A Ling is a pediatrician and is good at writing papers, but she is not very good at practical operations, especially kidney punctures, which are rare a few times a year.
She is one of the three beauties in her life.
As a pediatrician, there are only two or three most difficult operations, one is lumbar puncture, the second is bone puncture, and the third is the most difficult visceral biopsy puncture.
Today we have to do a kidney biopsy, which is a technical job, and A Ling’s success rate is only 80% certain.
As for the diagnosis of kidney disease, biopsy is the golden indicator and has absolute diagnostic value. Therefore, you must puncture the specimen at the correct location, otherwise it will be misdiagnosed.
There are two types of kidney puncture, one is done under the guidance of B-ultrasound, and the other is blind puncture.
Many doctors don’t like B-ultrasound guidance, it’s too troublesome.
But the biggest difficulty of blind penetration is that it is not easy to penetrate the tissue to be penetrated.
The kidney is divided into the cortex and medulla, as well as the renal pelvis and calyces. The thickness of each layer is only about one centimeter.
"Can you really do it?" A Ling was still a little worried.
"No problem. Last time, I punctured the inner part of the body, and the thalamus puncture was successful with just one needle." Liu Muqiao can only say this about his achievements.
When we arrived at the dressing room, the patient was already here, a boy of about 10 years old.
"Don't be afraid, aunt will give you an anesthetic." A Ling comforted the sick child.
She started to make preparations, disinfected the skin, laid out a hole drape, then took a tube of procaine and administered local anesthesia. Finally, the puncture needle was handed over to Liu Miqiao.
Liu Muqiao had already seen the CT scan, then touched the twelfth rib and spine, measured the distance with his fingers, and then took aim, as if he was aiming.
After completing these preparations, a clear three-dimensional image appeared in my mind.
Very clear.
He did not hesitate, quickly and accurately inserted the needle into the medulla of the kidney, and then...
He turned his head and said, "Teacher A Ling, you should come in person."
He has never seen a real biopsy. The puncture is a master level, but the tissue acquisition is a rookie level.
"It's already penetrated the middle part of the medulla. Let's get the tissue below. Teacher A Ling, it's better for you to do it yourself."
Liu Muqiao appropriately handed over the operation rights to A Ling, so that the main biopsy operator became A Ling.
He needs to see how others do it once, and it will be easier next time.
A Ling took a grateful look, and the more she looked at him, the more she felt that this guy was so smart and knew how to measure things.
A-ling took the puncture needle, pulled out the needle core, and inserted the biopsy clip. There was a "click" sound that was too soft to be noticed, and the biopsy was successful.
The resident doctor quickly opened the sterile vial and stretched it out. A Ling put the biopsy tissue in. He quickly capped it and tightened it tightly.
The interns surrounding him breathed a sigh of relief. The kidney biopsy that had been waiting for two days was completed. It took only 11 minutes, of which the preparation work accounted for almost 7 minutes.
Next, it was no longer Liu Muqiao's business to send the sick child. Six or seven interns swarmed up and pushed the bed back to the ward.
After leaving the dressing room, the family members of the patients who stayed behind hurriedly came forward and asked: "Did it succeed?"
"It was successful, very successful." A Ling said excitedly, because at a glance, the tissue she took out was the authentic kidney medulla.
Hearing the word "very successful", the family members also had smiles on their faces.
Liu Muqiao walked in front, and A Ling followed closely. At the other end of the corridor, A Ling said: "Liu Miqiao, I see you made an aiming movement before inserting the needle. What does it mean?"
She was thinking, this is not target shooting, does aiming make sense?
Liu Muqiao smiled and did not answer.
"Teach me. I see that you are very skillful in this operation. You must have done it many times." A Ling got in front of Liu Muqiao and blocked his way.
Liu Muqiao raised his head and glanced at Ah Ling. The two were only half a foot apart. His heart suddenly stirred and he secretly cheered. What a beautiful woman.
"The key is to familiarize yourself with the anatomical relationship between the kidneys and related organs, and then form a three-dimensional three-dimensional diagram based on the specific individual dimensions. This is the most critical link." Liu Muqiao explained the essence of puncture.
"It makes sense! I understand. First understand the anatomical relationship, and then conceive a three-dimensional image based on the CT report. Okay, okay, Liu Miqiao, I really want to thank you. I have the title of the next paper."
, I want to get an SCI, and my deputy chief doctor has it."
"It's not that difficult to obtain an accurate three-dimensional image," Liu Muqiao reminded.
"No problem, I can sleep with the skeleton and kidney specimens in my arms, right?"
Liu Muqiao shuddered. Think about it, what kind of scene would it be like for a beautiful woman to sleep with a skeleton in her arms?
Liu Muqiao was very excited. Today he had a kidney puncture. Next time, he can do it alone.
It is impossible for other interns to get such an opportunity. Even with pre-operative preparation and anesthesia, it is difficult to get it once or twice a year.
A Ling also had a dazzling expression. She was imagining the scene when sci was published, "Liu Miqiao, I'll treat you to dinner tonight. Come to my house."
"Ouch!"
A soft exclamation.
There were interns, residents, and even Dr. Zhou who appeared out of nowhere and exclaimed.
Everyone knows that the young Dr. A Ling’s husband works out of town and cannot come back twice a month. Liu Maqiao is invited to his home for dinner, which is really a blessing.
Unexpectedly, when I met a guy who didn't know how to cherish today, Liu Miqiao actually said: "Thank you, Teacher A Ling. Tonight, head nurse Liu Ya organized a dinner for the nursing department and told me that I must attend."
Next, there was another "ooh".
Liu Muqiao sat down. He still had a hospital admission record to write. Before he started, Liu Ya came over and said, "Liu Muqiao, come here for a moment."
This is the style of a head nurse, commanding.
However, Liu Muqiao didn't feel unhappy at all, because when Liu Ya called him, she had a smile on her face and something unique to women in her eyes.
Liu Muqiao hurriedly walked out.
"Is something wrong, head nurse?"
"It's almost time to get off work. There are delicious fruits in the duty room, imported."
After a hard day, sometimes the patient's family members are polite and bring fruit. They usually hide in the duty room to eat it. If they are easily found elsewhere, they will be deducted points and criticized.
The amount of fruit is not much and it is high-end grapes, so they are not going to share it with the doctor.
Liu Muqiao is different. Liu Muqiao is a hero of the nursing team. In the future, I hope he will bring out a few apprentices.
As soon as she entered the door, Sister Wang closed the door. Most of the nurses were here, including the internship nurses, a total of about twenty.
It was better now. Liu Miqiao felt a little uncomfortable and fell into the woman's nest. The feminine scent filling the room was particularly refreshing.
The grapes were washed clean, and Xiao Fangzi picked a bunch for Liu Miqiao.
"Hey! Look, isn't this a video from our department?" Sister Wang exclaimed.
Everyone gathered around.
This is a video of Liu Muqiao performing venipuncture on a patient this morning, and it was also accompanied by music.
This chapter has been completed!