I was persuaded by my teachers and sisters to study proctology because I was experienced

My daughter, 21 years old, a humble senior clinical medical student, was admitted to the proctology department of our hospital because of a perianal abscess. It's been more than two months since the surgery, and I've taken some detours in my treatment, so I want to share this experience with you.

Surgery had just taken a theory class, and in the blink of an eye I became a patient

One day two months ago, while taking a shower, I suddenly felt a painless induration in my left perineum near my anus. Touch it gently, it is soft on the outside, and when you press it, you can feel that it is a deep hard knot. Because it was really too small and not painful, I didn't take it seriously, thinking that maybe in a few days it would automatically disappear.

It wasn't until the morning of the third day that I noticed a little pain when I pressed it. I pressed it a few more times, still in pain, but there was no feeling of walking and sitting down or the like every day. At that time, the "perianal abscess" that I had just learned in surgery flashed through my mind. But the perianal abscess is obviously very painful, and I feel that I should not be this disease.

Still a little scared, I hung up the number of the director of the proctology department of our hospital.

Director: "Still a student, right?" Where do you go to school? ”

Me: "Teacher, I am a student of our academy..."

Director: "Yo, you have to take good care of our little classmates." ”

After the digital examination + anoscopy, the director said that it was found in time, it should be a perianal abscess, but it has not yet reached the step of abscess. My brain was instantly shut down, originally I just wanted to register a picture of peace of mind, I didn't expect that I was really a perianal abscess; at the same time, my mind flashed all kinds of tragic conditions of perianal abscesses, redness, swelling, heat and pain, into fistula, fistula hanging line, incomparable pain...

The director then said: "Well, we are all studying medicine, and the main thing about perianal abscesses is surgical incision and drainage." It is a small operation, hospitalization today, surgery tomorrow, and discharge the day after tomorrow. ”

And I've been in a state of downtime. Seeing my state, the director said: "This little student's psychological quality is not good, and he can't be a doctor." ”

Preoperative conversation and exam session,

I'm obviously a patient!

During the hospitalization, the nurse asked me if I had a nucleic acid certificate and how I got in.

Me: "Brush your face and come in... I'm a student of our college..."

Unexpectedly, the doctors and nurses in the whole ward knew that I was a student of our hospital that night. During the preoperative conversation, the teacher also introduced me to a brother, and I could only say "good brother" in embarrassment. Another patient present was the little sister who was going to have fissure surgery, and when the teacher had a preoperative conversation with the little sister, he just started talking about this fissure, and suddenly said, You should let this little classmate tell you about it..

Then the teacher asked me, What is the fissure triad? ”

I screamed inwardly that I was sick, but my mouth replied, "Anal fissures, sentinel hemorrhoids, and enlarged anal nipples." ”

The teacher nodded and continued the preoperative conversation, leaving me alone in a mess.

That night, I carefully read the post-operative/hospital/discharge precautions posted in the ward, accompanied by the huge purring of the adjacent bed, and I did not sleep all night with anxiety.

Moments before surgery,

The teacher and my sister were discussing what subjects I should study

The next day of surgery, at five o'clock in the morning, I was called up by the nurse to draw blood, measure blood pressure, and take body temperature. I really didn't expect that as a medical student, the first time I entered the operating room in my life was to be a patient. I was the fourth surgery of the day, this kind of small surgery can be signed by myself, after signing various consent forms I was pushed into the operating room, and then I saw the director of the clinic yesterday and the teacher who talked before the operation.

Director: "This is my graduate student, and I am your sister." ”

Me: "Hello sister..."

Director: "What do you want to learn in the future?" ”

Me: "Ear, nose and throat? ”

Director: "Don't learn ear, nose and throat, learn anorectal, you are so experienced." ”

Sister Shi: "Yes, yes, learn the anorectals!" ”

My heart: Teacher I don't deserve... (Want to cry without tears)

The next thing was to curl up and get numb, I posed according to the textbook standard posture, and then I was exaggerated. I felt the needle go in and out, it hurt a little, but it didn't hurt right away. Thanks to the great advances in modern medicine, thanks to anesthesia technology, it really doesn't hurt at all, only feels touched.

During the operation, I overheard the director's conversation with my sister.

Director: You see this is very small, but there is pus, and if it is not treated in time, it will become fistula. ”

The director's guidance sister knotted, and then said, "Okay, after that, it's all up to you." ”

I was suddenly very nervous, my mind flashed all kinds of surgical mistakes, I really didn't trust my sister, I was just afraid of death.

After being pushed back to the ward after the operation, I experienced the feeling of not being able to dominate my body. After the anesthesia, the lower limbs were numb and could not be lifted, and I tried to contract the anus, but found that the body was completely uncontrolled by consciousness. I quickly compromised and decided to lie down and be a waster.

You can eat millet oil six hours after surgery, that is, millet porridge without millet. At that time, I was hungry and thirsty, and I thought that millet oil was the most delicious thing in the world.

The next morning, I changed the medicine and removed the cotton ball that had been stuffed into the anus to compress and stop the bleeding.

On the morning of the third day, I finally had a bowel movement, and there was a little blood, and there was a little pain.

On the fourth day, he was discharged home in the afternoon and started the self-medication change mode.

Faced with their own condition, medical students may also take detours

I harvested a radial surgical incision from the anus outwards, and the incision was not sutured and opened to allow the granulation tissue to heal naturally. Because there was no suture, every time I changed the medicine, it was like a knife cutting flesh, and I was so painful that I doubted life. A week later, out of curiosity, I photographed the wound with my phone to see how it was, and was shocked to find that the wound was very scary—the middle was green, and there were many small yellow patches around it.

Green, "Pseudomonas aeruginosa" suddenly came to my mind, was I infected with this stubborn chance pathogen? I have some concerns, and I have been worried about wound infections since there are no oral antibiotics in the recovery treatment medications. The hospital where the surgery was in City A, and I was back at home in City B at this time, and this situation of being separated from the hospital and not seeing the attending doctor made me feel helpless and "abandoned". My mother said that she would take me to the clinic to find an aunt who had treated me since I was a child, but she was very fragile at the time, so she agreed.

In the clinic, I took antibiotics intravenously for ten days. During the period, I couldn't stand the sub-telephone consultation with the attending doctor at the time, and the doctor said that it should not be an infection, and the green part may be that the methylene blue used in the operation was not metabolized clean. But out of fear of "infection," I kept using antibiotics, which proved to be a detour. Later, I learned from the "Chinese Expert Consensus on Clinical Diagnosis and Treatment of Perianal Abscess": "Patients with uncomplicated perianal abscess in good physical condition are not recommended to use conventional antibiotics after abscess incision and drainage, because they do not improve the cure rate and reduce recurrence." ”

So will I have an fistula? When the wound was about to heal, I struggled with this problem more than once, because the surgical book said that after the perianal abscess is cut and drained, about 70% of the fistula will form. If you have an fistula, you may have to have another surgery and go through the same pain again. Later, I couldn't help but go to the senior to chat, and consulted two doctors, I learned that my surgical method lateral incision of the internal sphincter was a surgery to prevent fistula, and I finally determined that the possibility of my fistula was extremely small.

The little knowledge I gain as a half-hanging medical student does not necessarily make me know much about a disease, but sometimes it increases fear and worry.

After returning to City A for follow-up consultation, the doctor said that I was almost well and did not prescribe any more medicine. I was still not at ease and asked, "Are you all right?" No need to care about the outside wound? ”

The doctor said very kindly: "Everything is fine, you should have not had surgery." ”

Thankfully, I'm probably finally getting better. Except for the occasional pain in the wound and the daily flush of water after the toilet, everything is normal at present, and life is back on track.

Sharing personal experience does not constitute a diagnosis and treatment recommendation, can not replace the doctor's individual judgment of a specific patient, if you need to go to a regular hospital.

Another TA has a similar experience, please click here to learn about ta's story and doctor's comments.

Author: Did you study well today?

Editors: Uncle Iron King, Li Xiaoqiu