912, Urology Department, Mr. Yu on duty was very distressed.
He sat in front of the computer, looked at a patient's medical record, and carefully thought about what went wrong.
This is a patient with renal colic. The urine routine showed red blood cells +++, but neither B-ultrasound nor CT showed any organic disease.
Tried giving the patient oral opioid analgesics, which worked OK.
But we can’t always use analgesics. What’s the problem? The department organized two or three consultations, but in the end we didn’t get the answer.
It was already the 6th day. I considered a urinary tract infection and tried antibiotics. Instead of relieving the patient's condition, it worsened.
Mr. Yu was very distressed.
I have no choice but to ask the whole hospital for a consultation tomorrow.
What department should I apply for? Simple renal colic seems to have nothing to do with other departments.
It was really sad. Mr. Yu sat in the chair and frowned at the CT film. There was really nothing he could do.
After sitting quietly for an hour, he searched through all the test sheets and imaging data, but still found nothing.
Mr. Yu gave up the struggle.
I looked at the time and saw that it was already three o'clock in the middle of the night.
He took out his mobile phone and hesitated for a long time before sending a WeChat message.
Brother Yun, there is a patient who really can’t understand. Can you take a look at it for me when you get up
After the message was sent, Mr. Yu shook his head, returned to the duty room and fell asleep in deep thought.
…
…
At dawn, Su Yun woke up and saw the message from Mr. Yu with his mobile phone in his hand.
He knew that he said he was looking for him, but he was actually asking his boss to find out what was going on.
What urology can do is definitely not that the urinary catheter cannot be inserted. Su Yun, their urethra explorer, feels pain just thinking about it, and just looking at it gives the illusion that the urinary tract is being torn.
No matter, let’s get up first.
For consultations and other things, the boss will see the surgery in the morning, and I can just sort it out myself.
Just like any other day, dull and hurried.
After breakfast, I went downstairs to the community hospital to see postoperative patients.
More than 60 patients have accumulated here, and in the foreseeable future, there will be more and more patients here.
As for whether to add an extra bed, Zheng Ren hasn't decided yet. It mainly depends on the working ability of the training doctor.
Lao Liu is good, but his body is close to overdraft.
If he adds more pressure, Zheng Ren is afraid that Liu Zewei will collapse. With the current intensity of work, even a young man might not be able to handle it, let alone a bad old man like Liu Zewei.
Ward rounds, shift handovers, ward rounds, and surgeries are all a set of work processes every day. Like a running machine, it roared without hesitation.
Although it was a bit refreshing at the beginning, it will become a bit boring as time goes by. It's just that Zheng Ren doesn't think it's very happy to spend a plain and fulfilling day.
When the operation ended in the morning, Zheng Ren watched the professor tear off the sterile clothes and walk out. The day's operation was over.
After that, it’s time to eat and then go to the system library to read.
"What's for lunch?" Zheng Ren asked.
Su Yun came here 10 minutes ago. He was extremely accurate in estimating the surgical skills and time of Professor Rudolf Wagner and Liu Zewei.
"Are you going to eat first or consult first?" Su Yun asked leisurely, sitting on the sofa behind him with his legs crossed.
"Consultation? What patient?" Zheng Ren asked.
"A patient from the Department of Urology has renal colic. There are no organic changes. After a round of checks, no problem was found." Su Yun already knew Zheng Ren's choice, but still waited leisurely as if it were funny.
"Let's go see the patient." Zheng Renhuo stood up.
Have a meal? Faced with a difficult case, this option simply does not exist.
Renal colic? Most of this pain is caused by kidney stones falling into the ureters.
It is said that the pain level is very high, more painful than a broken bone and even more painful than childbirth.
The pathogenesis is that stones move rapidly or become suddenly incarcerated in the renal pelvis and ureter, causing acute obstruction of the upper urinary tract. Due to the increased tension on the inner wall of the lumen, the pain receptors in these parts are stretched and cause severe pain.
Subsequent ureteral or calyceal wall edema and smooth muscle ischemia increase inflammatory transmitters and activate more nociceptors, further aggravating pain.
It's just renal colic, what's there to see
Renal colic without stones
Zheng Ren stood up and stopped, thinking about the simple medical history and what Su Yun had just said in his mind.
"What do you think?" Zheng Ren looked at the leaded glass, inside which Xie Yi people were cleaning up medical waste. Just looking at the back, Zheng Ren felt that he would never get tired of watching it.
"I came to ask you because I have no idea." Su Yun said: "The medical history is very simple. I went to see the patient and asked about various situations in person, but I still have no idea."
"Go and see the patient." Zheng Ren said.
"I'm ready. Let's go to the demonstration room of the community hospital."
Zheng Ren thought about it and it seemed good.
Let’s start with the cases and various auxiliary examinations. If you really can’t tell what the disease is, then use the power of the big pig’s hooves.
"Renal colic, are you interested in checking it out?" Zheng Ren invited Professor Rudolf Wagner.
But the professor was obviously not interested in anything other than the Nobel Prize, and he pretended not to understand.
Zheng Ren smiled and then said: "Let's go."
"I called Chang Yue and Mr. Yu." Su Yun said, "Chang Yue's diagnostic skills are too poor. As the first gatekeeper and checker, we can't always be like this."
Zheng Ren didn't care. He didn't bother to guess what Su Yun was thinking.
On the other hand, patients with renal colic are a bit interesting. I have never heard of renal colic without stones.
Are the stones hidden
Zheng Ren's heart was already racing, and he really wanted to go and see the situation right away.
"Yiren, I'm going to have a consultation at noon..."
"Sister Yue told me, you go first, I'll be there later." Xie Yiren said as he packed his things, "You guys have a consultation and I'll see what to order. What do you want to eat for lunch?"
"Uh... whatever." Zheng Ren said, "Then I'll wait for you for a while."
"That's fine, let's go together." Xie Yi quickly packed up his things.
Another nurse wanted her to leave directly, but Shea refused. As an operating room nurse, if medical waste is not collected after the operation, she feels that her work is not done yet and she feels uncomfortable all over.
Zheng Ren wanted to help, but Xie Yiren pushed him out because he thought he was clumsy and getting in the way.
"Su Yun, tell me about the medical history first." Zheng Ren asked after feeling bored after walking out.
"Boss, that's too much." Su Yun crossed his legs and looked at Zheng Ren with a smile.
"Um?"
"I have done one hour of courseware just for this consultation. Do you want to listen to the medical history first? What will happen if you don't pay attention then?"