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Chapter 202 Director!look!
After checking the room, Pan Xiangnian thoughtfully said to everyone, "Have a small meeting."

Everyone looked at each other in blank dismay, what's the director doing today?

There are also quite a few interns in the anorectal department, and each doctor has one or two. Hearing the meeting of the director, they all went to stand in the office.

Pan Xiangnian saw that everyone had arrived, and said, "Today I have a chat with you about changing the medicine."

When He Xiaoming heard it, change the medicine?

He suddenly thought of Director Pan and Song Jie chatting in private just now, Song Jie was still a little unhappy, could it be because of this?
Is it because of Bai Ye?

Because Bai Ye was doing all the dressing changes 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'm telling you today is that our surgery, especially the anorectal department, is generally not a major operation, but it is very important to resume daily care in the later stage of these diseases."

Pan Xiangnian asked, "Come on, Song Jie, what is more important in the post-operative period?"

Song Jie nodded: "In the later stage of the operation, the recovery of the patient's body is very important, and this mainly involves debridement and dressing changes. Observing the wound and taking measures are effective measures to prevent the deterioration of the condition and speed up recovery."

Pan Xiangnian nodded: "So, everyone, don't underestimate changing dressings. Although changing dressings is simple, it is indeed a university question and one of the necessary skills in surgery. I saw a few patients today and they recovered very well. It's Song Jie's patient."

"For a long time, we have been hoping to improve the operation method and improve the curative effect, but now I found a problem, that is, changing the dressing. Changing the dressing is an effective way to improve the patient's condition and speed up the recovery. Let's go on In the future, everyone will communicate with each other, check information, and after a while, we will hold a special discussion on changing the medicine."

After Pan Xiangnian finished speaking, he said to everyone, "Everyone communicates with Bai Ye during this time."

At this time, everyone was taken aback, Bai Ye?

Who is Bai Ye?

Experts invited from outside?
Bai Ye was also a little confused, what's the situation?Chat with me?
"After seeing Bai Ye's patients who changed their dressings today, I found that their wound healing is generally better than that of other patients. As the most commonly used and most basic skill in surgery, he is still very valuable. During this time, please take care of me. To sum up, after the [-]th National Day, we will discuss and discuss about changing the medicine."

After finishing speaking, Pan Xiangnian walked out, and suddenly remembered something, then turned around and said, "Bai Ye will have surgery this afternoon."

Bai Ye's eyes lit up, and he was worried that he would not be able to keep up with the operation!

opportunity finally arises!

After the director left, Song Jie patted Bai Ye on the shoulder and smiled: "That's right, I've left it to you to change the medicine these few days. You study hard, sum up your experience, and tell me next Monday."

Bai Ye didn't worry too much about the lectures. After all, changing the medicine can reach level 3, which is a professional level, and he can speak some more professional things.

In surgery, dressing change has been neglected by many doctors, who believe that surgery is the most important way to improve surgery.

In fact, changing the dressing is very important for the patient's recovery. In fact, Bai Ye didn't find these problems himself, but the director Pan Xiangnian was able to bring them up. It has to be said that the clinical observation ability and level are very good.

In other words, Bai Ye has a treasure mountain in his hand, and his own knowledge of this treasure mountain is limited, while Pan Xiangnian is a person with vision, a person who can discover the treasure mountain.

Bai Ye also kept in mind that during this period of time, he hoped to change more medicines, strive to upgrade as soon as possible, upgrade the medicine changes to lv4, and then complete the task of changing medicines 200 times earlier, so that he can get rewards earlier.

Bai Ye is still full of expectations for the intermediate-level exclusive dressing kit.

In the afternoon, Bai Ye arrived at the ward early. Around three o'clock, Song Jie came up, looked at Bai Ye, and smiled: "It's so early, take the medical records, and let's go down together."

Bai Ye read the case carefully at noon, including clearly remembering every important indicator on the test sheet.

Song Jie asked, "Have you seen a disease?"

Bai Ye nodded and hummed: "Well, I probably understand it clearly."

Song Jie shook his head: "As a doctor in charge, what you have to do is to have a complete understanding of the patient in hand, and you can't say roughly, because there will be various things during the operation, and we must think of every possibility."

"Although this is just a hemorrhoid operation, the situation is more serious. Mixed hemorrhoids, grade 3, severely obstruct the anus. Today it should be a circular resection. The director will probably let you tie a hook or something. Do you have a bottom line?"

Circular resection is a method for more serious hemorrhoids, surrounded by a circle. After the operation, there is intestinal suture, not to mention knotting with retractors. Bai Ye is very experienced in intestinal suturing, but... only Due to limited experience, Bai Ye hasn't had much practice in specific operations.

After entering the operating room and changing into the surgical gown, after washing his hands and putting on the surgical gown, Bai Ye was a little nervous, and he was a little at a loss with his hands on his chest.

After all, I have put on clothes and gloves, and I can't touch my hands anywhere.

At this time, the patient was under local anesthesia and was lying on the hospital bed. The operation was performed by Director Pan and Teacher Song Jie, with Bai Ye as the assistant.

With the help of the instrument, the intestinal tract of the hemorrhoid was exposed. Director Pan carefully looked at the specific situation, and then said to Song Jie: "You can do it, but remember to cut it clean, I am worried that it will recur in the future. Circle, cut off all of them directly, and then suture the intestine..."

After a little preparation, Song Jie was ready to start. After the instrument nurse counted the surgical instruments, he also began to deliver items according to Song Jie's needs.

But Bai Ye suddenly heard the system prompt sound.

[Find a simulated scene, do you want to copy it? 】

Bai Ye was taken aback, what's the matter?What simulated scene?
Suddenly he remembered that a new privilege appeared after the VIP3 level of the original life member, the simulated space laboratory, which can simulate the scene in reality, and then conduct simulation, operation and experiment, so as to achieve the effect of practice, but because it has never been triggered before , Bai Ye didn't use it either, but since it can be used now, why waste it!

Thinking of this, Bai Ye quickly chose to open it.

【Ding!Simulation scenarios cost money, do you want to simulate?This simulated consumption is 1 yuan. 】

Bai Ye could not help but pause, 1 yuan?

Can it be reused?
【Ding!Simulation experiments can be used without restrictions, is a simulation performed? 】

Bai Ye was overjoyed that it could be reused. In this way, 1 yuan would not be a loss at all. After all, no one would let Bai Ye conduct human experiments, but surgery still needs continuous practice to make progress.

simulation!

【Ding!Simulating... 10%... 50%... 90%... 100%!Simulation succeeded!Click on the simulation scene to enter. 】

Bai Ye saw an option for a virtual scene on the virtual screen. After clicking on it, there was an option:

【2017-9-27-15：35：是否命名。】

This scene is like an archive, Bai Ye directly replaced it with [Anorectal Hemorrhoid Circumcision. 】

With this opportunity, he can continue to practice in the future. Thinking of this, Bai Ye turned off the virtual screen and watched Song Jie's surgery seriously.

In fact, the operation is still very simple. Song Jie is also very experienced. It was removed in a short time, and then sutured. Because the operation went well, there was plenty of time, Song Jie said to Bai Ye.

"Can it be stitched?"

Bai Ye has lv2 suturing technique, and there is also a new type of intestinal suturing technique, and he doesn't feel guilty about simple hemorrhoid circumcision and suturing.

Pan Xiangnian was also on the sidelines, occasionally just helping out, most of them were watching. Hearing Song Jie's words, he couldn't help being stunned for a moment, and looked at Bai Ye suspiciously, also looking forward to it.

Bai Ye said decisively: "Yes, yes!"

There are many folds in the rectum, and cutting off a little will not affect too much, and the removal of hemorrhoids is different from those of rectal cancer, and the things cut out are different.

This kind of suture 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 began to suture. This kind of suture does not need to suture blood vessels or anything. The suture of this kind of mucous membrane is the same as that of skin, it only needs to be sutured together.

It was precisely because of this that Pan Xiangnian agreed, and he was even ready to let Song Jie take over after Bai Ye's second stitch was finished.

Bai Ye's hand was very steady, and the tweezers in his hand held the curved needle firmly, directly hooking the inner mucous membrane of the intestinal wall together carefully.

After this, not only Song Jie, but even Pan Xiangnian's eyes widened.

Because this needle is relatively thick, it is one size bigger. Originally, Bai Ye wanted to suture it directly through the intestinal wall, but Bai Ye used this large needle to send the thread through the inner wall of the intestine.

This!
This is a test of the hand strength of a surgeon, especially anorectal surgeons. The thickness of the intestinal wall and the grasp of needles and threads are all hard skills!

Pan Xiangnian and Song Jie looked at each other, and found surprise in each other's eyes.

coincidence?

After the two were surprised, they continued to look at it. They thought it should be a coincidence, right?Even a mistake!
But Bai Ye's next operation left them amazed.

Because Bai Ye's second needle had already been inserted, his slender fingers were threading needles and threads between the thin intestinal wall, like a butterfly's hand piercing flowers!
This is not a coincidence, this is strength!

This is the hand of a senior attending physician, and a very talented senior anorectal doctor!

Seeing that the stitching was about to be completed, Pan Xiangnian finally couldn't hold back and asked:

"Bai Ye, you... have you been in the 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 equipment 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 let out a sigh of relief, then looked up at Song Jie, sighed again suddenly, and said, "Hey... There is really a difference between this person and another person!"

Song Jie was taken aback, his eyes widened, he opened his mouth but didn't know what to say, but after thinking about it, he smiled awkwardly again.

The operating room is not as serious as everyone thinks, but it is definitely not a place for laughter.

When it is time to be rigorous and serious, there must be no sloppyness at all. For example, the equipment nurse at this time, the two of them respectively carried out the inventory three times, and double-checked the whereabouts of gauze, equipment and even every thread.

Just like the kind of gauze or even scissors falling into the stomach, it is actually basically unlikely to happen.

Of course, there are always exceptions to everything, but at this time, Song Jie was lying on the patient's affected area, not knowing what he was thinking. After half a minute, he suddenly frowned and said, "Director, come here and take a good look, this stitched The method is a bit strange!"

When Pan Xiangnian heard this, he noticed the patient's wound. The suture was indeed a little different. It seemed that there was a more suitable needle landing point between the suture angle and the folds of the intestine. Ideas join in.

Moreover, the most important thing is the treatment between the skin and mucous membrane. The venous blood vessels of the anal canal skin and the blood vessels of the rectal mucosa above the dentate line do not have the same blood supply. Generally speaking, there is not much attention paid to it, but this suture is Combining suture with the thread-hanging concept of traditional Chinese medicine is a coup for the combination of Chinese and Western medicine!

Actually, Bai Ye originally only wanted to suture step by step, but when he saw that the man's circumcision was at the junction of skin and mucous membranes, the dentate line, he suddenly recalled a small technique in intestinal suturing, which is to suture the mucosa and skin The selection of the needle drop point is very helpful for the recovery of the patient's wound and the later recurrence. Moreover, the most important thing is that this suture technique can stop the blood flow and prevent the formation of hemorrhoids!
You must know that hemorrhoids are mainly caused by varicose veins caused by blocked venous return. Even if the hemorrhoids are cut off, the probability of recurrence in the future is still very high.

But Bai Ye's suture effectively ligated the blood vessels, which is equivalent to the thread hanging treatment of traditional Chinese medicine!

This is while suturing, adding the concept of traditional Chinese medicine hanging thread treatment!

seconds!

No wonder Bai Ye did not change the thin needle and western thread, but chose this ordinary suture for the intestinal wall, so the key is here!

Thinking of this, Song Jie and Pan Xiangnian even showed surprise in their eyes. This kind of thinking cannot be solved by a magic formula.

Pan Xiangnian bent down and stared at the sutured wound, carefully touched it with his hands, and was amazed while watching...

"Tsk tsk... Song Jie, look here... tsk tsk!"

…………

At this time, a faint voice came:

"Doctor...itches...don't touch it..."

When Pan Xiangnian heard this, he stood up straight and coughed: "Cough cough, um, the anesthetic is over, not bad, not bad, the operation was successful, and the sutures are also very good, I checked it, it's good, it's good! Change it in the future medicine,"

Pan Xiangnian turned around and looked at Bai Ye. Although he could understand Bai Ye's meaning, it was very challenging to find the correct needle drop point and suture.

He asked curiously, "Bai Ye, where did you learn this suture method?"

Bai Ye: "Oh, I just thought of it on the spur of the moment. Director... Is there something wrong?"

(End of this chapter)