Auto chess in the operating room

Chapter 80 Patients with Difficult Dressing Changes

Under the leadership of Cheng Sisi, he soon arrived at the general surgery department.

"Then I'll go first. I'm now transferred to the Department of Cardiothoracic Surgery, and I have to go to the director for rounds later."

"Ah."

After Tang Lou bid farewell to Cheng Sisi, he walked into the general surgery office.

"Tanglou?"

Ma En, a junior resident doctor, was also in Qingping's group, and he recognized Tang Lou at the first sight, after all, such good looks are rare.

Ma En is in his thirties, has a very recognizable one-line eyebrow, his complexion is quite fair, and his whole personality is gentle and elegant. When he saw Tang Lou confirming his identity, he introduced him enthusiastically:
"My name is Ma En, and I'm in Doctor Qing's medical team. You will also come to our team later. Doctor Qing has a major operation, and I don't have time to welcome you today, so let me be your representative. From now on, you will follow me, be on duty, and do ward rounds." .”

Ma En quickly introduced the ward rounds and duty system of the general surgery department:
"The city's first hospital implements a three-level ward rounding system. The first level is responsible for residents like me. There are three residents in the medical team of Dr. Qing, including me. I am responsible for 5, 6, 15, and 41 bed, at least two rounds a day, and then you will follow me."

"The second level is Doctor Qing. Generally, he will conduct rounds once a day. The third level is the director and deputy director. Generally speaking, Director Cheng will appear once a week. It is the so-called big rounds. You and I have the opportunity to learn from it."

"Generally speaking, I will go to the ward to see the patients before 7.45 every day, and read the examination status of the relevant patients in preparation for Dr. Qing's report during the ward rounds. I will hand over some of the work to you afterwards."

Tang Lou nodded: "Understood."

"As for the on-duty system, we have five treatment groups in the general surgery department. Each on-duty treatment group will retain a resident doctor, and the five treatment groups will take turns to have an attending doctor on duty. That is to say, there are 6 people every night. As for Interns usually follow their resident doctors and are on duty at the same time, and you can follow me afterwards."

"it is good."

Tang Lou quickly understood the daily rules and regulations of general surgery, which were indeed much more complicated than the county hospital in terms of scale and procedures.

"Okay, you will go to the ward with me in a while to get familiar with it. Then Dr. Qing will arrange for three of the patients to be responsible for changing the dressings. If you don't understand anything, you can come to me directly. "

Ma En finally got to the point, but he still concealed some situations and did not tell Tang Lou.

After tidying up the tenement building, he went to change his clothes and followed Ma En to the ward area.

The first hospital in the city has three buildings in the inpatient department alone, and the general surgery ward area is located in the second inpatient department.

Ma En took Tang Lou to the beds he was in charge of quickly.

A 26-year-old nurse greeted her, Linga, wearing a pair of black-framed round glasses, she looked very sweet, and her voice was rustling.

"Dr. Ma checked the room just this morning, why did he come again, hey, who is this handsome guy?"

Ling Jia looked at Tang Lou curiously, his appearance was really high.

"Tang Lou, a new trainee doctor from the General Surgery Department, from Yu County Hospital, young and promising."

Ma En introduced: "In the future, he will be in our medical team, and he will follow me to make ward rounds and be on duty. In the future, Nurse Lin will take care of him."

Linga nodded. The gossip in the department naturally couldn't escape her ears. Tang Lou, the champion of the emergency training camp, the young man who beat Yang Ming, is said to be a little ambiguous with Cheng Sisi.

"Excellent! Sure enough, you are a good-looking talent. From now on, Sister Lin will protect you."

Linga blinked at Tang Lou, her rustling voice was very pleasant.

Ma En Xin Dao is indeed a world based on looks, and Linga is usually not so enthusiastic.

"Tang Lou, come and take a look with me. Next, you will be in charge of the three patients who change their medicines every day."

Ma En and Linga greeted each other politely, then walked into the ward.

"Doctor Ma."

The first patient was a high school girl with short hair and a somewhat neutral dress. She had a pretty face and said hello to Ma En.

Ma En nodded and pointed to Tang Lou: "This is Doctor Tang. After that, he will be responsible for changing your medicine."

Ma En gave Du Xue's medical records to Tang Lou.

".Patient: Du Xue, a 17-year-old female, suffers from body odor and underwent surgery"

Du Xue raised her head and looked at the Tanglou, her face turned red, a little embarrassed and a little embarrassed.

He didn't dare to move his arms, his armpit was bandaged, and he lay straight on the bed.

After a brief exchange for a while, Ma En took Tang Lou to the second hospital bed. This patient was obviously more serious, and it was after surgery for perianal abscess.

The postoperative wounds of perianal abscess are mostly open, deep wounds, large wounds, and a lot of exudate, and the nerves and blood vessels around the anus are very rich, and they are extremely sensitive to pain.

"Tanglou, the dressing change for this patient requires very mature techniques and is very difficult. If the dressing is not changed properly, it will cause secondary harm to the patient. You will take a good look at the medical records and research. If you feel that you are not competent, you must do it in advance. I will inform Doctor Qing and arrange for someone with milder symptoms."

Ma En took special care of him, and he also wanted to test in his heart whether this young man, whom Director Cheng valued so much, could be of great use.

If Tang Lou says that one is not good, then the third patient needn't even look at it, after all, that patient, even he, is a little apprehensive.

"No problem, Dr. Ma, I already have a preliminary plan for changing the dressing."

Tang Lou looked at Ma En with a smile, full of confidence, three-star dressing change technique, second-level surgical hand bondage, dressing Tang Lou recognized as the second, no one really dared to recognize the first.

Ma En nodded in disbelief, thinking in his heart, when you really opened the patient's wound, I hope you can still be so calm and calm.

Changing the dressing after his first perianal abscess operation made him panic, embarrassed, and ashamed.

The perianal nerves and blood vessels are extremely rich. The free nerve endings of the skin and body surface mucosa are distributed in the epidermis, dermis and hair follicles of the skin. The pain points of the skin correspond to the nerve endings.

Every time the dressing is changed, it is a harmful stimulation to the skin, and the affected area becomes more sensitive each time. If the dressing is changed carelessly, the patient will be in agony, and the scene is comparable to a pig slaughtering scene.

For an intern, it is difficult to keep calm and calm in that situation, and if the patient or family members are dissatisfied and make trouble, it is even more difficult to explain, and the psychological pressure on the doctor involved is even more terrifying.

Ma En also admired Doctor Qing's sternness and selflessness. People who knew it thought that Doctor Qing valued Tang Lou and was testing him, but those who didn't know thought that Qingping deliberately made things difficult.

Especially the third patient!
Ma En took Tang Lou to another ward.

At first glance, there is some trembling, 70.00% of the patient's skin is wrapped in white bandages, and blood can even be seen oozing out in some places.

The patient was a 13-year-old girl who was burnt in a fire. More than 70% of her skin was burned, which was shocking.

The patient's mother, Lu Xuefei, was by her side, weeping silently.

The little girl Liu Yun was lying on the hospital bed, the tears in her eyes had dried up, and she was looking helplessly at the ceiling.

From the corner of the eye, I saw Ma En's white coat coming in, and the little girl suddenly became terrified, and whispered hoarsely: "Mom, I don't want to change the medicine, I don't want it, it hurts."

"Little Yun'er, be obedient and you'll get better if you change your medicine." Lu Xuefei comforted her softly.

"No, mom, I don't want to change the medicine, it hurts, I hurt, mom"

Liu Yun turned her head, not daring to look at Ma En Tanglou.

Naturally, Ma En was also very uncomfortable. For a burn patient, changing the dressing every time was like killing her again. Even with analgesia, the patient's fear of changing the dressing could not be avoided.

Lu Xuefei's heart was bleeding, but what could she do.

Looking at the girl, Tang Lou also felt distressed, but fortunately, he didn't practice for nothing for a month.

"Little sister, don't worry, my brother's dressing level is the best in Hecheng, and he will definitely relieve your pain to the greatest extent."

Tang Lou's tone was very gentle and pleasant to hear.

(End of this chapter)