Bai Ye has one day of tutoring time every week, while Dean Liu is the outpatient clinic on Wednesday morning, Friday morning, and Sunday morning.

Bai Ye simply arranged the time for leaving the clinic on Sunday morning, and stayed in the ward on weekdays.

The official rotation time of regular training is on September 20th, and during this time, Bai Ye basically follows Dean Liu to go to the clinic and read books.

Although he said that he was a doctor in the Department of Neurology, he only really returned to his department in the third year of study, and he may have rotated in other departments in the past two years.

How much you can learn in one day of outpatient time a week depends on your knowledge reserve, and every patient is an opportunity to learn.

During this time, Bai Ye read the book of neurology, and it is not an exaggeration to call the nervous system a top discipline.

As one of the most difficult clinical disciplines, there is so much knowledge that needs to be mastered, and each nerve innervates that part must be memorized.

After Bai Ye used ten memory capsules, he finally gave the neurology department the first time.

Coupled with this period of studying with teachers and going out of outpatient clinics, Bai Ye's neurological technology can reach: lv2: 2018/3000.

On September 20, Bai Ye and He Xiaoming went to the proctology department together.

As a hospital integrating traditional Chinese and Western medicine, the anorectal department of Puze Hospital can do well, with 60 beds, which can also be regarded as a national key specialty.

In fact, Chinese medicine anorectal medicine is very advantageous, of course, some people say that this is because modern medicine does not want to engage in anorectal medicine.

But to be honest, the anorectal department of the Western Hospital is not a key department, after all, there are too many operating departments, there are a lot of general surgery, what liver and gallbladder outside, chest and outside the mind are too many, even if it is the anorectal department, it is also a major surgery such as rectal cancer.

After handing over the class in the morning, Bai Ye and He Xiaoming were assigned to two doctors, and Bai Ye's instructor was Song Jie, a deputy chief physician.

Song Jie looked at Bai Ye with a smile: "Dean Liu has given an order to our department, your training task is different from others, you have to come on." ”

Bai Ye was also very curious, and asked, "Teacher Song, what did my tutor say?"

Song Jie smiled: "Dean Liu asked us to treat you as a resident doctor, instead of a regular training doctor, when you leave the department, you will be asked to deal with a patient alone, and when the time comes, I will personally ask the director to give you a grade in the department." ”

During the period of the anorectal department, 50 dressing changes were completed independently. Get an exclusive dressing change kit. 】

【Ding!The training task of the anorectal department, during the period of the anorectal department, follow 20 surgeries and obtain an exclusive surgical package. 】

Before the end of the rotation of the anorectal department, the chief surgeon completes an operation, and according to the score of the surgical effect, he will receive a lottery. 】

With a few ding-ding sounds, Bai Ye was stunned for a moment, he didn't expect to trigger so many tasks.

Song Jie looked at Bai Ye in a daze and smiled: "Don't be nervous, you just follow me during this time and study hard, this is not for your postgraduate examination, but also for me." ”

Song Jie turned around and asked, "How much do you know about proctology?"

Bai Ye thought for a while: "Before I came, I read the book carefully, and I have some understanding of the general knowledge of proctology. ”

When Song Jie heard this, he also nodded with satisfaction: "Good habits, let's go, follow me to change the medicine first." ”

After speaking, he got up and walked towards the disposal room: "Generally speaking, we change the dressing first in the morning, and then make rounds. The main patients in our department are hemorrhoids, anal fistulas, perianal abscesses, anal fissures, which account for the main ones, and occasionally some rectal cancers and other serious ones. ”

"Patients generally change dressings once a day, after being discharged from the hospital can be once a few days, today you just came, give me a hand, a week later you start to change the dressing yourself, in fact, it is not difficult to change the dressing, but you just came, today I focus on the aseptic operation. ”

It is a habit to change dressings in the morning, and all patients are ready, after Song Jie said hello to the patient, he entered the disposal room and asked Bai Ye to close the door.

He took out a disposable dressing change bag from the cabinet and looked at Bai Ye: "Remember, before using the dressing change kit, you check the time first, just like the expiration date of food, there are also sterilized dressing change kits...... The outside is a contaminated area, your hands can only touch the outside, after opening, the inside belongs to the sterile area, you can't operate directly with your hands, you use disposable gloves, get me gauze for a while, and rinse the patient by the way. ”

Bai Ye listened carefully to Song Jie's words, and kept it in his heart, although the skills of the anorectal department have lv3, but the words of the clinician must still be listened to, many times, every doctor has his own clinical experience.

Song Jie now has ten patients, seven of whom have hemorrhoids, two have anal fistulas, and one has perianal abscesses.

All of them need to be changed after surgery.

Song Jie explained to Bai Ye through the gap: "Hemorrhoids are the most common diseases in our department, divided into internal hemorrhoids and external hemorrhoids, the difference is not only inside and outside, but there is no difference in this understanding, there is a dentate line here, located above the dentate line, it is the internal hemorrhoid, and the following is the external hemorrhoid." ”

"And hemorrhoids are not a piece of meat, but varicose veins, above the dentate line, is the rectal mucosa, below the anal canal skin, the rectal mucosa is autonomic innervation, the sensation is more blurred, and the pain is also, while the skin below is rich in nerves and the sensation is more obvious......"

Bai Ye was stunned...... Yes, looking at the nervous system during this time, the rectum is indeed autonomic innervated, and the intestinal nerve is relatively independent, and some pain sensations are not obvious......

That...... Bai Ye suddenly thought of some perverted operations in some AVIs in Europe, the United States and island countries...... It's all a lie, and it clearly feels very vague there, okay or not!

Sighing, Bai Ye felt that it was terrible to be uneducated, and he could be deceived by watching a small movie.

It has to be said that hemorrhoids account for more than 87% of anorectal diseases, no wonder it is said that there are nine hemorrhoids in ten people, and there are more women, especially during pregnancy and lactation, because of the pressure of venous return, it is easy to cause hemorrhoids.

Bai Ye wore a mask and handed gauze and scissors to Song Jie, and he was very skilled.

Looking at the cases, it was found that among the seven hemorrhoids, 5 were women, all in their 40s, but there was also a young one who got sick during pregnancy, and he was only 344 or 5 years old this year.

Song Jie has rich clinical experience, but he changes dressings relatively quickly, and there are wails from time to time in the disposal room~

Song Jie explained to Bai Ye while changing the dressing: "The advantages of traditional Chinese medicine anorectal are actually quite obvious, we have recognized hemorrhoids and some common solutions in ancient times, including the current hanging thread, which is to curb blood flow through hanging threads, and then gradually form scar tissue ......"