Complete a dressing change, 1/50, get 120 points of debridement and dressing change experience, please continue to work hard. 】

Bai Ye heard the prompt sound of the system, and smiled: "Teacher Song, I still need a lot of advice from you, many of my techniques are too blunt, they are all taught from the book, if there is any shortcoming, you can help me guide me." ”

Song Jie nodded, recalling the operation just now: "Actually, you are already very good, even better than some resident doctors, but there is one thing you have to pay attention to, that is, the communication with patients...... Try to avoid some unnecessary operations and words, and every word you say, the patient will be very concerned. ”

Therefore, in the future, you should be cautious about the patients: Can I get better as a doctor? Can I be cured? How long will it take to get better? You say that a week is fine, but some people think that it is not good, and they will definitely sue you. ”

"So don't say things like 'it's okay, it's going to be fine!' Especially our surgery, we must be rigorous and ......"

Song Jie talked to Bai Ye about some doctor-patient communication that is very important in clinical practice in addition to the medical level.

"So, to be a doctor, you need not only medical skills, but also communication skills. ”

Speaking of this, Song Jie smiled dryly: "Hehe, it's not good to be a doctor now! The most important thing is to protect yourself, okay, I'll call the next one, you are ready to prepare." ”

Bai Ye nodded, washed his hands, and changed into a new pair of gloves.

The next few are hemorrhoids dressings, relatively easy, Bai Ye is skillful and does it quickly, and after the patient finishes it, he gets up and looks back at Bai Ye, and says thank you with a smile.

The last one is an eldest sister in her fifties, who is also a patient of anal fistula, after she finished it, she looked at Bai Ye with a smile and said: "Doctor Song, I feel much better, this time is really troublesome for you, and this little doctor, the technique is really good, and it doesn't hurt as much as before." ”

In the morning, a few dressings, after Bai Ye last night, it was only 9 o'clock, Song Jie looked at Bai Ye: "Not bad, so many praises." ”

Bai Ye washed his hands, took off his mask and said, "Ahem, Teacher Song taught well." ”

Song Jie smiled: "You kid, you can't shoot sycophants, now that you have an understanding of the patient's condition, go back and see the case, let's do a ward round at half past nine." ”

"Our Puze Hospital is mainly treated with the combination of traditional Chinese and Western medicine, although hemorrhoids are not a big problem, but modern medicine still can't find the cause, there are several theories, do you know what?"

Bai Ye nodded, he had prepared these things before he came: "Well, one is the Anal Pad Downward Transfer, and the other is the varicose veins theory." ”

Song Jie patted Bai Ye on the shoulder: "Well, yes, it's true that these two are more mainstream." The cause determines the direction of treatment, so the current treatment is also based on these two theories. However, hemorrhoids cannot be cured, only alleviated and appeased. ”

"Modern medicine, after all, relies on the development of modern science to progress, so there is a process, but our hospitals are generally treated with a combination of traditional Chinese and Western medicine, after all, the advantages of traditional Chinese medicine in the treatment of hemorrhoids are still obvious. Surgical treatment combined with traditional Chinese medicine fumigation and external use, combined with acupuncture, the overall effect is still good. ”

"In general, for the initial and asymptomatic hemorrhoids, we do not need special treatment, mainly to increase fibrous foods, change bad bowel habits, keep stools smooth, and prevent constipation and diarrhea. The hot bath works well and can effectively improve circulation, which is supported by the theory of varicose veins, and we use traditional Chinese medicine fumigation to achieve even better results. ”

"Now for grade II and III hemorrhagic internal hemorrhoids, the use of injection therapy is very effective, mainly some sclerosing agents, so that the hemorrhoids and around the hemorrhoids produce a sterile inflammatory reaction, the submucosal tissue fibrosis, so that the anal cushion retracts and fixes on the internal sphincter. ”

"It's really not good, or it's serious, and it's going to be banded and surgically treated......"

For these things, no matter whether Bai Ye will or not, Song Jie still has to explain the treatment and diagnosis of this common disease in the anorectal department.

After Bai Ye looked at the cases of ten people on the computer, he had some general impressions of the patient's situation and medication.

At around half past nine, after Song Jie revised the doctor's order, he said, "Let's go, follow me to the ward rounds, see the patient, and you can keep up with the course of the disease when you come back." ”

Bai Ye nodded, and took out a specially prepared ward round book in his hand to record the patient's condition and changes in the doctor's order.

After Song Jie's understanding of Bai Ye this morning and the questions he asked Bai Ye during his ward rounds, he actually had a feeling that he was communicating with his colleagues.

Why do you say that, because Bai Ye's answer often gave him some good inspiration about diseases and medications.

Song Jie smiled and said to Bai Ye: "Tomorrow morning, I will go to the outpatient clinic, and the matter of changing the dressing will be handed over to you, just come as it is today, and then you can call me if the patient has any special circumstances." ”

Bai Ye nodded, happy in his heart, and suddenly felt that this was a good opportunity, and his dressing change task would be completed soon.

Song Jie took Bai Ye to say hello to Zhang Hui, the nurse in the disposal room, and said, "Zhang Hui, I'm not here tomorrow morning, Bai Ye will change the patient's dressing, and you can give Bai Ye a shot." ”

Zhang Hui snorted and said curiously, "Don't you let Doctor Chang do it for you?"

Song Jie patted Bai Ye on the shoulder: "Doctor Bai's level is very good, you can rest assured, just call me if you have anything." ”

After all, it was not a serious patient, and changing the dressing was not a big deal, so Zhang Hui nodded, and just looked at Bai Ye carefully.

Bai Ye smiled slightly: "Hello Teacher Zhang, I'm Gui Peisheng, Bai Ye." ”

Zhang Hui saw that Bai Ye was tall and handsome, and said with a smile: "Don't call me teacher, just call me by my name." ”

In the morning, Bai Ye made up for the patient's course of illness according to the patient's symptoms and Song Jie's doctor's orders during his ward rounds.

Secondary care also does not need to write the course of the disease every day, except for special circumstances, it is basically recorded once every three days.

After writing it, Bai Ye saw that the patient's doctor's orders were all treated with traditional Chinese medicine fumigation, opened the herbal prescription section, and read it carefully.

There are quite a lot of traditional Chinese medicine treatments, including traditional Chinese medicine fumigation, traditional Chinese medicine collapse treatment, and acupoint application treatment, etc., and the effect is okay.

Song Jie saw what Bai Ye meant, and said: "Our anorectal department is mainly surgery, and the advantages of traditional Chinese medicine surgery are mainly some physiotherapy and enteral administration, after all, the effect of oral administration is relatively general, because generally those who come to our department have serious symptoms and need surgery, otherwise anorectal diseases are more private, but as long as they can endure and do not affect their normal life, most people will not come to see the doctor." ”

"By the way, tomorrow you will come directly to the outpatient clinic after changing the medicine, and I will teach you digital anorectal diagnosis. ”