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458 The Teaching Guidance of Liu Banxia

(Thanks to friends for their monthly tickets of 007 and 009)

"Feifei, how long has this lasted? Are there any symptoms of pain, frequent urination, and urgency?"

After thinking for a while, Liu Banxia asked.

"It's been half a month, and there are no symptoms you mentioned." Tang Feifei lowered her head and said.

"And I have also paid attention to it myself. I can control it during the day. If I go to bed at night, that's all. I..., I won't be that disease, right?"

"What about urine volume?" Liu Banxia continued to ask.

Tang Feifei gritted her teeth, "Not much, just a little bit."

Liu Banxia thought about it again and said that this did not meet the standard of diabetes insufficiency, and Xu Hui's judgment was very correct.

"Let's do three tests first. The first is a urine test to see if there is an infection. The second is a blood test, which is also a routine test. The third is a head magnetic magnetic field to see if there is a condition in the cranial brain." Liu Banxia thought for a while and said.

"In view of your situation, you can go directly to the VIP ward upstairs. Blood tests and urine test samples can be collected in the ward. Don't worry when doing MRI, see when there are fewer people below, or wait for the evening."

"Your condition is a bit special. Normally, you should also look for a gynecologist for examination. But when you come here, I have to take care of it. I still have a few surgeries in the afternoon. I will go to the ward to find you when the surgery is interrupted. Don't worry, can you?"

Tang Feifei nodded, "It's enough to keep it a secret for me, otherwise... I can't see anyone."

"Don't worry, I will give you some advice on this. However, MMI can only be done later. Now there are many patients in our emergency center." Liu Banxia said.

"Brother Hui, I have to go to the operating room. Please help Sister Li to arrange the supplies. If you need them, let the nurse help you buy them. If she walks around, I'm not relieved. I won't mess up our emergency center."

"Doctor Liu, I really can't have that disease, right?" Before Xu Hui could speak, Tang Feifei asked again.

"Have you ever had any contact in this regard?" Liu Banxia asked with a frown.

"Of course I don't have one. I don't have a boyfriend yet. I may have someone I know." Tang Feifei said hurriedly.

"Then don't make any mistakes. Brother Hui, let's do another test at that time. Her name will be replaced by VIP to save trouble in the future."

Xu Hui nodded with a smile. He personally agreed with this. Otherwise, if something really happened, the emergency center might have to sue.

There are many similar things, and it is difficult for celebrities to deal with inpatient care. If anyone can’t prepare, he will show off his news. Will it be a lawsuit?

Moreover, Tang Feifei's situation this time is quite special, and it may be the best if she can lose one point of leak.

Liu Banxia, ​​who was walking towards the operating room, was also thinking about Tang Feifei's situation. Diabetes insipidus can be eliminated, and the amount of urine insipidus will not be so small.

Next, we will see if it is a urinary tract infection or a problem in the craniocerebral brain. According to his speculation, there is a high possibility of a problem in the craniocerebral brain.

I have also been exposed to diabetes insipidus. The last time that child had diabetes insipidus, but it was also a complication of other diseases. Compared to life, it would be nothing to ignore it.

There is no way to make a judgment now, so I have to wait for the detailed inspection results to come out before talking about it.

"Teacher Liu, the patient's information has been checked."

After Liu Banxia took the stage, Liu Yiqing said.

Liu Banxia nodded, "Dr. Li, start anesthesia."

Li Liwei nodded and started to operate directly.

"Su Wenhao's perforation and investigation, rectal tumor resection, stoma, and digging a tank, are basically surgical suits for rectal cancer." Liu Banxia said after the patient's anesthesia.

"Although we have certain indicators during surgery that can give patients great hope for anal protection, it is also a problem of indicators."

"What we have found in so many cases we have seen is an early patient, who is more than 4 cm away from the anus and has not had time to infiltrate the base, so the chance of such patients maintaining anus is relatively high."

"Teacher Liu, do you mean to give some guidance when introducing the patient?" Su Wenhao asked.

"It's not true. For patients, it's better to protect anus or anus. What I'm talking about is just a matter of probability." Liu Banxia said.

"Because we will have a very embarrassing problem in the actual patients, and it will be a bit risky to protect the anus. This involves the second operation, so we must explain it clearly when we talk to the patients."

"You shouldn't forget that patient with extensive abdominal adhesions? If he could be more decisive, it would be another result. We can respect the patient's choice, but that is within the scope of the conditions."

"It was found that the patient had no obvious ascites, obvious adhesions, obvious bleeding in the abdominal cavity of the patient. The tumor was located under the peritoneal retraction, did not invade the serosal layer, and no obvious lymph node enlargement was seen around it. The judgment can be performed for radical laparoscopic rectal cancer treatment." Su Wenhao said.

"Huang Bo's main swordsman, Liu Yiqing's first helper, Su Wenhao's second helper." Liu Banxia said lightly.

Huang Bo, who was already ready and planned to hit the second or third hole, froze for a moment, and his eyes looked at Liu Banxia with pitiful eyes.

This is also a complete fourth-level surgery. Although it is not as complicated as liver surgery, the level of surgery is here.

"What's the point of feeling guilty? Is the early operation that complicated? It's nothing more than separating the roots of the rectum and messigmoid colon, and not breaking the ureter and subabdominal nerves." Liu Banxia continued.

"Then there is a very simple basic intestinal surgery. Ligate the arteriovenous vessels of the mesenteria and cut off the intestinal duct. The abdominal wall stoma is taken out and the intestinal duct is waiting for the stoma to be at the end of the operation. How simple is it to do?"

Huang Bo's eyes looked at him even more resentful. Isn't it simple? It's in your eyes and under your hands. When it comes to our hands, it's so simple.

But he dares to wait like this again? How dare he?

If you give up at this time, according to Liu Banxia's teaching practice, you may have a chance to operate next time.

"This is so good, there is no need to worry so much. It is all the basic operations that bring together to push the difficulty of this operation up. Will the separation process be more complicated than the adhesion gallbladder? Liu Yiqing, what do you think?" Liu Banxia continued.

"No, it's too difficult to deal with the sticking." Liu Yiqing said hurriedly.

"Look, Liu Yiqing has the same opinion as me. The next one to dig the tank, Liu Yiqing's main swordsman, Su Wenhao Yishu, and Huang Bo Ershu." Liu Banxia said it happily again.

Liu Yiqing, who was still very happy just now, also stiffened. The pressure of this operation today was even greater than that of a mountain.

"It's very simple to dig a jar. You just need to operate it in the perineum and remove the tissue that doesn't need." Liu Banxia said.

"What you need to pay attention to is to protect the urethra. I have not had 4 similar surgeries as well. If I still can't tell what is at this time, I can only go back to the furnace and rebuild. Su Wenhao, are you right?"

"Uh..., this is very right." The honest child Su Wenhao didn't know what to say.

"Children, come on, I will disassemble the operation as much as possible as possible as possible as possible, and let you take care of one of them." Liu Banxia said.

"The operation requirements of the whole operation are very high, and there are many things to pay attention to. But it should be nothing to do only one of them, right? I think you are fine."

"It's all small jobs, and it's only a big job after getting together. If there are many surgeries in the future, we will use this combination to avoid being too tired by one person."

He spoke lightly, but to the three people who listened to him, it was like a handful of small flying knives.

As interns, they are willing to have enough practical opportunities. However, Liu Banxia gave them too many opportunities, which made them unable to withstand it.

Even if Liu Banxia breaks down the entire operation now, it is a very routine operation. But it does not mean that this pressure is gone. It is different from being a pure assistant. This is the pressure of the main surgery.

Is this irresponsible to the patient? They ordered your desk and asked you to perform the surgery. Then you rest on the side now and let the intern get started?

It's not the case, because as long as you enter the hospital, the medical staff will be responsible for all the behaviors you have.

Although Liu Banxia said it very easily, her eyes were also staring at their operations on the screen.

He has to take on this responsibility by asking them to get started. If there are really mistakes during the operation, he needs to take over immediately, otherwise the interns may be confused.

This means that the patient's situation is not complicated, otherwise he would not dare to let go with his courage. This is a rare practical opportunity and an opportunity to hone their will.

And if their usual operational performance had not been recognized by Liu Banxia, ​​who would have dared to let go like this?

They were carefully selected by Chen Zhenxing, but they did not come in based on their connections. They had accumulated a certain amount of experience during their internships, and going to the emergency center was considered a further study.

Just like the small incision appendectomy that still has a small incision today, he has to do it himself. The interns’ skills in this area are still a little worse than his.

However, if it is a laparoscopic gallbladder removal, this can also test the interns' surgical ability. It must be decided based on the specific situation of each patient. The first fundamental requirement is to help the patient solve the problem of illness and have a good prognosis.

It can be regarded as Liu Banxia’s special teaching. He planned to do this in the second half of the year’s training. Although they feel more pressure, as long as they are well-tuned, it will be very helpful for their growth.

If they are used to working under such high pressure, their performance will not be bad no matter where they are in the future.

Seeing them operating, Liu Banxia was in a good mood, which may be the joy of being a teacher.
Chapter completed!
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