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Chapter 197 Admission
Bai Ye has one day of tutoring time per week, while Dean Liu has outpatient clinics all day on Wednesday, Friday morning and Sunday morning.

Bai Ye simply arranged to go out to the clinic on Sunday morning, and stayed in the ward on weekdays.

The official training rotation time is September 9th. During this time, Bai Ye basically follows Dean Liu to outpatient clinics and read books.

Although I say that I am a doctor in the Department of Neurology, I only really returned to my department in the third year of research, and I may have been rotating in other departments for the last two years.

The key to how much you can learn during one day of outpatient clinic time per week depends on your reserve of knowledge. Every patient is a learning opportunity.

During this period of time, Bai Ye read through the books on neurology. It is not an exaggeration to call the nervous system a subject of mastery.

As the most difficult clinical subject, there is too much knowledge to master, and each nerve innervation part has to be remembered.

After Bai Ye used ten memory capsules, he finally passed the neurology department for the first time.

In addition to studying with teachers and outpatient clinics during this period, Bai Ye's neurological technology has reached: lv2: 2018/3000.

On September 9th, Bai Ye and He Xiaoming went to the anorectal department together.

The Anorectal Department of Puze Hospital, as a hospital integrating traditional Chinese and Western medicine, is doing well, with 60 beds, and it is also regarded as a national key specialty.

In fact, traditional Chinese medicine has great advantages in anorectal medicine. Of course, some people say that this is because modern medicine does not want to engage in anorectal medicine.

But the truth is the same. The Anorectal Department of Western Hospital is not a key department. After all, there are too many surgical departments, and there are a lot of general surgery. A type of major surgery.

After the class was over in the morning, Bai Ye and He Xiaoming were assigned to two doctors. Bai Ye's teacher was Song Jie, a deputy chief physician.

Song Jie looked at Bai Ye with a smile: "Dean Liu has given orders to our department. Your training tasks are different from others. You have to work hard."

Bai Ye was also very curious, and asked, "Mr. Song, what did my tutor say?"

Song Jie chuckled: "Dean Liu asked us to treat you as a resident doctor, not a regular doctor. When you leave the department, you will be allowed to treat a patient alone, and then personally ask the director to give you the results of the department. "

【Ding!The regular training task of the anorectal department, during the anorectal department, completed 50 dressing changes independently.Get an exclusive dressing change kit. 】

【Ding!The regular training task of the anorectal department, during the anorectal department, follow 20 operations, and get the exclusive operation kit. 】

【Ding!For the regular training task of the anorectal department, before the end of the rotation of the anorectal department, the chief surgeon completes an operation, and according to the score of the operation effect, a lucky draw will be won. 】

Following the sounds of ding ding ding, Bai Ye was stunned for a moment, unexpectedly triggering so many tasks.

Song Jie looked at Bai Ye in a daze, and smiled: "Don't be nervous, just follow me during this time and study hard. This is not a postgraduate entrance examination for you, it is also a test for me."

Song Jie turned around and asked, "How much do you know about anorectal surgery?"

Bai Ye thought for a while: "I read the book carefully before coming here, and I have some understanding of the general knowledge of anorectal."

When Song Jie heard this, he nodded in satisfaction: "Good habit, let's go, first follow me to change the medicine."

After finishing speaking, he got up and walked towards the treatment room: "Generally speaking, we change the dressing first in the morning, and then make rounds. The main patients in our department are hemorrhoids, anal fistula, perianal abscess, and anal fissure. , and occasionally some more serious ones such as rectal cancer."

"Patients usually change their dressings once a day, and they can do it once a few days after they are discharged from the hospital. You just came here today, give me a hand, and you start to change your dressings yourself a week later. In fact, it is not difficult to change your dressings, but you just came here. Today I will focus on Emphasize the aseptic operation."

It is a habit to change the dressing in the morning, and all the patients are ready. After Song Jie greeted the patients, he entered the treatment room and asked Bai Ye to close the door.

He took out a disposable dressing change kit from the cabinet and looked at Bai Ye: "Remember, before using the dressing replacement kit, you should check the time first, just like the shelf life of food, there are also sterilized dressing replacement kits...there are In the polluted area, you can only touch the outside with your hands. After opening, the inside is a sterile area, and you can’t directly operate it with your hands. You can use disposable gloves, and get me gauze later, and wash the patient by the way.”

Bai Ye listened carefully to Song Jie's words, and kept in mind that although the anorectal department had level 3 skills, he still had to listen to the words of clinicians. Most of the time, every doctor has his own clinical experience.

Song Jie now has ten patients, seven with hemorrhoids, two with anal fistula, and one with perianal abscess.

All require dressing changes postoperatively.

Song Jie took the opportunity to explain to Bai Ye: "Hemorrhoids are the most common disease in our department. They are divided into internal hemorrhoids and external hemorrhoids. The difference is not only the internal and external things, but there is no difference if you understand it this way. Here is a The dentate line, located above the dentate line, is an internal hemorrhoid, and below it is an external hemorrhoid."

"Hemorrhoids are not a piece of meat, but varicose veins. Above the dentate line is the rectal mucosa, and below is the skin of the anal canal. The rectal mucosa is innervated by autonomic nerves, and the feeling is vague, as is the pain. The skin below is rich in nerves, and the sensation is relatively strong." obvious……"

Bai Ye was taken aback... That's right, looking at the nervous system during this period, the rectum is indeed dominated by autonomic nerves, and the intestinal nerves are relatively independent, so some pain sensations and some sensations are not obvious...

Then... Bai Ye suddenly thought of some perverted operations in some AVIs far away in Europe, America and island countries... It's all a lie, it clearly feels very vague there, okay?
Sighing, Bai Ye felt that it was terrible to be uneducated, and he could be deceived even by watching a small movie.

It has to be said that hemorrhoids account for more than 87% of anorectal diseases. No wonder it is said that nine out of ten people have hemorrhoids, and there are more women, especially during pregnancy and breastfeeding. Because of the pressure on venous return, it is easy to cause hemorrhoids.

Wearing a mask, Bai Ye passed gauze, scissors, etc. to Song Jie very skillfully.

Looking at the medical records, I found that 5 of the 40 hemorrhoids were women, all of whom were in their 34s, but there was also a young woman who got the disease during pregnancy and was only [-] or [-] years old this year.

Song Jie has rich clinical experience, but he changes the dressing faster, and wailing sounds come from the treatment room from time to time~
While changing the dressing, Song Jie explained to Bai Ye: "The advantages of anorectal medicine in traditional Chinese medicine are actually quite obvious. We have already recognized hemorrhoids and some common solutions in ancient times, including the current hanging thread, which is used to curb bleeding. flow, and then scar tissue gradually forms..."

(End of this chapter)