The orthopedic department of Puze Hospital has three floors, and there is only one director, and that is Li Jianwei.

The 5th floor is the Department of Orthopedics and Joints, the 6th floor is the Department of Orthopedics and Traumatology, and the 7th floor is the Department of Spine.

Bai Ye mainly followed Li Jianwei in the Department of Orthopedics, and there were many orthopedic surgeries, basically several surgeries a day, while Li Jianwei only participated in those difficult surgeries, and other chief physicians were usually responsible for them.

The talent level of orthopedics is very complete, and it is a department with good development in Puze, with eight senior experts and more than 10 deputy chief physicians, and the rest are basically attending doctors.

Although the three-story building has a clear distinction between bone injuries and bones and joints, the patients are not so particular, and basically the patients on the three floors are almost the same.

After a period of familiarity, Bai Ye already had some basic understanding of the things in the department.

Especially during the ward rounds, Bai Ye can basically answer Li Jianwei's questions clearly.

After two weeks of study, Bai Ye has a general understanding of orthopedics, and clinical orthopedics has also reached the level of lv2.

Moreover, Bai Ye finally got a reminder of the system task:

Admission to the Department of Orthopedics, trigger the training task: independently manage ten patients, from admission to discharge, really become a clinical doctor, and complete the task to obtain clinical skills in orthopedics and traumatology. 】

It's not just about the task, but Bai Ye found a problem, there are really not many opportunities to get started with the director, and the clinical skill level is too slow to improve, so Bai Ye took the initiative to put forward his own idea with Li Jianwei: I want to take the initiative to try to manage patients independently.

When Bai Ye put forward this idea, Li Jianwei hesitated, many trainees have begun to manage patients independently, but they are all graduate students in orthopedics and traumatology, helping teachers manage patients.

When the shift was handed over the next morning, there were no interns, all of them were doctors from the department, so Li Jianwei announced something.

"Today, I want to tell you something, I want Bai Ye to try to manage patients independently, take on the responsibility of a doctor in charge, and take full responsibility for the whole process from picking up patients to discharging patients. ”

"During this time, everyone should worry about snacks, pay more attention, pay attention to the recovery of some patients by the way, pay more attention to what is going on, and help Bai Ye if he has any difficulties. ”

When everyone heard this, they all agreed.

As a result, Bai Ye successfully became a temporary doctor in charge.

On the same day, Bai Ye received a patient, who was received by Li Jianwei in the outpatient clinic, a patient with a herniated lumbar disc.

This patient is an elderly person, and the main purpose of hospitalization is maintenance, and Kyoto City Medical Insurance can directly reimburse 90% of the total, mainly for rehabilitation once a year.

Bai Ye estimated that Li Jianwei was also worried about him, and in order to exercise him, he accepted a relatively simple and convenient patient.

However, although the disease is simple, Bai Ye doesn't want to be careless, on the contrary, doing a simple thing well and doing it to the extreme is art.

What's more, the simpler the disease, the more difficult it is to be cured.

Moreover, this kind of light patient also gave Bai Ye a gradual process.

After all, Puze Hospital is a hospital of integrated traditional Chinese and Western medicine.

There are many traditional Chinese medicine treatment methods, such as traditional Chinese medicine collapse stain treatment for the lower back, acupuncture point application, small needle knife, acupuncture, medicine jar walking, etc., the effect is very significant, and the effect of massage is more obvious for alleviating the condition.

And there are many methods of modern medicine, such as various supportive therapies, traction treatments, and corticosteroid epidural injections.

Of course, surgery can be performed for severe patients, but surgery for herniated disc requires an indication for surgery, and surgery is generally not encouraged, after all, postoperative recovery is not necessarily good, and the technique is not very perfect.

Only patients with severe disease, long medical history, ineffective conservative treatment, and severe pain, and even patients with complications, such as nerve root paralysis, muscle atrophy, decreased muscle strength, and spinal stenosis, will be encouraged.

After the patient came, Bai Ye was very attentive, and managing the patient independently and having a teacher were completely different things.

Because the patient's current medical history and past history need to ask what drugs he has taken before, whether he has a history of drug and food allergies, blood transfusion, surgical trauma, etc.

Bai Ye didn't dare to be careless, although he was just a simple patient, he still did it seriously.

From the collection of cases to the doctor's orders, Bai Ye seriously considered it.

Including the blood that needs to be tested, and the items to be examined, Bai Ye will do it carefully.

Of course, the department has a template, such as blood drawing, blood routine, urine routine, stool routine and occult blood, liver and kidney function, coagulation, blood viscosity and so on.

The next morning, the patient has blood drawn and a film taken for related tests.

After Bai Ye saw the test sheet, judging according to the results of the relevant inspections, these processes were very exercised.

A week later, Bai Ye can already deal with many common things in clinical practice.

Seeing that Bai Ye may have gradually entered the door, Li Jianwei also accepted other patients for Bai Ye, such as patients after knee arthroplasty......

It has been nearly a month since he came to the Department of Orthopedics, and after this period of familiarity, Bai Ye has been able to mature grasp these basic precautions, and most importantly, the experience gained in this short period of time is more than double that of the previous two weeks.

directly made Bai Ye's orthopedic and traumatology clinical skill level reach lv3, the level of professional level.

He also has a lot of proficiency in some common diseases in the orthopedics and traumatology department, and gradually Bai Ye found that many of the patient's diseases are really complicated, and one patient in the department almost had a problem at that time because he had to undergo surgery, and other diseases were found out.

Li Jianwei deliberately did it when he admitted patients to himself, they were all very simple patients, and there were not too many complications, so it was relatively better.

And the diagnosis is very clear, they are all simple and need conservative treatment, if the real condition is serious and needs surgery, Li Jianwei will not accept Bai Ye, for fear that something will happen to him, of course, the main reason is that Bai Ye will not be able to manage the surgical patient.

When the first batch of patients were discharged, Bai Ye vacated a few beds, and after Bai Ye leisurely sorted out the cases, he sat here and read a book.

Today is the weekend, and the hospital only has a doctor on duty, and at this time, the nurse called, saying that the emergency department has received a lot of patients today and wants to ask for an emergency consultation in the orthopedic department.

After Liu Xiaogang, the doctor on duty, learned the news, he didn't bother to wait for the elevator and ran directly downstairs.

And Bai Ye also hurriedly followed Liu Xiaogang and ran down, urgently for a consultation! What the hell is going on?

ps: I recommend a friend's book, "The Red Dust of Cultivation", the author is an old author, if you like to read this kind of text, you can go and see it.