"Sign the informed consent form, and we will clean your intestines." Ma Yanlin took the informed consent form and passed it to Dou Shan to read. He then asked, "Where's your family?"
"In the ward." Dou Shan lay on his back and answered with some effort.
Ma Yanlin looked at the people who were still queuing up and said, "Then sign it first, I'll inform your family later. It's just a minor surgery anyway. "
"Can't I not do it? I just have a headache and feel a little weak, and I had a fever yesterday because I was drenched in the rain … "Dou Shan was an honest Bazhaixiang farmer. He raised a few sows and sold them for money. He did not have medical insurance, and he did not believe in the hospital's skills. When he heard the word surgery, he felt weak.
Ma Yanlin looked at Dou Shan's expression and knew what he was thinking.
Truth be told, even though Ma Yanlin was one of the less experienced doctors in Ling Ran's treatment group, he had been practicing medicine for six years, including his internship. If he included the time he spent in medical school, he had been practicing medicine for more than ten years. If he was placed in any other industry, he would definitely be the backbone of the industry. But in the hospital, he was only the lowest-ranking resident doctor.
Dou Shan was an inexperienced patient. He held the informed consent form and wanted to sign it, but he did not dare to.
When Ma Yanlin saw this, he could only explain from the side. "We're mainly cleaning your intestines now, and we want to see the condition of your intestines …"
After explaining for a while, Dou Shan did not really understand, but when he saw Ma Yanlin's kind and patient attitude, he finally felt the bond between them, and he signed the informed consent form.
Ma Yanlin took it, turned around, and passed it to the new intern Qi Zao, who was standing by the side and looked a little silly. He said, "Keep it, all informed consent forms need to be filed."
"Oh." Qi Zao took it, subconsciously glanced at it, and suddenly burst out laughing.
"What's wrong?" Ma Yanlin frowned. 'What's wrong with laughing in front of a patient?'
Qi Zao also realized her mistake, and she quickly stopped laughing. She then pointed at the emergency contact column on the informed consent form.
Ma Yanlin looked and saw that under the emergency contact, on the right side of the column "Relationship with the other party", Dou Shan had seriously written four words: Pretty good relationship.
'Hmph …'
Ma Yanlin swallowed his laughter and snorted it out through his nose.
It took ten years of medical experience to be able to hold back his laughter. His laughter was so natural and did not sound like laughter at all.
"Let him fill in another one." Ma Yanlin didn't turn around to avoid bursting into laughter. It took 15 years of experience not to smile in front of others.
Qi Zao laughed so hard that her eyes turned red. She lowered her head and agreed. She pretended to go to get the informed consent form. She only came out after she was done laughing. This time, she simply looked for the patient's family member, and both of them signed the informed consent form together.
Oral polyethylene glycol electrolyte powder.
Defecate.
Fecal examination.
Once everything was ready, Yu Yuan, who had completed the task at hand, happened to pass by the examination room. She clasped her hands and watched as Ma Yanlin prepared the patient for colonoscopy.
Ling Ran walked into the examination room at about the same time.
"It hasn't started yet?" Ling Ran looked at Ma Yanlin.
"Right away … right away …" Ma Yanlin glanced to the right guiltily.
It was only then that Ling Ran noticed Yu Yuan. He asked, "How do you feel about nosocomial infection?"
"There are quite a lot of problems, but since Yunli Medical Company helped, there are fewer people now. But I think the main task now is to diversify the patients," Yu Yuan quickly answered.
Ling Ran nodded. Nosocomial infection was a specific task, and it was a standard job where he had to investigate before he could speak. He could not care about that now, so he just acknowledged Yu Yuan's work.
After all, the Ling Treatment Group had been working on nosocomial infection in Yun Hua Hospital for a long time, and the doctors who participated in the group were quite experienced. Yu Yuan's experience and knowledge were enough to deal with a township hospital.
Even if Ling Ran joined in, he might not be able to complete the nosocomial infection. Moreover, in most cases, whether the Bazhaixiang hospital branch could complete the nosocomial infection was not a problem of technology.
Take the diversifying of patients for example. Without the help of Yunli Medical Company, most of them would not be able to achieve the current results.
From Ling Ran's current perspective, it was already very good to be able to achieve this in one day.
"Yu Yuan, you're here. Let's do the colonoscopy together." Ling Ran stood by the side with his hands clasped behind his back.
Currently, colonoscopies for one person were more commonly used in the world, but the equipment and technology in Bazhaixiang were a little outdated, and they still used the traditional two-person colonoscopy.
Ling Ran did not like to do colonoscopies anyway. Since Yu Yuan was beside him, he let her do it.
Yu Yuan immediately laughed out loud. She stood at the host's position and ordered Ma Yanlin, "Intramuscular injection of 6542."
Her aura and voice were like the sound made by a subwoofer that was 1.414 feet tall.
"Intramuscular injection of 654-2," Ma Yanlin repeated. He had nothing to say even if he lost the host's position. Yu Yuan was much more experienced than him, and she was basically his senior doctor.
Then, a tube of racemic anisodamine was injected into the tube.
Yu Yuan then stuffed a cotton ball containing 1% anisodamine into the tube. She waited for two to three minutes before she excitedly got ready to start.
The patient lay on the examination bed, and he had long since lost his will to live.
Those who did colonoscopies, especially men, basically all had the same expression. It was as if they had been trained by a pre-colonoscopy performance class.
Yu Yuan glanced at his coarse face. When she saw that his expression was normal and abnormal, she focused her attention on his anus.
Ling Ran also looked at the screen.
A long period of anemia and weakness would easily make people think of gastrointestinal bleeding. If they made further connections, the diagnosis of the patient's condition would not be satisfactory.
But on the other hand, the patient's abdomen was soft. There was no tenderness or rebound pain, and there was no muscle tension …
Based on the information obtained so far, Ling Ran could not make a correct diagnosis of the patient's condition.
However, surgeons had always been rough in making diagnoses. They were often not like internal medicine, where they made many connections. Instead, they focused on various examinations.
For Ling Ran, his main diagnostic weapon was physical examination, and he would supplement it with all kinds of information from radiology.
Since he was famous for performing surgeries, even when he was in the clinic now, most of the patients who came to him were patients whose conditions were relatively clear, so Ling Ran rarely made basic diagnoses.
Today's patient was a rather fresh case for Ling Ran.
"Wait a minute, I think I saw something just now." Ling Ran frowned at the yellow shadow that flashed across the screen.
Yu Yuan adjusted her angle in a flurry.
She did not perform many colonoscopies, and she was not familiar with the model used in Bazhaixiang. Of course, the main reason was that her technique was bad.
"It seems normal." Yu Yuan paid attention to the structure of the intestine. The intestine was quite clean after being cleaned. It was basically in the shape of a flesh-colored tunnel covered with blood vessels. If one did not think too much about it, it would be more acceptable for a normal person's vision.
At this time, Yu Yuan had already checked the middle of the ascending colon, and she did not find any bleeding or other problems. She was also confident about the anatomical structure of the intestine.
Ling Ran shook his head gently. "Continue to push the camera inwards."
The chief surgeon was responsible for adjusting the position of the colonoscope, and the assistant was responsible for pushing and retracting the camera.
As the patient moaned, Ma Yanlin pushed the camera inwards further.
"There's nothing strange …" Yu Yuan tried her best to keep the camera stable, but it was still very shaky.
"Let me." Ling Ran had been preparing by the side. At this time, he directly took over Yu Yuan's position. He fixed the up and down button with his left hand, and he gently moved the button with his right hand.
"Move inwards," Ling Ran ordered.
Ma Yanlin immediately moved, and Yu Yuan could only stand behind him obediently. She pursed her lips, as if the square root was flattened.
Compared to Yu Yuan, the screen under Ling Ran's control was much steadier and clearer. The field of view was also more comfortable, and it was an angle that doctors were more familiar with.
Ma Yanlin learned as he pushed the camera inwards. At this time, a yellow shadow appeared on the screen.
"This is not sh * t …" Yu Yuan could tell with just one glance.
Ling Ran hummed in a muffled voice and said, "Push it faster."
Ma Yanlin then increased the speed a little, and Ling Ran adjusted the angle and the direction of the light. At this time, the yellow shadow on the screen was even clearer.
It was a yellow, flat, ribbon-shaped worm.
Its body overlapped, and its body was much wider and flatter than the worms seen in the wild.
Based on the field of view alone, its length was more than forty to fifty centimeters. Moreover, the worm's body was completely attached to the intestine. It slid in the field as if it was half-swimming, and it was like a long boat with a wide body.
And the scene of it moving quickly in the intestine and wandering leisurely in a familiar environment made people think of a skateboarder wandering in a tunnel.
Youth, hot-blooded, yellow, parasites …
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