Volume 2 Chapter 284 It's not easy to be a doctor

There is also a famous doctor Fu Shan in the Ming Dynasty, he once received a case, is also a woman, because of a quarrel with her husband, the result of the illness of anger, tea and rice do not think, other Chinese medicine prescribed, but she retched when she saw the medicine, can not use the medicine at all, and then found Fu Shan, Fu Shan asked the reason, then said to the woman's husband, now the medicinal materials are not complete, you can first prepare the medicine primer, after saying that, pick up a black stone in your own yard, let the patient's husband go home to cook this stone, slow cook over low heat, add water when the water is almost dry, can not dry the pot, until the stone is soft, it is a success。

The husband listened to Dr. Fu's words, and when he came home, he seriously began to boil the black stone, and everyone knew that how could the stone be boiled softly? When the woman woke up and saw that her husband was still cooking medicine by the stove, her heart softened, and most of her anger at her husband was gone, so she got up and boiled the stone with her husband, and helped her husband add water and firewood, and after boiling for a long time, the stone was still not soft, and the woman ran to Dr. Fu's house to ask if the cooking method was wrong, and Dr. Fu asked her, "Your illness is caused by anger, are you still angry with your husband?" The woman thought about it and shook her head, and Dr. Fu smiled and said, Then your illness has been cured, go back and live a good life with your husband, and you won't be sick again if you are less angry in the future. ”

"Oh......" The audience, including 40 judges, all showed expressions of sudden realization, it turns out that medicine can still be used in this way, and Chinese medicine is really magical.

The time for the debate was long gone, and the judges' vote was undoubtedly the winner, with 30 out of 40 judges believing that TCM was effective.

Zhuang Poshi was very depressed, because others didn't know, he knew in his heart that 15 of the 20 judges he found were given benefits by him in advance, and now it seems that at least 5 of the judges who received his benefits have "defected".

The second item of the competition is "doctor", which is more fair, the Affiliated Hospital of Zhonghu Medical University found three emergency patients from the emergency room, diagnosed by Du Lin and Zhuang Poshi respectively, and proposed a treatment plan, which was chosen by the patients themselves, and the winners and losers were judged according to the treatment effect.

The first patient is a drunk who has just voluntarily surrendered and was sent by the traffic police, yes, you heard it right, it was not the traffic police who found it for drunk driving, but the traffic police who took the initiative to find the traffic police to surrender.

The patient reported that he drank almost half a catty of liquor at night, and then drove home, and met the traffic police on the road to check the car, which frightened the old man, and then suddenly there was a snow-white in front of him, and he couldn't see anything.

Sudden blindness can be more afraid of him than being caught drunk driving, he didn't dare to drive anymore, opened the car door and groped in front of the traffic police, took the initiative to surrender and asked the traffic police to send him to the hospital, the traffic police were also reasonable, did not first investigate his drunk driving, first sent him to the hospital, I heard that there was a medical skills test here, after asking for his consent, he was sent to the scene accompanied by an emergency doctor.

Zhuang Poshi started first, he checked the eyes of patient No. 1, and used a small flashlight to shine back and forth on the pupils of his eyes, except for the conjunctiva that was a little congested because of drinking, he didn't see anything abnormal, so he wrote it on the prescription note.

A videographer held the camera to Zhuang Poshi's hand, and a live picture appeared on the big screen of the scene.

I saw Zhuang Poshi write in a beautiful "medical style": "Emetic, gastric lavage, brain CT (lateral plus position), intraocular pressure measurement, tropicamide eye drops to dilate the pupils, ophthalmoscopy, slit lamp examination, ......"

Miscellaneous wrote more than a dozen examination items and related medicines, because the patient himself could not see, so the emergency doctor who accompanied the patient saw Zhuang Poshi write a kind of examination, and read one in the patient's ear.

This doctor still admires this Dr. Zhuang, he is also a Western doctor, but he doesn't know much about ophthalmology examination methods, at least he doesn't know what a slit lamp is. If you want to distinguish between high and low strong and weak among Western doctors, in fact, it depends on how much medical knowledge you have, and if you have more things in your brain, you will naturally be able to have a higher level than other doctors.

How much medical knowledge should Western medicine generally master? Here I would like to give you a little popular science: Among the four famous novels, "Dream of Red Mansions" is 730,000 words, "Romance of the Three Kingdoms" is 800,000 words, "Journey to the West" is 860,000 words, and "Water Margin" is 960,000 words.

How big are the books that an ordinary medical student needs to study, 800,000 words for "Local Anatomy", 900,000 words for "Immunology", 1.22 million words for "Physiology", 1.25 million words for "Biochemistry and Molecular Biology", 2.275 million words for "Surgery", and 2.483 million words for "Internal Medicine".

These are just a few of them, and a medical student cannot graduate without reading a stack of books of similar height.

In order to truly become a clinician, you must also learn basic clinical practical skills during the internship stage, such as chest puncture, lumbar puncture, bone puncture, whole body examination, cardiopulmonary resuscitation, wound debridement, suturing, knotting, dressing change, plaster cast, as well as auxiliary examination techniques such as electrocardiogram, blood gas analysis, and image reading.

After the internship period, you will have to face the "sub-department", that is, to determine the future career direction, such as internal and external gynecology and children's ICU, oral skin otolaryngology, psychological care and first aid, infectious urology and oncology, during which you will also learn all the clinical skills required by the department you want to enter.

This is only the learning stage, and only after becoming a doctor can it be regarded as entering the fast lane of growth.

There is a watershed here, that is, whether the grade of the hospital is "top three". In the eyes of many Chinese people, it seems that only a "tertiary first-class" hospital can be regarded as a real "big hospital" and a place where "you can see serious diseases". In the same way, from the doctor's point of view, only by entering the "top three" hospital can he have the opportunity to contact more patients, see more diseases, and quickly improve his own level.

In addition to work, you also need to keep abreast of the latest medical trends, which is the real sense of living to learn, if you slack off, you will be abandoned by the pace of medical development.

Therefore, if you want to become a good Western doctor, you only need to do two things: one is to read more books than others, and the other is to see more patients than others, or to put it simply, to be more diligent than others.

As mentioned above, it generally takes at least ten years, five years of undergraduate, three years of graduate school, and two years of intern doctors to train a qualified Western doctor, and this is only qualified, and it takes longer to go from qualified to excellent.

The training system of traditional Chinese medicine is more complicated, and this does not refer to the fast-forming Chinese medicine of traditional Chinese medicine in traditional Chinese medicine colleges.