Chapter 327: An An's Burning Discomfort (;_;) , Grand Chapter
The patient, Li Yueban's little brother, was obviously nervous.
The anesthesiologist who was still hanging the water next to him was also nervous, and even stood up, ready to replenish the anesthetic dose at any time.
Zhang Tianyang didn't move back, but stood in a place where Li Yue's half-brother could easily see it, in order to calm his mind.
Over there, Senior Brother Meng was already pinching the cystoscope and began to send it inside.
The urethra in men has several bends and strictures.
When entering the cystoscope, you can't poke it directly, you must swing the mirror up and down, fit the bend in it perfectly, and then send it in.
Senior Brother Meng usually does this very well, but now he seems to have encountered a little difficulty.
The long cystoscope only poked in a few centimeters before it jammed.
Senior Brother Meng took a deep breath and tried to fine-tune up and down.
I don't know if the patient is too nervous or Senior Brother Meng is too nervous, and the cystoscope just can't poke in.
"What's going on?"
The bald head led Brother Yang to watch all the time, and at this time he couldn't help frowning and asked softly.
"I, I ......"
Senior Brother Meng's forehead had unconsciously oozing a lot of sweat.
The "white hat" is gone, and this incident has put a lot of pressure on him.
Now, the cystoscope, which was originally handy, did not listen to the call, and Senior Brother Meng panicked uncontrollably.
Panic, helplessness, guilt, sadness......
Several complicated emotions smeared on his face, and Senior Brother Meng gritted his teeth and pulled out the cystoscope.
Apply a layer of viscous lidocaine to act as lubrication and anesthesia, and try insertion again.
But again, after a few centimeters, the mirror gets stuck again.
"Relax, don't be nervous, relax. ”
Although there were already people comforting the patient Li Yueban, the cystoscope was still stuck in place.
The male urethra is a soft and easily damaged place, and Senior Brother Meng will never dare to poke it in.
Nor did any doctor dare.
Patients who usually encounter extreme tension, muscle contraction, and difficulty in entering the cystoscopy can only give up except for trying to remedy it with local anesthetics and lubricants.
But now, the patient is in the operating room.
The surgery is just halfway through.
The point is, the "white hat" has not been found yet!
As long as the white hat can be confirmed to be pulled outside, the situation will not be so embarrassing.
It's a pity that there are no ifs.
Another attempt failed, and Senior Brother Meng's face gradually turned pale and desperate.
In the end, he could only look at the bald brother with a young man, his eyes full of helplessness.
"You kid, remember it for me!"
The bald head led Brother Yang to glared at Senior Brother Meng fiercely and said a cruel word.
But as a last resort, he finally had to embark on the journey of wiping his buttocks, running outside to wash his hands and disinfect, and prepare to put on the surgical gown again on stage.
"Xiao Sun, you go and disassemble a new surgical gown and hand it over. ”
Senior Brother Meng's tone was full of gloom.
Covered in sweat, blown by the air conditioner in the operating room, it is not only cold.
The patient Li Yueban's little brother had a tendency to become anxious again, and Zhang Tianyang hurriedly shook it in front of his eyes and whispered comfort.
"It's okay, don't be afraid, I'll come later. ”
"Huh, what?"
The tense little brother Li Yueban didn't react for a while, and only after Zhang Tianyang made a wrong step and disappeared from his field of vision did he suddenly feel a trace of surprise.
"Dr. Zhang is finally going to go to the clinic in person? Great, then I should be fine. ”
My heart was suddenly relieved, and my heart rate was not so fast in an instant.
"Huh?"
The anesthesiologist, who had been staring at the patient's monitor, snorted.
He looked at the indicators that had fallen inexplicably, and then at Li Yueban's little brother who seemed to be relaxed when he lay back down, shook his head, and said "tsk" in his mouth.
Then he slowly sat down in his place and rubbed the wrist of his hanging needle.
"I don't know if I got glucose from the incubator, this bottle is so cold......"
......
Here, Zhang Tianyang glanced at the anesthesiologist who stood up and sat down, and his goal remained the same.
"Mr. Sun. ”
He stopped Sun Yu, who had already removed the surgical gown and started to do nothing again.
"Senior Brother Meng is sweating a little too much, you go to the place where you wash your hands and get a sterile towel and wipe him. ”
"Oh, oh, okay!"
Sun Yu quickly responded, turned around and ran outside the operating room.
Zhang Tianyang had already taken a few steps and quietly stood directly below the patient, next to Senior Brother Meng.
"Senior Brother Meng, have you been carrying it for a while?
"Thank you, sorry ......"
Senior Brother Meng was a little stunned, but he obediently let Zhang Tianyang take the equipment.
Under the heavy blow, he is now a little distracted.
When the cystoscope arrived, Zhang Tianyang weighed it twice, and a familiar feeling arose.
He turned his head to look at Senior Brother Meng, "Senior Brother, shall I give it a try?"
"Huh......?
Senior Brother Meng's reaction was half a beat slower, and he finally came back to his senses, slightly embarrassed.
"Senior Brother Zhang, I'll take you when I do cystoscopy next Monday, this situation ...... today"
He sighed softly, "You have also seen this situation today, I did something wrong, Brother Yang is probably very angry, and it is easy to get angry with you." ”
"It's fine. ”
Zhang Tianyang smiled and continued to insist, "I've had a cystoscope before, so I won't cause trouble, just think Senior Brother Meng, you tried it again?"
"This ......"
Senior Brother Meng was a little hesitant for a while.
Reason told him that he shouldn't let an intern get started.
But what he experienced in the past two days told him that Senior Brother Zhang was probably a big guy dressed in the skin of an intern.
If you hesitate, you will lose.
Seeing that Senior Brother Meng didn't refuse immediately, Zhang Tianyang took him as if he agreed, nodded at him, and then his temperament changed.
Senior Brother Meng raised his head in some surprise, looked at the senior brother Zhang in front of him, who seemed to have suddenly become a senior doctor, and wanted to speak, but in the end he didn't open his mouth.
The anesthesiologist also felt a subtle change in the air, rubbed his arm for a moment, raised his head in surprise, and then fixed his eyes on Zhang Tianyang.
"This, this intern...... Huh......"
And Zhang Tianyang has already entered the state.
Pinch a small tin can on the instrument table, scoop out the viscous clear liquid from it, and apply it evenly to the long pole of the cystoscope.
This is sterilized glycerin used for lubrication.
"Let's get some local anesthetics. ”
Zhang Tianyang's words carried a magic that could not help but make people surrender.
Senior Brother Meng was only slightly stunned, and when he reacted, he had already taken the needle-removing syringe with lidocaine and began to inject local anesthesia into the patient's urethra.
Looking at Zhang Tianyang, who calmly picked up a part of the patient with one hand and a cystoscope with the other, Senior Brother Meng's eyes were complicated.
After a few struggles in his heart, he finally spoke with difficulty.
"Senior Brother Zhang, this cystoscope, he has skills, and he can't poke ......"
"Well, I know. ”
Responding casually, Zhang Tianyang had already squeezed it lightly with his left hand, and slowly poked it into the upturned opening.
The tip of the cystoscope at East Hokan Hospital is warped, so it needs to be reversed 180 degrees when entering.
Wait until you're inside, then flip it over.
As soon as Senior Brother Meng wanted to open his mouth to remind, he saw that Zhang Tianyang had successfully completed the flip.
So the words in his mouth became, "Senior Brother Zhang, the mirror needs to be pressed down next......"
is still a familiar plot, as soon as this sentence was said a few words, Zhang Tianyang's right hand had already driven the cystoscope to skillfully press down, and then gently sent it forward.
Soon, the screen that had been flickering again had a more stable picture.
Senior Brother Meng directly swallowed the second half of the sentence, with a surprised face.
This goes in???
It's so easy???
I haven't been in for so long just now, and I have to ask for help from the bald patient who taught Brother Yang, Zhang Tianyang's hand shook so much, and he conquered it?
Who am I, where am I, who is the senior brother and who is the intern?
Senior Brother Meng fell into deep self-doubt.
Even Sun Yu, who came back with a sterile towel and wanted to dry him, called him twice, but there was no response.
The anesthesiologist didn't know when he got up from his seat again.
Glancing at the data on the monitor, and then at the blurry but apparently successful cystoscope, he shook his head slightly.
"Interesting, interesting. ”
When he looked at Zhang Tianyang, the look in the anesthesiologist's eyes also changed.
Before, he ate Zhang Tianyang's "big feeding technique", and he always had a little "subtle loss of face".
But now, Senior Brother Meng has come to accompany him.
It's better to be happy alone than to be happy with all!
Zhang Tianyang also became pleasing to the eye all of a sudden.
"Whew, go in. ”
The momentum on Zhang Tianyang's body was retracted, and he smiled.
The right hand moved slightly, causing the scene on the screen to shake with it.
Although the picture is reddish-brown, it means that there is a lot of blood oozing in the bladder, and I can't see things clearly from left to right, but at least it has entered.
"It's simpler than you think. ”
He breathed a sigh of relief, showed a friendly smile at Senior Brother Meng that the other party couldn't see through the mask, and then directly grabbed Sun Yu's strong man.
"Classmate Sun, do Senior Brother Meng a favor after wiping his sweat and squeeze the salt water over there. ”
The entire field of view of the cystoscope is filled with dark red fluids and fluffy flocculents, and occasionally rubble can be seen close to the camera.
No matter how good Zhang Tianyang's eyes are, he can't work under such conditions.
What's more, you have to look for "white hats".
"Okay!"
Sun Yu was called willingly, and with the help of the anesthesiologist, he found two large bags of new saline and hung them, and then began to "artificially" create pressure.
Colorless, transparent saline is squeezed into the bladder through a tube designed for cystoscopes.
At the same time, the turbid liquid in the bladder trickles out through the small opening at the end of the cystoscope, and falls into the large bucket on the ground along the large garbage bag.
Time passed, and the vision gradually became clearer.
Obvious joy hung on the faces of the three urologists.
According to the current progress, as long as you fill it with some clean and transparent salt water, you will soon be able to find "white hats" everywhere.
At this moment, the door of the operating room was opened from the outside.
The bald brother raised his hands with undried alcohol gel and walked in in a hurry.
Before the person arrives, the sound arrives first.
"Alas, you little bunny, let me wipe your ass again!"
When you get closer, you can see that there are three points of warmth and anger, three points of irritability, and four points of helplessness on his face.
But when he saw the picture on the screen that was getting clearer, all the color palettes gradually became amazed.
"You're in?"
Zhang Tianyang blinked, "Well, it's in." ”
“???”
At this time, Zhang Tianyang was holding a cystoscope, and his face was light and light.
And Senior Brother Meng at this moment, his face was pale and his eyes were evasive.
The bald head led Brother Yang to a conclusion that he couldn't believe in an instant.
"Xiao Zhang, did you do a cystoscope?"
Zhang Tianyang blinked innocently and looked at Senior Brother Meng.
And Senior Brother Meng sighed, thinking that he was inferior, "Yes, Senior Brother Zhang did it, he is better than me." ”
The bald head led Brother Yang with a face full of surprise, looked at Zhang Tianyang again and again, and wanted to say something, but in the end he didn't speak.
He just nodded at him, then took the new surgical gown on the instrument table and began to put it on.
When the vision gradually became clearer, Brother Yang was already dressed neatly, put on double gloves, and then stood next to Zhang Tianyang, and naturally stretched out his hand.
Zhang Tianyang paused, didn't struggle, and handed the instrument to the bald brother to teach Yang.
Although he would love to try to find the white hat himself, the senior doctor is here, and the other party may have more experience.
For the sake of the patient Li Yueban's little brother, he should not be reckless.
Sun Yu was still conscientiously pinching the saline, and the colorless and transparent liquid was continuously squeezed into the patient's bladder under the pressure of external forces.
When the field of vision is clear to a certain extent, there is no noticeable change.
The tiny bleeding spots in the bladder are constantly overflowing with red "ribbons", which are then diluted by the clear solution, maintaining a delicate balance.
The bald head instructor manipulated the cystoscope and began to search for the traces of the "white hat" little by little, starting from the corner of the bladder.
On the screen, the field of view changes slowly.
In the operating room, the eyes of several doctors were staring at the screen, for fear that if one of them was not careful, he would miss the white hat that flashed by.
The cystoscope moved little by little, from left to right, from top to bottom, and after inspecting the entire bladder, it came again.
"Hoo ......"
The bald head taught Brother Yang to exhale softly, blink vigorously, and then continued to move.
Just because the white hat isn't visible in the whole bladder doesn't mean it's not really there.
Because in the case of cystoscopy, the entire bladder is filled with water, and a steady stream of fresh liquid is squeezed into it, causing vortex in the area.
Perhaps, you have just looked at the upper left corner of the bladder, and when the camera pans to the right, the white hat floats out of view to the place you have just "patrolled" under the action of the water.
So, to be on the safe side, look at it a few more times.
I didn't find it the first time, but I didn't find it the second time.
Under the bald head and teaching Brother Yang, his forehead sweated slightly.
The third time, the camera moved slowly, and there was still no receipt.
"Didn't you fall into it?"
Seeing that the third "inspection" was about to end, the bald head taught Brother Yang and Senior Brother Meng had such a happy thought in their hearts.
But next to him, Zhang Tianyang's eyes suddenly froze.
"Here!"