Zhang Fan shook his head and said to the patient: "Relax, it doesn't matter, I just want to see where this thing is."
"Um!"
Zhang Fan gently used his lubricated fingers to slowly enter. "Well, it can be touched. The problem is that the fracture here still has a certain hardness." Zhang Fan said to Lu Shuyan while performing a digital diagnosis.
"What should we do?" Lu Shuyan asked.
"Let me think about it!" Zhang Fan did not dare to stimulate the anus and its nearby tissues anymore, because it was already swollen. If it was further stimulated and the swelling became more severe, it would be troublesome.
The intestines and soft tissues of the human body generally have a certain degree of hardness and toughness. Even with this kind of soft rubber, there is nothing to worry about. But if it becomes edema, then there will be a problem. Once edema occurs, the tissue As it thickens and enlarges, the cell wall becomes relatively thinner, and the tissue toughness and hardness decrease accordingly.
Therefore, if you want to remove this foreign object, you must first expand the anus, and then use tissue forceps to clamp the object out, and the broken end must not touch the surrounding edematous intestinal tissue.
"First of all, I can now confirm that there is a foreign body in the rectum. Secondly, the broken end of the foreign body may obviously damage the intestinal wall. Thirdly, it may enter the sigmoid colon with the peristalsis of the intestine. Fourthly, it may fail to be taken out at the anus. Then the foreign body enters the sigmoid colon with peristalsis, and after losing the possibility of removal outside the body, surgery must be performed to open the abdomen to squeeze this thing out of the intestine!"
Zhang Fan explained his condition to the two girls. He must explain this matter to others. There is a real possibility that it cannot be taken out, and the intestines are peristaltic. As time goes by, no one knows what will happen. Guaranteed.
"I won't do surgery. A stomach pull would be ugly! I won't do surgery." The charming girl lying on her side became anxious at this time, tears streaming down her face, making her originally beautiful face full of holes.
"What should we do now?" The girl in black leather clothes was also anxious.
"I'm going to prepare the surgery signature form now. You guys sign it."
"I won't do it! Ah! Ah!" The girl lying on her side really broke out this time, and a sharp voice sounded. I don't know how high the decibel was, but Zhang Fan's eardrums were obviously stinging. And the girl at this time couldn't stand it either.
This makeup requires a lot of colors, and the tears rush, and then coupled with the girl's excitement, black, red and tears, the girl's big eyes, exaggerated expressions, and complex colors, Zhang Fan looked at the girl's face , suddenly there was a feeling like watching an absurd comedy.
"Don't shout. If you shout again and the abdominal pressure shrinks, your thing will go directly into the depths of the intestines, and you can't get it out." Zhang Fan took advantage of her breathing time and said quickly. This girl is so confident!
"But I really don't want to have surgery~!" His voice was much softer, and his eyes were filled with dark circles and tears were streaming down his face.
"It's not a surgery now, but because this is an invasive treatment method, there is a possibility of injury and accident, so you must sign and agree as if it were a surgery. Do you understand?"
"Oh! Oh!" The two girls probably didn't understand either. Zhang Fan whispered to Lu Shuyan: "Just keep an eye on it and don't let anything happen! I'll print out a signed consent form."
"Yeah." Lu Shuyan looked up at Zhang Fan and agreed in a low voice. After the patient enters the hospital and is seen by the doctor, he or she reaches a so-called contract, a diagnosis and treatment contract. 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 give a simple analogy, for example, at this time, when Zhang Fan went to get something, the girl fell off the treatment bed for various reasons and died! Then the doctor's responsibility accounts for 80%. If there are no witnesses, it will probably be in trouble. Therefore, doctors are also a typical profession in which the older you get, the less courageous you become.
Zhang Fan explained to Zhao Zipeng and talked 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 blank. in a daze. I thought this was a bit embarrassing and funny before, but now that I think about it more carefully, I feel quite uncomfortable.
"Brother, it's done." Zhao Zipeng handed the signed consent form to Zhang Fan.
"Well, I'll go in first. If you can't, go to Corey and take a rest. There's nothing going on here anyway."
"It's okay, brother, hurry up and get busy." This is the sadness of not doing well in the exam. If I had known today, why bother in the first place!
Zhang Fan turned around and entered the examination room. Lu Shuyan stared at Zhang Fan but said nothing. Human beings are complex animals, and powerful people will never yield to all rules or superiors, but most people will involuntarily approach strong people or superiors.
"This needs to be signed by the patient and family members." Zhang Fan handed the pen and signature form to the girl lying on her side.
The girl signed her name. Zhang Fan took one look at it and said to the girl: "What should I do if the family members sign?"
"Can you get her to sign? She's my friend."
"Okay. You can also sign." Because this is an emergency examination, the requirements are not very strict. If it requires surgery, my friend will not be able to do it.
"Here?" the girl in black leather asked.
"right."
She quickly wrote her name on it.
"Prepare lidocaine and rectal retractor." Zhang Fan said to Lu Shuyan.
“We don’t have a 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 her side: "I'm going to try to take out this foreign object now. It may be a little uncomfortable. Just bear with it. If you really can't bear it anymore, just speak, but don't move. Understand. Yet?"
"I understand! Doctor, please slow down! I know this is very painful."
"Yeah!" Zhang Fan, who had been sullen all the time, almost stopped laughing.
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 looked like a tabby cat.
"Okay, okay. Please come over and hold her up a little." Zhang Fan agreed, and then said to the girl in black.
Lidocaine was used for local anesthesia, and the anesthesia was started around the anus. How can I describe the pain? Anyway, this pain is particularly uncomfortable, because the anesthetized area is a very sensitive place, so the girl also suffered.
After the anesthesia was effective, Zhang Fan said to Lu Shuyan, please help me hold the retractor after I retract it. "Um."
Enter slowly to minimize rectal irritation and reduce the possibility of edema. "Hold on." Zhang Fan said. Then he looked through the light of his headlight.
"This crap is still fluorescent!" Zhang Fan cursed in his heart! Fortunately, there are many threads and small protrusions on this thing, which provides great resistance. Otherwise, with its pointed front and rounded back shape, it would enter the sigmoid colon along with the peristalsis of the intestines.
"Don't move!" Zhang Fan said in a stern tone.
The rectal retractor must be uncomfortable, and the girl felt a little uncomfortable. But this thing is originally cylindrical in shape, and it also contains lubricant, so it is difficult to clamp. If the patient moves again, Zhang Fan will not be able to clamp it, so his tone is particularly blunt.
Slowly use tissue forceps to clamp it, it is too slippery and cannot bear the force, so the clamp cannot be held. "Dr. Lu puts his hand down on the bladder and squeezes toward the rectum. The movement must be gentle and slow."
"Hmm!" Lu Shuyan held the retractor with one hand and slowly squeezed it hard with the other hand. "Hmm!" The girl lying on her side couldn't help but make a weird sound.
The urine is squeezed out! Zhang Fan couldn't care less at this time. Taking advantage of the downward squeezing force to press the foreign object, Zhang Fan quickly and accurately clamped the broken end of the foreign object.
Moving slowly, the girl lying on her side was pressed uncomfortably by Lu Shuyan. The retractor forced the back open again, and Zhang Fan pressed his hand against the top of her thigh. Is it uncomfortable? To be honest, it was super uncomfortable. It’s probably no different from the punishment!
Move slowly. This thing is neither big nor small, just a little smaller than the diameter of the rectum. It is easy to get in, but really difficult to get out. Moreover, Zhang Fan really didn't dare to clamp this kind of soft rubber too hard for fear of cracking it. This removal operation can only be attempted once or twice in a short period of time. If the number of times is too many, the rectum will be severely irritated and the edema will increase, which will cause trouble.
Moving slowly, when he was about to reach the rectal venous plexus, Zhang Fan said loudly: "Relax your muscles, quickly, just like you are on the toilet, relax quickly, and act like you are defecating."
The girl couldn't care less about her discomfort at this time, because Zhang Fan's tone was too harsh, as if he wanted to hit her. She was so scared that she had to listen to the doctor's words.
Moving slowly, the foreign object finally reached the anal node. This place was considered a narrow place. Zhang Fan was sweating. At this time, if there was a shaking, the thing would go back directly.
Moving outward little by little, Zhang Fan quickly grabbed the broken end of the foreign object with his other hand at the moment when the foreign object was about to come out.
Lubricating oil, digestive juice, mucus, plus the cylindrical shape and elasticity, Zhang Fan almost missed it. The moment he grabbed it with his hands, Zhang Fan broke out in a cold sweat.
This thing was soft, and when Zhang Fan squeezed it hard, it had a tendency to shrink back. The friction provided by the gloves was not enough. When he saw that he was about to go in again, Zhang Fan really used all his strength to suck the breast and squeezed it in as hard as he could.
This thing made Zhang Fan squeeze it flat, and he did not dare to move his hand. 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 notes.
"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 held the needle with the other hand and handed it to Zhang Fan.
"Click!"
.. m.
