Back in 2002 as a doctor

"I've said it all, if I don't give you 500 million appearance fees, why should I do product display surgery?" Zhou Congwen said lightly, "If the materials are not good enough, we have to rely on technology to make up for it. By the way, the drawings given to you before must be designed. "

"Didn't you say it, it's done." Liu Xiaobie said, "But are you sure to use it? I think it might damage the blood vessels."

Zhou Congwen didn't argue with Liu Xiaobie, he thought about Lanke's thrombolytic catheter in his heart, and his smile grew stronger.

0690 - Colorectal foreign body

Shen Lang didn't bother Zhou Congwen and Liu Xiaobie, and returned to the provincial capital early in the morning.

Bored after get off work, he squatted in the emergency department and chatted with "Bai Wuchang".

After coming to the Second Hospital of Medical University, Shen Lang felt that what Zhou Congwen said was true. When it comes to watching the excitement and all kinds of messy gossip, the Second Hospital of Medical University had far more people than the Third Hospital of Jianghai City.

After all, the Second Hospital of Medical University is 5-10 times that of the Third Hospital of Jianghai City in terms of the scale of the hospital and the number of people covered.

These days, Shen Lang went to work during the day, and squatted in the emergency department after dinner at night, so it was meaningless to go back.

Li Ran got a set of grinding equipment to grind eggs in Xuezhou Congwen. When Liu Wei came here, he found his own kind in a short time and started playing mahjong. He came back very late every day, sometimes even all night.

For Shen Lang, the emergency department is more interesting.

As for Wang Xueteng, Shen Lang felt more and more that the girl was alienated from him, and only chatted a few words for the sake of being a member of Zhou Congwen's medical team.

But Shen Lang didn't like this kind of feeling very much, he didn't know how to chat with the girl, how to make the girl interested in him, so he might as well spend his time in the emergency department.

Every excitement is the material for writing novels in the future. Shen Lang tried his best to observe the people in the emergency department, whether they were doctors or patients.

Because he didn't have to take responsibility for himself, Shen Lang felt like a fish in water and lived a comfortable life.

To say that seeing a doctor is much more worry-free than chasing girls. After all, the intractable diseases mentioned by Zhou Congwen are a minority. Although most diseases cannot be cured, they are written in the book.Moreover, it is an exaggeration to say that it cannot be cured. Diseases such as high blood pressure and diabetes can still be treated.

Although treatment and cure are only one word apart, there is still a big difference, but Shen Lang thinks that it is definitely not as exaggerated as Zhou Congwen said.

There are teaching materials for seeing a doctor, and you can ask at any time if you don’t know it.

There is no teaching material for chasing girls. A woman has a needle in her heart. Who knows what Wang Xueteng is thinking.

Shen Lang gradually lost his thoughts on Wang Xueteng, and it would be a good choice to give up, at least he thought so.

His personality has always been gentle, and he has no particularly persistent thoughts about anything.

Especially in the emergency department, there are so many gossips, Shen Lang is leisurely and contented every day, and feels that it is not bad to live like this for the rest of his life.

"Shen Lang!" The emergency surgeon shouted.

"here I am!"

"Help send patients to gastrointestinal surgery."

ha!Shen Lang accepted the order with a smile.

He didn't feel that the doctors in the emergency department were calling him out as a little boy, but happily led the patient to the ward.

Because this is a patient with a rectal foreign body.

In emergency surgery, there are patients with rectal foreign bodies basically every 2-3 days. Shen Lang also conducted a research on this.

After consulting with Zhou Congwen, he went to the imperial capital for a meeting, and only told Shen Lang that the full name of this condition was-colorectal anal canal foreign body.

Shen Lang searched for information by himself and opened up a new world.

According to the book, colorectal and anal foreign bodies refer to foreign objects that enter the colon, rectum and anal canal for various reasons.

As described in the previous literature, this disease is indeed a rare case, but with the increase of the openness of human society, the incidence has gradually increased in recent years.

Shen Lang did not agree with this passage in the document.

He even had the heart to look up various ancient texts, because in ancient times, it was normal for rich, powerful and powerful families to raise male pets, and there were even rumors that Han Wu and Wei Qing were related.

In terms of the degree of openness, in fact, the current domestic situation is far inferior to that of ancient times.

However, to Shen Lang, the materials in ancient Chinese language were like spells written in heavenly scriptures, he would feel sleepy just by looking at them, and he would sleep until dawn.

Shen Lang tried several times, but finally gave up and began to read the existing documents.

According to literature statistics, in terms of incidence, male patients account for the vast majority of the disease.

男性：女性=17~27:1，主要年龄多集中在20岁~50岁。

After looking through relevant literature all over the world, Shen Lang found a doctor who was as boring and gossiping as himself——Bush.

He compiled a total of 182 cases and found that the types of rectal foreign bodies covered everything from "A" to "Z", such as apples to zucchini.

Is it meaningful to search for 26 letters for a colorectal and anal foreign body?

It must be meaningless, but Shen Lang understands him and Dr. Bush's thoughts.

This thing is to make up numbers and use it for gossip.

This time the patient was very young, in his 20s.Walking looks awkward because of a foreign body in the colorectum.

"Brother, is it okay to walk?" Shen Lang asked him after he walked away from the crowd in the corridor of the hospital.

"It doesn't hurt..." The patient lowered his head, a little shy.

"What's in it?"

"..." The patient was silent.

"A few days ago, I met an old man who said that his stool was dry. He stuffed two loaches into it and asked the loaches to eat the dry stool outside. How unreliable you say." Shen Lang began to gossip.

The flames burning on his body are not offensive, but quite friendly.Perhaps it has something to do with the identity of the doctor in the Second Hospital of Medical University, and the patient is like a child who has done something wrong, and he is at a psychological disadvantage.

"I was in Jianghai City, and I also saw a patient nail a wooden plug into the anus in order to treat a herniated lumbar intervertebral disc, and planned to pry the lumbar intervertebral disc from behind."

Shen Lang talked about three or five cases incessantly, the young man was inexplicably surprised.

"You're curious. To be honest, I was curious too, but I didn't have the guts to do it." Shen Lang said with a smile, without any trace of malice, and was extremely kind, "Stop making trouble in the future, the rectum is fragile. If you are not careful, you will die." There are serious consequences."

"I... lost a bet."

"College Students?"

"Ah."

"When I was in school, the fifth child in the dormitory wore dentures. Looking back now, I don't know why he wears dentures at such a young age." Shen Lang began to gossip, and the young man was stunned for a while.

"Every night, he would take off his dentures and soak them in his own tank. As a result, one day we had a dinner in the dormitory, and everyone drank a little too much. The boss was thirsty in the middle of the night, so he grabbed a tank in the dark and drank water."

"..."

"He took a mouthful of dentures and woke us up with a yelp. It's disgusting. I've never been able to deal with it."

The young man took a look at Shen Lang, and saw that there was nothing he couldn't face.

But I can't think about it carefully, the more I think about it, the more disgusting it becomes.

But at the same time as nausea, the shyness of foreign bodies in the colorectal anal canal has also been greatly reduced.

"University is like that, everyone is fooling around together." Shen Lang laughed, "Why did you lose the bet?"

"..." The young man was speechless.

"What did you put in?" Shen Lang didn't seem interested in the reason, he continued to ask with a smile.

"Cork." The young man was infected by Shen Lang's enthusiasm, and said shyly.

Chapter 0691 The Right Thinking

"It's okay, just go and take it out." Shen Lang introduced 26 letters of various colorectal and anal foreign bodies to the young man along the way.

There are still so many things, the young man always thought that he was a special case, but as Shen Lang broke his fingers and talked more and more, he felt that he seemed to be fine, and his mood became much more stable.

When he came to the gastrointestinal surgery department, Mr. Ni was speechless when he saw Shen Lang.

He knew that Shen Lang was a member of Zhou Congwen's medical team, a "backbone" member that Zhou Congwen brought from the Third Hospital of Jianghai City.

It is such a rare opportunity to be able to work in the academician workstation. Shouldn't you concentrate on studying surgery every day?

But this guy goes to the emergency department every day, and every time there is a foreign body in the rectum, he brings it over.

Mr. Ni really doesn't know how to describe Shen Lang.

"Mr. Ni, I'm here again!" Shen Lang greeted Mr. Ni enthusiastically after seeing Mr. Ni.

"Shen Lang, what patient?"

"The cork." Shen Lang approached and whispered.

"Let's take a look." President Ni greeted Shen Lang and the patient to the treatment room.

Shen Lang familiarly helped Mr. Ni prepare the things he needed. Mr. Ni looked speechless, and really didn't know what this guy was trying to do.

The patient leaned on the bed in the treatment room, his posture was a bit ashamed, but the sense of shame was diluted by Shen Lang's nagging again and again.

The foreign matter is a bit deep, and Mr. Ni tried two or three times without success.

"President Ni, can't you?"

"It's too deep, go for a CT scan." Mr. Ni said, "Go through the hospitalization procedures, and then go to the operating room to see the situation after anesthesia."

Compared with combined epilumbar anesthesia, general anesthesia has a better effect of relaxing abdominal and pelvic floor muscles.

Therefore, under the premise that it is difficult to remove the foreign body, General Manager Ni asked the anesthesiologist to choose combined general anesthesia with intravenous inhalation for the patient.

Encountered a problem, Shen Lang was not only not annoyed, but a little excited.

He leaned over to Mr. Ni, "Mr. Ni, are you going to take it after muscle relaxation under anesthesia?"

"Give it a try. I don't know if it will work. It's too deep. If it doesn't work, I'll ask Professor Wen to have a look tomorrow. I can only cut it under a laparoscope."

The method of removing the colorectal foreign body under the laparoscope was a last resort, Shen Lang looked at the young man with pity.

But what else can you do with the bottle cap plugged in?It has been 2 days since the stool came out, and the anal canal and the lower end of the rectum were seen with the retractor just now, and no foreign body was found.

Things change later, although not yet... Shen Lang suddenly thought about the screwdriver, and he talked to Mr. Ni about it.

Mr. Ni hesitated, but in the end he denied Shen Lang's statement.

If you swallow leeks and enoki mushrooms raw, it is indeed possible to wrap the screwdriver in your stomach.But the patient estimated that it was a foreign body in the colon, and a large mess of things came down along the way and went against the cork, which may scratch the intestine.

Let's go through the hospitalization procedures first, and have a checkup.

It is still possible to take it out under anesthesia, at least Shen Lang thinks so.

After tossing for nearly 3 hours, the result came out.

After admission, the patient underwent plain CT scan of the whole abdomen and pelvis. The results showed that there was a bottle-shaped foreign body shadow in the middle and upper rectum and sigmoid colon, with a size of about 4.2cm×14.7cm.The rest of the auxiliary examinations showed no obvious abnormalities.

Shen Lang was also shocked when he saw the video data.

He thought the cork the patient mentioned was the cap of a thermos bottle, but he didn't expect it to be as big as 4.2cm×14.7cm. (Note)

He really dared to stuff anything in, Shen Lang knew that this must be a big job.

Things that are more than ten centimeters have to be taken out, but they are still in the intestinal tract, so it won't work without anesthesia.

However, Shen Lang straightened out his thoughts first. Watching the excitement is watching the excitement, and gossip is gossip. What if one day he encounters a similar thing?

It must be an awesome event to be able to solve it.But it can't be solved, and the second becomes an idiot.

Because the young man didn't dare to tell his classmates and teachers, so Shen Lang could only help him.

While running, he was thinking about how to solve the problem.

After figuring out his thoughts, Shen Lang made a special call to Zhou Congwen.

"Congwen..." Shen Lang forgot the time and directly told the patient's condition.

"Shen Lang, what time is it?" Zhou Congwen didn't answer Shen Lang's question directly, but asked rhetorically.

"..." Shen Lang was startled, and glanced at the time, it was already a quarter past twelve in the middle of the night.

"I'm sorry, Congwen, I forgot." Shen Lang apologized directly without any hesitation.

Just apologizing and not distracted, he is now preoccupied with how to get the cork out.

"I just want to ask." Zhou Congwen smiled wryly, "You just said that using a urinary catheter to solve the problem is the right way, try it."

"Really! I said that this kind of patients can use urinary catheters."

"It depends on the method. I just got off the plane, and you and Mr. Ni will do it first."

"Okay!"