"Anorectal patients are easy to manage after surgery, but it is because of this easy management that accidents are easy to happen." Gao Shaojie said, "They usually don't have accidents, and if they do, it's a big deal."
This is a statement similar to a fallacy, but clinically it is really close to the truth.
In the emergency and critical care department, everyone has long been accustomed to the rhythm of walking on thin ice, and every small change is like facing a big enemy. However, in some mild departments, patients are fine and doctors are very relaxed. Some changes in the condition are basically very slight and are easily ignored.
This kind of neglect is fine most of the time, but when it happens by chance, it is a big deal, such as this one.
"I remember that an anorectal accident occurred in the Affiliated Hospital. It may be that there was a problem with the ligation during the operation. The patient had heavy bleeding in the middle of the night. He thought he had wet the bed. He was embarrassed to ask his family to change the sheets, so he tried to get up by himself. The patient did not pay attention and fell asleep. I was dazed and had low blood volume, so I went out bloody and asked the nurse for sheets."
When Zheng Ren thought about that scene, he simply couldn't look straight at it. This is... a haunted rhythm in the middle of the night.
"There was nothing serious about the patient. It was just that someone else's escort fell asleep in the middle of the night. When he got up and went to the bathroom, he saw that his lower body was covered in blood. He was frightened and had a heart attack, leading to death. Later, the patient's family was in trouble for a long time, and I didn't know how to solve it. focus on."
Another patient's family member was frightened to death... Zheng Ren was also quite speechless.
"It seems that it is common to be unable to urinate." Gao Shaojie asked.
"Yes." Zheng Ren said, "The surgery stimulates the anal sphincter, causing the nerves that control the anal sphincter to connect with the nerves that control the bladder and urethral sphincter, causing the urethral sphincter to contract or spasm."
"Either anesthesia causes loss of sensory function in the anus and relaxation of the anal sphincter, blocking the pelvic nerves in the perineum, causing temporary paralysis of the bladder detrusor or spasm of the urethral sphincter causing urinary retention."
"It is also possible that the pain directly reflexively causes or aggravates urethral sphincter spasm, causing difficulty in urination, or the patient is afraid of pain and does not dare to increase negative pressure to urinate."
"Boss, don't you think you are very verbose?"
"That's it for the chat." Zheng Ren said casually while braiding the red rope.
"By the way, one time they had a patient with advanced cancer who had coagulation problems. He came to me for consultation to see if embolization could be done." Gao Shaojie said.
"Ah? You've met it. I told the boss before that Fugui'er has special spring coils." Su Yun said in surprise.
"This kind of situation is too rare. It happens occasionally. One case in a year or two is considered too many. I asked about the special spring coils. They cost more than 100,000 yuan each. Medical insurance does not reimburse them, so patients cannot afford them." Gao Shaojie He said, "I went to take a look, and then I went to the bathroom at their place."
Zheng Ren was a little confused, why did Lao Gao say this. He is not the kind of person who talks about shit and shit. He is generally very elegant.
Su Yun also became interested, wondering what plot Gao Shaojie was going to throw out.
"I came in and saw a blood-stained sanitary napkin in the wastebasket. I was shocked at the time. I also wondered if I had gone to the wrong place. If I went out and met a female patient, wouldn't I be scolded?" Gao Shaojie smiled and said, "It doesn't matter if you curse a few times. The key is that you have to have face, right?"
"Ah, I know!" Su Yun patted his thigh and said, "I heard someone say in the group chat before that patients after anorectal surgery use sanitary napkins. The effect of absorbing water, sweat and blood is particularly good for anorectal patients. The post-op experience was great.”
"Hehe." Gao Shaojie smiled.
"I have been doing anorectal surgery for a few months. Our head nurse has changed the pants of the hospital gown into a skirt for the convenience of the patient." Gu Xiaoran said, "I also use sanitary napkins after the surgery. Teacher Gao, you didn't leave the men's room." , turn around and go to the women’s restroom.”
As he said this, Gu Xiaoran himself burst into laughter. If that were the case, the picture would be too beautiful to look at directly.
"No, don't panic when something happens. I thought about it and thought it was right. After I went out to confirm, I went to the anorectal doctor to confirm." Gao Shaojie said with a smile.
"Teacher Gao, you are really cautious." Gu Xiaoran praised sincerely. He didn't rush to confirm that he went to the wrong bathroom. His psychological quality is top-notch.
"You can't be careful. If someone says I went to the women's restroom, they will laugh at me forever."
"Xiao Ran, you have still had anorectal rotation." Su Yun found it interesting and asked.
Generally speaking, few people in rotating departments go to the anorectal department, and their department has the fewest interns. After all, the children have to go to the big department. Anorectal... Are you going to see how to change the patient's dressing
"When our anorectal department was first established, there was no one in the department, so I went to support for a while. The place is quite good. If you work the night shift, you can change the dressing at 7:30 in the evening and go to bed at 8:30. It's really comfortable to sleep until dawn. ." Gu Xiaoran said, "It's a pity that I was too young at that time and felt that it was too comfortable here. It was boring to hang around with shit and piss every day, so I made the wrong choice."
"You are indeed too young." Su Yundao said, "The small department is very good. Didn't Lao Gao say that? You can also go to work in a private hospital to make money. If you switch to neurosurgery, you will probably have no hope in your life."
"It's fast. If the current development rate continues, it will only be a matter of a few years before neurosurgery is opened in private hospitals."
Just as he was talking, Reiko walked in with a confused look on his face. She bowed politely to Zheng Ren and Su Yun, and then said, "Our dean is doing ward rounds. My colleague said that the patient should be transferred to 912. He immediately agreed and is now working on the patient."
"Haha." Zheng Ren just smiled dryly, this was all expected.
You can work to make money, or you can be lazy. There are not many, or almost none, people who intentionally torture people to death.
After all, it is a society governed by law. Even if killing is not illegal, not many people would dare to kill.
"Dr. Zheng, our director said that the patient has settled down and wants to treat you to a meal to express his gratitude."
"Forget it about eating. Let's just get together when the patient is discharged." Zheng Ren glanced at Yi Ren and did not block the door directly. For the director of the Anorectal Hospital, I have almost no interest in having dinner with him.
Lingzi obviously didn't have enough social experience, or she was a little confused. When faced with Zheng Ren's rejection, she thought it was polite and wanted to invite him again.
"Lingzi, let's transfer the patient here first." Yiren quickly smoothed things over, and then asked, "Zheng Ren, which department should I go to?"
Zheng Ren glanced at Su Yun.
Su Yun shrugged, "How is the emergency department?"