The head doctor was a little hesitant.

The operation of lumbar piercing is inherently difficult.

It requires puncture of the intervertebral space between lumbar 2 and sacral 1 (mainly lumbar 3-4) to accurately penetrate the dura and reach the subarachnoid space.

Only then can the cerebrospinal fluid be released.

To find the gap between the two vertebral bodies and accurately insert the needle, it requires not only the doctor's technique and feel, but also the patient's cooperation.

Because in a normal posture, the vertebral body is like a stacked tile between the vertebral body, layer by layer.

Only when the patient lies on his side, clasps his knees with both hands, as if he is "hugging a winter melon", and bends his back as much as possible, can the gap between the vertebral bodies be exposed.

At the same time, the patient is also required to be quiet and relaxed, as tight muscles will also affect needle insertion.

This operation is as dangerous as chest puncture among the four major punctures.

All of them belong to the operation in case the technology is not working, which will affect the safety of the patient's life.

Normally, interns don't deserve to do this.

So the head doctor didn't talk to his two interns at all.

Thinking on your knees, you know that neither of them can do it!

Even for experienced working doctors, it often happens that they do it for half a day because the position is not properly positioned, or the hand feels wrong.

What's more, now this patient ......

He's writhing.

He's still singing......

The already difficult operation is exacerbated by this situation.

The doctor on duty was very entangled in his heart, and couldn't help but look at Zhang Tianyang and spoke tentatively.

"Why don't you come?"

As a doctor in the emergency department, he rarely encounters a situation where he needs to do his own lumbar puncture.

After all, this kind of operation is more common in hematology and neurology, but it is not a routine operation in the emergency department.

If a normal patient comes, he still has some confidence that he can do it.

But this patient ......

He took his eyes off the little yellow chicken on the patient's underwear with difficulty, and then looked at Zhang Tianyang expectantly.

Zhang Tianyang looked at the doctor in charge and decided to tell the truth.

"I would, but teacher, I'm still an intern. ”

Zhang Tianyang actually attaches great importance to this.

As an intern, he cannot make diagnoses and prescribe medical orders on his own.

That's why, Zheng Hualiang and Dr. Chen have obviously been reduced to two salted fish, but they still have to help Zhang Tianyang take a look at his treatment, and then nod.

This is also the reason why, in fact, this patient Zhang Tianyang can handle it by himself, but he has to inform the head doctor before making every judgment.

He can do endotracheal intubation, he can do abdominal puncture, and other interns can do it too.

But waist piercing, although he thinks he can do it, he still has to make it clear in advance.

Sure enough, the head doctor hesitated.

Now he's the biggest, and if something happens, he's responsible!

So, the expectant gaze gradually turned to Lin Ke'an next to him.

This female doctor seems to be very reliable, maybe she can?

"You ......"

Lin Ke'an smiled like Zhang Tianyang.

"I'm also an intern. ”

The head doctor felt a momentary feeling of suffocation.

On the one hand, it was a surprise that these two interns could be so sophisticated and reliable.

On the other hand, it was the shock that these two such reliable white coats turned out to be just interns.

It seems a bit contradictory.

But at this moment, that's what the head doctor thinks.

So, involuntarily, he maintained a frowning posture and fell into a stalemate.

In the end, he relented.

"Okay, then I'll do it. You guys help me press the point. ”

Catching ducks on the shelves accepted the task, and the doctor on duty was ready to fight a protracted battle.

Looking at the appearance of this patient, it is difficult to wear the waist!

But after a flash of effort, there was suddenly an iron shelf in front of him, which was full of tools.

The doctor on duty glanced at him.

"Waist bag, sterile gloves, syringe, gauze, ...... of iodine"

"When did you prepare?"

Zhang Tianyang shrugged, and next to him, Lin Ke raised the lidocaine he had just gotten in his hand.

Since judging that the patient is going to have a lumbar puncture, the perverted Zhang and Xuebaan have begun to silently prepare items.

Now, it's just a matter of taking out what you have prepared.

"Position!"

The things were ready, and Zhang Tianyang naturally opened his mouth to give an order.

Lin Ke'an naturally responded and turned to the other side of the patient.

The two little white cats naturally came up to help.

The doctor on duty was still immersed in the "magic" of everything being prepared in a blink of an eye, and when he turned his head again, the position was almost set.

The patient's physical condition is very soft, and it stands to reason that the knee hugging posture will be relaxed.

But now he is extremely excited, subconsciously acting against the stimulation of the outside world.

Therefore, this knee hug position is based on four people and eight hands, plus the mandatory restraint belt.

Even so, the patient continued to writhe.

But this is already the best state.

Zhang Tianyang and Lin Ke'an Bing were divided into two ways.

Over there, Lin Ke'an pressed his hands on the patient's shoulders, trying to coax the patient to calm down like a child.

Here, Zhang Tianyang stood next to the head doctor, and quickly set up the chairs and iron platforms needed for the operation.

Then Zhang Tianyang first stood in the operating position, and stroked the patient's back with one hand, ready to position.

He quickly found the intersection of the iliac crest line and the posterior midline, pressed his thumb, felt the contours of the spine, and found the softness in the middle of the two hard pieces.

This is it.

The nails were pinched down, and a cross was pinched out at the intended puncture point.

"Teacher, take a look?"

The doctor on duty was stunned and answered, and touched it at Zhang Tianyang's request.

The location is right, the feel is right, this is it.

He subconsciously glanced at Zhang Tianyang.

Zhang Tianyang nodded at him naturally, "Let's start then?"

In an instant, the head doctor actually felt that he had returned to the beginning, when he was still a little new.

In a trance, it seems that there is a feeling that a senior doctor is doing a lumbar piercing by himself.

The doctor on duty did not respond, and Zhang Tianyang took him as acquiescing.

Walking to the position of the doctor on the other side of the iron platform, he began to prepare his belongings.

With a mistake in both hands, the waist bag was torn.

Pinch the outer wall of the inner layer of the wrap and spread out the waist bag.

Then prescribe the iodine and pour it in.

Open the syringe and pour it in.

Prepare lidocaine, check the label, but it is not opened yet.

A pair of 7.5 unopened sterile gloves were handed to the doctor on duty, who was a little stunned.

It was clearly felt that the doctor on duty paused for two seconds.

It was really the output of Zhang Tianyang's big feeding technique, which made him feel more and more that Zhang Tianyang was a senior doctor, and he was an intern!

Calming down, the head doctor's eyes gradually became resolute.

I'm the master!

This is my home turf!

What a bullshit big feeding technique.

As long as I'm fast enough, strong enough.

His feeding skills can't catch up with me!

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