Chapter 11 Second Example
It was a bit early to return to the hospital, but his three assistants were already energetic and were ready to practice with Liu Muqiao.
I got too much yesterday. I can only say that I only know what venous puncture is now.
Especially Liu Muqiao's handsomeness, as soon as he closed his eyes, he shook in front of him, so they all arrived at the hospital half an hour earlier.
"Good morning." The three young nurses smiled happily and greeted each other.
"You guys are earlier." Liu Muqiao also gave them a smile.
"Just as soon as possible, Nurse Liu Ya and Zhao Yilin had a fight, and now they are going to the office building."
"What's the matter?"
All three shook their heads, "I don't know."
Liu Muqiao's heart skipped a beat and he vaguely guessed that it must be related to him.
Sure enough, as soon as Liu Muqiao put on his white coat, Zhao Yilin rushed in like a wind.
"How are you thinking about it?" Zhao Yilin asked anxiously.
It's the same problem yesterday.
"Okay. But you have to take care of my internship. I still have to participate in the internship rotation. If I only practice your neurology, my knowledge will be incomplete."
"Then you still have to say it? I know, go!"
Zhao Yilin pulled him away.
"Hey, don't worry! Why are you leaving? I haven't finished the procedures yet. Besides, Chief Nurse Liu Ya, I promised to help her train a nurse."
Zhao Yilin stopped and turned around and said, "I have already discussed with Liu Ya. I will lend you a long time first. Let's discuss the others in the afternoon."
After borrowing for a long time, Liu Muqiao understood that there must be a patient waiting for puncture.
When I came to the intensive care unit, I found that a coma patient had a somewhat asymmetric pupil and was very dangerous.
Liu Muqiao picked up the CT film and watched it for a while, and another thalamic hemorrhage was caused. The amount of bleeding was about 20 ml.
"Are you sure?" Zhao Yilin asked in a low voice.
Liu Muqiao nodded.
"Then do it."
"Are you sure I won't be punished?"
Liu Muqiao was still a little worried that hematoma puncture is the largest surgery in the department of neurology. There are many hospitals that need to be transferred to the department of neurosurgery, and even in the department of neurosurgery, it is not considered a minor surgery.
Zhao Yilin patted his chest, "With me, don't worry about anything. You are accused of Ichisuke, I am a principal, what are you afraid of?"
It’s true that it’s hard to distinguish between the principal surgery and the Ichisuke. Whoever does it has a lot of mobility. Besides, if a superior doctor is present, he is the principal surgery.
Dr. Zou has not spoken yet. The 100 kilograms of radish in his family were pierced, but he did not dare to take action in the face of such a hematoma.
The shadow area last time was too large.
"Then let's start." Zhao Yilin waved.
No one moved.
The puncture bag lay there quietly.
"Go!" Zhao Yilin said.
"Me? Isn't it him?" Dr. Zou asked in confusion.
"You make preparations. He pierced, just like the last time." Zhao Yilin said.
Dr. Zou was in a mess.
I am a senior attending physician and I am about to become an associate chief physician. I will help you as an intern as an assistant?
Zhao Yilin had already seen Dr. Zou’s thoughts, and laughed twice, saying, “I’m the chief surgeon, Liu Muqiao is the first helper, you are the second helper. In this way, it takes time to divide the platform and you can get ten points.”
Zhao Yilin paused and added: "If you don't act as an assistant, do you still want me to be Liu Muqiao's assistant?"
Dr. Zou's face was flushed. He finally invited Liu Muqiao. That's right. Who would do it if I don't act as an assistant?
Originally, Zhao Yilin did not intend to let Dr. Zou be his assistant, but he saw that Liu Muqiao showed no sign of preparing himself, and it was difficult to urge Liu Muqiao.
Dr. Zou became a scapegoat.
There is a reason why Liu Muqiao did not take action. The preparation of puncture is easy to say, but this is a sterile operation, which is actually very procedural. If one is wrong, then you have to start over.
He is a master of the puncture technology, and he has only seen the preparation process of aseptic operation and brain puncture once. To be precise, he is still a rookie.
Dr. Zou was ready and turned around and asked, "It's your turn now?"
He had drilled a hole in his skull.
Liu Muqiao nodded, "Yes", stepped forward, stood in position C, picked up the puncture needle, checked it, and then made an aiming move.
The needle has been inserted.
The sound of "puff" is light and light. Only the operator can realize that those who pierce will be excited to pierce the membrane.
Liu Muqiao is the same, he feels very happy.
This is the dura mater.
It is also the first risk of puncture. If the dura is not penetrated cleanly in an instant, it is possible to have a dura avulsion, causing epidural hemorrhage.
This is the first time Liu Muqiao has realized this pleasure.
Last time, Dr. Zou stabbed the dura mater, and he felt a little regretful.
Next, the needle was put into place without any hesitation or trembling. The needle core was pulled out and blood flowed out.
Put on the needle, 15 ml of blood was drawn out, and a few millimeters were stabbed inward, and a few milliliters were drawn out, which was not much different from the amount of blood reported by the CT.
It's done.
Such patients do not need to be drained by catheters and have no active bleeding.
"I'll do it."
Seeing Liu Muqiao packing his equipment, Dr. Zou took the initiative to step forward. Just now, Liu Muqiao's movements were flowing, and he had to accept it.
It's not a coincidence, it's real kung fu.
"How did you do it?" Dr. Zou asked.
"Learn the anatomical relationship and imagine a three-dimensional picture. As long as you do this, it will not be difficult." Liu Muqiao said while taking off his gloves.
Zhao Yilin shook his head, "It's not difficult? Haha, it may not be difficult for you. Your hands are more stable and accurate than robots. Last time we watched a teaching video, the errors of robots are about 3 mm. I guess you, I guess the error is only 3 mm at most."
"Positive and minus 1 mm." Liu Muqiao said lightly.
"1 mm?" Zhao Yilin couldn't believe it, "Where did you learn it?"
Liu Muqiao did not answer.
"You said you would lend me one morning and you will be the only patient?" Liu Muqiao asked.
"Who knows that it's so fast? Look, it's only ten minutes in the first and last, and these ten minutes are mainly used for disinfection preparation. You puncture and draw blood, one minute in the first and last, it's too fast." Zhao Yilin said.
Dr. Zou put away the equipment and said, "Director, please ask Dr. Liu to do the drainage operation in bed 36."
Generally speaking, interns are called by classmates, or directly by name, and call them "doctor", which is an exception.
"Okay. Liu Muqiao, there is another patient with a bleeding volume of more than 100. The family is still hesitating whether to save him. He should have been placed in the custody room, but the family thought it was too expensive and did not agree. I did my work, and I agreed to the puncture and drainage." Zhao Yilin walked out first.
When Liu Muqiao and Dr. Zou left the door of the custody room, the family surrounded him, "How is it?"
They mainly surrounded Dr. Zou.
"It was very successful. A total of 21 ml of blood stasis was drawn. As long as there was no bleeding, it would be like a day. Generally, there should be no problem in taking care of yourself."
"Thank you, thank you."
Several pairs of big hands held Dr. Zou's hand tightly.
When they arrived at the doctor's office, three or four people surrounded Zhao Yilin.
"Are there any sequelae?"
"How much will it cost?"
"Can you take care of yourself in your life?"
...
A series of problems.
Zhao Yilin waited for them to ask and said, "More than 100 milliliters are severe bleeding, and they are in the basal ganglia and ventricle. The sequelae are certain. The chance of taking care of oneself is not great. As for money, it is hard to say. It is also related to your decision. However, I can tell you clearly that if you don't have surgery, you will have a very slim hope of living, and if you do surgery, you will have one-third of the chance. You can decide."
The family members understood it, and after discussing it, they could cure their hair!
“Discharge!”
Liu Muqiao sighed, and a living life ended like this.
Is there any way?
Medicine also has limitations, and the treatment value of such patients is indeed not very valuable.
Chapter completed!