Li Min lay in the locker room for almost half an hour, and Fu Yunxiang came back to change clothes.She saw Li Min lying on the bench and asked nervously, "Teacher Li, are you uncomfortable?"
I went to find someone from the obstetrics. ”"No, I don't.I'm just a little tired. ”Li Min sat up as he spoke, and changed into his hand clothes.Seeing that she was really fine, Fu Yunxiang pulled out the ballpoint pen above her head and untied the rubber bands one by one.Li Min said while getting dressed, "It's all for you." ”Quite a beautiful ballpoint pen.Li Min saw that Fu Yunxiang's hand in front of him was still hesitant and didn't retract it, so he explained: "It's all sent by the medical representative."
You have time to come to my office, I have quite a few notebooks and pens there. ”She also gave half a box of rubber bands in the locker to Fu Yunxiang."
I have short hair now, and I won't have long hair in a year or two.""
Thank you, Mr.
Li."
Fu Yunxiang couldn't refuse, stuffed the rubber band into the pocket of his white coat, and hung the stethoscope around his neck.The two left the operating room together to see the child after the operation.Director Hong of the ICU is not there, but the operation of the entire department does not seem to have been affected.Li Min nodded and greeted the nurse she knew all the way, and then went straight to the child who was placed in the corner of the surgical ICU, and the child had special materials."
Director Li."
The special nurse greeted Li Min."
Did you come to see him?""
yes.I'm going to bother you. ”The special nurse smiled: "If you send it to our department, we will definitely watch it with our hearts."
This is?
”"Fu Yunxiang, Fu Dafu.I brought me to our provincial institute for an internship last year.She is now rotating in pediatric surgery.I just went to surgery on this kid.The child was in her charge after surgery. ”The nurse nodded, saying hello to Fu Yunxiang.When Li Min finished reading the child and was about to leave, she suddenly grabbed Li Min, and dragged Li Min aside and asked in her ear in a very low voice: "Director Li, is it her, well, marrying Dean Fu's son on National Day?"
”"yes.What's wrong?
”Li Min was surprised."
Hey, hey."
The nurse smiled and said, "That's what I'm dealing with."
You know that our department is not like other departments, you can still have free time to go to work and walk around.When we go to work, we have to take care of the patients who are responsible for ourselves, and we have to find someone to help us go to the toilet. ”Li Min smiled understandingly, and then left with Fu Yunxiang.Behind the two of them, the nurse immediately said to a nurse next to them, "Look, the one who followed Li Min is Dean Fu's daughter-in-law."
Last year, Li Min took her for an internship. ”"That's what Director Qi picked.For college students who come for internships, surgery and pediatrics are combined for half a year. ”"Hmm.It should be. ”"This old woman came forward to pick the person, I'm afraid that my son won't like it."
A special caregiver next door joins the chat."
You thought it was a hundred years ago.Now this son doesn't like a word, and there is no possibility of an arranged marriage as a mother. ”Also."
It's better to go to medical school.Let me tell you that eight out of ten people who came to us for an internship last year and finally stayed in our provincial hospital have a partner.I've heard that they were all selected by those department heads during internships. ”"Isn't it?""
How not.Those who are assigned to pediatrics are all graduates of the Department of Pediatrics.But the interns who come to our hospital are all from the medical department.How did that Fuyunxiang go to pediatrics?
”It makes sense.At the nurses' station, the head nurse, who could patrol the entire ICU, saw that the three nurses in the corner of the surgery showed signs of chatting together, and immediately came over.When the three nurses found the head nurse coming, they immediately dispersed.Each went to see the patient in charge of each person.The head nurse circled around the nurses with a straight face, and left without saying anything.But the nurses behind her exchanged glances with each other, but they didn't dare to talk anymore.* Li Min returned to Corey, and it was past noon time to get off work.But she saw Yang Yu wearing a white coat, sitting opposite the nurse on duty in the nurse's office, chatting with the nurse on duty quite lively."
Teacher Li, you're back.Did the surgery go well?
”"It's ok.Why are you here, your mom and dad are there to take care of?
”"Well, my dad and mom have hired a nurse there, and my sister is now my mom's.I came over to change Kevin and let him go to dinner. ”"You've got a heart."
This was not what Li Min expected."
Then you watch here, and I'll go home for dinner.If you have something, you should call Director Pan's house first. ”"Okay."
Yan Hong and Li Min arrived home on the front and back feet.When Li Min changed his clothes and entered the door, Yan Hong just hugged Pan Jia in his arms and prepared to breastfeed."
Rainbow, why did you come back so late?""
Don't mention it, several directors are not at home, and there are a lot of things going on this morning."
Xiao Fang put the food on the table for Li Min, and Xiao Yan fed Yan Hong with a plate.Yan Hong complained to Li Min after taking a few bites: "First of all, a patient with advanced cervical cancer is dying. ”"This shouldn't be a problem, right?
Cancer is in the advanced stage. ”"But she doesn't want to die.""
People who come to the hospital don't want to die."
Li Min coolly pointed out the main point: "That's why we have this profession of being doctors in the world." ”"Well, I know that.But her husband signed the critical illness notice stating that he could not afford the final treatment.She can only hang 10% sugar and salt water every day in our department, and take those 6 morphine for pain relief.But her parents and others did not approve of this signature.I'll explain to them this morning, no matter what any of you have any opinions, you have to pay the hospitalization fee before I can use the medicine.Otherwise, I wouldn't be able to get the medicine at the pharmacy no matter what prescription I prescribed. ”"The tumor is in an advanced stage and is dying, what kind of medicine can be used?
Do you still have chemotherapy options?
”"Nope.Unless there is an elixir, any chemotherapy drug is urgent.Alas, it annoys me so much that I can't go home when it's time to deliver milk. ”"And then?""
And then even more so than that.It's even more troublesome.At 11 o'clock, the second group of women who had been referred to her was seen at the township clinic below and transferred from the county hospital.I called you, and the nurse in your department said that you had gone to the pediatric emergency surgery. ”"No one told me you called, I'll go back and ask.Well, you go on.What kind of patient it is. ”"Later, the second partum gave the general surgery flight a consultation order, and it is estimated that they will send someone over.In multiparous women, the first child was a daughter, and she gave birth to a second child in line with the family planning policy, and a son, who was born by caesarean section more than seven months ago.The IUD has been on for more than a month. ”"Menstruation returned?""
Nope.God knows how the grassroots do things.Anyway, last month, six months after giving birth, the family planning department in the town chased after her.You don't know that Sheung Wan is now in the town's family planning office.Then she had a stomachache the other day, and the town's health center didn't check anything.Later, she went to the county hospital with unpleasant pain, and B-ultrasound found that there was a gestational sac. ”"How many months?""
The length of the head and hips written on the ultrasound examination at the county hospital is 4.3 centimeters.It should be around 11 weeks. ”Yan Hong gave Pan Jia a different direction to eat."
The most shocking thing is that the IUD is embedded in the back wall of the uterus.The county's referral medical record also states that the cervix is tilted back and that the posterior curvature is severe, and the flow is difficult with a curette. ”"Didn't you find out she was pregnant before Sheung Wan?
I remember that the cervix had a special staining of violet blue spots in the first trimester.But I haven't seen it, have you?
”Li Min leaned towards Yan Hong."
Don't talk about this, why didn't I find out that she was pregnant.How is obstetrics handled?
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”Li Min's eagerness to know the follow-up performance immediately made her lean towards Yan Hong.Yan Hong stretched out her hand and pushed her head: "You go back." ”Li Min smiled and sat back in place, no matter how anxious he was, he had to wait for Yan Hong, who was too addicted to hanging his appetite.Yan Hong said to Li Min mysteriously: "The B-ultrasound examination given by the old goblin in our hospital said that the birth control ring has penetrated into the wall of the sigmoid colon.You say this operation, tsk, do we dare to terminate pregnancy and remove uterine ring in our outpatient clinic?
”"The outpatient clinic is not stupid."
Li Min rolled his eyes at Yan Hong."
Is it in the sigmoid colon?
It should be in the rectum, right?
”Yan Hong ignored Li Min's eyes and continued: "The family planning clinic in our hospital is not stupid.In this case, it will not be dragged hard, and the hard pull will break the wall of the sigmoid colon, and then there will be a stomach of fecal soup......
It's not like it's nothing to find something to do and want to have an acute abdomen or a medical accident.However, "Yan Hong hoisted Li Min high again, and got a slap from Li Min to reward her and urge her."
Before she could continue, Pan Jia quickly slapped Li Min with her small hand, and then squinted at Li Min while breastfeeding.He stunned Li Min.His little eyes made Li Min even more angry.Yan Hong smiled and trembled, and her expression was so beautiful that she was about to go to heaven.She kissed Pan Jia a few times and said, "Good baby, you know how to protect your mother at such a young age." ”Li Min put down her chopsticks and pretended to hit Pan Jia, Yan Hong hurriedly protected her son, her body turned half a circle, and Xiao Yan took a step back with the plate."
Minmin, are you still listening?""
This stinky boy, I don't like him for nothing."
Li Min glared at Yan Hong: "He beat me just now." ”Xiaoyan smiled and said, "Whoever disturbs him can't breastfeed."
The day before yesterday, he drank a bottle, and Uncle Pan teased him to grab it, so he kicked Uncle Pan's nose and kicked out Uncle Pan's tears. ”"Okay, you're a big person, and you're more real than a milk doll who protects food.Listen to me tell you about this patient. ”"Okay, you say."
Lee Min was stupid.Yan Hong smiled enough and continued."
However, the family planning clinic of the county hospital faced difficulties and cleared her the palace."
Yan Hong said in Li Min's surprised gaze with three points of luck."
I guess their idea is to take the contraceptive ring first, and then have an abortion.However, because of the contraceptive ring inlay, the surgeon could not remove it.Fortunately, the person who took the ring couldn't take it off, so he didn't pull it hard.But I don't know what the obstetric clinic of the county hospital thinks, and the uterine evacuation was done.But the ultrasound report given by Dr.
Fang was that there was still residual tissue in the uterus. ”"Is that the abortion technique incomplete?"
Li Min frowned."
Qing Gong did it a few days ago......"
"Yes."
It's a pitfall. ”Yan Hong was furious.Li Min thought for a while and said, "If the position of the birth control ring seen by our hospital's B ultrasound is correct, then we can only open the abdomen and take the ring."
What is the general condition of the patient?
”"The body temperature is 38.8 °C, and the WBC is more than 12,000 ......," Li Min thought that the patient was transferred to the hospital due to abdominal pain, and covered her head and □□ a sentence: "Now it's not just an intrauterine infection."
The IUD penetrates the uterus and enters the intestinal wall, and peritonitis should be inevitable.What kind of ring is it?
”She had a 1/10,000 hope, hoping for an "O" ring, not a "T" ring.
“T！”
Yan Hong cut a categorical letter, breaking all Li Min's extravagant expectations."
The long arm of the T-ring has a tail filament penetrating the uterine wall and then penetrating the intestinal wall."
That is, emergency surgery is necessary.Li Min thought that Director Liang reminded him this morning that the Department of Surgery was his own director, so he had to be responsible for this interdisciplinary operation.Not only did she go to the stands, but she also had to participate in the preoperative explanation and signing.She immediately picked up her rice bowl and sped up her meal."
You don't have to worry, that patient is under the care of Senior Sister Xiaolei.Otherwise, I wouldn't have gone to obstetrics. ”"She's going to see you?""
It's not a consultation.Director Fu, who was the second child, also went to the funeral home today, and Xiao Lei didn't know the bottom of his heart, so he called me to help her take a look.The mother was a little troublesome, AB blood type, or Rh negative.Hb will be enough for 10 grams.This is related to the fact that she has been bleeding since she cleared the palace in the past few days.I asked Xiaolei to contact the blood bank to prepare blood, and the operation had to be matched by the blood center before it could be opened.It's useless if you're in a hurry, I'll arrange it before I come back.You say, don't you?
”Yes, definitely.God knows what it would be like to open the abdominal cavity.What if the uterus is seriously infected and has to be removed?
Patients with this special blood type do not dare to undergo surgery if they do not have enough blood preparation."
She had a cesarean section done at the county hospital?""
yes.The discharge record only had AB type, but no Rh blood group test.I guess the last blood transfusion was sensitized.The general surgery department didn't look for you, maybe it's because of the blood matching.By the way, what surgery did you have in the morning?
”Li Min explained the cause of the child's illness and surgery.Yan Hong immediately said, "Amitabha."
That kid, you just need to find Dr.
Song this morning.During the half year that Pan Zhi was in Puwai, he didn't say much that Dr.
Song was good.He is willing to think about the patient in any case he encounters. ”"That's a nice guy.He is willing to think about the patient.I was a little stupid at first when I proposed the plan on the operating table today, I didn't expect that it could be treated like this and the thrombectomy could be removed.Well, I haven't had a few surgeries for intestinal obstruction, let alone mesenteric vascular embolization. ”"Then do you think Dr.
Song will write a case report?""
Rainbow, you're driven crazy by papers?
How can you think of anything to a paper?
”"Well, I can't help it.Liu Na told you no, she co-wrote a paper with someone from the medical university, and it is estimated that it will be published by the end of the year or early next year. ”Li Min shook her head: "I haven't heard her mention it."
When will she be free to go to the Medical University?
I see that she has been detained in the provincial courtyard since August last year, just like us, and has not been anywhere. ”Yan Hong shrugged: "God knows." ”Then she asked Li Min: "Then did Dr.
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Song report to the deputy high school this year?"
”"I don't know."
Li Min said bluntly: "I haven't gone to the medical education department to submit the information, and I don't know who has declared it this year." ”"Why don't you care about things.Minmin. ”Yan Hong blamed Li Min with dissatisfaction."
You have this opportunity, and you have to seize it."
Li Min received Yan Hong's kindness and told Yan Hong the truth: "I am still a little short, Dean Chen asked me to wait." ”"Is that the sample you said last time you applied for the fund?""
yes.""
Is it in time for the end of the month?""
It should work.Dean Chen wants to declare Zhenggao this time. ”"That's good.One more book, you're safer.Are you ready for anything else?
”"Ready.Just turn it in before the end of the month. ”"I just don't know how many people have applied for deputy high school this year."
After Yan Hong finished eating, she stood up Pan Jia, who had also finished breastfeeding, and asked him to lie on his shoulder and burp him."
It shouldn't be a lot.We didn't find it difficult to take the English test.But for people who have no foundation and have never learned a foreign language, it is still not easy to pass.It's Dr.
Song, I heard that he and Director Gu of the Department of Orthopedics didn't apply for the deputy high school last year because of foreign languages.I don't know if they have a foreign language this year. ”"If it's over, you'll have more competitors.""
No, it won't.The base of attending physicians in our hospital is large enough, and they are all stuck in papers and foreign languages.Unlike the Affiliated Hospital of the Medical University, it is stuck by the proportional number.I'll go home and lie down for a while. ”"Go ahead.If you have to open the stage jointly in the afternoon, you remember to bring Dr.
Song.Dr.
Zhou and Dr.
Chen are not as good as Pan Zhi. ”"Uh-huh.I know.Thank you.But by the afternoon, the directors should have returned. ”"I hope so."
Li Min understood that Yan Hong said such words to remind himself that the news was naturally from Pan Zhi.Pan Zhi was in Puwai for half a year, but he worked in the same department as Dr.
Song, Dr.
Zhou and Dr.
Chen for half a year.But Li Min thought that Dr.
Song, Dr.
Gu at that time, and Director Gu now, when it was their turn to be trauma surgery for half a year, he had never followed the two of them to the operating table together.She couldn't help but sigh, the two medical teams in the trauma surgery were really clear barriers at that time.* Li Min asked the nurse in charge when she went to work in the afternoon: "Is anyone looking for me in the morning?"
”"Dr.
Yan from the gynecology department has come to you.I told her you were doing surgery, and she said it was okay and she left it. ”Xiao Wu flipped through the phone record book and said, "The hospitalization of the general surgery department at noon is always looking for you, so let you come in the afternoon and give him a call." ”Li Min first went to the duty room to find Kevin Lu, and asked Ming Corey if he was okay and called to go to the Department of General Surgery.The hospitalization was always absent, and it was Dr.
Song who answered the phone."
Doctor Song, you always look for me for the patient in the gynecology department, right?""
Yes.I asked him to take the patient for an abdominal CT scan.I just went. ”Li Min recited the Buddha in his heart and thanked Dr.
Song directly: "Thank you, Mr.
Song." ”"Don't dare to be.When the CT scan determines the location of the IUD, we will immediately perform interdisciplinary emergency surgery.When you get the scene, the surgery notice you signed will be useful. ”"Hmm.I'll go.Maybe Director Liang and Director Li of the Department of Obstetrics and Gynecology both came back at that time. ”Doctor Song laughed, he thought the same in his heart.But even if the department directors didn't come back, he was sure to get the operation.Neither of them expected that the person who went to the funeral home in the morning to attend the funeral ceremony had just sat down to eat the funeral meal.Because the arrangement of the whole ceremony is to be cremated and sent directly to the cemetery next door to the funeral home for burial.Therefore, when Li Min did not wait for Director Liang and Director Li of the Department of Obstetrics and Gynecology to come back, all the preoperative examinations and preparations were completed.This emergency operation was signed by her in charge of the operation notice, Dr.
Song took Dr.
Zhou and Shi Yi to the stage, and Xiao Lei from the obstetrics department was also counted as one, and the emergency department underwent (joint) laparotomy.The preoperative conversation was explained by Dr.
Song to the patient's family with Li Min and Xiao Lei.The patient was brought in by a farmer in his thirties, with a swarthy face full of panic and apprehension.They were accompanied by the patient's mother and sister, who were even more terrified.After listening to the preoperative explanation, they made one request: help!"
Director Li, you can do what you say you want to do.I sign, I sign.Please ask the doctor to save my daughter-in-law thousands of times.She's a mother of two!
”The man stretched out his hand to Xiao Lei for a pen.The man didn't have any more fancy words, but this sentence was enough to impress Dr.
Song and the others.Li Min suspected that he didn't understand what Xiao Lei had told him.Dr.
Song said, "Dr.
Lei has just explained the patient's situation to you.The purpose of our surgery is to save lives.Although we have a CT scan, if the uterine infection is severe, we may have to remove the uterus to save our lives.After the removal of the uterus, there can be no more children. ”The patient's mother immediately became anxious: "Is my daughter still a woman?"
”She didn't listen to the big preoperative explanation of the emotional Xiaolei just now."
Of course.Any of her future lives will not be affected. ”In front of Xiaolei, a young girl, Dr.
Song, in order to relieve the doubts of the patient's family, said that sex would not involve the uterus."
We will keep her cervix so that it doesn't affect their couple's sex life.In fact, under normal circumstances, sex can only reach the cervix.The cervix is usually closed, and only a small opening is made during menstruation, only the size of the tip of her little finger," Dr.
Song pointed to Xiao Lei's hand and said: "Only the channel the size of the tip of her finger is only enough for menstrual blood to flow out." ”The man hurriedly said, "Doctor, it's important to save her life."
We already have a son and a daughter.No more birth.No more birth. ”Doctor Song slapped the man on the shoulder and said, "Good job."
Be responsible.Your daughter-in-law's sin is your husband's business.You should treat her well in the future. ”"Yes, yes."
The man nodded repeatedly.* The four of them went on stage together, and Li Min grabbed Jiang Ma's round stool and sat with him.When the abdominal cavity is opened, a foul smell spreads.Sister Wang, the nurse who patrolled the station, said: "How many days has this been a perforation?"
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”"A piercing can be so stinky for a day."
Li Min was so disgusted by the smoke that he was disgusted.In order not to throw herself up in the operating room, she quickly pressed her mask and left the operating room.As soon as she got up, she heard Dr.
Zhou say, "I've run away one." ”"It's a pity we can't run."
Jiang Ma joked."
Did you all wear two layers of masks today?""
You're not pregnant, so you're not qualified to run.""
If you don't wear two masks, you can't get along with yourself."
Xiao Lei, a young female doctor who has only been working for a year, looked up at Shi Yi opposite, and then looked left and right, she found that only these people on and off the stage were wearing a single-layer mask.Li Min stood in the lobby of the operating room and took off her mask to ventilate.Director Liang came over and asked, "Xiao Li, how is the operation?"
”Li Min was instantly excited as if he had seen a savior, "Director Liang, you're back." ”Someone finally took the load."
The patient had a cesarean section more than 9 months ago, and the adhesions were not too serious.Well, Dr.
Song just opened my abdominal cavity and smoked me out. ”Then she wanted to report everything she knew about this patient to Director Liang.Director Li of the Department of Obstetrics and Gynecology walked over while wearing a mask, and she was followed by Fu Yujie, the director of the second obstetrics.Li Min felt that the breath he had strong on immediately dissipated.Well, the big director of the general department has arrived!
The chief and deputy director of the Department of Obstetrics and Gynecology have also arrived!
Probably because her performance was too obvious, Director Li of the Department of Obstetrics and Gynecology smiled: "Lao Liang, look at what scared Xiao Li." ”"You're scared, too.Otherwise, what are you going to do by calling back?
”Director Liang was not in a hurry, he knew that Dr.
Song was on stage, and he would come over to see the operation."
Who's left at home in our department?
I can not mention a heart.You can rest assured, why don't you wait until you're done eating and come back?
”Director Li does not spare this senior brother who exposes his shortcomings.Li Min patted his chest and smiled and said, "Then I need first aid." ”Director Liang smiled: "Then let me go back to Cory."
Lao Li, let's go in and have a look. ”"Okay."
Director Li agreed and followed Director Liang to the No. 9 operating room.※※※※※※※※※※※※※※※※※※※※ medical life drama, it's really appropriate to think about it