Li Min made rounds in advance, so he naturally completed the work on the day of duty in advance.After she explained her whereabouts to the nurse on duty, she went to the general surgery department, turned out the medical record of the thrombosis patient, carefully read the surgical record written by Xie Xun, and after reading it twice, she consciously knew the surgical steps in her heart, and then went to look at the long-term medical orders and temporary medical orders in front of her."
See?"
Xie Xun has been in the nurse's office for a while.He's here to write the shift."
Hmm.It's a very difficult operation. ”Li Min sighed: "If the thrombus and the blood vessel wall are tightly adhered to, if you are so hard during the operation, it will be a □□ annoyance if the blood vessel is avulsed." ”The worry and fear in Li Min's tone were fully revealed."
yes.This blood clot has been forming for about a year, and the danger you are talking about is real.Therefore, our director called Director Zhou, Director Shi and Director Bian, and if the preparation for thrombectomy failed, they immediately switched to conventional thoracotomy and laparotomy.Luckily, it didn't work. ”Xie Xun exhaled deeply."
If there is a dissection in that tear, the corresponding part has to be replaced.The walls of that person's blood vessels are very thin, and God bless him for dissections. ”"So your intraoperative imaging is done while seeking?"
Li Min was very surprised when he looked at the operation record just now."
I mean you're directly exposed to X-rays throughout the operation, right?
I didn't misunderstand your surgical records, did I?
”"Nope."
Li Min shook his head: "I can't imagine how much damage that hurts my body."
With such an operation, Director Liang said last time that he saved someone else's life, that is, Director Li's matter, do you remember?
There is also the matter of the orthopedic professor in the capital who amputated his fingers. ”"You don't have to worry so much.Even if it is wired, the impact is limited.We all wore lead clothes and lead scarves.You see, I didn't even notify you about this surgery. ”Li Min stroked his belly, which was already slightly bulging, and said, "Thank you, senior brother."
You told me that I wouldn't dare to do an X-ray for surgery.Whose life is not life?
I don't have the right to risk someone else's life or health.This is also my responsibility.You say yes, right?
”"Yes.You're right. ”"So, I said the danger of this surgery is too great.Not only for the patients, but also for the few of you who have come to power. ”Li Min looked at Xie Xun very seriously and said: "Maybe my statement is not right, if Bethune is not so tired, he is alive and healthy, he will save more people." ”"But who knew that the dirt would trip over people.I'm telling you that I'm the youngest of the people who came to the stage today.For the new operation proposed by Director Hu, the head nurse rushed over from home to take the stage. ”Xie Xun didn't seem to know where Li Min's focus was, and slowly wrote the shift while saying some unfocused miscellaneous things."
Director Hu also said that compared to the intraoperative imaging operation that you and Dean Chen did in August last year, he is much more calm this time."
Li Min disagreed with his idle talk and objected: "The dural arteriovenous fistula we did last year is completely different from the risk of your case today.Senior brother, I want to ask, don't you worry about the process of thrombectomy, I mean, in case, if you break the blood clot and tear the blood vessel, and then be more passive?
”"Look at what you asked, how could you not be worried!
I'm not worried about why the director brought Director Shi and Director Bian here.It is to prevent accidents, so that you can open the chest and abdomen in time to stop bleeding and remove the thrombosis.But we were lucky not to have such bad luck today. ”Xie Xun wrote the handover as he spoke."
Senior sister, let me tell you, this method and this new surgical method of thrombectomy will definitely be a development direction.This is less than the damage I did with a laparoscopic gallbladder removal.Can you understand?
”"Senior Brother Xie, you said that I understand this patient's injury.But this has a premise, which is to eliminate the harm of the thread, and then it is the significance of this technique that is worth promoting. ”Li Min took the medical record and said to Xie Xun: "Director Liang doesn't keep saying that we have to take this job seriously, but we can't fill in our own lives like Director Li."
Right?
”"Of course.Alas!
Receiving threads, tsk," Xie Xun shook his head and sighed: "Occasionally, it's okay to do it once in a short time, and if you continue to receive threads like today, I don't think the surgeon is willing." ”"But there are more and more cases of embolism, heart, brain, the success of your surgery today, you must write a medical record report.For today's type of patient, this procedure certainly has a point of being promoted. ”"Yes, it's promote.The patient did not go to the ICU after the operation, and the director said that he would stay in the intensive care unit for one night.If you are okay tomorrow, you can change to a general ward.However, if it is a traditional thrombectomy, you will have to go to the ICU for at least two nights after surgery.The cost is estimated to be more than 10 times that amount.This does not include the loss of the recovery period of the patient's physical injury after major surgery, and the loss of life and work that is affected. ”Xie Xun wrote the handover as he spoke, he closed the handover book, reached out and asked for the medical record in Li Min's hand, he wanted to write a record of the course of the illness."
However, I will not have this kind of continuous surgery in the future.The director said that our department does not perform this type of surgery.Whoever is willing to unite with Director Hu will unite. ”Li Min couldn't tell what her psychology was, but Director Liang decided not to carry out this operation, and she suddenly felt relaxed.She didn't want to face the fact that Teacher Liang and Teacher Xie might repeat Director Li's mistakes."
Hey, why haven't you come home yet?
Your Mujay isn't coming back. ”He went back in the afternoon.I made rounds in advance and late, just to see your surgical records and see how you did the surgery.This is home.Senior Brother Xie, 88. ”Li Min turned around and left the nurse's office and walked across from Director Shi in the hallway."
Director Shi.""
Come and see the thrombectomy one?""
yes.You're amazing.A new technique. ”Li Min praised from the bottom of his heart.But before she could speak, Xie Xun's voice came from behind her: "Director Shi is amazing." ”Li Min turned around, and Xie Xun stood three steps away from him.She smiled and coaxed the child and said, "Senior Brother Xie is also in 'you'." ”Director Shi smiled and interrupted: "Xiao Xie, how is that patient?"
”"I just came out of the intensive care unit, and all the indicators are very good."
Xie Xun said and reported a series of biochemical examination data to Director Shi."
This is the result of the blood collection at 4 o'clock, and I got it.""
Well, that's good.Then you can get off work and go, I'll stay here tonight. ”"Okay, Director Shi."
Director Shi and Xie Xun were polite to each other, and Li Min waited for them to finish speaking, nodded to the two of them, and went to the elevator.* Li Min walked downstairs to the fundraising building where his house was located, and saw Pan Zhi walking back and forth downstairs with his baby son in his arms.Pan Zhi saw Li Min and immediately said, "Senior sister, have you washed your hands?"
”Li Min looked at his hand and said, "I washed it before I changed my white coat." ”"Then you hurry upstairs and wash your hands."
Pan Zhi grabbed his son's little hand and stopped the child from jumping towards Li Min.Li Min immediately said, "Okay, I'll go home and wash my hands right away." ”She waved her hand at Pan Baobao and turned to go upstairs.Before she could step on the steps, a deafening cry erupted from behind her.Then the cry that followed her was mixed with Pan Zhi's words to coax the child: "The baby doesn't cry, my aunt is going home to wash her hands, not ignoring you." ”Li Min quickened her pace and went upstairs, Yan Hong stood at the open door of her own house on the third floor, and accused her with a smile: "Minmin, you have failed our baby too much, you didn't come to see him last night, which made him cry a lot last night."
You see the color of forgetfulness.Aren't you at fault?
”Li Min had an excellent attitude, "Oh, I was wrong.Get out of the way, I'll wash my hands and change my clothes. ”She wanted to squeeze in the door from Yan Hong's side, but Yan Hong had to get out of the way."
Give me a hug."
Yan Hong took the child and followed Li Min into the bathroom.Li Min washed his hands, washed his face and changed clothes, and then took Pan Jia's hand and talked to him."
Pan Baobao, it was my aunt's mistake last night, I should have taken you to drive.""
Learned?""
Well, it would.It's very studious.Mujay said the rest was practice.It's like riding a bike.When you are proficient, you will not panic when you encounter someone to hide or brake. ”Also.Yan Hong accepted, and then said, "I will also learn to drive if I have the opportunity." ”"Hey, let go."
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Li Min held on to his glasses and screamed pain in his head.It turned out that Pan Jia took advantage of her inattention and grabbed her hair and glasses legs.But Yan Hong held the child in both hands and couldn't help her.Li Min had no choice but to lean his head over in the direction of the villain's efforts.Pull your hair and free your glasses first.Xiao Fang came over and called them over for dinner, and when she saw that Li Min was trying to pull her hair, she smiled and reached out to scratch Pan Baobao's belly.The villain was overjoyed and loosened Li Min's hair."
Aunt Min, when he is upset, he pulls people's hair.dragged Uncle Pan to beg for mercy last night. ”"He's still angry with me about last night?""
Maybe.""
Such a big villain, can you still remember the overnight feud?
You're amazing. ”Li Min nodded at the tip of Pan Jia's nose, and he grabbed his finger again, and the villain dragged his finger and sent it to his mouth."
Why is he moving so fast?"
Li Min asked Yan Hong, concentrating on the tug of war with Pan Jia: "You are really strong." ”Yan Hong handed the child to Xiao Fang to hug.Shaking his arms, he said, "Don't let him bite you, his upper teeth are coming out."
The bite hurts. ”As she spoke, Yan Hong picked up the gauze for Pan Baobao, wrapped her own fingers, and stuffed it into her son's mouth.The little man immediately let go of Li Min's hand, and held his mother's fingers with both hands and gnawed."
Human flesh is delicious, isn't it?
Come on, baby Pan!
”Li Min shouted at him.Pan Zhi stood at the door of his house and shouted, "It's time to eat." ”"Good.Just pass. ”Li Min went to get the key, Xiaofang carried the child to the door, Pan Zhi reached out to hug the child, and Yan Hong took the opportunity to pull out his fingers."
Look, these four little tooth marks.It's not a tooth yet. ”"It's almost time for him to teeth, too.""
yes.Yesterday, Pan Zhi took him to get vaccinated and checked that all his indicators had reached the average level of full-term children.If you didn't say it, no one would have guessed that he was a premature baby. ”Yan Hong told Li Min proudly."
It's you and Senior Brother who are attentive.""
Actually, I was afraid that his lungs were not developing well, and I was very worried."
Yan Hong took the chicken soup that Xiao Yan handed to her."
They all say that they don't live or live."
Li Min took a bowl of soup, she picked up the cabbage seedlings in the chicken soup, and said Yan Hong: "You are all blind and worried."
He is well raised in your belly, and he weighed 6 pounds and 2 taels at birth, which has reached the level of a full-term child.Our baby is not bad anywhere. ”Xiaofang pushed the stroller to the edge of the dining table, Pan Zhi put the child in the car, then gave the soft leather ball to his son, and then returned to the table to pick up the rice bowl to eat.The dinner in the evening was relatively light, and there was only one sweet and sour saury for meat dishes, but there were shredded potatoes that Li Min didn't eat at noon.Li Min picked up the cabbage seedlings and ate them, drank a few mouthfuls of chicken soup, and suddenly asked Yan Hong: "Why did you remember to have a dinner party at noon today?"
Whose idea was it?
”Pan Zhi replied: "Wu Dong called me and said that there were too many people during the Spring Festival last time, and everyone couldn't chat properly.This time, when Mu Jie comes back, we will have dinner as a few families, and we can eat and chat well. ”"Wu Dong's proposal is really not very good."
Yan Hong was unhappy and upset for Li Min."
Pan Zhi, Mu Jie finally came back, how could he have any heart to eat with them.He just sees that you are easy to talk to, and he can't refuse to have dinner for Mu Jie. ”Pan Zhi nodded: "Yes."
I'm not good at objecting.He didn't even give me a chance to ask Muljey.I just thought that Mu Jie and Li Min should have lunch too, so let's make it first.It just so happened that Mujay wasn't home either.But I didn't expect Wu Dong to buy a chicken and make a white-cut chicken. ”"Xiaofeng and Nana both like white-cut chicken.Xiaoyan, have you learned?
”"Pretty much.""
Next week, you take the time to make white-cut chicken, and then send it to the two of them, one for each person, so that they can eat enough."
Pan Zhi smiled, and Li Min also laughed.Yan Hong said in a dissatisfied tone: "The two of them are on maternity leave, so they have nothing to do to have a dinner.I went to work for a week, and I only had a short break on Sunday.I don't even say that I have time to read or anything, you all go to cook, I take the baby by myself, and I have to push him into the bathroom when I go to the toilet.Minmin, don't laugh, I'm going to leave the baby on the big bed by himself, I'm afraid he will go down.put it on the crib, and I was afraid that he would drag everything into his mouth.He now nibbles on everything, and he can nibble on the bed rail. ”Li Min nodded again and again: "Then your baby is inseparable from people." ”Pan Zhi said: "Caihong'er, next time I will definitely discuss with you first, and then I will discuss the dinner." ”Yan Hong glanced at him: "I'm not saying that I don't agree to dinner."
It can't be like the Spring Festival, each family is ready, or half-cooked, take it, whether it is back to the pot or use the microwave oven to turn it, there is nothing inconvenient.No one in Minmin's house is there, you just go over to cook, that is, Minmin and Mu Jie are generous, and another person can't mumble in his heart, thinking that we are taking the key to her house and opening the door indiscriminately. ”"yes, if you cook in our house, you won't be so embarrassed.Senior sister, today is my inconsiderate nature. ”Li Min saw that Yan Hong was serious and Pan Zhi apologized to herself, she really couldn't say anything, so she had to say, "Senior Brother Pan, I don't mind."
Rainbow, you don't have to be angry, there is Xiaofang at home, can you still let them into the house. ”Then she said, "Rainbow, you still know my mind."
I came back at noon to see a room full of people, and I was almost stupid.Forget it, Mu Jie and I have to have lunch anyway, and this dinner is over, and everyone is very happy to read and eat.Forget it, don't even talk about it again.Hey, by the way, Xiaofang, did your Uncle Mu sleep in the afternoon?
What time did he leave?
”"It's almost four o'clock.While we were washing the dishes, he went to sleep. ”Pan Zhi saw that Li Min was worried, so he said: "Three bottles of beer for one person, Mu Jie doesn't look like he is drunk, you don't have to worry about him driving." ”Li Min nodded, don't look at the vegetables.She didn't say that the reason she was worried was because Mu Jie slept late and slept less last night.Yan Hong kicked Pan Zhi under the table and winked at him.Pan Zhi was stunned for a moment, and then he realized that he couldn't stop laughing.Yan Hong followed Li Min's words and asked, "How many hours will it take for Mu Jie to drive back?"
”"He didn't know the road, so it took him four hours to come.""
Then it will be dark when he returns.He'll call you when he comes to the barracks, right?
”"Hmm.""
Then you hurry home and wait for a while, he will definitely be faster when he returns than when he comes.Xiaoyan, did you bring dinner for your Uncle Mu?
”"I brought a lunch box of meat sauce, a small box of egg noodles, and some washed cabbage seedlings.""
Can he fire over there?""
Yes.But he usually eats with the warriors. ”"I'm too lazy to do it alone
.
"* After dinner, Li Min teased Pan Baobao for a while, and when Pan Baobao squinted her eyes and was about to sleep, she waved to Yan Hong and went home.Seeing that the time was only seven o'clock, Mu Jie must be on the way at this point, so she took a shower first, and then wrote down today's general surgery to her work notes, and then took a random book, leaning against the window and waiting for the phone in the darkening night.In the large hall, there are only two bookcases, a large table and six matching chairs.The foldable dining table, Li Min asked Xiaofang to take it to the kitchen.Orderly, neat, but unable to avoid the emptiness, especially when Li Min was alone at home, the loneliness could not be concealed squeezed out of the corner, fell from the ceiling, emerged from the floor under her feet, and then quietly wrapped around her.Li Min, who was still unconscious, leaned on the windowsill, she glanced downstairs casually, and found that the blooming roses were in half-light and half-darkness.The lights were on in each house, and the brightness of the windows made the layers of roses full of flowers as clear as daytime.But on the opposite side where the light can't shine, the hazy feeling reminds Li Min of the sentence of looking at the beauty under the moon.She thought to herself that roses could bloom from May to early September, and they were actually not bad for seasonal flowers.Moreover, the rose flower is taller than the moon flower, so it is more suitable to take pictures while standing.If only I could take a picture of the roses at this time.But she didn't want to load the film, and it was said that if the unpacked film was not taken in time, the color of the washed photos would not be bright.After looking at the roses for a while, Li Min's eyes turned to the photos on the wall, the big photo in the middle was taken in front of the rose tree, Mu Jie was wearing a military uniform, and she was wearing a red dress spread out......
The picture suddenly made her feel as if she was in a dream now, as if she was dreaming when she was driving with Murje at this time yesterday.She pondered the explanations that Mu Jie taught her to drive, took out her life diary, memorized the essentials of driving, and then stared at the telephone, waiting for Mu Jie's call to come.The night was dark, and I didn't know which neighbor was listening to the opera.In the dark night, there was a commentary on the drama "Reporting the Name of the Flower", Xin Fengxia pronounced the words clearly, sang sweetly, and had a delicate voice, like a yellow bird spitting her throat."
The flowers are red and the leaves are green, the grass is green, the peach blossoms are gorgeous, the pear blossoms are thick, the apricot blossoms are luxuriant, and the poplar flowers are flying all over the city."
Li Min hummed along.When she has nothing to do at the same table in high school, she likes to hum a drama or a two-person turn, but the only thing she can sing in its entirety is this "Newspaper Name".“…… The wind blew down the plane tree/Own bystanders talk about the short and long.Although it is full of flowers, I have no intention of rewarding it, Ruan's mother-you lead the way, I will go back to the embroidery room.Singing this last sentence, she dragged out a long tune to learn to call Ruan's mother at the same table, and her hand also pinched out the movement of holding the handkerchief to shake it, but this action should be accompanied by a smile of interest.But the smile on her face hadn't fully bloomed, and another lyric of the drama poured into her mind: If it weren't for my father and mother's tight management, I would have drawn along the road to Shenyang.After she finished humming this sentence, she realized that she was singing "Second Sister Wang's Husband".Li Min was stunned, raised her eyes around the customer hall, only she leaned alone in the living room in front of the window, no longer the gentle feelings that Mu Jie hugged him at this moment last night, nor was it the lively and lively crowds and laughter at noon today.Deserted and empty.She suddenly realized her loneliness and realized the meaning of a military wife, and the sudden sadness grabbed her, and the grievance moistened her eye sockets."
Jingle bell bell."
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The phone rang.Li Min wiped the corners of his eyes and put the diary in his hand on the windowsill.On the third phone ringing, she picked up the receiver.She said very calmly: "Hey, I'm Li Min." ”"Minmin, I've arrived."
Mujay's voice sounded excited, without the slightest hint of fatigue after a long drive."
It went well.There was no detour at all. ”"Hmm.Mu Jie—" Li Min shouted at him in a long voice, and tears followed.Mu Jie on the other end of the phone keenly sensed that her emotions were not right."
Minmin, what's wrong?
What happened to you?
”"Not really.I just miss you. ”Mu Jie was silent, he also thought about his own sensitivity.The silence of the breath was as long as an hour.Mu Jie smiled into the microphone and said, "Minmin, I'll try to go home next week." ”"Can you?""
I try.Wait for me, ah!
”"Hmm.""
Eat well and rest early.""
Hmm.Then you should hurry up and cook the noodles. ”"Good.I'll call you again on Wednesday night. ”"Okay."
Putting down the phone, all Li Min's amazement disappeared all at once.She stuffed the diary into a drawer and locked it, thought about it, picked up the phone and called Chen Wenqiang's father's house."
Teacher, please consult Director Xie of the Emergency Department in the morning......
The surgery was done using the new method suggested by Director Hu.Um, um, yes, all the thrombus was removed with a guidewire in the femoral vein.Director Liang found Director Zhou, Director Shi, and Director Bian, and prepared to switch to conventional surgery mode in case of accidents. ”…… Li Min reported the new thrombosis surgery method outside the general public, which was basically Xie Xun's surgical record, to Chen Wenqiang."
Okay, I know.You rest earlier. ”Chen Wenqiang put down the phone, the expression on his face was a mixture of heaviness and relief."
Xiao Li's phone?"
Dean Shu asked, "What's the matter?"
”Chen Wenqiang briefly talked about interventional surgery."
Lao Shu, it has changed too fast in the past few years.You see, CT has only been popularized to the second-class hospitals at the municipal level, and our CT has been updated.Magnetic resonance imaging has now become the standard configuration of these large hospitals in the provincial capital.Now it is a series of laparoscopic projects such as laparoscopy, which is the leader.If Lao Hu hadn't told me about intervening before, I wouldn't have been able to grasp this technique at all.You said that if something happened to the patient tonight, I, the medical director who is also the head of the neurosurgery department, would not know what the operation was all about......
Alas!
When I'm old, I have the feeling that I can't keep up with the times because I haven't worked hard enough. ”Dean Shu comforted him and said: "The upgrading of large-scale medical equipment in the past ten years is faster than in the past few decades.And your energy in the past two years has been focused on the development of the hospital.Naturally, you don't have more energy to pay attention to new advances in clinical treatment.I have reservations about all the information about the interventional treatment.I'll show it to you tomorrow.However, although I was aware and wanted to carry out coronary interventional treatment in the cardiology department, the doctor on duty in the cardiology department was barely enough to send people out to learn new technologies.Lao Chen, I think you and Lao Hu have a good discussion, if he can send someone out to study. ”"Lao Shu, I don't think this interventional treatment will only be used by your cardiology.Like today's thrombectomy surgery, the range of applications is too wide.Those people under Lao Hu were selected once in the CT room, and again in MRI, do you think there can be a suitable candidate?
”"And what do you mean?""
Exams.Those undergraduates who graduated last year just finished their rotation, let's take an anatomy test, and then choose the ones with good grades to study, how about it?
”※※※※※※※※※※※※※※※※※※※※ make up for "Second Sister Wang's Sifu" It is recommended to listen to Guo Degang's version, oops, six pots of soup, eight catties of cakes, laugh to death and correct mistakes, thank you Wudao () The distance is a little far