The system takes me for surgery

Liang Yi said: "Levofloxacin is a fluoroquinolone drug. In fact, penicillins and trimethyl-sulfamethoxazole are also three types of antibiotics related to acute psychosis. The mechanism of fluoroquinolone-induced psychosis may be through NMDA receptors. involved in the upregulation of glutamatergic transmission in the brain."

"Don't discuss these things now, let's talk about how to use the medicine and let the old man rest." Liu Hongyu urged.

In clinical practice, urging the doctor to say that it is very dangerous, only symptomatic medication can achieve the curative effect, and indiscriminate medication may be counterproductive, Liang Yi ignored her words and continued to speak of his own judgment.

Shan Linfei checked it with her mobile phone, and it was exactly as Liang Yi said.

Liang Yi said: "After three days of treatment with low-dose olanzapine, there should be no problem. It will be fine if you don't take this medicine in the future."

Then olanzapine was brought, and three hours after taking the medicine, Mr. Shan regained consciousness, no different from usual, but his mental state was a little tired, and the others went back quietly. Shan Wen'an and Shan Wentao stayed Come down and look at the old man.

Neither Liang Yi nor Shan Linfei closed their eyes that night.

In the early morning, Shan Linfei drove Liang Yi to the underground garage of the affiliated hospital and ran into Zhou Aimin.

Zhou Aimin saw someone driving a Porsche luxury car in the hospital, couldn't help but take another look, and then looked at the second-hand Honda that he had just bought after his Ph.D.

He took a look at the two people who got out of that car, it turned out to be Liang Yi and Shan Linfei.

The two of them were yawning and crying, looking at each other and couldn't help laughing at each other.

Liang Yi said, "Like a panda."

Shan Linfei patted Liang Yi on the back arrogantly, and said, "You are just like a panda." After speaking, she took out a golden eye cream to cover her dark circles.

Zhou Aimin saw all of this. It seemed that what Lei Curly said to him before was true, but Liang Yi, a young man, did have some skills.

Zhou Aimin hasn't seen the doctor's true abilities yet, but Liang Yi's medical theory is quite solid, there is no doubt about it.

Once a person has a prejudice against another person, it takes a lot of time to correct this prejudice, and sometimes it is difficult for a lifetime.

came to the department,
Zhou Aimin heard the nurse say that the patient in bed 17 felt chest tightness. After arranging to take an X-ray, he found that there was a lot of pus in the chest cavity, which needed to be sucked to relieve the patient's chest tightness.

As soon as acute empyema was mentioned, Zhou Aimin immediately thought of Liang Yi's "performance" that day. He wondered in his heart whether Liang Yi was the king of "strong mouth" or if he really had such excellent theory and technology, and his curiosity kept driving him. with him.

Walking into the general foreign office, Liang Yi was sitting at the desk by the window, holding a sketch pencil in his hand, and drawing on white paper from time to time. He had just started to draw, so he couldn't see what he was drawing.

"What are you doing?" Zhou Aimin asked with a smile.

"Draw an anatomical map." Liang Yi said.

"Stop drawing, I have a business for you."

"What business."

"Thoracentesis."

"Okay." Liang Yi also didn't operate for several days, and felt itchy palms. This is the problem of surgeons. When they are tired, they are dying, and when they are free, they feel itchy.

The patient came to the minor operating room, the patient has arrived.

Zhou Aimin said: "You do it."

Liang Yi nodded and used 2% lidocaine for local anesthesia.

When Liang Yi picked up the needle, Zhou Aimin asked, "Why did you use this size needle? It looks scary."

Liang Yi said: "The 22-gauge thick needle is chosen for the puncture needle, because if the length is less than 5 centimeters, it is difficult to pierce the chest wall."

"Yes, this question is very basic, but many new doctors often make such low-level mistakes." Zhou Aimin said.

Liang Yi inserted the needle along the upper edge of the ribs to avoid damage to the intercostal nerves and blood vessels. The needle tip pointed to the upper back of the patient so that the needle would be sprinkled into the thoracic cavity and close to the chest wall to avoid damage to the lung tissue.

Later, Liang Yi pushed in another centimeter, and then saw pus entering the catheter, and the amount of pus was large.

The whole process is very proficient in ordinary textbooks. Zhou Aimin nodded in satisfaction and said, "You did a very good job."

Liang Yi nodded and said, "Thank you."

His humble state is like a doctor who has just started working. Zhou Aimin would never have thought that this is a young doctor who performed liver resection for Xu Bowen of the Provincial People's General Surgery Department.

After the puncture, Zhou Aimin said to Liang Yi: "Actually, you are very suitable for surgery."

"Really?" Liang Yi asked with a smile.

"Yes, as long as you are willing to spend more time on this, after all, medicine is a very time-consuming profession, and human energy is limited after all." Zhou Aimin did not dare to say clearly,

Liang Yi also understood what he said. It was saying that he had spent too little time at work. He didn't think so, except for working in the hospital.

After get off work, Liang Yi usually sits quietly in his room for two or three hours, just to enter the system and practice new techniques repeatedly.

Liang Yi bowed his head and said, "Yes, I will devote more energy to work in the future."

"Then don't lose your career. After all, you can't earn much money in the hospital. Like me, you spent 11 years with a five-year bachelor's degree and six years with a master's degree. Now you can't even pay the down payment." Zhou Aimin laughed at himself.

"It will get better slowly." Liang Yi could only comfort him in this way.

Afternoon, general surgery office.

Zhou Aimin and Shan Linfei will have an operation for multiple hepatic cysts in the left liver.

This is also Zhou Aimin's desire to try a potential female surgeon called by Dean Xiang Hongzhi and Department Director Zhao Yonghui. He wants to see how this female doctor's surgical skills are.

After Shan Linfei had a preoperative talk with her family members, she walked over to Zhou Aimin and said, "Professor Zhou, the patient's family members still want to undergo laparoscopy. The patient's husband is a grassroots doctor. Her husband believes that traditional laparotomy is traumatic. There was a lot of bleeding, and he said that his wife was already in poor health, and I hope you can find a way to use laparoscopy as much as possible."

Zhou Aimin frowned, put the pen on his chin, and said, "I have indeed considered this issue, but multiple liver abscesses are difficult to operate under a laparoscope, and abscesses are prone to incomplete removal."

Shan Linfei nodded and said, "That is indeed the case. However, I just saw from the CT scan that it is still feasible to use laparoscopy."

"Oh?" Zhou Aimin was quite pleasantly surprised by her answer, and said, "Tell me specifically."

Shan Linfei described to Zhou Aimin the various situations and surgical procedures that Liang Yi analyzed to her last night, and explained her point of view that laparoscopy is feasible.