Path of Medicine With a System

The anorectal department, the first impression given to people is the department for the treatment of hemorrhoids. In fact, the anorectal department is a department that diagnoses and treats end-end diseases of the digestive system, and the specific etiology of many diseases in this department has not been studied clearly. The etiology is unknown, so it is very difficult to prevent.

Take the most familiar hemorrhoids as an example. The current mainstream theory believes that there are two reasons for the formation of hemorrhoids. In plain language, one is that the blood vessels of hemorrhoids are blocked. Such as long-term sitting, constipation, pregnancy, prostatic hypertrophy, huge pelvic tumors, etc., can cause rectal venous return obstruction.

In fact, everyone does not support this statement very much, but there is no evidence against it. The most mainstream theory of Western medicine, in popular language, is that there are many reasons for the anal contraction weakness.

Because the cause is unknown, prevention is very uncertain. In the words of the doctor himself, almost most of the bad habits and living habits can cause the disease.

The director of the anorectum, aside from other things, is quite good, and the department can perform a lot of operations, so in terms of the level of the regional hospital, this department is still above the standard, but it is because of this marital problem that caused The department has no combat effectiveness.

There was no director, only Zhang Fan went to the outpatient clinic by himself. Zhang Fan's first outpatient clinic was handed over to the anorectal department. With a water cup and a nurse, Zhang Fan went to the outpatient clinic.

The young patients in this department are similar to the elderly patients, and because special parts need to be examined, men and women are different, so it is more convenient to bring a nurse.

After seeing Zhang Fan, the head nurse of the outpatient clinic greeted Zhang Fan with a smile: "Doctor Zhang, are you here for the outpatient clinic?"

"Yes, Matron."

"Then I'll put your name on it."

"Good head nurse, thank you." Zhang Fan greeted politely.

When I walked to the corner of the corridor, I ran into Xue Fei from the Department of Orthopedics. In the Department of Orthopedics, Zhang Fan had the best relationship with him, and he was also a warm-hearted person. When he was treating the injured soldiers, Xue Fei tried his best to provoke Ouyang's Risk, specially reminded Zhang Fan, Zhang Fan appreciates Xue Fei very much.

But this guy is indifferent, and his work level is average. Although he is an attending doctor, his skills are much worse than that of Zhou Chengfu, who is also an attending doctor. When Zhang Fan did not monopolize the operation, Zhou Chengfu would occasionally sneak out for acupoints or something. of. And this guy, all his mind is on mahjong.

"Why, Director Zhang officially took office today?" Zhang Fan entered the anorectal department to temporarily manage the anorectal department. Everyone in the surgery knew it, because they were all in the same surgical building.

Messages are delivered very quickly.

"Yeah, I'm going to the outpatient clinic today. Why, Dr. Xue, are you going to the outpatient clinic today too?" Zhang Fan was lazy to argue with him, the more you explained, the more energetic he would be, and he would not tease him anymore if he admitted it openly. .

"You said you were fat, and you really started to pant. Didn't you just look at the chrysanthemums, you're so proud of yourself." As he spoke, Xue Fei raised his little finger and looked down on Zhang Fan.

"Hey, don't look down on me. Wait until you play mahjong and get hemorrhoids someday. I will definitely check you with my thumb."

"Bah! Bah! Bah! You have a crow's mouth, you have hemorrhoids. Seriously, you won't come to the orthopedics department in the future, and I still count on you to cover me. You really can't be interested in the anorectum This is the position of director of the department." Xue Fei is also struggling in the orthopedics department now, the orthopedics department is separated, and the three orthopedics departments are desperately trying to do more operations. He can't get a lot of operations, and Lao Gao is also full of dissatisfaction with him.

"Brother, please ask for blessings, I'm going to the outpatient clinic." Zhang Fan went to the outpatient clinic of the anorectal department. Xue Fei's attitude is what many doctors think. Although Zhang Fan is very skilled, everyone thinks it is impossible to become a department director.

The nurse Zhang Fan took was Chen Xiaoli. The child was only two years old and she was a young woman. Among the nurses in the anorectal department, she was a skilled and nimble nurse, and the head nurse specially asked her to help Zhang Fan.

The first patient was an acquaintance, old Yutou, a neighbor uncle in Shao Hua's old community, in his sixties. A chess friend of Shao Hua's father, the two quarreled for three days and reconciled for two days. If they didn't see each other for a few days, they still missed each other very much. They even met Zhang Fan a few times and said hello a few times.

This old man has been feeling a little uncomfortable these days, because his butt is uncomfortable, and he was too embarrassed to tell his children, so he and his wife came to register for medical treatment. When they entered the anorectal clinic, they saw that it was Zhang Fan. The old man was excited at first, Because the doctor is an acquaintance. At first there was a smile on his face, but when he thought about it, he felt a little embarrassed.

"Grandpa, come in, why are you standing at the door?" The first patient stood at the door hesitantly. Zhang Fan saw that he was an acquaintance, and was also amused, but he managed not to laugh.

"Hey! Doctor Zhang, you are in the anorectal department."

"Yes, sir."

"Aren't you in surgery?"

"The anorectal department belongs to surgery. What's the matter with you? That's uncomfortable." Zhang Fan couldn't follow him. There are many old-fashioned people. If you follow his words, you may be able to chat until the afternoon.

"There's nothing wrong with it, it's just that I've been coughing a lot lately." Old Yutou was really embarrassed. This is where the embarrassment lies, because this is a bit embarrassing, and he starts to be vague when talking about his symptoms.

With such ambiguity, his wife couldn't help it, "The doctor is still busy, this is not your chess stand, Doctor Zhang, he doesn't know what's wrong recently, he coughs for no reason, and sometimes when he coughs, that ass A piece of intestine fell out from below! Just say what you want, how old you are, you are still embarrassed!" The old lady explained in one breath.

"Oh, so this is the case. How long have you been coughing, old man? Do you have a fever? Is there much phlegm? Do you have any other symptoms?"

"No, okay, I started coughing for no reason, my throat didn't itch, I just couldn't help coughing unconsciously."

"Oh, that's it~" As he spoke, Old Yutou began to cough. Zhang Fan knew his cough was not an irritating cough, but a cough caused by abdominal pressure, because this cough was very low-pitched, and Discontinuous.

"It seems to have come out!" Old Yu blushed, like a child who has done something wrong, lowered his eyes and dared not look at Zhang Fan and his wife.

"The intestines came out again?" His wife had a loud voice, and the old lady was a little irritable, so she didn't notice her old man's state of mind. "What are you arguing about! It's not laying eggs, it's coming out, what are you shouting!" The old man was really angry.

"It's okay, old man. Don't worry, you climb on the examination bed, and I'll check it for you."

The nurse helped the old man lie on the examination bed, and Zhang Fan began to put on gloves. "Girl, just close the curtain and go out!"

"Okay, sir." The nurse helped him lie on the examination bed, and then closed the curtain.

"Master, take off your pants."

He was old and had trouble moving, so with the help of the old lady, he took off his pants. Zhang Fan saw it, "Hey! A lump of meat came out of the anus, very much like a meatball in the middle of the butt!"

This disease is really embarrassing. When you defecate a little in the early stage, the rectum comes out, and then it retracts by itself. With the development of time, it becomes troublesome. Straining and coughing will cause rectal prolapse. Sometimes Had to cover my anus with my hand when walking or it would fall out!

For prolapse, if it can be undone, it is not bad. If it is not undone in time, strangulated necrosis will form if the rectum is not properly swollen, so this disease is really embarrassing.