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Chapter 855 Huang Ying
"You sign the informed consent, and then we will clean you the intestines." Ma Qilin took the informed consent and handed it to the patient Doushan to read, and asked: "What about family?"
"Where is the ward." Doushan is lying on his back, and he has some hard answers.
Ma Qilin looked at the crowds still waiting in line, saying: "Then you sign first, I will inform the family again. Anyway, it is a minor operation."
"Do you not do it? I am a headache, a bit imaginary, and I have a fever in the rain yesterday..." Dou Shan is an honest Pakistani farmer in Bazhai Township. He also raises several sows to sell money, neither medical insurance nor Not to believe in the hospital's technology, to hear the words of surgery, the brain will be imaginary.
Ma Qilin looked at the expression of Doushan and knew what he was thinking.
To say that, although Ma Qilin is a junior in the Ling treatment group, his practice time has been counted as an internship for six years. Counting the time of medical school, he has been in medicine for more than ten years, and puts something else. In the industry, it is the backbone of the industry. But in the hospital, it is only the lowest level of resident doctors.
Doushan is an inexperienced patient, with an informed consent form, to sign, and not afraid to sign.
Ma Qilin sees this and can only explain it from the side: "We are mainly cleaning the intestines for you, the purpose is to look at your intestinal tract..."
After talking for a while, Doushan did not understand too much, but seeing Ma Qilin’s attitude and patience and patience, he finally felt the embarrassment between the two before signing the informed consent form.
Ma Qilin took it and turned and handed it to the new intern who was a little stupid. He said: "Put it up, all informed consent is filed."
"Oh." Qi Zao took over, and subconsciously squinted his eyes, and suddenly he smiled.
"How?" Ma Yulin frowned, what a ghost in the patient's smile?
Qi Zao also realized the mistake, and quickly gathered his smile, and then followed the finger to the emergency contact list of the informed consent form.
Ma Qilin looked at it and saw the emergency contact person on the right side of the "relationship with the other party". Doushan seriously filled in four words: the relationship is quite good.
Humph……
Ma Qilin was the voice that swallowed the smile and spit it out from the nose.
I have to have 10 years of medical experience to be able to laugh and laugh so freely, so it is not like laughter.
"Let him refill one." Ma Qilin did not turn around, lest he could not help but laugh. If you don't smile, you have 15 years of experience.
Qi Zao's eyes were red, and he bowed his head. He pretended to take the form of informed consent. He laughed enough to come out. This time he simply found the patient's family and signed an informed consent form.
Oral polyethylene glycol electrolyte dispersion.
Defecation.
Fecal examination.
When everything is ready, Yu Yuan, who has finished the task at hand, just passed through the examination room, copying both hands and looking at Ma Qilin to prepare the colonoscope for the patient.
Ling Ran also entered the examination room almost at the same time.
"Not yet started?" Ling Ran looked at Ma Qilin.
"Immediately... immediately..." Ma Qilin had a dimly lit eyes leaning to the right.Ling Ran only noticed Yu Yuan, so he asked: "How does the hospital feel?"
"There are a lot of problems, but Yunli has helped a lot. Now there are fewer people, but I think that the main job is still diversion." Yu Yuan hurriedly answered.
Ling Ran nodded, the sense of the hospital is a concrete and small work, is the standard first-in-first investigation to have the right to speak, he can not take care of it, just recognize Yu Yuan's work.
After all, the Ling treatment group has been in the hospital for so long, and several participating doctors in the group are quite experienced. For a township hospital, Yu Yuan’s experience and knowledge reserve is sufficient.
Even if you participate in it, you won't be able to complete it. What's more, the current Bazhai Township branch has a complete sense of hospitality. In most cases, it is not a technical issue.
It is like a diversion. If there is no help from Yunli Medicine, most of them will not achieve the current results.
As far as I can see, it is very good to be able to achieve this level in one day.
"Yu Yuan is here, let the two people do the colonoscopy together." Ling Ran stood by.
Nowadays, the internationally common one is a single colonoscope, but the equipment technology of Bazhai Township is lagging behind, and the traditional double colonoscopy is still used.
Ling Ran does not like to do colonoscopy anyway, Yu Yuan is next to him, handed over to him.
Yu Yuan immediately laughed out, and when he did not let the station stand, he ordered Ma Qilin: "Intramuscular injection 6542."
The momentum and sound are like the sound of a 1.414-meter-high subwoofer.
"Intramuscular injection 654-2." Ma Yulin repeated in his mouth. He lost his position and there was nothing to be convinced. Yu Yuan’s qualifications were much deeper than him, and he was basically his superior doctor.
Immediately thereafter, a tube of racemic anisodamine was injected.
Yu Yuan then stuffed 1% of the Cain cotton ball into the steel pipe. After waiting for two or three minutes, he was excited to prepare.
The patient was lying on the examination bed and had no love.
Colonoscopy, especially for men, is basically an expression, just like having a colonoscopy pre-performance training class for uniform training.
Yu Yuanyi glanced at his rough face and saw his face metamorphosis. He focused his attention on his anus.
Ling Ran also followed the screen.
Long-term anemia and weakness, it is easy to reminiscent of gastrointestinal bleeding, and further associations, the diagnosis of the disease is not quite satisfactory.
On the other hand, the patient has a soft abdomen, no tenderness and rebound pain, and no muscle tension...
Judging from the information currently available, Ling Ran also has some judgments that are not allowed to be sick.
However, surgical diagnosis has always been rude, often not like the internal medicine, many associations, but mainly based on various inspections.
For Ling Ran, his main diagnostic weapon is physical examination, which is supplemented by various imaging information.
Because he is famous for his surgery, even if he is now in the clinic, the patients who come to the door are mostly in a clearer condition, resulting in a rarely basic diagnosis.
Today's patients, for Ling Ran, are quite new cases."Wait a minute, I just saw something." Ling Ran frowned at the yellow shadow that flashed across the screen.
Yu Yuan was busy adjusting the angle.
She did not do much in colonoscopy. The model used in Bazhai Township is not familiar. Of course, the most important method is poor.
"It seems normal." Yu Yuan pays attention to the structure of the intestines. The cleaned intestine is quite clean, basically a bloody flesh-colored rampage. If you don't think too much, it is more acceptable to the normal person's vision.
Yu Yuan has already found the middle part of the ascending colon, and she has not found any problems such as bleeding. She is also confident about the anatomy of the intestine.
Ling gently shook his head: "The lens continues to push in."
Double colonoscopy, the doctor of the main knife is responsible for adjusting the up and down, the assistant is responsible for advancing the exit.
With the snoring of the patient, Ma Qilin pushed the lens deeper.
"There is no difference..." Yu Yuan kept the lens as stable as possible, and still swayed.
"I am coming." Ling Ran has been preparing for it. At this time, he directly took over the position of Yu Yuan. The left hand fixed the upper and lower knobs, and the right hand flicked, and the vision was spacious.
"Go in." Lingran ordered.
Ma Qilin immediately moved, Yu Yuan can only stand behind, flat mouth, like the root squashed.
Compared with Yu Yuan, the screen under the operation of Ling Ran is much more stable and clear, and the view is also comfortable, and it is a more familiar angle for doctors.
Ma Qilin pushed in while learning, and at this time, there was another yellow shadow on the screen.
"This is not awkward..." Yu Yuan judged it at a glance.
Ling sullenly "en", only said: "Push a little faster."
Ma Qilin then speeded up a bit, and then adjusted the angle and direction of the light. At this time, the yellow shadow on the screen became clearer.
A yellow flat banded worm.
It overlaps itself, and the worms that are seen in the wild are much wider and flatter.
In terms of the field of view, it is more than forty or fifty centimeters in length, and its body fits perfectly with the intestines, like a semi-walking, sliding in the field, such as the same wide body. Boat like.
And its rapid movement in the intestines, the leisurely, in the familiar environment of the environment, makes it easy to think of the skateboarding teenagers in the tunnel.
Youth, blood, yellow, parasitic...
(End of this chapter)
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