Sleepless Doctor

"Is there enough time for fasting and water?" Wu Mian asked.

"Enough, I haven't eaten or drink water for nearly 20 hours." Director Liang replied, "The patient is an old patient, and all those in the hospital have experience. I know that if my stomach hurts, whether it is eating or drinking water, I will find it for myself. Guilt."

　　 Wu Mian nodded. The pre-operation preparation is very cumbersome, but it is a routine process. As long as you know Director Liang, don’t have red eyes and have to catch the ducks on the shelves.

　　 When he came to the ERCP room, Dean Xue did not hide, but took the initiative to put on a lead suit and stand behind to see the situation.

　　 "Teacher Wu, what do you think I have paid attention to?" Director Liang asked.

　　 "Just do it slowly, don't worry." Wu Mian said, "I will tell you in time if you have any problems, you must slow down."

"good."

　　 Director Liang put on the full set of equipment and looked thin, but the thick and solid lead clothes were obviously of a special kind.

　　 Wu Mian couldn't laugh or cry when seeing Director Liang dressed like the Tin Man.

　　 Generally speaking, I don’t want to be fully armed when I do interventional surgery. After all, I wear more than 20 kilograms of equipment that is too heavy. If the operation takes a long time, even Wu Mian’s body can’t bear it.

　　At this age, Director Liang wears special lead clothes, lead skirts, lead caps, lead glasses, lead collars that are thicker than ordinary lead clothes...

　　 "Director Liang, can you carry it?" Wu Mian asked curiously.

"Teacher Wu, I was courageous back then, and I was forced to be helpless. I knew that I had to take a line, but I always had to learn new technology." Director Liang smiled and put on a leaded glass mask, "Then take more protection. Hey, I have a thread-receiving detection box in it, and I don’t eat a lot of thread when I put on this set of things."

　　 "How many catties does this cost?"

　　"." Director Liang said, "Mr. Wu, don't laugh at me, I'm just timid, no other problems."

　　 "No jokes, no jokes." Wu Mian said, "How many hours can you resist wearing this suit?"

"I'm used to it, and I don't feel anything." Director Liang said, "Under normal circumstances, it can still resist for 3 hours. No matter how much, I have never tried it. After all, I still have a group professor under me, and there are only one or two sets a day. Operation."

　　 Wu Mian nodded, and looked a little funny when Director Liang was wearing a lead iron bucket.

　　 This is not a pike at all, but a tank for surgery.

　　 The patient's right forearm has established venous access, which is part of the preoperative preparation.

　　 "Iracridin 20mg, diazepam 5mg, pethidine hydrochloride, 50mg intravenously." The only thing Director Liang didn't wear was lead gloves. After all, he had to undergo normal surgery. He tidyed up a heavy lead suit while giving a doctor's order.

　　 The nurse in the lead suit immediately gave the patient a bolus of medication.

　　 These drugs are to effectively control gastrointestinal peristalsis and facilitate the operation, so as to prevent the patient from restlessness and delay the operation time.

　　Patient's position is left lying position with left arm on the back. A professor with the group operated the duodenoscope and Director Liang personally operated the pancreatic ductoscope.

　　 Normally, the endoscopy nurse assists in the operation of the delivery lens, and operates gently under X-ray fluoroscopy. Seeing that the operation would begin immediately, Wu Mian said gently, "Director Liang, can I help you?"

　　 "Huh?" The leader of the group was taken aback, trying to get out of his position.

　　 "No, I will help deliver the camera." Wu Mian said.

　　 The endoscopy nurse was also taken aback. What she did was the simplest "rough work", but Mr. Wu actually did this?

　　 took the thread from the nurse, Wu Mian smiled and said, "Thank you."

　　 "Emmm, you're welcome." The little nurse's face flushed suddenly.

　　 "Let's start, Director Liang." Wu Mian said calmly, facing the screen.

　　 Director Liang first performed ERCP to determine the lesion site and measure the diameter of the pancreatic duct before inserting the pancreatic ductscope. The whole process went smoothly. It can be seen that his technique is adept, and ERCP is not too difficult for him.

　　 Wu Mian is very pleased that there are many doctors who can achieve this level of ERCP, but definitely not many.

　　Especially Director Liang is also wearing a 37kg lead suit...

　　 The weight of the lead suit really didn't affect his operation. Perhaps he has been wearing it since the very beginning, and has he got used to it? Wu Mian was very curious about this, perhaps like a martial arts master who started to lay the foundation.

　　If Director Liang wears ordinary lead clothes, will he fly directly?

　　 The preparatory work is all preparation work, and the real focus is on the operation.

When 　　 picked up the camera, Director Liang couldn't help but feel a little nervous. After all, he didn't do much, and he was not as proficient as ERCP.

　　 "Teacher Wu, look at..."

"Just do it slowly. The system overcomes the shortcomings that generally require two doctors to operate and cooperate at the same time. The narrow field of view of the factor mirror and the constant adjustment of the direction and angle of the over-expanded bile duct can be aimed at the target point. You just started, use two people The operation is very robust."

　　 Wu Mian said briefly, and then watched Director Liang put the camera down the patient's mouth.

　　 Under X-ray fluoroscopy, Director Liang inserts the cannula into the lesion, and then inserts the pancreatic duct mirror along the cannula into the main pancreatic duct. The end of the sub-scope is exposed from the cannula to observe the pancreatic duct cavity.

　　 The whole journey went smoothly, Wu Mian has nothing to say.

　　Through the four-way controllable 　 push catheter, it can browse the surrounding tissues except RT, and provide a 360-degree panoramic view of the lumen.

　　 The former blind spot of vision now clearly appears on the screen.

　　 After starting the operation, Director Liang entered the state, the heavy lead clothes on his body seemed to cease to exist, and even Wu Mian, who was standing next to him, ceased to exist. His hands are flexible, the operation is delicate and gentle, while pulling out the lens, he carefully observes the 360-degree panoramic view of the official cavity.

　　 Through the lass examination, it was found that the patient's pancreas really had some problems.

　　 Pancreatic duct dilation ~www.wuxiaspot.com~ A jelly-like substance is vaguely seen at the location of the pancreatic duct, the nearby pancreatic duct mucosa is hyperemic, and the surface is slightly uneven.

　　 "There is a stent in place inside, a large number of flocculent mucus-like structures can be seen in the main pancreatic duct, and the pancreatic ducts on the body are criss-crossed like a canine tooth."

　　 "There are multiple hypoechoic nodules on the tube wall that can be detected and injected with contrast medium. The hypoechoic nodules on the wall of the capsule have enhanced signals, which are weaker than the pancreatic parenchyma."

　　 "Consider pancreatic ductal tumors." Director Liang said calmly.

　　The nurse under his staff recorded the entire operation process on the record sheet and wrote down the diagnosis. The ERCP room is very quiet, only Director Liang is talking.

　　 Xue Chunhe feels a little unfamiliar with the situation in front of him. Normally, when Teacher Wu is there, he will be directed by Teacher Wu, but this time he is willing to do what a nurse should do.

The operation of 　　lass unfolded under Director Liang's hands like clouds and flowing water, and he himself felt quite comfortable, immersed in it, so much that he forgot the existence of Wu Mian.

　　 32 minutes, the inspection is over, very detailed.

　　 drew out the camera, Director Liang took a deep breath.

　　 "Teacher Wu, it's done." Director Liang's old face was faintly red.

　　 "Not bad." Wu Mian smiled, helping the nurse organize her belongings and take off her lead clothes.

　　 "Do you think there is a problem with my diagnosis?" Director Liang asked.

　　 "No." Wu Mian nodded, "Director Liang, if you want to go to my side, report to Dean Xue within a week."