Start as an Emergency Physician

"I can't see a doctor like this," Zhou Yuan said in a threatening tone.

Finally, Zhihui's wife sputtered: "He... I have hemorrhoids. "

Zhou Yuan was helpless.

Ten men have nine hemorrhoids, what's so bad to say about getting a hemorrhoid.

Zhou Yuan walked over and said, "When did it start?"

Zhihui blushed and said, "It's been there for a long time, because I had a car accident and I've been lying in bed, so just..."

Zhou Yuan nodded, "Does it hurt, or do you only have symptoms of blood in your stool?"

Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids that have both internal and external hemorrhoids.

Internal hemorrhoids are pathological changes in the supporting structure of the vascular pad, vascular plexus and arteriovenous anastomosis, and external hemorrhoids are pathological dilation or thrombosis of the subcutaneous vascular plexus distal to the dentate line.

Internal hemorrhoids are generally not painful, because the site of internal hemorrhoids is above the dentate line, there is no nerve in that place, so there is no feeling, and the main feature is blood in the stool without pain.

External hemorrhoids are produced below the dentate line rich in blood vessels and nerves, and the pain is unbearable, which can make the macho man instantly turn into a, the main feature... Just look at it, and if you're lucky, you can see an external hemorrhoid the size of an egg.

As for the mixed hemorrhoids, it is very cool, the blood in the stool is still painful, and when you open the eggs outside, there may be some pigeon eggs inside.

Zhou Yuan smiled and quietly waited for Zhihui's answer.

"Blood in the stool, and... It hurts!" Zhihui gritted his teeth and said.

Zhou Yuanwan smiled: "Then you will be miserable, not internal hemorrhoids, not external hemorrhoids..."

"It's a mix of internal and external hemorrhoids. "

Zhihui's expression froze, "That... What should I do? I've been applying plasters, why is it not working?"

"You have to do some tests first to find out how big your hemorrhoids are, to that extent..."

As he spoke, Zhou Yuan began to open orders.

Ten minutes later, Zhihui's wife helped Zhihui back to the ward.

The results of the examination were sent to Zhou Yuan.

Seeing the results, Zhou Yuan couldn't help but shake his head: "Grade 3 hemorrhoids... You can bear it, but you still don't come to the doctor when you're at the third level?"

Zhihui was silent.

"Every time you sit for a long time, or when you have a bowel movement, will the hemorrhoids fall out, and you need to press it back?" Zhou Yuan needed to make sure.

The most obvious difference between second-degree hemorrhoids and third-degree hemorrhoids is that second-degree hemorrhoids will come out together when they defecate, but they run back by themselves after defecation, while third-degree hemorrhoids need to be manually restored because they are too large and heavy, and the skin elasticity of the hemorrhoids growth point is not enough.

Zhihui blushed: "Yes... You've seen a lot of hemorrhoids, doctor, haven't you?"

Zhou Yuan shook his head: "The first time." "

"It's the first time I've seen an egg-sized hemorrhoid..."

Zhou Yuan pondered.

I originally thought that the egg-sized hemorrhoids were just a joke, but I actually touched him...

"Chickens... Eggs?!" Zhihui was dumbfounded.

"Doctor, what should my husband do?" asked Zhihui's wife.

At this time, Zhihui's strong aunt stopped talking, just stood far away, staring at this side.

"Don't worry, it's not a big deal, just remove it. Zhou Yuandao.

"Extraction..."Zhihui was silent

Although he had already experienced an anoscope just now, Zhihui was still reluctant to let people go under the knife in his own place.

What if it is cut?

Zhihui asked cautiously, "Can I not cut it off?"

Zhou Yuan admired the egg and nodded slowly: "Of course you can..."

Before Zhihui could breathe a sigh of relief, Zhou Yuan continued: "It's just that your egg will continue to grow. "

"What's the matter, can you hatch chicks?" Zhihui subconsciously answered, not realizing what the egg in Zhou Yuan's mouth meant.

Zhou Yuan was stunned for a moment and said: "If it is not removed, the third-grade hemorrhoids will continue to develop, which may cause rectal prolapse, fissure, etc., and then it will not be just a problem of hemorrhoids." "

Zhihui had no choice but to endure the pain and nodded.

Zhihui's wife ran to her aunt's side and whispered a few words, and her aunt immediately walked in front of Zhou Yuan in a hurry.

"Isn't it just a hemorrhoid, isn't it just a hemorrhoid?" Aunt Zhihui was aggressive.

Zhou Yuan patiently explained: "Now the patient is only a third-degree hemorrhoid, the size of an egg, and when it develops into a fourth-degree hemorrhoid, it may become a goose egg, and it will also cause mucosal erosion in the dentate line area, bare small blood vessels, and so on." "

"It's a more secluded place, so it's more troublesome to treat and more painful for the patient. "

Aunt Zhihui shook her hands and didn't do anything: "What kind of eggs, goose eggs, how can eggs become goose eggs! You doctors bully me, don't you understand? I have checked on the Internet, hemorrhoids are a very common disease, usually pay attention to diet, take some medicine or something, it will be fine, I have never heard of surgery!"

"Sister..."Zhihui's mother wanted her to stop talking.

"Don't stop me, the hospital is where the black man's money is! Tell me, isn't it just a car accident? One moment tell me that I have broken bones, and the next moment I have a ruptured spleen, and now even hemorrhoids are coming out!"

Zhou Yuan ignored Aunt Zhihui, bypassed her, and lifted Zhihui's quilt to check the healing of his legs.

However, Zhou Yuan found that the patient's left lower limb was swollen and was stunned.

Zhou Yuan tried to press the swollen part of the patient's left lower limb and asked, "Does it hurt?"

Zhihui gritted his teeth and nodded: "It hurts a little." "

Zhou Yuan sighed, looked at Aunt Zhihui, and said, "Now, he not only has hemorrhoids, but also has venous thrombosis in his lower limbs. "

The four of them were stunned.

"What is the blood clot? Why did the blood clot happen again? It was fine when it was sent, did your doctor do it?"

When Aunt Zhihui said this, He Jianyi and Haiyang happened to come here.

Hearing this, the faces of the two became ugly.

"What's wrong?" He Jianyi walked over.

"Look at this doctor, one moment he said that my family Zhihui hemorrhoids needed surgery, and the other time he said that he said that he had venous thrombosis in the lower limbs, does he understand it!"

Zhou Yuan was not a clay man, he was already a little angry at this time, but he endured it.

He Jianyi didn't look at the examination results, just looked at Aunt Zhihui and said, "Dr. Zhou is one of the best doctors in our emergency department, since he has made a judgment, it means that the patient does have these problems." If you feel that our diagnosis is inaccurate, then you can transfer to another hospital. "

"Your hospitals are all in a gang, and now you have caused a bunch of problems with my child, so let's send people to other hospitals to make money? I checked on the Internet, you can just give him some xx dragons, don't think about surgery to make money!" Aunt Zhihui emphasized the word money.

Zhou Yuan frowned and said, "If you think that what you checked on the Internet is more correct than our doctor's diagnosis, then you can see if the egg will become a goose egg." "