Chapter 3154: with translation of chapter title

「Proctology patients are easy to manage post-op, but it's precisely because they're easy to manage that problems arise. 」Gao Shaojie said, 「They usually don't have issues, but when they do, it's serious. 」

This is a statement similar to a fallacy, but in clinical practice it's almost like a truth.

Ji Wei Zhong Zheng Ke Shi, everyone is already used to that walking-on-thin-ice pace; every small change feels like facing a major enemy. But in some mild departments, patients have nothing going on, doctors are relaxed, and some condition changes are basically minor, making them especially easy to overlook.

Such oversight is usually fine most of the time, but when it happens by a fluke, it becomes a major issue, like the situation right before us.

"I remember Fu Yuan proctology had an incident once; maybe the ligation during surgery was problematic, and at midnight the patient bled heavily, thinking he'd wet the bed, he was embarrassed to call family to change the sheets, so he tentatively got up. The patient also didn't notice, half-asleep plus low blood volume, he bloody went out to ask the nurse for sheets."

Zheng Renyi imagined that scene, simply unbearable to watch. This is……the rhythm of a midnight haunting.

"The patient wasn't seriously ill; it was just that someone else's caregiver slept through half the night, got up to go to the bathroom, saw his lower half covered in blood, was frightened into a heart attack, leading to death. Afterwards the patient's family made a fuss for a long time, but I didn't follow up on how it was resolved."

Scaring another patient's family member to death…… Zheng Ren was also quite speechless.

"It seems difficulty urinating is also quite common, right?" Gao Shaojie asked.

"Hmm." Zheng Ren said, "The Shou Bing stimulates the anal sphincter, causing the nerves that innervate the anal sphincter to connect with those that innervate the bladder and urethral sphincter, leading to contraction or spasm of the urethral sphincter."

"Or anesthesia causes loss of sensation and function in the anal area and relaxation of the anal sphincter, blocking the pudendal nerves in the perineal area, leading to temporary paralysis of the bladder detrusor muscle or spasm of the urethral sphincter causing urinary retention."

"Another possibility is that pain directly triggers or worsens urethral sphincter spasm, causing difficulty urinating, or the patient fears pain and dares not use the Method of increasing negative pressure to urinate."

"Boss, don't you think you're being long-winded?"

"We've chatted up to this point." Zheng Renyi said casually while braiding a red rope.

"Right, once they had a late-stage cancer patient with coagulation Function issues, and they asked me to consult to see if embolization was possible." Gao Shaojie said.

"Ah? You encountered that? I previously told Boss that Fugui'er has a specially made Spring ring." Su Yun exclaimed in surprise.

"Such a situation is extremely rare; occasionally it happens, encountering one case every one or two years is already a lot. I inquired about the specially made Spring ring—it costs over a hundred thousand, and medical insurance doesn't cover it, so patients can't afford it." Gao Shaojie said, "I went to take a look, and later I used the bathroom there."

Zheng Ren had some doubts; Old Gao said what's this for. He's not the type who goes around shouting shit, piss, fart jokes; he's usually quite refined.

Su Yun also became interested, not knowing what joke Gao Shaojie would throw out.

"When I entered, I saw a bloody stained sanitary pad in the trash can, and I jumped. I also wondered if I'd taken a wrong turn—if I went out and bumped into a female patient head-on, wouldn't I get scolded?" Gao Shaojie laughed, "Getting scolded a couple of times isn't a big deal; the key is you still need to have face, right?"

"Ah, I get it!" Su Yun slapped her thigh and said, "Back in the group chat we talked about how Gang Chang Ke post-op patients use sanitary pads; that thing's absorption of water, sweat, and blood is excellent, so the post-op experience for proctology patients is pretty good."

"Hehe." Gao Shaojie chuckled.

"I worked in proctology for a few months; our Head Nurse had the patient uniforms' pants changed to skirts for convenience." Gu Xiao Ran said, "Post-op they also use sanitary pads; Teacher Gao, you didn't come out of the men's room and turn toward the women's room, did you?"

Saying that, Gu Xiao Ran first laughed out loud. If that were the case, the scene would be too beautiful, simply unbearable to watch.

"No, when something happens you can't panic; I thought it over, felt it was right, went out to confirm, and then consulted a doctor from Gang Chang Ke." Gao Shaojie laughed.

"Teacher Gao, you really are cautious." Gu Xiao Ran sincerely complimented. Even if you went to the wrong bathroom, you'd confirm without panic—such mental quality is top-notch.

"You can't afford not to be cautious; if people say I went into the women's bathroom, they'd tease me for life."

"Xiao Ran, you're still rotating through proctology, right?" Su Yun found it interesting and asked.

Generally speaking, rotations rarely go to Gang Chang Ke; they have the fewest interns, after all the kids want to check out the big departments. Proctology……going to see how to change patients' dressings?

"When Gang Chang Ke was first established, there was no one in the department, and I went to support for a while. The place wasn't bad—if you were on night shift, you'd change dressings at 7:30 p. m., be able to sleep by 8:30, and sleep straight through till morning, which was really comfortable." Gu Xiao Ran said, "Too bad back then I was too young; I thought it was too comfortable, just loafing around shit, piss, fart all day felt pointless, so I made the wrong choice."

"Indeed, too young." Su Yun said, "A small department is nice; Old Gao didn't say that, but you can still go work at a private hospital to earn money. If you switched to neurosurgery, you'd probably have no hope for life."

"Also fast; if private hospitals keep developing at this rate, opening a neurosurgery department will be a matter of a few years."

As they were speaking, Lingzi walked in with a clueless expression. She politely bowed to Zheng Ren and Su Yun, then said, "Our president is making rounds; my colleague said we need to transfer the patient to 912, and he agreed right away, so we're now working on the patient."

"Hehe." Zheng Ren just gave a dry laugh; all of this was expected.

Money-making work can be done, or one can slack off; the kind that intentionally kills people isn't that rare, or rather, basically nonexistent.

After all, it's a law-abiding society; even if killing isn't illegal, not many would dare to kill.

"Doctor Zheng, our president said the patient is settled and wants to treat you to a meal to show gratitude."

"Just having a meal is fine; let's gather after the patient is discharged." Zheng Ren glanced at Yi Ren, not directly blocking the door. As for the president of the proctology hospital, his interest in eating together with him is practically nil.

Lingzi clearly lacks social experience; either she's just a bit clueless overall, or facing Zheng Ren's refusal she still thought it was politeness and wanted to invite him again.

"Lingzi, let's first get the patient transferred." Yi Ren hurriedly smoothed things over, then asked, "Zheng Ren, which department?"

Zheng Ren glanced at Su Yun.

Su Yun shrugged, "How about the Emergency Department?"