The road to the rise of great doctors

Chapter 69 Organ Prolapse
In the early morning, after a little tidying up, Liu Dong and Li Xiao arrived at the Affiliated Hospital of Medical College one after the other.

After entering the gate, the two separated and hurried to their respective destinations.

In different scenarios, the two call each other differently. When others hear their communication, they usually think it is communication of a working nature.Moreover, in fact, the two had no face-to-face interaction in the hospital.Therefore, so far, the relationship between the two has not been discovered by others.The two of them were also so happy, and they didn't mean to show off in the slightest.

Liu Dong came to the gynecological ward and said hello to the doctors, nurses, patients and family members he had met along the way.

He walked directly to the nurse's station, took out his small notebook and pen from his pocket, picked up the nursing record, and quickly found the information he wanted at a glance, learned about the changes in vital signs and outcomes of the weekend patients, and transferred the key Record information such as time points and numerical values ​​in your own notebook.After that, he went to check the doctor's orders. After doing this, he basically understood the patient's condition over the weekend.Then, he walked to the bedside and briefly communicated with the patients one by one to understand their oral feelings and determine whether there were any discrepancies.If not, end it. If yes, continue to ask a few more questions and record them.In this way, when the official ward rounds or medical orders change, whether it is asked by the superior doctor or he changes the medical orders today, he will be able to deal with it with ease.

"Doctor Liu, a new patient has come to our hospital. He lives in bed 01. Can you go and see him?" A little nurse walked to the door of the doctor's office and said to Liu Dong inside.

"Okay, I'll go right away, thank you." Liu Dong responded immediately after hearing this.He picked up the paper and pen, walked to his classmate Shan Jiajia, and asked, "There is a new female patient. She will be examined for a physical soon. Please come with me."

Feng Shui turns around, and when male doctors work in obstetrics and gynecology, they can't say anything.According to ethics or to avoid suspicion, when performing a physical examination on special parts, if the person is of the opposite sex, according to the requirements, there needs to be another person of the opposite sex present. A female doctor, female nurse, female caregiver or female family member of the patient needs to be present. One on the side.

In the obstetrics and gynecology department, the patients admitted are women. As a male doctor, Liu Dong needs a physical examination for consultation, and the physical examination requires a female colleague.Most nurses have their own jobs, but if not, it is a good choice.After all, intern doctors are still light in weight and can easily be ignored by nurses.At this time, the female classmate is a helpful helper.

After Shan Jiajia heard this, she agreed without worrying about the matter at hand.I decided to wait for him in the gynecological examination room in 5 minutes.

Liu Dong walked to the bedside of 01 and said to the patient, "Hello, I am Liu Dong, the doctor in charge of the bed. I want to ask about your situation.
This is a patient with pelvic organ prolapse. As the name suggests, the pelvic organ prolapses into the private parts or outside the body.Depending on the prolapsed organ, the specific name of the disease is also different. Pelvic organ prolapse is a general term for a class of diseases, which can occur alone or in combination.

There are many causes of pelvic organ prolapse. Common factors include people who participate in heavy physical activities or labor too early after pregnancy and childbirth. As people age, the pelvic floor muscles relax and become unable to support the prolapse. Easy to get; chronic cough, abdominal effusion, frequent weight lifting or constipation may cause the pressure in the abdominal cavity to gradually increase, which may lead to pelvic organ prolapse and so on.

This patient is called Shi Hong, and she has had this kind of prolapse for 5 years.It was lighter and less obvious at the beginning; then it gradually worsened, but it can be recovered; but recently it has become more severe, not only the size of the things exposed outside is getting larger and larger, but also showing a certain regularity, such as in the morning It is mild and worsens in the afternoon and evening after heavy activity. It changes from being able to return after resting to being unable to return. There is an obvious feeling of falling when walking, and walking is very affected.She used to be able to make do without seeing a doctor, but now it has a great impact on her life, which is also the main reason why she came to see a doctor.

Based on the history taken, the diagnosis of pelvic organ prolapse was confirmed.However, the specific degree of prolapse and the prolapsed organs require a gynecological examination to make a clear diagnosis.A physical examination was performed at the outpatient clinic, and the outpatient doctor also wrote a preliminary diagnosis on the admission notice.However, every experienced doctor cannot completely listen to other people's descriptions and make his own judgment when writing a document.Every step and every sentence written should come from first-hand information.Therefore, the bedside doctor also needs to ask about the medical history and perform a physical examination, instead of just asking and examining everything in the outpatient clinic.

After Liu Dong finished asking about the medical history, he said to Shi Hong, "Ms. Shi, you still need a specialist physical examination, please follow me to the examination room. A female colleague will do your physical examination with me."

"Oh, Doctor Liu." After hearing this, the patient got off the bed and followed him in his slippers.

Specialty gynecological examinations are generally performed in the examination room.Because private parts are involved and need to be clearly exposed, the lithotomy position will be used.The examination room usually has the same examination bed as the outpatient clinic.

After Shi Hong followed Liu Dong in, she directly said that she was also a doctor from another department, so she was very understanding and cooperative.After she saw that besides Liu Dong, there was another female doctor, she was also very relaxed and did not show resistance.

"Ms. Shi, please lie on the bed, and then you need to pull down one of your trouser legs to facilitate the specialist examination." Liu Dong said, adjusting the height and width of the two leg brackets on the examination table to facilitate Shi Hong's placement. ,Check.

Shan Jiajia also prepared the examination instruments and placed them aside.

After Shi Hong lay down and put his legs up, Liu Dong adjusted the direction of the light, and then both he and Shan Jiajia put on disposable gloves.

Shi Hong was lying on her back, and Liu Dong told her, "Hold your breath downwards and keep it there. That's it." Then he wrote down the degree of prolapse.Next, an abdominal examination and bimanual examination were performed.

This patient gave birth to a child and gave birth naturally. According to the medical history, there was a 5-year history of prolapse of the tumor and it was getting heavier, which was consistent with the symptoms of pelvic organ prolapse.

After checking, Shan Jiajia handed Shi Hong some tissues so that she could wipe them clean before going back to the room.When necessary, we will go to her again for arrangements for subsequent examinations, diagnosis and treatment, and the two parties will have further communication at that time.

"Thank you." Liu Dong expressed his gratitude to Shan Jiajia, and then returned to the office to give medical orders and write down medical records and course of illness.
(End of this chapter)