Chapter 209: Pretending to be forced by name
The moment the attending doctor spoke, Senior Brother Guipei's cold sweat fell.
Although he tried his best to comfort himself with the spirit of Ah Q.
"I can, I can do it, although I copied it, but I'm also familiar with the medical history, what if I answer it!"
But strong uneasiness and weakness of heart still came to my heart.
The most annoying thing in his life is being asked questions by senior doctors!
Whether it's when he's an intern or when he's training, it's like this!
Because he never answered!
If a senior doctor who likes to ask questions rounds the ward, he will stand as long as he can, and try to reduce his sense of existence.
But now, Cha's first bed is his......
And it's good to die, the medical records you copied have been praised by senior doctors, and now you have a high sense of existence!
This is a special killing!
The scariest thing in the world isn't being pushed by someone.
Instead, he was praised to the highest point and then pushed!
At the same time that Senior Brother Gui Pei burst into tears, he couldn't help but start complaining about the person who wrote the medical records in the emergency department.
What is so good to write!
You must know that this attending brother has very high requirements for medical records! He can't even find fault with what he writes!
I can't change a word at all.
It's better to be scolded as usual, because of the medical records, and then you can avoid most of the soul questioning behind......
Zhang Tianyang watched the play silently outside the crowd.
Of course, he could see the sweat oozing from Senior Brother Gui Pei's forehead.
This is the normal reaction of interns to questions from senior doctors.
But what the sixth sense told him was Senior Brother Guipei's faint hostility towards him, he didn't figure it out for a while.
When he reacted for two seconds and understood, he couldn't help but want to laugh a little.
And over there, the attending doctor's soul questioning has begun.
"Well, you explain to everyone why you write this paragraph, this series of positive and negative signs and symptoms, in such order. ”
The attending doctor gave his own question and put "the patient suddenly changed consciousness after drinking yesterday...... with vomiting...... The neck resists ......" was read out.
Senior Brother Guipei, who was in a cold sweat, didn't react for a while.
He also thought that the treating brother would ask questions such as what the patient's disease was, how to diagnose the disease, and what kind of medicine to use.
But the question turned out to be the various signs and symptoms in the patient's current medical history, why is it written like this?
What is the problem?
No, is that a problem???
Didn't you just write it down after asking the patient if he had any symptoms???
Why is it written like this?
Because the sick are so sick!
Senior Brother Gui Pei looked confused.
He couldn't answer this question at all!
The expressions on the faces of the three residents around him remained the same.
However, the faces of the brothers and sisters of various disciplines and advanced training also showed puzzled looks.
They also find it inexplicable to ask.
But no one jumped out to speak.
After all, the attending of the neurology department of Dongfang Hospital is very strong, and although there are many soul questions about teaching rounds, it is still "teaching" in essence.
Listen well and you're sure to learn.
The attending doctor obviously also saw the confusion on their faces, and did not let Senior Brother Gui Pei answer immediately.
His eyes swept over his faces.
He noticed that, in addition to his three residents, the two interns standing at the back were also calm.
I couldn't help but move slightly.
In the face of this kind of question, it is still very calm, or it is experienced and knows the answer.
Otherwise, they are too ignorant and wait for the answer from their superiors.
Both interns are very good at it, so it's unlikely to be the latter.
After sweeping the circle, the attending doctor smiled slightly and began to explain.
"I think your course is really well written, and your thinking is very clear. ”
This question of thinking is not paid much attention to by many students, but it is actually very important. ”
"We often say that when writing a patient's current medical history, you need to write a lot of positive and negative signs. ”
"When many students write, they like to throw these on one by one, no matter the order.
Some people will write down all the positive signs and then the negative ones.
Some even think of which to write which.
This is not right. ”
Entering the lecture session, a circle of white coats involuntarily popped out a small notebook.
Even Senior Brother Guipei couldn't help but start recording.
"Positive and negative signs and symptoms can help us judge the condition and make a differential diagnosis of several possible diseases. ”
"So, when writing medical records, we have to have our own ideas.
It's a good idea to put the associated signs and symptoms together so that the person reading the medical record can see them at a glance.
Oh, it turns out that this patient has this and this symptom, it may be which disease.
The patient does not have these symptoms, so one or the other can be ruled out. ”
"Although they are all signs and symptoms, but the order is different, you can see that the level of the person who wrote the medical record is different. ”
The attending doctor explained in detail.
Around a circle of white coats, while writing hard in a small book, he showed a look of sudden realization.
I see!
Many of them turned out to really throw all kinds of symptoms and signs upwards, regardless of the order.
After all, if the senior doctor doesn't tell you, you will never realize this kind of thinking and technique.
Even if you stare at the excellent medical records and the medical records that you have failed, you can only question unconvincingly.
"Isn't the order different! Everything else is the same! Why am I 60 and she 100?"
Senior Brother Gui Pei also suddenly realized.
I see!
It turns out that the question asked by the senior brother in charge is really a very important question!
He hurriedly jotted down this key point in his small notebook, and couldn't help but smile at the acquisition of knowledge on his face.
But when he looked up, he couldn't laugh.
Because the senior brother in charge was staring at him with blazing eyes.
The white coats around him also stared at him with blazing eyes.
"Goodo"
He swallowed hard.
His eyes looked at the words again and again, revealing an ugly look.
"Senior brother, this paragraph is a direct copy of the emergency medical record, I don't know ......"
Senior Brother Gui Pei lowered his head in shame.
The attending doctor was stunned for a second, showing a look of disappointment that "it was really so".
didn't expect Senior Brother Gui Pei to be able to answer, his eyes subconsciously patrolled in the middle of the white coat.
Ignoring the three residents he was comfortable with, he began to pick lucky classmates at random.
"You're going to try to explain?"
"I don't know, what about you, tell me what you think. ”
"I don't know, what about you?"
"You?"
"And you?"
Five people were randomly selected, but they couldn't answer, and the attending doctor's face had darkened significantly.
His eyes drifted in front of Zhang Tianyang, and soon flashed back.
"That, Xiao Zhang, do you know?"
Alas......
Zhang Tianyang sighed silently in his heart.
I originally wanted to hide my merit and fame.
But since the roll call has been named......
Let's be honest!
"I think so. ”
Zhang Tianyang's slow and logical opening suddenly attracted the eyes of those around him who were originally dodgy.
And Senior Brother Guipei, who was originally hiding next to him and wanted to use the light of the intern to reduce his sense of existence, instantly stood up straight and did not squint.
I can't help it!
This intern doesn't know how thick he wants to pretend to be forced, and it also affects them!
So many eyes, it's terrible, okay!
The attending doctor finally got a response, and couldn't help but raise his eyebrows and become interested.
"Xiao Zhang, you say. ”
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Stealing incense