229 Streams of green smoke
Maybe it's because I'm embarrassed, maybe it's because Wei is sick and avoids medical treatment, when the alcohol is wiped, Zhang Fan looked at the patient's anorectal vicinity and frowned slightly.
Although most skin diseases are widely used in hormones, irrational use can cause the disease to recur, causing the growths to develop antibodies to the hormone, and then eventually become an incurable condition.
In the vicinity of the anorectum, how to describe it, it is very similar to the mouthparts of lampreys. The pink pillar of flesh crawled all over the anorectal opening like a superfluous hyperplastic stunted sixth finger.
Moreover, in the palm-sized place, these pink pillars of flesh are of different lengths, three or four centimeters long, like a pink maggot lying on the anal mouth waiting for food. And the short one is less than a centimeter, it is really like a tooth that has not come out, with a sickly white layer in the pink.
Mixed with some sparse yellowing body (a) hairs near the anorectum, moistened by the remaining iodine tincture, like slowly rising seedlings, bent and twisted, some like screw caps, some wrapped around the flesh pillar, really, it looks extremely evil.
At the tip of the longest part of the flesh pillar, it was obvious that there was necrosis, pus sticking to the flesh pillar, gray and white, and the pus was crumbling! There was really a desire to suffocate one's eyes and squeeze out the contents immediately.
The yellowish iodophor mixed with pus, the blood that spilled from the meat strips when wiping, and the white patches left over from the use of hormones near the anorectal orifice, really, are not directly visible.
"What disease are you diagnosing with?"
When Zhang Fan was in the dermatology department, to be honest, he was also a newcomer at any time, although he had already entered the door for surgery.
But in fact, he is in a state of semi-ignorance of medical treatment, but after Director Gu Li of the Department of Dermatology had to let Zhang Fan get close to the patient's affected area to carefully observe the sharp (a) wet (a) warts, Zhang Fan not only understood what dermatology is, but also raised his hiccup threshold a lot.
With Coulee's bowl of wine at the bottom, to be honest, now that he sees this, he doesn't have any hiccups at all, at most he has a little goosebumps, to be honest, as long as he is not a person who is often exposed to this disease, he will definitely be able to crawl where to vomit with his heart and lungs.
Dai Yongshou, the current acting director of the anorectal department and the attending doctor, hurriedly said: "At present, the first diagnosis is suspected to be granulomas of sexual (a) disease, and the second diagnosis is genital warts planus.
Because of the unreliability of the patient's medical history, we are not sure at this time, and we will wait for the medical examination to confirm the diagnosis, but the treatment can no longer wait for the medical examination.
If no treatment is left untreated, the infection leads to sepsis or the anal fistula is produced by the lesion, and the condition is much more serious than it is now.
Therefore, after in-house research, we decided to give the patient complete surgical resection and anti-inflammatory and antiviral treatment first, and then proceed with second-stage treatment. ”
Dai Yongshou knew that Zhang Fan was not satisfied with him, because Zhang Fan gave him a chance, and when the former director of the anorectal department went on strike and Zhang Fan was making trouble, Zhang Fan asked him to stand up to the anorectal department.
However, because of the suppression of the former director, he couldn't take many key steps of the operation at all, and he was also anxious, and the more anxious he was, the greater the contradiction 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 in his heart. People are like this, if they have no desire, they are rigid, and he is still worried about the director of the department, so now in the face of Zhang Fan, he has no confidence at all.
Not only was he unconfident, but he even looked at Zhang Fan's eyes a little evasive.
"Oh! what?" Zhang Fan looked at Dai Yongshou.
I don't know when it started, but the surgeon slowly began to be in awe of Zhang Fan.
The silence in the operation, the words in the operation, the courage and responsibility in the operation, on weekdays, he can casually find one of the top hospitals in China for other doctors to study, and he can easily summon the experts of the bird market to Chasu, all of which are not in awe of the surgeons.
"Because the patient's own medical history does not match her symptoms, first of all, this kind of sexual (a) pathological granulomas tend to occur more often in developed and extremely underdeveloped countries where the drug (a) is relatively prevalent, such as the Netherlands and the United Kingdom.
Dr. Wang and I also searched through journals, and even asked Stan's colleagues to find out that there are no doctors in their country who have published a journal on a similar disease.
The patient firmly denied (a) a history of drug use and a history of swimming. So, we agree that the patient's medical history is unreliable!"
"Oh, you also contacted Stan's colleague?" Zhang Fan asked curiously.
"At that time, I couldn't make a clear diagnosis and couldn't judge her medical history, so I had to contact one of my classmates who ran a clinic in Stan. ”
Dai Yongshou said worriedly.
"Very good, no matter whether the diagnosis is right or not, first of all, this attitude is there, yes, it seems that the anorectal department is not immutable, very good!" Zhang Fan is very good with two in a row, and Dai Yongshou's eyes are a little red!
His own efforts have been seen by the leaders, and his efforts have been recognized by the leaders.
"What are the results of her five tests for infectious diseases?"
"Everything else is negative, but syphilis is weakly positive and needs to be retested a second time. ”
Dai Yongshou hurriedly said.
"Okay, let's start the operation, everyone be careful. Especially Xiao Yan, you must be careful when you thread the needle, don't prick yourself, and say more when you hand it over. After all, it is a suspicious positive. ”
After Zhang Fan finished speaking to the doctors, he said another word to the instrument nurse.
"Okay, Zhang Yuan!" the little nurse said crisply.
"Knives!"
"Knives!"
Because of Zhang Fan's explanation, the instrument nurse and the doctor will say one more word when handing over the sharp weapon, which is ridiculous like a repeater, but this is to prevent the professional exposure of medical staff, no matter how ridiculous it is, everyone implements 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's next knife.
Seeing that Zhang Fan didn't say anything, Wang Zipeng took a slight breath, and then went under the knife.
On the skin of the human body, especially this kind of vegetation, the effect of excision with a general scalpel is not very good, and it is easy to cause bacteria or viruses to enter the blood and cause sepsis.
For example, everyone has a monkey on their hands, in fact, the scientific name of this thing is wart, and people who love beauty think that this thing is unsightly, and then there are teeth to gnaw, and there are also people with blades to cut.
As a result, after the tooth gnawing knife cut, like a female monkey laying a bunch of baby monkeys, it was originally one, but it turned out to be many.
In fact, there is one of the easiest ways to destroy this thing. Take a thin thread or a hair, tie a dead knot at the base of this thing, and it won't take long, and after three days, the thing will die naturally, leaving a little scar.
A wart is so difficult, let alone this one. Therefore, the conventional treatment method, if there are few individuals of vegetations, generally choose liquid nitrogen freezing or laser cauterization excision, the temperature of liquid nitrogen is very low, and the point on the vegetation can directly freeze and crack the cell wall.
If there are more vegetations and there are roots attached to the skin, then the effect of this liquid nitrogen is often not good, because there is a root, this thing will be like a leek, cut off the recurrence, remove the recurrence, and it is easy to cause cancer.
Therefore, when there are a lot of vegetations, they are often burned in pieces using an electric knife.
Now the knife is actually used to remove one for medical examination.
Wang Zipeng chose the thickest one, slashed it towards the base of the lesion, and then pulled it up with pliers. The lesion is like rotten meat that has been left for a few weeks in summer, it looks pink and tender on the outside, but it is full of pus and voids, and it is really a big green worm lying on the leaves of a plantain.
"Tissue bag, now hand it over to the case department for a quick medical examination!" Wang Zipeng saw that Zhang Fan didn't speak, so he explained to the nurse.
"Okay!" the itinerant nurse looked at Zhang Fan and nodded.
In fact, this female patient was also in her prime. When Cha Su was in high school, he also served as a member of the school's dance team, often performed, and was also found by talent scouts.
But, perhaps because of her youth, or perhaps because of curiosity, she finally chose to go to another country.
Foreign subsidies are also divided into three, six, nine and so on, after going abroad, she studied averagely, and her acceptance ability was poor, slowly, slowly, she was eliminated by others, for the sake of face or in order not to return to China.
She chose to marry a local person.
Sometimes, a drink and a peck are a certainty. She covets the other party's financial resources and ignores the other party's character.
At the beginning, the rich children took her to spend all day drinking and living a drunken life. But within a few years, as soon as the novelty passed, the other party's terrible face was revealed, and all kinds of torture came.
Groups of three or five get together, get drunk and smoke high, will do anything, treat people as people, don't want to, tie them up, be willing, don't agree, and be willing if you turn over.
After all, people have to pay for their youth and ignorance, greed for vanity, and the price is expensive.
Half a year of forced or voluntary prodigal (a) life not only made her mentally and physically scarred, but also lost her qualification to be a mother, not only that, but she even gave her soul in order to return to the motherland that she looked down on.
If you don't have money, you can be just, and you can work hard to make money without money, but you can also live cleanly.
It's a pity that in order to live in the so-called foreign high society, she entered the fast lane, and as a result, she overturned.
It really responds to an old Chinese saying, there is no free lunch in the world.
After cutting one, the next step is the official surgery.
"Electric knife!"
Wang Zipeng took the electric knife and put on protective goggles, and the assistants and instrument nurses all wore protective goggles.
The sound of sizzling and cheering sounded in the operating room.
This disease must be uprooted, if you use an ordinary scalpel to gouge one by one, not to mention whether the infection is not infected, first of all, the patient is estimated to be very uncomfortable in this place, there are too many lesions.
If she really uses a scalpel to cut them all, it is estimated that the scars here are so sticky that she can't move her legs, or she will have to help break her hands when she goes to the bathroom in the future! It's scary to think about.
So, electric knife is the best way.
When the electric knife was placed on the patient's lesion, there was green smoke rising from the lesion, and the pink lesion was bubbling with a large number of pink bubbles. Really, as the electric knife probes down, the pink bubbles are like boiling the pot, and the droplets are overflowing.
It's really like sprinkled on lamb skewers, sprinkled on fat and tender fat noodles, roasted by the fire to make the fat crack, crackling, fat bubbles, pink bubbles!
Smoke curling!