Chapter 853: Huang Ying
"You sign the informed consent form, and then we will clean your intestines." Ma Yanlin took the informed consent form, handed it to the patient Dou Shan to read, and asked, "Where are the family members?"
"Where's the ward?" Dou Shan was lying on his back, answering with some effort.
Ma Yanlin looked at the crowd still queuing up, and said: "Then you sign first, and I will notify the family members later. It's just a minor operation anyway."
"Is it okay if I don't do it? I just have a headache, I'm a little weak, and I got a fever in the rain yesterday..." Dou Shan is an honest farmer in Bazhai Township. If you don't believe in the hospital's technology, you will feel dizzy when you hear the word surgery.
Looking at Dou Shan's expression, Ma Yanlin knew what he was thinking.
In other words, although Ma Yanlin is relatively junior in Ling's treatment group, he has been practicing medicine for six years including his internship, and more than ten years including his time in medical school. In the industry, Duoduo is the backbone of the industry. But in the hospital, they are only the lowest-level residents.
Dou Shan was an inexperienced patient, holding the informed consent form and wanted to sign it, but he didn't dare to sign it.
Seeing this, Ma Yanlin could only explain from the sidelines: "We are mainly cleaning up your intestinal tract now, the purpose is to check the condition of your intestinal tract..."
After talking for a while, Dou Shan didn't really understand much, but seeing Ma Yanlin's kind and patient attitude, he finally felt the bond between the two, and just signed the informed consent form.
Ma Yanlin took it, turned around and handed it to the silly new intern Qi Zao who was standing by, and said, "Put it away, all informed consent forms must be filed."
"Oh." Qi Zao picked it up, glanced at it subconsciously, and suddenly laughed out loud.
"What?" Ma Yanlin frowned, what the hell was laughing in front of the patient?
Qi Zao also realized that he had made a mistake, quickly put away his smile, and then pointed to the emergency contact column of the informed consent form.
Ma Yanlin looked, and saw that under the emergency contact person, on the right side of "relationship with the other party", Dou Shan seriously filled in four words: the relationship is very good.
snort……
Ma Yanlin swallowed the laughter, then spit it out from his nose, suppressing the sound.
You have to have 10 years of medical experience to be able to hold back your laughter and laugh so freely, so unlike laughter.
"Let him fill out another sheet." Ma Yanlin didn't turn around, lest he couldn't help laughing. If you don't smile face to face, it takes 15 years of experience.
Qi Zao's eyes were red, and he bowed his head in response, pretending to get the informed consent form, and only came out after laughing enough, this time he simply went to the patient's family members, and the two signed the informed consent form together.
Oral polyethylene glycol electrolyte powder.
to defecate.
stool test.
When everything was ready, Yu Yuan, who finished the task at hand, happened to pass by the examination room, copied with both hands, and watched Ma Yanlin prepare the patient for colonoscopy.
Ling Ran walked into the examination room at about the same time.
"Not yet?" Ling Ran looked at Ma Yanlin.
"Immediately... Immediately..." Ma Yanlin's eyes slanted to the right with a guilty conscience.
It was only then that Ling Ran noticed Yu Yuan, so he asked, "How do you feel about the hospital?"
"There are quite a lot of problems, but Yunli helped. Now there are fewer people, but I think the main work now is to divert people." Yu Yuan quickly answered.
Ling Ran nodded. The sense of the institution is a specific and subtle job. It is a standard job where the investigation is the first to have the right to speak. He doesn't care about it now, he just approves Yu Yuan's work.
After all, Ling's treatment team has worked in Yunyi Hospital for so long,
The participating doctors in the group are quite experienced. For a township hospital, Yu Yuan's experience and knowledge reserves are sufficient.
Even if Ling Ran participated, it might not be more complete. What's more, in most cases, whether the current Bazhai Township Branch Hospital can do a complete job in hospital sense is not a technical issue.
It's like diversion. Without the help of Yunli Medicine, most of them would not be able to achieve the current results.
As far as Ling Ran has seen so far, it is already very good to be able to achieve this level in a day.
"Yu Yuan is here, let's have a colonoscopy together." Ling Ran stood beside him with his hands tied.
Currently, single-person colonoscopy is more commonly used in the world, but the equipment and technology in Bazhai Township are relatively backward, and the traditional double-person colonoscopy is still used.
Ling Ran didn't like colonoscopy anyway, and Yu Yuan was by his side, so I left it to him.
Yu Yuan laughed immediately, took the lead without hesitation, and ordered Ma Yanlin: "Intramuscular injection of 6542."
The momentum and sound are like the sound from the 1.414-meter-high subwoofer.
"Intramuscular injection of 654-2." Ma Yanlin repeated. It's not unconvinced that he lost the position. Yu Yuan's qualifications are much higher than his, and he is basically his superior doctor.
Immediately afterwards, a tube of racemic anisodamine was injected.
Yu Yuan stuffed 1% caine cotton balls into the steel pipe, waited for two or three minutes, and then excitedly prepared to do it.
The patient was lying on the examination bed, and he had long since had nothing to love.
Those who do colonoscopy, especially men, basically have the same expression, as if they have been trained uniformly in a pre-colonoscopy performance training class.
Yu Yuan took a look at his rough face, and seeing that his expression was abnormal, she focused her attention on his anus.
Ling Ran also looked at the screen.
Prolonged anemia and weakness can easily make people think of gastrointestinal bleeding, and if further associations are made, the diagnosis of the disease is not satisfactory.
But on the other hand, the patient has a soft abdomen, no tenderness, no rebound tenderness, no muscle tension...
Judging from the information obtained so far, Ling Ran is also somewhat inaccurate in judging his illness.
However, surgical diagnosis has always been rough, often not like internal medicine, with many associations, but with various examinations.
For Ling Ran, his main diagnostic weapon is the physical examination, supplemented by various imaging information.
Because he is famous for performing surgeries, even if he is an outpatient clinic now, most of the patients who come to him come to him because their condition is relatively clear, so Ling Ran seldom makes a basic diagnosis.
Today's patient is quite new to Ling Ran.
"Wait a minute, I seem to have seen something just now." Ling Ran frowned at the yellow shadow that flashed across the screen.
Yu Yuan frantically adjusted the angle.
She does not do many colonoscopies, and she is not familiar with the models used in Bazhai Township. Of course, the most important thing is that the technique is poor.
"It seems to be normal." Yu Yuan paid attention to the intestinal structure. The cleaned intestines are quite clean, basically in the shape of flesh-colored tunnels covered with blood, if you don't think too much about it, it can still be accepted by normal people's vision.
Yu Yuan has checked the middle of the ascending colon at this time, and found no bleeding or other problems. She is also confident in the anatomical structure of the intestine.
Ling Ran shook his head lightly: "The camera continues to slide in."
For double-person colonoscopy, the surgeon is responsible for adjusting up, down, left, and right, and the assistant is responsible for advancing and withdrawing.
Accompanied by the humming of the patient, Ma Yanlin pushed the camera deeper.
"Nothing unusual..." Yu Yuan tried her best to keep the camera steady, but it was still shaking terribly.
"I'll do it." Ling Ran had been preparing by the side, and now he directly took over Yu Yuan's position, holding the up and down knob with his left hand, and flicking it with his right hand, widening the field of vision all of a sudden.
"Go in." Ling Ran ordered.
Ma Yanlin moved immediately, and Yu Yuan could only obediently stand behind, flattening her mouth, as if the root number was squashed.
Compared with Yu Yuan, the screen under Ling Ran's operation is much more stable and clear, and the field of view is also comfortable, and it is a more familiar angle for doctors.
Ma Yanlin pushed in while studying. At this time, another yellow shadow appeared on the screen.
"This isn't shit..." Yu Yuan judged it at a glance.
Ling Ran gave a muffled "En" and only said, "Hurry up."
So Ma Yanlin sped up a little more, and Ling Ran adjusted the angle and direction of the light. At this time, the yellow shadow on the screen became clearer.
A yellow, flat ribbon-shaped worm.
It overlaps itself, and its shape is much wider and flatter than the bugs seen in the wild.
In terms of the field of vision alone, its length is more than forty to fifty centimeters, and its body fits perfectly with the intestinal tract, gliding in the field as if it were half-swimming, like a wide-bodied and long-bodied ship. Like a boat.
And its rapid movement in the intestinal tract, the leisurely scene of wandering in the familiar environment, makes people easily think of the skateboard boy wandering in the tunnel.
Youth, blood, yellow, parasitic...