Under the leadership of Cheng Sisi, we soon arrived at the general surgery department.

"Then I'll leave first. I'm now transferred to the cardiothoracic surgery department, and I'll have to go on a ward round with the director later."

"Um."

After bidding farewell to Cheng Sisi in Tanglou, he walked into the office of the General Surgery Department.

"Tanglou?"

Ma En, a junior resident doctor, is also in Qingping's group. He recognized Tanglou the first time he saw him. After all, it is rare to see such good looks.

Ma En is in his thirties, has a very recognizable unibrow, his complexion is quite fair, and his overall temperament is gentle and elegant. When he saw Tanglou to confirm his identity, he introduced him enthusiastically:

"My name is Ma En, from Dr. Qing's medical team. You will also join our team later. Dr. Qing has a major surgery. I don't have time to welcome you today, so let me be the representative. From now on, you will follow me on duty and make rounds.

.”

Ma En quickly introduced the ward rounds and duty system of the general surgery department:

"The city's first hospital implements a three-level ward rounding system. The first level is for residents like me. There are three residents in the medical team of Dr. Qing, including me. I am responsible for 5, 6, 15, and 41

Bed, check the ward at least twice a day, and then you will follow me."

"The second level is Dr. Qing. Generally, he will do ward rounds once a day. The third level is the chief and deputy directors. Generally speaking, Director Cheng will show up once a week, which is the so-called grand round. You and I will have the opportunity to learn from it."

"Generally speaking, I will go to the ward to see the patients before 7.45 every day and read the examination status of the relevant patients in preparation for Dr. Qing's report during the ward rounds. After that, I will leave some of the work to you."

Tanglou nodded: "I understand."

"As for the duty system, our general surgery department has a total of five treatment groups. Each treatment group will have one resident on duty, and one of the five treatment groups will take turns to be on duty, which means there are 6 people every night. As for

Interns usually follow their resident doctors and are on duty at the same time. You can just follow me from now on."

"good."

Tanglou quickly understood the daily rules and regulations of general surgery, which were indeed much more complicated than those of county hospitals in terms of scale and procedures.

"Okay, you will go to the ward with me later to get familiar with it, and then Dr. Qing will arrange for three of the patients to be responsible for changing the dressings. If you don't understand anything, you can come to me directly.

"

Ma En finally got to the point, but he still concealed some situations and did not tell Tang Lou.

After tidying up the tenement building, he went to change his clothes and followed Ma En to the ward area.

The inpatient department of the First Hospital of the City has three buildings, and the general surgery ward is located in the second inpatient department.

Ma En took the tenement house to the beds he was responsible for very quickly.

A twenty-six-year-old nurse came forward, Linga, wearing a pair of black-rimmed round glasses, with a very sweet appearance and a somewhat rustling voice.

"Dr. Ma didn't check the room just once this morning, so why is he here again? Hey, who is this handsome guy?"

Lin Jia looked at the Tanglou curiously. He was really good-looking.

"Tanglou, a new training doctor from the general surgery department, from Yuxian Hospital. He is young and promising."

Ma En introduced: "From now on, he will be in our medical team, follow me on ward rounds, and be on duty. From now on, he will need Nurse Lin to take care of him."

Lin Jia nodded. Naturally, the gossip in the department could not escape her ears. Tanglou, the champion of the emergency training camp, the young man who defeated Yang Ming, was said to be somewhat ambiguous with Cheng Sisi.

"Excellent! You are indeed a talented person. Sister Lin will protect you from now on."

Lin Jia blinked towards the tenement building, his rustling voice was particularly pleasant to the ear.

Ma En Xin Dao is indeed a world of looks, and Linga is usually not so enthusiastic.

"Tanglou, you come with me to have a look. Next, you will be responsible for the daily dressing changes for three patients."

Ma En and Lin Ga were polite and walked into the ward.

"Doctor Ma."

The first patient was a high school girl with short hair, somewhat neutral clothing, and a pretty face. She said hello to Ma En.

Ma En nodded and pointed to Tanglou: "This is Dr. Tang. From now on, he will be responsible for changing your dressing."

Ma En gave Du Xue's medical records to Tanglou.

"...Patient: Du Xue, a 17-year-old female, suffered from body odor and underwent surgical removal..."

Du Xue looked up at the tenement building and blushed, feeling a little embarrassed and a little embarrassed.

He didn't dare to move his arms, his armpits were bandaged, and he lay straight on the bed.

After a brief exchange, Ma En took Tanglou to the second hospital bed. This patient was obviously more serious and had a perianal abscess after surgery.

The wounds after perianal abscess surgery are mostly open, deep, large, with a lot of exudate, and the nerves and blood vessels around the anus are very rich, making them extremely sensitive to pain.

"Tanglou, the dressing change for this patient requires very mature techniques and is very difficult. If the dressing is not changed properly, it will cause secondary harm to the patient. You will take a good look at the medical records and research. If you feel that you are not competent, you must advance

If you suggest it, I will inform Dr. Qing and arrange for someone with milder symptoms."

Ma En paid special attention to him and wanted to test whether this young man whom Director Cheng valued so much could be of great use.

If Tanglou says that one of them is not possible, then there is no need to look at the third patient. After all, even he is a little frightened by that patient.

"No problem, Dr. Ma, I already have a preliminary dressing change plan."

Tanglou looked at Ma En with a smile, full of confidence. With three-star dressing-changing skills and a second-level surgical master bond, Tanglou would be ranked second in dressing-changing skills. No one would dare to be ranked first.

Ma En nodded in disbelief, thinking in his heart, when you really open the patient's wound, I hope you can still be so calm and calm.

The dressing change after his first perianal abscess made him panic, embarrassed, and ashamed.

Perianal nerves and blood vessels are extremely abundant, and free nerve endings in the skin and body surface mucosa are distributed in the epidermis, dermis and hair follicles of the skin. The pain points on the skin correspond to the nerve endings.

Each dressing change is a harmful stimulation to the skin, and the affected area becomes more sensitive each time. If the dressing is changed carelessly, the patient will be in agony, and the scene will be comparable to a pig killing scene.

For an intern, it is difficult to stay calm and collected in that situation, and if the patient or family members are dissatisfied and start a quarrel, it will be even harder to explain, and the psychological pressure on the doctors involved will be even more terrifying.

Ma En also admired Dr. Qing's selflessness. Those who knew about it thought that Dr. Qing valued Tang Lou and was testing him. Those who didn't know thought that Qing Ping was deliberately making things difficult.

Especially the third patient!

Ma En took Tanglou to another ward.

At first glance, one can see that the patient's heart is trembling. Seventy percent of the patient's skin is wrapped in white bandages, and blood can even be seen oozing out in some places.

The patient was a thirteen-year-old girl who was burned in a fire. More than 70% of her skin was burned, which was shocking.

The patient's mother, Lu Xuefei, was by the side, shedding tears silently.

The little girl Liu Yun was lying on the hospital bed, the tears in her eyes had dried up, and she was looking helplessly at the ceiling.

From the corner of her eye, she saw Ma En's white coat coming in. The little girl's face suddenly became frightened, and she whispered hoarsely: "Mom, I don't want to change the dressing, I don't want it, it hurts..."

"Xiao Yun'er, be obedient and you need to change the dressing to get better." Lu Xuefei comforted her softly.

"No, mom, I don't want to change the dressing, it hurts, I hurt, mom..."

Liu Yun turned her head, not daring to look at Ma En Tang Tower.

Ma En was naturally very uncomfortable. For a burn patient, every dressing change is like killing her again. Even if analgesia is provided, the patient's fear of dressing change cannot be avoided.

Lu Xuefei's heart was bleeding, but what could she do.

Tanglou looked at the girl and felt heartbroken, but fortunately he did not practice in vain for a month.

"Little sister, don't worry, my brother's dressing skills are the best in Hecheng, and he will definitely relieve your pain to the greatest extent."
Chapter completed!