Gong Hai took his mother to the bus station after breakfast."
Mom, when you go back, you will say that the comrades here in my provincial academy have invited someone to serve the confinement child, and you will not be guilty of deducting the bonus."
Gong Hai racked his brains to come up with the most realistic and convincing reasons for this.That's a good statement!
Gong Hai's mother immediately felt that her face could be explained.I raised a child by myself, and I am still the boss with a generous temperament, and I will always think about myself when I do things.As for the matter of taking care of the child for the daughter, you have to take care of the child for the second son, Mrs.
Gong thought about it and found that what the eldest son said was not bad at all.She just didn't have the possibility of refusing to take her eldest grandson, so in desperation, she had to accept her fate.Gong Hai reminded his mother: "Mom, as long as you don't give my brother and them a child, the couple will definitely do something that they don't come to the door in the future."
Do you think about it, can you accept it?
Of course, even if they don't show up, they'll have to pay when you're old. ”Gong Hai assured his mother: "Mom, when the time comes, if he dares not to pay for your pension, I will go to the court to sue him, and I will not lose your face." ”Gong Hai also comforted his mother: "Mom, you also know that it is difficult for me to ask for leave here.is that you can take a few days off during the New Year, but you have to go back to Corey for rounds in the second year of junior high school, and it may be your turn to be on duty in the middle.Eleven might as well celebrate the New Year.Every time I go home, I really have to eat one meal at noon.My brother and his wife often go to see the children, and you and my dad have many people around them. ”Gong Hai didn't mention that he had no place to live when he went home.The old lady was stunned: "What good do you say you should stay in the provincial capital?"
If you graduated and went home to become a doctor, keeping your home and having acquaintances to help you with everything, I wouldn't be so embarrassed.Alas!
It's not much different if I raise your son or not. ”Gong Hai didn't answer this.Staying in the provincial capital, of course, he is unwilling to return to the remote corner of the town where he grew up.There are too many reasons to stay in the provincial capital, for example, in a small town, even if you go to the first courtyard of the city, you may not be able to afford to buy and live in a two-bedroom apartment.I just go home to be a doctor, and my mother is taking my own children, can my brother send the child to his mother, and the mother can not let the child in?
Thanks to staying in the provincial capital, the mother can still take one less child, and she can also have one less hard work.Alas, as long as the younger brother and younger daughter-in-law believe that it is natural for the grandmother to take the grandson, this situation is something that the mother cannot get rid of no matter what.And in smaller towns, relationships are more complicated.This relative and that official, his parents are both workers, it's not that he dislikes his parents as workers, but he can't stand that others will look at his parents first and then look at himself.It's good to stay in the provincial capital and work your own.The "good" who keeps his home on the ground is left to his younger brothers and sisters who can't get into college.Gong Hai sent his mother away and went back to the gynecology department to see Liu Na.In his eyes, since he was a child, he has seen his mother's preference for his sister, reminding himself and his younger brother of letting his sister go.Parents are used to it, and my sister always says the same thing at home.Although Liu Na has a pampered temperament, he feels that compared with his sister, it is at most eight pounds and eight taels.And now that they have their eldest sister living next to them, they still have a place to seek justice, which is too good to be better than facing the dilemma of facing her sister but having nowhere to reason.* When Gong Hai arrived at the gynecology ward, he was just in time for Su Ying, who had just finished the morning meeting, and came to see Liu Na before going to the operating room.After Su Ying asked Liu Na about the discharge of lochia and checked the recovery of her uterus, she said, "I can go home today."
Gong Hai, after you finish sending the patient to our department, you can use a flat cart to push Liu Na home. ”Liu Na wanted to ask Gong Hai if his mother was gone, but because Su Ying was there and the intern students were following, she didn't ask what she said.When everyone left, Gong Hai hurriedly said, "Nana, I came late because I just sent my mother to the bus station." ”Liu Na gave Gong Hai a smile when she heard this, and she smiled and said, "Then let's pack up and go home."
That, you call Yan Hong's house first, and ask Xiaoyan and Xiaofang to come over to help get things, and we'll be fine. ”"Okay."
Gong Hai went to the gynecology office to make a call.Sister Liu said while packing up her things: "Doctor Liu, your Doctor Gong still cares about you and the child very much. ”Liu Na smiled reservedly, and said in her heart that she was also a graduate of the Medical University, and she wanted to live a stable life with Gong Hai, so what was not worth him to distinguish that the other side was closer to him.Gong Hai went to the office to make a phone call, and by the way, Liu Na was discharged from the hospital.Not long after he returned to ward 12, Sister Xiaoyan came.The things were all carried by the little sisters, Sister Liu was holding the child, and Gong Hai pushed the flat car and left the gynecology department.* The two sisters Xiaoyan delivered the things, and Gong Hai went back to deliver the flat car by himself.Liu Na held the child to breastfeed, and Sister Liu cleaned up her things and cleaned the clothes and other things that Liu Na had changed from the hospital in the past two days.Xiaoyan quietly asked Liu Na: "Aunt Na, my Aunt Hong asked you what happened last night?"
and Uncle Gong and his mother. ”Liu Na was angry again, and refused to repeat her mother-in-law's words in front of the Xiaoyan sisters.But she felt that Yan Hong should know, so she wanted to come back from Gong Hai's house last time, if she hadn't mentioned to Yan Hong that Gong Hai's mother was unfriendly to her, it is estimated that she would not hire someone for herself this time.Alas, why didn't I think of hiring someone!
But in the face of Xiao Yan's earnest appearance, thinking that Yan Hong asked Xiao Yan to ask herself, she said to Xiao Yan: "You go and ask Sister Liu, she is all present." ”Xiaoyan went to find Sister Liu.After saying what Liu Na sent herself to ask, Sister Liu smiled and said the matter again.
(She told the families of the patients around her this morning in the gynecology ward by washing things and fetching water.) ）After listening to this, Xiaoyan nodded frequently and said, "Then I'll go back and tell Aunt Hong that Uncle Gong and his mother have come home."
But for what reason?
Aunt Hong asked everyone to say the same. ”For this reason, it is inconvenient for Sister Liu to make decisions for Liu Na.She said tactfully, "I want you to ask Dr.
Gong later."
He will be back in a moment. ”*It took a long time for Gong Hai to come back.After returning the flat car, he went to the hospital gate to buy boxes of fruit and send them to the gynecology nurse's office.Then he bought another box of fruits, went to thank his comrades in the first section, and then went to officially ask Director Hu for leave.He has seven days of paternity leave.Director Hu thought for a while and said to him, "I heard that your family has hired someone from the obstetrics department to take care of the mother.You're still coming to work tomorrow.There are only five people and two machines in the CT room, so it will be difficult to schedule shifts if you ask for leave. ”"Then I'll come to work tomorrow.""
Don't wait for tomorrow, it's your turn to be on the night shift tonight, and you're on duty tonight, so I don't have to change shifts.Gong Hai, I said don't be reluctant to pay for someone, it's only 600 yuan a month. ”Only 600 bucks?
Is that a decimal?
Gong Hai touched his nose and sneered.If someone else says this, he can answer with no money.But this is Director Hu, who only found himself such a big job last month......
Gong Haiying was on night duty at night, thinking that he would have to catch up on sleep at home in the afternoon.Thinking about the two double beds at home, he went back to the gynecology department and wanted to borrow the crib that his son slept in with the head nurse for a while.The head nurse of the gynecology department looked at Gong Hai more pleasing to the eye today, and said very generously: "I borrowed you."
When you can't sleep at home, remember to come.Wait, I'll call a nurse to send you by car, so you don't have to run again" Gong Hai thanked the head nurse again and again.The crib that Yan Hong turned out of the gynecology warehouse in the early hours of yesterday morning was brand new and unused.Gong Hai borrowed the crib back, which surprised Liu Na.When she learned that this bed could be used until her son couldn't sleep, Liu Na was even happier.I saved hundreds of dollars.After Liu Na finished the music, she threw Yan Hong's question to Gong Hai.Gong Hai thought about it and said: "Let's just say that my mother can't live here because we asked someone to help, and she will have to deduct the bonus if she asks for leave, so she will go back." ”"Okay, then you just tell Xiaoyan to go.She and Xiaofang helped clean up in the kitchen. ”Gong Hai went to the kitchen and thanked the Xiaoyan sisters first, and then he went back to the room and told Liu Na that Director Hu wanted him to go back to duty tonight."
Nana, or let Sister Liu help here for a month.It's not like when your sister was just in confinement, and there were two of us who could help. ”Liu Na was reluctant to pay.She hesitated and said, "600 yuan."
The four of us cooked and ate, and it was only 600 yuan. ”Yan Hong has given a week's worth of money.It doesn't take 600 as much.Nana, it's just this month.We don't have to work too hard.And our director has spoken, you said that I agreed to it in the department, and when I come back, I will be reluctant to pay and not invite people, how bad it is to spread it.Our department head can't think that I am a yang and a yin.Besides, the money is still spent on ourselves.And you see that Yan Hong has invited people, and it is estimated that Leng Xiaofeng and Li Min will also invite people at that time.Isn't it?
”Originally, Liu Na was shaken when she heard Gong Hai's words in front, but the sentence that Gong Hai drew behind made Liu Na want to provoke.She glanced at Gong Hai and said, "They have money, I don't compare this with them." ”"That-" Gong Hai knew that he had said the wrong thing, and hurriedly pulled back. ”I'm not saying to compare with them.It must be a good invitation, Yan Hong invited it.Besides, so many people in the gynecology department want to ask for this kind of postpartum care, so we should follow the crowd. ”"My sister didn't even invite me.""
Your sister is a master's degree, your brother-in-law is a doctorate, they are special people, unlike the two of us who follow the crowd.The main thing is that I am more on duty than your brother-in-law.There are two classes a week.If there is no one at home to help you, I won't be at ease at work. ”Liu Na thought about it and accepted Gong Hai's statement.Gong Hai saw that the time was almost up, and hurriedly asked the Xiaoyan sisters to go back to cooking.One family has Mu Jie who has injured his foot, and the other has Yan Hong, who has just come out of confinement, and the little sisters have helped their family so much, which is enough.* Xiaoyan went home to cook first, and then she relayed the reason Gong Hai gave herself to Yan Hong at the dinner table, and also told Yan Hong what Sister Liu said in front of Sister Luo.Sister Luo sighed: "Then Dr.
Liu is also not lucky, he will give birth to a child in this life, his mother-in-law is not facing him, and his mother-in-law is not here to help at all."
Fortunately, she gave birth to a son, otherwise she might not have said anything unpleasant yesterday.It's really sad. ”Yan Hong has been in the gynecology department for a long time, and it is not uncommon to know that people like Liu Na's mother-in-law are not uncommon.She said to Sister Luo and Xiaoyan: "Nana and her brother have taken the college entrance examination for the third time this year, and her mother will definitely not leave her brother here at this time." ”"Doctor Yan, it's also thanks to you to help her hire someone.Otherwise, he pointed to Dr.
Gong serving the confinement while going to work, how could he take good care of him.You can see that I still have Xiaoyan to help, so busy every day. ”Yan Hongxin said that her act of inviting people really helped Liu Na solve □□ troubles.If she was willing to give up the few hundred dollars, she would have kept them for a month.
*Neurosurgery is still performed in operating room 6.The atmosphere in the operating room was a little dignified by Chen Wenqiang.This surgery is not easy to do.Because of the location of the tumor, this operation should choose a coronal incision and a bifrontal anterior fossa base extension path to ensure that both anterior fossa bases are exposed.Because the tumor is large and the site of invasion is required, it is necessary to expose a wide range of surgical fields in order to maximize the removal of the tumor.This is the principle of treatment.However, Chen Wenqiang and Li Min wanted to nucleate the capsulated tumor intact according to the MRI prompts before the operation.Chen Wenqiang asked Li Min to be the surgeon first as usual, but when he arrived at the key part, he reminded her: "Be careful of the supraorbital nerve." ”"Yes.""
Pay attention to the facial nerve.""
Hmm."
Li Minjun has answered with a simple word.In addition to reminding Li Min, Chen Wenqiang would also ask the interns who followed him on stage: "This is the branch of the facial nerve?"
”"Frontal Branch."
The intern had done his homework in advance, and Li Minkao asked him to memorize the surgical steps before he was given the stage."
Pay attention to the periosteum.""
Yes."
Li Min's movements were lighter.The orbital periosteum is very thin, and once damaged, the orbital fat pad will protrude from the rupture, affecting the exposure of the surgical field.Although the remedy is simple, only the emergency sutures are required, but neither Chen Wenqiang nor Li Min will allow such a mistake in the operation.High requirements are required in order for the surgery to achieve the effect of excellence."
Teacher, midline drilling?"
That's what it was set before the operation.But before drilling, Li Min followed Chen Wenqiang's cautious attitude today and confirmed with him again."
Yes.You pay attention to the sagittal sinus. ”"Hmm."
Li Min carefully operated the bone drill.Chen Wenqiang believed that Li Min's hand was stable enough, but no matter how much he believed it, he also kept reminding Li Min to be careful.As a result, Li Min was much slower than usual, and it took more energy and time to remove the double frontal bone flap and the double superior orbital bone flap under the supervision of Chen Wenqiang.Then she carefully bit off the cockscomb with rongeurs, grinding open the sphenoid platform with a micro-drill, and finally exposed the tip of the iceberg of the tumor.Li Min went down to rest, and Chen Wenqiang began to peel off the tumor.This tumor, which involves the ethmoid sinus anteriorly and posteriorly and inferiorly the occipital slope, causes the sphenoid sinus to disappear and is located within the enlarged sphenoid sinus.The size of the tumor given by MRI is 5.5*5.0*3.8, which is almost the size of an egg.However, the tumor bulged out on both sides, invading the cavernous sinus and the right internal carotid artery.The only thing to be thankful for is that Chen Wenqiang found that this tumor has a tough texture and an intact capsule during exploration.This undoubtedly provides great convenience for them to complete the nucleus and extract the tumor.However, the tumor is tightly attached to the surrounding brain tissue.Therefore, the removal of the tumor from the cavernous sinus and the internal carotid artery became one of the difficulties and points of this operation.Li Min rested for half an hour before returning to the stage.Chen Wenqiang has successfully expanded the surgical field.At this point in the operation, the rest of the work can only be for her and Chen Wenqiang to take turns to be the surgeon.…… Both of them were extremely careful with each peeling, and neither of them had any intention of cutting open the tumor and extracting the contents.The contents under the tough capsule are tissues with some elasticity."
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It's almost a mixture of gum and liquid."
Chen Wenqiang replied to Director Liu, who was concerned about the contents of the tumor.All the peeling action is carried out tightly against the tough texture of the tumor capsule.Rao and the two of them made sufficient preparations before the operation, and the operation did not take until more than 2 p.m. to completely identify the tumor.The rest of the work was done by Chen Wenqiang with the further study doctors and interns who came to the stage.Li Min took advantage of the time when he was replaced and stepped down to begin to write surgical records and postoperative medical orders.She finished writing, and Chen Wenqiang also strengthened the base of the anterior cranial fossa.This reinforcement is done by drilling a hole around the bone margin with a microdrill, and then the excised part of the frontal periosteum is sutured to the plateau.The supraorbital bone flap that Li Min removed just now should also be put back in place.The reduced supraorbital flap is secured with silk sutures by drilling holes at the lateral end of the superior orbital border on both sides and at the base of the nose.As for the double frontal bone flaps, they can only be fixed with bone nails.After the bone flap was fixed, Chen Wenqiang handed over the rest of the work to Dr.
Ma and the interns.Li Min waited until the wound was covered with a dressing, and then held the medical records to Dr.
Ma, who took someone to move the patient's bed."
It's good, that's it."
Chen Wenqiang confirmed that it was correct, and Li Min handed over the medical records to Director Liu, who took the doctors and interns to send the postoperative patients to the ICU.When he went back to the director's office, Li Min saw the thermos bucket on the desk and knew that it was the lunch that Xiaofang had sent according to his request.After eating a little, he fell asleep on the duty bed at the back of the closet.
*Compared with Li Min's successful passage of Chen Wenqiang's assessment in today's surgery, Xie Xun of the Department of General Surgery wanted to use laparoscopy for chronic cholecystectomy, but encountered great obstacles.The patient's position is 45° head high and toe low and 15° left/tilt.The pneumoperitoneum pressure is 13 mm Hg and the inlet flow rate is 8 L/min.The electric knife is also switched to the mixing mode of 2.35W and the electrocoagulation is also 35W as required.Xie Xun checked correctly, and resected the gallbladder according to the planned standard three-hole method (one hole above the umbilicus, one under the xiphoid process, and one hole in the right upper quadrant).The beginning was very smooth, Xie Xun, who operated according to the surgical procedure, after the laparoscopic lens entered the abdominal cavity, he first explored.The results of the exploration revealed that the patient's gallbladder fibrosis was obvious, accompanied by atrophy, and there was a large area of adhesion with the surrounding area, and the adhesions were dense.Such a gallbladder is consistent with changes caused by chronic inflammation over many years.Liver exploration reveals that the liver margin is round and blunt, which is also consistent with changes in fatty liver.These were consistent with the results of the preoperative abdominal CT scan and the difficulty of the operation that he expected.The difficulty of this procedure is to clarify the anatomy of the gallbladder triangle laparoscopically and to remove the gallbladder from the gallbladder bed.Since laparoscopy is a new thing, there are not many patients who can accept it.Xie Xun wanted to do a few cases of each disease first to expand the effect.At the request of Director Liang, he was also very strict in selecting the indications for surgery.This patient with repeated acute attacks of chronic cholecystitis entered Xie Xun's field of vision.Xie Xun is not in a hurry.He slowly pressed against the gallbladder to loosen the adhesions around the gallbladder, with the goal of exposing the gallbladder entirely.He carefully used electric scissors to slowly cut through the adherent tissue.Director Liang watched the operation process on the screen very nervously, if he didn't want to affect Xie Xun's mood, he wanted to brush his hands first, and was always ready to immediately switch to conventional surgery to remove the gallbladder.Because the adhesion is so dense that it is not easy to loosen even under direct vision.Two interns stood behind Director Liang.Director Liang not only was anxious about Xie Xun's operation, but also took the time to explain the surgical process to the interns."
Adhesion release must be performed against the gallbladder wall to avoid damaging the duodenum and colon.Another point is that if it is not done against the gallbladder wall, it is likely that the field of vision is limited, and the gallbladder tissue to be removed will be deviated. ”Xie Xun's operation under laparoscopy was far inferior to the progress of the operation under his direct vision.However, the damage caused by laparoscopic removal of the gallbladder was small, so the young deputy chief physician, who specialized in the direction of liver and gallbladder, immediately couldn't bear to give up after hearing that there was a laparoscopic method of removing the gallbladder with less damage.Just when Director Liang's clenched fists, his palms were full of sweat, and he rubbed his hand clothes countless times, Xie Xun finally freed his gallbladder.The morphology of the exposed gallbladder is approximately normal.However, the location of the cystic duct, common bile duct, and common hepatic duct is unknown.So Xie Xun cut the serous layer of the gallbladder from a position far away from the common bile duct.With his movements, a tubular structure appears on the screen."
What kind of tube is this?"
Director Liang asked the intern.One intern guessed, "It's the cystic duct, right?"
”There was uncertainty in his tone.Another shook his head and said, "I don't know." ”Director Liang asked, "On what basis do you say that it is a cystic duct?"
”The intern blushed and said, "I guessed." ”Director Liang glared back at him, and saw the student shrink his neck.Xie Xun didn't know what the separated tubular structure was, so he didn't dare to break the tube.He continued to separate downwards.Then the cystic duct, the common hepatic duct, and the common bile duct are faintly visible on the screen.Xie Xun's patience on the operating table is good.After the cystic duct was clearly separated from the common bile duct, he proceeded to dissect the gallbladder triangle.Because the patient had chronic cholecystitis that had recurrent episodes for many years and had acute attacks, he could only continue to dissect slowly and little by little when the structure was difficult to identify.Finally, after severing two slender blood vessels across the common bile duct into the gallbladder, Xie Xun Xie Xunha found the gallbladder artery.Now is the time to bare the blood vessels and cystic ducts.Gallbladder artery clipping was successful.But then there was bleeding in the field."
Do you want to make another hole?"
Xiao Chen, who is an assistant holding the mirror, asked."
No, you don't."
Xie Xun pressed with gauze for a while, and then at the moment of removing the gauze, he put another absorbable clip on the proximal end of the gallbladder artery, and then pressed it with gauze to peel off the gallbladder from the bottom of the gallbladder instead.Something embarrassing happened to him.The dense adhesion prevented him from operating as he envisioned.He had no choice but to go back to the gallbladder triangle.Seeing this, Director Liang comforted him and reminded him: "Don't worry. ”"Hmm."
Xie Xun operated in the gallbladder triangle for a long time before finally free from the neck of the cystic duct.He took a deep breath and severed his cystic duct.※※※※※※※※※※※※※※※※※※※※* There are two methods of gallbladder resection, anterograde and retrograde, because Jinjiang can not send pictures, interested relatives can Baidu ** to avoid cholecystitis, it is very important to eat breakfast on time to promote the emptying of the concentrated gallbladder.Oily foods, such as fried eggs, etc.And don't sulk.Hepatobiliary integration.Long-term depression is not only cholecystitis, but also extremely easy to lead to breast hyperplasia and induce tumors