The patient looked in pain, but shook his head persistently, indicating that Zheng Ren did not need to be hospitalized.
It is said that the pain of bladder stones is definitely not as painful as that of ureteral stones.
"Does it hurt?" Zheng Ren rubbed his hands and wanted to start a physical examination.
This action frightened the female patient.
She quickly put on a smile and said with great effort: "It doesn't hurt, it doesn't hurt, it just hurts a little when I urinate. Doctor, don't press me. As long as you don't press me, it won't hurt."
“…”
Zheng Ren saw the man comforting his wife with a cautious look on his face, and knew that his judgment just now was wrong.
His family is quite harmonious, not bloody things like domestic violence or cold violence.
But in this case, the problem becomes more acute. There is such a big stone in the bladder, why don't you agree to be hospitalized to remove it
"Then I won't do a physical examination. I'll do an ultrasound on you later." Zheng Ren said with a smile: "The stone is too big. I advise you to take it out, otherwise it will easily cause inflammation of the bladder." .”
"It hurts. I don't want it." Although the woman was in her forties, she still acted coquettishly in the man's arms.
Zheng Ren felt a little cold.
"Now there is gross hematuria... you can see the redness when urinating." Zheng Ren continued to persuade, "If it is not treated in time, it will become more serious in the future."
"Doctor, I am in good health and can reject all kinds of things." The woman endured the pain and said with some pride: "The stone is only big enough, maybe it will be gone during the next examination."
Zheng Ren thought about Big Pig's Trotter's diagnosis of foreign body in the bladder, and had a very bad suspicion in his mind.
These two couples are having a lot of fun.
But Zheng Ren didn't have any objections, as long as he was happy. Don't hurt your body, play whatever you want, mind your own business.
"Oh? Rejection? What's wrong? Did the incision not heal after the caesarean section?" Su Yun asked from behind.
"No, I'm in good health. Why do I need a caesarean section to give birth to a child? The twins were born as soon as I tried hard." The woman became more and more proud.
"How many children are there?"
"We had our first son 20 years ago, and we had a second child three years ago, and they turned out to be twins." The man smiled happily.
Zheng Ren felt that there was something wrong with his judgment again. People like this rarely played tricks, let alone foreign bodies in the bladder.
"Oh? Then tell me what you mean by exclusion." Zheng Ren asked.
"Doctor, I had my eldest child 20 years ago, and then I had an abortion." The woman said, "Didn't the country allow two children a few years ago, so we were thinking about having another child."
Zheng Ren habitually held his arms and listened to the patient's statement very seriously, sketching various pictures in his mind.
"I went to the hospital and wanted to remove the ring, but the doctor said there was nothing."
"Huh? Are you sure you're on the ring?" Zheng Ren realized what the problem might be.
"Yes, it was done at the health center in our town." The woman said, "It hurt me so much that day."
"What happened next?" Zheng Ren continued to ask.
"It got better after that, nothing happened at all."
"Are you sure Tamaki didn't come out on his own?"
"Doctor, how could I not notice such a big metal ring if it came out?" The woman said, "We are indeed country people, but we are not stupid either."
Zheng Ren thought what she said made sense.
If this is the case, it is concluded that only one ring went into the bladder.
"Farming work is usually very heavy, right?" Zheng Ren asked a question that was thousands of miles away.
"Well, in our small house, it's all the old ladies who work. But even the young and strong young ones can't work as well as me." The woman said proudly.
It was indeed very hard to take care of the children and work at the same time. Zheng Ren smiled, and he had already made a complete conclusion.
Next, we need to do a B-ultrasound.
But why hasn't Yuan Li come back yet
Just as I was thinking about it, I heard the sound of B overtaking the car coming in from the bedside.
"Mr. Zheng, you have to hold in your urine for a bladder ultrasound, right?" Yuan Li asked in a low voice with some confusion.
This is a bit much to ask, especially in front of the patient.
Su Yun raised his eyebrows and said: "A 5cm stone is almost turning into a relic. Does it matter whether you can hold back your urine or not? Your clinical..."
Just as he was talking, Zheng Ren patted Su Yun's shoulder, took the B-ultrasound machine, found a chair to sit down, and said to the patient, "I'll show you."
"Doctor, there's really nothing to see." The woman said, "I'm in good health. I'm as strong as Lao Niu Men'er. I'll definitely have no stones in a month... no, half a month."
Zheng Ren smiled and asked the man to help expose the bladder area, apply the coupling agent and start the B-ultrasound.
"The position and size of both kidneys are normal, and no obvious space-occupying lesions are found."
"There was no obvious expansion of the bilateral ureters, the bladder was poorly filled, and a 5.1 cm arc-shaped strong echo mass was seen inside, moving (-)."
While Zheng Ren was talking, Mr. Wang was recording from behind, very seriously.
"Don't move?"
"Well, don't move. Wait a moment, I will continue to check." Zheng Ren said: "There is a problem later."
When the patient said there was a problem, he didn't care, but the patient's family members looked a bit ugly.
"Doctor, what's the problem?"
"Don't worry, I'll take a look." Zheng Ren held the B-ultrasound probe and pressed it on a certain position.
"Doctor, it hurts!" the woman shouted.
"Don't move, it's right here!" Zheng Ren said, "I'll be gentle, but don't move."
The woman felt that the force of the probe became lighter, and the pain subsided a lot. She subconsciously wiped her sweat and said, "Doctor, you are so cruel! Press wherever it hurts."
"It hurts because there is something wrong." Zheng Ren said, "No problem, you don't have to go to the hospital anymore, right?"
The woman thought about it and felt that Zheng Ren's words did make sense.
"Metal?" Su Yun stood behind Zheng Ren and said in surprise when he saw the image on the small screen.
"Well, I think the IUD went into the bladder." Zheng Ren replied and fell silent.
Mr. Wang was a little confused. It is said that if the IUD is ectopic in the pelvic cavity, it is indeed possible, but if it goes into the bladder... how does it get in
But he didn't say anything. Boss Zheng was carefully using B-ultrasound to check the situation. It would be wrong to interrupt him at this time.
After waiting for at least 5 minutes, Zheng Ren took the B-ultrasound probe off the patient's belly and said, "Go to the hospital and prepare for surgery to remove it. It's not a matter of your consent, but you have to be hospitalized."
"Ah? Doctor, don't scare me." The woman was startled.
"I'm not trying to scare you, but do you know why Huan disappeared?" Zheng Ren asked.
"I don't know. I know that I am in good health, so I may have been rejected. This is what the doctor in our township said, and I think it makes sense."
Zheng Ren smiled, asked Mr. Wang for a pen and paper, and began to draw pictures to explain to the woman.