Great Doctor Ling Ran
Chapter 853: Huang Ying
"You sign the informed consent form, and then we will clean the intestines for you." Ma Yilin took the informed consent form and handed it to the patient Dou Shan to read, and asked: "What about the family members?"
"Where is the ward." Dou Shan lay on his back and answered with some effort.
Ma Malin looked at the crowds who were still lining up, and said, "Then you sign first, and I will notify the family later. Anyway, it is a minor operation."
"Isn't it possible? I just have a headache, I feel a little bit weak, and I got a rainy fever yesterday ..." Dou Shan is an honest farmer in Bazhai Township. Instead of believing in the hospital's technology, when I heard the word surgery, my head would faint.
Ma Malin looked at Dou Shan's expression and knew what he was thinking.
If you want to say, although Ma Yilin is a junior in Ling's treatment group, he has been practicing medicine for six years after internship, and he has been in medical school for more than ten years. In the industry, properly is the backbone of the industry. But in the hospital, it is only the lowest-level resident.
But Dou Shan was an inexperienced patient, holding an informed consent form, and wanted to sign, but did not dare to sign.
Seeing this, she can only explain from the side: "We are mainly cleaning the intestine for you now, the purpose is to see the condition of your intestine ..."
I talked for a while, and Dou Shan didn't really understand it, but after seeing Ma Yilin's attitude and my patience, I finally felt the bond between the two before signing the informed consent.
Ma Malin took it, turned around and handed it to Qi Zao, a somewhat stupid new intern who was beside him, and said, "Take it away, all the informed consent forms are to be filed."
"Oh." Qi Zao took it, subconsciously glanced, and suddenly smiled loudly.
怎么 "What?" Ma Yanlin frowned, what the **** is laughing in front of the patient?
Wu Qizao also realized that she was wrong, and quickly gathered her smile, and then pointed to the emergency contact column of the informed consent form.
When Ma Malin looked, he saw the right side of the "relationship with the other party" under the emergency contact, and Dou Shan seriously filled in four words: the relationship is very good.
Humph……
Ma Malin swallowed the laughter and spit it out of his nose again.
I have to have 10 years of medical experience to be able to laugh at myself, so freely, so unlike laughter.
"Let him refill it." Ma Yilin didn't turn around, lest he couldn't help laughing. Don't laugh in person, it takes 15 years of experience.
Qi Qijuan's eyes were red and she bowed her head, pretending to get the informed consent, and smiled before coming out. This time, she simply sought the patient's family members and signed the informed consent together.
Oral polyethylene glycol electrolyte powder.
Defecation.
Fecal examination.
I waited until everything was ready, and Yu Yuan, who had completed the task at hand, just passed the examination room, copied it with both hands, and watched Ma Yanlin preparing the colonoscopy for the patient.
Wu Lingran walked into the examination room about the same time.
try {mad1 (\ 'gad2 \');} catch (ex) {} "Not started yet?" Ling Ran looked at Ma Yanlin.
马上 "Immediately ... Immediately ..." Ma Yilin's dim look turned to the right.
Ling Ran noticed Yu Yuan and asked, "How do you feel about the hospital?"
"There are a lot of questions, but Yunli has helped. Now there are fewer people, but I think that the main work is still shunting." Yu Yuan quickly answered.
Ling Ran nodded. The sense of the hospital was a specific and insignificant job. It was a standard first-come-first-served job. He couldn't take care of it now, and just recognized Yu Yuan's job.
After all, the Ling treatment group has been in hospital for so long in Yunyi. Several participating doctors in the group are quite experienced. For a township hospital, Yu Yuan's experience and knowledge reserve are also sufficient.
Even if Ling Ran is involved, it may not be more complete. What's more, whether the current sense of hospitality in the Bazhai Township Branch is complete is not a technical issue in most cases.
It is like shunting an item. Without Yunli Medicine's help, most of them will not achieve the current results.
What Ling Ran has seen so far is that it is very good to achieve this level in one day.
"Yu Yuan is here, let's do the colonoscopy together." Ling Ran stood with her hands.
Single-person colonoscopy is more common in the world now, but the equipment technology in Bazhai Township is lagging behind. Traditional double-colonoscopy is still used.
Ling Ran didn't like to do colonoscopy anyway, Yu Yuan was by the side, and then he gave it to him.
Wu Yuyuan immediately laughed, and when he refused to stand up, he ordered Ma Yanlin: "Mice Note 6542."
The momentum and sound were like the sound of a 1.414-meter-high subwoofer.
"Intramuscular injection 654-2." Ma Yanlin repeated in his mouth. He was not dissatisfied when he lost his title. Yu Yuan's qualifications are much deeper than him, basically his senior doctor came.
Immediately after, a tube of racemic anisodamine was injected.
Tong Yuyuan stuffed 1% caine cotton **** into the steel tube, and after waiting for two or three minutes, she was ready to start.
The patient was lying on the examination bed, and he was long unlovable.
结肠 The people who do colonoscopy, especially men, basically have an expression, as if there was a unified training before a colonoscopy performance training class.
Yu Yuanyuan glanced at his rough face and saw that his expression was normal. He focused his attention on his anus.
Ling Ran followed and looked at the screen.
A long period of anemia and weakness makes it easy to associate with gastrointestinal bleeding. If you associate further, the diagnosis of the condition is not satisfactory.
But on the other hand, the patient has a soft abdomen, no tenderness, rebound pain, and no muscle tension ...
According to the information obtained so far, Ling Ran is also not sure about the condition.
However, the diagnosis of surgery has always been rude. It is not as often associated with internal medicine as it is with many associations. It is mainly based on various tests.
try {mad1 (\ 'gad2 \');} catch (ex) {} For Ling Ran, his main diagnostic weapon is physical examination, which is then supplemented with various imaging information.
Because he is famous for performing surgery, even if he is now in the outpatient department, the patients who come to the door are mostly in a clear condition, which causes Ling Ran to rarely make a basic diagnosis.
Today's patients are quite a new case for Ling Ran.
"Wait a minute, I seem to see something just now." Ling Ran frowned at the yellow shadow that flashed across the screen.
Yu Yuan adjusts the angle in a hurry.
She doesn't do much colonoscopy, and the model used in Bazhai Township is unfamiliar. Of course, the most important thing is poor technique.
"It seems normal." Yu Yuan noticed the intestinal structure. The cleaned intestine is quite clean, basically a blood-stained flesh-like tunnel. If you don't think too much, it is still more acceptable to normal people's vision.
Wu Yuyuan had already found the middle part of the ascending colon at this time, and no problems such as bleeding were found. She was also confident in the anatomy of the intestine.
Ling Ran shook her head gently: "The camera continues to push in."
Double colonoscopy, the doctor of the main knife is responsible for adjusting up, down, left and right ~ www.wuxiaspot.com ~ assistant is responsible for promoting withdrawal.
With the patient's humming, Ma Yanlin pushed the camera deeper.
"Nothing like it ..." Yu Yuan kept the lens as stable as possible, still trembling.
"I'm here." Ling Ran was always preparing. At this time, he directly took over Yu Yuan's position, holding the upper and lower knobs with his left hand, and flicking with his right hand to make the field of vision suddenly wide.
"Go inside." Ling Ran ordered.
Ma Malin immediately moved. Yu Yuan could only stand obediently behind her back, flattening her mouth, as if the root had been squashed.
Compared with Yu Yuan, the screen operated by Ling Ran is much more stable and clear, and the field of vision is also more comfortable, and it is a more familiar angle for doctors.
Ma Malin pushed inward as she learned. At this time, another yellow shadow appeared on the screen.
"This is not **** ..." Yu Yuan judged at a glance.
Ling Ling said a sullen "En", and only said, "Push a little faster."
Ma Malin then speeded up a bit, and Ling Ran adjusted the angle and lighting direction again. At this time, the yellow shadow on the screen became clearer.
A yellow flat banded body.
It overlaps with itself, and is broader and flatter than the insects seen in the wild.
In terms of field of vision alone, its length should also exceed 40-50 cm, and its worm body fits perfectly to the intestine, gliding in the field like a semi-moving body, like a long body with a wide body Like a boat.
And its rapid movement in the intestine, the leisurely, 徜徉 在 scene in the familiar environment, it is easy to associate with the skateboarding junior in the tunnel.
Youth, blood, yellow, parasitic ...
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