Writing is a hard work that requires a quiet mind. With a high degree of concentration of spirit and will, the mechanized movement of the fingers that lasts for more than a few hours can make a decent article. This work is destined to be the type of "layman looks at the excitement, and the insider looks at the doorway". After all, in modern society, everyone has written essays when they are in school, and everyone can basically type. What's so hard about it?

In this regard, Sun Lien only has one thing to say - you can do it.

How cumbersome is the standard medical case record of the same association? Compare it with the case record of the surgery department of the Fourth Central Hospital. There is a "template" for surgical case records. In general, three sentences are enough to complete a patient's case record – the first sentence is that the patient is diagnosed with XXX disease. In the second sentence, XXX was performed intraoperatively and the postoperative treatment was completed. In the third sentence, the patient is satisfied after surgery. Then come to a set of fixed medical order template combinations, and when it comes to ward rounds, all those that can be omitted are omitted, and those that can be "the same as before" are written as "the same as before". Generally speaking, the ward round record and the case record together can write more than 100 words, even if the surgeon is interested.

And internal medicine...... The average case record is 1,500 words per patient. Two pages of A4 paper filled with that's the norm. If any trainee or intern dares to record a case in a surgical style, the department director will definitely spray that poor guy without even the courage to stand. According to the general opinion of physicians - "The thing written by surgery is also embarrassed to be called a case?"

Sun Lien's internal medicine teacher is an old professor in the school, when the old man was in class, the whole class who used to scold in one sentence did not dare to squeak, "The difference between people and monkeys should be that people know how ignorant they are, while monkeys think they understand everything." ”

Internal medicine is complex, and it is true that internal medicine is different from what medical students who have just entered the school. What everyone has seen and learned from the film and television works is the appearance of a surgeon wearing a surgical gown and rejuvenating and saving people. And internal medicine...... It will only be palliative, and the use of medicine will have to be considered for a long time, where is there a surgeon who is handsome? In the eyes of rookies who have just entered the school, only surgeons are called "doctors." Internal medicine is probably about the same as a pharmacist.

The old man in internal medicine is surnamed Zhao, and he was already an old expert who was rehired after retirement. But the old man didn't know which nerve was wrong, and he didn't do the job of "presiding over scientific research projects", just to teach. And doctors, especially internists, are old, and the most unsightly thing is the worship of surgeons and their disdain for internal medicine. It is also a big bull in the industry, a master of surgery. People don't look down on internal medicine because of the effect of the surgery they do. A group of rookies, before their hair grows, want to learn from surgeons to play the chain of contempt? Interns and trainees are the low end of the chain of contempt in the entire industry!

A group of young people who have just entered the school are scolded by the old professor as monkeys, and the young people are always a little unconvinced. Most of Sun Lien's classmates also felt that the old man was deliberately suppressing and looking for trouble. But Sun Lien listened to this sentence. is also a doctor, people have seen more diseases than these rookies have heard of, what's wrong with scolding you two sentences of monkeys? As long as you don't scold your mother, then you should listen to good things. If you scold your mother, then you shouldn't have heard it.

Although there is mental preparation, and there is enough mental awareness. But Sun Lien is still struggling. Case records aren't just a matter of writing. Each symptom needs to be described accurately, and the patient's condition needs to be recorded realistically, not made up. Ever since Sun decided to require his own case records according to the standards of the association, he would find a small notebook in his usual outpatient procedures and use shorthand symbols to write down the conditions of the patients he observed. At the end of the consultation, when it is necessary to fill in the records, Sun Lien will look at these symbols and restore them to the patient's situation.

However, although this move sounds good, it has a fatal flaw for Sun Lien.

He is interested in these symbols...... Not familiar enough.

The unfamiliarity with the symbols meant that he needed to recall and compare previous cases to understand what the marks meant by his own writing. A case record of about 1,500 words, Sun Lien needs to go through it for almost an hour to write.

It's just terrible.

Fortunately, there are not many patients triaged in the other clinics today. Sun Lien was able to slowly replenish his record. At about five o'clock in the afternoon, there was a sudden knock on the door of the ninth consultation room. Entering the door was Dr. Cao Yanhua, followed by a middle-aged man with a painful look on his face.

"Little grandson. Dr. Cao greeted Sun Lien, and he pointed to the middle-aged man behind him, "This is my second uncle, I was supposed to go to the outpatient clinic to prescribe famotidine tablets, but the outpatient clinic has already gotten off work." Xiao Sun, if you don't have anything to worry about now, can you help open it?"

Sun Lien glanced at the waiting number on his computer screen, and there was indeed a male patient surnamed Cao who complained of "acid reflux and difficulty swallowing". Dr. Cao Yanhua not only brought his second uncle to see him, but also hung up an account. This is a manifestation of "respect" for Sun Lien. Usually doctors have done this kind of thing, usually a few big-name experts between relatives and friends to consult each other but can't get a number, so you may make a change of number - please work overtime to see a doctor during rest or off work, and if you have relatives who need my help in the future, you can also bring them directly.

It is a favor to bring people to see a doctor directly, and to bring someone to see a doctor by registration is to give face. Besides, people just want a prescription to prescribe medicine, and Sun Lien naturally has no reason to refuse. He nodded, and said to the middle-aged man with a not very relaxed expression, "Uncle Cao, you sit down first." ”

The status bar hung on Uncle Cao's head, "Cao Jianguo, male, 54 years old, esophageal smooth muscle peristalsis is weakened, and the lower esophageal sphincter is insufficiency. ”

Sun Lien asked someone to sit in the seat in front of him without changing his face, and called up his previous medical orders and medication records from the computer.

"It's been two weeks since I took the medicine?" Sun Lien's eyebrows twitched slightly after seeing the contents of the record. "Are you still sick to your stomach?"

Cao Jianguo nodded, a little embarrassed, "Yes." ”

Cao Yanhua interjected, "I asked my second aunt, the old man is easy to say anything else, but he always forgot to take medicine." The medicine that should have been taken last week was delayed until yesterday. ”

Feelings: This is also an old pigeon? Sun Lien smiled and prepared to prescribe medicine. Anyway, Lao Cao's illness was diagnosed in the Department of Gastroenterology of the Fourth Central Hospital, and Cao Yanhua must have read the report. I still have stomach acid after two weeks of delay, that's because I don't take medicine according to the doctor's instructions, it shouldn't be a big deal.

Although the prescription for the prescription has been written, after all, it is a patient who came to see him, and according to Sun Lien's current requirements for himself, this case still has to be written in detail. So Sun Lien asked Comrade Cao to lie on the bed in the consultation room and prepare to give him a physical examination. Cao Yanhua also knew that Sun Lien was tossing himself recently, and he didn't express any objection to this behavior, thinking that his second uncle was here to be a model to practice Sun Lien.

The examination went well. And the content recorded by Sun Lien in the small book is also gradually increasing. Those shorthand symbols with special meanings were actually designed by himself. If you use it more, you will naturally become proficient.

"What do you do?" Sun Lien checked Cao Jianguo's nerve reflexes on the one hand, and on the other hand, he was afraid that people would be too bored lying on the bed, so he chatted with Cao Jianguo without a match.

"Farming. After Cao Jianguo lay down, he hiccuped several times in a row, and the smell was very stinky, which made him a little embarrassed. "I'm sorry for your trouble. ”

"Hey, what's this. Sun Lien replied with a smile, "Brother Cao usually helps me a lot, a few days ago he gave me a shift and picked up several patients who drank too much. As a result, Brother Cao was busy all night, and he was vomited. ”

Cao Yanhua closed his eyes in pain, and he seemed to see the middle-aged man with a serious face again-he was stared at until he was numb, and then the other party spit out himself with one mouth. Not only is it an indelible experience, but even some details become clearer with time, such as the sour smell of alcohol, such as the disgusting touch of vomit burrowing into the collar of one's clothes and flowing down one's back.

Dr. Cao Yanhua was busy nausing himself, and Sun Lien began to examine Cao Jianguo's hands. This is indeed an old farmer's hand, and the skin on the hand is hard and thick, and there are a lot of calluses.

"You don't usually wear gloves when you do farm work?" Sun Lien touched Cao Jianguo's rough hands, and sighed with some emotion, "These hands are full of calluses." ”

"Zhuang family, where is it so expensive. Cao Jianguo laughed innocently, "You probably haven't played with a hoe much in your later life, if you wear gloves, the hoe handle will be too slippery to pinch." ”

Sun Lien nodded thoughtfully, and then frowned again, Cao Jianguo's calluses are not only on the side of the palm, but also on the metacarpophalangeal joints on the back of the hand.

In the past, those with calluses in this position were masters of boxing. Sun Lien remembered with some nostalgia the martial arts he had seen in high school. Unexpectedly, Cao Jianguo is also a hidden master.

"Doctor Cao, do you have a habit of practicing martial arts at home?" Sun Lien said to Cao Yanhua, "Why haven't I heard you say it before?"

Cao Yanhua finally broke free from the disgusting memories, and was a little unclear about Sun Lien's question, so "Practice, what dance? No one in my family can dance." ”

"It's not dancing, it's martial arts. Sun Lien pointed to the back of Cao Jianguo's hand, "There are calluses on the metacarpophalangeal joints, and it takes a long sandbag to punch out, right?"

"No......" Cao Yanhua scratched his head, "Second uncle, do you know martial arts?"

"No, it won't. Cao Jianguo hiccuped again, "I don't know how those calluses on the back of my hands came about, and I didn't seem to have them a few years ago." ”

Sun Lien frowned, this was not quite in line with his common sense. Anyone with calluses on their hands should know where they come from. For example, the callus on his right index finger was sharpened with a pen when he was a student.

What if these calluses are not real calluses, but a symptom?

Sun Lien glanced at the status bar on Cao Jianguo's head again.

"Cao Jianguo, male, 54 years old, weakened esophageal smooth muscle peristalsis, lower esophageal sphincter insufficiency, diffuse skin thickening. A new hint has been added to the status bar, and this time the hint is not the usual white color when he found other things before, but the same black font as the hint that comes with the status bar.

Sun Lien's eyes widened, "No...... Uncle Cao doesn't have reflux esophagitis!"

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