Since learning that Ye Xinlan has a boyfriend, Hao Zhe seems to have changed as a person, every morning when Yi Sheng wakes up, Hao Zhe has long since disappeared, and at night Hao Zhe will not come back until the lights go out, and he will not wash and lie on the bed to sleep, if you use one word to describe the current Hao Zhe, it is decadent.

Yi Sheng didn't believe that Ye Xinlan didn't know that Hao Zhe liked her, but the girl's mind, boy, don't guess.

Yi Sheng did not go to the emergency department today, but stayed in the quiet office of the nephrology department, because he was going to be discharged from the nephrology department today, but he had not yet thought about which department he would go to for an internship next.

"Yi Sheng, your exit exam questions. Feng Juan took out the test questions that had been prepared from the drawer and handed them to Yi Sheng: "In view of your previous performance, the ordinary exit exam questions are too easy for you, so I will find a few test questions for practicing physicians, and you can do it." ”

Generally speaking, the intern's exam questions are not difficult, as long as you read the book carefully, you can basically answer the questions, and the teacher will not be too difficult for the students, after all, the intern still does not run errands for the teacher during the internship.

Compared with the ordinary examination questions "1+1=2", the questions of the occupational physician qualification examination are often more difficult, including physiology and biochemistry, pathological patients, and auxiliary examinations.

However, these questions are simply easy for Yi Sheng, who has a small medical immortal system, in less than ten minutes, Yi Sheng answered all the questions, some of which have more in-depth answers in the knowledge that Xiao Yixian imparted to himself, but Yi Sheng didn't want to be too showy, so his answers were still decent.

"It's great that you've been able to do this. Feng Juan looked at Yi Sheng's answer sheet and couldn't help but nod in praise.

"It's all taught by the teacher. Yi Sheng touched the back of his head and said modestly.

"Pull it down, you've been in the emergency department longer than you've been in the nephrology department. Feng Juan pursed her lips and pretended to be displeased.

Yi Sheng was embarrassed, in order to complete the repetitive task of debridement and suturing, he did come to the nephrology department almost every day and went to the emergency department to stay after completing the shift, so that Yi Sheng never entered the ward again except for the first director's round.

"Alright, I know that you young people are now high-spirited and like to run to the surgical department. Feng Juan sighed and said: "Our internal medicine work is heavy, it's not challenging, and the salary is low, so it's no wonder that someone is willing to come!"

"It can't be said that internal medicine and surgery are the two top names in Western medicine, but the division of labor is different. Yi Sheng said: "I think the nephrology department is very good, suitable for the elderly." ”

"You mean I'm old?" Feng Juan squinted at Yi Sheng, the medical record in his hand ready to move.

"I.... That was not what I meant..... I just think.... Felt..... Teacher, I was wrong!" Yi Sheng shrunk his neck and took two steps back.

"Okay, I'm not poor with you. Feng Juan glanced at Yi Sheng and said, "You are out of the department today, there is an important examination in the nephrology department that you haven't seen yet, you can go with me to the clinic for a kidney puncture in a while." ”

"Teacher, I swear that there is absolutely no problem with my kidneys, and I drink it with goji berries every day for the past few days. Yi Sheng thought it was for him to wear a kidney, so he hurriedly waved his hand.

"I found out that you are very poor today!" Feng Juan stood up, grabbed Yi Sheng's clothes and pulled him out, "Don't stop anyone today, I have to make a kidney for this stinky boy." ”

The department suddenly remembered the laughter, the older ones were fine, and the younger nurses had already laughed, which attracted the head nurse comrades to scold them again and again.

Yi Sheng was taken to the examination room to count the equipment, while Feng Juan went to inform the patient and his family.

The clinic is not large, with a bed, a Doppler ultrasound machine and an instrument table. Taking advantage of Feng Juan's efforts to go out to inform the patient, Yi Sheng called up the Little Medical Immortal System.

"Little Hulu, why don't you include kidney puncture in the knowledge of nephrology you gave me?" After searching in his mind for a long time, Yi Sheng did not find a complete knowledge related to kidney puncture, and only found a few sporadic memories that he learned in school.

This matter itself is not a big deal, but if when Yi Sheng undergoes surgery in the future, he finds that the knowledge he has gained from the Xiaoyi Immortal System is lacking in two pounds and two pounds, resulting in the failure of the operation, Yi Sheng's future will be completely ruined.

"The needle biopsy technique is a pathological technique and is not within the scope of nephrology knowledge. "If you want to learn the needle biopsy technique, you need to pay 20 credits. ”

"Can you be in debt?" Yi Sheng said pitifully, 20 credits are equivalent to 10 repetitive tasks for debridement and suture, 100 debridement and suture patients, he will not be able to make up until that year?

"Sorry, no. Xiao Hulu's tone was very stiff.

"You made me indebted last time, I can pay interest!" Yi Sheng made a final struggle.

"If you say no, you can't. The little gourd looked arrogant.

"MMP!" Yi Sheng closed the Xiaoyixian system, and outside the door, Feng Juan pushed the hospital bed and stopped outside the door, helping the patient to walk in.

"There is nothing wrong with the equipment, teacher. Yi Sheng said.

"Lie down in the prone position, Yi Sheng, you can help and expose the skin of the patient's kidney area. Feng Juan nodded, debugging the mobile Doppler B-ultrasound instrument and said, "Is there local anesthesia in the kidney area?"

"I used to watch the teacher demonstrate when I was in school, but there were too many people at that time to see clearly. Yi Sheng shook his head and said truthfully.

"Well, then you have to study hard today, and you won't be too nervous when you do it yourself in the future. Feng Juan punned.

Disinfecting, laying out the hole towel in one go, Yi Sheng handed the lidocaine to Feng Juan and glanced at the expiration date, then took out a tube with a syringe and put it for backup.

After Feng Juan disinfected the B ultrasound head, she put on gloves and applied the couplant on the sound head and said: "This is a couplant, the pH value is neutral, non-toxic, does not stick to skin and clothes, and has no irritation and no allergic reaction to the skin." Its main function is to reduce the gap between the sound head of the color ultrasound instrument and the surface of the human body, enhance the effect of examination, and make the probe and the skin fit seamlessly, only in this way will the image quality not be affected, so that the scanning perspective effect is better. ”

"It might be a little cold, don't move. After speaking, Feng Juan put the sound head on the patient's kidney area, and the B-ultrasound instrument showed the image of the patient's kidney area.

Feng Juan put down her voice, took sterile gauze and wiped off the couplant left in the patient's kidney area and said: "Although it is written in your textbook that the right kidney portal is facing the transverse process of the second lumbar vertebra, and the left side is facing the transverse process of the first lumbar vertebra, the right kidney is slightly lower than the left kidney by 1-2 cm. However, due to the differences in the human body, normal kidneys move up and down within the range of 1-2 cm. In order to prevent puncture of blood vessels and nerves during puncture, it is important to determine the location of the patient's kidney before performing renal puncture. ”

"The anesthesia must be anesthetized to the kidney capsule. Feng Juan took out a 10cm puncture gun from the puncture bag, looked at the B-ultrasound instrument and said softly: "Inhale, good, hold it, okay, exhale." ”

The bolt of the piercing gun shrank, and Feng Juan slowly pulled out the piercing gun, and there was a little kidney tissue on the tip of the spear.

Back and forth two or three times, Feng Juan pressed gauze on the patient's puncture point and explained to the patient: "After I go back, I will definitely stay in bed for 24 hours and leave a urine output." ”

Yi Sheng punctured the gun, carefully punched the kidney tissue on it into a vacuum test tube, and then pushed the bed in the treatment room back to the ward with the patient.

"Actually, kidney puncture is very simple, just be careful. Feng Juan said to Yi Sheng who came out: "If you want to work in nephrology in the future, kidney wear is a basic skill." ”

"That's right," Feng Juan said suddenly, "You can go back after you send this tissue sample to the pathology department." There will be two days of rest after leaving the department, and the hospital will assign all interns to departments, but I heard Director Lin say that you don't seem to be in the assigned ranks, and you will go to the science and education department to ask after two days. ”