Xiao Yang said to Shao Jialiang on the phone: "She has the ability. If you don't believe me, ask her to try. Some things need to be seen with your own eyes to be believed."
Her colleagues praised her as something miraculous, and Shao Jialiang frowned.
The patient's family members did not leave the door far away. The old lady visited from time to time, holding high hopes. The family members came to ask the National Association for help. Respecting the reasonable requests of the family members is a doctor's obligation.
Shao Jialiang agreed.
The anesthesiologist pushes the prepared anesthetic into the patient's vein, and the patient falls asleep and relaxes his whole body. At this time, it is relatively easy to insert the gastroscope without resistance from the patient. Just like the bronchoscope demonstrated by Teacher Xin before, the difficulty lies in the throat, and you must not insert it into the wrong lumen. You must have a good understanding of the anatomical position here. Fortunately, the entrance to the esophagus is much easier to find than the trachea. Think about it, nurses can blindly insert gastric tubes.
The operating doctor puts on surgical gowns, gloves and a surgical cap, preparing to perform special gastrointestinal endoscopy examinations including necessary endoscopic surgery.
Senior Brother Yu stood by, and Xie Wanying picked up the gastroscope.
After trying choledochoscopes and bronchoscopes, the basic components and operating principles of endoscopes seem to be similar. The light source (for lighting), operating holes (for inserting various instruments, which have different names on various endoscopes), and rotary buttons (for adjusting angles) will definitely be slightly different in specific details, but the feel will be similar. They are all hoses and they all move inside the patient's luminal organs. Perhaps for this reason, Senior Brother Yu, an expert in endoscopy technology, dared to let her operate on her own.
here we go.
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As mentioned before, it was very easy for her to find the entrance to the esophagus. However, just after the tube entered the esophagus, about 35 centimeters away from the front teeth, a narrowing was seen. This was the anastomosis, and the indwelling nutrition tube could be seen. The anastomosis was too narrow, consistent with the situation provided by the attending physician before, and the endoscope could not pass through the anastomosis. Above the anastomosis, the tail of a titanium clip was seen, indicating that the titanium clip was probably not clamped correctly at the most important fistula, resulting in continued signs of fistula.
To remove the remaining titanium clip, the nutrition tube must be pulled out first, and then a guide wire is inserted to perform balloon dilatation of the anastomosis. Xie Wanying kept recalling the gastroscopy techniques she had seen her teachers perform before.
Yu Xuexian knew that she had no problem with basic operations. She had never done neurosurgery before, but she dared to do the puncture on behalf of Xin Yanjun that night. Gastroscopy is much simpler and less risky than neurosurgery, so how could it be difficult for her? What was needed now was to teach her some experience. He said, "Pay attention to the strength when removing the titanium clip, and pull out the feeding tube slowly. Don't think that the patient will not react because he is anesthetized. Pay special attention to the position of the guide wire when placing it."
Xie Wanying adjusted her breathing rate inwardly to adapt to the rapidly increasing pressure. This technical pressure was not given by others, but was a new challenge that doctors had to face every day.
It can be seen that female teachers are different from male teachers. Male teachers such as Senior Brother Yu are completely different even though they are both internal medicine doctors like Teacher Xin.
Teacher Xin will take things step by step and will not rush things. Most importantly, Xin Yanjun insists that as a teacher, he should take on the difficult tasks himself and will not let students bear the burden of responsibility.
Senior Brother Yu is more like Senior Brother Tao. He lets her shoulder the responsibility and do the difficult things by herself, while he stands by and watches what happens.
Teacher Xin is really gentle at heart. No matter how easy-going Brother Tao is or how good a person Brother Yu is, they can't be so considerate.
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