Li Min went home at this time, and her mother was at home, so naturally she wouldn't be there, and she let Mu Jie go hungry and wait for her daughter to come back for lunch.Xiao Fang was considered experienced, boiled a pot of hot water, put the meal on the steamer, and heated it over the smallest heat.When Li Min's mother came over, she said, "Aunt Min doesn't like to eat hot meals.Uncle Mu came up with such a trick. ”Liang Gong shook his head, get used to it, what a waste of this.But with such a heat preservation method, when Li Min arrives home, the food will naturally be hot and fresh.While eating, she looked at her pile of work notes that had been spread out and asked Mu Jie, "Did you really help me tidy up?"
”"Well, I don't have anything to do when I'm idle, so I'll tidy up with my mother.You will see it after you eat, and I will tell you what to sort it out. ”"We didn't move the handout part for the time being.Because it looks very organized, and each is organized.Let's classify your work notes by the part of the craniotomy, that is, the part where the scalpel cuts the skin, and put the same, almost named, together.Look back and see for yourself if you still have to subdivide it.This is a preparation for the path you are talking about.It may also be that what we think is similar to the name is actually a different part. ”Mu Jie sorted out Li Min's notes and realized that there was such a detailed naming in people's heads.Li Min nodded and said, "Thank you for your hard work."
Mom, how did you two come up with the idea of doing this?
”The two of them laughed, do you think of such a simple classification method?
It's just that Min Min doesn't like to listen to people tell her how to do it, otherwise it would have been so divided last night."
How do you break it down?"
Mu Jie wants to help Li Min do the ultimate.Li Min thought for a while and said, "The same craniotomy site, the same diagnosis, put together."
You can help me pay attention to whether there is a similar diagnosis, but the surgical access is not working.Take another piece of paper and write it down. ”"Okay."
After eating, Li Min went to rest for another half an hour, and then saw that Mu Jie consciously raised his legs and put them on the stool, and the toes of the injured foot were not swollen, so he went back to the hospital with confidence.When I arrived at the hospital, I learned that the case of liver cancer in Puwai had not been able to get off the stage.It was so shocking to her!
An hour later, she finished her work, and after thinking about it, she still felt that she should go over and see Director Liang.She explained her whereabouts to Xiao Jiang."
Sister Jiang, I'll go over and take a look.""
What to see, you go now, Director Liang and Director Xie must be unhappy, don't hit the muzzle of the gun and become a punching bag."
Li Min didn't agree with this in his heart.Those two were their own teachers, and I used to want to comfort them.But Li Min thanked Xiao Jiang and explained to her why he had to go: "Sister Jiang, I know what you said makes sense.Anyone else might think I'm gloating.But I did liver surgery because Director Liang and Director Xie led and taught, and that was my teacher. ”Seeing Li Min's insistence, Xiao Jiang said, "Then don't regret it."
But you need to come back quickly.Director Shi and they got off the stage to eat, Dr.
Yang and they also went to eat, and Corey is now singing about the empty city plan. ”"What about Dr.
Zheng?
He's the hospitalist, he should be there. ”"He went to Dr.
Yang's side for surgery, so naturally he has to go out to eat.You should be like everyone else, someone in the family cooks and delivers food. ”Xiao Jiang has always liked to talk like this, but you can't deny that her starting point is for your good.With so many post-operative copies, it's obvious that someone has to be in Corey to watch the house."
Then I'll wait for them to come back, and then I'll go."
The diner didn't come back, Li Min couldn't leave, and then she suddenly found that there was no director's office, and she had nowhere to go.Sitting in the doctor's office without writing medical records and looking stupid?
I want to read the books myself, and the books are all in the director's office.Li Min didn't want to stay in the office and chat with Xiao Jiang, so he thought about it and wanted to check the patients on the eleventh floor.After checking a few rooms, Xiao Jiang came out of the nurse's office and called her."
Dr.
Li, Dean Chen's phone.""
Hmm."
Li Min sped a few steps and entered the nurse's office to listen to the phone."
Xiao Li, at half past three, all the surgeons will have a meeting in the nurse's office on the twelfth floor.""
Do you want to attend the emergency department?""
If the outpatient clinic and emergency department are on duty, everyone else will participate.""
Well, I'll let you know."
*The meeting was held in less than fifteen minutes, and Li Min hurriedly called the Sihai Restaurant first according to the distance, and asked the people who were eating to come back quickly, Dean Chen was going to have a meeting.Then she called the emergency department, orthopedics, and general surgery department to inform the responsible nurse of Dean Chen's decision.Looking at the time, she called the office of the chief of general surgery again.Because she guessed that the content of the meeting would be related to the liver cancer case that died on the operating table today in the general surgery department.Because Chen Wenqiang is a resolute and resolute character, he has no habit of delaying things.It was Xie Xun who answered the phone."
Senior brother, Dean Chen asked the meeting to start at half past three.The liver cancer case in your department in the morning ......"
"Well, I know.I'll go to the twelfth floor, you wait for me. ”Li Min put down the phone and explained to Xiao Jiang and went to the twelfth floor, and waited for Xie Xun at the door of the nurse's office."
Senior brother."
Xie Xun held medical records and brown paper bags in his hands.Xie Xun handed the brown paper bag to Li Min: "This is the CT and MR film of the patient today, you can take a look first." ”Li Min took the bag and asked as he walked towards the doctor's office, "Where is Director Liang?"
Who did this surgery?
”There was no one in the office.Li Min plugged in the film, pressed the bright reader, and didn't wait for Xie Xun's answer.She couldn't help but look back suspiciously, but saw Xie Xun's constipated expression on his face."
What's wrong?"
"This is Director Bian's patient.The operation was performed by Director Liang and a college student who was assigned last year. ”"That's fine."
Li Min didn't understand why Xie Xun had such an expression.Director Liang and Director Bian are both deputy chief physicians.In particular, Director Liang, in the past year, he has focused on radical liver cancer surgery.Li Min returned her attention to the film, and after a quick glance, she began to feel a toothache.Cirrhosis nodules and liver cancer nodules are mixed, how to do this surgery?"
Did you find a problem?"
Xie Xun asked Li Min."
I think these nodules," Li Min pointed to the CT film with his finger."
Especially these small dots, even if they are enhanced, looking at the information on the film, on the CT film, the early reinforcement is in a blurred state; On MRI, hepatocellular nodules should be hypointense on T1WI-weighted images and slightly hyperintense on T2WI-weighted images.That's fine.But these, these are the opposite after enhancement.So is it a regenerative nodule or a hepatic dysplastic nodule?
It would be nice if there were films from last year, the year before that, or even earlier. ”If you don't want MR, you can compare it with a single CT.Li Min looked at Chen Wenqiang and Director Liang who came in together, she had never seen Director Liang with such a bad face, so she subconsciously closed her mouth, but her eyes that wanted to seek answers fell on Director Liang's face.Director Bian and Director Xu from Puwai came in after them.Director Liang kept his mouth shut and remained silent, he looked at Director Bian.Li Min remembered that the patient Xie Xun said just now was Director Bian's.However, in February, after a comprehensive analysis of the imaging data and clinical records of liver cancer patients in the provincial hospital in recent years, I retrospectively analyzed the CT and MRI manifestations of liver cirrhosis complicated with small liver cancer, regenerative nodules (RN) and liver dysplastic nodules (DN), and the results showed that magnetic resonance MRI non-contrast scanning plus dynamic enhancement could make a clear diagnosis and differentiation of most RN, DN and small liver cancer nodules.Note: Yes most.In other words, MRI examination of cancerous nodules is usually slightly lower or equal in T1WI.Occasionally, however, there is a slightly higher signal.This is occasional, and unfortunately statistically significant.Or maybe the number of cases you summarized yourself is not enough.Chen Wenqiang said with a face: "Xiao Li, finish what you were going to say just now." ”Li Min first reported the results of the review he wrote last month (the article that has been notified of acceptance), and finally said: "I think that from these films, I tend to belong to the special type of 'occasional' with this patient."
I don't know the results of laboratory tests such as alpha-fetoprotein in this patient, but from these few films, I can't determine whether these are cirrhosis nodules or liver cancer nodules of liver cancer.If you don't cut it all out, you may recur from here later.If the cut is clean, less than half of the liver tissue remains, and it is likely that you will have a hepatic coma after surgery. ”This is the crux of the matter, the patient has a poor prognosis, why is surgery done?
Free novels bring you joy and joy ---> storyskyline.net
But Li Min didn't dare to say it.Chen Wenqiang glared at Li Min, cowardly.But he wanted to know that.He looked at his watch and said, "There are less than five minutes left, Lao Liang and Lao Bian, you two will talk about it first." ”* Director Liang dodged under Chen Wenqiang's gaze, and Director Bian didn't look at Chen Wenqiang or say anything.There were more and more doctors who came in on time, and Director Xiang led the doctors from the emergency department in, followed by Director Shi and others who were blushing and drinking a lot.Chen Wenqiang frowned, but he didn't say Director Shi in the end.Those Pan Zhi and Dr.
Zheng who were following behind Director Shi all stood by the wall, and the last one to come in was Director Wang of the Department of Orthopedics, who drank a lot.But Chen Wenqiang didn't say that Director Shi wouldn't have said Director Wang.Dozens of people crowded into the nurse's office, and the silent pressure made no one dare to gasp loudly."
I called everyone here temporarily today because of the liver cancer patient on the stage in the morning of the General Surgery Department.The doctor in charge of the bed should report the medical history first. ”Director Bian was followed by Xiao Cao, who followed Zhang Zhengjie before.Zhang Zhengjie was stunned when he saw Xiao Cao start to report his medical history, then he raised his eyes and sounded seriously.To sum up, this is a patient with cirrhosis for many years after hepatitis B (the details are unknown).However, in the past six months, I have lost a lot of weight, and when I went to the internal medicine examination, the alpha-fetoprotein continued to > 400ug/L, and then I did abdominal CT and enhancement, and finally transferred to the general surgery department for surgery."
Lao Liang, what do you mean?"
Chen Wenqiang took the roll call.Director Liang coughed lightly and said, "This patient, we discussed it before the operation.We explained to the patient and his family that after the removal of the nodule, the residual liver tissue may be insufficient, and he may fall into a hepatic coma after surgery.But the patient strongly requested surgery.Don't want to sit and wait to die.So there is the nature of a fight. ”Director Bian also said: "Before the operation, the patient's family members signed the surgical consent form.The spouse, the eldest son, all signed.This patient is in a relationship with the director.Originally, I didn't want to do it. ”Director Liang glanced at Director Bian, he didn't know that the patient was looking for Director Bian.Director Xiang was a little embarrassed, he coughed and said, "The patient turned around and fell into Director Bian's bed, so I told him."
Then there have been a lot of things in the emergency department lately, so I didn't bother to go to the general surgery department anymore. ”Director Liang nodded, accepting his explanation, but he glanced at Director Bian and crooked the corners of his mouth.As for it!"
But," Director Bian ignored Director Liang's eyes on him, and then said bluntly: "I don't have the ability to do radical liver cancer surgery, and I haven't been allowed by Director Liang to have liver cancer surgery."
However, I think that the patient requests surgery, and after comprehensive consideration, the patient's condition is also possible, so I will do it.So, the surgery was decided.This operation was performed by Director Liang. ”Xie Xun was uneven: "Director Bian, during the preoperative discussion, you actively advocated surgery. ”If I hadn't had another stomach cancer surgery today, this liver cancer would have been my own.Thinking of the patient dying on the operating table, Xie Xun, who had never experienced such a thing, had a small flame in his heart and other indescribable emotions, which made him unable to calm down."
yes.I'm an advocate. ”Director Bian did not evade."
That's because the patients and their families are so demanding.Didn't Director Liang say that patients don't want to wait for death.For my personal reasons, I'm not afraid of all of you laughing at me, I just want to have a few more cases of liver cancer and be able to get liver cancer surgery as soon as possible, I'm the deputy chief physician, is there anything wrong with that?
”Yes, that's right.At the age of eighty, you can still die at the end of the day.Seeing that no one spoke, Chen Wenqiang continued: "However, this result is not accepted by the patient's family.When I got off the operating table today, I was stuck in the office by the patient's family.The patient's family asked me if I wanted someone, saying that there was at least half a year to live without surgery.I'm going to ask you to come over and talk about the main point of this death is whether surgery should be done or not. ”Director Liang snatched the medical record in Xiao Cao's hand, handed it to Chen Wenqiang and said, "Economic officer."
Let's go to the appraisal committee for approval.Although there may be a risk of less than half of the liver tissue after surgery and a hepatic coma, it is not unavoidable.The actual cause of death was excessive intraoperative blood loss.In addition to long-term poor liver function and coagulation disorders, it took us half a month to make adjustments before the operation.There is also liver surgery, which is inherently dangerous.Otherwise, we wouldn't have written it in the preoperative explanation.In terms of medical procedures, in terms of specific operations, I did not make any mistakes. ”Director Xiang sighed faintly: "But, but the patient died on the operating table." ”"So what?
This is not a liability accident, nor is it a technical accident. ”Director Liang was originally depressed, but now the white stubble is shaking with the twitching of his cheeks.He raised his voice and asked, "Our room is full of surgeons, who dares to guarantee that there will be no dead people on the operating table?"
Who can guarantee that there are no accidents and complications in the surgery?
”No one dares!"
Old Xiang, do you dare?"
Director Liang challenged the director.Xiang shook his head at the director.He was just distraught by being "pestered" by the patient's family."
Our provincial hospital is qualified to do liver cancer, and at present, there are only two of them, Xie Xun and I.Lao Bian, you say, will Xie Xun be better off when he comes to power than the two of us?
Or will there be a better outcome if this surgery is taken to the medical university?
The patient's blood vessels are brittle and the coagulation function is poor, and in the end we are busy stopping the bleeding......"
Director Liang spread out his palms and pinched ten fingertips back and forth alternately, his slightly white palms and slightly trembling fingers showed his uneasiness in his heart."
Let me put it this way, this patient just doesn't have a relationship with the director, and in fact, I only know that he has a relationship with the director.As long as he lives outside the general clinic and strongly needs surgery, I will give him a try.If successful, he can fight for the chance of survival after radical liver cancer resection; Not successful, that's how it is today.Before the surgery, we repeatedly communicated with the patients themselves and their families.As for the family not accepting such a death outcome after the operation, what do you think?
”Li Min looked at such a stubborn Director Liang and was so surprised that he couldn't keep his mouth shut.* Chen Wenqiang didn't expect Director Liang to get excited, he slowed down and said, "Old Liang, don't get excited.In terms of the selection of surgical indications, I suggest that you, as the head of the department, be a little more strict. ”Director Liang shook his head stubbornly: "If we don't dare to take risks, there will be no clinical progress."
As Xiao Li just said, if the residual liver tissue is insufficient, no surgery will be performed, and he will naturally not suffer from hepatic coma.How much is the residual liver, so where does the data come from to ensure the basic physiological needs?
”"We are a therapeutic hospital, not a scientific research institute."
Chen Wenqiang was unhappy."
Thesis.Thesis. ”Director Liang glared at Chen Wenqiang: "We are not a scientific research institute, but we also need scientific research results and papers for promotion."
Papers that are authentic and can stand up to clinical validation.There should be papers that can be used as a reference for other clinical doctors and can be used as guidelines for clinical treatment. ”Director Liang refused to give in, and what he said was also the truth, which was very embarrassing.Those young people who have not yet been promoted to the intermediate level have relatives in their hearts, and can publish papers in provincial professional journals, is it so easy to write?
Those workers, peasants and soldiers, who are the backbone of clinical work, but it is difficult to pass the English test and publish their papers, have collectively fallen into silence.The rest of them, the veteran college students who graduated 66 years ago, and the deputy chief physicians who are the directors of various departments, move forward - Zhenggao's thesis requirements are higher, and the defense must be carried out by the provincial professional committee; Don't seek to improve - Xie Xun has already sharpened his knives behind them, and his efforts in endoscopy are helping him to successfully step into the ranks.So in the last few years of retirement, do you have to give Xie Xun a medical record once a week, and then write his ward round opinion under the chief physician's ward round opinion of the medical record?
An unspeakable silence permeated the nurse's office.Everyone stopped talking, and Director Liang was still angry."
Today's death of this liver cancer patient was an accident.He is not a question of indication selection.Strictly speaking, he died of a coagulopathy.A cirrhosis of the liver for many years, the spleen function is affected, and it is hoped that he can have a better general state.Before his operation, we corrected him to normal values as much as possible.Ahem, although the lower limit of the normal value is also the normal value.But Lao Xiang, the people you know, you go and explain these truths to them.My opinion is like this, if the family does not accept the death, then go to the official and go to the appraisal committee. ”Xiang nodded silently to the director."
I'll explain this to my family."
Chen Wenqiang said irritably: "Go to the appraisal committee, there are more surgeries in the provincial hospital to go to the appraisal committee, is it a good thing?"
”"Dean Chen, I think, according to what Xiao Li just said, this operation is on the border.Can be done or not done.But Director Liang is willing to give the patient a go, and it can't be said that there is anything wrong. ”Director Xu spoke.His eyes suddenly focused on Li Min's body.There are still young doctors with the surname Li in surgery, but "Xiao Li" has long belonged to Li Min.Director Shi looked at everyone, then rubbed his face and said: "Dean Chen, the matter of indication selection, the last is the director of each department, there are a lot of surgeries today, and there are many unexpected documents to be written after surgery. ”Chen Wenqiang nodded, and the orthopedic doctors standing at the door immediately walked out.Director Wang of the Department of Orthopedics said, "Lao Shi, let's go to your office." ”* Taking advantage of the chaos, Li Min went back to the eleventh floor and began to take Dr.
Ma and Dr.
Deng, as well as interns to change dressings for burn patients, and patients who had surgery last week changed dressings and removed stitches.Now Dr.
Ma and Dr.
Deng are able to complete these daily tasks.Therefore, in the process of watching, Li Min can still find time to talk to the patient who will be operated on tomorrow."
Director Li."
The trainee nurse shouted Li Min."
Director Shi asked you to go upstairs for a meeting.""
Let's go."
Li Min told Dr.
Ma and Dr.
Deng a few more words, and had to go back to the twelfth floor.I couldn't dodge it!
Free novels bring you joy and joy ---> storyskyline.net
When Li Min entered the office, he saw everyone standing and talking.She leaned against the door, trying to shrink herself into a small transparent.Director Wang of the Department of Orthopedics didn't let her go, and asked her: "That Director Li, your opinion is that today's operation should not be done, right?"
”Li Min nodded and said, "Director Wang, I don't have the courage of Director Liang to fight for the patient, I don't dare to try."
I also don't have as much clinical experience as Director Liang, so I chose not to do it. ”"What if Director Liang calls you to come to the stage?"
Zhang Zhengjie asked."
This is a limited operation, if Dean Chen and Director Liang reach an agreement and let me go to the table and be an assistant, then I will definitely obey the work arrangement."
Zhang Zhengjie sneered: "There is no fighting spirit of young people. ”Li Min pretended not to hear this.She thinks that she is a neurosurgeon who has only been promoted for a long time, and now she belongs to the stage of Taoguang recuperation, silently accumulating clinical experience, and keeping up with Chen Wenqiang's footsteps.What to spell?
Fight for what?
Half a year of hospitalization and teaching experience has made her develop the work habit of seeking stability, seeking thoroughness, and planning before acting.Director Liang said with a smile: "Lao Wang abstained, and the remaining nine of us have the title of director, whether it is the director of administration or the deputy chief physician, the surgeon can sign the operation notice, and six votes are in favor of the operation, so this operation should still be done today." ”Li Min felt that she was missing something.Xie Xun explained to her: "It doesn't matter if you come or not.Director Wang abstained, and he already had the upper hand in agreeing to the operation. ”Chen Wenqiang's face was as black as ink.Director Wang said: "The orthopedic department made three big and two small ones today, I have to go back and have a look." ”Everyone else also claimed that there was a lot of trouble today, including Director Shi, who had left.In the blink of an eye, only Director Liang, Chen Wenqiang, Xie Xun were left in the office, and Li Min, who had just been called up and did not dare to leave under Chen Wenqiang's instructions.Director Liang won, and his attitude is very kind.He even put on a senior brother's posture and said to Chen Wenqiang: "Old Chen, you are restrained by the medical dean.In the long run, you will lose your vigor and the spirit of scaling new heights in clinical practice.You are no longer you. ”Chen Wenqiang was tired enough from the operation this morning, and he was blocked in the office after the operation.He knew in his heart that what Director Liang said was right, but he still snorted angrily and said, "I have been in the appraisal committee for many years, should you go to the appraisal committee and have no impact on the provincial court and you?"
”"I have to take care of so much, Lao Chen, do you believe that I am still bored in the commune hospital now?"
Director Liang fought out of the commune hospital back then, because the surgeons in the county hospital were not as bold and daring as him, and of course, there were also those who could do well and support in the end."
You don't care about it, like you said, I'm in the position of medical director, can I not think about that?
No matter how reasonable you are, go to the appraisal committee a few more times, and your reputation will go out, what will be good for you?
”"That's where the difference lies.It's good for you to be stable in the general direction, but I want to forge ahead in a small place, and you can't tie my hands and feet.Otherwise, if you look at orthopedics, how long has Xiang Taihe been in the emergency department, then orthopedics tends to live a 'peaceful' life.If it goes on like this, it won't be long before the orthopedics department will be thrown away by other hospitals in the provincial capital. ”Chen Wenqiang ignored Director Liang's intention to change the topic.He only emphasized: "If there are more medical disputes, it will affect the reputation of the hospital."
You and I don't want to support you to forge ahead.Who do you think of me as someone you are?
”Director Liang smiled silently.Chen Wenqiang sighed: "Lao Liang, today's operation, that's it, today's surgery Lao Xiang agreed to settle it."
But you can't take such risks later, in the future. ”Xie Xun spoke."
Dean Chen, Director Bian approached me before for this operation, hoping that I would go on stage with him.But when I was scheduling the surgery notice this week, I had stomach cancer today. ”Director Liang stopped him and said, "Xiao Xie, don't have this idea that I will do this operation for you."
I am the administrative director and I have the authority to decide who is the surgeon.I did this surgery, and even if it came to the point where I had to go to the appraisal committee, I didn't have to say anything, just looked at my qualifications and past, and I won most of the time.If you do, you will first be judged as young and adventurous.Then the process goes down, and in the end you have to let someone decide.Even if you win, you are still what Lao Chen said. ”Chen Wenqiang snorted coldly and said, "It seems that the appraisal committee was opened by your family."
Tell me, which medical records need to be evaluated by the appraisal committee, and which experts are not temporarily selected from various hospitals?
You might as well thank you.You shouldn't have anyone who hates you Liang Huiru to death. ”Director Liang smiled."
I'm not like you, I offend people everywhere I go.These people in the provincial city of general surgery, nine and a half out of ten, will say good things about my old Liang.Lao Chen, you better learn from me. ”"Learn from you and the mud?
Is there a principle to learn from you?
Hum!
”Chen Wenqiang was dismissive."
If you are a little kinder in this operation today, my family will not come to me.""
That family is a jerk today.The things that were explained and signed before the operation were not recognized.Alas. ”Director Liang sighed: "Actually, I am also very uncomfortable when this patient is on the stage today.Lao Chen, let me tell you this.If I took Xie Xun and Xiao Li to surgery today, maybe I wouldn't be so embarrassed.That Xiao Cao and Yang Yu are too different. ”"You would think that Xie Xun and Xiao Li will be your assistants together.However, the next time you encounter something like this, don't take Xiaocao and the others to such an operation.I can't help in trouble. ”"Good.Next time, I'll pick up Xiao Li with you and help me.You don't know that the veins are brittle.As soon as the two cut threads slipped, they were torn.Then Lao Bian and I had to tie the knot again. ”Director Liang's face was afraid, with a faint hint of regret."
The two of them can only pull the hook in the surgery for liver cancer, but if everything goes well, it's fine.If you encounter an accident, you can't stop the bleeding. ”The three people who listened were silent.I secretly thought that such a thing happened on stage, so it would be no wonder."
Lao Chen, if there are new graduates entering the operating department this year, you should first test them to tie knots and cut threads, and then send them to surgery.It's useless to just look at the transcript.Some people are not born to eat this bowl of rice, and if they are reluctant, they will mislead others and themselves.Alright, I'll go back.It's almost time to get off work. ”When Xie Xun heard this, how could he not understand that Director Liang was trying to protect himself.He turned around and asked Director Liang to walk in front, followed behind and said, "Thank you, Director Liang." ”"Don't thank me.You just need to take the general surgery with you later.Now is the time for you and Xiao Li to seek stability.Xiao Li can follow Lao Chen's objection to this operation, and your opinion is the same as your beginning.You, you should stay the course. ”Director Liang was a little disappointed."
It's a good thing to go to Shanghai to study and get rid of your excessive arrogance, but it also kills your spirit.You guys," Director Liang shook his head behind his back: "It's become too much in the past six months." ”Xie Xun was silent, Li Min looked at Director Liang, and then at Chen Wenqiang, who was waiting for him to speak, and said: "I have always been timid, Director Liang, don't expect me to do anything groundbreaking in surgery."
It's already good that I can keep up with Dean Chen. ”Xie Xun smiled and said, "You are self-aware. ”* In the evening, Yan Hong's side was over to help because of Sister Luo, Yan Hong's mother came back for dinner, and she called Xiaofang over to talk.At the dinner table of Li Min's family, there are only Liang Gong, Li Min and Mu Jie.Li Min pinched the crispy fish and told Liang Gong and Mu Jie about the afternoon's death discussion.In the end, he concluded: "Today's liver cancer surgery is too risky.Director Liang is so scary when he is angry.But he really protects Xie Xun.However, the family was also angry, and they obviously signed it, but they didn't admit it when the time came. ”"It's just that I watched other people's surgeries go smoothly, and I thought that I could do the same, but if the accident really happened, I couldn't accept it."
Mu Jie thought that he would be forced to sign five or six articles of accident when he put on a plaster, so he couldn't help but knock on the plaster and said: "Just tell me about this, it may lead to poor blood circulation in the lower limbs and then tissue necrosis."
I asked what to do if I was necrotic and told me to amputate my leg to save my life.If you look at me, I have a broken bone, if I don't care, it will be a little inconvenient to walk in a few months, and after their treatment, it will rise to the height of amputation to save my life......"
Mu Jie shook his head, very dissatisfied."
And then you're scared of the amputation, aren't you?"
Li Min asked Mu Jie with a grin."
Scared?
I didn't have to be afraid of such a big surgery last time. ”"Then who gave you the surgical opinion letter for your last surgery?""
I didn't sign it.The military hospital gave first aid to his comrades-in-arms, and he could treat them how he wanted, and the military doctor made up his mind and did not have to explain to anyone.Otherwise, it will definitely be too late to find family members.Asking a company's comrades-in-arms to sign a consent form for surgery, they are all the same comrade-in-arms compared to military doctors, and there is no point in making sense. ”Yes, too."
Oh, why do you think I'm suddenly envious of the military doctor now.How good it is to be a military doctor, just treat and don't have to think about anything else. ”Li Min's envious tone and expression were not fake.Liang Gong interrupted the girl's reverie with a remark, and asked her to continue to talk like this, so that she could talk about the small dried fish for half the night."
You eat first, and then you eat that little fish when you're done.I left you half a plate in the microwave. ”"Okay."
Li Min wiped his hands and went to serve the rice bowl.She continued to talk while eating."
If only the local hospital could do the same.When the patient is admitted to the hospital, all the ideas are left to the clinical doctor, and the doctor who manages the bed chooses the most suitable treatment plan for him. ”But as she spoke, she shook her head again and denied her claim."
It's impossible.Sometimes, even if it is Dean Chen and Director Liang, they really don't know which is the most suitable patient.Whether or not to have surgery really needs the patient to make their own choice. ”"The patients faced by military hospitals and localities are different, and the working methods must be different.""
Hmm.Life belongs to others, and so does the body.But sometimes for elective surgery, the patient just drags on, and when he can't operate at an advanced stage, he goes to the outpatient clinic and says, "You said you were going to operate on me last time."
The last time was three years ago. ”Li Min pulled out a lot of words again.That's all Director Liang's experience."
Free novels bring you joy and joy ---> storyskyline.net
Let's talk about it after eating."
Liang Gong interrupted his gushing daughter."
The food will be cold for a while.""
Hmm."
Li Min hurriedly ate a few more bites.Half-full, she began to speak again."
Actually," I suddenly felt that it was good to be on the night shift and have surgery with Director Liang.Even if it's just to hook Kim on the operating table.Director Liang's statement is: If you can pull the hook well, that is, you know what the surgeon is going to do next.Gain insight into the mind of the surgeon in advance, and when it is your turn to be the surgeon, you will be at ease, and it is not wrong to think about it. ”"Director Liang's son-in-law, what's going on?""
Little Kim?
That's good.Good personality, good personality.When Director Liang is not angry, they look quite like father and son. ”"Then why didn't he take Xiao Jin to the orthopedic department?""
I don't know.In fact, he is also quite good in orthopedics.Because, as I guess, the general surgery doctor in our provincial hospital is the attending doctor, and it may not be able to be determined in general surgery.At the beginning of last month, I heard Dean Chen, Director Liang, and Director Shi say that they wanted to change the general hospitalization to thoracic surgery, but because Director Liang was against it, it didn't work out. ”"Why opposition?"
Director Liang said that Dr.
Chen and Pan Zhi, the general inpatient of general surgery, graduated in one year, and Dr.
Chen was transferred to the past, but the talents outside the chest did not open the gradient.He felt that Dr.
Song, who was in his early 40s, was more suitable.But Director Shi said that the thoracic surgery department was still busy, so he would not be transferred for the time being.Actually, I guess it may be because he is a worker, peasant and soldier college student.I guess, not exactly. ”"You didn't tell the speculation, did you?""
No, Mom, how can you doubt me.If Xiaofang was here, I wouldn't have said that.My dad reminded me of the last time he called, and I remember it. ”"Just remember.Don't get involved with the nonsense of those nurses in your provincial hospital.Where there are many women, there is a lot of gossip, and there is a lot of right and wrong. ”"Uh-huh.I know.If you have the ability to gossip, it's better to do something serious.It would be good to wait for Yan Hong to be discharged from the hospital on the weekend.In addition to surgery during the day, I usually read books in my office, and no one else will go in and disturb me. ”That's good.Liang Gong and Mu Jie both breathed a sigh of relief.Min Min was suddenly mentioned as the deputy director, and he could participate in the director-level meeting, but if he didn't put himself in the right position and didn't know the importance of saying what he shouldn't say, it would be troublesome.※※※※※※※※※※※※※※※※※※※※ make up for () the distance is a bit far