Chapter 444: Inserting a Urinary Catheter for Yourself
"Qin Peiling is your daughter, right?" Professor Liang asked suddenly, as if there was something in his words.
When asked about this, Professor Qin had no choice but to nod, "um", the girl came here last time, and she was fascinated, and she had to come to see the operation this time.
Professor Su remained unmoved, but his eyes noticed Professor Qin's slight embarrassment.
I can't bear to let the child catch the wolf, is this really a trick?
Things are not so simple, it seems to be very complicated, this old Qin fox.
Professor Liang is about to step down from the position of chairman of the National Orthopaedic Department, and Professor Qin and Professor Su are the most promising to replace him.
These two professors can be said to be the representatives of the north-south competition, and academically, neither is convinced.
Director Han was quite surprised when he heard this information, Nurse Qin, who came with the 301 Doctor Corps, was actually Professor Qin's daughter, and Professor Qin didn't mention half a word.
To tell the truth, Lao Qin's daughter, beautiful and tall, can compete with Xiao Su.
Especially the last time I wore a military uniform, I was really heroic, and my gestures had a unique charm.
Thinking about it, Lao Han snickered in his heart, laughing at himself for having such a rich association.
Director Han couldn't help but laugh and secretly glanced at Professor Su, who was sitting firmly on the Diaoyutai and didn't seem to hear anything.
---
When the subclavian artery is divided, the aorta begins to stretch and no longer coils.
This is a surprising thing, which means that this patient is really saved, and not the best efforts of humanitarianism.
Professor Li, as an assistant, immediately became excited.
He didn't have much hope for this patient, the anatomical relationship was too confusing, and it was too difficult to find the original building structure from a pile of mud.
As the separation continues, the arteries and veins are glued together, making it impossible to tell who is who.
If it's not necessary, let them be entangled like this, how nice, the risk of separation is too high.
However, this twisted "love affair" of arteries and veins is not destined to end well, it will seriously affect heart function and eventually be fatal.
It increases the resistance of the heart to pump blood, reduces the amount of blood it recycles, and over time, fatigues the heart muscle, at which point the only way to sustain life is to replace an artificial or allogeneic heart.
Unlike previous scoliosis orthopedics, this surgery is not only an orthopedic surgery, but also a life-saving.
No matter how difficult it is, the operation continues, and the reason why the doctor's work is sacred is because he is facing life, controlling life, and there is a very thin dividing line between life and death.
---
"What's wrong today, why do you keep peeing?"
Zhang Lin has been back and forth to the bathroom, ran a few times, and it is estimated that the mother-in-law's big pot of chicken soup was made in the morning, and there were traditional Chinese medicines such as coix seeds in it, which had a diuretic effect.
"Wait for the next stage, or, wait for a urinary catheter?" Little Five suggests.
Zhang Lin shook his head, inserted the urinary catheter, no matter how good the technique is, he is afraid of damaging the urethral mucosa, the urethral mucosa is like the rifling of a gun, once damaged, it will disperse the urinary line, or lose the beautiful parabola.
Sometimes there is no way, now that you are healthy and healthy, who wants to insert a urinary tube and hang a urine bag.
But the effect of this chicken soup is estimated to last for several hours, and if you have to go on stage, your bladder can't stand it.
Surgeons are most taboo about this, and when you do surgery, your life is at stake, and you are always writhing your butt in irritability, and then saying that you can't hold it back, and you want to pee?
But at the moment, the frequency of urination, I don't think I have a chance to come to power.
"Plug!" Zhang Lin's heart was horizontal.
Xiao Wu helped beckon, Zhou Can immediately took the time to come over, and Xiao Wu whispered, "Where is the catheterization bag?" ”
The nurse knows best about the materials in the operating room.
Zhang Lin originally wanted to sneak himself to find a catheterization kit, and then unknowingly ran to the locker room to intervene, but now Xiao Wu's bastard has been exposed.
"In the material warehouse, what's wrong?" Zhou Can looked at Zhang Lin, who was blushing next to him.
Xiao Wu said: "Director Zhang has frequent urination and urgency, and he will go to the stage for surgery later, so he will help find a suitable catheterization bag and insert it." ”
Zhou Can couldn't help but cover his mouth and smile: "Really, fake? ”
"Really? Hurry up and give me a catheterization kit, a pair of sterile gloves! Zhang Lin said angrily.
"What size is the urethral tube?" Zhou Can asked.
"What number, take any one!" Zhang Lin was impatient.
Xiao Wu said very seriously: "Your first day as a doctor? The urethral catheter is too large to be inserted, and the urine leaks when it is small. ”
"How the do I know what size urinary catheter I have, and have I ever inserted it?" Zhang Lin was deliberately rectified by Xiao Wu, and was a little annoyed, but no, there was no way, he was right.
"You don't know what model you are?" Xiao Wu laughed at him.
"I'll pick it myself." Zhang Lin immediately blushed, got up and went to the warehouse to find a catheterization kit by himself.
Zhou Can immediately grabbed him: "Do you want me to help you plug in?" ”
"Yes, let him plug it in by himself, you come, no matter how fine it is, you can't insert it." Xiao Wu asked Zhou Can to ignore him.
Zhang Lin came out of the operating room, touched the material warehouse, looked for the label of each storage compartment, found the urinary catheter, and then laughed at the various models through the transparent packaging, picked a suitable one, and took a pair of sterile gloves and a syringe by the way, and then slipped to the men's locker room.
I insert my own urinary catheter, usually the work of intubating the urinary catheter is done by the nurse, although the doctor will insert it, but the opportunity to insert the urinary catheter is relatively rare.
Usually this simple job, it is really a bit difficult to use it on himself, Zhang Lin wanted to find Xiao Wu to help, but he was afraid of that kid's jokes, so he simply had a heart, and really inserted himself himself.
Opening the catheterization bag, Zhang Lin disinfected himself, then put on gloves and laid out the sheet.
As soon as I gritted my teeth and inserted it into the urethra, it was a little painful, and I couldn't insert it.
Take a closer look, get nervous, and forget one step - apply lube.
Zhang Lin applied another layer of lubricating oil to the urine tube, this time it was quite smooth, the urine tube was easily inserted, the urine came out, the balloon hit the air, pulled it back, fixed the urine bag, and pinned it to the trousers.
This time, you don't have to worry about it, you can have surgery with peace of mind.
Zhang Lin returned to the operating room, sat down, and Xiao Wu glanced at the urine bag hanging on his pants and the exposed urinary tube.
"Really?"
"If you don't be cruel to yourself, how can you become a big deal, the first operation of the Institute of Surgery, as the main member of the department, the gold and silver double hook under Dr. Yang, how can you not participate?"
"Ruthless!" Xiao Wu had to give a thumbs up.
"It's so-so." Zhang Lin was nothing.
"You're a good size urinary tube, isn't it? Number 20? Xiao Wu picked up the urinary tube and looked at it.
"Don't touch it, it's much thinner than yours, you estimate that you need a 22-gauge urinary catheter." Zhang Lin opened Xiao Wu's hand.
Zhang Lin calmly sat on the chair in the corner, no longer had to worry about holding urine, and felt relaxed for a while.
---
Professor Li followed Yang Ping, more and more confident, the separation has been to the supraclavicular artery, the adhesions of the aorta and the vena cava are separated, and the surrounding adhesions are also separated, fortunately, the three-layer structure of these blood vessel walls is still quite complete, otherwise artificial blood vessels need to be implanted to prevent the formation of aortic dissection.
The proficiency in anatomy, the proficiency in this abnormal anatomy, and the calmness and calmness in the operation, Yang Ping made Professor Li admire, and Yang Ping's performance gave Professor Li a feeling that he was very skilled and confident in any operation, and he had great respect for the young doctor in front of him.
Further down, the aorta and vena cava are glued together, and they are glued to the anterior longitudinal ligament of the spine, which would have been helpless for other doctors.
I changed another blade, and I don't know how many blades I replaced.
Anyway, the curved disc specially equipped with blades is already full of round knives and sharp knives.
"Vital signs are stable!"
The fat man reported to Yang Ping from time to time, he crossed Erlang's legs, and his overly short trouser legs appeared shorter, and the lower half of the entire calf was exposed.
This was the first operation that Nurse Qin saw Yang Ping with her own eyes, and Yang Ping's calmness on the stage convinced her.
In 301, the surgeries she performed on the table were all first-class experts in the country, but they also lacked this aura, and Yang Ping stood there, as if he could control the whole situation.
Indeed, every time Yang Ping has surgery, he has a wonderful feeling that he can control the world.
"Blood pressure is a little higher!"
Yang Ping ordered that if the blood pressure is higher, the aorta will be more full, which is more conducive to surgical separation.
From the indwelling pipe, the fat man decisively pushed some drugs, and soon, blood pressure rose.
In some adhesions, there are messy blood vessels that cannot be ligated in advance, so they must be cut off at the time of separation, and then double-click electrocoagulation to stop the bleeding.
Crossing the aortic arch, of course, for Zheng Baosheng's anatomy, there is no real aortic arch, because the blood vessels are all piled together, and the tortuous pipes make it very difficult for the heart to pump blood, which is the reason why it will not survive for too long if it is not operated on.
At present, it is still young, the remaining normal cells of the heart muscle can barely overwork, and slowly, after all the heart muscle cells are tired, the whole heart enters the terminal stage, and there is no other way except heart transplantation.
"Would you like to take a break?" Yang Ping asked Professor Li.
Professor Li was sweating all over his forehead, and the excessive nervousness drained him a lot, and although he had learned from his mentor not to be afraid of pressure and danger, the operation still left him in a state of embarrassment.
Now he is only an assistant, if it is the chief surgeon, he must not be able to do a third, and the patient will die on the operating table.
"No, it's okay!"
Professor Li's head was removed from the sterile area, and the white gauze of the itinerant nurse helped him wipe the sweat from his forehead to prevent it from gathering into beads of sweat and then falling into the patient's chest, increasing the chance of infection.
Go on!
Professor Li is very determined, and he can't let himself drag the main knife back.
Back then, one of his patients died on the operating table, and after the operation, he curled up in a chair in the locker room.
The guru said to him, "Throw away your empathy, forget the sadness, what you do is not grief, but learn from the failures and then avoid making mistakes again." ”
Now he had to forget his fear and continue to follow Yang Ping.
The aortic arch has been revealed, and the corresponding vena cava has been successfully separated from the aorta without any breach in the separation.
The scalpel has begun to explore downward, where the large blood vessels bend and bend before passing through the diaphragm and into the abdominal cavity, and the anatomy appears treacherous and complex.
---
"Can I come on stage and help?" Nurse Qin plucked up the courage to propose when Yang Ping took a break.
"Thanks, no!" Yang Ping decisively refused.
Now one instrument nurse on the stage is enough, and one more person will only add to the chaos.
Sometimes, a large number of people does not improve efficiency, but disrupts the inherent rhythm and reduces efficiency.
was rejected by Yang Ping straightforwardly, and Nurse Qin did not feel unhappy.
It's just that she really wants to participate in this kind of difficult and high-risk surgery like Xiao Su.
However, when she thought about it, she would only add to the chaos when she went on stage, because she was not prepared for this operation and regretted her recklessness just now.
Zhang Lin had already accumulated at least 200 milliliters of urine in his urine bag, and he decided to go and change it.
Because I don't know when he will be called on stage, he has to travel lightly.
"Zhang Lin?"
The fat man beckoned.
Zhang Lin held on to his progress and made a detour to the fat man's side.
"What's going on?" The fat man pointed to the urine bag hanging from his trouser leg.
"I drank a big pot of chicken soup in the morning, and it is estimated that there is also a diuretic effect of traditional Chinese medicine, frequent urination, urgency, and urination!" Zhang Lin was carrying the urine bag, because the heavy urine bag had been pulled to the pants and fell down.
The fat man said lightly: "Don't say it earlier, my brother will give you an injection, antagonize the diuretic effect, and take care of you for a few hours." ”
"Forget it, the urinary catheters are all inserted."
Zhang Lin knew that the dead fat man would definitely want cigarettes as bargaining chips again.