(Thanks to my friend 007-009 monthly ticket for encouragement)

"Fei Fei, how long has this lasted, do you have symptoms of painful urination, frequent urination, and urgency?"

After thinking about it for a while, Liu Banxia asked.

"It's been half a month, and there are no symptoms you mentioned. Tang Feifei lowered her head and said.

"And I'm keeping an eye on myself, and I can control it during the day. It's just that if you go to bed at night, that's it. I...... , I can't be that sick, right?"

"What about urine output?" Liu Banxia asked again.

Tang Feifei gritted her teeth, "It's not much, just a little." ”

Liu Banxia thought about it again, this was indeed not up to the standard of diabetes insipidus, and Xu Hui's judgment was very correct.

"Well, let's do three tests first, the first one is a urine test to see if there is an infection. The second is a blood test, which is also a routine test. The third is an MRI of the head to see if there is a problem with the brain. Liu Banxia pondered for a moment and said.

"In view of your situation, you can go directly to our VIP room upstairs. Blood tests and urine samples can be taken in the ward, and don't worry about MRI to see when there are fewer people below, or wait for the evening to do it. ”

"Your situation is somewhat special, and normally you should also go to a gynecologist for examination. But you're here, and I'll have to take care of it. I have a few more surgeries in the afternoon, and I'll be looking for you in the ward between surgeries. Don't worry, okay?"

Tang Feifei nodded, "Just help me keep it secret, otherwise...... I can't even see anyone. ”

"Don't worry, I'll tell you about it. However, the MRI can only be done later, and now we have more patients in the emergency center. Liu Banxia said.

"Brother Hui, I still have to go to the operating room, you can arrange it with Sister Li. If you need supplies, let the nurse help buy them, and I'm not at ease if she walks around, so I can't mess up our emergency center. ”

"Doctor Liu, I really can't be that sick, right?" Before Xu Hui could speak, Tang Feifei asked again.

"Have you had any contact with this?" asked Liu Banxia with a frown.

"Of course I don't, I don't have a boyfriend yet, it's someone I know who might have. Tang Feifei hurriedly said.

"Then don't be foolish, Brother Hui, let's do one more test when the time comes. Her name was replaced by VIP to save her future trouble. ”

Xu Hui smiled and nodded, personally speaking, he actually agreed with this treatment. Otherwise, if something really comes out, the emergency center will have to go to court.

There are many similar things, and celebrity hospitalization is also a difficult thing to deal with. If you can't prepare for someone, you will spread the news in a big way, and then it will be a lawsuit.

And this time Tang Feifei's situation is relatively special, and it may be best to be able to leak a little less.

Liu Banxia, who walked to the operating room, was also thinking about Tang Feifei's situation in his heart, diabetes insipidus can be ruled out, and the amount of urine for all diabetes insipidus will not be so small.

Next, it depends on whether it is a urinary tract infection or a problem in the brain, according to his speculation, it is more likely that there is still a problem in the brain.

I've also been exposed to diabetes insipidus, and the child had diabetes insipidus last time, but it's just a complication of other diseases. Compared to life, ignoring it is nothing.

I can't make a judgment now, so I'll have to wait for the detailed test results.

"Mr. Liu, the patient's information has been checked. ”

After Liu Banxia brushed his hands on stage, Liu Yiqing said.

Liu Banxia nodded, "Doctor Li, let's start anesthesia." ”

Li Liwei nodded and operated directly.

"Su Wenhao punched and explored. Rectal tumor resection, stoma, and tank digging are basically surgical kits for rectal cancer. After the patient was anesthetized, Liu Banxia said.

"Although we will have certain indicators at the time of surgery that can give patients great hope for anus-preserving treatment, it is also a problem of indicators. ”

"In the case of so many cases that we have seen, unless it is an early patient, more than 4 cm from the anus, and the basal infiltration has not yet had time, such a patient has a better chance of preserving the anus. ”

"Teacher Liu, do you mean to give some guidance when introducing patients?" asked Su Wenhao.

"It's not really, for patients, whether it is better to preserve the anus or to preserve the anus, what I am talking about is only a matter of probability. Liu Banxia said.

"Because we have a very embarrassing problem in the patients we actually receive, it will be a bit risky to preserve the anus. This involves the second surgery, so we must be clear when we talk to the patient. ”

"You shouldn't have forgotten the patient with extensive adhesions in the abdomen, if he had been more decisive, it would have been a different outcome. We can respect the patient's choice, but that is within the circumstances. ”

"Exploration showed that there was no obvious ascites, obvious adhesions, and obvious bleeding in the patient's abdominal cavity, and the tumor was located under the peritoneal reentment, without violating the serous layer, and there was no obvious peripheral lymphadenopathy. Laparoscopic radical rectal cancer resection can be performed. Su Wenhao said.

"Huang Bo is the main knife, Liu Yiqing is the first assistant, and Su Wenhao is the second assistant. Liu Banxia said lightly.

Huang Bo, who was already ready to hit the second or third hole, stiffened for a moment, and looked at Liu Banxia with pitiful eyes.

This is also a proper fourth-level surgery, although it is not as complicated as liver surgery, and the level of surgery is here.

Is the operation so complicated in the early stage? It is nothing more than separating the rectum from the root of the sigmoid mesangoid colon, and not damaging the ureters and hypogastric nerves. Liu Banxia continued.

"Then there is the very simple basic operation of intestinal surgery, ligating the upper and lower arteriovenous vessels of the mesentery and cutting off the intestinal tube. An abdominal wall stoma, in which the bowel tube is removed and the stoma is made while the surgery is finished. How easy is it?"

Huang Bo looked at him with even more resentful eyes, isn't it simple, that is in the eyes of your old man and under his hands, and in our hands, it is so simple.

But how dare he wait so long?

At this time, if you retreat, according to Liu Banxia's teaching practice, the next time you have the opportunity to operate, it will not be time.

"That's just like the words, don't worry so much. It is all the basic operations that come together to make this operation more difficult, will the separation process be more complicated than the adhesion gallbladder? Liu Yiqing, what do you say?" Liu Banxia continued.

"No, it's too hard to deal with adhesion. Liu Yiqing hurriedly said.

"You see, Liu Yiqing has the same opinion as me. The next digging tank operation is Liu Yiqing's main knife, Su Wenhao is one assistant, and Huang Bo is two assistants. Liu Banxia said it very happily.

Liu Yiqing, who was still very happy just now, also froze, and the pressure of today's operation was greater than a mountain.

"Digging the tank is also very simple, you only need to operate in the perineum, and the unnecessary tissue is removed. Liu Banxia said.

"What needs to be paid attention to is to protect the urethra, and I can't go through 4 similar surgeries with me, if I can't tell what is at this time, then I can only go back to the furnace and rebuild. Su Wenhao, are you right?"

"Uh...... This one is quite right. "Honest boy Su Wenhao doesn't know what to say.

"Come on, kids, I'll take it apart as much as possible for routine surgery in the future, and let you take care of one of them. Liu Banxia said.

"The operation of the whole operation is very demanding, and there are many things that need to be paid attention to. But it shouldn't be okay to do just one of them, right? I think you're fine. ”

"It's all scattered small work, and it's a big job when you get it together. If there are many surgeries in the future, we will sweep the surgeries in such a combination so that one person is not too tired. ”

He said it lightly, but to the three people who listened to him, it was tantamount to a small flying knife.

As an intern, I am happy to have enough practical opportunities. But Liu Banxia gave them too many opportunities, which made them a little unbearable.

Even if Liu Banxia is dismantling the entire operation now, it is a very routine operation. But it doesn't mean that this pressure is gone, it's different from being a pure assistant, this is the pressure of the main knife.

Is this irresponsible to the patient? People order your desk and ask you to do the surgery, and then you are now resting on the side and letting the intern get started?

But that's not the case, because as soon as you get into the hospital, the medical staff is responsible for all your behavior.

Don't look at Liu Banxia said very easily, and his eyes were also firmly fixed on their operations on the screen.

Let them get started, and for him to take on this responsibility. If there is a real mistake in the operation, he needs to take over immediately, otherwise the interns may be confused.

This means that this patient's situation is not complicated, otherwise he would not dare to let go like this if he borrowed a few guts. This is a rare opportunity to practice and to hone their will.

And if it weren't for the fact that their usual operation performance was also recognized by Liu Banxia, who would dare to let it go like this.

They were carefully selected by Chen Zhenxing, but they didn't come in on the basis of relationships. In the past, I had accumulated some experience during my internship, and I went to the emergency center for further study.

Just like today, there are still small incisions for appendectomy, so he has to do it himself. The interns are not as good as he is in this area, and the feel is not as good as his.

However, if it is replaced with laparoscopic gallbladder removal, this can also test the interns' ability to perform surgery. It has to be decided according to the specific situation of each patient, and the first fundamental requirement is to help the patient solve the pain and have a good prognosis.

It can be regarded as Liu Banxia's special teaching, and he plans to do this for the training in the second half of the year. Although they will feel more pressure, as long as they are well managed, it will be very helpful for their growth.

Accustomed to such high-pressure work, no matter where they are in the future, their performance will not be bad.

Watching them operate, Liu Banxia is also in a very good mood, which may also be the happiness of being a teacher.