Xueba is also open

Chapter 207

Everyone had to participate in the big rounds on Monday. Pan Xiangnian was followed by doctors, trainees, and interns. There were nearly 20 people. It was very spectacular.

Pan Xiangnian sat next to the room, one by one, to check on the recovery of the patients, but something surprised him happened, everyone's recovery was much better than expected.

The prognosis of the patient who underwent circumcision of anorectal hemorrhoids was even better, which surprised Pan Xiangnian.

He has been in the anorectal department for nearly 30 years. He has participated in countless international conferences. He has also heard about intractable diseases and classic cases. Individual differences, but not too much.

However, the recovery of these 30 patients has even been accelerated by a week. What do you mean?
It means that the recovery state that could have been achieved in two weeks was actually achieved in a week, which is a bit scary.

Could it be that the solar terms of the National Day are beneficial to the recovery of anorectal diseases?

stop talking!

During the National Day period, there were not many patients. After the house inspection, Pan Xiangnian frowned, puzzled, what happened?Thinking of this, he directly said a meeting to everyone.

After everyone arrived, Pan Xiangnian asked: "You have seen the recovery of the patient recently, which is much faster than we expected. Do you have any new treatment plan? Or new medicine?"

Everyone shook their heads, and Song Jie said, "Our treatment plan is not much different from the original one...all according to the guidelines."

As soon as Song Jie finished speaking, Pan Xiangnian frowned: "Then why did the patient recover so quickly this time? Is it different from before?"

For a while, everyone was silent, and after a while, Song Jie suddenly said: "If you have to say something different from before...these patients are all medicines changed by Bai Ye. Could it be because of this?"

Song Jie's words made everyone's heart skip a beat!
No way?Everyone secretly wondered in their hearts, how can changing the medicine make such a big change?
But apart from this, there seems to be no difference from before.

At this time, everyone turned their attention to Bai Ye, and Pan Xiangnian asked thoughtfully, "Bai Ye, did you use any special medicine or something when changing the medicine?"

Bai Ye shook his head: "All the things I use to change the dressing are 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 their dressings recovered faster than other patients. Is it really because of Bai Ye's dressing changes?

Does he have any special experience and experience in changing the dressing?

Thinking of this, Pan Xiangnian asked: "Can you tell everyone about your dressing 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 medicine."

Upon hearing this, Pan Xiangnian nodded, "Go and communicate with the patient."

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The treatment room was not big, but at this time there were seven or eight people, including Pan Xiangnian, all the doctors in the department came. The one who changed the dressing today was the first surgery Bai Ye participated in, the patient who had hemorrhoid circumcision.

Seeing so many people, the man took off his pants with lingering fear, moved around, and exposed the wound.

After Bai Ye uncovered the dressing, he said while operating:

"I pay more attention to several steps when changing the dressing. The first is the disinfection and cleaning of the window. There are two things to focus on here, that is, the use of normal saline. Different concentrations of sodium chloride will have different effects. Combined with hydrogen peroxide and... "

Bai Ye's hand was very steady, and the operation was not affected at all by the narration.

"The second is the grasp of the wound. Many operations that do not need to cause pain can be completely reduced. On the one hand, pain will increase the patient's anxiety and affect recovery..."

"Finally, the use of dressings, I've been researching dressings for anorectal dressing changes recently, and I've found that patients can recover even faster if there's a foam dressing that absorbs secretions and... Some of my thoughts."

After speaking, Bai Ye also finished changing the medicine, and the man stood up and said to Bai Ye, "Thank you, Doctor Bai."

Pan Xiangnian asked, "How did you feel when Bai Ye changed his dressing?"

The man was taken aback, he didn't expect to ask this question, and after thinking about it carefully, he said: "It's crispy, numb, and it hurts, but it's not too obvious. In fact, I have undergone surgery for hemorrhoids before, and this time it's a recurrence. Yes, I feel like I'm recovering much faster than last time."

After the man finished speaking, he said hello and left. Bai Ye didn't talk much, but mainly related to the patient's condition. If he only talked about changing the medicine, it might take a while.

After that, Bai Ye was called to the director's office by Pan Xiangnian.
Pan Xiangnian looked at Bai Ye with anticipation: "Bai Ye, do you know what the main purpose of the annual meeting is?"

Bai Ye thought for a while and said, "It should be some experts and academic experts giving lectures on the progress of this subject."

Pan Xiangnian nodded: "The World Anorectal Annual Meeting is an annual meeting organized by the Anorectal Branch of the World Association of Surgery, and all those invited to participate are members of the association. Summarize, that is to say something new and make some conclusions.”

"And the latest guidelines for modern anorectal treatment 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 department. Now the world's mainstream anorectal treatment technology and Drugs and equipment are widely disseminated and circulated only after they are approved at this meeting."

"Just like the current 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 Bai Ye finished listening, his eyes lit up!
If you can promote your new foam dressing and lidocaine spray at this time, and get promoted, then you can imagine the degree of promotion!

Think about it, your products have been included in the latest guidelines for the treatment of anorectal diseases in the world, your things are authoritative, your surgical methods are the most authoritative surgical methods of this year, your instruments and techniques are all current The most effective treatment plan, how could it not be popular?

Thinking of this, Bai Ye suddenly felt that this time was an opportunity. During this period of time, he tried to manufacture this new type of lidocaine spray, as well as a new type of foam dressing. The production methods of these things are actually very convenient, and do not require any trans-epochal something meaningful.

After Pan Xiangnian finished introducing the annual meeting, he looked at Bai Ye and said, "I am the executive director of the China region of the Anorectal Branch of the World Association of Surgery. Talk about it, but it’s not me who will tell, but you who will tell.”

Bai Ye was taken aback: "I'm talking?"

Pan Xiangnian nodded: "That's right, it's you who said, this is an opportunity. During this period, you make a plan for your dressing change and organize the doctors in the department to conduct experiments. We need some data to prove this dressing change guideline." curative effect, and you prepare well."

"If it is really included in the annual Anorectal Treatment Guide, such an honor... will bring not only yourself, but also a change in the industry status of our entire Puze Hospital's Anorectal Department."

Pan Xiangnian's words were calm, but his voice was a little excited. Every time he made a report at the annual meeting, he usually did it in a hurry. Sometimes he would talk about some interesting and difficult cases, but most of the time he didn't attract too many people's attention.

But this year is different. Bai Ye's dressing change made Pan Xiangnian realize an opportunity. Few people have discovered that changing the dressing can have such a powerful effect.

wrong!

It should be said that their dressing level is not up to the effect of promoting wound healing and recovery of patients!
Just like suturing these foundations, 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 on suturing, except for some serious special sutures, let alone the surgeon. Well, even the second assistant and the third assistant don't know how to do it. Generally, students or those newcomers who have just started can do it.

In the eyes of many people, sutures, dressing changes, debridement, etc. are the tiring and trivial tasks of surgery. Their dream is to become the chief surgeon, such as liver transplantation, splenectomy and other real operations.

Similarly, no one has always regarded changing dressings as a very important thing to do. After all, debridement and changing dressings are the most basic and simplest operations in surgery, and sometimes they are even done by interns. The doctor in charge is so busy. , I seldom change the dressing in person, even if it is done very quickly.

Bai Ye abruptly raised his dressing changing skill to lv5, a master level!
Pan Xiangnian couldn't hide it and said: "To be honest, your level of dressing change is higher than mine. It is not easy for you to find these things, and it is definitely not lucky. Go back and make a summary, and try to write a report on dressing change in anorectal department." guide."

"We will be a blockbuster at the annual meeting in Tokyo, so that our hospitals in Greater China can also show their faces!"

Speaking of this, Pan Xiangnian was full of confidence, and his expression was a little excited. He never wanted the Anorectal Department of Puze Hospital to be heard all over the world, although it was very unrealistic.

After Bai Ye left Pan Xiangnian's office, he went straight back to the dormitory. He gradually perfected his recent dressing experience and wrote it into a not-so-thin manual in detail.

However, for the convenience of use, he also used the flow chart mode to make a ppt, and used the flow chart to complete the basic operations and precautions one by one.

There was an operation in the afternoon, and Pan Xiangnian took the initiative to inform Bai Ye.

After Bai Ye heard the news of the operation, he hurried to the operating room on the third floor. Now that the operation has been completed on 18/20, it will be completed soon.

Bai Ye still has high psychological expectations for the primary exclusive surgical kit.

This is a buttock tumor resection. There is a bulging mass on the buttocks. The cause is unknown and the pathological nature is not clear. It needs to be removed for pathological examination.

Originally, this kind of thing only needs to be dealt with in the surgical treatment room, but the tumor is already very large, close to the anal canal and mucous membrane, and the specific nature is not clear, so it went to the operating room.

Over the years, Pan Xiangnian has seen many strange cases, big and small, and he was very calm. This time, he was the chief surgeon, Song Jie and Chang Liqiang assisted, and Bai Ye was mainly responsible for watching.

The specific operation is not difficult, the main thing is to separate from the intestinal wall. This operation took about an hour, and then sent to the pathological examination.

After it was done, there was another hemorrhoidectomy, which was very simple and was done in a short time. When he came out, Pan Xiangnian suddenly looked at Bai Ye and asked, "You've been watching it for a while, do you want to try it yourself next time? "

When Bai Ye heard it, he was a little excited: "Can I?"

Song Jie smiled: "Why not? The most important thing for a surgeon is to be bold, careful, and steady. I think you have it all, and you can be a director with only one thing."

Bai Ye was a little curious by Song Jie's words: "Mr. Song, what happened to me?"

Song Jie smiled mysteriously and winked: "It's almost thick-skinned."

Pan Xiangnian suddenly turned his head and stared at Song Jie: "By the way, the party office has announced that they will check the diary of party members' experience recently. I'm almost there. Please help me make it up."

Song Jie snorted, "Okay Director, how close is it?"

Pan Xiangnian threw the gloves into the trash can and walked out, and said slowly, "It's two or three years away..."

Song Jie was taken aback, and almost fell to the ground, almost two or three years away?How much do you 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 beeping.

【Ding!Follow the surgery task to complete: 20/20, get the exclusive primary surgery kit. 】

Bai Ye rubbed his hands, thinking that it would be better to wash his hands well. After all, he had just touched his ass after the operation. Although he couldn't take a bath and burn incense, he should have at least some respect!
Three minutes later, Bai Ye blew fairy breath into his hands!
【Ding!You opened the primary exclusive surgical kit and received PCA fast-absorbing sutures. 】

[Tip: This is a new type of suture with strong tensile strength, good elasticity, low coefficient of friction, fast absorption, and low rejection. It is a synthetic surgical suture. 】

Bai Ye was overjoyed, this is a good thing!
Surgical sutures have always been a battleground for large companies and groups, and the prices vary greatly.

An ordinary surgical suture ranges from a few dollars to several hundred dollars, and so does the technical content.

For example, the Vicryl line of Johnson & Johnson is in the forefront of the world at home and abroad.

Why Vicryl is so popular with surgeons, because the Vicryl thread is knotted firmly and smoothly, safe and reliable in operation, low in friction coefficient, passing through tissue smoothly, dragging without tissue, and has advantages in hydrolysis and absorption. The most important thing is There is no antigenicity and there is no need to remove the stitches. 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 hurriedly searched for the formula and how to produce such a thread. This is a good thing and has a big market.

Like the new lidocaine spray, there is also a small book with the production method written on it. Bai Ye was overjoyed and quickly XZed up this thing.

The most important thing is that this is a new type of material. This silk thread can be widely used in general surgery, pediatric surgery, urology, plastic surgery, ophthalmology, gynecology, obstetrics, orthopedics, stomatology, and other surgical trials.

Unlike the previous polyvinyl alcohol, etc., this is a composite material made of trial collagen material combined with PGA.

The production process is not difficult. 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-tech industries and plastic surgery industries, a small suture often plays a big role.

Therefore, Bai Ye was very satisfied with getting this item in the lottery. Sure enough, what the doctors said was right!
"Wash your hands more often."

(End of this chapter)