Chapter 1: This is Puwai! (Ask for a subscription and ask for a monthly pass)
Monday morning.
Chen Gong went to the medical department to get a registration card and saw the department he was going to.
"General Surgery"
However, in terms of time, Chen Gong found that unlike other rotation trainees and interns, his rotation time only has a starting point, not an end.
This made Chen Gong couldn't help but ask:
"Hello, teacher...... There doesn't seem to be a deadline for this report? β
"When am I going to leave school?"
Hearing Chen Gong's words, Deputy Director Song Tao suddenly laughed.
"Xiao Chen, whether you can get out of the department and when you will get out of the department is not up to us to decide here."
"Your rotation plan is not set by me."
"Still, I can tell you how you can get out."
"When did you pass the assessment of the director of general surgery, and the other party agreed to let you out of the department and signed for you, when will you come to the medical department to receive the rotation registration card for the next department?"
Song Tao is about forty, with a bald head, glasses, very tall, but also very thin, when looking through the glass lens, he always seems to reveal a bit of wisdom, white shirt, suit pants, leather shoes and head are as shiny.
When Chen Gong heard this, he was stunned for a moment, he didn't expect that it would not be so easy for him to get out of the department?
"Thank you, Mr. Song."
Song Tao smiled: "It just so happens that I'm going to the inpatient department, you come with me, I'll accompany you to report, just take you to recognize the way." β
While speaking, he took the initiative to pick up Chen Gong's registration card and walked outside.
Chen Gong hurriedly thanked: "Thank you, Teacher Song." β
Out of the administrative building, Song Tao didn't say anything along the way, let alone gossip about any news.
Although why Chen Gong is such a "special treatment".
However, he knew very well that if Qin Xuehai could personally design the rotation plan and tell him to take good care of it, this Xiao Chen naturally had some background.
Song Tao, who has been experienced for a long time, naturally will not show a calm performance when he meets for the first time and inquire about some private things.
On the contrary, along the way, he kept telling the clinical things that need to be prepared.
It didn't take long for me to arrive at the Department of General Surgery.
After Song Tao's introduction on the road, Chen Gong also had some understanding of general surgery.
Once the general surgery had a brilliant time, four wards at its peak!
The chief director of the Department of General Surgery is also the executive vice president.
Scenery for a while!
However, later it was accompanied by the retirement of the old director.
General surgery gradually underwent decomposition and reorganization.
The first is the independence of hepatobiliary surgery.
Secondly, the Department of Gastrointestinal Surgery has also established an independent ward.
After that, there is the Department of Breast Surgery, which shares a room with the Department of Neck Surgery.
In today's general surgery, the backbone is gradually being withdrawn, and it seems to be withering day by day.
However, emaciated camels are bigger than horses.
As soon as Chen Gong arrived at the Department of General Surgery, he was taken aback by the various honors and medals hanging on the wall.
Song Tao smiled: "Do you know what general surgery is known for?" β
Chen Gong shook his head curiously.
Song Tao said: "The cradle of mountain and river surgical experts! β
"In the past 30 years, from here, 11 provincial famous surgeons and 3 national famous doctors have gone out."
"Some people say that it is rumored that Zhao Leizhao, the current director of general surgery, is a sinner in the general surgery department of the Affiliated Hospital of Shanhe Medical University."
"This Director Zhao's name is Zhao Lei, and he has a rough personality, so he is called Thor."
Chen Gong smiled slightly: "Thor? So powerful? β
Song Tao smiled: "The mouth is even more powerful!" The name of this god of thunder was spewed out by him. β
"There is some gossip in the hospital that most of the people who walked out of here were sprayed by Thor!"
"I really can't stand Thor's mouth!"
Chen Gong heard this, pursed his lips and smiled, not taking it seriously.
Song Tao then said:
"But actually...... On the contrary, I think he is more courageous than the previous vice president! β
"Because these directors who were separated were all driven away by Director Zhao!"
"In the past, half of these famous doctors born in Shanhe Medical University were produced in the last ten years, that is, in the hands of Director Zhao."
Chen Gong's eyes widened suddenly, because ...... Just now, he also thought that the loneliness of general surgery must be inseparable from the retirement of the old director.
The new director's ability is limited and he can't suppress these talents, so there is a matter of separation.
But hearing this explanation, he suddenly realized...... Maybe you're wrong!
"Why...... Do you want to drive it away? β
Song Tao smiled slightly: "Under the big tree, the small tree will never be able to reach the sky!" β
"If you want to compare with Ling Yunzhi, you are not afraid of the cold and summer winds."
"This is Director Zhao's motto."
While speaking, Song Tao and Chen Gong squeezed their eyes: "I don't tell ordinary people." β
This inadvertent action made Chen Gong have a little more affection for Song Tao.
"So what!"
"In general surgery, there is no depression here."
"On the contrary, it has a competitive concept that no department in the hospital can match."
"Here, backwardness means elimination!"
"I'm not just talking about doctors, I'm talking about students."
"For a long time, the exit rate of general surgery internship or regular training is very low, and the assessment of students is also very difficult, and in the past few years, the average is less than 50%."
"However, those who have successfully passed the course are undoubtedly very good students."
"If the performance is not good enough, they will be directly returned to the medical department and reassigned to other departments."
"To be honest, I don't want you to see me again before you leave the department."
"Because there's a good chance you'll be sent back!"
Chen Gong shook his head: "That's ...... Nothing else will meet you? β
Song Tao looked at Chen Gong with a solemn face: "That will be more troublesome than you going back!" β
"Do you know what I'm responsible for?"
Chen Gong shook his head again.
Song Tao smiled slowly: "Deal with emergency or major medical accident liability disputes." β
After hearing this, Chen Gong couldn't help but widen his eyes: "Excuse me!" β
It's no wonder that along the way, many doctors, young and old, will smile and nod their heads to say hello after seeing Song Tao.
It turns out that this is the protector behind everyone!
At this point in time, the office is in the process of changing shifts.
Standing at the door, Song Tao pointed to a tall man inside and said, "That's Director Zhao." β
"Everyone's mouth...... Thor! β
When Chen Gong heard this, he couldn't help but look at it seriously.
Song Tao shook his head helplessly and smiled: "Well, there's no way, this Director Zhao likes to scold people too much!" β
"However, don't worry, he rarely scolds students for no reason."
"Usually I scold the teacher, of course, if you really do something stupid, he will scold too!"
"Several times, I scolded the students and cried, and the students found the medical department."
"But...... You don't make mistakes, and people don't scold people. β
Chen Gong heard this, and the corners of his mouth twitched.
Boy!
Still scolding and crying?
That's awesome, isn't it?
Moreover, through the window, Chen Gong also saw Zhao Lei.
He looks like he's in his fifties, but he's tall and athletic, and seems to be working out regularly.
He was on the shift and his face was solemn and unsmiling, but the most conspicuous thing was his thick black eyebrows and black hair and ...... Beard!
The whole person didn't look like the chief of surgery at all.
On the contrary, it adds a bit of fierce and vicious atmosphere.
Good guy, this guy...... Is it the director?!
Can it be ......
He wore a pair of gold-rimmed glasses, which was really a bit of a disobedience.
gives Chen Gong the feeling that the Hulk wears glasses, which is nondescript, but it is ...... It's not so disobedient again.
He listened to the doctor's shift report below, his hands crossed in front of his chest, and his eyes were sharp and revealing extraordinary insight.
When Chen Gong looked at the other party seriously, suddenly Zhao Lei turned his head.
Chen Gong suddenly felt that there was a knife in that eye!
Too sharp!
However, after only staying for a few seconds, the other party saw Song Tao, nodded, turned around, and continued to hand over the shift.
Song Tao seemed to be used to it, and said, "It's the dean who is here." β
"I have to wait for the end of Thor's shift!"
"Hehe......"
"Let's go, we'll wait."
When Chen Gong heard this, he shook his head: "I'll just wait here, just listen to the content of the shift." β
"After all, I've already entered the department, and the sooner I get acquainted with it, the better."
Hearing Chen Gong's words, Song Tao was also stunned.
He looked at Chen Gong curiously and seriously for a long time, and then finally couldn't help but shake his head.
"Although Director Zhao likes to scold people, he ...... The level is beyond doubt. β
Chen Gong nodded, stood at the door and listened carefully.
Soon, I heard Zhao Lei start scolding!
"What do you eat?"
"You're a surgeon, don't you know the basic complications and common manifestations of general surgery?"
"There is a sense of a belt on the lower back, a sense of a belt!"
"You can't diagnose such a different symptom?"
"This is clearly a pain caused by acute pancreatitis!"
"Most of the acute pancreatitis is a sudden onset, manifested as severe epigastric pain, and mostly radiates to the shoulder and back, and the patient feels that the upper abdomen and lower back have a "band feeling"! β
"Xu Bin, you will be promoted to the ruler immediately, don't you even understand this thing?"
"What is acute pancreatitis, do you want me to tell you?"
"Could it be that if it weren't for the patient's sudden nausea, vomiting and high fever, you wouldn't have gone for a blood pancreatic enzyme test?"
"Hehe, you're really going to save patients!"
"You're not saving money for patients, you're saving lives for patients!"
"This acute pancreatitis, a little delay, is pancreatic hemorrhage necrosis, triggering infection, when peritonitis appears, and then by the way, a shock!"
"Tsk, it's beautiful!"
"The patient was not saved."
"When the time comes, you can just write a record of sudden accidental death, and then you will really save money for the patient!"
"How much money do you have to save by living at least 30 years less? You're really thinking about the patient's family enough! β
β¦β¦
Chen Gong listened to the handover inside, and the corners of his mouth twitched!
Boy!
The title of thunder is really not covered.
As others say, the name may be wrong, and this nickname is really difficult to choose.
Thor's sarcastic person is really worthy of his name.
Save money for patients...... It's really a money-saving, and life-saving!
But......
It is undeniable that the level of the director of "Thor" is really high.
Pancreatitis can be inferred from a band sensation.
Moreover, when he was scolding, he also clearly explained the development law of the disease, complications, and prognosis.
Chen Gong estimated that this doctor called Xu Bin could definitely remember this encounter.
However, after Chen Gong listened, he also fell into deep thought.
It is important to remember the hallmark manifestations of the disease, the outward manifestations.
If the progression of the disease is delayed, it can be really fatal.
There was silence in the doctor's office.
Chen Gong listened with relish outside.
Song Tao took advantage of this effort to sneak out and smoke a cigarette, and when he came back, Chen Gong could smell a smell of smoke.
Obviously, he didn't dare to hear the thunder of this "Thor".
I got tired of listening to it, and went out to smoke a cigarette to clean and clean.
It wasn't long before the office door opened.
A group of nurses went out of it one after another and threw themselves into their jobs, Song Tao glanced at the time and said with a smile: "It's so punctual!" β
Chen Gong was slightly stunned: "Oh? β
Song Tao said: "This director of Thor, every time he hands over a shift for half an hour, he is very punctual!" β
"I've been here a few times, every time."
At this time, Zhao Lei walked out of it, looked at Song Tao, and glared at him: "Come to our department to smoke again!" β
"Smoke again next time, don't come!"
Song Tao smiled slightly: "Hehe, I'll go downstairs to smoke, the anorectal department on the fifth floor." β
Zhao Lei rolled his eyes at this time: "This is sending me students again?" β
Song Tao nodded with a straight face: "Chen Gong, the intern who just came." β
"Director Qin should greet you."
After Zhao Lei heard Chen Gong's name, he immediately looked at the other party seriously.
Chen Gong stood there, a little uncomfortable stared at by the other party.
Zhao Lei snorted coldly: "Big girl? Twisted and pinched, still not let people see it? β
"That's the talent in Qin Xuehai's mouth?"
"Do you know how to blush?"
"You said you were nervous when I looked at you, what if the patient looked at you?"
"Twist one for the other party?"
"Let me tell you, when you come to the hospital, you are the doctor, the patient's dependence, to put it bluntly, then the fucking is the savior of the patient."
"Which savior have you ever seen who squirmed?"
"Give the patient the most basic trust, that's the first thing you learn."
Chen Gong wanted to quibble before, but ...... After hearing the latter words, he suddenly fell silent.
He suddenly felt that it made sense that the other party looked like this!
Song Tao glared at the other party angrily: "Okay, okay!" β
"What a stinky temper!"
"People just came to the hospital, can't you talk well?"
"Besides, how good are you? When you sit there, the patient is honest, and that's because he looks fierce. β
"Hurry up, I've got something to do."
"Take Xiao Chen well, if something goes wrong, Lao Qin is looking for you."
Zhao Lei was not angry at Song Tao's words, Chen Gong could see that the relationship between the two was good, and it seemed that they were quite compatible.
Zhao Lei waved his hand: "Okay, you can go back." β
"I'll just arrange it."
Song Tao advised: "Find a reliable doctor and take it well!" β
Zhao Lei frowned: "Are you teaching me to do things?" β
When Song Tao heard this, his eyes immediately widened: "You talk to me like this again, don't look for me if there is a doctor in the future!" β
"Grass!"
"Really...... Gives you face. β
After speaking, Song Tao got up and walked towards the elevator.
Chen Gong looked at these two strange people and was speechless for a moment.
It's not the first time he's come to the hospital and he's been in the orthopedic department for a while.
But......
These are two very different worlds.
In the orthopedic department, the nurses are also beautiful, and the doctors speak well, although Director Zeng is a little talkative, but he does not scold.
It's good here......
Deputy Director of the Medical Department who smokes in the ward.
The director of surgery who scolded his mother in the corridor.
The two of them got together, and I didn't know that I thought it was a big brother in society.
Chen Gong was also speechless.
I really don't know what to do.
Actually, what he didn't know was that Song Tao was the person who had the most contact with the dark side of human nature in the hospital.
Zhao Lei is the person who has witnessed too many lives and deaths in the hospital.
When the two are together, they often encounter nonsense.
At the beginning, Song Tao could still talk to Zhao Lei patiently, and after a long time, there were many things that the two of them had to spray.
Gradually, we got to where we are today.
It is true that doctors are professions with a sacred mission.
But......
To put it bluntly, they are human beings too.
After Song Tao left, Zhao Lei looked at Chen Gong again and said with a smile:
"I won't give you any special treatment just because Director Qin greets me!"
"In our general surgery, only excellent people can stay."
"There are so many resources, who to cultivate and who to give enough resources, it's not up to me to have the final say, it's my own gain."
"If you have the ability, prove yourself!"
"Every month, we have a Corey tournament that you can sign up for."
"I can accept your mediocrity, but I can't accept your pretentiousness, because here, the health and life of the patient comes first!"
"Remember!"
Chen Gong heard the sound and nodded: "Remember." β
He didn't think that Zhao Lei had any special thoughts because he spoke ugly.
Soon, Zhao Lei took Chen Gong and walked towards the office: "Let's go, I'll introduce you to a teacher." β
"You follow her for this time."
As they spoke, the two of them arrived in the office.
Zhao Lei said directly: "Zhao Xi, this is a new intern, you take him with you." β
Zhao Xi was stunned for a moment when he heard this, and then quickly stood up: "Okay!" β
"Got it, Director."
After Zhao Lei finished speaking, he didn't say a word, but got up and walked towards the operating room.
This morning, he had two surgeries.
β¦β¦
Chen Gong walked to Zhao Xi's side: "Teacher Zhao, hello." β
Zhao Xi's skin is fair, the color of the white coat is a little more rosy, with a ponytail, a goose egg face, fleshy cheeks, some baby fat, small mouth and big eyes, which seems to be a little weak.
Chen Gong couldn't imagine how such a seemingly weak character could survive under such a leadership?
She sat in front of the computer and seemed to be giving a doctor's order.
After Chen Gong walked over, he took the initiative to nod and said, "Teacher Zhao, hello, I am Chen Gong." β
Zhao Xi smiled slightly, and there was a very sweet feeling.
"Hello, Chen Gong!"
"I'm Zhao Xi."
"It's also my first time with students, so ...... If you don't bring it well, I hope you forgive me. β
After finishing speaking, she lowered her voice and said, "I also just got admitted to our department not long ago. β
Chen Gong was stunned for a moment, and said with a smile: "That's good...... Let's work together! β
"Otherwise, Thor will have to scold us both to death!"
Zhao Xi covered his mouth and smiled: "Well, yes!" β
"During my time, he scolded me a lot."
Today's experience made Chen Gong feel a little crying and laughing.
Director Song of the strange medical department.
Director Zhao, the little scary Thor.
Right now...... but arranged for himself to be a very weak sweet sister as a teacher.
However, Zhao Xi did not treat Chen Gong as a subordinate and a student.
On the contrary, she is very attentive to Chen Gong, and she answers every question of Chen Gong very seriously.
In the morning, Chen Gong accompanied Zhao Xi to run errands.
Write medical records, give medical orders, and revise the course of the disease.
When it was close to noon, Zhao Xi said with a smile: "It's hard work, it's ...... in the morning."
"Shall I invite you to dinner at noon?"
"I just got to work and I don't have much money, so can I go to the cafeteria?"
When Chen Gong heard this, he looked at Zhao Xi with even a little more surprise in his eyes.
This senior sister is too good, right?
You still need to ask for advice when you invite people to dinner, and you are worried that you will be disliked because it is a canteen?
All right!
Chen Gong has to say that in this extremely competitive general surgery, Zhao Xi's existence is obviously a beautiful landscape.
"Thank you, Mr. Zhao!"
"Hehe, I also came here when I was a student, our teacher can be deducted, and we don't even invite us to eat when we go to surgery." Zhao Xi said with a smile.
"I made up my mind at that time, if I had a student, I would definitely take him well!"
"I didn't expect it...... There were students so quickly. β
"Honestly...... I was scared, worried that I wouldn't do well. β
Zhao Xi is not tall, he has just reached 1.6 meters in shoes, and his body is even a little thin, but his appearance conditions are very good.
In a sentence that Zeng Hui often said, such a female doctor will basically be photographed by the leaders who come to the hospital to see a doctor, and then be matched into a good marriage.
In fact, it is!
Education, work, and character are all good, and many leaders or wealthy families hope to have such a daughter-in-law.
Therefore, many times, it is often heard that the husband of such and such a hostess is who...... Which leader is it......
Beautiful, but very down-to-earth.
After eating a large bowl of lo mein, I drank the soup by the way.
After eating, Zhao Xi said, "You go back and rest." β
"I'll go back at noon to make up my medical records."
Chen Gong said, "Shall I go with you?" β
Zhao Xi hurriedly waved his hand and said, "No, no, this is my job." β
"I'm ...... now Nothing can teach you. β
"You wait for me to learn, I'll teach you."
"Go back and get some rest."
While speaking, Zhao Xi even felt a little apologetic, as if he felt a little guilty because he had nothing to teach.
Chen Gong couldn't refuse, so he simply went back to the dormitory.
At half past two in the afternoon, Chen Gong arrived at the ward and found Zhao Xi lying on the table asleep.
There was a thick stack of books next to it.
Chen Gong simply found the test sheet and pasted it.
About ten minutes later, Zhao Xi woke up and saw that Chen Gong had come, wiped his saliva awkwardly, and smiled:
"So early!"
When he spoke, Zhao Xi's face was indented one by one, and his face was flushed, which looked very cute.
Chen Gong nodded: "Mr. Zhao, you didn't go to the office to rest?" β
Zhao Xi shook his head: "There is a teacher resting in the duty room, and I am embarrassed to go." β
"When I was in school, I practiced a good sleep technique."
"You can fall asleep on the table."
"Hee-hee."
"By the way, this is the book I found for you, all of which are related to our department."
"You take a look at it, if there is any problem, you ask me."
After finishing speaking, he took the medical record folder, and after seeing the test sheet, he hurriedly said:
"You should pay attention when you post the test sheet in the future, Thor is very fierce and has obsessive-compulsive disorder."
"He has a lot of things, and if the test sheet posted is not standardized, he may curse."
"These test sheets, you're going to cut off the head, and then expose the item, and then ...... it on the left."
While speaking, Zhao Xi was not too troublesome, and carefully tore off the test sheet that Chen Gong had pasted, and then repasted it.
Very neat.
It's beautiful.
There are fewer people in the office in the afternoon than in the morning.
"Where have you gone?"
Chen Gong asked curiously.
Zhao Xi said: "Most of them went to surgery! β
Chen Gong: "Why don't you go?" β
Zhao Xi's face flushed: "Director...... Haven't arranged it for me yet. β
"Besides, it would be nice to be an assistant now."
"Where else can I arrange surgery alone?"
Before Chen Gong had time to comfort, Zhao Xi said: "However, the director said that I will be able to follow the operation starting tomorrow." β
"I'll take you there after I've been there for a while."
Chen Gong nodded and smiled.
Didn't care.
In the afternoon, Chen Gong did not sit idle, but followed Zhao Xi to start changing the medicine.
Many surgical patients need to change dressings or dispose of them after surgery.
At present, Zhao Xi's main job is like this.
It can be summed up in two simple words: miscellaneous!
And just like that, time passed day by day.
Chen Gong followed Zhao Xi, and his daily work was actually very monotonous.
Write medical records, give medical orders, paste test sheets, ask medical history, change dressings, and dispose of ......
During this time, Zhao Xi had a lot more opportunities for surgery.
Every time I came back, I gave Chen Gong a detailed explanation.
It can even be as detailed as a few stitches for a wound.
Although Zhao Xi's level is average, he is very patient and enthusiastic about Chen Gong's care.
Even...... Some guilt.
Because other teachers take students, they can often go in and out of the operating room, but Chen Gong has been here for a week and has not been there once.
Zhao Xi also tried to muster up the courage to take Chen Gong there, but ...... Apparently stopped by the senior doctor.
In desperation, Zhao Xi also apologized to Chen Gong.
When encountering such a teacher, Chen Gong could only cry and laugh.
But......
Swings and roundabouts.
During this period of time, Chen Gong's level of writing medical records, asking medical history, and handling and changing dressings has improved a lot.
Even, in the second week, when Zhao Xi changed the dressing, he had already let Chen Gong get started independently.
It can be said that she will give Chen Gong a lot of autonomy for the work within Zhao Xi's authority.
But......
Beyond the ability, but there is no way.
Moreover, Zhao Xi did not have the slightest swear, the medical records were written together, the course of the disease was changed together, even the test sheets were pasted together, and when the senior physician scolded people, they also stood up together.
I didn't think of myself as Chen Gong's teacher at all.
It's like peers.
During this time, Chen Gong also read the books and guides on common surgical diseases.
Gradually, Chen Gong suddenly discovered something.
Dressing......
Maybe it's not as simple as everyone thinks!
He found that dressing change was not a chore.
It can even be regarded as the most basic part of surgical skills.
It is an extremely important part of surgical technology!
If Chen Gong said this, there would definitely be a chance that Chen Gong would make a big fuss.
However, he found that, in fact, this was not the case.
Wound dressing change plays a very important role in the speed of wound healing.
Because, dressing change should be strictly aseptic technical operation and application according to the wound condition, nature and general condition of each patient.
In the process of changing dressings, it is necessary to use both hands and brains to see both the wound and the condition.
And all the same!
Assessing a wound is a technical task in itself.
It not only requires operational skills, but also a solid theoretical foundation and rich clinical experience, and it is also necessary to strengthen the learning of theoretical knowledge to guide practice with theory.
No matter how big or small.
However, every detail is enough to affect the patient's recovery.
Perhaps, for those chief experts, changing dressings is just a small matter after surgery.
But......
This can be an important part of the patient's post-operative complications, recovery speed, and so on!
Since there is no way to go to the clinic, there is no opportunity to practice my skills.
Chen Gong decided to start by changing the dressing and looking for some opportunities.
The first problem Chen Gong found was the time to change dressings!
In order to figure out the changes in the organization brought about by the change of dressing.
Chen Gong began to study local anatomy and histology and embryology again.
Histology and embryology was a discipline that Chen Gong did not pay much attention to before.
I even feel that such a discipline is far away from clinical practice.
But......
He soon discovered that this was not the case.
Because every appearance is a collective change of cells.
Histology and embryology is the observation of the changes in cell growth and development after the change of dressing.
For granulation tissue, for changes in the permeability of blood vessel wall cells, changes in plasma and electrolyte fluids......
Chen Gong had to pick up the basic disciplines again.
After a few days, a familiar voice rang in my ears.
γDing! Congratulations, Histology and Embryology has been upgraded to lv2 (professional level). γ
γDing! Congratulations, you have acquired wound management skills (professional level). γ
Chen Gong was dumbfounded.
He didn't expect that after studying basic subjects, he would really gain the skills of wound management?
It seems that the reason why basic medicine can be called basic is because it really plays a vital role in clinical practice.
Thereupon!
After having these foundations.
Chen Gong's research went more smoothly.
The first thing he studied was the timing of dressing changes.
Each time, after changing the dressing, Chen Gong had to take the tissue and granulation, put it on a glass slide, and take it to the laboratory.
Seeing this, Zhao Xi couldn't help but ask, "What are you doing here?" β
"And ...... I see you studying group culture during this time? β
Chen Gong asked with a serious face: "Teacher Zhao, don't you think that the process of wound recovery is not the process of tissue cell healing?" β
"I think healing can be analyzed through tissue culture."
"It can also enhance the learning of tissue culture through healing."
Zhao Xi: "??? β
She told the truth and had given the foundation back to the school.
Chen Gong said simply: "Are you interested in doing a small project?" β
When Zhao Xi heard this, he came to the nature: "What to do?" β
Chen Gong said seriously: "From histoembryology, the effect of wound dressing change time on wound recovery was analyzed. β
Zhao Xi's eyes widened suddenly: "Are you serious?" β
Chen Gong nodded: "The purpose of changing the wound dressing is to keep the wound clean, check the growth of the wound, and see if there are signs of suppuration.
If there is no infection, simply clean and disinfect the wound and its surroundings before changing the dressing.
The basis of wound repair is to regenerate the quantity of granulation tissue, and the quality is the key. β
"And the time to change dressings is a loophole problem."
"I think we can do some research."
Chen Gong smiled slightly: "I have a little way in the laboratory, come with me?" β
When Zhao Xi heard this, his eyes widened, and he was even eager to try: "Okay!" β
So, every day after work.
Chen Gong took Zhao Xi to the laboratory to study it.
A week has passed in the blink of an eye!
However, Zhao Xi and Chen Gong's harvest is very big!
During this time, they have made rapid progress.
Chen Gong was in charge of the experiment.
And Zhao Xi is responsible for the grouping on the side of dressing change.
In the past few days, Chen Gong and Zhao Xi were pleasantly surprised to find that changing dressings on the first day after debridement and suturing can reduce the damage of scabs and new granulation tissue.
Surgical patients, not just post-operative patients, are also transferred from the emergency department.
Most of the wounds that have undergone emergency debridement and suturing are not single trauma, but are often accompanied by compression and contusion of surrounding tissues.
Tissue injury causes a series of pathological and physiological changes, including changes in vascular permeability, as well as a large amount of plasma and electrolyte-containing fluid infiltrating into the interstitial space from the blood vessels, and even the crushing injury of the tissue causes the interstitial pressure to rise, resulting in local swelling and valgus of the wound.
In addition, there is a lot of exudate on the surface of the injured tissue, which causes adhesion with the dressing, and the removal of the dressing can easily cause new granulation tissue and scab damage.
However, the longer the interval between the first dressing changes, the more difficult it is to remove the dressing, and the more likely it is to cause avulsion damage to the scab.
Early first dressing change can protect the new granulation tissue, reduce crust damage, and reduce patient pain.
Thereupon!
Just a week later.
They successfully researched this topic.
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Zhao Lei is very curious about one thing these days.
It's a small thing, but it's ...... But it still caught his attention.
In the department, there are 10 beds of patients, and the discharge time is significantly shorter than before, about two days.
It seemed like a trivial matter, and even the patients in charge of these beds didn't notice it.
Can it be ...... Zhao Lei found out!
Zhao Lei is not married, he is fifty-five years old, and he is still single.
Everyone in Corey knows about this.
As a result, Zhao Lei spent a lot of time in the hospital every day, and he couldn't get out of the operating room during the day.
But......
Every night from 8 to 10 o'clock, during this time, after Zhao Lei has eaten, he has to come to the ward to go around, and then check the ward.
During this time, he saw a 10% increase in hospital bed rotation!
After investigating the situation, he found a problem.
Zhao Lei is definitely a person who is thick on the outside and fine on the inside.
It is not too much to say that there is a tiger in the heart to sniff the roses.
Because the nurse didn't notice anything unusual, he found out about it.
The most important thing is......
20-30 beds, these ten beds, are the main reason for the significant increase in rotation rate.
And within the past week.
The hospital stay for these 10 beds was shortened by 2 days compared to the same period of patients.
This discovery made Zhao Lei start to look for the reason.
Could it be a change in technique?
Or is it a change in care regimen?
After this search, no cause was found.
He even went to chat with the patient in person, and the other party didn't say one-one-two-two, but just thanked Zhao Lei.
This day!
Monday.
Big rounds.
Zhao Lei decided to find out why.
Surgical rounds, everyone has to participate.
Zhao Lei stood in the first place fiercely, and one after another directors and doctors stood behind him.
The last person in the doctor's seat is Zhao Xi.
After that, there are the students of Wu Yangyang.
Chen Gong followed Zhao Xi's side.
And just like that, the ward rounds began.
The process of ward rounds is a rare learning opportunity for Chen Gong.
For Zhao Xi, she is an obscure medical record folder porter.
More than 20 medical records were held in her arms, heavy, and her little face was even redder.
Soon......
Rounds to 10 beds.
At this time......
Zhao Lei walked to the front, directly opened the patient's wound, and looked at it.
This look!
Suddenly, Zhao Lei's eyes widened.
The recovery was better than he expected.
What's going on?
Surgical incision problems?
Still is......
As Zhao Lei spoke, his eyes looked directly behind him:
"Who did the surgery?"
Soon, a deputy director said, "Director, I did it." β
Zhao Lei looked at Han Shifeng: "Director Han, when you speak, what is the difference between you and before?" β
Han Shifeng frowned slightly: "There is not much difference, the conventional incision, the 4cm opening method is still chosen, the pen holding technique, and the positioning point are the same as before." β
"Any questions?"
Zhao Lei hurriedly said, "You come to see this wound." β
When Han Shifeng heard this, he hurriedly walked over.
The surrounding doctors couldn't help but be curious.
Don't......
What went wrong with the surgery?
Or what's going on?
Thor is scolding again?
But......
In fact, after Han Shifeng passed, his eyes suddenly widened.
"How fast is the recovery?"
"That's ...... Day 3, right? β
"The wound is healing well!"
"Maybe it's a good physique, right?"
Han Shifeng couldn't help but say.
Zhao Lei shook his head: "Next patient, you take a look." β
After three or four patients in a row.
Zhao Lei did not continue to make rounds, but stood at the door of the ward, looked at everyone and said:
"Who changed the medicine?"
When Zhao Xi heard this, he hurriedly hugged the medical record folder and said, "Director, it's me!" β
Zhao Lei stared at Zhao Xi and looked at it seriously for a long time.
"Good!"
"It's not a coincidence, is it?"
Zhao Xi blushed and nodded excitedly: "No! β
"10-20 beds, when I was changing dressings, the time changed."
"It's a lot earlier than before."
"The time to first dressing change has been shortened."
After Zhao Lei listened, his eyes widened suddenly, he looked at Zhao Xi, obviously aware...... The other party is obviously doing clinical trials!
Zhao Lei looked at the other party for a moment and said:
"Good!"
"Have you seen it, there is no trivial matter in clinical practice, and changing dressings is also a university question."
"Zhao Xi, sort out the information, and report your progress when you hand over tomorrow morning!"
"I'll help you apply for the project!"
"You've done a meritorious service."
"Any requirements?"
As soon as these words came out, everyone around suddenly widened their eyes and looked at Zhao Xi with envy.
This is general surgery, and meritorious work will be rewarded!
There are contributions, there are resources!
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ps: In the first chapter, there are not many things that can be written, I hope you are satisfied with it.
It's the end of the month.,Ask for a monthly pass.γ
(End of chapter)