and fell into deep thought.Li Min came back after brushing his hands and soaking his hands, and saw Chen Wenqiang explaining to the advanced doctors and interns why he chose those four lines for incision.Dr.
Ma listened while disinfecting."
I've told you about CT and MRI films.Three postventricular tumors, this is the most suitable surgical approach.No more why.In further study, it is necessary to have sufficient surgical vision, the least tissue damage, and the shortest distance to the lesion. ”When Chen Wenqiang saw Li Min coming back, he went to brush his hands.Li Min started with Dr.
Ma to lay the last layer of the big hole sheet.This is also the silent tacit agreement between the master and apprentice, that is, there must be someone to guard the patient, and the patient cannot be handed over to the doctor and intern.This is not the time to salvage that day."
Open?"
Li Min asked Director Liu, "Let's go." ”Li Min stood in the position of the surgeon in the middle, waved a large round knife in his hand and quickly cut the 1st, 2nd, and 3rd lines, and then peeled off the skin flap from the skull, and flipped the whole down to the upper collar line, which is the 4th line drawn before the operation."
Rinse."
Li Min shouted, and the instrument nurse immediately handed the warm salt water basin and suction ball to her.The upper collar is well exposed, and the sagittal seam and herringbone seam are also completely exposed.After completely stopping the bleeding, Li Min and Chen Wenqiang again identified 4 drilling points: "2 holes are at the outer end of the upper collar line, 3 holes are at the intersection of the herringbone suture and sagittal suture, and 4 holes are at the external occipital tuberosity."1 hole with them to form a regular quadrilateral.Hmm, close to a regular quadrilateral. ”"Yes, drill.You take another half step back, and Dr.
Ma takes half a step outside.Don't run into Dr.
Li later. ”Chen Wenqiang asked Li Min to continue to do it."
Yes."
All five gave up their positions."
Bone drills.Jigsaw. ”Li Min operated cautiously and carefully, and it was not until the whole bone flap was taken off that she breathed a sigh of relief."
Next, we need to cut open the dura mater to expose the angle between the transverse and sagittal sinuses."
Chen Wenqiang continued to explain, and had no intention of taking over to be an operator."
Big cross cut?"
Li Min asked."
Yes.""
Sharp knives."
Li Min stretched out his hand, and Xu Li slapped the sharp handle of the knife into Li Min's palm."
Big round needle, line 4."
Li Min suspended the four sharp corners of the cross-cut dura mater with one stitch each."
Automatic Brain Plate."
Li Min took Dr.
Ma to do the operation, and Chen Wenqiang continued to explain while watching.He reached out to help Li Min fix the automatic brain plate, and used the brain plate to pull the junction between the base of the occipital lobe and the medial surface backward and upward."
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You see, this is the angle between the transverse and sagittal sinuses."
Chen Wenqiang cooperated with Li Min's process while speaking."
Sharp knives."
Li Min asked for a sharp knife, flipped the end of the handle and made a virtual mark on the cerebellum."
Teacher, is it okay here?""
The drop point is raised by another 0.2 centimeters."
Li Min painted again."
That's it."
The cerebellar tentorial is incised, exposing the surface of the cerebellum, and after further incision and isolation of the arachnoid membrane of the tetraassic cistern, the posterior triventricular region and its tumor are exposed."
Before the operation, I told you about this MRI film.The tumour is located in the posterior part of the tricerebral cisterna and in the tetraassic cistern.Above the midbrain and cerebellum, so there is compression in the midbrain and cerebellum, and the aqueduct is blocked.You just saw Dr.
Li cut open the tetraassic pool and released the liquid to decompress.Xiao Li, pay attention to the large veins in the brain. ”"Hmm
.
"* The tumor was exposed.The surface is smooth, the surrounding borders are clear, and the medial side of the tumor is below the large vein, with the cerebellum covering the back.The critical time has come, and all that is ahead is to expose this tumor.Li Min asked for a suction ball and rinsed the surface of the tumor.The smooth surface of the tumor, like a big pigeon's egg, is at their disposal.For such a cystic tumor, the best operation is to peel it off completely, but the particularity of this part determines that Li Min cannot do it according to the routine."
Cut?""
Cut.""
Sharp knives."
Li Min cut open the epidermis of the tumor and used a curette to remove the contents of the tumor little by little."
Send pathology.Make frozen slices first. ”Next, it is necessary to separate the tumor sac wall from the surrounding tissue."
Small round needle line 1."
Li Min used two stitches on the cyst wall of the tumor to use as traction.After mentioning it slightly, she said to Chen Wenqiang: "Teacher, adhesion." ”"Hmm.Microscope. ”Chen Wenqiang spoke."
Doctor Ma, get out of the way."
Sister Feng, the nurse who patrolled the station, spoke up.Dr.
Ma hurriedly gave up his position and asked her to help Chen Wenqiang and Li Min put on the eyepieces."
Needle stripping.""
Crocodile tweezers, scissors."
The two asked for something and began to separate along the lateral wall of the tumor......
Li Min held the traction line of the tumor cyst wall in one hand, and slowly separated the adherent tissue along the outside of the cyst wall with the other hand with peeling ions.Chen Wenqiang used crocodile tweezers to follow Li Min's progress to lift the tissue that swam away, and used microcurved scissors to cut off this strand of adhesions......
Sure enough, after the periphery of the tumor was separated, the adhesion between the tumor and the underside of the large vein in the brain was seen.The two of them moved more carefully.Did a municipal hospital not confirm the location of the tumor?
MRI+ image in sagittal view exposes the localization of the tumor very well.Coupled with coronal MRI imaging, it can be said that the periphery of the tumor is clearly located.Why did they choose radiotherapy?
I can't get away with the idea of waiting for the tumor to shrink before surgery.Can't make a mistake!
But Chen Wenqiang decided to remove the tumor and then talk to them and settle the score.The minute hand has turned in one turn, and there is not much remaining adhesion."
Wipe your sweat."
Li Min stopped what he was doing, but his head was fixed on the sight.Sister Feng gently wiped the slight sweat on Li Min's forehead with gauze, and then quickly retreated."
Slow down."
Chen Wenqiang reminded Li Min."
Yes.""
Dean Chen, the result of your frozen machine is a teratoma."
The head nurse pushed open the door a little and shouted.Chen Wenqiang didn't say anything, and Li Min couldn't say anything.Sister Feng hurriedly walked over and said, "I am peeling off the adhesion between the tumor and the blood vessels. ”The head nurse left quietly.The adhesion is very tight, and it is difficult to separate!"
Xiao Li, slow down.""
Good!"
…… No one noticed how long the hour hand turned, but finally the wall of the outer sac of the tumor was completely separated from the large veins of the brain.The veins of the brain were not damaged in the slightest!
…… Continue to peel off the remnants.The outer wall of the tumor was completely peeled off, and the operation was successful.After suturing the cerebellar tentatori, Li Min's back was already drenched with sweat.* "Xiao Li, you go down and rest.Dr.
Ma came over and stitched it up.Interns go for a brush. ”"Yes."
Three consecutive promised voices.Li Min withdrew backwards and gave up the position of the surgeon to Dr.
Ma."
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Teacher, I'm going to change into a handsome gown.""
You take a shower.No need to come up again. ”"Thank you, teacher."
Li Min unceremoniously let Sister Feng help untie the surgical gown, she took off the gloves to the designated position, threw the removed surgical gown into the recycling bin outside the door, opened the No. 57 locker, took the shower basket, and changed clothes.It wasn't until the hot water washed away the sweat and coolness on his back that Li Min regained his body's consciousness and realized his exhaustion.Crazy, I was really crazy last night.Not anymore tonight.Thankfully, there was only one operation left today.But why teratoma?
The tissues I took out by myself are not the slightest bit of teratoma tissue characteristics that can be seen with the naked eye!
But no matter what Li Min thinks, this is the result given by the frozen slice.The rest will have to wait for the pathology report in a few days.* Li Min got dressed, and Sister Feng came to look for her."
Director Li.""
Sister Feng, what's wrong?""
The patient's family wants to have a meal, and they are waiting at the door."
Chen Wenqiang will not go for sure.So Sister Feng wanted to find Li Min to come forward."
Sister Feng, my Mu Jie is leaving the day after tomorrow, so I won't accompany you.Let Dr.
Ma lead everyone to eat together. ”"Okay.Go home and accompany you. ”* Li Min returned to the department and saw the head nurse, Lu Qing, guarding the care room.There was no one else but her, and the patient's parents were not there.It's weird!
Lu Qing smiled when he saw Li Min: "I'm guarding here, you can rest assured to go to the office for dinner." ”Li Min thanked Lu Qing, checked the patient's various vital signs and data on the monitor again, and went back to the office with peace of mind.Sure enough, I saw that Mu Jie was waiting for him."
Tired, aren't you?""
Hmm."
Li Min dragged Chen Wenqiang's chair and didn't want to move when he sat there."
Here, let's have a bowl of chicken soup first.""
I haven't washed my hands yet."
Mu Jie can't help it.There is no wash basin in this house."
I'll go to the nurse's office and borrow one.""
No, I don't.I went over and washed my hands. ”…… The chicken broth is delicious!
A bowl of chicken soup was in his stomach, and Li Min felt that all his limbs were wrapped in warmth.After eating two dishes and one soup, sleepiness welled up, and Li Min said, "I have to go to sleep for a while." ”"Go rinse your mouth, when you eat.Then I'm in the office and you can sleep in peace. ”Reasonable.Li Min slept until three o'clock in the afternoon when he was woken up by Mu Jie."
Minmin, don't sleep, it's three o'clock.I can't sleep at night anymore. ”"Hmm."
Li Min stretched and immediately got up."
Nobody's looking for me, is they?""
The parents of the patient who operated on this morning came twice, and I told them that you were too tired to sleep, and they left."
Li Min nodded, the patient's parents came to look for him, basically to ask about the operation.There's no rush on this.Now I have to write a record of the operation."
I'm going back."
Mu Jie saw that Li Min was in good spirits, put on a white coat and was about to work, so he picked up the cloth pocket and wanted to leave."
Hmm."
Li Min took Mu Jie to the elevator."
Let's go back to work."
During non-peak periods, the elevator came quickly."
Okay."
*Back at the doctor's office, Li Min saw Dr.
Ma writing a postoperative summary, so she buried herself in writing the postoperative record.Not long after, the patient's parents came in."
Director Li, Doctor Ma, you're all here.""
Ah, sit down."
Dr.
Ma stopped writing the operation record after seeing that Li Min answered, and then stopped writing and explained to the patient's parents: "There are a lot of medical documents after the operation, and we must complete them within the specified time. ”"Ah, then you write first, let's sit and wait for a while, don't rush."
Li Min finished writing the operation record and carefully examined it before carefully clipped it into the medical record.I read the postoperative summary written by Dr.
Ma again, and signed my name after confirming that it was correct.Long-term medical advice, Chen Wenqiang's order!
The temporary doctor's order was given by Dr.
Ma, but Chen Wenqiang had already signed and approved it column by column.Tomorrow's test sheet, Li Min went down to the temporary doctor's order form one by one, and Dr.
Ma quickly turned out a stack of test sheets and began to fill it in.After he wrote it all, he checked it before handing it over to Li Min for a look and stamp."
I'll take it to the nurse."
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Dr.
Ma took the medical records and the stack of test sheets from the folded doctor's order."
Hmm.I'm sorry for you. ”Li Min was very polite.After the business was done, Li Min had time to talk to the patient's parents."
I'm sorry to keep you waiting.""
It's okay, it's okay, you're all busy with my child's business.Director Li, I heard that the operation was a success?
”The patient's father opened his mouth to ask Li Min for confirmation, and his eagerness and humility were very much in line with the role of the patient's parent."
yes.It was perfect. ”Li Min has a little pride."
Then ...... after the operation," the child's mother asked worriedly."
During the operation, we took out the tumor tissue and made an emergency frozen section, and you all know the results, right?""
Got it, I listened to Dr.
Ma tell me what teratoma is."
Li Min nodded: "If there is no accident, he can go back to school in the fall." ”"But how can a teratoma grow in the head?"
Li Min smiled: "The teratoma will grow to any part." ”The child's father interrupted their question-and-answer and asked with a serious expression: "Director Li, we just want to ask, is the previous diagnosis of the city hospital wrong?"
Did they get it wrong?
Is it delaying our children?
”Catch the worm!
※※※※※※※※※※※※※※※※※※※※ this month's three daily shifts have been completed, and the (^o^)/ distance is a little far