Chapter 230: Start clinic

Chapter 230
Anorectal, the first impression that gives people is the department for treating hemorrhoids. In fact, otherwise, the anorectal department is a department that deals with diseases of the digestive system, and there are many diseases in this department. The specific etiology is a department that has not been studied clearly. The cause is unknown, so it is difficult to prevent it.
Take the hemorrhoids that everyone is most familiar with. At present, the mainstream doctrine thinks that there are two reasons for the formation of hemorrhoids. In plain words, one is that the blood vessels of the hemorrhoids are blocked. Such as long-term sitting, constipation, pregnancy, enlarged prostate, giant pelvic tumors, etc., can cause rectal vein reflux obstruction.
In fact, this argument is not much supported by everyone, but there is no evidence against it. The most mainstream doctrine of Western medicine, in popular language, is that the contraction is weak, and there are many reasons for its formation.
Because the cause is unknown, it is very uncertain to prevent it. In the words of the doctor, almost all of the bad habits and lifestyle habits can cause this disease.
The director of the anorectal, other than that, the level is still good, and the department can perform a lot of operations, so at the level of the regional hospital, this department is still above the standard, but it is because of this marriage problem that The department has no combat effectiveness.
There is no director, only Zhang Fan went to the clinic himself. Zhang Fan was given to the anorectal clinic in the first outpatient clinic. He brought a drinking glass and a nurse, and Zhang Fan went to the clinic.
The young patients in this department are almost the same as the elderly patients, and because they need to be examined in special places, there is a difference between men and women, and it is more convenient to bring a nurse.
After seeing Zhang Fan, the head nurse of the clinic greeted Zhang Fan with a smile: "Dr. Zhang, have you come to the clinic?"
"Yeah, head nurse."
"Then I put your name up."
"Good head nurse, thank you." Zhang Fan greeted politely.
When I walked to the corner of the corridor, I met Xue Fei of Orthopedics. Zhang Fan and orthopedics had the best relationship with him, and this person was also an enthusiastic person. When he was treating the injured soldier, Xue Fei tried to provoke Ouyang. Risk, specially reminded Zhang Fan, Zhang Fan was very kind to Xue Fei.
But this guy doesn't care, the work level is average, although it is attending, but the technology is much worse than Zhou Chengfu who is also attending. When Zhang Fan has not monopolized the surgery, he occasionally sneaks out to go to a hole. of. And this guy, all his mind is used on Mahjong.
"Why, Director Zhang officially took office today?" Zhang Fan entered the anorectal department to temporarily manage the anorectal department. People in surgery know that because they are all in a surgical building, the news spreads very quickly.
"Yes, I went to the clinic today. Why are you Dr. Xue, are you out of the clinic today?" Zhang Fan was lazy to compete with him. The more you explain, the more vigorous he is. .
"Say you're fat, you really started to pant, don't you just look at the chrysanthemum? You're so proud of it." As a result, Xue Fei raised her little thumb and despised Zhang Fan.
"Hey, don't look down, wait until you play mahjong and hemorrhoids. I will definitely check it with my thumb."
"Hmm! Hmm! Hmm! You have hemorrhoids because of your crow's mouth. Seriously, you won't come to orthopedics in the future, and I'm counting on you to cover me. You really won't look at the anorectal The director of this department is here. "Xue Fei is still in the orthopaedics department. The orthopedics department is separated. The three orthopedics departments desperately have another operation. He can't get many operations. Lao Gao is also dissatisfied with him.
"Brother, please ask for more blessing, I went to the clinic." Zhang Fan went to the anorectal clinic. Xue Fei's attitude is the idea of ​​many doctors. Although Zhang Fan is very technical, he can be a department director, and everyone thinks it is impossible.
The nurse Zhang Fan brought was Chen Xiaoli. The child was only two years old and was a young woman. Among the nurses in the anorectal department, she was a skilled nurse with sharp hands and feet. The head nurse specifically asked her to help Zhang Fan.
The first patient was an acquaintance, older than his head. Shao Hua, a neighbor uncle in their old community, was in his sixties. Shao Hua's father's chess friend, the two of them quarreled for three days and reconciled for two days. If they don't see each other for a few days, they will miss each other a lot. They even saw Zhang Fan several times and said hello.
This old man is a little uncomfortable these days, because it is uncomfortable in the buttocks, and he is embarrassed to tell his children that he will register with his wife to see a doctor. When he entered the anorectal clinic, Zhang Fan was the first one. Because the doctor is an acquaintance. There was a smile on his face at first, but when he thought about it, he was a little embarrassed.
"Father, come in, why are you standing at the door?" The first patient stood at the door and froze. Zhang Fan was happy when he saw an acquaintance, but he couldn't help but laugh.
"Ah! Dr. Zhang, you are in the anorectal department."
"Yes, Father."
"Aren't you in surgery?"
"Anorectal surgery belongs to surgery. What's wrong with you? That's uncomfortable." Zhang Fan couldn't follow him. There are so many old people. If you follow him, you can talk to the afternoon.
"There is nothing wrong with it, but I have always been coughing recently." Old Yuto is really a little embarrassed. This is the embarrassment, because this is a little embarrassed, he started to be vague about his symptoms.
Such a vague, his wife couldn't help but, "The doctor is still busy, this is not your chess stand, Dr. Zhang, he has no idea what happened recently, coughing for no reason, and sometimes a cough, that Here comes an intestine! Whatever you say, how old you are, you're still embarrassed! "The old lady said in one go.
"Oh, this is the case. Father, how long have you been coughing, have you had a fever, not much phlegm, and any other symptoms?"
"No, well, I started coughing for no reason, and my throat didn't itch, but I couldn't help but cough unconsciously."
"Oh, this ~" After talking, the old man started to cough. When he heard this, Zhang Fan knew that it was not an irritating cough, it seemed to be a cough caused by abdominal pressure, because the cough was very low, Discontinuous.
"It seems to be coming out!" Lao Yu's head and face turned red, like a child doing something wrong, with his eyes down and afraid to look at Zhang Fan and his wife.
"The intestines are coming out again?" His wife had a big voice, and the old lady was a little bit tigerish, not paying attention to his old man's mentality. "Noisy! It's not laying eggs, it comes out, what are you shouting!" The old man was really ashamed.
"It's okay, Father. Don't worry, you climb to the examination bed and I'll check it for you."
The nurse helped the old man to lie on the examination bed, and Zhang Fan began to wear gloves. "Girl, you pull the curtain and you go out!"
"Okay, uncle." After the nurse helped him to lie on the examination bed, he closed the curtain.
"Uncle takes off his pants."
People are old and have difficulty moving. With the help of the old lady, she took off her pants. Zhang Fan saw, "Hey! A mass of meatballs came out of the anus, like a meatball in the middle of the ass!"
This disease is really embarrassing. The comes out with a little hard stool in the early stage. After that, it retracts into itself. With time, this is troublesome. Force and cough can cause rectal prolapse. Sometimes When you walk, you have to cover your with your hands, or it will fall out!
Prolapse, if it can be accepted, it is not bad. If it is not received in time, strangulation necrosis can be formed as soon as the is swollen, so the disease is really embarrassing.
I'm busy today. I feel that there are few people watching. Just two more!
(End of this chapter)