Anorectal digital examination is just like pulse diagnosis in traditional Chinese medicine, or even more important. Why do you say this?
Because before the development of modern medicine, the development momentum of Chinese anorectal medicine has been very good. The most important diagnostic methods for anorectal doctors are inspection and palpation.
Visual examination is mainly to check whether the perianal skin is red or swollen, but it is difficult to detect lesions in the anorectum, so digital examination is needed to cooperate with the examination.
An experienced doctor can clearly understand the location of the disease, the number of lesions, etc. by taking a look at it.
After going back in the evening, the four of them chatted. After all, Yang Chao had already worked and was used to hospital things, so there was nothing to make a fuss about.
He Xiaoming and Yang Pengwei were chatting lively there. Seeing that Bai Ye came back relatively late, He Xiaoming asked curiously: "Why did you come back so late?"
Bai Ye smiled and said, "It's okay. I've caught up on the course of the disease and got to know the patient's condition. I'm not familiar with many things on the first day."
He Xiaoming was stunned, then smiled thoughtfully: "Anorectal department? You don't have to be so serious, and you won't learn much. If you go there, you just have to write down cases and change dressings. What's the point of being disgusting?
What's more, we are all internal medicine, and we will have nothing to do with the anorectal department in the future, don't you think so?"
Bai Ye nodded: "Well, I'm just curious about the anus and intestines. There's no harm in learning more, right?"
Yang Chao spoke up: "Actually, the major we are studying now is probably not related to the work we will do after graduation. When we get to the position, we will basically go wherever there is a shortage of people. It is not where you want to go. Bai Ye
Good attitude.”
"My classmate graduated from Nanjing University of Traditional Chinese Medicine this year. He studied spleen and gastroenterology. There is no shortage of people in the spleen and gastroenterology department. As a result, the general surgery department is short of people. It happened that my classmate performed very well in general surgery and was very popular with the director of general surgery.
Doesn’t this serve as an indicator?”
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After a night of silence, Bai Ye took out his notebook and looked up information about the anorectal department. He didn't care what others said. He had his own plans and knew what he should do. Especially after a day of dressing changes, he found that
One problem is that dressing change, as a basic surgical skill, is often ignored by people, but it has a miraculous effect on the recovery and healing of wounds.
He Xiaoming was very touched after hearing what Yang Chao said. He saw Bai Ye checking something. Taking the opportunity to go to the toilet, he secretly took a look at what Bai Ye was checking and saw that it was the anorectal department. He suddenly became nervous.
After I came back, I also followed Bai Ye’s example and searched for magazines and articles about anorectal medicine.
The next morning, Bai Ye got up early to have breakfast. He felt the bed shaking. He Xiaoming cleared his head, wiped his face with both hands, and got up quickly.
While getting dressed, he asked, "Bai Ye got up so early."
Bai Ye: "I'm going to have breakfast. Dr. Song asked me to go early yesterday to participate in shift handover and change the patient's dressing."
He Xiaoming was stunned: "Doctor Song has already asked you to change your dressing?"
Bai Ye hummed: "Well, he is going to the outpatient clinic today and asked me to change the patient's dressing myself."
He Xiaoming suddenly felt very uncomfortable. He had just gone to the anorectal department and he had never even seen the dressing change, but Bai Ye could change the dressing independently?
"Can you do it? Just change the dressing by yourself when you go to the anorectal department. Will there be any problems?" He Xiaoming couldn't help but ask.
Bai Ye smiled: "You can come up to me, I'll leave first."
Watching Bai Ye leave, He Xiaoming thought for a moment. He had to tell his teacher today that he would also participate in the dressing change. After all, why could Bai Ye be able to do it but he couldn't?
Bai Ye had some breakfast and went to the department. It happened to be 7:40 and he caught up with his shift change. After entering, Song Jie saw Bai Ye coming and smiled, but didn't say anything.
Bai Ye noticed that He Xiaoming was already standing there in a white coat, so he smiled and said hello.
Today, Bai Ye finally saw the director of the Anorectal Department, named Pan Xiangnian, a man about 50 years old, a bit bald, and always looked serious and unsmiling when he handed over his shift.
At around 8:10, when the shift handover was completed, Pan Xiangnian nodded: "Dismissed."
Pan Xiangnian usually does ward rounds every week. Usually he is either outpatient or undergoing surgery, and he rarely stays in the ward.
Song Jie greeted the patient and said, "I'm outpatient today. Dr. Bai will change the dressing for everyone. If you need anything, call me."
Sister Ma took the lead and said, "Okay, Doctor Song, go ahead. We feel relieved to have Doctor Bai here."
Everyone also nodded. After changing the medicine yesterday, everyone discovered a problem. This young Dr. Bai was very steady, and most importantly, he was gentler than Dr. Song and was not very painful.
Especially the young woman Qian Rou, who originally thought that Song Jie was looking a little sad when she changed the dressing, but after hearing that Bai Ye changed the dressing, she breathed a sigh of relief.
Song Jie smiled. He originally thought that the patient was not happy, but it seemed that he was quite cooperative. After greeting Zhang Hui, he went to the outpatient clinic.
After Bai Ye washed his hands and put on gloves and a mask, Zhang Hui helped Bai Ye. After getting ready, Qian Rou came in with a towel.
Seeing that Bai Ye was not that old, his face turned red for no reason.
Bai Ye was stunned for a moment: "Take off your pants, lie on your side, and push your butt over."
Zhang Hui was responsible for handing things over and adjusting the lighting so that Bai Ye could see the wound more clearly. In addition, Qian Rou's skin was fairer, so the wound was more obvious.
After untying the gauze, Bai Ye looked at the egg-sized hole in his buttocks, picked up the tweezers and pinched it, asking, "Does it hurt?"
Qian Rou hummed in a low voice: "Yeah, a little bit."
"Today is better than yesterday. There is not much pus and secretion. It is quite good. I will clean it for you a little. Please bear with it."
Zhang Hui is two or three years older than Bai Ye, so Bai Ye simply calls her Sister Hui.
"Sister Hui, please turn on the light and let me see what's going on inside." Bai Ye looked inside the fistula and then gently scraped the tissue.
I just hung up the line yesterday. Don't worry about it today. It will be processed quickly.
Qian Rou stood up, picked up her pants, said thank you, got up and left.
The next steps went very smoothly. Changing the dressing for hemorrhoids was relatively simple. Only a few abscesses and anal fistulas had to be dealt with, but they were not big problems.
There was only one treatment room in the Anorectal Department, but there were two dressing beds separated by a curtain. Chang Liqiang also walked in at this time, preparing to change the dressing for his patient, and He Xiaoming followed.
Seeing Bai Ye changing the dressing, Chang Liqiang asked: "Huh? Xiaohui, where is... Teacher Song?"
Chang Liqiang is 35 years old this year. He graduated with a doctorate in anorectal medicine from Haishi. When he arrived in the department, Song Jie was already the attending physician and had taken care of Chang Liqiang for a while, so Chang Liqiang also called Song Jie Teacher Song.
Zhang Hui: "In the morning clinic, Teacher Song went there first and asked Doctor Bai to change the dressing."
During this period of dressing change, Zhang Hui found that Bai Ye's skills were quite good. He was not a novice. His movements were smooth and he could be seen as an experienced doctor.
Usually they don't call these interns Doctors. After all, it's... hard to say, some of them are too watery, so they just call them students.
After all, I won’t stay long after transferring to another department, and I can’t even remember my name.
Bai Ye didn't feel anything when he heard Zhang Hui call him Doctor Bai, but when He Xiaoming heard the nurse call him Bai Ye, Doctor Bai, he suddenly felt a little uncomfortable. You know, a nurse just called him affectionately: "That one is you."
!".
Chang Liqiang was also curious for a moment. Seeing that Bai Ye was very skillful in changing dressings, he looked over curiously: "Not bad! Anorectal person?"
Bai Ye smiled: "Hello, Teacher Chang, I trained you as a graduate student in our hospital."
Chang Liqiang exclaimed: "Whose student is he? His technique is good, he must be a student of surgery!"
Bai Ye smiled awkwardly and simply finished introducing himself, so as not to embarrass each other again, so he said: "No, he is a graduate student of Dean Liu in the Department of Neurology. He is in his first year of graduate school this year."
Chang Liqiang nodded: "Oh! You are Dean Liu's student. You are a good young man with good skills. No wonder Teacher Song is so relieved about you. What is your name?"
Bai Ye: "My name is Bai Ye."
Chang Liqiang hummed and said, "Well, let's change the dressing. I won't bother you anymore. Xiao He, go call our patient and prepare to change the dressing. You can help me, after all, it's this first time."
He Xiaoming saw Bai Ye skillfully changing the dressing there, and suddenly felt that it was not too difficult. He felt that if he had followed Song Jie, Song Jie would have asked him to change the dressing. Bai Ye just had a better chance.
In the morning, after changing the medicine, Bai Ye said to Zhang Hui: "Thank you, Sister Hui."
Zhang Hui shook her head: "That's right. Your level is good. If you hadn't told me, I wouldn't have believed you were a student."