Chapter 418: Tarzan Is Not a Base (Ask for Subscription)
Lin Jie looked at He Yimin's eyes, although he could clearly see that her two pitch-black pupils were staring at him.
However, he could clearly perceive that this guy was not seeing himself.
He Yimin's eyes were a little confused, without any focal length, and seemed to have entered a state of emptiness.
She said in an unusually slow tone: "The patient's internal factors for this sign ...... The main ones are cardiac hypertrophy, arrhythmia, myocarditis, cardiomyopathy...... Pericarditis, Kawasaki disease...... infective endocarditis, etc. ”
"The diagnosis can be confirmed by electrocardiogram, cardiac X-ray, sonocardiography, cardiac enzymes, etc."
"Non-cardiogenic factors include several aspects......"
Huo Guangheng, who was standing on the side, had already silently stated his answer in his heart.
When he heard He Yimin's answer here, he realized that his answer was that he had missed a "Kawasaki disease".
However, he doesn't think that he is inferior to He Yimin.
If she is allowed to diagnose and treat an emergency patient, with her efficiency, when she is diagnosed with the cause, the patient's condition is likely to become more serious, or even die.
Huo Guangheng turned his gaze to Lin Jie again, and a deep admiration rose in his heart.
This is already the eighth case question that Lin Jie asked He Yimin.
These eight case questions are all semi-open-ended questions, and the difficulty ranges from shallow to deep, but the span is extremely wide.
Basically, each question, every sign of a patient's illness, by extension, covers the main types of diseases in a department.
However, these signs of the patient are mixed together, but they are not made up, they are very natural and reasonable, just like a vivid patient, standing in front of his eyes, asking for help with a painful expression.
The signs of disease in these patients were finally analyzed, screened layer by layer, and carefully excluded, and finally pointed to several clear symptoms.
If these case questions were carefully designed by Lin Jie earlier, then it is easy to say, if they are temporarily wanted to come out to assess himself and others, the meaning of that represents is very amazing!
Huo Guangheng's reason thought that this was impossible, but his intuition told him that this guess was likely to be true.
Or if you insist on staying this time, you can really give yourself a big reward and surprise.
He couldn't help but straighten his body and stand straighter.
Lin Jie now He Yimin's eyes regained their agility, and he knew that she had finished answering the question, and said expressionlessly: "The answer is not bad, basically there is no negligence or omission." ”
"But ......"
His face turned pale, and he said solemnly: "Five minutes ago, the patient had passed away due to acute heart failure. ”
He Yimin's cheeks were flushed, the tip of his nose was sweating, and he said with an expression that was about to cry, "Teacher Lin, I'...... I ......"
Lin Jie asked in a deep voice: "Are you particularly good in every theory exam, but your practical results are poor?"
He Yimin nodded heavily and said, "Every time I take a theoretical class, I am the first place......! My brain spins slowly, and my hands are a little clumsy......"
She begged anxiously: "Teacher Lin, please don't drive me back...... I'm going to work hard and try to improve, it's really ......"
Seeing He Yimin's tears, they all began to roll in his eyes, Lin Jie raised his hand to stop her words, and said, "I am basically satisfied with your answers to these case questions!"
"It can be seen that your theoretical knowledge is very solid and your relevance memory is excellent. ”
"It's just that your thinking is too slow......"
He Yimin cried and said, "Teacher Lin......"
"I'm not going to chase you away!"
Lin Jie gave her a reassuring pill first, and said, "Because, I thought of a position, a position that suits you......"
"Diagnostician!"
Diagnostic specialists!
Lin Jie said this term, not only He Yimin was in disbelief, but Gao Yanhong, Huo Guangheng, and Guo Peng were even more wide-eyed.
Because they all understand which position Lin Jie is talking about as a diagnostic expert.
Due to the complexity of the human body and the increase in various environmental triggers, various strange diseases emerge every year.
Some patients will also be delayed in diagnosis and targeted treatment due to the complexity of the external signs.
In this case, the hospital will have two solutions.
The first is expert consultation, which gathers experts from various departments to consult patients with new diseases or complex signs, and finally comes up with an answer for experimental treatment.
One is to have a diagnostician confirm the diagnosis.
Some well-known hospitals generally have such a department to treat all kinds of incurable diseases.
The few but sophisticated doctors in this department are the most experienced and knowledgeable medical specialists in the hospital, specializing in diagnosing emerging diseases and patients with complex medical conditions.
Doctors in this department are called diagnosticians.
"Teacher Lin, I really ...... Can you really be a ...... A diagnostician?" He Yimin said excitedly, all a little unfavorable.
Lin Jie snorted and struck: "With your thinking level, the outpatient emergency department will definitely not work." Surgery on a patient? If there is an unexpected situation during the operation, you will not be able to deal with it in a timely and effective manner. ”
"Only the department that specializes in the treatment of incurable diseases can take you in!"
"This department has relatively abundant time, which allows you to think slowly and calmly, so as not to kill the patient in a hurry. ”
He Yimin's face fell, and he said in despair: "Teacher Lin turned out to be the opposite, I really thought it was ......."
"I'm not talking back!"
Lin Jie showed a shallow smile on his face and said, "In my opinion, you can say that you are naturally suitable for the position of diagnostic specialist. However, now you are not qualified, and you still need further study!"
"Teacher Lin, what you said is true?" He Yimin's eyes suddenly burst into dazzling brilliance.
Lin Jie's face turned grim and said, "Is it necessary for me to tease you?"
"Wait a minute, I'll give you a book list! Your future days will be very hard, not ordinary!"
"Dr. Lin, I'm not afraid of hard work, I'm really not afraid of hard work......"
Lin Jie waved his hand directly, making He Yimin stop, and then pointed at Guo Peng, and said, "It's your turn!"
Guo Peng straightened his body and said loudly: "Teacher Lin, my long-standing wish is to become a first-aid expert. As a military doctor, if you do a good job of first aid, you can save the lives of your comrades as much as possible. ”
Lin Jie sighed and said, "First aid expert, this shows that you have a very detailed understanding of the structure of the human body." I'll test you!"
He pointed at Gao Yanhong and said a little jokingly: "Guo Peng, I'll give you a chance to take advantage of her openly." I'll say a part of the injury, and you point out the hemostasis as soon as possible!"
Hearing this, Gao Yanhong didn't feel embarrassed, but took a step forward generously and stood between Lin Jie and Guo Peng!
Medical students have all had this experience, and I don't know how many times I have stripped naked, studied body structure with roommates or classmates, and done some practical medical exercises.
Lin Jie spoke again: "After all, there is a difference between men and women, we must pay attention to the influence! Huo Guangheng, go find a whiteboard marker!"
"Yes!" Huo Guangheng responded and ran out!
A few minutes later, he ran over with two whiteboard markers in his hands.
"Penetrating wound at the end of the duodenum!"
With Lin Jie's words, Guo Peng quickly used a whiteboard marker, and Gao Yanhong's clothes were dotted on the clothes!
"The rectus femoris muscle of the left leg!"
"Rectus abdominis!"
Lin Jie said faster and faster, at first he was talking about some ordinary parts of the human body, and slowly turned to some rare parts of the human body that are not easy to be injured.
Gradually, Guo Peng couldn't keep up, and fine sweat broke out on his forehead.
Every time Lin Jie said an injured part, he still needed to turn a corner in his brain, and he needed to think of the main blood vessels nearby, and then find the best hemostatic node.
When Lin Jie said the twelfth injured part, he stopped, looked at Guo Peng, and asked, "Evaluate yourself!"
Guo Peng is a stand-upright, saying: "Report to Mr. Lin, the twelve injured parts, the accuracy rate of hemostasis is 100%, the timeliness rate, and the first nine parts are excellent." The last three parts, good!"
Lin Jie smiled and said softly, "I feel very good about myself!"
He looked at Gao Yanhong and asked, "What do you think, how is his self-evaluation?"
Gao Yanhong groaned for a moment and said, "Report to Teacher Lin, it's basically in line with the facts!"
"The is the truth!"
Lin Jie's face turned pale, and he asked coldly, "Gao Yanhong, what is your real height?"
Gao Yanhong's face changed slightly, and he said: "The naked height is one meter six nine, and the height is ...... when wearing shoes One meter seventy-three!"
Seeing that He Yimin and Guo Peng were a little ignorant, Gao Yanhong explained, saying: "My feet are relatively small, and I have a few more pairs of insoles in my military boots." In this case, the heel is one or two centimeters higher than a normal military boot!"
With this explanation, Guo Peng's face sank, and he didn't have to wait for Lin Jie's instructions to start checking the hemostatic points he left on Gao Yanhong's clothes......
After the inspection, Guo Peng stood up again and said, "Report to Mr. Lin, there is an error of about one centimeter between the hemostatic point I left and the actual best hemostatic point!"
Lin Jie said in a deep voice: "Are you a little unconvinced?"
"The error is only one centimeter? In the actual hemostasis process, a thumb press, a hemostatic bandage, this centimeter will pass, and the rescue will not be delayed at all!"
Lin Jie said lightly: "First aid is to compete with death for time, every minute and every second, every minute and second is extremely precious." ”
"Guo Peng, if you press one centimeter off, it is likely that the injured person will lose dozens of grams of blood, which may make the injured person hold on for a few seconds, or even dozens of seconds!"
"If a step is reduced by a few seconds, and if it is accumulated layer by layer, the patient's survival time is likely to be reduced by tens of minutes, or even several hours. ”
"As a doctor, you have to hold yourself to the highest standards, precise, fast, and stable, which is the most basic requirement. ”
Lin Jie's gaze swept over Gao Yanhong, Huo Guangheng, Guo Peng, He Yimin and the other four, and saw that their eyes were full of admiration, and they were convinced, and they were satisfied in their hearts!
This time they met, and it seemed like a random assessment, Lin Jie just wanted to shock them and let them know that the cowhide is not blown, Taishan is not a base, and he has a few brushes.
So far, it's working out well!
Lin Jie warned in a deep tone: "Maybe you won't believe that more than 80% of the patients who die during or after surgery are due to lax surgery or sequelae or infections caused by negligence. ”
"Guo Peng, when do you scan it at a glance, just like an X-ray, and you can see through the patient's clothes, then you can be regarded as truly proficient in the structure of the human body. ”
"Yes!" Guo Peng responded very loudly!
"Teacher Lin, Teacher Lin!"
At this time, from a tent, Ma Hongmin's loud shout came: "We have a mirror man here!"
Set a small goal first, such as 1 second to remember: Book Keju mobile version reading website: