Xiao Yin saw that Chen Wenqiang's attention was always on the screen, so he said, "Then I'll go first."
You remember to go there first and then go to the night shift. ”"Good.I'll be over in a moment. ”Sister Fen vomited blood at home in the early hours of the morning.She was afraid of scaring her daughter, so she didn't wake up her daughter who was sleeping in a big bed with her.It was dawn, she didn't get up, and Yang Li didn't think there was anything abnormal.The little girl got up and went out for a run, and then went to the cafeteria to buy breakfast for the mother and daughter.She ate breakfast, saw that there was still a little time, and cleaned up the house, only to see blood spots splashed on the edge of the squatting toilet, and there were also several pale blood spots on the edge of the wash basin.She had been working in the operating room for so long, and she knew all too well what those blood spots of different shades meant."
Mom, Mom."
Yang Li went to call her mother."
Mom, did you get the blood on the bathroom?
Where are you broken?
”Sister Fen turned her back to her daughter, wiped a handful of tears, and replied with a good attitude: "I haven't broken anywhere." ”Yang Li can only sacrifice her magic weapon to such a mother."
Mom, if you don't tell me, I'll call my brother back."
Sister Fen turned over and sat up, pointed at her daughter angrily and said, "Your brother has only been living in Corey for a few days, didn't you delay him by calling him back?"
Have you forgotten what your brother said about how Li Min lived in Corey?
The college student who was just assigned to live in the department every day. ”"Then tell me what's going on with those blood spots?""
I'm having my period."
Sister Fen jumped up again and lay back all at once.She slammed the bed board into a loud noise.Yang Lidu felt pain for her.Sister Bifen also said: "It's time for you to go to work, hurry up."
I'm going to sleep a little longer. ”"Mom, you don't tell me the truth.You came on the 26th of last month, and you forgot?
Today is the 8th. ”Yang Li was in a hurry, her mother couldn't tell a lie.Sister Fen sighed, the girl is careful, she remembers this.She shrunk into the quilt, changed her tone to what she thought was gentle, and said to her daughter, "Li, just let me lie down for a while, I'll be fine."
I still have to watch your brother marry a daughter-in-law, and watch you marry a good family. ”Yang Li's eyes were red from being excited by her mother who spoke like this, she bit her lip and thought about it, then turned around and went out.Sister Fen in the house, watching her daughter's back walking out, her heart was like being rubbed by a large grain of sea salt.In this life, Chen Shimei, who married Yang Weiguo, was flashed halfway; Son - Son is going to work; Daughter-daughter just left herself alone......
Her tears poured out like water when the floodgates were opened.Yang Li knocked on the door of Director Gu's house opposite, Gu Guangfu and his wife had already gone to work, only the girl who was at home during the summer vacation had just gotten up and was brushing her teeth."
Oh, it's Sister Xiaoli, is there something wrong?
My mom and dad went to work.Don't you go to work?
”"My mom is sick, I'm going to borrow your phone and ask Corey for a day off."
The little girl pointed to the phone on the coffee table and said, "Well, you can call." ”After Dr.
Yang moved away, Sister Fen became less and less noisy.Without her harassment of her neighbors, the mother and son gradually stopped being despised by their neighbors."
Head nurse, my mom is sick and I want to take a day off.""
Then you'll have a day off."
The head nurse responded happily and didn't ask Yang Li what her mother's illness was.Although there are few surgeries in the operating room this time, the head nurse is still very busy before the shift every morning.Yang Li thanked the Gu family's daughter, and when she came home, she found that Sister Fen was crying undecently."
Mom!
Mother!
What the hell is wrong with you?
”Yang Li began to panic."
I'm on leave, so I'll accompany you to the outpatient clinic."
Sister Fen dragged the pillow towel to wipe her tears, and her daughter's return made her feel a lot more comfortable.But the emotional fluctuations caused by the misunderstanding of her daughter increased the sadness that surged up from the bottom of her heart.Yang Li went to the living room and took a roll of toilet paper, tore a piece and handed it to her mother and said, "Mom, don't cry."
Let's go to the doctor when we're sick.There are so many directors of the provincial court. ”Sister Fen took the roll of paper handed over by her daughter, and cried for a while before she stopped the sadness spreading in her heart.She cleaned her nasal catarrhal secretions, coughed a few times, and regained her motherly attitude before speaking."
Why don't you go to work yet?
Aren't you going to have a craniotomy today?
It's easy for you to be the instrument nurse, so you hurry up and go to work. ”"Mom, I'm on leave.You're sick, what kind of nurse do I care?
”Yang Li knelt on the bed on one leg, pinched a roll of toilet paper in her hand, tore the toilet paper again and again, and kept handing it to her mother to blow her nose.Her daughter's concern made Sister Fen unbearable, she tried her best to hide it from her daughter, but she still said: "Xiaoli, do you think I will die?"
”Yang Li's tears came out."
Mom, you can't die.My dad doesn't want me and my brother anymore.You can't die. ”"Alas!"
Sister Fen sighed, and the tears were about to come out again.Yang Li cried for a while, and then asked her mother, "What's going on with all that blood in the bathroom?"
”Sister Fen saw that she couldn't hide, so she said, "When the day was about to dawn, I felt that I couldn't breathe, and I wanted to vomit."
Then I went to the toilet, and I vomited, but then my mouth smelled fishy, and I turned on the light and saw that I was vomiting blood......"
As she spoke, Sister Fen's tears came out again.She is afraid of death, she doesn't want to die, she is only forty-three years old, her son has not married a daughter-in-law, and her daughter has not said anything about others......
"Mom, you get up and wash your face, let's go to the hospital." ”Sister Fen didn't move, she was urged by Yang Li to be ruthless, so she said, "You are stupid."
The hospitalization will deduct the full attendance award.I have to pay for my own treatment. ”"Mom, you're sick, why are you reluctant to spend money?
For the staff of our hospital, only 20% of the cost of hospitalization is required.It can also be deducted from the salary in installments, what are you afraid of?
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”"Alas!
Xiaoli, why don't you say I'm not afraid?
Your brother didn't marry a daughter-in-law, you haven't said anything about people, and your mother has a lot of money in her hand, and she can't stand it. ”Sister Fen's face was gloomy, and she muttered, "I've vomited blood, it's definitely not a minor illness."
You said that if you have cancer or something, you will inevitably die if you don't have surgery or not, and in the end you will lose both money and money, what should you two do?
Besides, I've offended so many people over the years, I can't ...... it" "Mom, don't think about those things.My brother and I went to beg Dean Chen and Director Liang, and they will definitely treat you well. ”* Yang Li said that she persuaded Sister Fen from bed.In order to do the examination, Yang Li only asked her mother to wash her face and rinse her mouth, and she didn't even give her mother saliva to drink, so she took someone to the hospital.The two walked to the east gate, and Yang Li borrowed the phone there and called the Department of General Surgery to find Director Liang.I was told that Director Liang and Director Xie had gone to the operating room to see Dean Chen for surgery.She called the gastroenterology department again to find Director Qian.After listening to the content of the call, the head nurse whispered: "I'll call later, and I'll hand over the shift." ”Then he decisively pulled the phone.Yang Li said to her mother: "Mom, the gastroenterology department is on shift, let's go to the office and wait now." ”Sister Fen was timid.She didn't dare to go to the ward.Yang Li couldn't hold her again, and the two froze at the east gate.After a while, Yang Li estimated that the morning shift should be over, so she called the gastroenterology department again, and found Director Qian this time."
Uncle Qian, I'm Yang Li.My mom vomited blood this morning. ”Director Qian got the head nurse to tell the patient to vomit blood to find himself, and he waited by the telephone after the shift.But he didn't react to who Yang Li was for a while, but this did not prevent him from making a correct response to the internal call."
How is your mom doing?
Where are the people?
”"I'm standing here at the east gate with my mother.My mom didn't dare to go to your department.She wouldn't let me call my dad or find my brother.said that my brother was busy, and said that they were all patients after craniotomy, and my mother "Director Qian said to who Yang Li was and who was vomiting blood.He immediately instructed Yang Li: "You take your mother to the gastroenterology clinic and wait for me, and I'll go over." ”Director Qian rushed to the outpatient clinic and asked carefully about the medical history but did not ask anything.How much blood is vomited, and what is there besides blood?
Sister Fen couldn't answer anything.Director Qian was so angry that he patted his head.He had to arrange an emergency gastroscopy for Sister Fen first.He told Yang Li: "You take your mother to the gastroscopy room now, and I'll call them."
You remember to call me after the gastroscopy. ”Yang Li waited for the previous patient to finish the examination before sending Sister Fen to the examination table.She trembled and accompanied.After the examination, Dr.
Lu took Sister Fen out of the gastroscopy room, asked her to wait outside, and called Director Qian to report the results: "Stomach ulcer, I suspect cancer."
Well, the odds are high.Yes, I gave the pathology.The small blood vessels affected by the ulcer wound alone should also be operated.No active bleeding was seen for the time being.Director Qian, look at the arrangement. ”Director Qian can't help it, although he and Yang Weiguo are general friends, but Yang Li is also a child who has grown up by herself, and if she finds herself, she has to do things well."
You give Yang Li the phone, I'll tell her."
Director Qian took the microphone and waited for a few seconds, and Yang Li's choked voice came from the microphone: "Uncle Qian, does my mother have to have surgery?"
”"Yang Li, don't cry first, you heard what your Uncle Lu told me just now, you have to tell your brother about this now.He has only been rotating with Director Liang outside the general area for half a year, and it is more convenient for him to find Director Liang than anyone else.How to treat it, your brother knows. ”"Mmmm, thank you, Uncle Qian."
*Director Hu pulled Chen Wenqiang to his office to rest.The two drank a lot of draft beer at noon, and after two trips to the bathroom, they chatted peacefully in the office.From the existing technical strength of each department, the two talked about the latest models of CT and B-ultrasound that they recently raised funds to buy, as well as the ECG monitoring and other supporting facilities that have been added to increase the number of beds in the intensive care unit of each department."
This autumn and winter, when our provincial hospital encounters a crowd of critically ill patients, it will not be as overstretched as before."
Chen Wenqiang was full of ambition and high spirits, and the momentum of his decision to do a big job made Director Hu's heart break.Director Hu dragged him over, and there were still things to discuss."
Lao Chen, I've been paying attention to radiology recently, what do you think of this?""
I didn't pay attention to what you said.""
I see that some foreign registrations, under the guidance of X-ray, ultrasound, CT or MRI, percutaneous puncture or the original orifice tube of the body, the catheter or instrument is inserted into the lesion site, whether it is biopsy for pathology, diagnostic imaging, or treatment, all have unique characteristics.""
Be specific.""
For example, vascular embolism, in the past, we were diagnosed with surgical thrombectomy or thrombolysis.But thrombolysis, I've thought about urokinase a lot of times, if it works, forget it, don't talk about it now.Just talk about thrombectomy that is relevant to your surgery.Many surgeries are either too much damage and are not cost-effective, or they are difficult to do, no, they are not possible at all. ”"What the hell are you going to say?
You old boy is going around with me?
”Chen Wenqiang reprimanded with a smile."
I mean, when the coronary artery is blocked, if we can inject a contrast agent from the peripheral blood vessels, and under the guidance of the imaging machine to the blockage, directly remove the embolus, will the damage be very small?"
Chen Wenqiang nodded and urged him, "You go on." ”"It's very useful for blood clots, especially myocardial infarction.I think if it is combined with laparoscopy, it can also be beneficial for the treatment of some high-risk arteriovenous fistulas.Of course, that's just my thoughts.Whether it can be achieved or not depends on the use of equipment. ”Director Hu rummaged through the cabinet, took out a file bag, and handed the information inside to Chen Wenqiang: "You see that these are the materials I have intended to receive in the past few years. ”Chen Wenqiang read them carefully one by one, put down his things and said to Director Hu: "This may be a treatment direction for future medicine."
Just like laparoscopy, thoracoscopy, etc., the scalpel incision is getting smaller and smaller, and the damage is getting smaller and smaller.However, your information here is going to be threaded.Haven't you forgotten the director of the orthopedic department in Fuwai, who has been orthopaedic under X-rays for a long time, and finally has bone necrosis and amputation of his hand?
”Director Hu sighed and said: "Lao Chen, you also said that it is a long-term thread, if you can control the amount of thread, if this treatment method is popularized among clinical doctors, instead of relying on only one or two people to do it, will there be no danger as you said?"
”"Do you want to send one out to learn like a laparoscope, and then come back and promote it in your department and cardiovascular medicine?""
yes.It is not only promoted in our department and cardiology, if gastrointestinal bleeding can embolize blood vessels, there is no need to open a laparotomy. ”"Lao Hu, you are involved in the accumulation of a number of cases here.Without a certain number of cases, it is impossible for everyone to get started.However, since this is a direction, we can't miss it.If necessary, you should go to the hospitals in Beijing and see how far they are going.Then submit a research report to me, and I can take it to the board meeting. ”"Okay.After Zhenggao's defense, I will go to the capital. ”"That's fine.You look at it yourself and arrange the time.But I can warn you, when the weather cools down in October and the patients come up, you may not be able to walk away. ”Director Hu thought for a while and said, "I have to implement your book."
I'll leave after I get the sample book, otherwise I will delay the business, and there will be more people in our hospital next year.If this survey is what I said, who do you think is more appropriate for me to send to the video?
”"Who to send?
Naturally, you have to sign up voluntarily, and then take the exam to select.In the matter of receiving the line, we have to let people understand the most likely harm.There is also the anatomy, especially the vascular part.If you can't pass the dissection, you may not be able to really learn anything if you send it out, and you will be delayed in purity. ”What Chen Wenqiang said, Director Hu nodded in agreement.In his words, since Chen Wenqiang became the assistant to the dean, the two have never had such an opportunity for in-depth communication.Finally, it comes down to the question of where to operate.Sterile operating room, this is a must.But there was no room for change on the seventeenth floor."
Lao Chen, the operating room upstairs in the emergency room, that's okay.""
It costs a lot of money to renovate an operating room."
Chen Wenqiang thought of using a protective lead plate to modify an operating room, and when he thought of the big money to be spent, his eyebrows were about to wrinkle Sichuan lines."
yes, you have to put an X-ray machine in it, preferably 1000mA.In this way, the imaging effect is good. ”Director Hu made a request with a smile.As everyone knows, Chen Wenqiang can't afford to renovate the operating room alone.
*There was a knock on the door, and it was the nurse from the CT room who came to look for it."
Director Hu, oops, Dean Chen is also here.""
What's the matter?"
Director Hu asked."
Director Hu, this afternoon the CT room was on duty alone, and only one machine was opened.There is also a patient who has made an appointment in the queue.Dean Chen, Yang Yu from your department brought his mother to have an abdominal CT. ”"What's wrong with his mother?"
Chen Wenqiang frowned and asked, because Yan Xiaofen gave him a bad impression."
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I vomited blood this morning, and the emergency gastroscopy suspected the malignant transformation of the stomach ulcer.""
Then I'll take a look."
Director Hu stood up.Chen Wenqiang also stood up and said, "Let's go together." ”…… Director Hu was very serious and careful to give Sister Fen a CT examination of her abdomen, and Chen Wenqiang accompanied her from beginning to end.Neither of them wanted to say what kind of psychology they were.If you talk about what Yan Xiaofen herself has done in the hospital over the years, it is not worth treating them like this at all.But as men who are not confused when they see through the world, they can't help but feel sympathy for Yan Xiaofen.After the CT scan of the abdomen, there were no signs of metastases in other organs.Chen Wenqiang comforted Yang Yu and his siblings and said: "Maybe it's just a stomach ulcer, arrange hospitalization first." ”Yang Yu asked with a hint of expectation: "Live in internal medicine?"
”Chen Wenqiang looked at him with pity and said, "Go to general surgery."
You also know that such ulcers are one that needs to be treated surgically. ”"Hmm.Thank you, Dean Chen.Director Hu, thank you, thank you. ”Yang Yu's eyes were red, and he sincerely thanked Chen Wenqiang and Director Hu.That stomach ulcer statement, alas......
He looked at his sister, who had no idea, and knew that he had to take care of things at this time, so he said to his sister Yang Li: "You take your mother to the elevator and wait, and I will go to the outpatient clinic to go through the hospitalization procedures." ”"Hmm.""
Lao Hu, I'll go to the obstetrics, Lao Li's eldest daughter-in-law is about to give birth.""
Really?
Then I'll go back and ask my wife to come over and have a look, and I won't go.There's Li Shuhui here. ”"Well, whatever you want."
Chen Wenqiang arrived at the obstetrics department and saw the Li brothers and sisters walking in the corridor with their little grandson in their arms.After asking about the situation, he went to the office to find Chen Liping."
Xiao Chen.""
Hey, Dean Chen is here.It's for Director Li's eldest daughter-in-law. ”Chen Liping smiled, Zhang Luo gave up his seat."
Don't sit down.Xiao Sun is in charge of your group?
”"yes.I examined her when she was admitted to the hospital, and she might be able to give birth in the first half of the night.It's still early. ”"Who works the night shift in obstetrics at night?""
Xiao Wan night shift.Liu Liwei is his daughter-in-law. ”"You'll talk to her later.""
Dean Chen, don't worry, I will definitely arrange it for you.""
Then I'll thank you in advance, I'm on the night shift tonight, and I'm going to call the nurse's office on the 11th floor if I have something.""
Okay.I'm sure I'll be looking for you if there's something. ”Chen Liping is a very cheerful person, she agreed with a smile, and then sent Chen Wenqiang out of the office.Chen Wenqiang walked around the obstetrics department, and then went to the corridor and said to Xiao Yin and Administrator Sun: "I told Chen Liping that she will explain to the obstetrician who took over in the evening."
I'm working the night shift tonight, and they'll call me if there's something going on.I'll go back to Corey first, Xiao Yin, are you here with you?
”"Okay, I'm here with you.You're busy with your Corey's business. ”Administrator Sun hurriedly said, "Director Yin, I don't need you to accompany me here.Go home and rest. ”"I don't feel at ease when I go back, so I'm just waiting here.That old Chen, Xiao Li just returned to Corey.You guys have something urgent to find her, so go back quickly. ”"Okay, then I'll go back to the 11th floor
.
"* Li Min was found on the 11th floor because of a change in Corey's serious illness.When Chen Wenqiang arrived, Li Min led people to organize the rescue.Chen Wenqiang took over and was busy for almost an hour, but finally gave up regrettably.The family members could not accept this blow, and they pulled Chen Wenqiang's sleeve and refused to let go.Chen Wenqiang slowed down his voice, pointed to the ECG monitor, which was already a line, and shook his head: "No way."
It's been a straight line for a long time. ”"But, he's been sent to your hospital for surgery.Why are you still dead?
”"Severe head injury, it doesn't mean that you will be fine after craniotomy.And there has never been a saying that if you go to the hospital, you won't die.You can also see that we did our best.Condolences change!
”As Chen Wenqiang's words of mourning and change came out, the cries of the family members suddenly sounded in the ward.The cry was uncomfortable for everyone.The patient was the second person to die after a craniotomy in a car accident last Sunday, and the third person to die among those injured in the accident.Chen Wenqiang beckoned people back to the office, and he said to Li Min, who was waiting for the results in the office: "Xiao Li, you go back."
A few of you have gone to dinner. ”He drove everyone away.Xiao Jiang, the head nurse, called the morgue to come and pick up the deceased.Putting down the phone, she asked, "Dean Chen, do you know about Yang Yu's mother?"
”"Yes.I was in the CT room to see the CT done by Director Hu for his mother. ”"Alas!
She's a man......
Usually it looks quite hateful.But it was cancer, and it made people feel uncomfortable for her two children.Dean Chen, how can a noisy person like her get stomach cancer?
”Xiao Jiang watched the trainee nurse fill out the death card, and chatted with Chen Wenqiang, who had nowhere to go and sat in the nurse's office to pass the time."
Aggrieved.Anyone who has cancer is either an introvert, or he is depressed, aggrieved and unable to extricate himself.The divorce hit her too hard.She has been making trouble all these years, doesn't she just don't want to divorce!
”Chen Wenqiang hit the nail on the head.Xiao Jiang nodded again and again and said, "Dean Chen, it's what you said.But she's so noisy that she gets tired of everyone.If you don't want to get divorced, you'll end up getting divorced. ”"It's not a good fate, it's time to catch up with that era."
Chen Wenqiang sighed: "It's the same as all the educated youths who get married in the local queue."
As early as when the educated youth returned to the city in large numbers, their marriage had already existed in name only. ”The trainee nurse filled out the death card, looked up and said, "We went to the cafeteria to eat, and we met Yang Yu and his mother, and his father Dr.
Yang is not worthy at all."
How can two people like that not get divorced?
and Yang Yu is not as good-looking as his father.It's too jerky. ”Her starry eyes made Xiao Jiang stunned for a moment.Xiao Jiang raised his hand and pointed at her head, and said in a tone that looked down on her eyes: "You little girl, what do you know."
If you like an old man of that age, you won't pity you if you are deceived to death.You're still going to honestly go to a guy about the same age.And let me tell you, you can't choose a man by face.Do you see that Director Yang of the ophthalmology department took so much effort to marry Dr.
Wang from the general hospital, and he almost broke off the relationship with her family, and finally divorced?
Can't look at faces.You'll have to find something like our dean. ”Chen Wenqiang touched his face and asked Xiao Jiang dissatisfied: "I look ugly?"
”Xiao Jiang poked the knife with a grin: "Doctor Yang, father and son, and Doctor Wang are better looking than you." ”"Humph!
What's the use of being good-looking!
Character is not good. ”Chen Wenqiang was disdainful."
Don't compare them to me."
Nurse Xiao Wu came in to deliver the key, and when she saw that Chen Wenqiang was dissatisfied, she immediately began to pat her on the back."
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Yes.Sister Jiang, you can't compare that kind of person to our Dean Chen.If you want to get married, you have to choose someone like our Dean Chen, who has held Director Yin in the palm of his hand for decades.Such a man is worth marrying. ”Her last sentence tickled Chen Wenqiang's heart, and Chen Wenqiang immediately burst into laughter.Xiao Wu then asked, "Dean Chen, is Yang Yu's mother's surgery easy to do?"
”Chen Wenqiang shook his head and said, "I haven't seen her much this year, and today scared me, it's like a mountain of meat."
How did it come to work in the cafeteria and eat without spending money, and how did it come to be like that?
Alas!
No stomach can stand such an overwork. ”* At this time, Director Liang and Xie Xun of the Department of General Surgery did not leave.Yang Yu rushed his mother to the general surgery ward before getting off work.He has only been away from general surgery for two weeks, and he is still in the period when people have not cooled down.Therefore, the nurse of the general surgery department did not wait to see Sister Fen anymore, and the head nurse still asked politely for Yang Yu's sake: "Yang Yu, who are you going to let your mother take care of?"
”"Is the director here?""
Yes."
The head nurse reached for the phone.She dialed in to the Director's Office."
Director, Yang Yu is hospitalized, I want to live in your bed, come here."
Yang Yu took the CT, gastroscopy, B-ultrasound and other examination lists and said, "I'll go to the director's office to have a look." ”Yang Yu walked to the door of the director's office, and Director Liang came out with Xie Xun.When Director Liang saw Yang Yu, he asked, "What's wrong with your mother?"
”Yang Yu handed over the checklist in his hand and said what had happened in a flustered tone and nervously.Director Liang nodded and showed Xie Xun the list he had seen.He comforted Yang Yu and said: "Even if it is stomach cancer, it is still in the early stage, and the hematemesis is because the ulcer erodes the small blood vessels."
Since there is no active bleeding on the gastroscope, let's wait for the pathology to come back before surgery. ”"Director, let's go see the patient?
Let Yang Yu also rest assured.When I turned around, I urged Dr.
Chai and Dr.
Chai to quickly give us the pathology report. ”Xie Xun has been taught by Director Liang, and the habit of talking with his chin tilted up has not changed very obviously.His heartwarming words to urge the pathology department made Yang Yu's eyes red again."
Let's go, go over and have a look."
Director Liang nodded, and Xie Xun pinched the examination report and entered the nurse's office.Both of them were instantly shocked by Sister Fen's huge body.Director Liang was still able to hide his emotions well, and he asked the head nurse, "Is it arranged?"
”"Hmm.Put your bed, Yang Yu, you send your mother to the ward, 3 beds in 3 wards. ”Yang Yu reluctantly thanked with a smile, beckoned his sister to come along, and pulled his mother away.When the three of them disappeared, Xie Xun finally came to his senses, he frowned and said, "Director, this fat has become like this, this operation is not very easy to do."
Liquefaction of abdominal fat after a single surgery may lead to non-union of the incision. ”Director Liang is also worried about this.But he grabbed the things in Xie Xun's hand and stuffed the head nurse with a medical record folder, but said to Xie Xun: "Yang Yu put me there, you take care of it." ”"Director-" Xie Xun didn't want to care about Sister Fen."
If you ask you to take care of it, you can do it.When the time comes, let's go for this surgery together.Listen to me. ”Xie Xun couldn't, so he had to take the medical records from the nurse and look through the electrocardiogram and other checklists that he didn't see just now.* Li Min changed his clothes and left the department, and saw Xiao Zhai and Lu Kaiwen standing in the elevator waiting for him."
Is there something wrong?"
Lu Kaiwen spoke first: "Teacher Li, I want to ask for leave tomorrow. ”Xiao Zhai blushed with a shy smile and said, "Director Li, I want to take him to my house."
My parents wanted to meet him. ”"Want to go tomorrow?""
Hmm.The main thing is that you are going to school at the end of the month, and I am afraid that he will not be able to take time off on Sunday in the future. ”"Then go at three or four o'clock in the afternoon."
Li Min swallowed back the words that he would go to school and Chen Wenqiang would reschedule his shifts.Kevin Lu follows his current duty arrangement, which is equivalent to no rest for seven days a week.Forget it, let him go a few hours early tomorrow."
Xiao Zhai, your family is in the city, go for dinner.It's not so good to walk a day on duty on Sunday. ”"Thank you, teacher."
Li Min can give a fake, and Lu Kaiwen is very moved."
Thank you, Director Li.""
You're welcome."
When the elevator arrived, Lu Kaiwen motioned for Li Min and Xiao Zhai to go in first.It's past the end of work, and on the way from the east gate to the cafeteria, there are basically no people."
Director Li, do you know that Yang Yu's mother has stomach cancer.""
I don't know.I went to the operating room this morning and didn't see him again when I came back.Did a gastroscopy?
”"Well, I did an emergency gastroscopy.""
That's right.That Kevin Lu, you have time to take a look at Yang Yu's beds at night, if he goes to take care of his mother, we have to take care of his patients. ”"Yes."
The servants quickly walked to the fork in the road, Li Min nodded to the two of them and went to the fund-raising building, and Xiao Zhai and Lu Kaiwen walked to the cafeteria.* Li Min saw a military jeep parked at the entrance of his unit from a distance, and couldn't help but start beating wildly.She quickened her pace and walked home, passing by the window of Director Luo's house, she didn't notice that Dr.
Yang and his wife, who were standing in the kitchen washing dishes, saw her."
Xiao Li only found out that her partner was back.""
It should be."
Dr.
Yang replied casually.He seemed a little absent-minded today, because when he was having dinner just now, Dr.
Wang called him and said that Sister Fen was hospitalized - stomach cancer."
Lao Yang, what do you want?"
Director Luo saw that he was distracted, so he bumped him with his elbow and reminded him, "The bowl in your hand has been washed three times." ”"I didn't think about anything."
Dr.
Yang replied subconsciously.After he handed the cleaned bowl in his hand to Director Luo, in Director Luo's eyes that he couldn't avoid, he could only answer truthfully."
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The phone call from Dawang just now told me that Xiaoyu and his mother suspected stomach cancer and was hospitalized in the evening."
Director Luo was surprised, and she then proposed, "Let's go over and have a look?"
”Dr.
Yang hurriedly shook his head, and he said resolutely: "No, no, no, you can't go."
She's hospitalized, and if you want to say something you don't like, you can still drag her out of bed. ”"But just ignore it, let the two children Zhang Luo, it's too difficult for the children.You say, don't you?
”"Hmm-" Dr.
Yang thought about it, thinking that the children he had seen had not grown up and the pillars of the family were sick, and he didn't care at all, so it was really not okay to throw them to the two children.So he said, "Why don't we both go to Director Liang's house."
Director Liang has taken Xiaoyu for half a year, and Xiaoyu will definitely entrust his mother to Director Liang for surgery. ”"Okay."
Director Luo immediately agreed."
Old Yang, we still have to go to Dean Chen.On the 11th floor, Xiaoyu took leave to take care of his mother, and it also had an impact on work. ”"Okay.Dean Chen's night shift tonight.When I went to Director Liang's house, I went to Corey again.However, I think that in the end, the work of Xiaoyu in charge of the bed should fall on Li Min and the students she led. ”"Then I'll talk to Li Min tomorrow."
Director Luo took the initiative to find Li Min, and Dr.
Yang quietly breathed a sigh of relief.Since Li Min and Xie Xun rescued Taiwan, they have become even shorter of breath when they see Li Min.The couple cleaned up the kitchen, said hello to the old couple watching TV, and went out of the house one after the other.
*Li Min walked upstairs briskly.She suppressed her excitement and stood on the second and a half floors, leaning on the railing and looking at her wide open door—Mu Jie stood in the doorway, looking at her with a smile.Well, black toothpaste is advertised."
Minmin, come up.""
Mujay, when did you come back?"
Li Min smiled and stopped step by step and walked up slowly.Mu Jie stretched out his hand and grabbed Li Min and said, "It's only been a while since I got home." ”"Didn't you have dinner?""
No, I don't.Is there anything to eat?
”Mu Jie asked with a smile."
I'm waiting for you to make me something to eat."
Li Minjiao replied to Mu Jie coquettishly, changed his shoes and entered the house.She grabbed the phone and called Yan Hong's house."
Xiaofang, bring dinner.Your Uncle Mu is back, I'll eat here.You come over and see if you can cook some dumplings or noodles below. ”Xiaofang smiled on the phone: "Aunt Min, Uncle Mu called in the afternoon and said that he would go home for dinner in the evening, and I had made dinner and left it in the pot." ”Li Min put down the phone and said, "Xiaofang said that you made a call to come back for dinner." ”"yes."
Muljay said happily, "I was going to hit your Cory."
Think about the number of patients in your department this week, you must be very busy. ”"Well, it's been a busy day."
Li Min answered the call to wash his hands and face, then went back to the room to change the cotton cloth Braji, and then returned to the hall, where Mu Jie had already laid out dinner."
Is that surgery easy to do today?
Is it the one with the live worm in the head?
”Muljay asked with interest."
yes.It's easy to do.Accurate positioning......
Are you sure you want to listen?
”Li Min was afraid that it would affect Mu Jie's appetite."
It's fine.I've been on the front line for so many years, one second charge, the next second I might sit in a pile of corpses and eat compressed biscuits.I've also brought you some compressed biscuits. ”"Okay.That compressed biscuit is especially anti-hunger. ”Li Min picked up Mu Jie's knifefish that had been stripped of the fish bones, and comfortably snorted the taste of sweet and sour fish, and waited until the taste was gone, and then chewed and swallowed slowly."
Today's Dean Chen positioned it accurately, and he found the parasite at once.When I pulled out, I was very nervous, for fear of pulling the worm off.My teacher also reminded me that the insect was like a gecko, but he should have said it was like an earthworm.Each fragment may develop into a new bug. ”"Will it?""
Yes!
The cephalic segment of the larvae is broken and left in the brain tissue, and it will continue to grow and cause recurrence.Scared?
”"No, no."
Mu Jie smiled and shook his head, and after a while he asked Li Min, "Do I have to do any tests?"
”"Yes.Let's talk about it after eating. ”After dinner, Li Min showed the materials he had prepared to Mu Jie."
You see, the main reason for human infection is eating undercooked frogs and snakes, because the schizocephalic larvae are very tenacious, and they can survive from minus 10 degrees to minus 56 degrees.Methods such as the one that uses frog muscles to apply to a toothache are the most likely way to direct the larvae of Schizocephalus larvae into the body. ”"And snake meat like yours that eats raw snake meat has the longest incubation period through the digestive tract, which can be as long as several years.If you get infected.And you look here," Li Min pointed to the underlined part to show Mu Jie."
It's also dangerous to drink raw water.If the water contains protocercariae, it is also a route of infection.Daphnia is its first intermediate host, and frogs, snakes, etc. are its second intermediate hosts.
A human can be its second, second, or final host.In the small intestine of the definitive host, the adult worm completes its development and is parasitic in the intestinal tract of the definitive host, and the eggs are excreted with the host's feces.Start the next cycle. ”"Have you ever drunk raw water in southern Xinjiang?"
Mu Jie grinned wryly and said, "There must be."
It's basically raw water, but it's filtered by alum.It is said to kill parasites and germs in the water.However, there are still some people who have diarrhea because of drinking raw water when they first arrive in southern Xinjiang, resulting in a precedent in their origins......
But we all have regular insect killers.That's the taenyl and praziquantel. ”"Tapeworms are parasitic in the small intestine, and the impact is mild.But praziquantel can only be controlled, temporarily, but it cannot kill Schizocephalus.Surgical treatment is the mainstay.For worms that cannot be surgically removed, 40% ethanol procaine is injected into the induration formed by the parasite to kill the larvae.However, the dead worm body, as an allogeneic protein, can also cause allergic reactions in the human body, and oral hormones should be taken to alleviate and relieve symptoms. ”"So what should I do?""
You're going to have to do a stool routine to see if there's any eggs.Hmm—let's do a brain CT scan tomorrow too. ”Li Min flipped the last page and showed it to Mu Jie."
These are all the treatments I asked about there.Including the treatment plan of the patient who had surgery today at the medical university. ”Mu Jie took Li Min's stack of materials and looked through them carefully.Li Min called the CT room and asked who would be on duty tomorrow.After asking, she regretfully put down the phone.Between looking for Gong Hai or Director Hu, she hesitated for a while, and then decisively asked for the phone number of Director Hu's house.After she told Director Hu about the situation, Director Hu immediately said: "Okay, I'll be in the CT room at 9 o'clock tomorrow, and if you have time, you can send him over, and if you don't have time, you can let him come to me by himself." ”"Good.Thank you, Director Hu. ”After arranging tomorrow's inspection, Li Min followed Mu Jie to clean up the dinner table."
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Mu Jie, how long did you drive back?""
It's been about four hours.The main thing is that I am not familiar with the road.It won't take so long to get acquainted with it. ”"If you're familiar with it, you can drive slowly.""
Okay.""
Is it easy to learn to drive?""
Eager to learn.When I've washed the rice bowls, I'll go down and teach you. ”"Let's go down now, I'll ask Xiaofang to come back and wash."※※※※※※※※※※※※※※※※※※※※ catch insects () is a bit far away