Doctor Song, are you married?

Chapter 3 3.654-2
The old man nodded dejectedly, "It's been several years since the growth, it's too much work to urinate."

"Then why didn't you tell me when I asked you just now?" Song Qi stopped his hands helplessly.

"It's not a problem, isn't it true for older people? Don't tell me you're forever young?" Song Qi was speechless with the old man's words.

Song Qi shook his head, and withdrew the half-filled catheter.

"Sister Yuqing, prepare a No. 12 catheter for me!".Song Qi shouted to the outside of the curtain.

"Number 12?" Yuqing thought she heard it wrong.

Generally speaking, adult male catheters generally choose size 14-18, adult female catheters generally choose size 16-18, and children's catheters below size 12 are basically used.The urethral muscles of the elderly are loose. In order to prevent urine leakage, a 20-22 size catheter is generally selected.

After receiving Song Qi's affirmative reply, Yuqing lifted the curtain and walked in, and said to Song Qi in a low voice, "Number 12 is for children."

There is clearly disgust in the eyes, and I can't even tell the model of the catheter
"The patient has benign prostatic hyperplasia, which is quite serious, so he can't get in!" Song Qi explained.

Yuqing let out a cry, then turned around and took the No. 12 urinary catheter.

"Then what should I do if the No. 12 urinary catheter can't go in?" Yuqing began to worry, the situation seemed to be more complicated, if she knew it earlier, she should have called Director Xu directly, instead of asking Song Qi to insert the urinary catheter on her own initiative.

"Change the urinary catheter of the guide wire, if it doesn't work, local anesthesia will be needed!" Song Qi said solemnly.

The urinary catheter with guide wire, as the name suggests, includes a urinary catheter and a guide wire. A guide wire is set in the catheter.

When Yuqing heard about such a difficult operation, she suddenly became vigilant, "Song Qi, you listen to me, if you can't get in this time, transfer to another hospital immediately! Don't hit your hands!"

Song Qi smiled, thinking that if expert catheterization could not even insert the urinary catheter of a patient with benign prostatic hyperplasia, then he must have encountered a fake system.

"Old man, I changed a thin tube for you, but you have to cooperate with me. If you feel uncomfortable, you can breathe heavily. If you still can't insert it, I can't help you. I have to transfer you to a big hospital!" Song Qi said to the patient on the hospital bed.

"Don't, I won't go to a big hospital, it's too expensive there, and you can't get it out of thousands of dollars." Sure enough, the old man immediately objected.

"Then let's work hard together."

As Song Qi spoke, he began to concentrate on the operation.

There is still no resistance in the first physiological bend, but when it comes to the second physiological bend, resistance is still clearly felt.

"Ouch!" the old man called out again.

But Song Qi was not in a hurry, because the expert-level catheterization in his mind had already allowed him to master the N types of catheterization schemes for benign prostatic hyperplasia catheterization.

"Master, don't be nervous, listen to my command, come, take a deep breath, exhale, and continue to exhale." Song Qi comforted the old man while slightly rotating the angle of the catheter.He didn't speed up the intake until he felt less resistance.After about 15 centimeters in, I finally saw the drained urine.

"Shu Tan!"

When the urine slowly flowed into the drainage bag through the catheter, the old man took a deep breath and uttered two words in an extremely comfortable tone.That expression was comparable to a drug addict taking a sip.

Song Qi was also slightly stunned. As a doctor who just finished his internship, he has a lot of experience in catheterization. For example, patients with narrow urethra, super sensitive patients, and patients after BPH surgery. In terms of difficulty, it is not worse than those he encountered in the past, even more difficult, but the operation is so smooth, which he did not expect. It seems that the expert-level catheterization is really not in vain.

What Yuqing watched was also thrilling. She has been working in the clinic for almost six years, and she still stays on the manikin to catheterize male patients. Seeing Song Qi's practice this time, she couldn't help feeling deeply: "It turns out that catheterization is not easy."

"That's for sure! I'm an expert in catheterization, Sister Yuqing, if you have such a job in the future, just call me." Song Qi inserted the catheter about 5 centimeters in, and at the same time injected the saline in the syringe into the air bag, pulled it out to ensure it was in the bladder, and then boasted proudly.

"It's still an expert level, just blow it up." Yuqing was amused by the word "expert level", but it was quite annoying to think that every time they encountered a patient who needed catheterization, they would push and push four times when they went to call the doctor, just like asking for a young master.
"That's what you said. From now on, there will be a male patient in my class who needs to be catheterized, so I will call you." Yuqing was not polite.

"Why are you being polite to me, as long as sister Yuqing says something, I'll be there whenever you call." Song Qi readily agreed.

After hearing this, Yuqing was naturally quite relieved, and couldn't help but said a few words of concern to Song Qi: "Song Qi, don't fool around with Wu Qiming and Jiang Han in the future, they are bad, so don't follow suit."

"I know, thank you sister Yuqing." Song Qi nodded quickly.

"It is said that the doctors of traditional Chinese and Western medicine in the district are all idiots. I don't think it is true. You see, this young man is still a little bit of a fool, and there is that Dr. Wu. Today I have a stomachache. He came up and gave me a shot of 5432 or something? It will be fine in a while!" The old man's sewer problem was solved, his brows relaxed, and he talked more.

"654-2?" Song Qi asked in surprise.

"That's right, that's right, it's 654-2. This needle is really miraculous. Once it's injected, my stomach doesn't hurt anymore. It's just that I can't urinate all of a sudden. I really can't accept it."

The scientific name of 654-2 is racemic anisodamine hydrochloride, which can relieve smooth muscle spasm, significantly relax smooth muscle, and relieve vascular spasm, especially microvascular spasm.Therefore, it is often used clinically for gastrointestinal colic, biliary tract spasm, etc.

However, in some cases, the bladder sphincter tends to relax after medication, and some people may experience difficulty urinating. For patients with enlarged prostate, it may aggravate the symptoms and even cause urinary retention.Therefore, patients with benign prostatic hyperplasia are generally disabled.

When Yuqing heard this, her face turned gloomy. It must be that Xiao Ning missed the doctor's order. Thinking of this, she patted Xiao Ning: "Xiao Ning, come with me for a while."

Xiao Ning was a little confused, so she quickly followed out.

"Bring me the treatment list. Is it because the doctor's order was not taken care of?" When Song Qi asked about the medication just now, she thought it was unnecessary. Now it seems that she may have been reckless.

"Just a group of anti-inflammatory drugs, a group of electrolyte supplements, and no other medication records." Xiao Ning panicked when she heard that, and quickly looked through the patient's treatment list, and found that she was right, so she quickly explained.

Yuqing took the treatment sheet, flipped through it, and sure enough, there was no record of 654-2, and her face became even more ugly.

"This Wu Qiming!" After finishing speaking, he turned around and went to the nurse's station to make a call.

(End of this chapter)