Chapter 205: It's still a little short of the director

Everyone had to participate in Monday's rounds, and Pan Xiangnian was followed by doctors, trainees and interns, nearly 20 people, and it was very spectacular.

Pan Xiangnian was next to each other, one by one to see 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 anorectal hemorrhoidectomy was even better, which made Pan Xiangnian's heart full of surprise.

He has been in the anorectal department for nearly 30 years, has participated in international conferences of all sizes I don't know how many times, and has heard of incurable diseases and classic cases, and basically knows the recovery of various patients, even if there are some individual differences, but there will not be too many differences.

But the recovery of these more than 30 patients has even accelerated by a week, what does it mean?

It means that the recovery state that could have been achieved in two weeks has been reached in a week, which is a bit scary.

Could it be that the solar terms of the National Day can be conducive to the recovery of anorectal diseases?

Less!

There were not many patients during the National Day, and after checking the room, Pan Xiangnian frowned, puzzled, what was going on? Thinking of this, he directly said to everyone to have a meeting.

After everyone arrived, Pan Xiangnian asked, "You have also seen the extent of the patient's recovery recently, much faster than we expected, do you have any new treatment options?" or new medicines?"

Everyone shook their heads, and Song Jie said: "Our treatment plan is not much different from the original...... It's all according to the guide. ”

As soon as Song Jie's words fell, Pan Xiangnian frowned: "Then why did the patient get better so quickly this time? Is there any difference from before?"

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

Song Jie's words made everyone chuckle in their hearts!

Wouldn't it? Everyone secretly wondered in their hearts, can there be such a big change in changing the medicine?

But apart from that, it seems that there is no place to be different from before.

At this time, everyone turned their eyes to Bai Ye, and Pan Xiangnian also asked thoughtfully: "Bai Ye, did you use any special medicines or things when changing dressings?"

Bai Ye shook his head: "All the things I use to change dressings are all in the dressing change bag, and I don't use anything else." ”

Pan Xiangnian snorted, he remembered that before the National Day holiday, Bai Ye's patients who changed their dressings recovered faster than other patients, was it really because of Bai Ye's change of dressings?

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

Thinking of this, Pan Xiangnian asked, "Is it convenient for you to tell us about your experience in changing dressings?"

Bai Ye nodded: "Well, there is 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 dressing." ”

When Pan Xiangnian heard this, he nodded: "You go and communicate with the patient." ”

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The disposal room is not big, but at this time, there were seven or eight people, including Pan Xiangnian, all the doctors in the internal medicine department came, and the one who changed the dressing today was the first operation that Bai Ye participated in, the patient with hemorrhoidal circumcision.

Seeing so many people, the man took off his pants and moved to expose the wound.

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

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

Bai Ye's hand was very steady, and he didn't affect the operation in the slightest because of the narration.

"The second is the grasp of the wound, many unnecessary pain-causing operations can be completely relieved, on the one hand, the pain will increase the patient's anxiety and affect the recovery ......"

"Finally, there is the use of dressings, I have been researching dressings that are suitable for proctology dressings recently, and I have found that if there is a kind of dressing that can absorb secretions and ...... With foam excipients, patients can even recover faster, which is also some of my insights. ”

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

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

The man was stunned for a moment, he didn't expect to ask this question, and after thinking about it seriously, he said: "Crispy, numb, and painful, but not too obvious, in fact, I have had surgery for hemorrhoids before, and this time it is recurring, and I feel that the recovery is much faster than last time." ”

After the man finished speaking, he said hello and left, and Bai Ye didn't talk much, mainly about the patient's condition, if he just talked about this change of dressing, it would take a while.

After that, Bai Ye was called to the director's office by Pan Xiangnian,

Pan Xiangnian looked at Bai Ye with a look of expectation on his face: "Bai Ye, do you know what the main purpose of the annual meeting is every year?"

Bai Ye thought for a while and said, "It should be some experts and academic experts who give lectures on the progress of this discipline." ”

Pan Xiangnian nodded: "The World Anorectal Annual Meeting is an annual meeting organized by the Anorectal Branch of the World Surgical Association, and those who are invited to participate are all members of the association. ”

"And the latest modern anorectal treatment guidelines will also be developed at this time. Therefore, it is no exaggeration to say that this annual meeting is the most authoritative academic conference of anorectal medicine, and now the world's mainstream anorectal treatment technology and drugs and equipment are recognized from this conference, and will be widely disseminated and circulated. ”

"Just like the most popular PPH procedure at present, it was proposed at the World Anorectal Congress held in London in 2010. So, you understand the importance of this meeting, right?"

After Bai Ye listened, his eyes lit up!

If you can promote your new foam dressing and new lidocaine spray at this time, and get promoted, then the degree of promotion can be imagined!

Think about it, your product has been written into the world's latest guide for the treatment of proctology diseases, your things are authoritative, your surgery is the most authoritative surgical method of the year, your equipment, your technique are all the most effective treatment options at present, how can it not be popular?

Thinking of this, Bai Ye suddenly felt that this was an opportunity, during this time, he would strive to create this new type of lidocaine spray, as well as a new type of foam dressing, the production method of these things was actually very convenient, and there was no need for anything of cross-era significance.

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 World Surgical Association and the Anorectal Branch, and I must make a summary. ”

Bai Ye was stunned: "I'll talk?"

Pan Xiangnian nodded: "That's right, it's you, this is an opportunity, during this time, you make a plan for your dressing change, organize the doctors in the department to conduct experiments, we need some data to prove the efficacy of this dressing change guideline, and you are well prepared." ”

"If it is really written into the annual anorectal treatment guide, such an honor...... It is not only you who will bring about it, but also a change in the industry status of the anorectal department of our entire Puze Hospital. ”

Pan Xiangnian's words are very calm, but his voice is a little excited, every time he reports at the annual meeting, he usually does things hastily, sometimes he talks about some interesting and difficult cases, but most of the time it does not attract too much attention.

But this year is different, Bai Ye's dressing change made Pan Xiangnian realize an opportunity, and few people have always found that changing dressings can have such a powerful effect.

Wrong!

It should be said that the level of dressing change is not enough to promote the healing and recovery of patients' wounds!

Just like suturing these foundations, few people will do these basic operations all their lives, the operating table is a place with a clear division of labor, and the surgeon will not spend time suturing, except for some more serious special sutures, not to mention the chief surgeon, even the second assistant, the third assistant will not, generally students, or those newcomers who have just started will do it.

In the eyes of many people, sutures, dressing changes, debridement, etc., these are the tiring and tiring tasks of surgery, and their dream is to become a surgeon, what liver transplantation, spleen removal and other real surgeries.

Similarly, for a long time, no one has regarded dressing change as a very important thing to do, after all, debridement and dressing change are the most basic and simplest operations in surgery, and even sometimes interns do it.

Bai Ye stubbornly raised the dressing change skill to lv5, master level!

Pan Xiangnian said unabashedly: "I'll tell you the truth, your level of dressing change is above mine, it's not easy for you to find these things, and it's definitely not lucky, go back and summarize it well, and strive to write a guide to changing dressings in the anorectal department." ”

"Let's make a splash at the annual meeting in Tokyo, so that our hospitals in China can also show their faces!"

Speaking of this, Pan Xiangnian was full of confidence, and his expression was a little excited, how could he not want the anorectal department of Puze Hospital to resound all over the world, although this was very unrealistic.

After Bai Ye left Pan Xiangnian's office, he returned directly to the dormitory, and he gradually perfected the recently summarized experience of changing dressings, and wrote a detailed manual.

However, for the convenience of use, he used the flowchart mode and made a ppt to do the basic operations and precautions one by one with a flowchart.

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

After Bai Ye learned the news of the operation, he hurriedly went to the operating room on the third floor, and now the operation has been completed 18/20, and it will be completed immediately.

The primary exclusive surgical bag, Bai Ye still has high psychological expectations.

This is a buttocks mass excision, there is a bulging mass on the buttocks, the cause is unknown, the pathological nature is not clear, and 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 this mass is already very large, close to the anal canal and mucosa, and the specific nature is not clear, so I went to the operating room.

Pan Xiangnian has also seen many strange cases over the years, and he is very calm, this time he is the main operator, Song Jie and Chang Liqiang help, and Bai Ye is mainly responsible for watching.

The specific operation is not difficult, mainly to separate from the intestinal wall, this operation is done for nearly an hour, and then sent for medical examination.

After doing it, there was also a hemorrhoidectomy, which was very simple, and it didn't take long to finish, and 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 this, he was suddenly a little excited: "Can I?"

Song Jie smiled: "Why not, the most important thing for a surgeon is to be bold and careful, I see that you have all of them, and you can be the director at the same time." ”

Bai Ye was a little curious by Song Jie's words: "Teacher Song, what am I almost about?"

Song Jie smiled mysteriously and squeezed his eyes: "It's almost thick." ”

Pan Xiangnian suddenly turned his head and stared at Song Jie: "By the way, the party office has notified that it is going to check the diary of party members' experiences recently, and I am still a little short, you can help me make up for it." ”

Song Jie sighed: "Okay director, how much is it?"

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

Song Jie was stunned for a moment, and almost fell to the ground, two or three years is almost there? How much does this have to be written......

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's prompt sound.

Complete the Surgery Quest: 20/20 to get the Exclusive Primary Surgery Kit. 】

Bai Ye rubbed his hands, thinking that it was better to wash his hands well, after all, he had just touched his ass after the operation, although he couldn't bathe and burn incense, but at least there should be respect!

Three minutes later, Bai Ye blew fairy qi into his hands!

You have opened the primary surgical kit and obtained the PCA fast-absorbing sutures. 】

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

Bai Ye is overjoyed, this is a good thing!

Surgical sutures have always been a battleground for large companies and groups, and the price varies greatly.

An ordinary surgical suture can range from a few dollars to a few hundred dollars, and the same goes for the technical content in it.

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

Why Vicryl is loved by surgeons, because Vicryl thread knotting is firm and smooth, safe and reliable operation, low friction coefficient, smooth passage through tissue, no tissue dragging, and hydrolysis and absorption have advantages, the most important thing is that there is no antigenicity, no need to remove sutures, with the healing of the wound, the skin sutures can fall off in 7-10 days, and the mucosal sutures will dissolve in 3-5 months.

Bai Ye hurriedly looked for it, is there a formula, how to produce such a line, this is a good thing, 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 hid 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 conventional polyvinyl alcohol, this is a composite material made of collagen material combined with PGA.

The production process is not difficult, and the production process is not much different from the assembly line of ordinary sutures, and the most important thing is the processing and treatment of raw materials.

Especially in the medical market, the requirements for sutures are getting higher and higher, especially in those high-precision industries and plastic surgery industries, a small suture often plays a great role.

Therefore, Bai Ye was also very satisfied with the lottery for this thing, and sure enough, the doctors' words were very right!

"Wash your hands more often and often. ”