Back in 2002 as a doctor
Page 298
However, a similar situation is better than drunk driving. Every time he sees the trauma caused by drunk driving, Dr. Gao's face is as black as the bottom of the pot.
"My husband has a herniated lumbar intervertebral disc. Recently, a genius doctor said that he could treat it with an ancestral method, so we went..."
"Wipe!" Doctor Gao subconsciously cursed.
Shen Lang's eyeballs almost fell out and hit his feet.
Even Zhou Congwen was dumbfounded. He has seen countless cases of rectal foreign bodies in his two lives, but he has never heard of such a weird reason.
cure?Put a stick in the rectum to treat lumbar disc herniation?What a joke!
"For the treatment of lumbar... lumbar disc herniation?" Dr. Gao stammered and repeated.
"Well, the white-bearded old man said that his family's method has been passed down for eighteen generations, and it has cured countless people."
"..."
Zhou Congwen thought about it carefully, and it seemed to make sense, but at most it seemed.
It's just that the treatment of lumbar disc herniation is not reliable, but if the lumbar spondylolisthesis of lumbar 5-sacral 1 is slipped, it may be reset by pressing a stick in the rectum.
This is so...so bizarre, Zhou Congwen looked helplessly at the farce in front of him.
"Is there any reaction?" Dr. Gao asked cautiously.
Ruptured rectum, that is a fatal disease.
If the rectum is ruptured, the operation method is not simple, and the operation method for rectal cancer should be followed, and the anus should be cut directly.
The patient will carry a fecal bag in the future, and life is extremely inconvenient.
"The stick went in, and the old man with the white beard ran away..." the patient's lover wanted to cry, "It was said to wait for 10 minutes, and he went out to buy a pack of cigarettes, and he disappeared."
"Not a clinic?"
"No, he is a doctor from Youfang. He himself said that he went down the mountain to preach to the world. Who would have thought that he was an old hooligan!" The patient's lover yelled, and immediately put a mosaic on the dirty words.
Zhou Congwen acted as if he hadn’t heard this kind of mosaic words. He looked up and down the patient, and saw that the patient was lying on his stomach in a strange posture, and his face was flushed with shame, but there was no expression of severe pain.
It should be fine, Zhou Congwen thought to himself.
He stepped forward, took the clothes and covered the patient, "Brother Gao, let me help, and try to see if I can take it out."
"I hope the rectum is not broken." Dr. Gao prayed.
"Does it hurt?" Zhou Congwen asked.
"It doesn't hurt." The patient looked at Zhou Congwen gratefully, and replied timidly.
"Have you wiped the stick before sticking it in?"
"Wipe it, I don't know what it is."
Zhou Congwen breathed a sigh of relief. It seemed that the old man with the white beard should be a habitual offender.
Or it's just asking for money, adding Tu Yile, and knowing how to apply some lubricating oil.
"Did it go well when I went in? Is the pain severe?" Zhou Congwen asked while pressing the patient's curled lower abdomen with his hands.
"It's going well, it doesn't hurt..." the patient said in a muffled voice with his head buried in his hands.
Although there are only a few short words, Zhou Congwen can also see the embarrassment of the patient.
He exerted force on his hand, but the patient felt no pain.Moreover, the patient is not too fat. Zhou Congwen has already touched the stick and estimated its position. It should be fine.
"Brother Gao, I'll push him to the treatment room, can you explain to the patient's family?" Zhou Congwen asked.
It is not difficult to pull out the stick, but there are many things to explain beforehand, and B-ultrasound and other examinations need to be done.
After all, palpation by hand is necessary, and auxiliary examinations such as B-ultrasound are also necessary.
It is better to have a complete inspection than to open up the stomach full of stool during the operation.
In rare cases, you have to go up with a stick and open the abdominal cavity after general anesthesia... Sigh, the posture is too weird, and the difficulty of the operation has increased significantly, even Zhou Congwen felt a little headache.
……
……
Note: I was also taken aback when I saw the picture.
Chapter 0519 Rich clinical experience
"Congwen, can this thing be pulled out?" Shen Lang swallowed, his mouth was parched.
It was so weird, Shen Lang never thought that there would be a way to treat a herniated lumbar disc by inserting a stick from behind.
Although his anatomy is not qualified, he also feels that this thing is too unreliable.
Zhou Congwen glanced at Shen Lang, saw that his face was glowing red, and his eyes were sparkling, and he knew that Shen Lang was very excited.
"Congwen, is this a new way to treat lumbar disc herniation? Why do I think it's unreliable?"
Sure enough, soon Shen Lang asked.
"What are you thinking about?" Zhou Congwen was a little unhappy, and reprimanded, "Go back and look through the anatomy book to see the shape of the spine, and then think carefully about whether it can be done like this."
Shen Lang didn't feel that Zhou Congwen's words were too much at all, and said frankly, "Okay, I'll read the book when I get back. I'm not from the Department of Orthopedics. I'm not familiar with the shape of the spine. It's nothing strange."
This guy has a good temper, Zhou Congwen thought to himself.
There was a "Spiderman" in the emergency room, a middle-aged man lying on a flat car with his buttocks up, extremely strange.
Although the man with Budd-Chiari syndrome had no strength, the ascites emptied, and he didn't feel so uncomfortable. He also looked sideways at the new "patient".
Zhou Congwen hurriedly stood over and chatted with "Spiderman".
Otherwise, he was really afraid that this man who didn't know how deep he was with a wooden stick stuck in his anus would become angry from embarrassment.
If he laughed again, the two of them would probably have to fight in the emergency room.When the two groups fought, it was even more lively.
Zhou Congwen has seen similar hidden dangers a lot, and he has considered a lot, so he can avoid all kinds of possibilities in advance.
After a full 20 minutes, Dr. Gao and the patient's family came in.
He pushed out the "Spiderman" with Budd-Chiari syndrome, asked the old branch secretary to find someone to take care of him first, and then closed the door.
"Congwen, I told my family that if there is a rupture, I will go on stage."
"What about the family?"
Dr. Gao did not answer Zhou Congwen's question, but winked.
Zhou Congwen sighed, probably because the patient's family members heard so many complications, and they might not be able to keep the anus, plus they were too stimulated when they saw the stick inserted in the morning, and they had a heart attack.
This incident made Zhou Congwen feel a little depressed.
Being deceived by an old man with a white beard, I don't know if it's for money or sex... What the hell!
This day, you can't save yourself some snacks, as long as you think about it, you will know that this matter is unreliable.
Moreover, based on the current monitoring capabilities and the severity of the matter, it is estimated that there is no way to solve the case by reporting the case.
It's better to think about pulling out this thing first, so as not to have more serious trauma.
The B-ultrasound doctor came in pushing the bedside machine. Zhou Congwen could feel that he was holding back his laughter and performed a bedside B-ultrasound in an extremely awkward posture.
Because the patient was in a curled up position, Zhou Congwen looked at it carefully when the probe in the hands of the B-ultrasound doctor hit the liver and spleen area.
After confirming that there was no peritoneal effusion, Zhou Congwen was relieved.
"Don't go now, the stick may be holding it down, wait 20 minutes after pulling it out and do it again." Zhou Congwen and the B-ultrasound doctor said.
The B-ultrasound doctor didn't want to leave either, he stood aside and watched curiously.
This kind of thing is so rare that anyone would be curious to see it.Shen Lang leaned over and whispered with the B-ultrasound doctor.
Zhou Congwen put on a pair of sterile gloves, "Brother Gao, do you have any paraffin oil?"
Dr. Gao found a bottle of paraffin oil, drew a large tube with a 50ml syringe, and injected it along the gap between the patient's anus and the stick.
After waiting for more than ten minutes to allow the paraffin oil to be distributed as evenly as possible, Zhou Congwen and Dr. Gao came together.One was pawing, and the other was slowly pulling the stick out.
A lot of paraffin oil was used, and the drops were all over the flat car, but the effect was obvious, and it was not difficult to pull it out with a stick.
There are about 10cm inside, and it is not deep.All the previous preparations fell into emptiness, and no blood was seen on the drawn wooden stick, Zhou Congwen gradually felt relieved.
Having reached the edge, Zhou Congwen's hand suddenly pressed Dr. Gao's, "Brother Gao, wait a moment."
"Huh? What's the matter?" Dr. Gao was taken aback.
"There may be a lot of pressure inside, so I'll use a syringe to pump it out." Zhou Congwen said holding a 50ml syringe.
Dr. Gao's face suddenly changed, he realized what Zhou Congwen was talking about.
The wooden stick is equivalent to a butt plug, and it is an oversized anal plug.The paraffin oil will flow in along the edge of the stick, but not all the gas and intestinal contents will come out.
The patient is nervous, the intestinal peristalsis is abnormal, and the pressure of the "anal plug" must exist all the time.
Once the "anal plug" is pulled out and the anal sphincter relaxes, it is not certain what will be ejected at that time.
"Xiao Zhou, you're better off, I didn't even think about it." Dr. Gao whispered.
"Hehe." Zhou Congwen smiled.
This is rich clinical experience, bought with blood and tears in the previous life.
However, there is no need to tell Dr. Gao about all the details here, and Zhou Congwen doesn't want to recall them.
He used the tip of the 50ml syringe to insert as far as possible between the stick and the anal sphincter.
But it is still a little worse without a needle, and the head that comes with the syringe is not long enough at all.
Zhou Congwen found another infusion tube, made his own equipment, and connected it to the head of the 50ml syringe while trying to inject it.
Because the infusion tube is relatively thick, a small gap was just opened, and a cloud of turbid translucent smoke came out.
Fortunately, they were prepared, and neither Zhou Congwen nor Dr. Gao were sprayed with the smoke.
Zhou Congwen put in the infusion tube in the blink of an eye and began to suck with a syringe.
The pressure is extremely low, and it is easy to draw a tube of air with a small amount of liquid.
Dr. Gao was terrified when he saw it. If he pulled out the wooden stick all of a sudden, he might not know what would happen.If that's the case, today's class will not be worth it, and in the next few months, I will have to face strange eyes from my colleagues.
Zhou Congwen pumped nearly 700ml of liquid and gas until the infusion tube was blocked.
The head of the infusion tube is blocked by feces, which is also unavoidable.Being able to decompress is already quite good.
The patient's condition was not serious, but it was weird. The white-bearded old man didn't really kill him. It is estimated that he was also afraid of his life.Zhou Congwen's several preparations were all left blank, only the one of decompression was used.
Although the preparation failed, no one was disappointed, and the emergency room was full of joy.
In any case, now the patient is only being cheated for money and sex, and has not yet become disabled, which is already a blessing.
"Okay." Zhou Congwen tried the patient's stomach again, it was soft and there was no sign of peritoneal irritation.
Dr. Gao stood beside the patient and pulled out the stick.
As soon as it was pulled out, a liquid with a strong taste came out as the wooden stick splashed out.
Chapter 0520 I can't bear it
Although Zhou Congwen had made preparations and preparations, the pressure in his intestines was still greater than usual.In addition, the patient's anal sphincter was relaxed, and he was unable to "hold back" back, and a poop-yellow thing sprayed onto the wall.
Shen Lang heard the patient's depressed voice, looked at the patient, looked at the wall, and ran over as soon as it was safe.
Zhou Congwen looked helplessly at Shen Lang's curiosity, really afraid that he would dip his finger in it and insist on tasting the saltiness.
But this is just Zhou Congwen's own thoughts, Shen Lang is not that impulsive yet.
"It's feces mixed with paraffin oil." Shen Lang looked at the feces all over the wall seriously and said.
Doctor Gao sighed, needless to say.
"There's no blood, so it should be fine." Shen Lang finally said something that made Zhou Congwen happy.
That's right, after the patient's safety, gossip and be curious.
To do things should be clearly prioritized.
Dr. Gao was about to cry. He looked at the spray on the wall, feeling a little dazed.If the head nurse finds out later, she might not necessarily yell at herself.
What to do with this wall thing?
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