Xiao Yang said to Shao Jialiang on the phone: "She has this ability. If you don't believe it, let her try. Some things need to be seen with one's own eyes to believe it."
Colleagues spoke highly of her, and Shao Jialiang frowned.
The patient's family members did not go far at the door. The old lady visited from time to time, holding on to great hope. It was the family members who went to ask people from the National Association to come. Respecting the reasonable demands of the family members is an obligation that a doctor needs to fulfill.
Shao Jialiang agreed.
The anesthesiologist pushes the prepared anesthetic drugs into the patient's veins, and the patient falls asleep and relaxes the whole body. At this time, it is relatively easy to insert a gastroscope without resistance from the patient. Just like the bronchoscope demonstrated by Teacher Xin before, the difficulty is in the throat, so don't
Insert it into the wrong lumen. You must know the anatomical location very well. Fortunately, the entrance to the esophagus is much easier to find than the trachea. Think about it, nurses can blindly insert a gastric tube.
The operating doctor puts on a surgical gown, gloves and surgical hat, preparing to perform special digestive endoscopy including necessary endoscopic surgery.
Senior Brother Yu stood nearby while Xie Wanying picked up the gastroscope.
I have tried choledochoscope and bronchoscope, and it seems that there is not much difference in several basic components and operating principles of endoscopes. The light source (for illumination), operating hole (for inserting various instruments and placing them on various endoscopes are the names)
(different), the rotating button (used to adjust the angle), the specific details will definitely be slightly different, but the feel will be similar. They are both hoses and move inside the patient's lumen. It may be for this reason that the inner
Senior brother Yu, who is a master of mirror technology, dared to let her operate it by herself.
here we go.
As mentioned before, it was very easy for her to find the entrance to the esophagus. However, as soon as the tube entered the esophagus, a stenosis was seen about 35 centimeters away from the incisors. This is the anastomosis and can be seen in the field.
The feeding tube was left in place. The anastomosis was too narrow, which was consistent with the situation provided by the attending doctor before, and the endoscope could not pass through the anastomosis. Above the anastomosis, I saw the tail of a titanium clip, indicating that the titanium clip was probably not clamped correctly after trying it.
The important fistula leads to continued signs of fistula.
To remove the remaining titanium clip, first pull out the nutrition tube, and then insert a guide wire for balloon dilation of the anastomosis. Xie Wanying kept recalling the gastroscopy techniques she had seen teachers perform before.
Yu Xuexian knew that she had no problem with basic operations. She thought that she would dare to do the puncture for Xin Yanjun that night without having undergone neurosurgery. Gastroscopy is much simpler and the risk is much lower than that of neurosurgery. How could it stump her? What is needed now is
He imparted some experience to her and said: "Pay attention to the titanium clip and pull out the feeding tube slowly. Don't think that the patient will not react after being anesthetized. When placing the guide wire, you need to pay special attention to the position."
Huh, Xie Wanying adjusted her breathing rate in her heart to adapt to the rapidly increasing pressure. This kind of technical pressure is not given by others, but a new problem that a doctor must face every day.
It can be seen that female teachers are different from male teachers. Male teachers such as Senior Brother Yu, even though they are physicians like Teacher Xin, are completely different.
Teacher Xin will take it step by step and will not rush things. The most important thing is that Xin Yanjunzhang, as a teacher, has to bear the difficult things himself and will not let students bear the burden of responsibility.
Senior Brother Yu is more like Senior Brother Tao. He wants her to shoulder the burden of responsibility and let her do difficult things by herself. She first stands aside and watches what happens.
Teacher Xin is really gentle at heart. No matter how easy-to-talk Senior Brother Tao is, no matter how nice Senior Brother Yu is, he will never be so considerate.
