Xueba is also open

Chapter 198 Doctor... Take it easy!
Not long after, a woman in her thirties walked in, with a pretty face, but she was wearing a hospital gown. When she saw Song Jie, she smiled awkwardly: "Doctor Song, you... Take it easy today, I'm afraid of pain... "

Song Jie chuckled and nodded: "It's not that I am serious. If you don't scrape your rotten flesh, fresh granulation tissue will appear slowly and recover very slowly. You can't live in our department forever... let alone Long-term inflammation and infection can easily lead to other complications."

Qian Rou sighed with a sad face, she never thought how she got this disease.

"How long will it take me to get well? Doctor."

Song Jie said: "You just formed the fistula after incision and drainage. It may take a while to heal. During this time, changing the dressing properly can help the recovery. Okay, come up."

After finishing speaking, the woman spread her own towel on the dressing bed, took off her pants consciously, and after fully exposing her left side lying position, Bai Ye saw a hole in the woman's perianal back skin, which was stuffed with gauze.

This should be the fistula formed after cutting the abscess and removing the purulent tissue and carrion.

Song Jie pointed to the wound and said to Bai Ye: "This is an acute perianal abscess. Do you know the difference and connection between a perianal abscess and anal fistula?"

Bai Ye thought for a while and said, "Perianal abscess is an acute suppurative infection of the soft tissue or space around the rectum and anal canal. Anal fistula is often formed after the abscess ruptures or incision and drainage. Abscess is the acute infection of the anal canal. whereas anal fistula is a chronic consequence."

Song Jie paused for a moment: "Is the young man not bad? Then, what kind of situation does this wound belong to?"

As he spoke, Song Jie had already taken out the drainage gauze from the fistula, fully exposing the wound.

Bai Ye frowned, stared at it carefully, and then asked, "Can I do it?"

Song Jie looked at Bai Ye wearing gloves, and said, "Well, yes, I'll give you this."

After finishing speaking, he handed the tweezers to Bai Ye, got up and said, "Sit down, I'll watch you do it."

Bai Ye nodded, without being stage frightened, he directly took the tweezers, clamped a piece of sterilized cotton ball, and after disinfecting the perianal skin, opened his buttocks with his left hand. At this time, a fistula appeared. Bai Ye looked at the wound, Said: "This is three or four days after the operation? The purulent secretions are still fully drained, and there are new ulcers. First scrape these tissues, and then do not need to use gauze for drainage, but use hanging thread for drainage. In this case, The abscess can be fully opened, the drainage can be more unobstructed, and the second anal fistula operation can be avoided."

To be honest, Song Jie was really shocked by Bai Ye, because what Bai Ye said was exactly the same as Song Jie's analysis, and it was indeed 3 and a half days after the operation. After seeing the woman's wound just now, he thought of hanging thread treatment to prevent the formation of a second anal fistula : "Have you been in the anorectal department before?"

Bai Ye nodded: "I have been an intern in the anorectal department for a long time, and I have also participated in surgery, and I often follow the teacher to change the dressing."

It seems that the only reason can be said in the past, right?

Song Jie said suddenly: "Come on, you start, I will help you by the side."

Bai Ye nodded and was not humble. Although it is in the treatment room, if you say that you have no confidence, it will undoubtedly reduce the patient's trust in you, so it is better to start directly than to refuse.

At this time, Qian Rou suddenly trembled!Quickly said: "Doctor Song...you should come, I'm afraid of pain..."

Bai Ye smiled slightly: "Don't worry, my hands are steady, come on, poke your butt out."

Qian Rou sighed, clenched her teeth, and squeezed her hips towards Bai Ye.

Bai Ye said to Song Jie, "Mr. Song, give me the 0.9 sodium chloride injection."

Song Jie smiled, handed the prepared syringe to Bai Ye, and looked with great interest at this Bai Ye, who was not at all stage-frightened and had a steady hand and posture.

Bai Ye took the syringe, flushed the fistula, and said, "It might hurt, bear with it."

Qian Rou nodded. During this period of time, she also understood her situation, and asked in a low voice: "Are you going to shave the meat?"

I saw Bai Ye was silent, took a knife and gently cut off the layer of ulcerated and rotten tissue, then wiped off the scraped tissue with gauze, rinsed with normal saline, looked at the new granulation tissue , smiled: "You are still young and recover quickly."

Qian Rou gritted her teeth and sullenly said, "Hurry up...I've been preparing for a long time."

Bai Ye said, "I'm done shaving."

Qian Rou was taken aback: "Is it over? Why didn't I feel that much pain?"

Bai Ye said seriously, "You're too nervous."

After finishing speaking, Bai Ye looked at Song Jie: "Mr. Song, should I hang up or you?"

Song Jie saw that Bai Ye's technique of debridement and scraping off the ulcerated and suppurative tissue was very light, and he was a little curious and puzzled. This technique could not be practiced in seven or eight years, especially the grasp of anorectal tissue and structure, at least There is a high level of senior attending physician.

Hearing Bai Ye's question, Song Jie hesitated for a moment, and said with seven points of consideration: "You come. I will help you get the probe and thread."

Bai Ye nodded, and said to Qian Rou: "Be careful these few days, I will hang a thread for you, it may hurt a little these few days, but it will speed up your recovery..."

Qian Rou was a little worried at first, but she felt the feeling coming from the wound. She felt that the doctor was trustworthy, and seeing Song Jie's cooperation, she was even more convinced.

"Well, thank you doctor. I'm sorry to trouble you. Are you a new anorectal doctor?" Qian Rou asked casually, without the nervousness just now.

Bai Ye hummed, but didn't speak. Not long after, Song Jie came with the medicine thread, and after putting it on, he handed it to Bai Ye.

After Bai Ye took it, he said to the patient, "Relax, don't be nervous."

After finishing speaking, Bai Ye poked the probe from the outer opening of the fistula into the inner opening, then slowly inserted his fingers into the anal canal, skillfully pulled the front part of the curved probe with his right hand, pulled it out with the index finger of his left hand, and then connected the rubber band , remove the probe...

After Qian Rou got up, she turned around and glanced curiously. Bai Ye, who was wearing a mask, and those slender fingers blushed, and said, "Thank you."

Then he put away his towel, and carefully walked outside with his splayed legs.

After Qian Rou went out, Song Jie didn't call for someone immediately, but stared at Bai Ye and asked suspiciously, "Are you very skilled in this technique?"

Bai Ye said: "I actually wanted to apply for anorectal postgraduate, so during my internship, I stayed in the anorectal department for a long time, and often followed our doctor there to change dressings and perform operations."

Only then did Song Jie heave a sigh of relief, but even so, this kid's technique and attitude are too old-fashioned. Looking at the level of a surgeon, it can be seen through one dressing change. Bai Ye's dressing change level in the anorectal department has already It is not an exaggeration at all to have the level of a senior attending physician.

Not to mention anything else, the technique of scraping off the suppurative tissue just now is no worse than him!
Well, that's what he thinks, at least he thinks that Qian Rou's lack of pain should be the reason why she's too nervous...

Thinking of this, Song Jie nodded: "You change your medicine this morning, and I will help you."

He was about to say don't be nervous and anxious, but the words didn't come out of his mouth. He remembered the scene of Bai Ye changing the dressing just now and swallowed again.

Is he nervous?Still in a hurry?

Song Jie will think about it, it seems that he is in a hurry...

(End of this chapter)