Medical road
Chapter 229
Anorectal department, the first thing people feel is the department that treats hemorrhoids.In fact, the anorectal department is a department that focuses on the diagnosis and treatment of diseases at the end of the digestive system, and there are many diseases in this department. The specific cause of this department is a department that has not been studied clearly. The cause is unknown, so prevention is very difficult.
Take the hemorrhoids that everyone is most familiar with. At present, the mainstream doctrine 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, enlarged prostate, huge pelvic tumors, etc., can cause obstruction of rectal venous return.
In fact, no one supports 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 weak contraction of the anus.
Because the cause of the disease is unknown, prevention is very uncertain. In the doctor's own words, almost most bad habits and lifestyle habits can cause this disease.
The director of the anorectal, apart from others, his level is good, and the department can perform a lot of operations, so at the level of the regional hospital, this department is still above the standard, but because of this marital problem, The department has no combat effectiveness.
There was no director, only Zhang Fan went to the outpatient clinic. Zhang Fan's first outpatient clinic was handed over to the anorectal department, with a water cup and a nurse, and Zhang Fan went to the outpatient clinic.
Young patients in this department are about the same as elderly patients, and because they need to be examined in special parts, men and women are different, so it is easier to bring a nurse.
When the head nurse of the outpatient clinic saw Zhang Fan, he smiled and greeted Zhang Fan: "Dr. Zhang, have you come to the outpatient clinic?"
"Yes, the head nurse."
"Then I will 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. Zhang Fan had the best relationship with him in the Department of Orthopedics. He was also an enthusiastic person. When he was treating the injured soldiers, Xue Fei tried to provoke Ouyang. Risks, specially reminded Zhang Fan, Zhang Fan appreciates Xue Fei very much.
But this guy doesn’t care, his work level is average. Although he is an attendant, his skills are much worse than that of Zhou Chengfu, who is also an attendant. Zhou Chengfu occasionally ran out for acupuncture when Zhang Fan did not have a monopoly on surgery. of.And this guy, all his mind is spent on mahjong.
"Why, Director Zhang officially took office today?" Zhang Fan entered the anorectal department to temporarily manage the anorectal department. The surgeons knew that because they were all in a surgical building, the news was transmitted very quickly.
"Yes, I went to the clinic today. Why, Dr. Xue, are you going to the clinic today?" Zhang Fan was too lazy to compete with him. The more you explain, the more vigorous he becomes, and he admits it openly. On the contrary, he won't ridicule anymore. .
"Say you are fat, you really start to pant, isn't it just looking at the chrysanthemum, proud of Maomao." While speaking, Xue Fei held up his little finger and despised Zhang Fan.
"Hey, don't look down on it, wait for you to play mahjong and get hemorrhoids someday. I will definitely check you with your thumb."
"Bah! Bah! Bah! You crow's mouth, you only get hemorrhoids. Seriously, if you will come to the orthopedics department in the future, I still expect you to cover me. You really don’t like the anorectal. The position of the director of this department." Xue Fei is also difficult to endure in the orthopedics department. The orthopedics department is separated, and the three orthopedic departments are desperately performing operations. He can't get a lot of operations. Lao Gao is also dissatisfied with him.
"Brother, ask for your blessings, I went to the clinic." Zhang Fan went to the anorectal clinic.Xue Fei's attitude is the thinking of many doctors. Although Zhang Fan is very skilled, it is impossible for everyone to become a department director.
The nurse Zhang Fan brought was named Chen Xiaoli. The child was only two years old and a young woman.Among the nurses in the anorectal department, she is a nurse with excellent skills and neat hands and feet. The head nurse specially asked her to help Zhang Fan.
The first patient is an acquaintance, old Yutou, a neighbor of Shao Hua's old community, he is in his sixties.Shao Hua's father's chess friends, the two had a three-day quarrel and two days of reconciliation. If they didn't see each other for a few days, they would miss each other very much. They even met Zhang Fan several times and said hello several times.
This old man is a bit uncomfortable these days, because it’s the discomfort in his butt, and he was too embarrassed to tell his children that he and his wife came to see a doctor. When he entered the anorectal clinic, it was Zhang Fan. The old man was agitated. Because the doctor is an acquaintance.A smile appeared on his face, but when I thought about it, I was a little embarrassed.
"Master, come in, why are you standing at the door." The first patient stood at the door and hesitated. Zhang Fan was happy when he saw that he was an acquaintance, but he did not laugh.
"Hey! Doctor Zhang, you are in the anorectal department."
"Yes, old man."
"Aren't you in surgery?"
"Anorectal department belongs to surgery. What's wrong with you? That's uncomfortable." Zhang Fan can't say along with him. There are a lot of clichés. If you follow him, you might be able to talk till the afternoon.
"There's nothing wrong with it, just coughing all the time recently." Old Yutou was really embarrassed.This is the embarrassment, because this is a bit embarrassing, and he starts to be vague when he talks about his symptoms.
With such a vagueness, 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 he coughs, that ass A piece of intestines fell out below! Just say what you have, how old you are, you're embarrassed!" The old lady said in a breath.
"Oh, so this is the case, old man, how long have you been coughing, have you had a fever, have not much sputum, do you have any other symptoms?"
"No, well, I started coughing for no reason, my throat is not itchy, I just can't help but cough unconsciously."
"Oh, that's it~" As he spoke, Old Yutou started coughing. Zhang Fan knew that his cough was not an irritating cough, it seemed to be a cough caused by abdominal pressure, because this cough was very deep and Discontinuous.
"It seems to be coming out!" Old Yu's head and face were blushing, like a kid who did something wrong, his eyes lowered and he dared not look at Zhang Fan and his wife.
"The intestines are out again?" His wife had a loud voice, and the old lady was a bit stubborn, not paying attention to his old man's mentality."What's the noise! It's not about laying eggs, you will come out, what are you shouting!" The old man was really angry.
"It's okay, old man. Don't worry, you climb onto the examination bed and I will check it for you."
The nurse supported the old man on the examination bed, and Zhang Fan began to wear gloves."Girl, you can go out with a curtain closed!"
"Okay, uncle." After the nurse helped him lie on the examination bed, he closed the curtain.
"Uncle took off his pants."
The old man had trouble with mobility. With the help of the old lady, he took off his pants and Zhang Fan took a look, "Hey! A lump of meat came out of the anus, like a meatball in the middle of the butt!"
This disease is really embarrassing. The rectum comes out when the bowel movement is a little bit hard in the early stage, and then it retracts again after the bowel movement. With the development of time, this is troublesome. Straining and coughing can cause rectal prolapse. Sometimes When walking, you have to cover your anus with your hand, otherwise it will fall out!
Prolapse, if it can be received, it is not bad. If the rectum is not received in time, the swelling of the rectum can cause strangulation necrosis, so this disease is really embarrassing.