The two of them walked to the door of the dressing room, and the woman's voice trembled a little and asked, "Could this be rectal cancer?"
”"Don't be nervous.Wait until I check it out for you. ”"Aunt Luo, give me a glove.I'll do an anal exam for her.Her daughter is an employee of our hospital. ”Li Min turned around and closed the door, pulled the screen open, and circled a space in front of the examination bed to block the view of the door and the disposal table."
You go to bed and lie like this: head to this head, face in, left leg outstretched, right foot to knee joint."
Li Min patiently taught her to put her in a left-sided lying position."
I'll go get something, you can take off your right trouser leg and lie down like you did just now.This bed is narrow, so be careful not to fall off. ”Li Min took out his mask and put it on, then took the gloves and put them on, soaked a large tweezer with potassium permanganate, and sandwiched a piece of gauze from the gauze bucket.Sister Luo cooperated and poured some lubricating oil on the gauze for her.Li Min applied lubricant to the outside of her □□, and after weighing the woman's figure, she applied lubricant to her middle finger (usually using the index finger for anal diagnosis)."
You relax, open your mouth and exhale.Oh, yes, that's it. ”Li Min slowly stretched out his middle finger in, squinted slightly, and carefully felt the touch under his middle finger.Li Min was engrossed, carefully feeling the touch under his fingers.The middle finger crosses the perianal sphincter.The first round of softness felt under the finger belly should be internal hemorrhoids, which together with large and small external hemorrhoids visible to the naked eye constitute mixed hemorrhoids."
Relax, you relax a little more."
Li Min's left hand pressed on her right iliac bone, and gently asked: "Exhale, exhale, by the way, you relax like this, and I can examine you." ”Slowly dip your middle finger in, and slowly feel the rectal wall under your finger in a circle.When her middle finger was about to reach the roots, the tip of her middle finger touched the induration."
Here, does it hurt?"
The patient frowned, "It's not painful to say, it's not very comfortable anyway." ”The hard texture of the mass protruding from the rectal wall, the surface is uneven, the size, Li Min tried to grope the edge of the mass with his middle finger, the width was more than one circle larger than the quail egg, basically could not move, as for the length, it was about half a circle close to the anal canal.That's all you get by palpation.Li Min pulled out his finger and saw that there was a little pus and mucus on the glove, and the most striking thing was fresh blood."
Is that so?"
The woman gave Li Min an affirmative answer: "Yes."
That's it. ”"Alright, you get up."
Li Min took off his gloves, threw them under the non-recyclable medical waste brand, and washed his hands with soap.The woman quickly got dressed and walked out.She anxiously asked Li Min: "Doctor Li, am I having rectal cancer?"
”"Why did you think of rectal cancer?"
The woman was embarrassed and said, "I went to the city hospital to ask me about this symptom, and the doctor said that it was like rectal cancer, so let me have an anal diagnosis first."
You say I'm almost sixty years old, but I'm also a woman!
How can I get a man to poke my □□ with his fingers?
”This answer is overwhelming.It was embarrassing to change Li Min.Sister Luo couldn't hold back her laughter.The woman said to Sister Luo: "I also know that you can't choose whether the doctor is male or female, but this matter, when I don't want to die, I am still willing to find a female doctor." ”Li Min wiped the water off his hands, coughed lightly, and said while wiping hand cream: "Since you are prepared, I will tell you the truth, the results of the anal examination are not very good."
Whether it is rectal cancer or not, you must have a proctoscopy to be able to confirm the diagnosis. ”The woman's fat body shook twice, and tears fell.She burst into tears: "Why am I so unlucky?"
It's only been a long time since I got better, and it's easy to raise a child, and I don't have to worry about food and clothing......"
Sister Luo and Li Min went to coax together, but they couldn't stop her grief.She cried to herself, and she couldn't listen to the words that the two persuaded her to wait for the diagnosis.Li Min couldn't help it, so he put it in her ear and shouted, "Don't cry."
You listen to me and you.Even if it's rectal cancer, you're at an early stage.Timely diagnosis and timely surgery, the five-year survival rate is still very high. ”"Five years?
I'll have five more years to live?
”The sobbing woman is like an old hen with her neck choked on the board, screaming sharply, a picture of not living enough, and refusing to accept her fate."
Calm down and listen to me: according to our clinical standards, living for five years is curing cancer.Got it?
”"Yes, I understand.If you live for five years, you're cancer-free, right?
”Li Min had no choice but to nod, and the woman immediately put away her tears, ignoring the embarrassing description of her crying, and asked anxiously: "Then when will I have a proctoscopy?"
”"The sooner the better.I'm going to prescribe you a proctoscopy list.If you have rectal cancer, you will need to have a colonoscopy to confirm the diagnosis.Don't cry just yet.It's time to go to the endoscopy room to make an appointment before you get off work.Don't wait for your daughter to get off work, when the endoscopy room is also off work. ”"Okay, I'll listen to you.Thank you, Dr.
Lee. ”The fat woman happily took the checklist and left, and Li Min breathed a sigh of relief, it was too much trouble to receive such a patient.Seeing that the time is past five o'clock, it's time to do a pre-work round.Li Min's focus this time is on the breast cancer patient who will have surgery tomorrow.She routinely reassures her patients: "Eat something light and easy to digest tonight, and eat five or six minutes full."
Go to bed early.If you can't sleep at half past ten, go to a nurse.I'll tell the night nurse to give you the medicine. ”The patient's face was full of strength and thanked Li Min repeatedly, but when Li Min turned to look at others, she quietly wiped away a tear from the corner of her eye.The old lady after the second thyroidectomy greeted Li Min happily when she saw her: "Girl, can I go home after removing the stitches?"
”"yes.You can go home for the 'Eleventh' and August festivals. ”The old lady immediately laughed so much that she could not see her teeth.The girl who had had her spleen removed asked Li Min: "Doctor Li, you said that my medicine cost was the culprit, but they said that my stomach was operated on, and I lost my vitality, and I didn't have a spleen, so I can't do my work in the future, right?"
”"It's not.Don't think about it so much.After the spleen is removed, it will have a certain effect on the body.When you can be discharged from the hospital after the 'eleventh', I will tell you in detail.You're going to have a good rest these days.Prioritize things. ”"Good.I listen to your Dr.
Li.But is it that if I am discharged from the hospital, the culprit party will not pay compensation?
”"This shouldn't be.I don't know much.Someone will come to you to discuss how to deal with it. ”Li Min's words obviously did not appease the girl, she frowned and nodded slowly, still thanking her politely.After looking at all three patients with burns, Li Min first went to see appendicitis for afternoon surgery.The young man was too excited, and a little wilted.Seeing Li Min enter, he tried to cheer up and speak with his eyes open."
Dr.
Li, can I eat at night?
I drank half a bowl of rice porridge this morning, and now my stomach is grunting with hunger. ”Li Min took off the stethoscope, and before it was hot, he heard a series of bowel sounds from the patient."
Listen, that's it, it's been grunting for a long time.""
And did you vent?""
It's lined up, it's been lined up early, it's a lot.Can I eat?
”The young man turned his face up, and his face was full of pleas that read "I'm going to starve to death.""
Let's have some porridge.Half full is enough.I'll talk about the rest tomorrow morning. ”"Good, good.Thank you, Dr.
Lee.How many days will I have this infusion?
”"Three days.""
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When the infusion is over, can I go home?""
It's okay to go home.But you're going to come back and change the dressing.You should also pay attention to hygiene, so that you don't get a wound or become infected, so you don't have to stay in the hospital for a week. ”"You'll have your stitches removed and then discharged from the hospital."
The young man took the girl's hand and told her not to disturb her inquiry."
Doctor Li, look, it's the 26th today, and I'll go out on the day of the eleventh, no problem, right?"
Why is this man so persistent?"
You can go out after the August Festival.Always give your body enough time to recover.You're not 18, you're 20, it's not time for your body to function at its best. ”"I'm pretty good now.""
It's sunset.You're not as fast as you're twenty, are you?
You have to serve the old. ”Li Min joked with him, "Enjoy the days when you can lie down and be lazy in the past few days."
If there is anything to do at night, go to the doctor on duty, Director Li will work the night shift tonight.Don't put up with it.Just like your appendix, if you drag it for another two hours, it will definitely be pierced. ”Speaking of the appendix, the young man finally took a break from the idea of traveling.For the appendix that is about to be pierced, both of them still have lingering palpitations.Li Min walked out with a smile, and behind him were two newlyweds who were bubbling with happiness.The old man with a perforated stomach was lying on the bed with a slightly gray face and exhaustion, which made Li Min feel very bad intuitively.However, there was nothing unusual about the data on the monitor."
Xiao Wu, what's wrong with him?"
Xiao Wu pursed his lips and smiled: "It's just over." ”Li Min was stunned.Xiao Wu whispered to Li Min: "Dr.
Yang promised him to shake the bed for him before getting off work."
I told him it wasn't time to get off work, and he didn't believe it.After waiting for a long time, the three of them couldn't hold him down" "How high is he going to shake?"
”Such a semi-recumbent position is just right."
Dr.
Yang just came.""
Oh."
Li Min looked at the watch in his hand, it was already past the time to get off work.She patted the old man's arm, "Old man, I'm the doctor who operated on you, I'll take a look at the incision on your stomach." ”The old man rolled his eyelids weakly, and snorted casually, which was regarded as a response to Li Min.Li Min lifted the quilt and saw that the incision dressing looked okay."
Xiao Wu, why are you still here?
Who's going to take your shift?
”"I'm going to have to wait a little longer, and when they're done, someone will come and take my place."
Li Min nodded and said to the family: "Try to coax him and take care of him."
At his age, he had undergone such a major operation, and if he had to be sent back to the operating room for re-stitching, the damage to his body would be too great.If you can't hold it down anymore, you have to fix your shoulders and thighs, which will be very tiring. ”"Yes, yes.I'm going to watch him tonight. ”The old man's son agreed.Li Min changed his clothes, and the elevator worker hurriedly came over."
Dr.
Li, my mother ...... there" "I just checked your mother, and I suspect that rectal cancer is very likely.Proctoscopy is done to confirm the diagnosis. ”"That's early-stage rectal cancer, right?"
The elevator worker asked indefinitely.…… () The distance is a bit far