Twenty minutes later, Linga pushed the second patient into the dressing room and prepared the dressing items.

Of course, during the preparation stage, she was a little confused as a monk, but after Du Xue changed the dressing, she still agreed with Tanglou.

After all, every doctor has some unique experience and techniques.

But Lin Jia still couldn't control his inner doubts, and asked in Tanglou's ear: "Doctor Tang, lidocaine is used for anesthesia in clinical practice, can it really be used for dressing changes? In addition, you also borrowed a tablet

Why are you here to give it to the patient?"

Tanglou smiled mysteriously: "Of course it is to relieve the patient's pain and reduce the pain when changing the dressing."

The patient is an uncle in his forties with a perianal abscess. After the operation, the dressing has been changed twice, but the wound recovery is not as good as expected.

Moreover, due to the release of pain-causing substances such as H+, K+, prostaglandins, histamine, 5-hydroxytryptamine, and bradykinin after traumatic surgery,

Constantly stimulating the anal sphincter, causing it to contract and spasm, resulting in persistent pain.

The patient is also in great pain when changing dressing.

Moreover, due to the special location of the wound, irritation from feces and the influence of intestinal bacteria, the wound healing time is prolonged, and every dressing change and disinfection is a heartbreaking experience.

Lying on the hospital bed, the patient was naturally very unhappy. When he saw a new person changing his dressing, he felt even more conflicted:

"Little doctor, can you do it? If you don't do it well, I will scold you!"

After perianal abscess surgery, pain during dressing changes is an important conflict that causes tension in the doctor-patient relationship. Apparently, the first two dressing changes and the speed of wound healing have made the patient extremely dissatisfied.

When Tang Lou and Lin Ga were preparing for the dressing change, Ma En was worried and rushed to the dressing room. However, due to Dr. Qing's order, of course he would not stop Tang Lou, but would watch from the sidelines and take over if he couldn't.

Seeing the patient muttering, Ma En was a little worried. After all, Tang Lou was still an intern, so he didn't know if he could handle such a complicated situation.

Under Ma En's puzzled gaze, Tang Lou took a tablet from Lin Ga's hand.

"???"

Ma En didn't quite understand it, and the same patient was also a little bit unexpected.

Tang Lou thrust the tablet into his hand. The patient lay on his stomach, holding the tablet, and turned his head slightly to look at Tang Lou, with a puzzled look on his face.

"Next, I will use a brand-new method to change your dressing. A very important part of it is the distraction method. I have done experiments in clinical treatment and found that distraction can effectively reduce the pain during dressing change, so

You can watch some interesting videos to divert your attention."

Tanglou is confident and patiently explains to the patient.

"Is it really useful?"

The patient was doubtful. After all, during the previous dressing change, the quiet sound of needle insertion could be heard in the dressing room. The doctor was so focused that he didn't even speak. Although he felt very painful, at least the doctor felt serious and serious.

Naturally, he had troubles to express, and he couldn't hold back the curses he wanted to say. This time, the little doctor was actually something new. How to divert attention?

"Believe me, you can choose some videos that interest you and watch them. Of course, the kind of videos that the FBI warns about are not allowed!"

The patient chuckled and thought to himself, "You think I'm stupid? Seeing that some parts are swelling and affecting the wound, does it mean that the pain is not enough?"

After turning on the tablet, the patient quickly clicked on his favorite program. The clear and interesting storyteller voice of Guo Degang's "The King of Pitfalls" resounded throughout the pharmacy:

...

Generals are born brave

Qiushui Yanfei Dao across the waist

The wind blows and the mountains and rivers move

Lightning flag, sun and moon high

The original species of unicorn in the sky

How can the ants in the burrow escape?

Peace awaits the return of the imperial edict

My husband and I...

The moment Guo Degang paused, the patient blurted out: Take off your shirt!

On the screen, the audience chatted simultaneously: "Take off your shirt. One more!"

The patient smiled knowingly and started to feel silly and happy. He was really exhausted in the ward these days, and it was interesting to watch.

...

"Hush!"

...

While the patient was immersed in Guo Degang's jokes, Tang Lou also started changing his dressing.

Before starting the dressing change, Tanglou soaked a piece of 7cm × 8cm × 8cm sterile gauze with 0°C 2% lidocaine injection and applied it to the patient's wound surface.

"This is?"

Ma En on the side was a little incomprehensible, but looking at Tanglou's impressive steps, he didn't stop him:

"What the hell is this kid doing?"

"Dr. Tang is using sterile gauze soaked in lidocaine and applying cold compress to the patient's wound surface to produce an anesthetic effect."

Seeing that Ma En looked like he had never seen the world, Lin Ga started to explain very proudly. Although when Tanglou explained to her, she suddenly realized that it was possible to change the medicine in this way.

"Lidocaine is a common local anesthetic drug. It has the advantages of fast action, wide dispersion, strong penetration, and long maintenance time. It can also block noxious stimulation from reaching the central nervous system and prevent central nervous system overreaction.

.”

As a commonly used anesthetic drug in surgery, Ma En is naturally very familiar with its medicinal properties, but it is generally used in surgeries. Tanglou's unexpected usage is naturally easy to understand after thinking about it, but it is actually used in dressing changes.

I can only say that it is so creative.

"sharp."

Ma En suddenly felt a little admired. Although he was already a resident doctor, he was extremely cautious in his daily work and used conventional methods. He learned how to teach the doctor.

He would not dare to kill him for being so unbridled.

"I want to write down this method. If it is really effective, dressing changes for perianal abscesses can be popularized in the future."

Ma En completely forgot the purpose of his visit and began to carefully observe the steps of the tenement building.

"Hahaha, Lao Guo is so funny...Hey, this young lady is really both sexy and naughty..."

The patient was so engrossed in watching "The King of Pitfalls" that he would lick his nostrils from time to time and concentrate on rubbing a small booger ball there.

Ma En looked at the patient's hand movements and rolled his eyes: "..."

But he was also very surprised. Usually at this time, the patient would have started screaming. Today, instead of complaining of pain, he was very excited.

“It seems the effect is better than expected!”

Ma En mentally added a few points to Tanglou's lidocaine combined with distraction method.

Half an hour later.

While the patient was hissing with relish, a handsome hand descended from the sky and took the tablet away.

"Hey, what are you doing!"

"The dressing change is over."

Tanglou said coldly through the mask, then pressed down the tablet, turned around and ignored the patient.

"Okay? You said, I changed the dressing and it's ready? Ha?"

The patient then realized, hey, where is the pain that was promised?

With lidocaine anesthesia and distraction, as well as the 30% pain reduction achieved by Tanglou Surgery Master's Level 2, the patient naturally does not feel much pain.

"Hello, little doctor."

The patient shouted at the top of his voice and stopped the tenement building that was about to be cleaned.

Tanglou turned his head and looked at the patient.

The patient's face turned red and he fidgeted with his hands awkwardly. Then he saw the boogers on his fingertips and flicked them to the side in embarrassment.

Weakly: "Thank you, Doctor Tang, can you change my dressing next time?"

Ma En watched helplessly as the booger ball bounced onto his white coat:

"..."

Tanglou nodded and turned around handsomely:
Chapter completed!