Sleepless Doctor

"First of all, the image under the endoscope is not ideal. It should be that the lens is too close to the target. The lens is almost attached to the RT. The reason is that the mirror is pulled too hard, and the RT is too attached. Then the RT runs to the right, where you push forward. A look in the mirror might be better." Wu Mianqing's voice came from the phone.

　　"Second, the difficulty is mainly to slip off the mirror repeatedly.

　　 But carefully studying the process, there was no slippage during the pre-intubation incision and expansion. The mirror drop occurred in the second half of the operation, which has a significant relationship with the length of the operation. Therefore, this operation should shorten the time as much as possible, and make the passage as smooth as possible under the premise of ensuring safety. "

"After expanding the columnar airbag to 12mm, take the stone from bottom to top into the basket for angiography, paying attention to the detailed action of pushing the mirror + UP, and the standard inverted "seven" shape can be seen through perspective. By doing this, you will find that the mirror body is very stable. "

　　 "Then send the net blue to the common hepatic duct, pressurized water injection, and cascade flushing the bile duct."

"At this time, you can start laser lithotripsy. When making laser lithotripsy, you must take into account both the mother mirror and the child mirror, and you must look at it at the same time; to make super-large stones, you first use laser lithotripsy and break it into parts, and then go in and break it in the traditional way. Stone-take the stone."

　　 "Director Liang, have you noted down what I said?" Wu Mian asked.

　　 "Teacher Wu, I've written it down." Director Liang said quickly, "Is it all right to do this? Are there any other questions."

　　 "Follow what I said first, if there is a problem, I will rush back immediately." Wu Mian said positively.

　　 Director Liang hesitated a bit, but what Mr. Wu said is like this, what else can I do?

"Director Liang, I will send you what I just said in voice again." Wu Mian said, "If it doesn't work, hurry up and tell me, you're welcome. Dean Xue, stop the car, if that side doesn't work, let's turn around and go back. "

　　 The second half of the sentence was said by Wu Mian and Xue Chunhe.

　　 "Thank you, thank you." Director Liang thanked Mr. Wu Mianwu from the inside out.

　　 He was thinking too finely, for fear that he would try to be strong, and some details have not been remembered, so he has to say it again. And even prepared for the possibility of saving Taiwan, so as not to worry.

　　 Director Liang really worried about this, but after Wu Mian said that, he was more relieved.

　　 Soon, each voice was sent over, and Director Liang began to follow Wu Mian's instructions.

　　 Was the mirror pulled a bit hard at first? Then try to be lighter. Push it in, send it, and the lens is much more stable than the last operation.

　　 This time Director Liang followed Wu Mian's technique and focused on the details of the push mirror + UP, and the standard inverted "seven" shape can be seen through perspective.

　　 The lens did not feel "slip" again, but appeared firmly in the biliary tract.

　　 At the moment it was sent into the camera, Director Liang seemed to feel that inexplicable hand feeling returned to him again. It's amazing, it's not clear at all, but Director Liang feels that this is a fact.

　　In an instant, the lead clothes on his body were not so heavy, and Director Liang's spirits rose!

　　 When doing laser lithotripsy, you must take into account both the mother mirror and the child mirror. When Mr. Wu said this sentence, it must be very important.

　　 Director Liang came in and took a look, rinsed with water-saw the stones, and then used the dual-frequency laser U100+ to crush the stones.

　　 dual-frequency laser U100+ lithotripsy, its advantage is that there is no damage to the bile duct wall, but the lithotripsy is safe under direct vision. Therefore, Mr. Wu repeatedly emphasized that the mother and child mirrors should be aligned with the stones, which is equivalent to aiming and then pulling the trigger.

　　 This is the place to be most cautious, Director Liang understands in his heart.

　　 The laser hits accurately. Originally, Director Liang wanted to place more stones, but because the stones were too big, instead of breaking them, he directly made a "tunnel" out.

　　 Although there are still twists and turns, Director Liang knows what Teacher Wu said is right. It has been initially completed now, but it will take some time to break this huge stone into pieces.

　　Time and time again, after 3 laser lithotripsy, Director Liang finally took out all the small stones.

　　 Director Liang went into the mirror again to take a look-from the left and right hepatic ducts to the end, there were no formed stones, and the debris on the wall could be drained by itself.

　　 Now the patient’s bile drainage is very good. It has been confirmed that there are no residual stones under direct viewing. There is no need to use balloon drag imaging to see. The operation is completed by placing a nasal bile duct.

　　Professor Li didn't react until the end. Although he heard clearly, he didn't even realize many details at his level. He just felt amazing. Director Liang took off the operation after a voice guidance from Teacher Wu.

　　 Take off the lead clothes, Director Liang is not tired at all, he directly called the head nurse.

　　 "The head nurse, the surveillance video of the operating room, who can I call it?" Director Liang asked.

　　 The doctors and nurses in the operating room were all startled, what did the director want to do with the video surveillance? Is there something lost in the operating room? Or what did he find?

　　 "Director, look for the security department."

　　 "I'll look for it." Director Liang hung up the phone, took a look at the patient's ECG monitoring, confirmed that there was nothing wrong, and hurried to the security office.

Director Liang never thought that one day he would go to the security department to adjust the video surveillance, but this is the only way to prove his guess ~ www.wuxiaspot.com~ the first patient with chronic pancreatitis, the reason why the examination and surgery went so smoothly , I even gave myself the illusion of a technological leap because of the presence of Teacher Wu.

　　 The idea lingered in Director Liang's mind, but it was puzzling. Teacher Wu just took the place of the nurse and helped him hold the mirror. What did he do to make the operation so smooth?

　　 came to the security office, Chief Sun was already waiting for him.

　　 "Director Liang, what are you worried about? What equipment did you lose? Or did you lose some narcotic drugs." Director Sun asked.

　　 Generally speaking, there are only two possibilities for the clinic to find the security department to monitor the video. Another is that medical disputes arise, and evidence must be collected.

　　 However, the collection of evidence is usually the responsibility of the medical department, and there is basically no clinical director personally appearing.

　　 Seeing Director Liang’s screaming expression on his face, Director Sun was puzzled, could it be said that he was cheating in the operating room and was photographed?

　　 This happens occasionally. Many years ago, a video was posted on the Internet and caused an uproar.

　　 Director Liang looks thick eyebrows, big-eyed, honest and honest, what else do you do? A smile that every man understands appeared on Chief Sun's face.

　　 But Director Liang was anxious and didn't notice the micro expressions and actions of Director Sun. He came to the monitoring room and said, "Director Sun, I want to watch the monitoring screen with E score until 13:00."

　　 "Well, good." Director Sun said, "Director Liang, is it convenient for me to be here? Would you like me to avoid it?"