Chapter 20 Recognition from the eldest brother of further study
After Lin You left, only Liu Zhi and Kuang Renqiang were left in the office.
Liu Zhi and Kuang Renqiang are both over 35 years old and are doctors from below, but they joined the work after graduating from their bachelor's degree, and they have been immersed in clinical practice for more than ten years.
Liu Zhi smiled convincingly: "Brother Xiaocheng, you also just graduated from undergraduate, right?"
"Your pre-operative conversation, I take it, I almost think it's a small lecture from my superiors. ”
Kuang Renqiang also said: "Yes, Brother Xiaocheng's basic skills are very stable. The expertise is also quite solid, and if we want to leave it to us, we can explain these complications and the corresponding principles clearly. ”
"Brother Xiaocheng, you are really. He gave a thumbs up as he tapped on the medical records.
It is said that surgery does not pay attention to theory, that is what laymen say, in fact, surgery also pays attention to theory, and it is no worse than internal medicine.
It's just that most of the time, because surgeons have more threshold than internists, most surgeons spend most of their time on infiltrating surgery, and they don't have too much insight into the grasp of the corresponding signs and the theory of postoperative complications.
After all, it is much more affordable to have these more surgeries and read more books about surgery.
The surgeon's time is tight, and it's basically just running out.
However, in orthopedics, the prevention and treatment of postoperative complications is sometimes more important than surgery.
There is no one who does not have complications after surgery in this life, and if someone says that there is, they either don't understand it or it's fiction.
The work to be done in clinical practice is to prevent the occurrence of such complications and avoid them as much as possible. If you have an in-depth understanding of the relevant theories of complications and then deal with the symptoms, the probability of complications can be minimized.
Liu Zhi and Kuang Renqiang suddenly complimented, which caught Lu Cheng off guard, after all, he has always positioned himself as a little doctor.
A little doctor who has not been in contact with clinical practice for a long time, or the basic skills may be slightly more solid.
Compared with Liu Zhi and Kuang Renqiang, and even compared with Senior Brother Zhuoyuan, they are too far behind in clinical experience.
Clinical practice is a process of accumulation over time, and Lu Cheng himself has a few catties and taels, and he knows it very well.
I have only learned the whole of a disease, and I have only learned it slightly, it is definitely not proficient, a disease, no matter how deeply I understand it, it is absolutely impossible to be proficient, and what I say on the Internet is a master, it must be false.
That's the network, look at it okay.
Patients don't get sick according to textbooks, diagnose by a sign or characteristic alone, or rely on a skill to treat and save people, that is misleading.
Medicine is necessarily systematic.
Therefore, Lu Cheng hurriedly said: "Brother Zhi and Brother Qiang, you praised me so much that I almost believed it." ”
"It's just that I flipped through the book more last night and memorized it, and if you want to talk about the experience, it's definitely not as good as you. ”
Lu Cheng is humble.
At least that's what Liu Zhi and Kuang Renqiang think.
Memorize it down?
That's pretty impressive, right?
It can be said that the vast majority of doctors are just repeating and reciting the theories and operations of their predecessors.
This is the current model of medicine.
"Brother Xiaocheng, if you want to be humble, it won't be kind. ”
"The theories associated with these complications are not written in textbooks in the same place. If you want to find a place to memorize, you don't necessarily have it. ”
"You found it from all sorts of places, and that's yours. ”
Speaking of this, Liu Zhi suddenly said with some longing: "If I know these theories, I am afraid I will be able to walk sideways in front of the peers below." ”
"I want to read the book from beginning to end again, but I know, unfortunately, it's not realistic now, people are old, their memory is declining, and they can't catch up with you. ”
Speaking of this, Liu Zhi shook his head with a complicated expression.
is also a bachelor's degree, but he didn't have such a solid basic skill as Lu Cheng back then, and this gap, even with more than ten years of clinical experience, can't make up for it.
However, Kuang Renqiang didn't think much about it, but turned around and said: "Brother Qiang, it's okay, call Brother Xiaocheng to come over and fly the knife in the future, and then give a small lecture, a systematic lecture, and loot everything he has learned." ”
"What are you waiting for? I think Xiao Cheng is now holding a small group of small lectures, and it is absolutely no problem. ”
"I think so, can I recommend it to Professor Min......"
"Brother Zhi, go on, I can only learn a few catties and taels from you, honestly. This fart almost fooled Lu Cheng to believe it.
Lu Cheng hurriedly smiled and didn't speak, he knew that compared to Liu Zhi and Kuang Renqiang, two old fritters, he couldn't talk about them if he had two more mouths.
simply keep a low profile and don't speak, be honest, and do your own thing in a down-to-earth manner.
Their professional skills are very strong, and they can definitely complete many surgeries on their own, which they can't compare, recognize the gap between themselves and others, and the vain heart can naturally calm down.
Liu Zhi and Kuang Renqiang just said a few words casually and did not continue.
Lu Cheng can calm down and do things so quickly, but he doesn't have any complacency, which makes them look up to Yicheng.
They are not in the first month of further study, and they used to praise other graduate students, and even their superiors, they can't be so calm as Lu Cheng.
Most of them prevaricate and then acquiesce, at least they will have a happy look on their faces, and they feel that they may be awesome......
Lu Cheng perfected the preoperative summary, and then continued to read the medical records from beginning to end.
Lu Cheng is very concerned about the medical record.
It can systematically include the cause, development, signs, auxiliary examinations, surgical indications, preoperative contraindications, postoperative rehabilitation plans, etc. of a disease.
If you do these things carefully, you can grow up quickly even if you don't have a medical record collection system.
Every medical record is an opportunity to learn, but also a teacher, if it is carefully and in-depth analysis, it is a good example questions, after the example questions are all integrated, in the exam, can be at ease, calm.
Thinking about this, Lu Chengcheng is not limited to putting the medical records on only a few of his patients.
Lu Cheng watched all the patients in this group carefully from beginning to end, and if he felt that some medical records could not support the preoperative diagnosis, he would personally go for another physical examination, and one by one, the medical records, like nails and stakes, were deeply rooted in Lu Cheng's heart.
After the number of accumulation, these nails and wooden piles will definitely be a good infrastructure, even if Lu Cheng's floor is built high, it will be difficult to fall down......
This scene made Liu Zhi and Kuang Renqiang smile bitterly.
Lu Cheng, who is so talented, is so hard-working and meticulous, so what reason do they have to go home and rest after doing their patient-related things?
Let's play with Lu Cheng?
Medical records, patients, physical examination, medical history collection, film reading, diagnosis finding, discussion of possible surgical indications, and then analysis of relevant auxiliary examinations to analyze which surgeries need to be checked and which surgical contraindications are analyzed.
Is it possible to do these tests without them, and what other tests can be done that are the safest for patients?
What is the post-operative rehabilitation plan for each patient, what is said to the patient during the ward rounds, and how does the patient understand it?
How many days after surgery are they, and where are they recovering?
Is there anything that could be improved?
How to improve?
All of them are living patients, and they are all excellent teachers.
Lu Cheng's rush did not arouse the disgust of any patients and family members, but he felt that the doctors in this hospital seemed to be more meticulous than the hospitals below, and even more meticulous than the doctors in other departments, making them feel that they seemed to be in the right place......