The road to the rise of great doctors

Chapter 21 Helping others makes you happy and I am happy
The next day, Zhang Meng arrived at the door of the ward early in the morning, waiting for the doctors to finish checking the room. After the door of the ward opened, he walked in as soon as possible.

Before coming, he had already learned about the management of the ward and the ward where Liu Dong was located.The ward usually allows the family members or nursing staff who accompany the patient to leave temporarily after meals in the morning and when the doctor takes over the shift to conduct ward rounds and operations, and only opens the door after the ward rounds.

Then, when the doctors need to perform surgery, they go to the operating room, and when they need to explain the condition to the family members, they go to the patient's family to talk and communicate.
After finishing the work, there will be a short free time.

Zhang Meng found Liu Dong in the doctor's office.

"Senior Brother Liu, I'm here." Zhang Meng greeted.

When Liu Dong saw him, he said, "Come to the dressing room with me. I'll check your body first."

The two arrived at the dressing room. Zhang Meng unbuttoned his pants and Liu Dong put on disposable gloves and did a physical examination. It was indeed a simple disease and there was no accident.

After Liu Dong read it, he briefly communicated the situation with Zhang Meng. Since there was no redness or swelling, the surgery could be performed at any time.

The indications for surgery were handed over again. In this case, surgery is actually possible, but if you pay attention to cleanliness and no recurrence of inflammation, surgery is not necessary.But Zhang Meng still insisted strongly, so there were still indications for surgery, but they were loose.

Generally speaking, there are several indications for surgery: First, the head should be completely wrapped so that it cannot be exposed. This is phimosis. Under repeated urine stimulation, smegma will remain, just like long-term phimosis. Not taking a shower will accumulate a lot of dirt.And long-term stimulation of this kind will cause repeated inflammation inside, which can easily develop into cancer. In the past, cancer was discovered in around [-] years old and then underwent surgery.Therefore, this is an absolute indication for surgery.

Second, recurrent inflammation means repeated redness, swelling, and pain. After speaking, it must be controlled and cleaned with medicinal baths, which is very painful for the patient.This happens to both young and old people.Some elderly people have no one to take care of them, or even if they are taken care of, it is not convenient for others to clean this area frequently.It is easy to get inflammation again and again.Sometimes you need this surgery as you get older.

Third, a new growth has grown.After removing this thing, send for pathological examination to help the diagnosis.Then during the operation, a leather bag can be made together.

Fourth, regarding children, if the head is not exposed before puberty, some theories believe that the development here may be restricted, so there is a wave of surgeries before puberty.According to the textbook, the most suitable time for surgery is preschool.Physiological phimosis is usually present after birth and may appear later.Don't rush to deal with it, you can observe and see.

Liu Dong asked Zhang Meng to wait in the office for the time being, and then went to see Zhu Guoliang in the offices of the hospital's resident doctors and attending physicians.After all, although Liu Dong thought he could handle it, he had not yet obtained the qualification certificate and was not registered to practice, so he needed Zhu Guoliang to be the surgeon.

"Teacher Zhu, there is a junior who wants to do circumcision. I saw that it is indeed a simple case of overlong skin, no phimosis, but it has been inflamed several times before, so there are indications for surgery." After Liu Dong found Zhu Guoliang, He said to him: "He is still a medical student and wants to see if he can charge less."

"If we charge less, we won't go to the operating room. We'll go to the cystoscopy room in our department and do ultraviolet disinfection. I'll make a call there and prepare the electrosurgery, incision bag, and absorbable thread." Zhu Guoliang responded, "Please pay attention to the time when there are fewer patients there. When the disinfection is ready, call me and I will go over."

"Thank you." Liu Dong returned to the doctor's office, told Zhang Meng the situation, signed the informed consent form, and asked him to apply for an outpatient treatment card.You can save the surgery fee and part of the cost, but the consumables still have to be charged.

Zhang Meng expressed his understanding and gratitude at the same time.

This situation is very common in hospitals. Some people especially want to find an acquaintance or someone with good skills when seeing a doctor. They don't feel embarrassed to trouble people or let acquaintances see their private parts.After all, it’s about health, and that’s what this profession is about.It's like going to an agent when buying a house. Are you afraid of troublesome them?What I'm afraid of is being "slaughtered".There is no such thing as "premium" surgery. After all, the results and costs are here, which is relatively transparent.

Some people don't want to go to an acquaintance for medical treatment. Meiji has doctors he knows who are highly skilled, but he insists on finding a doctor he doesn't know.If you feel any discomfort after the operation, you can go to an acquaintance to see how to solve it.It’s true that everyone has different aspirations and ideas.

Because I had to take up my lunch break, and in order to save a lot of money, I invited my colleagues in the cystoscopy room and Zhu Guoliang to have a packed lunch at noon.

After lunch, Liu Dong brought Zhang Meng to the operating bed here.Liu Dong checked again and found that the surgical equipment here was basically complete. He had prepared lidocaine and saline, syringes, sterile gauze, absorbable thread, etc. After adjusting the lights, Zhu Guoliang sat over.

"Xiao Zhang, don't be nervous. This is just a minor surgery. Dr. Liu Dong has already performed several surgeries with me." Zhu Guoliang said, and then motioned to Liu Dong to apply local anesthesia.

After anesthesia, Zhu Guoliang checked and questioned Zhang Meng and confirmed that there was no obvious pain in the area about to be operated on.

He then signaled Liu Dong to continue the operation. According to the surgical requirements, appropriate skin should be retained at a certain distance from the coronal sulcus, and then circular excision would be performed.Zhu Guoliang used gauze to dry the bleeding spots and cooperated with Liu Dong to stop the bleeding.

Then use absorbable thread to sew intermittently, keeping appropriate spacing, and sew, tie, and cut the thread in one go.For surgeries performed at this age, you can see that the color is still somewhat different, but here it is clearly freed from restraints and energetic.

Liu Dong cut the oil emery cloth, white sterile gauze and elastic bandage into appropriate widths. After bandaging the incision layer by layer, he simply helped Zhang Meng wipe away any traces of disinfection and bleeding around it.Then Zhang Meng was asked to lift up his pants and leave.

When signing the informed consent form for surgery, Liu Dong had already carefully informed Zhang Meng of all the postoperative precautions.

The operation is small, which means the operation is simple.But there are no shortage of things to pay attention to.Only by combining surgery and postoperative precautions can we have a good process experience and achieve ideal results.

To suppress erection, it is mainly to reduce the tension of the surgical incision, especially to avoid frequent erection for a period of time, whether married or unmarried; to change dressings on time, to check the healing status and whether there is infection; to keep it clean and dry.
On the way back to the ward, Liu Dong looked at the progress of the task (6/10), then held his forehead with his hand, forgetting about the sutures of this kind of surgery. Major surgery is not enough, you can make up for it with minor surgery.
If Zhang Meng recovers well, he can develop a batch of "task sources"
(End of this chapter)