Chapter 545 Rectal fistula, family members who make trouble at the same time

Author: Fisherman by the River

Chapter 545 Rectal fistula, family members who make trouble at the same time

Out of caution, he always kept a certain guard against Jiang Wei.

I always feel it's a bit unreal.

Because this woman is too outstanding, she blindly defected to Zhou Can, a small hospitalist, which is somewhat inconsistent with her super high IQ and experience.

If something goes wrong, it will be a monster, and Zhou Can has to be on guard against it.

"The female patient was in her fifties and had superficial varicose veins on both lower limbs, and the left lower limb was the most severe. She was swelling before the operation. I performed a high-level ligation and dissection on her. After the operation, all the signs were stable, and the left lower limb had been pressurized. If nothing unexpected happens, she should be able to recover quickly."

He Hansheng's surgery has always been good.

He said it was okay, basically nothing would happen.

There is no difference from what Jiang Wei described.

Zhou Can couldn't help but wonder, were she too careful? Maybe she was just thinking about taking a private job and earning some pocket money.

The next day, Zhou Can went to work, and Jiang Wei changed her work clothes early and waited for him as usual.

It is undeniable that she wore a nurse's uniform and her convex figure was perfectly outlined. In addition, her appearance was very high, which was indeed quite pleasing to the eye.

Unlike ordinary beauties, her skin is healthy wheat color and her figure is extremely well-proportioned.

He is much more agile than an average woman.

I definitely have a lot of fitness.

"Hi, it's early!"

She smiled and greeted Zhou Can.

The moment she saw Zhou Can, a smile from the bottom of her heart naturally bloomed on her face. This smile made Zhou Can feel like a spring breeze, very comfortable.

"Have you been waiting for a long time?"

Zhou Can has become much less wary of her through what happened yesterday.

"I just arrived not long ago. Yesterday, thank you for introducing me to a doctor with great surgical skills. I also made a small amount of extra money." She took the initiative to express her gratitude to Zhou Can.

It can be regarded as giving Zhou Can a feedback.

"Don't be polite. I'll go in and change my clothes first."

After Zhou Can said hello, he went into the changing room in the office, changed into a white coat and came out.

Then check in with Jiang Wei.

After checking all the way, when he found a patient with rectal cancer surgery, Zhou Can checked the gastrointestinal decompressor for the patient, and asked, "How is it? Can you still adapt after gastrointestinal decompression?"

The patient is only forty-six years old, which is quite young.

Rectal cancer was diagnosed and prepared for nearly three days before the operation. Zhou Can performed the surgery on the patient yesterday.

Not only is the pre-operative preparation important for rectal cancer surgery, for example, you must control your diet three days before the operation and can only receive liquid food. Then, in order to ensure the patient's nutritional supply during the intestinal preparation, the doctor will even give intestinal nutrients.

Pepsin or Amazin are generally used.

In addition, patients will also drink 10g of water soaked in senna every day.

If the patient finds it troublesome, he can also take about 50ml of 25% magnesium sulfate orally every night.

Some patients have concerns, using senna leaves to soak in water is easier to accept, because it is like drinking tea.

"fine!"

The patient is quite strong and a tomboy.

"Continue to observe, I guess the gastrointestinal decompression will continue for about 48 hours. After the anus is exhausted, you can eat some liquid food. Today, nurses and doctors will come to expand your anus, and you need to cooperate at that time."

After Zhou Can finished the examination of the patient, he gave some explanations.

After this operation, the anus is expanded for three to four days. Depending on the patient's physical condition, the process of anus expansion will not only make people embarrassed, but also be more painful.

These are all preparations for normal postoperative bowel movements.

"Jiang Wei, take a look at her nursing plan, especially nutritional care. If there are areas that need to be optimized, you can make appropriate adjustments."

For such key patients, Zhou Can usually take the initiative to ask Jiang Wei to take care of nursing medication, nutritional support, etc.

"Everything else is good, but the amount of plasma and albumin can be supplemented, so I can adjust it slightly. Then I will formulate a nutritional combination for the patient for postoperative liquid food." She gave her comments after reading it.

"OK!"

Zhou Can nodded in agreement.

For female patients with rectal cancer, this surgery is most likely to occur in the rectum and the place where they urinate. Feces will flow out from the place where they urinate. If such fistula occurs, it is often troublesome to repair and the effect is easily unsatisfactory.

If the repair of the transvaginal simple fistula fails, abdominal surgery is generally required.

Because this patient's intestinal condition was very bad, Zhou Can was particularly worried about rectal and 'urethral' fistula. This is also the main reason why he asked Jiang Wei to optimize the nursing plan.

...

On the third day after the operation, Zhou Can's most worried thing happened.

During the rounds, according to the family members, the patient's lower body emitted a strong stench. As soon as he lifted the quilt, he smelled the unique stench of feces and his heart sank. After checking, he found that feces were indeed flowing out of the place where he was peeing.

The feces contain countless bacteria, which flow out from the place where they urinate, which can easily cause various inflammations and even cause major problems in women.

This patient's pelvic adhesion is too serious and his intestinal condition is not good.

When Zhou Can performed the surgery, she didn't feel very good.

Unexpectedly, the patient still had a rectal ‘urethral’ fistula.

This disease only occurs in female patients because their body structure is quite special. To put it bluntly, the rectum is too close to the posterior wall of the "urethra".

Especially this patient, the uterus was removed due to malignant uterine tumors.

This also increases the probability of rectal ‘urethral’ fistula.

"She must have formed a fistula in the rectum, and she needs a second surgery..."

After Zhou Can checked the patient's condition, he gave a detailed explanation to the family and the patient. On the spot, he realized that the family's face was very bad.

There was a problem after the operation, and the family members had no good face. This was normal.

"Dr. Zhou, I would like to ask, is this happening to my wife after the operation? Is it because you didn't do some parts of the operation?"

"Our doctors definitely hope to do the best surgery for every patient, but there will always be some special circumstances or accidents. My wife is prone to this rectal fistula because her uterus has been removed before the operation. In addition, her pelvic adhesion is very serious..."

"Okay, okay, I don't want to listen to your messy excuses, and I don't understand. Just tell me how to solve this problem, right?"

The family members interrupted Zhou Can's explanation with a rough wave.

It is said that poor mountains and bad waters lead to troubled people.

The couple came from a remote mountainous area and were very tight in dressing. When they asked them to prepare the surgery fee, the man was a little unhappy and bargained with the doctor and nurse. After explaining for a long time, he agreed to pay the money.

Things were over.

Now that there is a problem after the operation, the family immediately took advantage of the problem.

Zhou Can has seen many such family members. He just wants the hospital to reduce the treatment fees.

If they compromise and agree now, they will immediately gain a slight diligence and ask the hospital for compensation.

Because from their perspective, if there is no problem with the hospital, why should we compromise and make concessions and reduce treatment fees? This is definitely a sign of guilt. Since the hospital is in a disadvantage, it proves that there must be problems during the operation.

If the operation is not done well, the hospital has responsibilities or mistakes, so it is natural to give compensation.

Therefore, when encountering this type of family, unless the doctor does make major mistakes in the operation, the hospital must be forced to the end and never compromise.

"Sir, my suggestion is to perform a second operation on your wife as soon as possible to avoid causing more serious consequences and losses. Our hospital operates according to the procedures, and there is nothing wrong with it."

Zhou Can's tone became much colder.

If you encounter unreasonable family members who are blindly weak and civilized and polite, then hehe.

For many people at the bottom of society, because their living environment is worse, they need to directly follow the laws of the jungle like wild animals in order to have food to eat.

Be kind and gentle, civilized and polite, and it is not applicable to the bottom of society.

Many honest and honest people can’t even drink soup.

As long as you pay attention to the people around you, you will find that those who do well are unruly and dare to fight. If you do not do well, you will be honest and humble and courteous.

There was only one steamed bun left in the pot, but he watched someone snatch the steamed buns, but he couldn't hold his face down and reached out to grab them.

Zhou Can has quite a lot of clinical experience and has dealt with all kinds of family members and patients. So he is very clear about how to deal with such family members who want to cause trouble.

"Hmph, it's your problem, but why do you say that you follow the procedures? Do you really think of me as a fool? Call your hospital leader here, otherwise I will immediately complain to the Health Bureau and invite all the reporters from the news media to ask everyone to judge. At that time, I will see if you dare to speak stubbornly?"

A man in his forties may have done a lot of heavy work and is strong.

When he was angry at this moment, his fierce aura was quite scary.

Of course, Zhou Can is never afraid of such a family member.
To be continued...