The first impression of the anorectal department is that it is a department that treats hemorrhoids. In fact, this is not the case. The anorectal department is a department that diagnoses and treats diseases at the end of the digestive system. Moreover, the specific causes of many diseases in this department have not yet been clearly studied. The causes are unknown, so it is very difficult to prevent them.
Take the hemorrhoids that everyone is most familiar with as an example. The current mainstream theory believes that there are two reasons for the formation of hemorrhoids. In simple terms, one is that the blood vessels of hemorrhoids are blocked. For example, long-term sitting, constipation, pregnancy, prostatic hypertrophy, huge pelvic tumors, etc. can all 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 weak anal contraction.
Because the cause of the disease is unknown, prevention is very uncertain. In the words of doctors themselves, almost most bad habits and living habits can cause this disease.
The director of the anorectal department, aside from other things, is pretty good, and the department can perform a lot of surgeries, so in terms of the level of regional hospitals, this department is still above the standard, but it was because of this marital problem that... The department has no fighting capacity.
There was no director, only Zhang Fan went to the outpatient clinic by himself. Zhang Fan's first outpatient visit was handed over to the anorectal department. He brought a water cup and a nurse with him. Zhang Fan went to the outpatient clinic.
The young patients in this department are similar to the elderly patients, and because they need to be examined at special parts, which are different for men and women, it is more convenient to bring a nurse.
When the head nurse of the outpatient clinic saw Zhang Fan, she greeted Zhang Fan with a smile: "Doctor Zhang, are you here for the outpatient clinic?"
"Yes, head nurse."
"Then I'll put your name on it."
"Okay head nurse, thank you." Zhang Fan greeted politely.
When I walked to the corner of the corridor, I met Xue Fei from the Department of Orthopedics. Zhang Fan had the best relationship with him in the Department of Orthopedics, and he was also an enthusiastic person. When he was treating injured soldiers, Xue Fei tried his best to provoke Ouyang. Zhang Fan was specifically reminded of the risk, and Zhang Fan was very grateful to Xue Fei.
But this guy is careless and his work level is average. Although he is the chief surgeon, his skills are much inferior to that of Zhou Chengfu, who is also the chief surgeon. Before Zhang Fan had a monopoly on surgery, Zhou Chengfu would occasionally sneak out to perform acupuncture or something. of. As for this guy, all his thoughts are devoted to mahjong.
"Why, Director Zhang officially took office today?" Everyone in the surgery knew that Zhang Fan entered the Anorectal Department to temporarily manage the Anorectal Department. Because they were all in the same surgical building, the news was transmitted very quickly.
"Yeah, I'm going to the outpatient clinic today. Why, Dr. Xue, are you also going to the outpatient clinic today?" Zhang Fan was too lazy to argue with him. The more you explained, the more enthusiastic he became. He admitted it openly, but he stopped teasing him. .
"I said you were fat, but you really started to pant. You were just looking at the chrysanthemums, proud Maomao." As he spoke, Xue Fei raised his little thumb and looked down upon Zhang Fan.
"Hey, don't look down on me. I'll wait until you get hemorrhoids from playing mahjong one day. I will definitely check you with my thumb."
"Bah! Bah! Bah! You have a crow mouth, that's why you have hemorrhoids. Seriously, will you come to orthopedics in the future? I'm still counting on you to protect me. You really can't be interested in the anus. This is the position of director of the department." Xue Fei is also having a hard time in the orthopedics department now. The orthopedics department is divided, and the three orthopedics departments are working hard to perform surgeries. He cannot perform many surgeries, and Lao Gao is also very dissatisfied with him.
"Brother, please wish yourself well. I'm going to the outpatient clinic." Zhang Fan went to the outpatient department 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 care of was named Chen Xiaoli. The child was only two years old and she was a young woman. Among the nurses in the anorectal department, she was considered to be a highly skilled and nimble nurse. The head nurse specially asked her to help Zhang Fan.
The first patient was an acquaintance, Lao Yutou, a neighbor in Shao Hua's old community, who was in his sixties. Shao Hua's father's chess friend, they quarreled for three days and reconciled two days later. Even if they haven't seen each other for a few days, they still miss each other very much. They have met Zhang Fan a few times and said hello a few times.
This old man has been feeling a little uncomfortable these past few days, because he is feeling uncomfortable in his buttocks. He is too embarrassed to tell his children, so he and his wife came to register for medical treatment. When they entered the anorectal clinic and saw Zhang Fan, the old man was excited at first. Because the doctor is an acquaintance. There was a smile on my face at first, but when I thought about it, I felt a little embarrassed.
"Old man, 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 tried not to laugh.
"Hey! Doctor Zhang, you are in the anorectal department."
"Yes, old man."
"Isn't it in the surgery department?"
"The anorectal department is a surgical department. What's wrong with you? You feel uncomfortable." Zhang Fan couldn't go along with what he said. People talk a lot. If you go along with what he says, you can probably talk until the afternoon.
"There's nothing wrong, I just keep coughing recently." Old Yutou felt really embarrassed. This is where the embarrassment comes in. Because of this, he starts to be vague when talking about his symptoms.
His wife couldn't help being so vague, "The doctor is still busy. This is not your chess game, Doctor Zhang. I don't know what's wrong with him recently. He coughs for no reason, and sometimes when he coughs, that butt A piece of intestine fell out from below! Just say whatever you want. How old are you, and you are still embarrassed!" The old lady explained it clearly in one breath.
"Oh, so this is it. Master, how long have you been coughing? Do you have a fever? Is there a lot of phlegm? Do you have any other symptoms?"
"No, it's fine. I just started coughing for no reason. My throat is not itchy. I just couldn't help but cough unconsciously."
"Oh, that's it~" As he spoke, Lao Yutou began to cough. Zhang Fan knew as soon as he heard this cough that it was not an irritating cough, but a cough caused by abdominal pressure, because this kind of cough was very deep and Discontinuous.
"It seems to have come out!" Old Yutou's face turned red, like a child who had done something wrong, he lowered his eyes and did not dare to look at Zhang Fan and his wife.
"The intestines came out again?" His wife had a loud voice, and the old lady was a bit timid and didn't notice her old man's mentality. "What's the fuss about? It's not like laying eggs, they just come out when they come out. Why are you shouting!" The old man was really angry.
"It's okay, old man. Don't worry, just climb on the examination bed and I'll check you out."
The nurse helped the old man lie down on the examination bed, and Zhang Fan started to put on gloves. "Girl, just close the curtain and get out!"
"Okay, uncle." The nurse helped him lie down on the examination bed and closed the curtain.
"Master, take off your pants."
People have difficulty moving as they get older. With the help of the old lady, Zhang Fan took off his pants and took a look, "Hey! A lump of meat came out of the anus. It looks like a meatball placed in the middle of the butt!"
This disease is really embarrassing. In the early stages, the rectum will come out if you strain a little to defecate, and then it will retract on its own after defecation. As time goes by, this becomes troublesome. Straining and coughing can lead to rectal prolapse. Sometimes When walking, I had to cover my anus with my hand, otherwise it would fall out!
Prolapse is not bad if it can be restored. If it is not restored in time, strangulating necrosis will form if the rectum is not swollen, so this disease is really embarrassing.
.. m.
