After checking the room, Pan Xiangnian said to everyone thoughtfully: "Have a small meeting." ”

Everyone looked at each other, is there anything wrong with the director today?

There are also many interns in the anorectal department, one or two of each doctor, and when they heard the director's meeting, they all went to the office and stood up.

Pan Xiangnian looked at the arrival of the people and said, "Let's talk to you about changing the dressing today." ”

When He Xiaoming heard it, changed the dressing?

He suddenly remembered that Director Pan and Song Jie were chatting privately just now, and Song Jie was still a little unhappy, is it because of this?

Is it because of Bai Ye?

Because Song Jie's patient dressing change is all done by Bai Ye, the director must have discovered Bai Ye's problem of changing dressings.

At this time, Pan Xiangnian suddenly said: "What I am telling you today is that in our surgery, especially in the anorectal department, the operation is generally not a major operation, but it is very important to resume daily care for these diseases in the later stage. ”

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

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

Pan Xiangnian nodded: "So, don't underestimate the change of dressing, although the change of dressing is simple, it is indeed a university question, and it is also one of the necessary skills in surgery, today I saw a few patients, and the recovery is very good, it is Song Jie's patient." ”

"We have always hoped to improve the operation and improve the efficacy, but now I have found a problem, that is, the problem of changing the dressing, which can effectively improve the patient's condition and accelerate the recovery. ”

After Pan Xiangnian finished speaking, he said to everyone: "During this time, everyone communicated with Bai Ye. ”

At this time, everyone was stunned, Bai Ye?

Who is Bai Ye?

An expert from outside?

Bai Ye is also a little confused, what is the situation?

"Today I saw Bai Ye's patients who changed dressings, I found that their wound healing degree is generally better than that of other patients, as the most commonly used basic skill in surgery, he is still very valuable, during this time, everyone summarized and summarized, and after the 11th National Day, let's discuss and discuss the dressing change. ”

After finishing speaking, Pan Xiangnian walked outside, suddenly remembered something, and turned around and said, "Let's have Bai Ye and surgery in the afternoon." ”

Bai Ye's eyes lit up, and he was worried that he couldn't keep up with the operation!

The opportunity has finally arrived!

After the director left, Song Jie patted Bai Ye's shoulder and smiled: "Yes, the dressing changes have been handed over to you in the past few days, you study hard, summarize your experience, and give a lecture next Monday." ”

Bai Ye didn't have too much to worry about lecturing, after all, he could lv3 when he changed the medicine, which was a professional-level level, and he could also tell some more professional things.

In surgery, dressing change has been ignored by many doctors, believing that surgery is the most important way to improve surgery.

In fact, changing dressings is very important for the patient's recovery, in fact, Bai Ye did not find these problems himself, but Director Pan Xiangnian can put them forward, I have to say that the clinical observation ability and level are very good.

In this way, Bai Ye has Baoshan in his hands, and his own understanding of this Baoshan is limited, while Pan Xiangnian is a person with vision, a person who can discover Baoshan.

Bai Ye also kept a heart, during this time, he hoped to change more medicines, strive to upgrade as soon as possible, increase the dressing change to lv4, and then complete the 200 dressing change tasks as soon as possible, so that he could get the reward early.

The intermediate-level exclusive dressing change bag, Bai Ye is still full of expectations.

In the afternoon, Bai Ye arrived at the ward early, and at about three o'clock, Song Jie walked up, looked at Bai Ye, and smiled: "Come so early, take the medical record book, and let's go down together." ”

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

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

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 fully understand the patients in your hands, and you can't say roughly, because there will be all kinds of things in the operation, and we must think of every possibility." ”

"Although this is just a hemorrhoids operation, but the situation is more serious, mixed hemorrhoids, 3rd degree, serious blockage of the anus, today should be a ring excision, the director estimates that you will be hooked and knotted or something, do you have the bottom of your heart?"

Circumcision is a method taken for more serious hemorrhoids, in a circle, there is intestinal suture after surgery, not to mention reeling and knotting, Bai Ye is very experienced in intestinal suturing, but ...... is limited to experience, and Bai Ye has not had much practice in specific operations.

Walking into the operating room, changing into a surgical gown, and after washing his hands and putting on the surgical gown, Bai Ye was a little nervous, and he was a little overwhelmed with his hands on his front chest.

After all, I'm already dressed and gloved, and my hands can't touch anywhere.

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

With the help of the instrument, the intestine of the hemorrhoids part was exposed, Director Pan took a closer look at the specific situation, and then said to Song Jie: "You can do it, but you remember to cut it clean, I am worried that it will recur in the future." This circle, directly remove all of them, and then suture the intestine ......"

After a little preparation, Song Jie was ready to start, and after the instrument nurse counted the surgical instruments, she also began to hand over the items according to Song Jie's needs.

But Bai Ye suddenly heard the system prompt sound.

[Discover the simulated scene, do you want to copy it?]

Bai Ye was stunned, what is the situation? What simulation scene?

Suddenly, he remembered that a new privilege appeared after the original life member VIP3 level, the simulated space laboratory, which can simulate the scene in reality, and then carry out simulations, operations and experiments, so as to achieve the effect of practice, but because it has never been triggered before, Bai Ye has not used it, but now that it can be used, why waste it!

Thinking of this, Bai Ye hurriedly chose to turn it on.

The simulated scene needs to consume money, whether to simulate? This simulated consumption is 10,000 yuan. 】

Bai Ye couldn't help but pause, 10,000 yuan?

Can it be reused?

Simulation experiments can be used unlimitedly, do you want to simulate them?]

Bai Ye was overjoyed, it could be reused, in this way, 10,000 yuan would not be a loss at all, after all, no one would let Bai Ye conduct human trials, but after all, surgery still has to be practiced continuously to make progress.

Mock!

[Ding!Simulating ...... 10%…… 50%…… 90%…… 100%!Simulation successful! Click on the simulation scene to enter. 】

Bai Ye saw that there was an option for a virtual scene on the virtual screen, and after clicking on it, there was an option:

[2017-9-27-15:35: Naming or not. 】

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

With this opportunity, you can continue to practice in the future, thinking of this, Bai Ye turned off the virtual screen and looked at Song Jie's surgery seriously.

Actually, the operation is still very simple, Song Jie is also experienced, it didn't take long to remove it, and then it was sutured, because the operation went smoothly, so there was plenty of time and time, Song Jie said to Bai Ye.

"Will it be stitched?"

Bai Ye has LV2 suturing, and there is also a new type of intestinal suture, and he has no weakness for simple hemorrhoidal circumcision and suturing.

Pan Xiangnian was also on the side, occasionally just helping, most of them were watching, hearing Song Jie's words, he couldn't help but be stunned for a moment, and glanced at Bai Ye suspiciously, and he was also a little expectant.

Bai Ye said categorically: "Well, it's okay!"

There are a lot of rectal folds, and cutting off a little bit will not affect much at all, and hemorrhoids removal is not the same as those for rectal cancer, and the things that are cut out are not the same.

This kind of suturing is very simple, after the nurse got Pan Xiangnian's approval, she clamped the needle that had been threaded with tweezers and handed it to Bai Ye.

After Bai Ye borrowed it, he started suturing, this kind of suture does not need to suture blood vessels or anything, this kind of mucosal suture is the same as the skin, it only needs to be sutured together.

It is 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 sewn.

Bai Ye's hand was very steady, and the tweezers in his hand firmly clamped the scient needle, directly hooking the inner mucosa of the intestinal wall carefully.

This time, not only Song Jie, but even Pan Xiangnian's eyes widened.

Because this needle is relatively thick, it belongs to the larger needle, and it was originally intended for Bai Ye to directly suture through the intestinal wall, but Bai Ye used this large needle to send the thread from between the intestinal walls.

This!

This is a test of a surgeon's strength, especially a proctology doctor, the thickness of the intestinal wall, the grasp of needles and threads, this is a hard power!

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

Coincidental?

After the two were surprised, they continued to look at it, and the two of them felt that it should be a coincidence, right?

But Bai Ye's next operation made the two of them breathtaking.

Because Bai Ye's second needle had already gone down, his slender fingers threaded the needle between the thin intestinal wall, like a butterfly hand wearing flowers!

It's not a coincidence, it's strength!

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

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

"Bai Ye, are you ...... Have you been in the clinic before? in the proctology department?"

Bai Ye nodded, finished stitching the last stitch, and lightly tied a beautiful surgical knot with his slender fingers.

After handing the instrument to the nurse, he replied: "Well, director, I have been in the proctology department for a short time, and I do it a lot. ”

Pan Xiangnian sighed at this time, then looked up at Song Jie, suddenly sighed again, and said, "Hey...... There is really a gap between this person and a person!"

Song Jie was stunned for a moment, his eyes widened, he opened his mouth but didn't know what to say, but after thinking about it, he smiled embarrassedly.

The operating room isn't as serious as everyone thinks, but it's definitely not a place for laughter.

When it should be rigorous and serious, there should not be any sloppiness, such as the instrument nurse at this time, the two of them carried out three counts, and repeatedly confirmed the whereabouts of gauze, instruments and even each thread.

It's like the kind of thing that puts gauze or even scissors in the stomach, which is actually basically unlikely.

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, and after half a minute, he suddenly frowned and said: "Director, come here, take a good look, this suturing technique is a bit peculiar!"

When Pan Xiangnian heard this, he noticed that the patient's wound was indeed a little different, as if there was a more suitable needle drop point between the angle of the suture and the fold of the intestine.

Moreover, the most important thing is the treatment between the skin and mucosa, the venous vessels of the anal canal skin and the blood vessels of the rectal mucosa above the dentate line are not a blood supply.

In fact, Bai Ye originally just wanted to suture step by step, but when he saw that the part of the man who was circumcised was the junction of the skin and mucous membranes, the site of the dentate line, he suddenly recalled a small trick in intestinal suture, that is, the selection of the needle drop point of the mucosa and skin suture, which has a lot of help for the recovery and later recurrence of the patient's wound, and the most important thing is that this suturing technique can stop the blood flow and prevent the formation of hemorrhoids!

It is important to know that the production of hemorrhoids is mainly varicose veins caused by obstruction of venous return, and even if the hemorrhoids are cut off, there is still a high chance of recurrence in the future.

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

This joins the concept of Chinese medicine suture therapy at the same time!

Seconds!

No wonder Bai Ye didn't change the thin needle and western thread, but chose this ordinary intestinal wall suture, it turned out that the key was here!

Thinking of this, Song Jie and Pan Xiangnian even revealed surprise in their eyes, this kind of thinking is not something that can be solved by one technique.

Pan Xiangnian directly bent down and stared at the stitched wound, carefully touching it with his hands, and was amazed while looking at it......

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

…………

At this time, a faint voice came:

"Doctor...... Itchy...... Don't touch ......"

When Pan Xiangnian heard this, he straightened up and coughed: "Ahem, well, the anesthetic has passed, it's good, it's good, the operation is very successful, the sutures are also very good, I've checked it, it's good, it's good!

Pan Xiangnian turned to look at Bai Ye, although he could understand what Bai Ye meant, it was very challenging to find the correct needle drop point and stitching.

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

Bai Ye: "Oh, I just thought of it on the spot, Director...... Is there a problem?"