224 Outpatient clinics are initiated
The anorectal department gives people the first impression that it is a department that treats hemorrhoids. In fact, the anorectal department is a department that focuses on the diagnosis and treatment of diseases at the end of the digestive system, and the specific causes of many diseases in this department are a department that has not yet been studied, and the cause is unknown, so it is very difficult to prevent.
Take the most familiar hemorrhoids as an example, the current mainstream theory believes that there are two reasons for the formation of hemorrhoids, and one is that the blood vessels of hemorrhoids are blocked. For example, long-term sitting, constipation, pregnancy, prostatic hypertrophy, pelvic tumors, etc., can cause obstruction of rectal venous return.
In fact, no one supports this statement, but there is no evidence against it. The most mainstream theory of Western medicine, in popular language, is that there are many reasons for the formation of this anal contraction.
Because the cause is unknown, prevention is very uncertain, and in the words of the doctors themselves, almost most bad habits and lifestyle habits can cause the disease.
The director of the anorectal, not to mention the rest, the level is still good, and there are many surgeries that the department can carry out, so in terms of the level of the regional hospital, this department is still above the level, but because of this marriage problem, the department has no combat effectiveness.
There is no director, only Zhang Fan went to the outpatient clinic by himself, Zhang Fan's first outpatient clinic was handed over to the anorectal department, with a water cup and a nurse, Zhang Fan went to the outpatient clinic.
The young patients in this department are similar to the older patients, and because they need to be examined in special areas, there are differences between men and women, so it is more convenient to bring a nurse.
When the head nurse of the outpatient clinic saw Zhang Fan, she greeted Zhang Fan with a smile: "Doctor Zhang, are you coming to the outpatient clinic?"
"Yes, head nurse. ”
"Then I'll put your name on it. ”
"Okay head nurse, thank you. Zhang Fan greeted politely.
When I walked to the corner of the corridor, I met Xue Fei from the first orthopedic department, Zhang Fan had the best relationship with him in the orthopedic department, and this person was also a warm-hearted person, when treating the injured soldiers, Xue Fei desperately provoked the risk of Ouyang, and specially reminded Zhang Fan that Zhang Fan was very appreciative of Xue Fei.
But this guy is not in tune, the level of work is average, although he is the attending officer, but the technology is much worse than Zhou Chengfu, who is also the attending officer, Zhou Chengfu will occasionally sneak out to walk out for a hole or something when Zhang Fan has not monopolized the operation. And this guy, all his mind is spent on mahjong.
"What, Director Zhang officially took office today?" Zhang Fan entered the anorectal department to temporarily manage the anorectal department, and the people in the surgery department knew that because they were all in a surgical building, the news was transmitted very quickly.
"Yes, go to the clinic today, why Dr. Xue, are you also going to the clinic today?" Zhang Fan was too lazy to compete with him, the more you explained, the more energetic he became, and he generously admitted it, but he would not ridicule him anymore.
"Say you're fat, you're really starting to gasp, aren't you just looking at chrysanthemums, proud. As he spoke, Xue Fei raised his little finger and despised Zhang Fan.
"Hey, don't look down on it, wait until you play mahjong and get hemorrhoids one day. I'll definitely give you a thumbs up to check it out. ”
"Phew, Phew, Phew, you have hemorrhoids. To be serious, you won't come to the orthopedic department in the future, and I'm still counting on you to cover me, you really won't be the director of the anorectal department. "Xue Fei is also difficult to cope with in the orthopedic department now, the orthopedic department is separated, and the three orthopedic departments are desperately doing re-surgery, he can't get a lot of surgeries, and Lao Gao is also dissatisfied with him.
"Brother, you ask for more blessings, I'm going to the outpatient clinic. Zhang Fan went to the outpatient clinic of the anorectal department. Xue Fei's attitude is what many doctors think, although Zhang Fan's skills are very good, but to be the director of a department, everyone thinks it is impossible.
The nurse Zhang Fan brought was named Chen Xiaoli, the child was only two years old and a young woman. Among the nurses in the anorectal department, she is a nurse with excellent skills and neat hands and feet, and the head nurse specially asked her to help Zhang Fan.
The first patient number is an acquaintance, Lao Yutou, Shao Hua, a neighbor uncle in their old community, who is over sixty years old. Shao Hua's father's chess friend, the two quarreled for three days and reconciled for two days, if they didn't see each other for a few days, they still missed each other very much, and even saw Zhang Fan a few times and said hello a few times.
This old man is not too comfortable these days, because it is uncomfortable in the buttocks, and he is embarrassed to tell his children, so he and his wife came to register to see a doctor, when entering the anorectal outpatient clinic, I saw that it was Zhang Fan, and the old man was first excited, because the doctor was an acquaintance. Originally, there was a smile on my face, but when I thought about it, I was a little embarrassed.
"Old man, come in, what are you doing at the door. The first patient stood at the door and hesitated, Zhang Fan saw that he was an acquaintance, and he was happy, but he couldn't bear to laugh.
"Hey, Dr. Zhang, you're in the proctology department. ”
"Yes, old man. ”
"Isn't it in surgery?"
"Proctology is surgery. What's wrong with you? That's uncomfortable. Zhang Fan can't follow him, there are many old words, if you follow his words, it is estimated that you can talk until the afternoon.
"There's nothing wrong with it, it's just that I've been coughing lately. "Old Yu Tou is really a little embarrassed. That's where the embarrassment lies, because it's a little embarrassing, and he starts to slurb when he talks about his symptoms.
With such a vagueness, his wife couldn't help it, "The doctor is still busy, this is not your chess stall, Doctor Zhang, he doesn't know what's wrong recently, he coughs for no reason, and sometimes when he coughs, a piece of intestines falls out from under that buttocks! Say anything, how old are you, you're still embarrassed!"
"Oh, so that's the case, old man, how long have you been coughing, have you had a fever, a lot of phlegm, do you have any other symptoms?"
"No, okay, I started coughing for no reason, and my throat didn't itch, I just couldn't help coughing unconsciously. ”
"Oh, that's it~" As he spoke, Lao Yutou began to cough, and as soon as he heard it, Zhang Fan knew that it was not an irritating cough, but a cough caused by abdominal pressure, because this cough was very low and not continuous.
"It seems to be out!" Old Yu's face turned red, like a child who had done something wrong, lowering his eyes and not daring to look at Zhang Fan and his wife.
"The intestines are coming out again?" his wife was a loud voice, and the old lady was a bit of a tiger and didn't notice her old man's mentality. "What's the noise! It's not an egg, it's coming out, what are you shouting!" the old man was really annoyed.
"It's all right, old man. Don't worry, you climb onto the examination table and I'll check it for you. ”
The nurse helped the old man to lie on the examination table, and Zhang Fan began to put on gloves. "Girl, if you close the curtain, you will go out!"
"Yes, uncle. The nurse helped him to lie on the examination table and then closed the curtain.
Uncle took off his pants. ”
The person is old and has difficulty moving, with the help of the old lady, he took off his pants, Zhang Fan looked at it, "Hey! A lump of flesh came out of the anus, like a meatball in the middle of the buttocks!"
This disease is really embarrassing, a little stool in the early stage, the rectum will come out, and it will retract into it after the stool, with the development of time, this is troublesome, force, coughing will lead to rectal prolapse, sometimes when walking, you have to cover the anus with your hands, otherwise it will fall out!
If you don't get it back in time, if you don't get it back in time, the rectum will be swollen and you can form strangulated necrosis, so this disease is really embarrassing.
.。 m.