Chapter 234: Click

Chapter 234
Zhang Fan shook his head and said to the patient, "Relax, it doesn't matter. I'll see where this thing is."
"Ok!"
Zhang Fan gently touched his fingers with lubricating oil and slowly entered. "Well, it can be touched. The problem is that the fracture here still has a certain hardness." Zhang Fan said to Lu Shuyan while he was referring.
"What then?" Lu Shuyan asked.
"I think about it!" Zhang Fan didn't dare to stimulate the and nearby tissues anymore, because it was already edema. If the irritation was more severe, it would be troublesome.
The intestinal tract and soft tissue of the human body generally have a certain degree of hardness and toughness, even if there is nothing to worry about with this soft rubber, but if it is edema, then the problem comes, a edema, tissue The thicker the cells become, the thinner the cell wall becomes, and the tissue toughness and hardness decrease accordingly.
So to remove this foreign body, you must first expand the anus, and then use tissue forceps to force this thing out, and the broken end can not touch the surrounding edema intestinal tissue.
"First of all, I can now confirm that there is a foreign body in the rectum. Secondly, the broken end of the foreign body may obviously damage the intestinal wall. Thirdly, it may enter the sigmoid colon with the peristalsis of the intestine. Fourthly, it may be because the removal of the fails. Then the foreign body enters the sigmoid colon with peristalsis, and after losing the possibility of being taken out of the body, you must perform an open surgery to squeeze this thing out of the intestine! "
Zhang Fan explained the illness to the two girls, and he had to explain it to others. This is really impossible to get out, and the intestines are peristaltic. With the development of time, what will happen, no one will I promise.
"I don't have an operation, I'm ugly on my stomach! I won't have an operation." The coquettish girl lying on her side was anxious at this time, and tears rushed, she washed the original beautiful face with thousands of ditches.
"What do you do now?" The girl in black leather was also anxious.
"I'm going to prepare the operation signature now. You sign it."
"I don't do it! Ah! Ah!" The girl lying on the side really broke out this time, the sharp voice sounded, I don't know how high that decibel is, but Zhang Fan's ear membrane was a little tingling. And this time the girl couldn't see it.
This makeup uses a lot of colors, tears rush, and then the girl is emotional, black, red, and tears, the girl's big eyes, exaggerated expressions, complex colors, Zhang Fan looks at the girl's face Suddenly there was a feeling like watching an absurd comedy.
"Don't shout. When the abdominal pressure shrinks, your gadget will go deep into the intestine. There is no way to take it." Zhang Fan said quickly while she was breathing. This girl is too energetic!
"But I really don't want to have surgery ~!" The voice was much lower, and the eyes were dark, and tears were streaming down.
"Now it is not surgery, but because this is an invasive treatment, there is the possibility of injury and accidents, so you must sign and agree as if it was a surgery. I see."
"Oh! Oh!" The two girls probably didn't understand. Zhang Fan whispered to Lu Shuyan: "Keep your eyes on, don't be surprised! I'll print a signed consent form."
"Um." Lu Shuyan looked up at Zhang Fan and agreed in a low voice. After the patient enters the hospital and is accepted by the doctor, at this time they have reached a so-called contract with each other, and the country has emphasized this contract. If the patient has an accident during this period, the doctor or the hospital has an unshirkable responsibility . Therefore, Zhang Fan had to be careful.
A simple analogy, for example, when Zhang Fan went to pick things up at this time, the girl fell off the treatment bed for various reasons and died! Then the doctor's responsibility is 80%. If there were no more witnesses, it would be troublesome. Therefore, doctors are also a typical profession where the older the rivers and lakes, the less courageous.
Zhang Fan explained to Zhao Zipeng, and after talking about a few key points, Zhao Zipeng turned to the gynecological office to print. Zhang Fan didn't want to go in for the time being, facing the patient, standing at the door and leaning on the wall. Dazed. This was a bit awkward and funny before, but now I think about it again and feel uncomfortable.
"Brother, alright." Zhao Zipeng handed the signed consent to Zhang Fan.
"Well, I went ahead. If you can't do it, you can go to Corey for a rest. There is nothing wrong here."
"It's okay, brother, hurry up and go." This is the sadness of failing the exam.
Zhang Fan turned and entered the examination room. Lu Shuyan stared at Zhang Fan but did not speak. Man is a complex animal. The horned pheasant will never submit to all rules or superiors, but most people will involuntarily approach the strong or superiors.
"This is for the patients and their families to sign." Zhang Fan handed the pen and signature to the girl lying on her side.
The humming girl signed her name. Zhang Fan said to the girl after a glance, "What if the family members sign?"
"Can she get her signature? She is my friend."
"Yes. You can sign it." Because this is an emergency checkup, the requirements are not very strict. If you have surgery, your friend will not do it.
"Are you here?" The girl in black leather asked.
"Correct."
She brushed her name down.
"Prepare lidocaine and rectal retractor." Zhang Fan said to Lu Shuyan.
"There is no rectal retractor in our department!"
"I asked Dr. Zhao to get it."
After a while, the equipment was brought. Zhang Fan said to the girl lying on her side: "I'm going to try to get this foreign body out now, it may be a bit uncomfortable. If you can't stand it, talk, but don't move. Understand Yet?"
"I see! Doctor, please be slow! I know it hurts."
"Huh!" Zhang Fan, who had been sullen, almost didn't laugh.
After Zhang Fan diluted lidocaine, he was ready to start local anesthesia. "Doctor, you must be gentle!" The girl's pitiful face ruined the tears, now it's like a tabby cat!
"Okay. Please come and hold her a little." Zhang Fan agreed and said to the girl in black.
Lidocaine is a local anesthesia, and anesthesia starts around the anus. What about this pain? Anyway, this pain is particularly uncomfortable, because the place where the anesthesia was originally a very sensitive place, so the girl also suffered.
After waiting for the anaesthesia to be effective, Zhang Fan said to Lu Shuyan, after I pulled it off, you helped me with this retractor. "Ok."
Enter slowly to minimize rectal irritation and reduce the possibility of edema. "Hold it up," Zhang Fan said. Then looked through the light from the headlights.
"Bad stuff is still fluorescent!" Zhang Fan scolded in his heart! Fortunately, this thing has a lot of threads and small protrusions on it, which has a lot of resistance. Otherwise, the shape of the front tip and the round shape will enter the sigmoid colon with the peristalsis of the intestine.
"Don't move!" Zhang Fan said sternly.
The rectal retractor must be uncomfortable, and the girl was a bit uncomfortable. However, the shape of this thing is cylindrical, and it also has lubricating oil. It is not easy to clamp. If the patient moves again, Zhang Fan will not be able to clamp it, so the tone is particularly stiff.
Slowly use tissue forceps to remove the clamps. It is too slippery and cannot be stressed. "Dr. Lu squeezes his hand down on the bladder and presses it toward the rectum. The movement must be gentle and squeezed slowly."
"Huh!" Lu Shuyan held the retractor surgically and squeezed her hand slowly. "Huh!" The girl lying on her side couldn't help but made a weird noise.
Urine is squeezed out! Zhang Fan couldn't care less at this time. When the foreign object was pressed by the downward pressing force, Zhang Fan quickly and accurately clamped the broken end of the foreign object.
Slowly moving, the girl lying on the side was uncomfortable under the pressure of Lu Shuyan, the retractor forcibly opened the back, and Zhang Fan pressed her hand against the root of her thigh again. Is it uncomfortable? To be honest it's super uncomfortable. It is estimated that there is no difference between punishment!
Move slowly, this thing is not big or small, it is smaller than the diameter of the rectum, it is easy to get in, it is really difficult to get out. And this kind of soft rubber, Zhang Fan really did not dare to clamp too hard, for fear of cracking. This removal operation can only be tried once or twice in a short time. If the number of times is too large, the will be stimulated severely, and the edema will be aggravated.
Moving slowly, just before the rectal venous plexus, Zhang Fan said loudly: "Relax the muscles, fast, just like in the toilet, quickly relax, and make a state."
The girl was uncomfortable at this time, because Zhang Fan's tone was too harsh, as fierce as if to hit her, she had to listen to the doctor in fear.
Slowly moving, the foreign body finally reached the place of the section, this place is considered a narrow place, and Zhang Fanhan has come down. At this time, if there is a shaking, this thing will go back directly.
Moving a little bit out, just at the moment when the foreign body was about to come out, Zhang Fan's other hand quickly grasped the broken end of the foreign body.
Lubricating oil, digestive fluid, mucus, and the shape of a cylinder, but also elastic, Zhang Fan almost didn't grab it, and the hand that grabbed it, Zhang Fan cold sweat all came down.
This thing is soft. When Zhang Fan tried to pinch it, it had a tendency to shrink. When wearing the gloves, the friction was not enough. When I saw that I was going in again, Zhang Fan really used all the energy of milk feeding and squeezed desperately.
This thing directly made Zhang Fan's pinch flat, and the pinched hand did not dare to move. Zhang Fan was afraid that his hand would move, this thing gave pinch slippery again.
"Needle Holder!" Zhang Fan could feel the goosebumps all over his body had been erected, and the voice of his speech had been reduced by several scales.
"Here." Although Lu Shuyan couldn't see it, she saw Zhang Fan's nervousness and carefulness. She held the retractor with one hand and slowly passed the needle to Zhang Fan with one hand.
"Ka!"
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A little tangled now!
(End of this chapter)