When Li Min followed Chen Wenqiang back to the ward, Lu Qing grabbed Chen Wenqiang and asked, "Dean Chen, the one outside the general home yesterday, the patient's family, didn't do anything with you this morning, right?"
”"Nope."
Chen Wenqiang nodded indifferently."
Gee, that's great."
Lu Qing put his hand on his chest and said, "I'm worried all day." ”Director Shi also came over to ask a few words, and when he learned that he was fine, he said, "It's too much to go home." ”Chen Wenqiang didn't want to talk about this, so he asked about the chest and urinary patients, and when he learned that Corey was fine, he said worriedly: "Dr.
Yang's kidney tumor tomorrow, why do I always feel mentally unreliable." ”"You can rest assured.I didn't have surgery scheduled for tomorrow, just to go to the operating room to accompany Lao Yang.This is an accident, as long as there is a beginning, it is a disaster. ”Chen Wenqiang saw that Director Shi understood and said, "With you going to the operating room tomorrow to accompany him, my heart is a little more stable." ”Then he explained to Director Shi: "I'll go downstairs to check the room." ”took Li Min and left.When Chen Wenqiang's teachers and students left, Lu Qing said to Director Shi, who wanted to go back to the director's office: "Dean Chen looks very bad.The brows were about to wrinkle together. ”"He's definitely in a bad mood.He is the medical director.Yesterday's death was on the stage, that is, there was nothing wrong with the provincial court, and it was always bad to say.How can it not be that after getting off stage, someone dies in the ICU or intensive care unit, and the patient's family is easy to accept. ”"That's right.Oh, Director Shi, you don't know, Dean Chen was blocked by that family today and couldn't enter the operating room, and there were all kinds of rumors.Some people said that Dean Chen was beaten.I went to the operating room in the morning to ask my classmates. ”Lu Qing didn't catch Chen Wenqiang saying these words just now, which made her very regretful.Now that Director Shi is interested, she chatters with Director Shi.There were a lot of people in the nurse's office in an instant.Director Shi shook his head and quietly left.This Lu Qing, if you want to say that your work is serious, it is absolutely serious, and her personal skills are not ambiguous, but she just likes to talk about these things.It's easy to say this if it's an ordinary nurse, but this is the head nurse......
Director Shi shook his head, forget it, the pressure is quite high, talk about gossip to reduce pressure, and be able to grasp what to say and what not to say.When Chen Wenqiang took Li Min and others to end their rounds, it was time to get off work again.Chen Wenqiang explained to Li Min: "I'm going to my parents tonight, you can call me if you have something." ”"Okay."
Dr.
Ma and Dr.
Deng said, "We're going to stay in Corey tonight." ”Chen Wenqiang nodded and said, "That's hard work for both of you."
Keep an eye on the patients on the eleventh floor.The accompanying family members are also a little more watchful.At this time, it is hot and cold, and if you visit less, you can also reduce the chance of foreign infection.You two are in Corey, so lock the door to the ward earlier. ”"Yes."
Chen Wenqiang arranged all the things in Corey before he went home with confidence.* Li Min went to see Yan Hong and saw that Pan Zhi was also there.She asked Pan Zhi: "Senior brother, will you be able to perform Dr.
Yang's kidney tumor resection tomorrow?"
”"AhhWhat's wrong?
”Li Min told Dean Chen that he was worried that something would happen and that Director Shi was going to the operating room to accompany him."
That's right."
Pan Zhi thought for a while and said, "Tomorrow's operation is quite mysterious."
I saw that Dr.
Yang only ordered a 1600ml blood preparation list this morning, and reminded him, but he only said that it was enough. ”"Then did you tell Director Shi?"
Pan Zhi immediately shook his head and said, "How can I tell Director Shi." ”"Why didn't you tell Director Shi?"
Li Min asked.Pan Zhi saw that Li Min's pretty face was tense and his tone became serious, and in his heart he said that he was the head of the department, even if he was the deputy director, his reaction to the incident was really different.Therefore, he explained to Li Min seriously: "Senior sister, it's not good for me to tell Director Shi about this.I am younger than Dr.
Yang, and I have crossed majors.He said enough, and I turned around and reported to Director Shi, as if I was questioning his professional ability.And that's just one reason. ”"On the other hand, it was he and Director Luo who carried the rainbow.You're afraid that after telling Director Shi, he will have other thoughts in his heart, right?
”Li Min said it all for him.Pan Zhi nodded in acknowledgement.In front of Yan Hong, Li Min couldn't say anything about Pan Zhi.Especially Yan Hong's mother is still there.She smiled and didn't embarrass Pan Zhi, and only said, "Senior brother, you think about it thoroughly."
I'm going home, and I'll talk to Director Shi when I go back. ”Li Min felt that no matter what Dr.
Yang would think, he still had to tell Director Shi that clinical safety was the first priority.When Li Min left, Yan Hong asked Pan Zhi what kind of patient he was.Pan Zhi frowned and said, "Old man, 65 years old, has high blood pressure for 20 years, coronary heart disease for 10 years, and has a tumor of about 7*9 in the upper middle of his right kidney. ”"Is it easy to do?""
It's not easy to do.But Dr.
Yang called me to set up the stage, and I couldn't help it. ”"Who else is on stage?""
Dr.
Huang from the Department of Urology, plus an intern.For his surgery, we will stop the chest tomorrow and have a thoracotomy on Saturday. ”"Will Director Shi go?""
He'll definitely pass."
Yan Hong breathed a sigh of relief and said, "With Director Shi here, you don't have to worry." ”"yes.That's what I thought, too. ”Pan Zhi felt that even if Director Shi didn't go, he didn't need to worry.He is just a second assistant, and he has also reminded Dr.
Yang.Enough is enough.* Besides, after Li Min went home, she went up to the 4th floor without entering the house, and went to knock on Director Shi's door first.She stood at the door and declined Director Shi's warm invitation to let him in, and said directly to Director Shi: "Tomorrow's kidney tumor, I just saw Pan Zhi, and I heard him say that only 1600ml of blood was prepared, and I was worried that it would not be enough." ”"Oh?"
Director Shi was stunned for a moment."
Only 1600ml?"
Pan Zhi said that he reminded Dr.
Yang, and Dr.
Yang said that it was enough.I looked at this time, and I didn't go back to look through Dr.
Yang's doctor's order. ”Director Shi knew that Li Min, like the nurses in the department, was hiding, circling, and staying away from Dr.
Yang.This matter is Dr.
Yang's own historical legacy, and he once wanted to help Dr.
Yang improve the girls' impression of him, but he has never been able to get started.But to the extent that Li Min would rather go around in circles to find himself for business, this matter can no longer be ambiguous.Looks like I'm going to have to hurry up and fix it.He had an idea in his heart, but his mouth said, "Leave this matter to me, you can rest assured to go home and eat." ”"Okay."
Li Min saw that Director Shi was willing to take it, so he suppressed the words of Dr.
Zheng, the general manager of the hospital, who did not pay attention to this matter, and went home in a relaxed mood.* Liang Gong saw his daughter coming back from the window just now, but when she opened the door, she heard her talking on the fourth floor.When Li Min got home, he asked her, "Why did you go upstairs?"
Finding the wrong home?
”Li Min changed his coat, washed his hands, sat down next to Mu Jie, and said about tomorrow's surgery."
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I have to tell Director Shi that there are a lot of surgeries on Friday.In case the patient is not doing well during the operation, he has to have a blood transfusion, and the blood bank has not yet been balanced, then it will be a big trouble. ”"Lack of blood?"
Mujay asked."
Hmm.It is more appropriate to prepare 3000ml anyway.Even if it doesn't take that much.The large tumor will directly cause a change in the pressure in the abdominal cavity after being cut.And the right renal artery is short, once there is a secondary injury during the operation," Li Min covered his mouth.It's taboo to speak.She wanted to learn from others to "puff" twice, but considering that it was at the dinner table, she didn't dare to do such a disgusting thing.Liang Gong and Mu Jie saw that she covered her mouth and didn't say anything, so they didn't ask any more.Just let her taste tonight's dish.Tonight, Xiaofang followed Liang Gong to make chicken stewed mushrooms.The chicken was tender and the pine trees (mushrooms) were just right, and Li Min's attention was immediately diverted.Mu Jie saw that Li Min liked to eat, so he continued to serve her vegetables."
I like to eat it and make it tomorrow.""
Uh-huh."
Li Min ate too much under the joint feeding of his mother and Mu Jie.When she realized that she had eaten too much, she decisively put down her chopsticks and said, "Give me an empty bowl for the next meal, and I will put the dishes I want to eat in the bowl."
Otherwise, if I continue to eat like this, I will become a big fat person, and there will be problems in the late stage of pregnancy. ”"Okay."
Mu Jie does not fight with Li Min about this.As far as Li Min's weight is just over 100, adding 20 pounds is not fat.After dinner, Li Min walked around the room, talking about work with Liang Gong and Mu Jie, and after the eating activity, she threw herself into the pile of cards on her craniotomy path, and the case continued to fight.At nine o'clock, Mujay peeled an apple for her.Remind her: "Do you want to read English, the June exam." ”"You can read it to me later."
Li Min put down those cards, as there were too many patients in the afternoon, so he regretted that he didn't have time to discuss with Chen Wenqiang."
I'm in the mood to do something else.""
Then you're done.Otherwise, it will be embarrassing if you can't pass the English test. ”Liang Gong reminded his daughter."
I should be able to pass the test now, but the score may not be so good.I've heard that the English test questions are the same for the Associate High School and the High School, and the passing score is drawn on a proportional basis every year. ”"Isn't that the same as the English score for graduate school?""
yes.Therefore, there are people who take the exam every year, and they can't get over it every year.The more you take the test, the worse your score will be.In both years, it was the turn of those who went to college in '78 and '79 to prepare to enter the deputy high school.In a few years, the score may be even higher. ”Mulje smiled and said, "It may also make the exam questions more and more difficult." ”I also started learning English after I went to university in '79.Looking back at the English questions of the 81 college entrance examination, it was simply given in vain.Let's look at the difference in the difficulty of Minmin's English questions in this year's graduate school entrance examination and her own graduate school entrance examination, and the questions in the 85 graduate school entrance examination are also given away in vain."
It's purely difficult for those who didn't learn a foreign language in secondary school.But it's no wonder that someone else is not to blame.In 78, it was said that the foreign language test should be tested for promotion, and it has been more than ten years, and if you start learning at that time, starting from 50 phonetic diagrams, you will be able to pass the test. ”That's when Liang Gong started learning Japanese.There's no way around it.Because of Liang Gong, she studied Russian when she was studying.When the state resumed the evaluation of technical titles, which had been suspended for 12 years, only English and Japanese were tested.Li Min hurriedly said, "Yes."
Oh, yes.Who didn't start learning a foreign language in 78 or 79. ”After they talked about the foreign language test for a while, Li Min began to read the book again, this time to read the local autopsy involved in tomorrow's operation, the kidney tumor resection.Li Min feels that only in this way can he keep up with the Department of Urology, not be thrown away while making up for the Department of Urology, and not be out of touch with the work of the Department of Urology.
*After Director Shi got Li Min's report, he called Dr.
Yang to go to Corey with him after dinner.Dr.
Yang had the intention not to go, but Director Shi's attitude of coming to him without calling showed that he was determined to go with him no matter what arrangements he had for the night.Don't say that people are friends with themselves, that person can look down on himself and lift himself up.Dr.
Yang took his clothes and walked out without anything, walked to the door, and explained to Director Luo in the kitchen: "Luo Ying, I'll go to the department with Lao Shi." ”"Hmm.Did you bring a key?
”"Brought it."
It's a long day, and although it's a cold spring evening, there are already young people moving around in the dormitory.In the open space between the two single buildings, there was a cheering on the basketball court.Director Shi looked back over there, but he was too far away to see anything real.But he still praised: "Young is good." ”"yes.When I was so old at that time, I said that I was going to teach students during the day, and after a busy day, my mouth was dry, and when I asked the students, there were actually 2 out of 100 people who listened carefully.When I came home at night, I tended to the vegetable garden. ”Dr.
Yang shook his head, the past was unbearable."
I was busy all day long.To perform an operation on the patient, everyone should memorize the old three articles before the stage is opened.This includes the patient lying on the operating table before anesthesia.What a youth.Compared to Xiao Li, they can go all out to work hard professionally. ”"yes, their generation has caught up with the good times.""
You're not bad either.Squeezed on the first train. ”"Yes."
Dr.
Yang laughed heartily.If I hadn't squeezed into the first train, I might not have been able to stay in the commune middle school now.Everywhere you need a degree, and if you don't have a degree, you will squeeze from middle school to primary school, and then from the commune's primary school to the village.After the disintegration of the primary schools of the major teams, it is really not qualified to farm, and it is not qualified to continue teaching.It's not necessarily any better than the unemployed young people in the city."
Lao Shi," entering the east gate of the provincial courtyard, Dr.
Yang saw that there was no one around, so he asked, "Do you have anything wrong?"
Really going to Corey?
”"yes.I heard that you only have 1600ml for tomorrow's surgery, and I want to take a closer look at the patient's abdominal CT and ultrasound. ”Doctor Yang immediately said: "I only prepared 1600ml, and Pan Zhi told me that it was not enough this morning." ”"It wasn't Pan Zhi who told me.We don't have surgery scheduled for tomorrow on the chest side, and he knows I'm going to give you a platform, and he doesn't worry about accidents.It's Xiao Li.She learned about it from Pan Zhi and immediately came to tell me. ”Doctor Yang lowered his mouth, quite embarrassed, but didn't say anything.Li Min didn't come to find himself as the deputy director, but went around to find Lao Shi, it wasn't to give himself face, he didn't want to talk and deal with himself.There was no one in the elevator room, and the two of them went straight into the elevator.Director Shi pretended not to see Dr.
Yang's strange appearance, and said lightly: "Old Yang, you are a little too old.Kidney tumors, not to mention such a large one, are also one of the most dangerous surgeries in terms of the blood volume of the kidney itself.If the adhesions are severe during the operation and the bleeding occurs during peeling, you should prepare 3000ml, which is not much. ”Dr.
Yang rubbed his hands, Director Shi really rarely spoke in front of him.But to say that he is a big sentence is really to give himself face.He sneered, "It's me who didn't think it through."
Didn't the blood bank issue a document recently, asking whoever prepares blood to run out.If the patient really can't use so much blood, I won't have surgery scheduled for next week...... implication is that the urology department has not scheduled surgery next week, and he is afraid that the whole blood for the appointment will not be consumed."
Confused."
Director Shi scolded him."3000 blood is a total of how much!
If the patient has no blood on the operating table, not enough blood, are you not afraid that Chen Wenqiang will tear you?
”Doctor Yang shrank for a moment, he was now more afraid of Chen Wenqiang than anyone else.Because not only himself, but also sons and daughters.The two of them talked and went to the twelfth floor, and after reading the various examination reports on the medical records, Director Shi said in his heart that he still had himself.M's, I take Yang Weiguo too seriously.This thing can't pick up a specialty at all.He took a deep breath and checked Dr.
Yang's patients and medical records according to the rules in the future.But at this time, he just said very blandly: "You can prepare another 1600."
Blood will be used for chest surgery next week.We are a department, and we have no subdivision to open a specialty for accounting.You don't need to worry about the idea of carrying it around yourself, you can put it away. ”Dr.
Yang sincerely thanked Director Shi and found a pen to prepare a blood list.After thinking about it, Director Shi knocked on the duty room of Dr.
Zheng, the chief hospitalist."
Xiao Zheng, have you seen tomorrow's surgery?"
Director Shi asked straight to the point."
Is it Dr.
Yang's kidney tumor?
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I'm busy with our patient today, and I don't pay much attention to his side of the business. ”Dr.
Zheng replied with a reasonable attitude.But he saw that Director Shi's face was wrong, so he cautiously asked, "Patient, I went to see him before dinner, and I didn't find anything unusual about him."
I'll go back to see it before I go to bed. ”"Did you check Dr.
Yang's blood preparation list during the day?"
Dr.
Zheng immediately shook his head and said, "Director, Dr.
Yang is the attending doctor or urology, and I have never touched his affairs." ”"You're derelict in your duties.You are not the general inpatient of thoracic surgery, you have to take care of urology, brain surgery, and burns, and you are the general inpatient of the entire ward. ”Director Shi pulled down his face.He immediately changed from the smiling King Kong to the state of straining his face, which made Dr.
Zheng can't help but lean back, subconsciously trying to distance himself from him.There was really half a step between the two.And Dr.
Yang, who came out of the doctor's office and heard Director Shi's words, couldn't hold his face."
Director, it's what I'm doing wrong.I shouldn't be ...... because of the new regulations of the blood bank," Dr.
Yang didn't call Director Shi Lao Shi anymore at this time."
You are yours and he is his.Corey set up a hospitalization total, not just to take out the good sound.I don't want to show outsiders that we have a 24-hour doctor, but we have to do it. ”"Yes."
Dr.
Zheng honestly admits his mistake, and then he suddenly finds that his job has doubled.There are almost 80 patients on two floors!
A look of embarrassment immediately welled up on his face."
Don't tell me you can't do it.Xiao Li is the general inpatient officer, and Director Li is in charge of more things than you when he is hospitalized.If you draw a cat like a tiger, you should also draw eight or nine without leaving ten, how did you get here, there is only one thoracic surgery content left. ”Dr.
Zheng immediately put away his embarrassment, and his shame appeared."
Director, I'll change it tonight.You allow me two weeks, no, a week, and I'll take care of all the patients downstairs and Dr.
Yang's urology patients. ”Director Shi's face relaxed when he heard this: "Then I'll check on you before next weekend."
Not to mention that both floors are well understood, but you must be able to hold the medical records to the patient, the important treatment and treatment measures, and there must be no ambiguity. ”"Yes, yes, I will do it."
After Director Shi finished talking about Dr.
Zheng, he turned his head and asked Yang Weiguo: "Have you done it all?"
”"Mm-hmm, that's done.""
Then let's go back.""
Director go slowly."
Dr.
Zheng came out to send Director Shi and Dr.
Yang.Director Shi waved his hand at him, and Dr.
Zheng stopped, wiped the thin sweat from his head, and entered the duty room.He took out a copy of "Tianlong Babu" from under his pillow, thinking that he had only just seen the third volume, at least he couldn't read it again until he passed Director Shi's assessment.I wanted to read these novels when I was studying, but one was not available in the library, and the other was not available to read, so I finally got this book from Dr.
Sun of the orthopedic department, alas!
I still don't have time to watch.He silently locked the novel in a drawer and went to the nurse's office to look at the medical records.First of all, Dr.
Yang, the patient who will have surgery tomorrow.He looked through all the records of the course of the disease, looked through various examination lists, laboratory test sheets, and then looked at long-term medical orders, temporary medical orders, and finally saw the 1600ml whole blood that Dr.
Yang had just ordered.M's, this is Lao Yang's trouble.He dared to prepare only 1600 blood for such a big operation, and he ate the bear's heart and leopard gall?
But in the blink of an eye, Dr.
Zheng thought of the notice sent by the blood bank last week.The bane is there!
There's no way around there.I'd better be honest and familiarize myself with the patients and diseases on the two floors.
*After Dr.
Yang returned home, Director Luo did not ask him anything in front of his parents.When I returned to the room in the evening, Director Luo asked."
Lao Yang, what is Lao Shi looking for you?"
Doctor Yang was ashamed, but he still told the truth to Director Luo.Then he couldn't hide his indignant tone and said, "It's not because of the notice from the blood bank.You said that the preparation of blood before the operation is a preparation, and it has always been prepared and may not be able to be used.But the blood bank has to make a new name. ”"You're talking about the notice that whoever asks for blood is going to use it?""
yes.""
That's just playing the piano.The blood used in internal medicine may be used immediately after the blood preparation order is placed.How is it possible for you to have surgery?
”"yes, that's what I'm talking about.Isn't that a problem?
There are many patients in large departments for surgery, and there is still room for manoeuvre, and I don't dare to guarantee that I will use blood every week, but I really have to prepare 3000ml of blood, so at the end of the month, I will pay for it to drink at home?
”Director Luo patted his arm."
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Don't talk nonsense.Under the banner of independent accounting, the blood bank naturally passed such a notice to the medical department and the hospital office.But you are in the ward of the cardiothoracic surgery department, are you still afraid that the thoracic surgery department will not operate next week?
”Doctor Yang sighed and said, "After the notice came that day, Lao Shi didn't say anything about the use of blood, and I wasn't embarrassed to ask him."
Tonight, he made it clear to me that the whole department was counted.So I can prepare my blood as I want. ”"Lao Shi is a person who understands.I can't tell him about it tomorrow.In the end, it is still inappropriate to end this month.The blood reserve list under the 29th did not use blood, could it be that the blood of the person will be brought home on the 1st of the next month?
”"yes, yes."
Dr.
Yang was very happy that his wife could speak on his side.But because there was an important operation tomorrow, he only hugged Director Luo for a while, said a word about tomorrow night, and reluctantly went to bed early.* At the morning meeting the next day, because there were two more postoperative patients yesterday, the nurse on duty was not as warm and fast as Xiao Zhai, and it was almost half past eight when she finished reading the shift book.Director Shi and Chen Wenqiang glanced at each other, and when they saw him shaking his head, he said, "The meeting is adjourned, send the patient to the operating room before nine o'clock, don't be deducted points." ”"Yes."
The young doctors agreed neatly.The operating room and anesthesiology department also have requirements for the operating department, that is, the first operation of each department must be delivered to the patient before 9 o'clock.The operation must be before 8:30.It's late, and it can't be said that you won't be allowed to have surgery, there are assessment standards set by the hospital office - deduct points, and the bonus will be real when the time comes.If you can't send the patient early, and the elevator will be crowded after half past eight, it will really be a worrying wait.Chen Wenqiang walked out and said, "Doctor Deng, you stay in the ward to change the dressing for the burn, and then go to the operating room." ”"Okay."
He turned his head again and said to Li Min: "You quickly take the patient to the operating room."
This morning will take up too much time. ”"Hmm."
Li Min took the medical records and called the nurse in the disposal team to give preoperative medicine, Dr.
Ma took the intern to bulldoze the car, and an intern went to guard the elevator.…… It was only ten o'clock, and as soon as Li Min and Chen Wenqiang were exchanged, the head nurse kicked open the door of the operating room and said, "Dean Chen, Director Shi asked you to borrow Dr.
Li." ”Chen Wenqiang immediately said to Li Min, who had just started: "You go over and take a look."
You don't have to worry about it here. ”"Hmm."
Li Min went over to soak his hands and found that Director Shi was soaking his hands.When she entered the operating room, she was a little dazed when she saw that Xie Xun had just taken the stage.The hand that grabbed the surgical gown paused.What's going on?"
Senior sister, hurry up, what's stupid."
Xie Xun shouted at her.Li Min hurriedly shook off the surgical gown and put it on, hurriedly took the gloves handed over by the instrument nurse, and asked while putting them on, "Which side am I standing on?"
Move me the tallest step stool. ”"Go to Ichisuke's position."
Without waiting for Xie Xun to speak, Director Shi, who kicked open the door and came in, spoke.Dr.
Huang glanced at Director Shi and silently stepped back.The patrol nurse moved as early as when Li Min was about to step on the footstool, and after Li Min rinsed the gloves, she set up the highest stepping stool in the whole operating room in the original position where Dr.
Huang was standing.Originally, it was specific for Li Min's upper thoracic surgery.Nowadays, kidney surgery patients are in the lateral decubitus position, and Li Min uses that high stool very well.The stool is usually placed in the operating room, which is most used in thoracic surgery.Shuye was red, and he couldn't see anything clearly.A large piece of gauze was pressed under Dr.
Yang's hand, but I saw blood oozing from the gauze.It's arterial hemorrhage!
It was when the tumor was peeled off that it touched the blood vessels!"
Pan Zhi, attractor, you give it to me.Small bends. ”Li Min snatched the suction device from Pan Zhi, who was the second assistant, held it in his left hand, and leaned in the direction of Xie Xun's pincer tip.Then open the tip of the pliers with the small bend of your right hand and wait for it.Director Shi pushed Pan Zhi down and took Pan Zhi's second assistant position.He asked for a large piece of saline gauze, ready to replace the blood-soaked gauze in the field that was used to compress and stop bleeding.Just as he lifted this piece of gauze with big tweezers, a bloody arrow shot out more than half a meter high, and the small bend held by Xie Xun and Li Min was as fast as lightning, and in an instant, they clamped the bloody blood vessels."
No. 1 pliers with wire."
Li Min asked for something."
Wire cuts."
Director Shi took the wire scissors, and also reached out to take the suction device in Li Min's hand.Xie Xun handed over the small bend in his hand to Li Min for support, stretched out his right hand to take the pliers and cord handed over by the instrument nurse, and ligated one first."
Line 1 stitching."
Xie Xun's voice did not contain half emotion, as if it was a mechanical voice.Calmly, calmly, and swiftly, he carefully stitched another one at the bleeding spot that had just been ligated.Li Min cooperated, and just right to bounce off the small bend used to stop bleeding in time.Arterial vascular hemorrhage, such management is routinely required.Li Min cooperated with Xie Xun for ligation and stitching, and Director Shi was bleeding in the suction field with a suction device with one hand, and pressed with gauze with the other.After treating the arteries that were bleeding outward, there were many other bleeding spots in the surgical field.He wanted to hold down those ubiquitous, capillary bleeding."
Old Yang, you go down and rest for a while.Xiao Pan, you go over to Director Xie's side. ”Director Shi spoke, and pushed Dr.
Yang, who saw that his head was not keeping up.Xie Xun stepped into the surgeon's position.The doctor and position on the operating table have been greatly adjusted with his arrangement for a while."
Director Xie, look up.There was blood on the glasses. ”The patrol nurse took Xie Xun's eyes away, quickly wiped them clean and put them on for him.During this period, Li Min cooperated with Director Shi to find the blood spots.As for the little bit on Li Min's hat, don't worry about it."
How do you do it?"
Xie Xun put on his glasses.He muttered as he searched for the blood spots."
M, how old is this patient, why are the blood vessels so brittle, bleeding everywhere!""
65 years old, 20 years of high blood pressure, 10 years of coronary heart disease."
Pan Zhi replied on the side."
The usual basal blood pressure is between 150 and 160.""
No wonder.What is the blood pressure of that now?
We need to ensure the blood supply to the head.Don't look at the bleeding, it lowers your blood pressure too low. ”“160/92。
Heart rhythm 96.A deep venous compression transfusion has been made. ”Jiang Ma replied with the stage.For this patient with long-term hypertension, intraoperative blood pressure of 160 is not considered high.A heart rate of 92 and a blood pressure of 160 can ensure the blood supply to important organs such as the heart and brain.Xie Xun did not know the specific function of the left kidney, and he did not dare to propose to remove the right kidney completely.He could only follow Dr.
Yang's original surgical plan to nucleate the tumor, and slowly peel off the adhesions between the arteries and veins of the kidneys along the border of the tumor.…… After a while, Li Min reached out and asked for something: "Give me Wen's pliers." ”In terms of this bleeding, this blood vessels, and this degree of adhesion, the small bend is too big and too rough.Xie Xun used the habit, Li Min didn't want to make do, she threw the small bend in disgust."
Is Xiao Li used to the stuff of microsurgery?"
Director Shi asked Li Min with a smile."
Well, sort of."
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Xie Xun shook his head and said, "Senior sister, borrow two pipe knives from your Dean Chen." ”Although Xie Xun said such words on his mouth, he also changed things with Li Min.He asked for big tweezers and tissue scissors, and cooperated with Li Min to start peeling off."
I want to, too."
Li Min responded.The tube knife is a general term for the round-headed ionization, with the smallest tip being 3mm, which is used to separate the cranial nerve from the tumor, but is not suitable for microsurgery.Microsurgery ion stripping is usually 1 mm or 2 mm, and the largest 3 mm ion stripping is basically not used under the microscope.However, if it is used here with a 3mm wide pipe knife, it is like sewing a sack with an embroidery needle.The Venturi pliers are just right.As he spoke, he slowly disengaged the adhesions between the tumor tissue and the inferior vena cava, and his degree of caution was not inferior to that of the ongoing brain tumor dissection in the No. 6 operating room.More than an hour later, the part of the tumor that was most tightly adhered to the inferior vena cava was finally peeled off by his team.* Li Min put down Wen's pliers and said, "Director Shi, I'm going back."
We also have brain tumors over there. ”"Then you go back.Director Xie stayed for a while. ”"Okay."
Xie Xun immediately agreed.He then continued to peel off the field left by Li Min.He saw Li Min take off his gloves without hesitation, and said, "No wonder Senior Sister rushed to be an artisan just now, she was planning to go back." ”Li Min smiled and said, "We have to peel off the meningioma under the microscope today, and Dean Chen can't replace the person who has not been replaced." ”When Director Shi saw that Li Min was gone, he called out to Dr.
Yang: "Old Yang, come up quickly when you have rested enough." ”Dr.
Yang hurriedly stood in the position of a helper and cooperated with Xie Xun to continue the operation.It didn't take more than a while for Xie Xun to be scolded.He held back for a while, and when he couldn't bear it anymore, he said, "Director Shi, you and Dr.
Yang can do it, I have to go back."
Director Liang's side is pancreatic head cancer, which is not an easy job. ”"Okay, you can go back.Thank you, I'll call you to drink with you another day. ”Director Shi warmly thanked him.When I turned around, I really wanted to invite Lao Liang and Xie Xun to drink, this was the person who dragged him from the stage.As for Chen Wenqiang and Li Min, they are their own department, and they are counted separately."
Okay, then I'll wait."
Xie Xun agreed without pretension.Director Shi's meal should definitely be invited.Xie Xun left, and Dr.
Yang returned to the position of the surgeon.Director Shi gave him a helping hand.Pan Zhi saw Xiao Huang shrinking to the side, that pitiful appearance, he couldn't bear it, so he said to Director Shi: "Director Shi, let's call Xiao Huang up." ”Director Shi didn't answer immediately, he waited for Dr.
Yang to change the gauze and said, "Old Yang, let Xiao Huang come up too." ”Doctor Yang coughed and said in a stiff voice, "Come on." ”It's also Dr.
Yang, who is unlucky today.Originally, this kind of basic condition can be said to be very poor patients, but it is very easy to be put on the operating table.However, receiving such a patient, the operation that is challenging but difficult but may be able to be carried out has aroused Dr.
Yang's competitive spirit.But he didn't expect that he, the practitioner, would be doubly careful, but Xiao Huang, who was an assistant, would stab Lou Zi.Alas!
When you are unlucky, you can drink cold water and stuff your teeth.That's what happened today.* After Li Min soaked her hands again, she went back to the No. 6 operating room, she put on a surgical gown and gloves, sat down and rested for a while, and after seeing Chen Wenqiang's progress, she went to replace Chen Wenqiang, who was the operator.When she came on stage, Chen Wenqiang asked a few questions, and when he learned that Xie Xun and Director Shi were on stage, he didn't care about that side anymore.Their operation is just as Li Min said just now - troublesome.Because tumors that occupy most of the space of the lateral ventricles not only have a wider base, but also have severe adhesions to the walls of the lateral ventricles.After Li Min put on a microscope for herself as a nurse on the patrol, she asked for a needle-like peel ion and began to pick at the adhesions between the tumor and the lateral ventricular wall.She was very engrossed in the operation, and it was not until Chen Wenqiang called her to change positions with her, and she stepped down to rest, that she noticed that the minute hand had turned in a circle.Li Min shook his neck and sat aside to rest.An hour later, she replaced Chan again.And Dr.
Ma, who had just adapted to the craniotomy with an eyepiece, was also exhausted and took turns with Dr.
Deng, who came to replace him.Today's surgery is much more difficult than yesterday.Li Min didn't count how many times he had exchanged with Chen Wenqiang before he finally completely peeled off the brain tumor.Succeed with flying colors!"
I'm sent to pathology."
Li Min put the brain tumor with intact capsle into the small stainless steel basin handed over by the instrument nurse Xu Li, and breathed a sigh of relief gently."
Okay, Xiao Li, you can step down."
Chen Wenqiang took over, "I watched Doctor Ma close his skull. ”"Okay."
Li Min wanted to get the medical records when he stepped down, and then found that Dr.
Deng, who was replaced from the stage, had almost finished writing the operation records."
Director Li, can you see if this I wrote can be used?"
Dr.
Deng gave the medical records to Li Min.Li Min read it carefully, asked for his red pen, and after slightly modifying a few places, he said, "That's it."
There is no need to rewrite it. ”"Thank you, Director Li."
Dr.
Deng was very happy.The surgical record written by himself was recognized by Li Min, that is, he recognized that the surgical operation steps recorded by himself were correct.Surgery for meningioma, Li Min and Chen Wenqiang have done many cases.This case is just that the tumor is a little larger and has strong adhesions, and there is nothing else special.Moreover, this medical record was originally written by Dr.
Ma and the intern, and now Dr.
Deng, who participated in the operation, can write the operation record.
*Dr.
Liang walked over after the operation."
Lao Chen, have you done it?"
His voice was quite loud, and he shouted with confidence when he came in."
It'll be right away."
Already suturing the dura mater, it was really done very quickly."
How's the old stone going over there?"
Chen Wenqiang finally poured out his spirit and paid attention."
Smoothly stepped down.The patient was admitted to the ICU.More blood loss. ”Hearing that he was sent to the ICU, Chen Wenqiang was completely relieved."
How much blood was transfused?"
“4000。”"
Not much.If such a large tumor is taken out, the intra-abdominal pressure will definitely have an effect.The amount of blood to return to the heart will be insufficient, and it will definitely have to lose a little more. ”"Then Yang Weiguo is really a good fate."
Director Liang sighed."
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Just now, Xie Xun helped with it for more than an hour.The old stone brush hand was on stage and accompanied him to the end. ”"Dr.
Yang, he is the attending physician.Doing such a large kidney tumor surgery is beyond his ability.If Lao Shi hadn't said that he had watched in the past, I wouldn't have agreed to him doing this operation. ”"That's right.It was an operation at the level of an associate chief physician.Let me tell you, Lao Shi called Xie Xun away, and the operation on my side almost smashed the pot. ”"You can pull it down.Without Xie Xun, you wouldn't be working.Who are you fooling with this?
”Chen Wenqiang didn't think so, he wouldn't believe Director Liang's half-truthful complaint.He took off a glove and helped Sister Feng, the nurse on the patrol, hold the dressing of the knife edge."
Look at my machine, I still have to take a microscope for surgery, and Xiao Li has also been helping for more than an hour.""
I've got pancreatic head cancer over there!"
Director Liang put on an angry look and emphasized."
Oh-" Chen Wenqiang stretched out his voice, made a look of sudden realization, and instead suggested Director Liang: "Let Lao Shi have a treat." ”"Good.We must not let Lao Shi save this meal. ”Director Liang immediately followed, and following Chen Wenqiang's proposal, he finalized the matter of letting Director Shi treat him."
We have to let Lao Shi break the bank, so we don't want his ready-made Wuliangye.Let's drink Moutai.The Moutai that I drank at Xiao Li's house last time. ”Chen Wenqiang smiled: "Then you tell Lao Shi."
You two set a time to tell me, and I'll bring my flask. ”"You still want to take it with you if you can't drink it?""
You look at the weather, and it's still comfortable to drink hot wine.Isn't it?
”Director Liang smiled and said yes.can successfully complete the hospitality task that Lao Shi asked him to treat.This was satisfying to him.※※※※※※※※※※※※※※※※※※※※ catch insects () is a bit far away