When doctors have a simulated operating room

The hospital is in a state of panic.

There are too many patients in Union Hospital, and the inpatient department upstairs is often in short supply.

How many people are trying their best to get a bed in Union Hospital for treatment.

Sometimes, a patient comes to the emergency department, and the inpatient department upstairs can't vacate a bed for hospitalization, so these patients can only wait in the emergency department.

They can only arrange admission after a patient is discharged from the hospital.

One day, two days, three days, as long as the patient is not in danger of life and needs rescue, they can only wait here.

And the patients can't complain.

Because this is Union Hospital.

All the patients with difficult and complicated diseases that can't be cured from all over the country are sent here.

So many people are waiting for that one bed, so they have no choice.

So sometimes, if it is a minor surgery, the emergency department can actually help.

However, after the surgery, you can only stay in the emergency department, and there are no professional nursing measures like those in the anorectal surgery department.

The patient nodded in understanding:

"No problem, it's just a hemorrhoid, can it kill me? I'll go home after lying down for two days after the surgery."

"Hemorrhoidectomy is not as easy as you think. Usually the first day after the surgery is the most uncomfortable."

The patient waved his hand and urged:

"It's okay, it has to be cut anyway, the sooner I die, the sooner I'll be reborn. I have to rush to work."

Seeing that the patient agreed, Wang Yufei communicated with the anorectal surgery doctor and transferred the patient to the emergency department.

Preoperative preparation, blood test for blood routine, coagulation and infectious diseases.

After confirming that the results were all right, the patient was sent to the emergency operating room.

Hemorrhoidectomy is very simple, which is to cut off the protruding flesh mass by suturing or removing the hemorrhoids.

Wang Yufei was also very quick.

In less than 20 minutes, the three hemorrhoids were removed.

After finishing, he showed the three dark brown blood clots in the curved plate to the patient and said:

"These are your hemorrhoids, a total of three, all removed for you."

The patient was given local anesthesia, and he had no feeling in his body except his anus.

After seeing the three small hemorrhoids in the curved plate, he immediately shook his head in disgust and said:

"Oh my, so disgusting."

"Pay attention to your diet in the future, don't eat too spicy food, try to smoke less, and exercise more.

This disease is still closely related to lack of exercise."

Wang Yufei bandaged and reminded.

The patient was relieved and responded repeatedly:

"Okay, okay, no problem, I will take good care of myself when I go back."

The hemorrhoids are gone, and I can finally go out and have fun openly!

Alas~!

After leaving the operating room, the nurse sent the patient to the emergency department on the third floor.

Everything went very smoothly.

In the eyes of the doctors in the emergency department, it was just an ordinary hemorrhoid surgery.

It was over, it was over.

But...

Early in the morning of the third day.

The patient had blood in his stool.

Wang Yufei had told the patient during his rounds on the first day after surgery that the first and second days after surgery were the most uncomfortable.

The gauze for hemostasis was inserted into the anus to stop the bleeding, which was like wanting to defecate but not being able to, and it was painful.

I thought it would be much better on the third day.

As a result, when the gauze was removed in the morning and the patient was about to urinate and defecate on his own, the nurse brought the bad news.

"Bloody stool? Impossible!"

Wang Yufei was confused.

What's going on?

It's just a hemorrhoid, how can there be blood in the stool?

Could it be that the wound has split?

When Wang Yufei heard the nurse say this, he hurried to the ward to check the situation.

Fortunately, the bleeding was not much, but since it was already the third day and it was still bleeding, it meant that there was something wrong with the wound.

The patient also asked with a puzzled and annoyed expression:

"Doctor Wang, why am I bleeding again? Didn't you say it would heal in two or three days? What's wrong with me?"

Wang Yufei didn't know the situation and couldn't explain it, so he could only ask:

"Did you use too much force when you were defecating? It's not long after the operation, so don't use too much force, it's easy to open the wound."

The patient spread his hands helplessly and said:

"I didn't, I was so careful that I was afraid that I would bleed if I used too much force, but I didn't expect it to still bleed. What should I do now? Do I have to have another operation!"

"Let's do a colonoscopy first to see the situation."

Although the patient was very annoyed, he was also a young patient and was easier to communicate with.

Then he limped to pay the fee, and then followed Wang Yufei to do a colonoscopy.

He happened to meet Zhang Yi and Chen Fang who were bringing patients for examination in the colonoscopy room.

Zhang Yi saw a patient today, who also had a heart attack and needed thrombolysis.

Now he brought the old man to do a cardiac ultrasound.

In winter, due to weather reasons, myocardial infarction and cerebral infarction occur more frequently, especially in the elderly.

Most of the patients in the cardiac surgery department during this period are myocardial infarction patients and congenital heart disease patients.

Wang Yufei took the initiative to greet Zhang Yi after seeing him.

Zhang Yi also nodded to him.

Although this person followed Kang Yanming, they were all from the same hospital, so it was better for everyone to be polite and kind.

Then, Zhang Yi glanced at the patient next to Wang Yufei.

Zhang Yi knew that this was a hemorrhoid patient as soon as he saw the wound in the rectum.

But...

Why is he still bleeding after the operation?

Zhang Yi glanced at it lightly and didn't care too much.

A minor disease like hemorrhoids can definitely be treated in the emergency room, so there is no need for Zhang Yi to intervene.

In the colonoscopy room, the doctor inserted the colonoscope into the patient's rectum.

As soon as he entered, he found that the previous wound was bleeding.

But it has been three days since the operation, and it should not bleed again, but why is it bleeding suddenly today?

What is the reason?

"Look inside again to see if there are any other problems."

The camera continued to move forward.

Sigmoid colon, small intestine, ileum...

Every bend and fold was carefully checked.

In the end, no problems were found.

This made Wang Yufei even more confused!

Why is it still bleeding on the third day of a hemorrhoid surgery?

And the amount of bleeding is still 50 ml?

"Forget it, since the cause has not been found, forget it." Wang Yufei signaled the colonoscopy doctor to stop.

After the examination, the patient was sent back to the ward.

As soon as he returned to the ward, the effect of the anesthetic wore off.

As soon as he opened his eyes, he immediately asked:

"What's wrong, doctor? What's wrong with me? Why am I bleeding? When can I be discharged?"

Wang Yufei explained:

"I had a colonoscopy and found that the hemorrhoid wound was bleeding. No other abnormalities were found.

I have stopped the bleeding again and given you some hemostatic medicine.

It should be healed in two days. Everyone has a different constitution. You may recover more slowly from the wound."

The patient bit his lower lip, feeling helpless, but he could only listen to the doctor.

This incident was a small episode.

Wang Yufei thought that this person had checked the four coagulation tests before, and the results showed that there was no problem.

So the cause of the bleeding this time should be that the patient was too hard to defecate.

After thinking about it, Wang Yufei felt that the patient should be much better after two days.

But he didn't expect...

Two days later, the patient was bleeding again!

And the amount of bleeding reached 200 milliliters!