"Cleft between the sacrococcyx and the buttocks?" Lin Jiaojiao asked in surprise.
"Yes." Zheng Ren said softly, "Girl, if it hurts, just speak."
Lin Jiaojiao's daughter was a little embarrassed, but she still responded softly.
Zheng Ren used tweezers to explore along the sacrococcygeal intergluteal fissure. The opening was about 5mm, but after applying force, the tweezers still could not penetrate completely.
"Boss, do you need some ophthalmology equipment for you?"
"Well, let's look for more detailed equipment." Zheng Ren said, "Small hook tweezers or something like that will do."
Soon, Su Yun found something handy and ran back. Zheng Ren investigated and found that the intergluteal cleft in the sacrococcygeal area was about 4cm deep. After taking a wide look, Zheng Ren confirmed the diagnosis of Big Pig's Hoof.
"Sister Lin, it's definitely the pilonidal sinus." Zheng Ren said, "No abscess is found. You can choose to have surgery to remove it."
"Surgery? I won't do it!" Lin Jiaojiao's daughter said immediately as if she had been electrocuted.
"Haha, it's a minor surgery, don't worry." Zheng Ren turned around, put the tweezers back into the original instrument tray, took off his gloves and said to Lin Jiaojiao: "There is basically no risk in the operation, but you have to lie down for a few days after the operation. It’s going to be a little uncomfortable.”
"Boss Zheng, pilonidal sinus... let's put it this way, what is that?" Lin Jiaojiao asked.
"There are two theories, but there are no detailed research results." Zheng Rendao, "One is a congenital disease, due to residual medullary canal or sacrococcygeal suture malformation resulting in skin inclusions. But it is different from the baby's midline post-anal position. Precursor lesions of pilonidal disease are rarely found in shallow concave areas, so I think it is unlikely.”
"The other type is caused by acquired factors, such as granulomatous disease caused by injury, surgery, foreign body stimulation and chronic infection. It is confirmed that hair entering from the outside is the main cause.
The intergluteal cleft has a negative attraction effect, which allows the shed hair to penetrate subcutaneously. There are too many and too long hairs in the cleft. The top of the hair has the function of filtering and softening the hair. The hair penetrates the skin and forms a short path. "
"Uh..." Lin Jiaojiao hesitated.
"What the boss said is too complicated. This disease is called Jeep disease in the United States." Su Yun said with a smile, "It means traveling too much in a jeep and your butt is split in two. With this explanation, you can think about what the boss said again. That’s it, you’ll understand.”
"Well, Su Yun is right." Zheng Ren smiled, "Drivers who drive long distances are prone to illness. Men are more common, but girls are rare. Maybe it has something to do with the trauma you mentioned last time. , but don’t worry.”
"Jip disease..." Lin Jiaojiao felt that this name was much easier to remember than pilonidal sinus.
"Well, most of the medical records are from the U.S. Army." Zheng Rendao, "The existing treatments also have more surgical data from the U.S. Army."
"Boss Zheng, what should I do if I want surgery?" Lin Jiaojiao asked.
Zheng Ren explained the operation process to her in detail. Lin Jiaojiao felt relieved when she saw that the problem was not serious.
If the surgery is performed, it will only be a skin injury, which may be slightly larger than a lipoma, but not much larger. It's just that it's visually dazzling, or rather irritating to the eyes, and quite bluffing.
After Lin Jiaojiao's daughter got dressed, Zheng Ren opened the door and said, "By the way, if anyone suggests sclerotherapy, I..."
"Boss Zheng, you see what you said." Lin Jiaojiao smiled, "If I want to do it, I will definitely trouble you. There is no reason to find someone else to do the surgery when you have such a big hand."
Zheng Ren was stunned for a moment. What he said just now was a habit formed in Haicheng. It’s only been one year, is it no longer necessary to say this
In the past, in Haicheng, many patients were treated in the city's first hospital and then went to the provincial capital for further treatment. Things have changed now, and even I have not fully adapted to it.
Zheng Ren smiled.
"Sister Lin, don't pay attention to the boss, he is not too troublesome." Su Yun said with a smile: "Now his self-perceived role is still Haicheng's hospital manager."
"Haicheng can't accommodate Boss Zheng." Lin Jiaojiao smiled, feeling a little confused. Recalling Director Kong's instructions just now, she felt that the old director was right and his eyes were very poisonous.
"That's it. I suggest you do it during the winter vacation before the Spring Festival." Zheng Rendao, "Recuperate after the surgery without delaying school. The recovery will be quick, so don't worry."
"Okay, okay." Lin Jiaojiao said repeatedly, "I'm sorry to bother you, Boss Zheng."
"It's okay, Sister Lin. We are all our own people, you are too polite to speak like this." Zheng Ren said with a smile.
After sending Lin Jiaojiao and her daughter away, Zhou Litao came over and asked, "Boss Zheng, what's wrong with that little girl just now? Why did you need to change the ophthalmology tweezers?"
"Pilonidal sinus." Zheng Ren said.
"Yeah, that's quite rare." Zhou Litao said, "I've seen two cases, both of which are foreigners. This disease mainly affects Caucasians, with thicker hair."
"Hey, I see a lot of Mr. Zhou." Su Yun said with a smile.
"There is no such thing." Zhou Litao said, "Didn't I just think about writing a scientific study? Jeep disease is a good case, and I still have two cases on hand."
"Mr. Zhou, you are really working hard." Su Yun smiled and said, "Keep working hard, I'm optimistic about you!"
The small freckles on Zhou Litao's face moved slightly, and then faded away.
"Oh." He sighed.
Zheng Ren patted Zhou Litao's shoulder and said, "It's okay, it will get better."
Zhou Litao knew that Boss Zheng was trying to comfort him, so he grinned reluctantly and asked, "Boss Zheng, have you been busy recently?"
"Busy." Zheng Ren said, "I have to fly to Germany these days. I'm afraid I won't be able to chat with you recently."
"Are you going to give lectures?" Zhou Litao's eyes lit up.
Boss Zheng "grew up" step by step in front of his eyes!
The first time I saw Boss Zheng was a piece of paper with a diagnosis written on it, and then I got to know Boss Zheng. Later, he came to the emergency room more and more often. Time flies, now Boss Zheng is going to Germany to give lectures, and he is still a resident general.
There is really no comparison between people.
"Mr. Zhou, don't be depressed." Seeing that Zhou Litao was really depressed, Su Yun smiled and said, "Let's go and have a cigarette."
Zhou Litao was not polite. He wore relatively few clothes, but instead of returning to the duty room, he went outside. After walking through the emergency room, Zhou Litao took a deep breath and felt a little more energetic.
"Mr. Zhou, we can't compare with the boss." Su Yun smiled, shook out a cigarette, and said, "Was I awesome before? How am I doing now? If you want to talk about this person, he must be compared with his former self. .”
Su Yun said something that didn't mean what he said, but it looked decent. Zhou Litao smiled, knowing that his mood was slightly wrong just now.
After taking the cigarette, he grabbed the lighter from Su Yun's hand and lit the cigarette for Boss Zheng and Su Yun first.