The anorectal department is on the fifth floor of the outpatient building, after Bai Ye reported to Song Jie about the dressing change, Song Jie said: "It's just right to come, the patients who have been seen in the past two days are all after treatment, today let's see the main symptoms of patients in our department, and how to diagnose them, mainly for diagnosis." ”

At this time, a man who was nearly forty years old walked in: "Doctor, I have handed over the bill. ”

Song Jie nodded and said, "You come with me." ”

Saying that, when he arrived at the disposal room next door, after Bai Ye walked in, he found that there was an anoscopy machine and a bed for examination.

Song Jie said to the man: "Climb up, take off your pants, pout your buttocks, there is a picture on the wall, look at it." ”

The man glanced at Bai Ye, looked up at the inspection diagram on the wall, hesitated, shook his head, lay on the bed, and then took off his pants.

Song Jie took the finger covers, handed one to Bai Ye, and said, "Put on the gloves and bring the finger gloves again." ”

Bai Ye nodded, and learned from Song Jie to put on the finger guffs.

Song Jie patted the man and said, "Pout your butt." ”

The man hesitated shyly, and suddenly said, "Doctor, what are you going to do?"

Song Jie said: "Look at the situation inside, you relax a little and cooperate." ”

The man snorted, "You tap...... My first ......"

Song Jie smiled, mumbled, and then put his index finger in.

After a while, after stretching it out, he said to Bai Ye: "You feel it, Bai Ye, who is 2cm on the dentate line, nodded, and gently stretched it in, and sure enough, he felt soft hemorrhoids of different sizes."

After the man came out of the disposal room, he looked depressed: "Doctor, I'm fine." ”

Song Jie then picked up the anoscope, reached in and took an endoscopic film, and said to the man: "You have mixed hemorrhoids, and it is ring-shaped, it is already the third degree and ...... So, surgery is needed, and I feel like it should have been done sooner,"

The man asked, "Then should I?"

Song Jie said: "I'll give you a hospitalization certificate, go through the hospitalization procedures as soon as possible, let's arrange surgery as soon as possible, your condition is serious, mixed hemorrhoids, internal hemorrhoids have been three degrees, can not be accepted by themselves, stool is difficult, if it continues to worsen, it will become more and more serious." ”

When the man heard this, he hesitated: "I have to go to the unit to ask for leave first, doctor, can you give me a diagnosis certificate?"

After the patient left, Song Jie looked at Bai Ye and asked: "Actually, the effect of digital anal examination is often better than that of microscopic examination, the intestinal mucosa is more folded, and microscopic examination can find some more obvious ones, and it is not easy to see some ulcers or slightly early fistulas, while digital examination can find some depressions and lesions, so the two must be combined to achieve a more effective effect." ”

There is a certain foundation for digital anorectal diagnosis of Bai Ye, and anorectal technology can lv3, which is a comprehensive and comprehensive skill, including some common methods and treatments in this department.

Surgical outpatient clinics are not the same as internal medicine, most of the patients who come to surgery come with the purpose of surgery, after all, there are still a little less surgical internal treatments, and for example, hemorrhoids, simple ones do not need to be ignored, and the surgical effect is better in serious cases.

In the past few days, Song Jie's dressing change has been contracted by Bai Ye, and it is a priority to travel every day.

At the end of the first week of admission, Bai Ye heard the system prompt sound.

Complete the dressing change task 50/50 to get an exclusive dressing change pack. 】

Bai Ye found a place where no one was around, and clicked to open the dressing change package:

You have opened the exclusive dressing change pack and obtained the new lidocaine spray. 】

Bai Ye was stunned, Lidocaine spray?

[Tips, the new lidocaine spray is a lidocaine anesthetic preparation, which is mainly used for dressing change wounds, which can reduce the pain of patients changing dressings.] 】

Bai Ye understood what it was, this spray was sprayed before changing the dressing, and then when the dressing was changed, the pain would be reduced a lot, and there was no need to inject with a syringe, just spray it gently.

Moreover, the main difference with traditional lidocaine aerosol is that it is quickly absorbed and has few side effects, especially for some careful surgeries and dressing changes such as oral cavity, mucous membranes, tooth extractions, and hemorrhoids.

The blood concentration and absorption of this new spray are not the same, and the pharmacology and toxicology are also useful.

That's a good thing!

Bai Ye was overjoyed, after all, there are so many dressings in the anorectal department, and it still hurts a lot of times, with such a thing, it will at least be much more convenient, and it will reduce the pain of the patient.

But...... There's only one bottle of this thing!

Is there a recipe?

I saw a small book in the dressing change bag, which recorded the production process.

Good things, wait until you go back and study well, by the way, your own laboratory plan should be put on the agenda, there are a lot of things to study in the future, it seems that you still have to prepare early.

Clinical Skill: Debridement and dressing change skill upgrade lv3. 】

【Ding!Dressing change task completed, trigger a new task: debridement and dressing change 200 times, the task is completed, and you will get an intermediate exclusive dressing change pack. 】

The junior ones were given a lidocaine spray, and the intermediate ones would have some good things!

Bai Ye was suddenly full of expectations for changing dressings, looking at the buttocks of the patients walking in the corridor, his heart was full of heat.

On Monday, the director made rounds.

Pan Xiangnian will take the general practitioner to make rounds every Monday, mainly to have an understanding of the patient's condition, to specify the appropriate diagnosis and treatment plan for the patient's special situation, and sometimes to look at the patient's wound to see how the healing is doing.

Pan Xiangnian looked at Qian Rou and asked Song Jie, "What is the patient's condition now?"

After Song Jie reported Qian Rou's perianal abscess, he talked about the current treatment plan and medication, and after hearing the hanging line, Pan Xiangnian nodded and said to the patient: "I'll take a look at the wound." ”

Qian Rou's face flushed, looking at so many people around her, a little twisted.

Pan Xiangnian smiled: "Except for the doctor in charge, go out for a while." ”

Suddenly, only Pan Xiangnian and Song Jie were left in the room, after Qian Rou took off her pants, Pan Xiangnian looked at the situation and nodded: "It's only been a week since the operation, right? It's much better than the average patient, and the change of dressing is good, Song Jie, what did you change?"

Song Jie shook his head and smiled slightly: "No, it's my intern, he changed the medicine and hung the thread by him." ”

When Pan Xiangnian heard this, he suddenly frowned, nodded, and went out.

After closing the door, Pan Xiangnian frowned: "How do you let your interns change their dressings and hang up the threads by themselves? Who is responsible if something goes wrong?"

Song Jie nodded: "At that time, I was next to me to help, but that kid is really good, you can take a look at other patients in a while, and the recovery is very good." ”

Pan Xiangnian nodded, this kind of thing is indeed not a big deal, but the level of interns is uneven, and they are generally not allowed to change dressings, and if something goes wrong, it is a doctor-patient dispute.

After a few ward rounds, Pan Xiangnian found that the patient was recovering well, and suddenly became curious, and asked Song Jie in a low voice: "He changed it?"

Song Jie nodded.

Pan Xiangnian was stunned for a moment and whispered: "No wonder...... Better than you. ”

Song Jie was stunned, and couldn't help but almost choke with a mouthful of saliva, Pan Xiangnian and he are senior brothers, and they have a good relationship in private.

The people around saw that Song Jie and the director didn't know what to say, and they were also a little flustered, and Bai Ye followed behind with a large number of cases.