Doctor Song, are you married?
Chapter 11 Chapter 11
Chapter 11 11. Catheterization Master
"Doctor Wu, although we are specialists in urology, we are really unprofessional in inserting the urinary catheter. I heard that it is burnt, and we may not be able to insert it."
The urology department sent a low-qualified resident doctor down, and it must be perfunctory.And as soon as he arrived at the emergency room, the first thing he did was not to see the patient first, but to get a vaccination with Wu Qiming first.
"The patient's burns are so serious, the urethra must be edema, and blind insertion is definitely not possible. I guess the urethral probe should be used to expand the urethra. We can't do this. You are professionals, so I ask you for help, haha."
Although Wu Qiming was smiling all day long, he was actually not a fuel-efficient lamp, so he threw the problem to the urology department in a few words.
"For this kind of patients, there is a high possibility of a false passage using a urethral probe. I'm afraid they will need a cystostomy, but the size of a cystostomy is an operation. Shouldn't such a serious patient be treated simply and transferred away? Shouldn't it be kept for the New Year?"
Although the senior resident doctors in urology have low qualifications, they are not shallow in wrangling skills.After one round, it is equivalent to throwing the decision-making power to Wu Qiming again. The meaning is very clear. Let us intervene. We may not be able to intervene. You say we are professional. Here, burn patients will naturally not be transferred to the Department of Urology. As for which department to transfer to, it is up to you in the emergency department, so who is afraid of who?
Wu Qiming was also stunned for a moment, throwing it to the urologist meant to keep the patient temporarily. He would not dare to keep such a serious patient.
"Sister Yuqing, help me get a urine bag."
While Wu Qiming and the urology doctor were shirking and arguing, Song Qi was just doing the important thing with his head depressed. First, he found the opening of the urethra with the help of a urethroscope, and then under the guidance of the guide wire, he made a detour and finally entered the bladder.
"Ah? What? Song Qi, what did you say? Have you inserted the urinary catheter?" Yu Qing, who was still trying her best to monitor the patient's ECG, was stunned when she heard this, and turned her head to look, only to find that the patient's lower body was covered with a sterile towel.
"Well, it should be inserted. Please help me connect a urine bag. The patient's urine output is not much." Song Qi said, pressing the position of the patient's bladder, and only then saw a few drops of liquid flow out of the end of the catheter
This expert catheterization is really expert
"Here we come, here we come." Yu Qing was a little dazed, but she brought the urine bag immediately, and quickly helped Song Qi pick it up.
"Is it the upper urethra scout or do you try harder yourself? I still have patients waiting upstairs." The junior urology resident doctor began to put pressure on Wu Qiming.
"Xiao Pang, it's not right for you to speak like this. Thank you for seeing the patient first. Director Xu, do you think so?" Wu Qiming is not easy to get angry, seeing Xu Liming with a sullen face and not speaking, he intends to borrow the director's authority.
"Okay, okay, you two stop arguing, the catheter is already inserted"
After checking carefully and confirming that Song Qi had really completed this super difficult catheterization task, Yuqing said loudly to Wu Qiming.
"What? Plugged it in? Who plugged it in?" Wu Qiming, Jiang Han, Director Xu, and the urology doctor all looked at the patient in surprise.
I saw Song Qi swiftly removing the mid laner from the patient, and then took a sterile cotton ball and rubbed it on his hands
The sun shone through the window of the emergency room after nine o'clock in the morning, hitting Song Qi's face, and his body seemed to have a golden halo
"Of course it was Song Qi who inserted it!" Yuqing looked at them with contempt on her face. A senior emergency physician and a urology resident doctor were arguing over a urinary catheter, but a new doctor inserted the catheter without a word. It's not embarrassing to say it
"Song Qi?!" Several people said almost in unison, with surprisingly consistent tone.
"Song Qi, how did you do it?" Wu Qiming immediately walked to Song Qi's side and asked.
"With the help of a urethroscope and a guide wire." Song Qi wrote lightly.
Urethroscope and guide wire
This is quite a professional operation. Song Qi, a doctor who just graduated, how could he do it?
"Song Qi, why are you so big-headed? In this patient's situation, if a director of ureteral fistula is appointed, you can see it. I am busy with tracheal intubation. I really didn't see what he was doing."
Wu Qiming's first reaction was to get rid of the relationship quickly.
"The problem is that there is no ureteral fistula," Song Qi replied immediately.
"Qiming, check it out." Xu Liming, who had been silent all this time, said.
Although Xu Liming didn't participate in the treatment, he saw the condition of the injured with his own eyes. Even if such a severely burned penis is sent to the burn hospital, he probably needs a cystostomy, right?And Song Qi, a newcomer who just came to the hospital on the fourth day, unexpectedly got fucked!
To be honest, he didn't believe it!
Wu Qiming gently pulled the catheter, and then pressed it on the patient's lower abdomen. Seeing that urine was drained out, he believed that Song Qi had really done it.
"It's really plugged in." Wu Qiming smiled awkwardly, with an embarrassed look on his face.
"Have you ever practiced catheterization?" Xu Liming's eyes flashed brightly.
"That's not true, it's just that more catheters were inserted during the internship."
"Is this impossible? I used to insert catheters a lot during my internship. It was either catheterization or writing medical records." Jiang Han said in amazement, but he couldn't continue talking halfway through. Isn't this a shame?
Which clinician didn't come from an intern?Which intern can't do catheterization?But Song Qi is probably the only one who can practice urinary catheterization to this extent?
At this time, several patients were transferred over one after another.
"Okay, let's do our own work first. Song Qi, put the urinary catheters on the next few patients. Jiang Han, go help Yuqing, Qiming, evaluate the patients. If the burn area is more than 80% and combined with organ damage, send it to the burn hospital. If the burn area is 30%-80%, transfer it to the People's Hospital. The rest are not serious, so let's stay." Xu Liming gave the order.
Jiang Han felt uncomfortable. After comparing the before and after, he turned out to be the most useless one.
[Complete an expert-level urinary catheterization, task completion 3/10]
When Song Qi rushed to the next patient, a system prompt appeared in front of him.
"Song Qi, patient No. 4 has been punctured and can be catheterized."
"Song Qi, patient No. 6 can be catheterized"
Amidst the shouts one after another, Song Qi completed one catheterization after another, and the system task timing was refreshed again and again, and Song Qi became a veritable little master of catheterization.
"Patient No. 1 has been treated and transferred to the burn hospital."
"Patient No. 2 has also been treated and transferred to the burn hospital"
"Patient No. 4 has been treated and sent to the People's Hospital"
"Patient No. 7 has been treated and sent upstairs to the general surgery ward."
(End of this chapter)
"Doctor Wu, although we are specialists in urology, we are really unprofessional in inserting the urinary catheter. I heard that it is burnt, and we may not be able to insert it."
The urology department sent a low-qualified resident doctor down, and it must be perfunctory.And as soon as he arrived at the emergency room, the first thing he did was not to see the patient first, but to get a vaccination with Wu Qiming first.
"The patient's burns are so serious, the urethra must be edema, and blind insertion is definitely not possible. I guess the urethral probe should be used to expand the urethra. We can't do this. You are professionals, so I ask you for help, haha."
Although Wu Qiming was smiling all day long, he was actually not a fuel-efficient lamp, so he threw the problem to the urology department in a few words.
"For this kind of patients, there is a high possibility of a false passage using a urethral probe. I'm afraid they will need a cystostomy, but the size of a cystostomy is an operation. Shouldn't such a serious patient be treated simply and transferred away? Shouldn't it be kept for the New Year?"
Although the senior resident doctors in urology have low qualifications, they are not shallow in wrangling skills.After one round, it is equivalent to throwing the decision-making power to Wu Qiming again. The meaning is very clear. Let us intervene. We may not be able to intervene. You say we are professional. Here, burn patients will naturally not be transferred to the Department of Urology. As for which department to transfer to, it is up to you in the emergency department, so who is afraid of who?
Wu Qiming was also stunned for a moment, throwing it to the urologist meant to keep the patient temporarily. He would not dare to keep such a serious patient.
"Sister Yuqing, help me get a urine bag."
While Wu Qiming and the urology doctor were shirking and arguing, Song Qi was just doing the important thing with his head depressed. First, he found the opening of the urethra with the help of a urethroscope, and then under the guidance of the guide wire, he made a detour and finally entered the bladder.
"Ah? What? Song Qi, what did you say? Have you inserted the urinary catheter?" Yu Qing, who was still trying her best to monitor the patient's ECG, was stunned when she heard this, and turned her head to look, only to find that the patient's lower body was covered with a sterile towel.
"Well, it should be inserted. Please help me connect a urine bag. The patient's urine output is not much." Song Qi said, pressing the position of the patient's bladder, and only then saw a few drops of liquid flow out of the end of the catheter
This expert catheterization is really expert
"Here we come, here we come." Yu Qing was a little dazed, but she brought the urine bag immediately, and quickly helped Song Qi pick it up.
"Is it the upper urethra scout or do you try harder yourself? I still have patients waiting upstairs." The junior urology resident doctor began to put pressure on Wu Qiming.
"Xiao Pang, it's not right for you to speak like this. Thank you for seeing the patient first. Director Xu, do you think so?" Wu Qiming is not easy to get angry, seeing Xu Liming with a sullen face and not speaking, he intends to borrow the director's authority.
"Okay, okay, you two stop arguing, the catheter is already inserted"
After checking carefully and confirming that Song Qi had really completed this super difficult catheterization task, Yuqing said loudly to Wu Qiming.
"What? Plugged it in? Who plugged it in?" Wu Qiming, Jiang Han, Director Xu, and the urology doctor all looked at the patient in surprise.
I saw Song Qi swiftly removing the mid laner from the patient, and then took a sterile cotton ball and rubbed it on his hands
The sun shone through the window of the emergency room after nine o'clock in the morning, hitting Song Qi's face, and his body seemed to have a golden halo
"Of course it was Song Qi who inserted it!" Yuqing looked at them with contempt on her face. A senior emergency physician and a urology resident doctor were arguing over a urinary catheter, but a new doctor inserted the catheter without a word. It's not embarrassing to say it
"Song Qi?!" Several people said almost in unison, with surprisingly consistent tone.
"Song Qi, how did you do it?" Wu Qiming immediately walked to Song Qi's side and asked.
"With the help of a urethroscope and a guide wire." Song Qi wrote lightly.
Urethroscope and guide wire
This is quite a professional operation. Song Qi, a doctor who just graduated, how could he do it?
"Song Qi, why are you so big-headed? In this patient's situation, if a director of ureteral fistula is appointed, you can see it. I am busy with tracheal intubation. I really didn't see what he was doing."
Wu Qiming's first reaction was to get rid of the relationship quickly.
"The problem is that there is no ureteral fistula," Song Qi replied immediately.
"Qiming, check it out." Xu Liming, who had been silent all this time, said.
Although Xu Liming didn't participate in the treatment, he saw the condition of the injured with his own eyes. Even if such a severely burned penis is sent to the burn hospital, he probably needs a cystostomy, right?And Song Qi, a newcomer who just came to the hospital on the fourth day, unexpectedly got fucked!
To be honest, he didn't believe it!
Wu Qiming gently pulled the catheter, and then pressed it on the patient's lower abdomen. Seeing that urine was drained out, he believed that Song Qi had really done it.
"It's really plugged in." Wu Qiming smiled awkwardly, with an embarrassed look on his face.
"Have you ever practiced catheterization?" Xu Liming's eyes flashed brightly.
"That's not true, it's just that more catheters were inserted during the internship."
"Is this impossible? I used to insert catheters a lot during my internship. It was either catheterization or writing medical records." Jiang Han said in amazement, but he couldn't continue talking halfway through. Isn't this a shame?
Which clinician didn't come from an intern?Which intern can't do catheterization?But Song Qi is probably the only one who can practice urinary catheterization to this extent?
At this time, several patients were transferred over one after another.
"Okay, let's do our own work first. Song Qi, put the urinary catheters on the next few patients. Jiang Han, go help Yuqing, Qiming, evaluate the patients. If the burn area is more than 80% and combined with organ damage, send it to the burn hospital. If the burn area is 30%-80%, transfer it to the People's Hospital. The rest are not serious, so let's stay." Xu Liming gave the order.
Jiang Han felt uncomfortable. After comparing the before and after, he turned out to be the most useless one.
[Complete an expert-level urinary catheterization, task completion 3/10]
When Song Qi rushed to the next patient, a system prompt appeared in front of him.
"Song Qi, patient No. 4 has been punctured and can be catheterized."
"Song Qi, patient No. 6 can be catheterized"
Amidst the shouts one after another, Song Qi completed one catheterization after another, and the system task timing was refreshed again and again, and Song Qi became a veritable little master of catheterization.
"Patient No. 1 has been treated and transferred to the burn hospital."
"Patient No. 2 has also been treated and transferred to the burn hospital"
"Patient No. 4 has been treated and sent to the People's Hospital"
"Patient No. 7 has been treated and sent upstairs to the general surgery ward."
(End of this chapter)
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