The Surgeon’s Studio

His conversation with Little Rock was interrupted by Su Yun’s call.

“Boss, Department of Urology, come quickly!” Su Yun said anxiously.

“Eh? I’m at Little Rock’s place. What’s the matter?”

“It’s a patient with a foreign body in the urethra. Vice President Yu can’t be sure, so you can help to give him some advice. ” Su Yun said,”don’t waste time. Hurry up!”

After that, he hung up the phone. He seemed to be very busy.

Zheng Ren didn’t take it seriously. Human beings had an infinite amount of curiosity for a urinary foreign body, just like a rectal foreign body. This was all old Mister Yuan’s fault. In other words, he had nothing better to do.

“Brother Yun is looking for you?” Little Rock asked.

“Yes, he said that there’s a patient who wants me to take a look.” “You’re a doctor,” Zheng Ren said with a smile.”Looking at strange cases is a way for you to grow.”

“You go ahead, you don’t have to stay here with me.” “Give me the hospital’s wireless password, I’ll play it myself,” Little Rock said with a smile.

As he spoke, he patted the cell phone box beside him.

Zheng Ren was about to say something when his phone rang. He took it out and saw that Su Yun had sent him a picture.

Zheng Ren was dumbfounded after taking a look.

The X-ray film showed that there were six nails in the urethra at first glance. But upon closer inspection, there were three nails and two nails side by side, and the images overlapped.

A total of nine iron nails appeared in the urethra, but none of them fell into the bladder. They blocked the urinary tract tightly.

This … Zheng Ren’s body acted on its own. After seeing the picture, he immediately stood up and strode out of the ward.”Ask the nurse for the password.”

With that, he opened the door and left.

When he arrived at the Department of Urology, director Yu was looking at an X-ray. Su Yun was standing by his side, sighing as she looked at it.

“Boss, you’re pretty fast.” Su Yun saw her boss flying over, which was more in line with her expectations, so she said with a smile.

“Where’s the patient?” Zheng Ren frowned and asked,”is the nail stuck? Why didn’t it fall into the bladder?”

“I guess it’s stuck.” President Yu said,”the patient now has difficulty in urinating. He has frequent, urgent, and painful urination, but it’s almost impossible to discharge it. It’s said that he hasn’t drunk much water for three days.”

“……”

He hadn’t had any water for three days, how bad must he be? Zheng Ren frowned as he looked at the scan.”Where’s the patient?” he asked.

“He’s handling the admission procedures. ” President Yu said.

“Don’t you have a companion?”

“No, I said I’d help him, but he seemed a little worried.” President Yu said,”boss Zheng, it’s fine. He’ll be back very soon.” Walking was fine, but it was a little inconvenient. From the looks of it, it doesn’t seem like drinking too little water has led to ion disorder. It shouldn’t be a problem to go through the admission procedures. “

“Boss, why are you so nervous?” Su Yun asked.

“This is the first time I’ve seen this.” Zheng Ren said,”I’m afraid that there will be other complications. Nine Nails …”

“It’s rare to see so many strange things. ” Su Yun said in disdain,”President Yu, show the boss your surgical skills later.”

“Brother Yun, you can’t curse like that.” President Yu said,”I don’t even know how to perform this surgery. I think we’ll have to ask the Department Director.”

“Can’t you be a little more promising? It can be taken out with a urethoscope or urethrolaparoscope. It’s not a big deal. ” Su Yun said,”the point is that this guy is too ruthless. I’ve seen one or two nails before, but Nine Nails. Isn’t he afraid of trouble?”

“Brother Yun, don’t say that. This thing has been in there for God knows how long. ” President Yu waved his hands.”Look at these three nails. They’re all side by side. I think they’re stuck pretty badly.”

“Do you need a bladder fistrosion?” “I can see that there’s a lot of urine in the bladder,” Zheng Ren said.”The patient probably doesn’t dare to urinate because of the severe pain.”

“I told you to perform bladder fistulation first and draw out the urine. But the patient refused, he …”Vice President Yu sighed.” I was worried that something might happen, so I asked Brother Yun to come and take a look.”

“You saw the patient?” Zheng Ren asked Su Yun.

“I don’t see him … Speaking of which, it’s been half an hour since he went to the hospital. Why isn’t he back yet?”

“Let’s go take a look. ” Zheng Ren said.

“Let’s go,”he said. President Yu knew that boss Zheng and Brother Yun had never seen the patient in person, so he followed them downstairs to look for the patient.

A foreign body in the urethra was not like a heart or brain infarction. No one knew how long the foreign body had been in the urethra, so an hour or so would not make a difference. However, boss Zheng was a little nervous, and Vice President Yu didn’t raise any objections. He would go and look for him to save himself some trouble.

“Boss, have you really not seen urethre nails before?” Su Yun asked.

“No, I didn ‘t,” Zheng Ren shook his head.

“Ha, even you haven’t seen it before!” Su Yun started to tell Zheng Ren happily,””I’ve seen three cases, but none of them were as many as the one this guy sent in. All of them were nails that were a few centimeters long. He’ll be fine after taking them out and placing them into the ureter. “

“I’ve seen a few cases of rectal foreign bodies in Haicheng, but there weren’t any special cases,” Zheng Ren said,”I heard from one of my classmates that an old man had treated someone who had put a garlic sprout in the urethra. It looked very green … In his words, it was called full of vitality.”

“I remember that many years ago, the Yang Cheng Evening News reported about a child. It said that a perverted demon broke into his house in the middle of the night and inserted an iron nail into his urinary tract. After that, my family called the police and the newspaper interviewed me. They even used a big cover page to talk about this matter. ” President Yu said.

“It’s impossible. ” Su Yun waved her hand.”That incident happened in 2013. Yang Cheng’s public security is no longer a problem, okay?” Besides, he went to her house in the middle of the night just for a foreign body in the urethra? There were no signs of the child being tied up, and he could not be inserted even after a slight struggle. I guess the child was curious and something happened, so he made up a lie to fool the family. “

Zheng Ren felt that what Vice President Yu said was hard to understand. Su Yun was right, maybe the child was just curious. However, this child was not bad. Even though he lied to cover up, it did not delay his illness.

It was good as long as there was no delay. If the nail was stuck for too long, who knew what would happen? Bloody urine and empyesis were minor things.

“It’s better to take it out as soon as possible. In the early stage, it can be manifested as pain and urinary obstruction. The foreign object in the bladder can stimulate the bladder mucous membrane. When combined with infection, there will be frequent urination, urgent urination, pain in the urine, and other bladder stimulating symptoms. In serious cases, it can be combined with urethroidosis or urethrotical abscess, and there will be local and whole body infection symptoms. “

“If the foreign body is located in the neck of the bladder or the urethra, when the stone is formed with the foreign body as the core, it can cause urinary difficulties or even urine retention. When the stone is huge, it will even cause urine disorders and water accumulation in the upper urine. “

“Yes, this patient is already showing symptoms of urine retention.” Zheng Ren said,”hurry up and handle all the procedures. Let’s finish the surgery first.”

……

……

[Note: the previous X-ray scan was taken. I don’t know why there were Nine Nails either. I don’t understand.] The later part of the surgery was a real case.