Medical road
Chapter 233
Zhang Fan shook his head and said to the patient: "Relax, it doesn't matter, I'll just see where this thing is."
"Ok!"
Zhang Fan gently used his lubricated fingers and slowly entered."Well, it can be touched. The problem is that the fracture here still has a certain degree of hardness." Zhang Fan said to Lu Shuyan while taking a finger examination.
"What to do then?" Lu Shuyan asked.
"Let me think about it!" Zhang Fan didn't dare to stimulate the anus and the nearby tissues anymore, because it was already swollen, and if the swelling became more severe after stimulation, it would be troublesome.
The intestines and soft tissues of the human body generally have a certain degree of hardness and toughness. There is nothing to worry about even with this soft rubber, but if it is edema, then the problem will come. As the thickening becomes larger, the cell wall becomes relatively thinner, and the toughness and hardness of the tissue decrease accordingly.
Therefore, 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 cannot touch the surrounding edema intestinal tissue.
"First of all, I can now confirm that there is a foreign body in the rectum. Second, the end of this foreign body may obviously damage the intestinal wall. Third, it may enter the sigmoid colon with the peristalsis of the intestine. Fourth, it may be because the removal of the anus fails. Then the foreign body enters the sigmoid colon along with the peristalsis, and after losing the possibility of taking it out of the body, you must perform surgery to open the abdomen to squeeze this thing out of the intestine!"
Zhang Fan explained the condition of the two girls to the two girls. He must explain this matter to others. It is really impossible to take it out, and the intestines are peristaltic. With the development of time, what will happen, no one Dare to guarantee.
"I don't have an operation, it's ugly to have a knife on my stomach! I don't have an operation." The charming girl lying on her side was anxious at this time, tears streaming down her original beautiful face.
"What should I do now?" The girl in black leather was also anxious.
"I'm going to prepare a signature for the operation now. You sign."
"I won't do it! Ah! Ah!" The girl lying on the side really broke out this time, and a sharp voice sounded. I don't know how high the decibel is, but Zhang Fan's eardrum is a bit tingling.And this girl at this time can't be seen.
This makeup uses a lot of colors. The tears are flushed, and then the girl’s emotions, black, red and tears are added. The girl’s big eyes, exaggerated expressions, and complex colors, Zhang Fan looked at the girl’s face Suddenly, there is a feeling like watching an absurd comedy.
"Don't shout. Then shout that as soon as the pressure in your abdomen is contracted, your thing will directly enter the deep intestines, and you can't get it." Zhang Fan said quickly while she was breathing.This girl is too emboldened!
"But I really don't want to have an operation~!" The voice became much quieter, and tears were streaming down the dark circles under his eyes.
"It's not an operation now, but because this is considered an invasive treatment, there is the possibility of injury and accidents, so you must sign and agree as if it were an operation. Do you understand it?"
"Oh! Oh!" The two girls probably didn't understand either.Zhang Fan whispered to Lu Shuyan: "You stare a little bit, don't be surprised! I'll print a signed consent form."
"Yeah." Lu Shuyan raised her head and looked at Zhang Fan and agreed in a low voice.After the patient enters the hospital and is received by the doctor, they have reached a so-called contract, a contract for diagnosis and treatment, and then the state emphasizes 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 take things, the girl fell off the bed for various reasons and died!Then the doctor’s responsibility is 80%.If there were no more witnesses, it would be troublesome.Therefore, the doctor is also a typical profession that the older the world, the smaller the courage.
Zhang Fan explained to Zhao Zipeng. After talking about a few key points, Zhao Zipeng turned and went to the gynecology office to print. Zhang Fan didn’t want to go in for the time being to face the patient, so he stood at the door and leaned against the wall. His head was a bit blank. In a daze.This was a bit embarrassing and funny before, but now I think about it, and it feels quite uncomfortable.
"Brother, all right." Zhao Zipeng handed the signed consent form to Zhang Fan.
"Well, I went in first. If you can't, you can go to the Cory break. Anyway, nothing happens here."
"It's okay, brother, hurry up." This is the sorrow of not doing well in the exam. I knew why it was today!
Zhang Fan turned and entered the examination room. Lu Shuyan stared at Zhang Fan, but did not speak.Humans are complex animals. People with horns and horns will never succumb to all the rules or superiors, but most people will involuntarily approach the strong or superiors.
"This requires the patient and family to sign." Zhang Fan handed the pen and signature to the girl lying on her side.
The humming girl signed her name, and Zhang Fan took a look at the girl and said to the girl, "What about the family's signature?"
"Can you let her sign? She is my friend."
"Yes. You can also sign it." Because this is an emergency checkup, the requirements are not very strict, if you have an operation, your friends will not work.
"Is it here?" the girl in black leather asked.
"Correct."
She scribbled her name on it.
"Prepare lidocaine and rectal retractor." Zhang Fan said to Lu Shuyan.
"Our department does not have a rectal retractor!"
"I will ask Dr. Zhao to get it."
After a while, the equipment was brought.Zhang Fan said to the girl lying on his side: "I'm trying to take out this foreign body now. It may be a little uncomfortable. You can bear it. If you can't stand it anymore, just talk, but don't move. Understand. Yet?"
"Understood! Doctor, you must slow down! I know it hurts."
"Hmm!" Zhang Fan, who had been sullen, 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 was like a tabby cat.
"Yeah. Please come over and help her a little bit." Zhang Fan agreed, and then said to the girl in black.
Lidocaine was locally anesthetized, and the anesthesia started around the anus. How do you say this pain? Anyway, this kind of pain is particularly uncomfortable, because the place where anesthesia is originally a very sensitive place, so the girl also suffered.
After waiting for the anesthesia to be effective, Zhang Fan said to Lu Shuyan, after I retract it, you can help me with this retractor."Ok."
Enter slowly to minimize rectal irritation and reduce the possibility of edema."Hold on." Zhang Fan said.Then he looked over through the light of the headlight.
"Broken things are still fluorescent!" Zhang Fan cursed in his heart!Fortunately, there are a lot of threads and small bumps on this thing, and the resistance is great. Otherwise, the round shape of the front tip and the back will enter the sigmoid colon with the peristalsis of the intestine.
"Don't move!" Zhang Fan said harshly.
The rectal retractor must be uncomfortable, the girl is a little uncomfortable.But the original shape of this thing is cylindrical, and there is lubricating oil, it is not easy to hold, if the patient moves again, Zhang Fan can't clamp it, so the tone is particularly blunt.
Slowly use the tissue forceps to remove the clamp. It is too slippery, unable to bear the force, and cannot be clamped."Doctor Lu put his hand down on the bladder and squeezed towards the rectum. The movements must be gentle and squeezed slowly."
"Yeah!" Lu Shuyan held the retractor in an operation, and slowly squeezed it with one hand. "Yeah!" The girl lying on her side could not help making a weird sound.
Urine was squeezed out!Zhang Fan couldn't take care of it at this time. While the downward squeezing force pressed the foreign object, Zhang Fan quickly and accurately clamped the broken end of the foreign object.
Moving slowly, the girl lying on her side felt uncomfortable under the pressure of Lu Shuyan, the retractor opened the back forcibly, and Zhang Fan put his hand against the base of her thigh again. Is it uncomfortable?To be honest, it's super uncomfortable.It is estimated that there is no difference with the penalty!
Move slowly. This thing is not too big or small, but a little smaller than the diameter of the rectum. It is easy to get in, but it is really difficult to get out.And this kind of soft rubber, Zhang Fan really didn't dare to hold it too hard, for fear of cracking it.This removal operation can only be tried once or twice in a short time. If the number of times is too much, the rectum will be irritated severely and the edema will increase and it will be troublesome.
Moving slowly, when he was about to reach the rectal venous plexus, Zhang Fan said loudly: "Relax the muscles, quickly, just like in the toilet, relax quickly and make a shit state."
The girl couldn't take care of her discomfort at this time, because Zhang Fan's tone was too harsh, as if she was about to beat her, she was afraid that she had to listen to the doctor.
Moving slowly, the foreign body finally arrived at the anal section. This place was considered a narrow place, and Zhang Fanhan had come down. At this time, if there was a jitter, the thing would go back directly.
Moving out a little bit, at the moment when the foreign body was about to come out, Zhang Fan quickly grasped the broken end of the foreign body with another hand.
Lubricant, digestive juice, mucus, plus the cylindrical shape and elasticity, Zhang Fan almost missed it. The moment Zhang Fan grabbed it with his hands, Zhang Fan was sweating coldly.
This thing is soft, and when Zhang Fan squeezed it hard, it actually tended to shrink.The friction with the gloves was not enough, and when he saw that he was about to go in again, Zhang Fan really used all his milk-feeding energy and pinched it desperately.
This thing directly caused Zhang Fan to squeeze and squash his hand, and he dared not move his hand. Zhang Fan was afraid that his hand would move.
"Needle holder!" Zhang Fan could feel the goose bumps all over his body have been erected, and his voice was reduced by several scales.
"Here." Although Lu Shuyan couldn't see it, she saw Zhang Fan's nervous and cautious look. She held the retractor with one hand, and slowly passed the needle holder with the other.
"Crack!"