Circumcision fear syndrome

In urology, there is a "foreskin sacrifice" every winter and summer vacation, and boys of all ages come for circumcision. Now circumcision is not as painful as traditional circumcision, but the panic of patients and parents makes doctors and practical nurse exhausted. Every summer, Taiwan Province, a treasure island surrounded by the sea, holds many celebrations, such as the flying fish season in Lan Yu, the Penghu Fireworks Festival and the Golden Gate Folk Festival, which are lively and entertaining.

In our urology field, there is also a "foreskin sacrifice" every summer vacation. Until now, many children or adults are still afraid of circumcision. It is mainly heard that many ancient tribes in Africa also have a traditional "circumcision", which is to lengthen the boy's foreskin and cut it off one by one with a blade under the witness of local wizards and people. The process is to make the boy endure the pain and become an adult, but it is really too painful to do circumcision without anesthesia.

Recently, a mother took her son 10 into the clinic. Most children of this age are looking at the foreskin.

I froze the opening remarks: "What happened to the child? 」

"Zhang, his bird is red and swollen. 」

I let the child lie on the bed for examination. His foreskin is sticky, suppurative and red. "This is not clean, plus years of accumulated sweat and urine, so you need to get rid of the sticky. (Recommended reading: the foreskin is too long, the erection will hurt, the president will have white spots, and there will be odor ... The six foreskin troubles that young people want to ask most)

Mom: "we tried to dial hard, but we just couldn't get it out." 」

While listening to my mother's reply, I accidentally pulled her son's foreskin away from * * *, and pus flowed out.

"It hurts! I don't want it, I don't want circumcision, "the child cried with tears.

"Aunt Zhang also hates circumcision for children." My philosophy is that as long as there is a way to deal with adhesion and show * * *, I hope and advise parents to wait until their children grow up before surgery to avoid the fear of being * * *.

Then a 35-year-old unmarried man.

"What's wrong with you today? 」

"The doctor asked you to help me look at the foreskin. 」

Push, the foreskin is tight, full of scales and odor. Suggest that he clean it well to prevent the other half from getting inflamed easily. It is best to do circumcision to avoid discomfort and erection during sexual life.

Unexpectedly, the patient showed an understanding look: "Please circumcise me as soon as possible. My girlfriend is because my foreskin is too tight every time. As soon as she pulled, I was weak because of great pain, and my girlfriend left me. " 」

I see. Arrange it right away

Because of the "foreskin sacrifice", the clinic has to arrange circumcision three times a night. Although it is an operation that can be done with eyes closed, I vomited with the nurse tonight. This is a very unusual phenomenon. She is a senior practical nurse. The sudden difficulties of infection control and home care can't beat her. But today, these three circumcised patients magnified their fears infinitely, so that they almost jumped when the sterile cotton swab touched their skin. (Recommended reading: Should my husband's foreskin be cut? )

It's not good to cry in your heart. To operate on such a patient, the mouth will be the most tired. Because of fear, I have to constantly appease the patient. Tell jokes and ask questions, try to transfer patients' fears and tight bodies to prevent them from hyperventilating.

On the third knife, the nurse, that is, the follower, suddenly said, "I want to vomit." She talked too much to appease the patient and was too tired. Change the nurse quickly.

As for me? My motto is: "It is a man who survives this. So participate in the whole process.

Many times, people's fears are self-imagination, and all three people walked out of the clinic smoothly and safely. Despite the excessive fear of physical reaction during the operation, with the full comfort and dialogue of our team, they successfully completed the circumcision and became real men.

After three knives, I suddenly collapsed. As a doctor, I am not afraid of red blood, but because of the "excessive fear" of patients. What if they faint because of excessive fear?

Fear can certainly be overcome, and the doctor's fatigue needs to be appeased. I rushed to the gym to exercise, and when I saw my classmates being fucked by the coach, I suddenly felt that it was nothing. I was fucked by a patient, which made me more oxygen-consuming and tired.

Dr. Mei Yu's suggestion

Circumcision, commonly known as circumcision, is usually performed under local anesthesia for about 30 minutes. The average person will feel pain except when injecting local substances, and most of the time it will not be too uncomfortable. It is reasonable for patients to feel uncomfortable occasionally during the operation, and appropriate fears are understandable, but the fear beyond ordinary people will cause great burden to patients and doctors. Violent physiological reactions like these three patients during surgery, such as rapid heartbeat, big mouth breathing, excessive limb tension, etc., constantly amplify the pain, which is easy to cause hyperventilation, and the whole body will collapse or faint after surgery. After in-depth conversation with them, I realized that they had panic or excessive anxiety in their daily lives. In fact, if the patient knows this situation, he must inform him before the operation. He can consult with his soul first, or switch to general anesthesia to avoid a minor operation that will leave a lifelong shadow on the patient.