Chapter 200: Director! You see this chrysanthemum is very different!
After checking the room, Pan Xiangnian said to everyone thoughtfully: "Have a small meeting."
Everyone looked at each other, what's wrong with the director today?
There are also many interns in the anorectal department, one or two for each doctor. When they heard the director's meeting, they all came to the office and stood still.
Pan Xiangnian looked at the people gathered and said, "I want to talk to you about something today, about changing the dressing."
When He Xiaoming heard this, he changed the medicine?
He suddenly remembered that Director Pan and Song Jie were chatting privately just now. Song Jie was still a little unhappy. Could it be because of this?
Is it because of Bai Ye?
Because it was Bai Ye who changed the dressings for Song Jie's patients, the director must have discovered the problem with Bai Ye's dressing changes.
At this time, Pan Xiangnian suddenly said: "What I am telling you today is that in our surgery department, especially in the anorectal department, operations are generally not major operations, but it is important to resume daily care in the later stages of these diseases."
Pan Xiangnian asked: "Come on, Song Jie, tell me, what is more important in the later stages of the operation?"
Song Jie nodded: "After the operation, the patient's recovery is very important, and this mainly involves debridement and dressing change. Observing the wound and taking measures are effective measures to prevent the condition from worsening and speed up recovery."
Pan Xiangnian nodded: "So, don't underestimate dressing changing. Although dressing changing is simple, it is indeed a university subject and one of the necessary skills for surgery. I saw a few patients today and they recovered very well.
He is Song Jie’s patient.”
"We have always been hoping to improve the surgical procedures and improve the efficacy, but now I have discovered a problem, which is the problem of dressing change. Dressing change is an effective method that can effectively improve the patient's condition and speed up recovery. Let's go on like this.
From now on, everyone will communicate with each other and check information, and after a while, we will hold a special discussion on dressing change."
After Pan Xiangnian finished speaking, he said to everyone: "During this period, everyone is communicating with Bai Ye."
At this time, everyone was stunned, Bai Ye?
Who is Bai Ye?
Experts invited from outside?
Bai Ye is also a little confused. What is the situation? Talk to me?
"After I saw Bai Ye's dressing change patients today, I found that their wound healing was generally better than that of other patients. As the most commonly used basic skill in surgery, it is still very valuable. Please take good care of yourself during this time.
To summarize, after the National Day, we will discuss the dressing change specifically."
After finishing speaking, Pan Xiangnian walked out. Suddenly he remembered something and turned around and said, "Bai Ye will do the surgery this afternoon."
Bai Ye's eyes lit up and he was worried about not being able to keep up with the surgery!
The opportunity has finally come!
After the director left, Song Jie patted Bai Ye's shoulder and smiled: "That's right, I've left all the dressing changes to you these days. You study hard, summarize your experience, and I'll tell you about it next Monday."
Bai Ye didn't have too much worry about giving lectures. After all, he could reach level 3 just by changing the dressing, which was a professional level, and he could also speak some more professional things.
In surgery, dressing change has been ignored by many doctors, who believe that surgery is the most important way to improve surgery.
In fact, dressing change is very important for the patient's recovery. In fact, Bai Ye did not discover these problems himself, but director Pan Xiangnian was able to raise them. It must be said that his clinical observation ability and level are very impressive.
In this way, Bai Ye has a treasure mountain in his hands, but his knowledge of this treasure mountain is limited, while Pan Xiangnian is a discerning person, a person who can discover the treasure mountain.
Bai Ye also kept it in mind. During this period, he hoped to change more medicines, strive to upgrade as soon as possible, raise the dressing change to level 4, and then complete 200 dressing change tasks as early as possible, so that he could get rewards early.
Bai Ye is still looking forward to the intermediate-level exclusive dressing pack.
In the afternoon, Bai Ye arrived at the ward early. At about three o'clock, Song Jie came up, looked at Bai Ye, and smiled: "You're here so early, take your medical records, and we'll go down together."
Bai Ye read the case carefully at noon, remembering every important indicator clearly on the test sheet.
Song Jie asked: "Are you sick?"
Bai Ye nodded and said, "Well, I probably understand it clearly."
Song Jie shook his head: "As a doctor in charge, what you have to do is to fully understand the patient in your hand. You can't make general remarks, because there will be various things during the operation, and we must think of every possibility."
"Although this is just a hemorrhoid surgery, the situation is quite serious. Mixed hemorrhoids, grade 3, seriously blocking the anus. Today is supposed to be a circular excision. The director will probably ask you to tie a knot with a retractor or something. Are you sure?"
Circular resection is a method for severe hemorrhoids, which is performed in a circle. There are intestinal sutures after the operation, not to mention retractors and knotting. Bai Ye is very experienced in intestinal sutures, but... only
Based on my experience, I haven’t had much practice with Bai Ye’s specific operations.
After walking into the operating room and putting on the surgical gown. After washing his hands and putting on the surgical gown, Bai Ye was a little nervous and felt a little overwhelmed with his hands on his chest.
After all, I have already put on clothes and gloves, so I can't touch my hands anywhere.
At this time, the patient was under local anesthesia and was lying on the hospital bed. The surgery was performed by Director Pan and Teacher Song Jie, with Bai Ye as his assistant.
With the help of instruments, the hemorrhoidal part of the intestine was exposed. Director Pan looked at the specific situation carefully, and then said to Song Jie: "You can do it, but remember to cut it clean. I'm worried that it will relapse in the future.
Circle, cut it all out directly, and then sew the intestines..."
After a little preparation, Song Jie was ready to take action. After the instrument nurse counted the surgical instruments, she also began to hand over the items according to Song Jie's needs.
But Bai Ye suddenly heard the system prompt sound.
【Simulated scene found, should you copy it?】
Bai Ye was stunned, what's going on? What kind of simulation scene?
Suddenly he remembered that there was a new privilege after the VIP3 level of life membership, the simulation space laboratory, which can simulate real-life scenes, and then conduct simulations, operations and experiments to achieve the effect of practice, but because it has never been triggered before
, Bai Ye didn’t use it either, but now that it can be used, why waste it!
Thinking of this, Bai Ye quickly chose to turn it on.
[Ding! Simulating the scene requires money. Do you want to simulate it? The consumption of this simulation is 10,000 yuan. 】
Bai Ye couldn't help but pause, ten thousand yuan?
Can it be reused?
[Ding! Simulation experiments can be used without restrictions. Do you want to simulate? 】
Bai Ye was delighted that it could be reused. In this way, the ten thousand yuan would not be a loss at all. After all, no one would let Bai Ye conduct human experiments, but after all, surgery still needs continuous practice to make progress.
simulation!
[Ding! Simulating... 10%... 50%... 90%... 100%! Simulation successful! Click the simulation scene to enter. 】
Bai Ye saw an option for a virtual scene on the virtual screen. After clicking it, there was an option:
【2017-9-27-15:35:Whether to name it.】
This scene is like an archive. Bai Ye directly changed it to [Anorectal Hemorrhoid Circumcision.]
With this opportunity, he can continue to practice in the future. Thinking of this, Bai Ye closed the virtual screen and watched Song Jie's surgery seriously.
In fact, the operation was very simple, and Song Jie was also experienced. It didn't take long for the surgery to be removed, and then sutured. Because the operation went smoothly, there was plenty of time, Song Jie said to Bai Ye.
"Can you sew?"
Bai Ye has level 2 suturing techniques and a new type of intestinal suturing technique, so he has no qualms about simple post-circumcision suturing of hemorrhoids.
Pan Xiangnian was also on the side, occasionally just helping, but mostly watching. Hearing Song Jie's words, he couldn't help but be stunned for a moment, and glanced at Bai Ye with doubts and a little expectancy.
Bai Ye said decisively: "Yes, yes!"
There are many folds in the rectum, so cutting off a little won't affect much at all. Moreover, hemorrhoidectomy is different from those for rectal cancer, and the things removed are also different.
This kind of suturing is very simple. After getting Pan Xiangnian's approval, the nurse clamped the threaded needle with tweezers and handed it to Bai Ye.
After Bai Ye borrowed it, he started suturing. This kind of suturing does not require suturing blood vessels or anything. The suturing of mucosa is the same as that of skin, and it only needs to be sutured together.
It was precisely because of this that Pan Xiangnian agreed. He was even ready to let Song Jie take over after Bai Ye's second stitch.
Bai Ye's hands were very steady, and the tweezers in his hands firmly held the curved needle, and directly hooked the inner mucosa of the intestinal wall carefully together.
At this point, not only Song Jie, but also Pan Xiangnian's eyes widened.
Because this needle is thicker and belongs to a larger size, Bai Ye originally wanted Bai Ye to suture it directly through the intestinal wall, but Bai Ye used this large needle to pass the thread through the inner wall of the intestine.
this!
This is a test of a surgeon's hand skills, especially anorectal surgeons. The thickness of the intestinal wall and the grasp of needles and threads are all a hard skill!
Pan Xiangnian and Song Jie looked at each other and saw surprise in each other's eyes.
coincide?
After the two were surprised, they continued to watch. They thought it must be a coincidence, right? Or even a mistake!
But Bai Ye's next operation amazed the two of them.
Because Bai Ye had already given the second needle, his slender fingers were threading needles and threads between the thin intestinal walls, like a butterfly hand threading flowers!
This is not a coincidence, this is strength!
This is the hand of a senior attending physician, and a very talented senior anorectal surgeon!
Seeing that the suturing was almost completed, Pan Xiangnian finally couldn't hold back and asked:
"Bai Ye, you...have you been in a clinic before? In the anorectal department?"
Bai Ye nodded, finished the last stitch, and tied a beautiful surgical knot with his slender fingers.
After handing the instrument to the nurse, he replied: "Well, director, I have been in the anorectal department for a long time, and I often do it."
Pan Xiangnian finally breathed a sigh of relief, then looked up at Song Jie, and suddenly sighed again and said: "Hey... there is really a gap between this person and other people!"
Song Jie was stunned, his eyes widened, he opened his mouth but didn't know what to say, but then he thought again and smiled awkwardly.
The operating room is not as serious as everyone thinks, but it is definitely not a place for laughter and fun.
When it is time to be rigorous and serious, there must be no sloppiness at all. For example, the equipment nurse at this time carried out an inventory three times, and repeatedly confirmed the location of gauze, equipment and even every thread.
Just like the kind of thing where gauze, or even scissors fall into the stomach, it is actually almost impossible to happen.
Of course, there are always exceptions to everything, but at this time, Song Jie was lying on the patient's affected area. He didn't know what he was thinking. After half a minute, he suddenly frowned and said: "Director, come here, take a good look at this suture."
The technique is a bit strange!"
When Pan Xiangnian heard this, he noticed that the suture of the patient's wound was indeed a little different. It seemed that there was a more suitable needle placement point between the suture angle and the folds of the intestine. While suturing, the traditional Chinese medicine doctor actually hung up the thread.
Ideas are added to it.
Moreover, the most important thing is the treatment between the skin and mucous membranes. The venous blood vessels of the anal canal skin and the blood vessels of the rectal mucosa above the dentate line are not the same blood supply. Generally speaking, there is not much attention to detail, but this kind of suturing is not.
Combining suturing with the suture concept of traditional Chinese medicine is a great way to combine traditional Chinese and western medicine!
In fact, Bai Ye originally just wanted to suture step by step, but when he saw that the man was circumcised at the junction of skin and mucosa, the dentate line, he suddenly recalled a little trick in intestinal suturing, which is to suture the mucosa and skin.
The selection of the needle insertion point is of great help to the patient's wound recovery and later recurrence. Moreover, the most important thing is that this suturing technique can stop the blood flow and prevent the formation of hemorrhoids!
It is important to know that hemorrhoids are mainly caused by varicose veins caused by obstruction of venous return. Even if the hemorrhoids are cut off, there is still a high chance of recurrence in the future.
However, Bai Ye's suture can effectively tie blood vessels, which is equivalent to the seton treatment in traditional Chinese medicine!
While suturing, this also incorporates the concept of thread setting treatment in traditional Chinese medicine!
Seconds!
No wonder Bai Ye didn't change the fine needle and Western suture, but chose this ordinary intestinal wall suture. It turns out that the key is here!
Thinking of this, Song Jie and Pan Xiangnian's eyes even showed surprise. This kind of thinking cannot be solved by a magic formula.
Pan Xiangnian bent down and stared at the sutured wound, carefully touching it with his hands, marveling at it while looking at it...
"Tsk tsk... Song Jie, look here... tsk tsk!"
…………
At this time, a faint voice came:
"Doctor...it's itchy...don't touch it..."
When Pan Xiangnian heard this, he stood up straight and coughed: "Ahem, um, the anesthesia is over. Not bad, not bad. The operation was successful and the suturing was very good. I checked it. It's good. It's very good! I'll change it well in the future."
medicine,"
Pan Xiangnian turned around and looked at Bai Ye. Although he could understand what Bai Ye meant, it was very challenging to find the correct needle placement point and suture.
He asked curiously: "Bai Ye, where did you learn this suturing method?"
Bai Ye: "Oh, I just suddenly thought of it. Director...is there something wrong?"