Everyone had to participate in the ward round on Monday. Pan Xiangnian was followed by doctors, supervisors and interns, nearly 20 people, and the crowd was very spectacular.
Pan Xiangnian walked next to the room, checking on the recovery status of the patients one by one, but something surprising happened to him. Everyone's recovery status was much better than expected.
The prognosis of the patient who underwent anorectal hemorrhoid circumcision was even better, which made Pan Xiangnian full of surprise.
He has been in the anorectal department for nearly thirty years. He has participated in numerous international conferences, large and small, and has heard about difficult and complicated diseases as well as classic cases. He basically knows everything about the recovery of various patients, even if they have
Some individual differences, but not too big.
But the recovery of these thirty-odd patients even accelerated by a week. What does this mean?
This means that the recovery state that was originally possible to be achieved in two weeks was actually achieved in one week, which is a bit scary.
Could it be that the National Day solar term can be beneficial to the recovery of anorectal diseases?
Stop talking!
There were not many patients during the National Day. After the ward rounds, Pan Xiangnian frowned and was puzzled. What happened? Thinking of this, he directly said to everyone that it was a meeting.
After everyone arrived, Pan Xiangnian asked: "You have also seen the patient's recovery recently. It is much faster than we expected. Do you have any new treatment plans? Or new drugs?"
Everyone shook their heads, and Song Jie said: "Our treatment plan is not much different from the original one...it all follows the guidelines."
As soon as Song Jie finished speaking, Pan Xiangnian frowned: "Then why did the patient recover so quickly this time? Is it any different from before?"
For a moment, everyone was silent. After a while, Song Jie suddenly said: "If there is anything different from before... all these patients were treated by Bai Ye. Is it because of this?"
Song Jie's words made everyone's hearts tremble!
No way? Everyone secretly wondered, can changing dressings make such a big difference?
But other than this, it seems like nothing is different from before.
At this time, everyone turned their attention to Bai Ye, and Pan Xiangnian also asked thoughtfully: "Bai Ye, did you use any special medicine or anything when changing the dressing?"
Bai Ye shook his head: "All the things I use to change the dressing are what's in the dressing kit, and I don't use anything else."
Pan Xiangnian hummed. He remembered that before the National Day holiday, Bai Ye's patients who changed dressings recovered faster than other patients. Is it really because of Bai Ye's dressing changes?
Does he have any special experience in changing dressings?
Thinking of this, Pan Xiangnian asked: "Can you tell everyone about your dressing change experience?"
Bai Ye nodded: "Well, no problem."
At this time, Song Jie suddenly said: "Director, why don't you let Bai Ye talk while operating? I have a patient who just needs to change the dressing."
When Pan Xiangnian heard this, he nodded: "Go and communicate with the patient."
……………………
……………………
The treatment room is not big, but there are seven or eight people there at this time, including Pan Xiangnian. All the doctors in the internal medicine department are here. Today, the patient who changed the dressing was the first operation that Bai Ye participated in, a hemorrhoid circumcision patient.
Seeing so many people, the man took off his pants with lingering fear, moved around, and exposed the wound.
After Bai Ye took off the dressing, he said while operating:
"I pay more attention to several steps when changing dressings. The first is the disinfection and cleaning of windows. Here I want to focus on two things, which are the use of physiological saline. Different concentrations of sodium chloride will have different effects. Combined with hydrogen peroxide and...
"
Bai Ye's hands were very steady, and the operation was not affected by the narration at all.
"The second thing is to grasp the wound. Many operations that do not cause pain can be completely avoided. On the one hand, pain will increase the patient's worries and affect recovery..."
"Finally, there is the use of dressings. I have recently been researching dressings suitable for anorectal dressing changes. I found that if there is a foam auxiliary material that can absorb secretions and..., patients can even recover faster. This is also
Some of my insights.”
After finishing speaking, Bai Ye also finished changing the medicine. The man stood up and said to Bai Ye: "Thank you, Doctor Bai."
Pan Xiangnian asked: "How did you feel when Bai Ye changed the dressing?"
The man was stunned and didn't expect to ask this question. After thinking about it carefully, he said: "It's numb and numb, and it hurts, but it's not too obvious. In fact, my hemorrhoids have been operated on before, and they recurred this time."
Yes, I feel that my recovery is much faster than last time."
After the man finished speaking, he said hello and left. Bai Ye didn't say much, but mainly talked about the patient's condition. If he only talked about changing the dressing, it would probably take some time.
Afterwards, Bai Ye was called to the director's office by Pan Xiangnian.
Pan Xiangnian looked at Bai Ye with an expectant look on his face: "Bai Ye, do you know what the main purpose of the annual meeting is?"
Bai Ye thought about it and said, "It should be some experts and academic figures giving lectures on the progress of this subject."
Pan Xiangnian nodded: "The World Anorectal Annual Conference is an annual meeting organized by the Anorectal Branch of the World Association of Surgery. All those invited to participate are members of the association. At that time, every member of the association's director or above will have an annual meeting.
Summarizing means saying something new and making some conclusions."
"The latest modern anorectal treatment guidelines will be formulated at this time. Therefore, it is no exaggeration to say that this annual meeting is the most authoritative academic conference in anorectal medicine. The current mainstream anorectal treatment technology and technology in the world are
Only after drugs and equipment are approved at this conference will they be widely disseminated and circulated."
"Just like the most popular PPH surgery, it was proposed at the World Anorectal Annual Conference held in London in 2010. So, do you understand the importance of this conference?"
After hearing this, Bai Ye's eyes lit up!
If you can promote your new foam dressing and new lidocaine spray at this time and get promotion, you can imagine the degree of promotion it will bring!
Think about it, your products are included in the world's latest guidelines for the treatment of anorectal diseases. Your things are authoritative, and your surgical techniques are the most authoritative surgical methods of the year. Your instruments and techniques are all current.
How could the most effective treatment plan not become popular?
Thinking of this, Bai Ye suddenly felt that this time was an opportunity. During this period, he tried to create this new type of lidocaine spray and new foam dressings. The production method of these things is actually very convenient and does not require any transcendence.
something meaningful.
After Pan Xiangnian introduced the annual meeting, he looked at Bai Ye and said: "I am the executive director of the Anorectal Branch of the World Association of Surgery in China. I must make a summary. I have an idea, which is to change your dressing.
Talk about it, but it’s not me who talks about it, it’s you who talk about it.”
Bai Ye was stunned: "Shall I tell you?"
Pan Xiangnian nodded: "Yes, you said this is an opportunity. During this period, you will make a plan for your dressing change, and the doctors in the tissue department will conduct experiments. We need some data to prove this dressing change guide.
The efficacy of it, and you should prepare well."
"If it is really written into the annual anorectal treatment guideline, such an honor... will bring not only you, but also a change in the industry status of the anorectal department of our entire Puze Hospital."
Pan Xiangnian's words were calm, but his voice was a little excited. Every time he reported at the annual meeting, he usually gave a hasty report. Sometimes he would talk about some interesting and difficult cases, but most of the time he would not attract too many people's attention.
But this year is different. Bai Ye's dressing change made Pan Xiangnian realize an opportunity. Until now, few people have found that dressing change can have such a powerful effect.
wrong!
It should be said that their dressing change level is not up to the level of promoting wound healing and recovery of patients!
Just like the basics of suturing, few people will do these basic operations for a lifetime. The operating table is a place with a clear division of labor. The surgeon will basically not spend time suturing. Except for some more serious special sutures, let alone the surgeon.
Well, even second assistants and third assistants don't know how to do it. Generally, students or newcomers who have just started can do it.
In the eyes of many people, suturing, dressing changes, debridement, etc. are just tiring and tiring tasks in surgery. Their dream is to become the chief surgeon, such as liver transplantation, splenectomy and other real operations.
Similarly, no one has ever regarded dressing change as a very important thing. After all, debridement and dressing change are the most basic and simple operations in surgery. Sometimes they are even done by interns because the doctor in charge is so busy.
, rarely change the dressing in person, and even if it does, it is done very quickly.
Bai Ye suddenly upgraded his dressing-changing skills to lv5, master level!
Pan Xiangnian said unabashedly: "To be honest, your level of dressing change is better than mine. It is not easy for you to find these things, and it is definitely not luck. Go back and summarize it carefully, and try to write a copy of the anorectal dressing change."
guide."
"We will be a blockbuster at the annual meeting in Tokyo, so that our hospitals in Greater China can also show their face!"
Having said this, Pan Xiangnian was full of confidence and looked a little excited. He never wanted the anorectal department of Puze Hospital to be famous all over the world, although this was very unrealistic.
After Bai Ye left Pan Xiangnian's office, he returned directly to the dormitory. He gradually improved the dressing change experience he had recently summarized and wrote it in detail into a large manual.
However, for the convenience of use, he also used the flow chart mode and made a ppt to explain the basic operations and precautions one by one using the flow chart.
There was an operation in the afternoon, and Pan Xiangnian took the initiative to inform Bai Ye.
After Bai Ye learned about the operation, he quickly went to the operating room on the third floor. Now the operation has been completed for 18/20 and will be completed soon.
Bai Ye still has high expectations for the junior exclusive surgical kit.
This is a buttock mass resection. There is a bulging mass on the buttocks. The cause is unknown and the pathological nature is unclear. It needs to be removed for pathological examination.
Originally, this kind of thing only needed to be handled in the surgical treatment room, but the tumor was already very large, close to the anal canal and mucosa, and its specific nature was unclear, so it was sent to the operating room.
Pan Xiangnian has seen many strange and bizarre cases in recent years, and he is very calm. This time he was the surgeon, with Song Jie and Chang Liqiang helping, and Bai Ye was mainly responsible for watching.
The specific operation is not difficult, the main thing is to separate it from the intestinal wall. This operation took about an hour, and then it was sent for medical examination.
After the procedure, there was another hemorrhoidectomy. It was very simple and was completed in a short time. When he came out, Pan Xiangnian suddenly looked at Bai Ye and asked: "You have been watching it for a while, do you want to try it yourself next time?"
"
When Bai Ye heard this, he suddenly became a little excited: "Can I do it?"
Song Jie smiled: "Why not? The most important thing for a surgeon is to be bold, careful, and steady. I think you have all of them, except for one thing that makes you qualified to be the director."
Bai Ye was a little curious by Song Jie's words: "Teacher Song, what did I miss?"
Song Jie smiled mysteriously and winked: "Not too thick-skinned."
Pan Xiangnian suddenly turned his head and stared at Song Jie: "By the way, the party office has informed me that it will check the diaries of party members' experiences recently. I'm still a little short of it. Please help me make up for it."
Song Jie said, "Okay, director, what's the difference?"
Pan Xiangnian threw the gloves into the trash can and walked outside, saying slowly: "It's probably two or three years away..."
Song Jie was stunned and almost fell to the ground. Was it almost two or three years? How much does this have to write...
Bai Ye glanced at the director's back thoughtfully, and suddenly understood how to become a director...
After Bai Ye returned to the dormitory, he heard the system prompt sound.
[Ding! Follow the surgery mission and complete: 20/20, and get the exclusive primary surgery package. 】
Bai Ye rubbed his hands, thinking that it would be better to wash them thoroughly. After all, he had just had his butt touched during the operation. Although he could not bathe or burn incense, he should still be treated with at least some respect!
Three minutes later, Bai Ye blew fairy air into his hands!
[Ding! You opened the junior exclusive surgical package and got PCA quick-absorbable sutures. 】
[Tip: This is a new type of suture with strong tensile strength, good elasticity, low friction coefficient, fast absorption, and low rejection reaction. It is a synthetic surgical suture. 】
Bai Ye was delighted, this is a good thing!
Surgical sutures have always been a battleground for large companies and conglomerates, and the prices vary greatly.
An ordinary surgical suture costs from a few yuan to several hundred yuan, and so does the technical content involved.
For example, Johnson & Johnson's Vicryl line ranks among the top in the world both at home and abroad.
Why is Vicryl so popular among surgeons? Because the Vicryl thread knots firmly and smoothly, is safe and reliable to operate, has a low friction coefficient, can pass through tissues smoothly without tissue drag, and has advantages in hydrolysis and absorption. The most important thing is
It has no antigenicity and does not require suture removal. As the wound heals, the skin sutures can fall off in 7-10 days, and the mucosal sutures will dissolve in 3-5 months.
Bai Ye quickly searched to find out if there was a formula and how to produce such a thread. This is a good thing and has a big market.
Like the new lidocaine spray, there was also a small notebook with the production method written on it. Bai Ye was so happy that he quickly hid the thing.
The most important thing is that this is a new type of material. This kind of silk thread can be widely used in: general surgery, pediatric surgery, urology, plastic surgery, ophthalmology, gynecology, obstetrics, orthopedics, stomatology, and other surgical trials.
Different from the previous polyvinyl alcohol and so on, this is a composite material made of collagen material combined with pga.
The production process is not difficult either. The production process is not much different from the assembly line of ordinary sutures. The most important thing is the processing and handling of raw materials.
Especially in the current medical market, the requirements for sutures are getting higher and higher, especially in those high-precision industries and plastic surgery industries. A small suture often plays a big role.
Therefore, Bai Ye was very satisfied with getting this thing in the lottery. Sure enough, what the doctors said was right!
"Wash your hands more often. Wash your hands frequently."