Chapter 84: Ward Rounds
Sun Lien, who did bad things in his previous life and was forced to be a doctor in this life, raised his head in the stacks of books.
Back in the dormitory last night, Sun Lien looked at the unfinished outline on the table and became stubborn again. As he used to do at school, he couldn't tolerate going to bed while his work wasn't done – and if he did, he would wake up in the middle of the night and toss and turn and couldn't sleep.
Instead of waking up in the middle of the night, you can get to work. At least find out all the citations needed for the outline. With the help of wine, Sun Lien made this decision. Then he plunged headlong into the boundless black hole of CNKI and Wanfang Database.
By the time Sun Lien started again, Ningyuan's sky had already lit up. The white of the fish's belly in the sky is a sign of the vitality of the early hours of the morning. After reacting for a while, Sun Lien realized that he had fallen asleep on the table.
Tearing off a piece of solid white paper from his face, Sun Lien stepped on the gossip step, and the person shook out the erratic shape of Ling Bo's micro-steps. Avoiding the trash cans, smelly socks and books on the floor, I went into the bathroom to wash up.
Washing your face with cold water, although it is easy to put some unnecessary pressure on the heart, is indeed a good way to refresh your mind. After some washing, touching his face that was gradually getting hot, Sun Lien raised his head with satisfaction and looked at himself in the mirror.
"Sun Lien, male, 25 years old, mild acute alcohol poisoning, 95 confirmed cases before the next status bar upgrade. ”
"Huh?" Sun Lien was suddenly startled, and the little drunkenness that was left in his mind disappeared. After carefully observing for a few seconds, the surprise in Sun Lien's heart was covered by a huge surprise.
For Sun Lien, the status bar simply changes the definition of "diagnosis". What he's learned over the past five years has finally become something that can come in handy in his daily work therapy with the help of the status bar. At a glance, he can see the patient's abnormal state or cause, so that he can arrange targeted examinations and treatments. The status bar is a huge help to Sun Lien, as well as to patients who need help urgently.
And the status bar, which is already very useful, seems to have the possibility of upgrading! How can this make Sun Lien not overjoyed?
"But why is it ninety-five?" Sun Lien was a little confused. In the past two days, although the number of patients he has handled is not as good as that of emergency doctors such as Zhou Jun, who are already able to take charge on their own, there are not a few. There are as many as eleven or twelve in a rough count. But why is there still 95 status bar upgrades? The number is not neat, which makes Sun Lien feel that something is wrong.
95 ...... 95 diagnosed?Sun Lien's eyes widened suddenly, Chen Wen's echinococcosis complicated by Cushing's syndrome, Kobayashi Kaoru's hyperthyroid crisis, Zheng Xiaoyu's syphilitic liver disease and syphilitic encephalopathy, Qin Ya's moyamoya disease, and Yuan Meng's blood sickness. The diseases of these five patients were all diagnosed by Sun Lien with the help of the prompts in the status bar. Lin Lan, on the other hand, has already made it clear that the external injury is clear, and the status bar only indicates that there is internal bleeding.
"So the key is to use the prompts in the status bar to diagnose the patient's condition?" Sun Lien touched his chin, and suddenly felt that going to work no longer seemed to be a painful thing.
Holding the last clean white coat, Sun Lien put on a black down jacket and went out. It's not too early, but it's not late enough to be urged to come to work by Zhou Jun's call. Passing by the breakfast stall downstairs, Sun Lien bought a vegetarian bun for five yuan. We trotted all the way to the hospital.
"It's been an early day. Zhou Jun was reading the newspaper in front of the duty desk, and when he saw Sun Lien coming, he looked up and said hello, took out a paper cup from the table, and poured black coffee from his thermos cup into it. "Drink, we'll be on rounds in ten minutes. ”
The black coffee went down with the vegetarian bun, and Sun Lien changed into his white coat by the way, "Teacher Zhou, you took us on a ward round today?"
"Today, Director Liu led the team. Zhou Jun shook his head and said with a smile, "Old man Zheng has been transferred from the ICU to the general ward, and Teacher Liu plans to take it seriously." ”
Where does Liu Tangchun plan to take it seriously, he is obviously preparing to make a big news. The usual rounds of the emergency department are led by several senior deputy chief physicians. Liu Tangchun, the deputy director of a director-level department, will generally not participate in the ward round process unless it is a weekly round.
Although a ward round is a ward round, it is actually more like a brainstorming about the patient's disease. Ningyuan Medical College has inherited the style of Xiehe in this regard. Although the type of clinical rounds that have lasted for more than 30 years have changed, the core elements have remained the same. Each week, residents carefully select a few complex cases for which they are responsible. Make a detailed report on the patient's condition. After the report is completed, it is freely discussed by the doctors participating in the rounds. Whether you are an expert professor or an intern, you can express your opinion. Finally, the head of the department will make a summary and further treatment instructions.
And Liu Tangchun's ward rounds that are ready to do things are a completely different type.
The chief physician led the team, bringing the bedside doctors, intern medical students, and attending physicians to inquire and discuss the recovery status of each patient. The chief physician will ask the intern about the patient's illness at random while asking the doctor about the bed. For example, the characteristics of the disease, contraindications to medication, recovery and cycle, and so on. Most of the interns who were asked suddenly would not be able to answer. Then there is no place for self-esteem in the eyes of colleagues and patients. After being severely humiliated, interns will secretly start to work hard, desperately reviewing the content of the disease, in order not to make a fool of themselves.
From this point of view, the junior doctors are basically shaking M, and the senior doctors who throw out the problem ...... It's probably the S with the worst character.
Liu Tangchun was wearing a white coat and pushed open the door of the rescue room. The gray hair fluctuated slightly with the pace under his feet, and the white coat with only one buckle was swept by the wind brought out when he walked, floating behind Liu Tangchun, looking quite the style of a generation of grandmasters.
"Lien, let's go!" Liu Tangchun beckoned to Sun Lien, who was drinking black coffee, "Come with me to see the excitement!"
The first generation of grandmasters broke the merit with a single sentence, while Sun Lien and Zhou Jun followed behind Liu Tangchun together and walked to the emergency department inpatient department on the fifth floor.
The team of three gradually became ten, then fifteen, then twenty. When Sun Lien and the others stood at the entrance of the inpatient department, the 38-person ward rounds almost blocked the entire corridor. Later attending physicians began to maintain order on their own initiative. Interns can only stand in the hallway, and only those who have been called by name are allowed to enter the wards. And Sun Lien, who was specially taken by Liu Tangchun, was not among them. He pulled a pen and notebook out of his pocket and prepared to start taking notes.
"Room 0501, Wei Jinshui. Liu Tangchun glanced at the name on the hospital bed and smiled at Sun Lien, "The first one is your patient, tell me about the situation." ”