Path of Medicine With a System

Zhang Fan shook his head, and said to the patient, "Relax, it's okay, I'll just see where this thing is."

"Ok!"

Zhang Fan gently used his lubricated fingers to slowly enter. "Well, it can be touched, but the problem is that the fracture here still has a certain degree of hardness." Zhang Fan said to Lu Shuyan while conducting finger examination.

"Then what should we do?" Lu Shuyan asked.

"Let me think about it!" Zhang Fan didn't dare to stimulate the anus and its surrounding tissues anymore, because the anus was already swollen, and if it became more swollen after stimulation, it would be troublesome.

The intestinal tract and soft tissues of the human body generally have a certain degree of hardness and toughness. Even if you use this kind of soft rubber, there is nothing to worry about, but if it swells, then there will be problems. When the thickness becomes larger, the cell wall becomes relatively thinner, and the toughness and hardness of the tissue decrease accordingly.

So if you want to remove this foreign body, you must first expand the anus, and then use tissue forceps to clamp this thing out, and the broken end should not touch the surrounding edema intestinal tissue.

"First of all, I can now confirm that there is a foreign body in the rectum. Second, the foreign body stump may obviously damage the intestinal wall. Third, it may enter the sigmoid colon with the peristalsis of the intestinal tract. Fourth, it may be because it failed to be taken out at the anus. Then the foreign body enters the sigmoid colon with peristalsis, and after losing the possibility of taking it out of the body, it is necessary to perform an operation to open the abdomen to squeeze this thing out of the intestine!"

Zhang Fan explained his illness to the two girls, and he must explain this matter to others. It is really possible that this cannot be removed, and the intestinal tract is peristaltic. With the development of time, no one knows what will happen. Dare to guarantee.

"I don't do surgery, a knife in the stomach is so ugly! I don't have surgery." The charming girl who was lying on her side became anxious at this moment, tears streaming down her originally beautiful face.

"What should we do now?" The girl in black leather was also anxious.

"I'm going to prepare the surgery signature book now, and you can sign it."

"I won't do it! Ah! Ah!" The girl lying on her side really erupted this time, and a sharp voice rang out. I don't know how high the decibel was, but it was obvious that Zhang Fan's eardrums were a little tingling. And at this time, the girl couldn't see it anymore.

This makeup requires a lot of colors, tears rush, and then add the girl's emotional, black, red and tears, the girl's big eyes, exaggerated expressions, complex colors, Zhang Fan looked at the girl's face Suddenly, there was a feeling like watching an absurd comedy.

"Don't yell. If you yell again, as soon as the abdominal pressure contracts, that thing of yours will go straight into the depths of the intestinal tract, and you won't be able to take it out." Zhang Fan said hastily while she was taking a breath. This girl has so much confidence!

"But I really don't want to have an operation~!" The voice was much softer, with dark circles under the eyes, and tears streaming down.

"It's not an operation now, but because this is considered an invasive treatment method, there is a possibility of injury and accidents, so you must sign and agree as if it were an operation. Do you understand?"

"Oh! Oh!" The two girls probably didn't understand. Zhang Fan whispered to Lu Shuyan: "Keep an eye on it, don't be surprised! I'll print a signed consent form."

"Yes." Lu Shuyan looked up at Zhang Fan and agreed in a low voice. After the patient enters the hospital and is admitted by the doctor,

At this time, a so-called contract was reached with each other, a diagnosis and treatment contract, and then the state emphasized this contract. If the patient has an accident during this period, the doctor or the hospital has an unshirkable responsibility. Therefore, Zhang Fan had to be careful.

To make a simple analogy, for example, at this time, when Zhang Fan was going to get things, the girl fell off the medical treatment bed for various reasons and died! Then the doctor's responsibility accounts for 80%. If there are no more witnesses, it will probably be troublesome. So a doctor is also a typical profession that the older you are, the less courageous you are.

Zhang Fan explained to Zhao Zipeng, and after talking about a few key points, Zhao Zipeng turned around and went to the gynecology office to print. Zhang Fan didn't want to go in and face the patient for the time being, so he stood at the door and leaned against the wall, his head a little blank. in a daze. I thought this matter was a bit embarrassing and funny before, but now I think about it carefully and feel very uncomfortable.

"Brother, it's done." Zhao Zipeng handed the signed agreement to Zhang Fan.

"Well, I'll go in first. If you can't, go to Corey for a rest. Anyway, there's nothing to do here."

"It's okay, brother, you can hurry up and get busy." This is the tragedy of not passing the exam, why bother if I knew it today!

Zhang Fan turned around and entered the examination room. Lu Shuyan stared at Zhang Fan, but said nothing. Man is a complicated animal, and the most powerful people will never submit to all the rules or superiors, but most people will involuntarily approach the strong or superiors.

"This one needs to be signed by the patient and family members." Zhang Fan handed the pen and signature book to the girl lying on her side.

The groaning girl signed her name, Zhang Fan glanced at the girl and said to the girl, "What about the family members signing?"

"Can you get her to sign? She's my friend."

"Okay. You can also sign it." Because this is an emergency examination, the requirements are not very strict. If you have an operation, your friend will die.

"Here?" the girl in black leather asked.

"right."

She scribbled down her name on it.

"Prepare lidocaine and rectal retractor." Zhang Fan said to Lu Shuyan.

"There is no rectal retractor in our department!"

"I'll ask Dr. Zhao to get it."

After a while, the equipment was brought. Zhang Fan said to the girl lying on the side: "I'm going to try to take out this foreign body now, it may be a little uncomfortable, you bear it, if you really can't bear it, just talk, but don't move. Understand Yet?"

"Understood! Doctor, you must slow down! I know it hurts."

"Yeah!" Zhang Fan, who had been sullenly, almost didn't laugh.

After Zhang Fan diluted the lidocaine, he was ready to start local anesthesia. "Doctor, you must be gentle!" The girl's pitiful face was ruined by tears, and now she looks like a big tabby cat.

"Yes, please come here and support her a little bit." Zhang Fan agreed, and then said to the girl in black.

Local anesthesia with lidocaine started anesthesia around the anus. How should I describe the pain? Anyway, this pain is very uncomfortable, because the anesthetized place is a very sensitive place, so the girl also suffered.

After waiting for the anesthesia to take effect, Zhang Fan said to Lu Shuyan, after I retract it, help me hold the retractor. "Ok."

Go in slowly to minimize rectal irritation and reduce the possibility of edema. "Help." Zhang Fan said. Then look through the light of the headlights.

"It's still fluorescent!" Zhang Fan cursed in his heart! Fortunately, there are many threads and small protrusions on this thing, which has great resistance. Otherwise, this shape with a sharp front and a round back will enter the sigmoid colon with the peristalsis of the intestinal tract.

"Don't move!" Zhang Fan said sternly.

The rectal retractor must be uncomfortable, the girl is a little uncomfortable. But this object was originally cylindrical in shape, and it contained lubricating oil, so it was not easy to clamp. If the patient moved a little more, Zhang Fan would not be able to clamp it, so his tone was particularly blunt.

Slowly use tissue forceps to clamp, it is too slippery to bear force, and the forceps cannot be clamped. "Dr. Lu put his hands down on the bladder and squeezed it toward the rectum. The movements must be gentle and squeeze slowly."

"Hmm!" Lu Shuyan held the retractor with one hand, and squeezed slowly with one hand, "Hmm!" The girl lying on her side couldn't help making a weird sound.

Urine is squeezed out! Zhang Fan couldn't care about it at this time, and while the downward squeezing force was pressing on the foreign object, Zhang Fan quickly and accurately clamped the severed end of the foreign object.

Slowly moving, the girl who was lying on her side felt uncomfortable being pressed by Lu Shuyan, and the retractor forcefully opened the back, and Zhang Fan put his hands against the base of her thigh again, was it uncomfortable? To be honest, it's super uncomfortable. It is estimated that there is no difference between punishment and punishment!

Move slowly, this thing is neither big nor small, it is a little smaller than the diameter of the rectum, it is easy to get in, but really difficult to get out. And this kind of soft rubber, Zhang Fan really didn't dare to clamp it too hard, for fear that it would crack. This extraction can only be performed once or twice in a short period of time. If there are too many times, the rectum will be severely irritated and the edema will increase, which will cause trouble.

Move slowly, and when he is about to reach the rectal venous plexus, Zhang Fan said loudly: "Relax your muscles, hurry up, just like you are in the toilet, relax quickly, and act like you are shitting."

The girl couldn't care less about feeling uncomfortable at this moment, because Zhang Fan's tone was too harsh, as if he wanted to beat her, she was so scared that she had to listen to the doctor.

Slowly moving, the foreign object finally reached the anal joint, which is considered a narrow place, Zhang Fanhan has come down, at this time, if there is a shaking, this thing will go back directly.

Moved out little by little, at the moment when the foreign object was about to come out, Zhang Fan quickly grabbed the severed end of the foreign object with his other hand.

Lubricating oil, digestive juice, mucus, plus the cylindrical shape, and it is also elastic, Zhang Fan almost missed it. The moment he grabbed it with his hands, Zhang Fan broke out in a cold sweat.

This thing is soft, and when Zhang Fan squeezed it hard, it had a tendency to retract. The friction force of the gloves was not enough, and when he saw that he was about to go in again, Zhang Fan really used all his strength to squeeze it down desperately.

This thing was squeezed flat by Zhang Fan, and the hand he was holding did not dare to move. Zhang Fan was afraid that if he moved his hand, this thing would squeeze his hand again.

"Needle holder!" Zhang Fan could feel the goosebumps all over his body, and his voice dropped several notches.

"Here." Although Lu Shuyan couldn't see it, she could see Zhang Fan's nervous and careful look, she held the retractor with one hand, and slowly handed the needle holder to Zhang Fan with the other hand.

"Crack!"

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