The road to the rise of great doctors

Chapter 80 Do it yourself
Liu Dong drove fast and steadily along the way.Accompanied by the sound of moving vehicles, there is also the faint sound of "micro-snoring" when people are tired.
Listening to the navigation sound of the wireless headset, Liu Dong drove smoothly to his destination. After parking the car, he checked the time and found that it was half an hour ahead of the planned time Li Jing said.Just when he was hesitating whether to wake up Li Jing, he saw Li Jing opening his eyes and waking up.

"Where are you?" He rubbed his face and asked.

"We're at Kangle City Hospital. I followed the navigation here. Do you think this is the place?"

Li Jing looked out the window and nodded, "Yes, it's here. Get off the car." He said, straightened his clothes, then opened the car door and walked out.

Liu Dong also quickly turned off the engine, took the key, got out of the car, closed the door, and locked the car.

The two of them walked towards the ward building. It was not Li Jing's first time here and he was already familiar with the roads. There was no need for the local doctor to greet him at the door and lead the way.

Although Kangle Hospital is not as big as the Affiliated Hospital of Medical College, it ranks among the best in the province thanks to local economic conditions. At the beginning of this year, the new ward building next to the old building was completed and the relocation and reallocation of departments were completed.

Looking at the tall building in front of me and its majestic facade, there is a sense of "light luxury" that is completely absent from the Medical College Affiliated School.After reading it, Liu Dong was secretly speechless and felt that the leaders of this hospital were really courageous.

Because there was still plenty of time, Li Jing introduced Liu Dong to the characteristics of this hospital and the key points to pay attention to during consultation and surgery.Liu Dong nodded frequently after hearing this, indicating that he had learned.

The two chatted and laughed, and soon became energetic and high-spirited.Surgery is like fighting, and you need to keep your spirit high.

When I arrived at the urology ward, I went straight to the department director's office.

The layout of the ward of the Department of Urology of Kangle City Hospital is largely based on the layout of the new building of the Medical College Affiliated Hospital. Once you enter, you will find the patient’s rooms, which are all facing south. The sunlight is also good for your mood. Mitigating factors.The middle room is the doctor's office, nurse station, dispensing room, dressing room and duty room.In the rooms on the north side, the department director has his own room, the deputy chief physician and the chief physician share one room, the attending physician and the resident physicians share one room, and there is also an internal toilet.

"Dong dong dong" The two of them arrived at the department director's office and knocked on the door.I heard a rushing sound coming from inside.

"Oh, Director Li, welcome, you are here earlier than before." Zhao Jun, director of the Department of Urology of Kangle City Hospital, opened the door. No one saw him, but the voice came first.

He opened the door and shook hands with Li Jing, then looked at Liu Dong aside and asked, "Looking for a little brother?"

Li Jing pointed at Liu Dong and said, "This is my student. I will bring him to see the world."

"Welcome, welcome, you are so young and promising."

"You have to study more with your teacher. Director Li's surgery is very beautiful. If you learn a few skills from him, it will be enough for your own use. Of course, top students in medical school should also set higher goals." Director Zhao Jun kept talking while pouring tea.

Li Jing sat down, and when Zhao Jun stopped talking, he said, "Thank you, Director Zhao, for your hospitality. We still put the patients first. Are all the patients who are planning to operate this time ready? If they are, let me take a look first. Medical records and films. If you need my cooperation, just ask. We are all old friends."

"Director Li is really a wise man. Wait a minute. I'll ask the bedside doctor to bring all the medical records and films. Then I'll see what's OK and take them to the operating room in order. There are still several things to do today. "

"We have also ordered a meal for lunch. It's still early. Director Li, let's finish one and then eat." "I don't have to. I don't have a meal at noon. Just keep cooking. Xiao Liu, just prepare a lunch box for him."

"Dele!"

Medical records and films are placed in the conference room, where there is also a screen for reading films.

In order, he quickly looked at them one by one. Although he had been here many times and had a certain degree of trust, he still looked at the core test sheet seriously, then inserted the film into the machine, and read the film. .

"This renal tumor is located near the renal hilum, very close to the arteries and veins, and also very close to the renal pelvis. During the operation, care must be taken to avoid damaging the blood vessels and renal pelvis. Moreover, the bulge is not obvious. This depends on the anatomy skills. "

"Compared with the first one just now, this person is a little easier to do. Although he is larger, he grows on one pole and is convex. It is easier to find. It is also easier to perform a partial kidney resection."

"This person's tumor is too big to save the kidney. The function of the contralateral kidney is intact. It is recommended to undergo radical nephrectomy. We should inform the patient and family members about regular postoperative review and follow-up plans, and pay special attention to Protect the other side of the kidney, a bilateral organ operation, and follow the requirements to avoid confusion. Before the operation, the surgeon usually makes a mark on the waist of the side of the operation, and it must be checked multiple times and with multiple people before the operation. "

"This adrenal adenoma has paroxysmal hypertension. I see that the hormone series has not been checked. Is it not checked or the results are not posted? Have you made preoperative preparations? You need to confirm this with Director Zhao. If not, then this person Surgery cannot be performed. If pheochromocytoma is suspected, or if there is a functional adenoma, preoperative preparations must be made before surgery can be performed to avoid or reduce the risks on the operating table."

"There is nothing wrong with prostate hyperplasia. However, you should pay attention to exercising the pelvic floor muscles after the operation to avoid hearing the 'swishing' sound of water flowing out after the operation and unable to control the flow of urine. Exercise is still very helpful for controlling urinary discharge. of."

Liu Dong followed Li Jing and watched Li Jing carefully check each item and read the film. He felt that this was really his role model and a guiding light on the way forward!
Before going to the operating room, Li Jing and Zhao Jun confirmed that the patient with adrenal adenoma was not sufficiently prepared for surgery. They just wanted Li Jing to take a look first, so no surgery for adrenal adenoma was scheduled for today's surgery.

Liu Dong followed Li Jing and Zhao Jun into the operating room of Kangle City Hospital. It was spacious, bright and very neat.

Urology is the key development department of this hospital. There is a dedicated operating room and another shared with other departments.

When he entered the operating room, he saw that the first patient with kidney tumors had just finished anesthesia. Then Li Jing said, "Go and brush your hands first, and come in later to see me positioning myself."

This patient needs retroperitoneal surgery, which does not go into the abdominal cavity but only the retroperitoneal cavity. The kidney is a retroperitoneal organ.

Under the watchful eyes of doctors from Kangle City Hospital, Li Jing picked up the remote control and adjusted the angle of the operating bed.Then he directed other doctors to assist in positioning him and put a small square pad under his waist.And then there's something similar to the "jackknife position," waist level.

"You can hold the mirror in a moment." When Liu Dong came in to disinfect, Li Jing said to him.

"it is good."

(End of this chapter)