Chapter Seven Hundred and Tenth Has a Name
Yu Yuan was sitting on a round stool with her legs together, swaying in mid-air. Her hands are on her knees, her upper body is straight, her neck is held high, like a small to medium cat squatting on a chair.
The collars of the clothes are all spotted.
Ling Ran looked at Yu Yuan in surprise, at the patient, and then at the light bulb on the tray.
The bulb is really big, surprisingly.
In the same way, doctors and patients are surprising.
"It was completely removed, and the damage to the intestinal wall is controllable. After the anesthesia is over, the patient can be sent home after one night of observation." Yu Yuan compared a victorious scissor hand with slightly long and thin knuckles, and her entire hand was small small.
"Just take it out." Ling Ran was also relieved. Don’t look at it as a small light bulb, but when it can’t be taken out, it will become a major operation, because the foreign body must be taken out. Intestinal damage is extremely slow and expensive to recover from.
If it is in a European and American hospital, the emergency doctor may open the abdomen to take it out to be on the safe side. As for how many days after the operation, they have to live on thousands of yuan of nutrient solution per day, they can’t control it, the insurance premium will rise, or the patient’s own expenses How many proportions are not within the scope of its consideration.
"Don't you want to know how to take it out?" Yu Yuan suddenly needs to talk.
Ling Ran was a little curious: "How did you take it out?"
"First of all, the most important step is general anesthesia. This is something that many doctors have not noticed. I also checked the medical records of some doctors on the Internet. Many doctors choose to remove the foreign body after local anesthesia, and then fail after trying for many hours. Local anesthesia is too limited, if it’s a small thing like radish and loach, it’s fine, but if it’s as big as the diameter of a light bulb, you must have general anesthesia and muscle relaxation, which has the highest success rate…”
Yu Yuan went on to describe her process of removing the foreign body. In fact, the difficulty of the problem lies in the fact that the foreign body is slippery. If the oval forceps cannot grasp it, extraordinary measures must be taken.
In short, the steps are two: grab it and drag it out.
However, if it is easy to grasp and procrastinate, the patient can solve the problem at home. They are all experienced masters, and they don't need to go to the hospital to suffer and spend money to be watched by others.
However, it is not so easy to solve this problem when foreign objects are not easy to grasp and drag.
In the end, Yu Yuan relied on her small and flexible hands to complete the process of removing the foreign object, but when it comes to this process, Yu Yuan is still very proud: "It's not enough to have small hands, there are still some small details that need to be paid attention to... ..."
Ling Ran didn't want to listen any longer, and now he said with certainty: "All in all, you should be an expert in taking foreign objects..."
"Rectal foreign body removal." Yu Yuan corrected.
Ling Ran: "Huh?"
Su Jiafu next to him was also stunned: "This job has a name?"
Yu Yuan Xiaobao stared: "Of course. This is an important technology in the emergency department!"
"Okay, I specialize in rectal foreign body removal." Ling Ran nodded, thinking: Zuo Cidian didn't deserve to lose.
Boom.
The door of the debridement room was knocked twice.
"Please come in." Yu Yuan looked around, stood next to the tray with light bulbs, and raised her head slightly.
It was He Yuanzheng who opened the door and entered.
"Yo, there are so many people." He Yuanzheng couldn't help laughing when he saw a room full of people: "Is it a debridement operation? I'm here to deliver..."
"Rectal foreign body removal!" Yu Yuan corrected He Yuanzheng immediately.
Su Jiafu was irritated and depressed: "Don't always say this word."
"That word?"
"Rectal Foreign Body Removal."
"You said it this time." Yu Yuan put on a victorious look, and raised her scissors hands.
Su Jiafu looked at her small hands, and thought: Small hands, small minds, and sitting on my stool, if the anesthetist doesn't seize all the time to rest, he will die suddenly...
Shaking his head, Su Jiafu said again: "You just took a light bulb."
Yu Yuan heheed twice and nodded her chin: "Two light bulbs the size of a fist."
He Yuanzheng was a little delirious after hearing this, he looked down at his fist, two bulbs the size of a fist? rectum?
Su Jiafu sighed: "It's Yu Yuan's fist."
"I have small hands." Yu Yuan proudly said, "I took out the light bulb with my hands."
He Yuanzheng heaved a sigh of relief, then looked at Yu Yuan's hand, heaved a sigh of relief, then looked at the light bulb on the tray, frowned slightly, and said, "It's also amazing, you are considered a unique skill."
Yu Yuan was waiting for such an evaluation. She has been a doctor for so many years, and she has received almost no praise from the operation. When she was excited, Yu Yuan immediately said happily: "Director He, if you have... um... friends in need , just call me..."
After finishing speaking, Yu Yuan knew she had made a mistake, so she took the tray and walked away.
He Yuanzheng twisted twice, and then smiled again: "Doctor Ling, I heard that you are interested in the patient with liver fluke and intrahepatic bile duct stones."
"Yes." Ling Ran didn't say much, let alone explain.
He Yuanzheng smiled: "When I received the news, I hurried over to take a look. Well, Dr. Ling, this case is actually quite special."
"oh?"
"First of all, the patient's liver reserves are not good, the indicators of bilirubin, albumin, and PTA are relatively low, and the score of child-pugh can only barely reach B...plus liver cirrhosis, liver fluke disease and other problems... ..." He Yuanzheng said something, and then said: "We are still considering whether to operate on this patient."
Child-pugh's score of A is preferred by doctors. When the score is B, it is often necessary to consider many aspects. If the technology is not very good, they will basically give up.
Ling Ran didn't look worried, and said, "Send us to the emergency department."
"That..." He Yuanzheng hesitated: "child-pugh is very subjective, so be stricter, this person's grade is only C grade."
"Look at the specific situation." Ling Ran's mentality is very stable now, and the perfect level of "organization separation" can be said to be of great help to cutting the liver. Correspondingly, liver function can still be adjusted. Ling Ran didn't hear many questions from Zhang Anmin, so he didn't rush to make a decision.
He Yuanzheng smiled and said: "I'm worried that you will say I'm evasive, okay, then I'll tell the patient..."
Seeing that Ling Ran still persisted, he didn't say much. He Yuanzheng felt that he had said all he had to say, and that if the operation couldn't be done, it wouldn't be his fault.
Ling Ran nodded, and when He Yuanzheng left, he opened the middle-level treasure chest he had just obtained.
In a thick golden light, a blue test tube appeared in the air:
Skill Potion - +1 to all skills, lasts for two hours.