"Sacrococcygeal fissure?" Lin Jiaojiao asked in surprise.
"Yes," Zheng Ren said softly. "Miss, if it hurts, just say it."
Lin Jiaojiao's daughter was a little embarrassed, but she still answered softly.
Zheng Ren used the forceps to explore the sacrococcygeal fissure. The opening was about 5mm. No matter how hard he tried, the forceps could not completely reach in.
"Boss, do you need me to find you ophthalmology equipment?"
"Yes, find a finer equipment," Zheng Ren said. "Small hook forceps or something will do."
Soon, Su Yun found something suitable and ran back. Zheng Ren probed and found that the sacrococcygeal fissure was about 4cm deep. After taking a look, Zheng Ren confirmed the System's diagnosis in his heart.
"Sister Lin, it's confirmed that it's a pilonidal sinus," Zheng Ren said. "If there's no abscess, we can choose to remove it surgically."
"Surgery? I won't do it! "Lin Jiaojiao's daughter immediately said as if she had been electrocuted.
"Hehe, it's a small surgery. Don't worry." Zheng Ren turned his head and put the forceps back into the original instrument tray. He took off his gloves and said to Lin Jiaojiao, "There's basically no risk in the surgery. It's just that you'll have to lie down for a few days after the surgery. It might be a little uncomfortable."
"Boss Zheng, pilonidal sinus … That's what you call it. What's that?" Lin Jiaojiao asked.
"There are two theories. There are no detailed research results," Zheng Ren said. "One is said to be a congenital disease. It's a skin inclusion due to the remnants of the medullary canal or the development of the sacrococcygeal suture. However, it's rare to find a precursor lesion of pilonidal disease in the midline position of the infant. I think the possibility is not high.
"The other is formed due to acquired factors, such as granulomatous disease caused by injury, surgery, foreign body stimulation, and chronic infection. It's confirmed that the hair that enters from the outside is the main cause of the disease.
The gluteal fissure has a negative attraction effect, allowing the shed hair to penetrate the skin. The hair in the fissure is too long. The top of the hair has the effect of filtering and soaking the skin. The hair penetrates the skin, forming a short passage. "
"Uh …" Lin Jiaojiao hesitated.
"Boss, it's too complicated. This disease is called Jeep disease in the United States," Su Yun said with a smile. "It's just that you drive too many places in a Jeep and your buttocks are bumped into two. If you think about what the boss said, you'll understand. "
"En, Su Yun is right." Zheng Ren smiled. "Long-distance drivers are prone to relapse. Men are more common, but girls are rare. Maybe it has something to do with the external injuries you mentioned last time, but don't worry. "
"Jeep disease …" Lin Jiaojiao felt that this name was much easier to remember than hiding something.
"Yes, most of the medical records are from the US Army," Zheng Ren said. "The available treatment is also from the US Army."
"Boss Zheng, what should I do if I want the surgery?" Lin Jiaojiao asked.
Zheng Ren explained the procedure of the surgery to her in detail. Lin Jiaojiao was relieved to see that it was not a big deal.
If it was a surgery, it would only be a superficial wound. It might be slightly bigger than removing a lipoma, but it was not much. It was just that it was a little dazzling to the eyes, or it could be said that it hurt the eyes and was quite scary.
After Lin Jiaojiao's daughter got dressed, Zheng Ren opened the door and said, "By the way, if anyone suggests using sclerotherapy, I …"
"Boss Zheng, look at what you're saying." Lin Jiaojiao smiled. "If I want to do it, I'll definitely have to trouble you. How can I have a big hand like you and still have to find someone else to do the surgery? "
Zheng Ren was stunned. That sentence just now was a habit formed in Sea City. It had only been a year. Was there no need to say that sentence now?
In the past, in Sea City, many patients would go to the Provincial Capital after seeing the disease in the General Hospital. Now, things were the same, but people had changed. Even he had not fully adapted to it.
Zheng Ren smiled.
"Sister Lin, ignore the boss. It's not that he finds it troublesome," Su Yun said with a smile. "Now, his self-recognized role is still the chief resident of Sea City."
"Sea City can't accommodate Boss Zheng," Lin Jiaojiao said with a smile. She was also a little confused. Thinking back to Chief Kong's advice just now, she felt that the old chief was right. His eyes were very sharp.
"Then that's it. I suggest that we do it during the winter vacation before the Spring Festival," Zheng Ren said. "Rest after the surgery and don't delay school. You'll recover quickly, so don't worry. "
"Okay, okay," Lin Jiaojiao said repeatedly. "Sorry to trouble you, Boss Zheng."
"It's okay, Sister Lin. We're all on the same side. You're too polite to say that, "Zheng Ren said with a smile.
After sending Lin Jiaojiao and her daughter away, Zhou Litao came over and asked, "Boss Zheng, what's wrong with that little girl just now? Why did you change it to a small hook forceps from the ophthalmology department? "
"Hiding hair," Zheng Ren said.
"Ah, that's quite rare," Zhou Litao said. "I've seen two cases, both foreigners. This disease is mainly in Caucasians, and their hair is relatively dense. "
"Oh, Chief Zhou, you've seen quite a lot," Su Yun said with a smile.
"No, no," Zhou Litao said. Zhou Litao said, "I was just thinking about writing a research paper. Jeep disease is a good case study, and I have two more cases with me."
"Chief Zhou, you're really hardworking," Su Yun said with a smile. "Keep working hard. I have high hopes for you!"
The little freckles on Zhou Litao's face moved slightly, then dimmed.
"Sigh." He sighed.
Zheng Ren patted Zhou Litao's shoulder and said, "It's okay. It'll get better."
Zhou Litao knew that Chief Zheng was comforting him. He forced a smile and asked, "Chief Zheng, are you busy recently?"
"I'm busy," Zheng Ren said. "I have to fly to Germany in the next few days. I'm afraid I won't be able to come and chat with you for a while."
"Are you going to give a lecture?" Zhou Litao's eyes lit up.
Chief Zheng had 'grown' step by step in front of his eyes!
He first saw Chief Zheng's diagnosis on a piece of paper, and then he got to know Chief Zheng. Later, he came to the emergency department more and more often. Time flew. Now, Chief Zheng was going to Germany to give lectures, and he was still a chief resident.
People really could not be compared to each other.
"Chief Zhou, don't be depressed." Su Yun saw that Zhou Litao was really depressed, so he smiled and said, "Let's go for a smoke."
Zhou Litao did not stand on ceremony. He wore fewer clothes, but he did not return to the duty room. Instead, he went outside. He walked through the emergency corridor. After leaving the door, Zhou Litao took a deep breath and felt a little more energetic.
"Chief Zhou, we can't compare to the boss." Su Yun smiled and shook out a cigarette. "Was I awesome in the past? How about now? If you want to talk about this person, you have to compare yourself to the past. "
Su Yun said something that did not mean what he said, but it was quite decent. Zhou Litao smiled. He also knew that his emotions were a little off just now.
He took the cigarette, snatched the lighter from Su Yun's hand, and lit the cigarettes for Chief Zheng and Su Yun first.
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