Chapter 45: Counseling
"The worship point has broken 50,000 again!"
After eating, Fang Han sat under the shade of the tree in front of the outpatient clinic and checked the details of the background, with a total of 58,936 worship points.......
It's about to break 60,000, and you can exchange it for a beginner permanent skill again.
"What should I redeem?
Fang Han began to be entangled again, choosing to be entangled, and he didn't know what to choose every time.
I took stock of the skills he has now, primary consultation, which he has learned and comprehended by himself, thesis elementary, primary suture (permanent), intermediate first aid (permanent), intermediate orthopedic (permanent), tendon management eight methods (advanced permanent), and Bagua Youshenzhang (proficient).
Among them, intermediate first aid is a hodgepodge of skills, although it is mainly a first aid method, but if you want first aid, you must know how to diagnose, Fang Han's primary visit is also based on the intermediate first aid to progress and grow, reaching the primary level.
In addition, pulse diagnosis, prescription, dialectic, etc. are also included, although they are not as specialized as exchanging skills alone, but they are enough, after all, the skills of the intermediate level are already comparable to the level of the title of deputy chief physician.
"When I exchange skills, I should first narrow down my skills to a certain range, excluding some skills that are easy for me to learn and grow, and skills such as experience are preferred. ”
Fang Han pondered in his heart, first of all, the system encourages himself to learn, and when his self-learning skills reach a certain level, he will return the corresponding worship points, which can not only save the original exchange points, but also have additional gains.
What kind of skills are more difficult to grow, that is, experience, such as osteopathy, acupuncture, pulse diagnosis, qi looking, etc., these not only require a certain amount of knowledge accumulation, but also continuous practice, as Miao Dalong said, the combination of practice and theory, and constantly confirmed.
Take the diagnosis of pulse as an example, the students who graduated from the theoretical medical university mentioned in the book know what kind of pulse and what characteristics, which is very detailed, but sometimes you know that you are familiar with the theory, but you may not be able to judge what the patient's pulse is when you get started.
Without a certain amount of experience, you feel the pulse and mutter, what kind of pulse is this, is it floating or sinking? Is it a slippery pulse or a late pulse?
Uncertain, uncertain, this is the characteristic of most novices, how to improve their level, then you need to continue to practice, continue to get started.
I felt the pulse, it seemed to be a slippery pulse, and then the teacher confirmed, well, it was a slippery pulse, and the next time the same pulse appeared, I knew it in my heart.
Sometimes a person's pulse changes very slightly, not to mention ordinary people, even some novices in Chinese medicine who don't have much experience, feel that the pulse seems to be the same, there is no change, at most the beating is different.
Experienced people may find that sometimes when looking at a TCM doctor, the doctor looks at the time while feeling the pulse, and most of such TCM doctors are actually not at the same level, saying that it is to feel the pulse, it is better to count the number of pulses of the patient in one minute.
Some knowledge skills such as Chinese herbal medicine identification, pharmacology and medicinal properties, which can be improved by reading books and even rote memorization, are temporarily excluded.
At the same time, some skills that may not be used commonly for the time being, and there are some that are not necessary to be redeemed now, after all, the primary skills are only transitional, and they are used at this stage, and they still have to be exchanged for intermediate and advanced skills in the later stage, and constantly improve themselves.
"Rationalize the use of worship points to improve yourself. Fang Han felt that he should have a planned use system, so that he could save more worship points and grow up as soon as possible.
"In this way, there are not many primary skills that need to be exchanged at this stage, and two have been exchanged, one primary stitching (permanent), one paper primary, and then three primary permanent skills, and if you meet the conditions for system upgrades, you can directly save points for intermediate skills or above........"
With the direction, the choice is correspondingly simpler, Fang Han opened the skill panel and began to select skills.
"Dr. Fang......"
A polite voice came from the side, interrupting Fang Han, Fang Han looked up and saw a handsome young man standing on the side, with a smile on his face.
"Dr. Ye. Fang Han stood up and said hello.
"Doctor Fang, sit down. Ye Fei was very polite: "It's okay here, just talk casually." ”
Fang Han couldn't figure out what Ye Kai was thinking, wasn't he very clear and tall just now, a leader, this is the time to inspect the people's feelings?
It seems that Li is hospitalized, uh, Li Xiaofei said that this guy will be appointed as the general hospital in the next few days.
The general hospitalization, that is equivalent to the head of the department, before taking office, touch the bottom of these intern doctors, close to the people, well, it's normal.
"What does Doctor Ye want to talk about?" Fang Han was very polite, but he was not angry because people robbed him of his head.
"I heard that Dr. Fang's family opened a medical center?" Ye Kai had a faint smile on his face, he just happened to see Fang Han here just now, to be honest, Fang Han was a little curious.
"It's not a medical center, it's just a small clinic, and I usually see a cold and fever or something. Fang Han said.
"I just came back from Yanjing, I have been gone for half a year, some things are not clear, this is suddenly back, I am still a little unfamiliar with the department, what happened just now ......" Ye Kai explained with a smile, since the leaders all valued Fang Han, he felt that there was no need to be too stiff with Fang Han.
They are all talented players, who doesn't know whom? This kind of talented people are arrogant.
Fang Han hurriedly interrupted: "It's nothing, Dr. Ye is the general inpatient, a senior, and an old man, I should learn more from Dr. Ye." ”
"Is this still an opinion about yourself?"
Ye Kai heard it, although Fang Han's words were polite, but obviously he had a strong sense of distance, rejecting people thousands of miles away.
"If you are in a hospital, you will be colleagues in the future, and colleagues will help each other and learn from each other. Ye Kai smiled, in fact, he didn't like to talk to Fang Han a little.
First of all, Fang Han was more handsome than him, and he stole a lot of limelight from him when he first came. Several of the little nurses who used to be very nice to him are not very enthusiastic about him now.
Secondly, Fang Han was just an intern, but he didn't have the consciousness of an intern, Ye Fei felt that he was willing to explain just now, but in fact, he was already very face-saving to Fang Han.
However, thinking that he was about to become the general hospitalist, Ye Fei still endured it, the teacher said well, you must have a mind to be a man, you are different now, the end of the hospitalization is the attending doctor, the height is different, there is no need to be as knowledgeable as Fang Han.
Fang Han is indeed talented, but after this year, he will be hospitalized at most, and he will only be a resident doctor, and he will have to work on his qualifications at that time, and he will not be qualified to be equal to him in a short period of time.
As the saying goes, the hustle and bustle of the world is all for profit, and the hustle and bustle of the world is for profit, since there is no entanglement of interests, Ye Fei is still willing to show the bearing of a quasi-hospitalized general.
"That's what Dr. Yip said. ”
Fang Han nodded, he was really a little uncertain, this Doctor Ye's strength was not bad.
"By the way, Dr. Ye, I just have a question I would like to ask. ”
"Say. Ye Kai said with a smile, Fang Han was willing to ask for advice, he was naturally very happy, so the distance between the two people was much closer.
"What skills are most practical in the emergency department?" Fang Han asked.
He was struggling with the exchange skills at this moment, although the scope was narrowed, but it would be better to have the opinion of a senior resident doctor for reference.
"Skills?" Ye Kai was stunned, a little confused about what Fang Han meant, is this a game?
"In the emergency department, what kind of ability should be improved first? Fang Han once again explained that skills are systematic divisions, and in fact, some divisions do not conform to the public, such as diagnosis, dialectic, etc., which are not considered to be skills in reality.
The skills of traditional Chinese medicine only include acupuncture, massage, external treatment of traditional Chinese medicine, internal administration of traditional Chinese medicine, processing of traditional Chinese medicine, etc., and the rest belong to the category of knowledge.
"This one. ”
As soon as Fang Han said this, Ye Kai understood, and said with a smile: "In the emergency department, it is naturally a first-aid method, and the doctors in the emergency department do not necessarily need to know much about the development and treatment of the later stage of the disease, but they must ensure the patient's life as soon as possible, and win time for the patient's follow-up treatment and rescue." ”
"What else?"
This Fang Han naturally knows that in fact, the intermediate first aid he obtained is such an ability, which may not be able to cure this disease, nor may it be of much help to the recovery of this disease, but it is very helpful for stabilizing the condition and saving life urgently, time is life, and if the emergency department can gain time, then the patient has a great possibility of being rescued.
And sometimes the patient is critically ill for a moment, if you really want to slow down, you may be able to avoid a crisis, which is like a heart patient, once the disease occurs, there is a danger to life, and if you are relieved, there is no need to worry about your life for the time being, how to rescue the patient when the patient is sick, this is the first aid skill, and the intermediate first aid contains many similar means, mainly for emergency relief.
"In addition to that, in terms of recuperation, most of the diseases are actually mainly based on treatment and recuperation, and there are few immediate results, you look at the observation room, there are so many patients, who is usually responsible for these patients? It is the resident doctor and intern, what accidents do the patients have, what emergencies do they have, when the attending doctor is not present, we can deal with them as much as possible, and we need to understand what kind of symptoms represent, the patient's sudden fever, is the condition aggravated, or is it normal after taking the medicine......"
Ye Kai is worthy of being a senior resident doctor, he knows a lot, and he is a little talkative about it, and he talks in detail about what ordinary residents and interns should pay attention to, what they care about, and what they focus on.
"Thank you, Dr. Yip. Fang Han thanked him from the bottom of his heart.
After he arrived at the emergency department in the past few days, there were many opportunities to treat patients, so basically he didn't go to the ward rounds, and no one arranged for him to go to the wards, so he really didn't pay much attention to what Ye Kai said about paying attention to the changes in the patient's symptoms, usual conditioning, etc.
As for Li Xiaofei, he didn't think of this, and in Li Xiaofei's eyes, Fang Han was so powerful, he should understand it, but in fact, he didn't know that Dr. Fang's skills came out of thin air.
This is like Xuzhu, who was instilled with seventy years of skill by Wu Yazi, and instantly became a martial arts master, but after all, this ability was not practiced by himself, but the foundation is very shallow, and he still needs Tianshan Tong's grandmother to fully exert his strength.