Perhaps out of embarrassment, or perhaps because he was too sick to seek treatment, Zhang Fan looked at the patient's anus and rectum and frowned slightly after wiping it with alcohol.
The traces of hormone use are very serious. Although hormones are widely used in most skin diseases, unreasonable use will cause the disease to relapse, causing the vegetation to develop antibodies to the hormones, and then eventually become incurable. Case.
Near the anus and intestines, how should I describe it, it is very similar to the mouthparts of a lamprey. The pink flesh pillars covered the anorectal opening like an extraneous and underdeveloped sixth finger.
Moreover, these pink fleshy pillars, which are about the size of a palm, are of different lengths, three to four centimeters long, just like a pink maggot lying in the anorectal opening waiting for food. The short one is less than one centimeter, and it really looks like a tooth that has not yet erupted. It is pink with a layer of sickly white.
Then mix in some sparse yellowing body (a) hairs near the anus and intestines, and when moistened by the remaining iodine tincture, they resemble slowly rising seedlings, twisting and turning, some like screw caps, and some wrapped around meat pillars. Really, it looks extremely evil.
At the tip of the longest part of the meat pillar, necrosis has obviously occurred. The pus scar is stuck to the meat pillar, gray and white mixed with green and yellow, and the pus is crumbling! There is really a kind of desire that makes people suffocate their eyes and want to squeeze out the contents immediately.
The light yellow iodine that has been removed from the iodine is mixed with pus, the blood that spilled from the strips of meat during wiping, and the white patches left after the use of hormones near the anorectal opening. It is really impossible to look directly at it.
"What disease are you diagnosing?"
When Zhang Fan was in the dermatology department, to be honest, he was still a newbie at that time, although he was already familiar with surgery.
But in fact, he was only half-understanding about medical treatment. However, Director Gu Li of the Department of Dermatology insisted on letting Zhang Fan get close to the patient’s affected area to carefully observe the warts. Zhang Fan not only understood what Dermatology also improved my hiccup threshold a lot.
With Guli's bowl of wine at the bottom, to be honest, now that he saw this, he didn't have any hiccups at all. At most, he just had a little goosebumps. To be honest, as long as he is not often exposed to this disease, he will definitely get it. I'm going to vomit somewhere with my lungs out.
Dai Yongshou, the acting director of the Anorectal Department and the attending physician, quickly said: "The first diagnosis is suspected to be sexually transmitted disease granuloma, and the second diagnosis is condyloma plana.
Because the patient's medical history is unreliable, we are still unable to confirm it. Now we have to wait for the medical examination to confirm the diagnosis, but treatment cannot wait for the medical examination.
If no treatment is given, the infection will lead to sepsis or an anal fistula will be produced by the lesion, and the condition will be much more serious than it is now.
Therefore, after research in the department, we decided to give the patient a thorough surgical resection and anti-inflammatory and anti-viral treatment before performing second-stage treatment. "
Dai Yongshou knew that Zhang Fan was dissatisfied with him because Zhang Fan gave him a chance. When the former director of the Anorectal Department went on strike and started trouble with Zhang Fan, Zhang Fan asked him to take over the Anorectal Department.
However, due to the suppression of the former director, he could not handle many key steps of the operation. He was also anxious. The more anxious he became, the more conflicts he had with other doctors in the department.
Therefore, this also led to the reason why Zhang Fan chose Wang Zipeng instead of other doctors in the department for further study.
Knowing that Zhang Fan was dissatisfied with him, Dai Yongshou was still very worried. That's how people are, if they don't have desires, they will be strong, and he is still thinking about the director of the department, so now facing Zhang Fan, he has no confidence at all.
Not only did he have no confidence, he even avoided looking at Zhang Fan.
"Oh! What?" Zhang Fan looked at Dai Yongshou.
I don't know since when, the surgeons slowly began to be in awe of Zhang Fan.
The silence during the operation, the precise speaking during the operation, and the bravery and responsibility during the operation. On weekdays, I can easily find other doctors to go to one of the best hospitals in China to study, and I can also easily summon experts from Bird City to tea. Su, these are all the reasons why surgeons should not respect him.
“Because the medical history reported by the patient herself is inconsistent with her symptoms, first of all, this kind of sexually transmitted (a) granuloma often occurs in developed and extremely underdeveloped countries such as the Netherlands and the United Kingdom, where drugs are relatively widespread.
Dr. Wang and I also looked through journals and even asked Stan's colleagues to find out that no doctor in their country has published a journal on similar diseases.
The patient firmly denied any history of drug abuse and swimming. Therefore, we agreed that the patient's medical history was unreliable! "
"Oh, you also contacted Stan's colleagues?" Zhang Fan asked curiously.
"The diagnosis was unclear at the time, and I couldn't judge her medical history, so I had to contact a classmate of mine who runs a clinic in Stan."
Dai Yongshou said anxiously.
"Very good. Regardless of whether the diagnosis is correct or not, first of all, we have this attitude. It's okay. It seems that the anorectal department is not stuck in the same place. Very good!" Zhang Fan said two "very good" words in a row, and Dai Yongshou's eyes turned a little red!
My efforts are still seen by my leaders, and my efforts are still recognized by my leaders.
"What are the results of her five tests for infectious diseases?"
"Everything else is negative, but the syphilis test is weakly positive and needs a second review."
Dai Yongshou said quickly.
"Okay, let's start the operation. Everyone, please be careful. Especially Xiao Yan, you must be careful not to prick yourself when inserting the needle, and also say more when handing over. After all, it is a suspected positive."
After Zhang Fan finished speaking to the doctors, he also said something to the equipment nurse.
"Okay, Zhang Yuan!" the little nurse agreed crisply.
"knife!"
"knife!"
Because of Zhang Fan's explanation, the equipment nurses and doctors would say something extra when handing over sharp instruments. It was as ridiculous as a repeater, but this was to prevent the occupational exposure of medical staff. No matter how ridiculous it was, everyone executed it meticulously.
After Wang Zipeng took the knife, he glanced at Zhang Fan. Zhang Fan didn't say anything. He held the plastic tube of the suction device and waited for Wang Zipeng to operate the knife.
Seeing that Zhang Fan didn't express anything, Wang Zipeng took a slight breath and then cut.
On human skin, especially this kind of vegetation, the removal effect with ordinary scalpels is often not very good, and it is easy for bacteria or viruses to enter the blood and cause sepsis.
For example, everyone has a monkey growing on their hand. In fact, the scientific name of this thing is wart. People who love beauty think this thing is unsightly. Some people chew it with teeth, and some use a blade to cut it.
As a result, after cutting with the teeth, it was like a mother monkey giving birth to a bunch of baby monkeys. Originally there was one, but it turned out to be several.
In fact, there is the simplest way to destroy this thing. Take a thin thread or hair and tie a tight knot at the base of the thing. It won't take long. After three days, the thing will die naturally, leaving a little scar.
A wart is so difficult to treat, let alone this one. Therefore, as a conventional treatment method, if the number of individuals with vegetations is small, liquid nitrogen freezing or laser cauterization is generally chosen. The temperature of liquid nitrogen is extremely low, and when applied to the vegetations, it can directly freeze and crack the cell wall.
If there are many vegetations and there are roots attached to the skin, then the effect of liquid nitrogen is often not good. Because there are roots, this thing will be like a leek. If the recurrence is removed, it can easily lead to cancer. .
Therefore, when there are a lot of vegetations, electric scalpels are often used to burn them into slices.
Nowadays, the purpose of using a knife is actually to remove one for medical examination.
Wang Zipeng selected the thickest one, gouged out the base of the lesion, and then pulled up the forceps. The lesions were like rotten meat that had been left out for weeks in the summer. They looked pink and tender on the outside, but inside they were full of pus and gaps. They were really just a big caterpillar lying on a banana leaf.
"Bring the tissue bag to the case department immediately for rapid medical examination!" Wang Zipeng saw that Zhang Fan was silent, so he told the nurse.
"Okay!" The traveling nurse looked at Zhang Fan and nodded.
In fact, this female patient was also in her prime. When Chasu was in high school, he was a member of the school's dance team, performed frequently, and was even scouted.
But, perhaps because of her youth or curiosity, she finally chose to go to other countries.
Foreign subsidies are also divided into three, six or nine levels. After going abroad, her academic performance was average and her ability to accept was poor. Slowly, slowly, she was eliminated by others, for the sake of face or not to return to China.
She chose to marry and fall in love with a local person.
Sometimes, a drink and a peck are a given. She covets the other person's financial resources but ignores the other person's character.
At the beginning, the rich kids took her to live a life of debauchery and extravagance. But within a few years, the novelty wore off, and the other party's terrifying face was revealed, and all kinds of torture came.
People gather in small and large groups. When they get drunk and high, they will do anything. They treat people as if they are not human beings. If they don't want to, they will be tied up. If they don't agree, they will be willing to do it.
People will eventually have to pay for their youth, ignorance and vanity, and the price is expensive.
Half a year of forced or voluntary wandering life not only left her mentally and physically scarred, but also made her lose the qualifications to be a mother. Not only that, in order to return to the motherland that she looked down upon in the first place, she even Sacrifice your soul.
If you don’t have money, you can work legitimately and openly to make money. If you don’t have money, you can also live cleanly.
Unfortunately, in order to live in the so-called upper class society abroad, she entered the fast lane and overturned.
It really echoes the old Chinese saying that there is no such thing as a free lunch.
After cutting one, the formal surgery begins.
"Electric knife!"
Wang Zipeng took the electrosurgical knife and put on protective goggles. The assistant and the instrument nurse all put on protective goggles.
A sizzling sound sounded in the operating room.
This kind of disease must be uprooted. If you use an ordinary scalpel to gouge out one by one, let alone infection. First of all, the patient will probably be uncomfortable in this place because there are too many lesions.
If everything is really removed with a scalpel, the scars here will probably be so sticky that she won’t be able to move her legs, or her hands will have to help open them when she goes to the bathroom in the future! It’s scary to think about.
Therefore, electrosurgery is the best way.
Sizzling, when the electric knife was placed on the patient's lesion, green smoke rose from the lesion, and a large number of pink bubbles emerged from the pink lesion. Really, as the electric knife went down, the pink bubbles were like a boiling pot, with droplets overflowing.
It's really like the chili powder sprinkled on the mutton skewers, sprinkled on the tender fat. It is roasted by the fire and makes the fat crack, crackle, fat bubbles, and pink bubbles!
The smoke is curling up!
