Chapter Ninety-Eight: Practicing the Physical Examination

Bai Ye got up early today, because he had to report to the hospital, and the postgraduate entrance examination required practical skills to operate, so it was more convenient to practice in the hospital.

And, after all, I'm still in the internship period, and I don't seem to have done a good internship yet.

Before the postgraduate examination, there was a postgraduate vacation, and after the postgraduate examination, I participated in the Chinese medicine knowledge competition, and then I went home for a year, and after the New Year, I went to the Kyoto experimental group for further study in a hurry.

The whole person is running back and forth, it is almost April, and the graduate school will be re-examined in two weeks.

Bai Ye still felt that he should strengthen the basic literacy of clinical practice ability.

Don't look at the current lv4 and lv5 skills, but these are the most basic basic skills, and when it comes to clinical practice, what is needed is a process of linking theory with practice.

If the basic skills are not solid, what is the likely outcome?

I don't know why, so these basic skills are still very necessary.

However, it is not enough to have a theoretical foundation alone, after all, it is a clinical discipline that needs to be exercised and practiced in clinical practice.

Bai Ye and the fat man went to the hospital together, the fat man has been in the hospital every day since the New Year, and his mother found him an old director of the spleen and stomach department and asked the fat man to follow him out of the outpatient clinic.

This old director is an old expert, who has worked in the Provincial Hospital of Traditional Chinese Medicine for nearly 40 years, and is an old famous doctor in the industry in Jinxi Province.

There are two half-day outpatient clinics a week, and there are nearly 100 people when the outpatient volume is busy!

I get the outpatient clinic at 7 o'clock in the morning every day, and it ends at about 2 o'clock at noon!

The fat man mainly followed the prescription, arrived at the hospital early every day, lowered his head and raised it again at two o'clock.

I lost seven or eight pounds in a month, which made the fat man sigh, no wonder the ancients said that there is a Yan Ruyu in the book, and with such a high-intensity study, where can I get fat! Even if I am as fat as me, it is estimated that it will not take long to be able to look like jade!

Bai Ye followed the fat man to the hospital early, because he didn't come to the hospital last month, so he didn't report it at all after the year, so naturally he didn't arrange a department.

The rotation of general interns is: one month for each department, after Bai Ye finds the medical department, knock on the door and enter.

The administrative department of the hospital has a characteristic, that is, sometimes it is busy working overtime for several hours, and sometimes it is idle to raise birds.

Bai Ye waited in the hospital and had no place to go, so he simply went to have breakfast, and arrived at the administrative building at about half past eight.

At the beginning of the year, the medical department was too busy to find the north recently, and after Bai Ye knocked on the door and entered, everyone lowered their heads, not knowing what they were sorting out.

The person in charge of the specialty was a middle-aged bald man, and he couldn't remember what Bai Ye was called.

After Bai Ye found the man, he found a gap and said, "Hello Teacher Song, I'm here to report." ”

Only then did the man raise his head and look at Bai Ye: "Are you a graduate student, a trainee, or a further student?"

Bai Ye handed over the badge: "Teacher Song, I am an intern in the fifth year of Jinxi Hospital of Traditional Chinese Medicine, and my name is Bai Ye." I took a leave of absence last month because of something, so I'm here to report now. ”

When the man waited until Bai Ye said his name, he was slightly stunned, a little familiar, yes, it was a month ago that the dean personally greeted the director.

An ordinary intern asks for leave and wants the dean to say hello? Do you think the dean is very idle?

Suddenly, the man raised his head and said with a smile: "Well, I'm back, now I'll arrange a department for you." ”

Bai Ye saw that the man was so good at talking, and he hurriedly thanked: "Thank you, teacher." ”

The man asked, "You...... Is there a department you'd like to visit?"

Bai Ye was stunned for a moment: "The words of the department...... Teacher Song, yes, in mid-April, I want to take the postgraduate re-examination of Haishi University of Traditional Chinese Medicine, so I want to exercise my physical examination and basic clinical skills, and ...... It is estimated that I will have to ask you for leave in the middle of the year. So I'm sorry for you. ”

When the man heard this, he thought a little and smiled: "Haishi University of Traditional Chinese Medicine......? You go to the training center. ”

"The training center recently organized our hospital's trainees and graduate students to participate in physical examination and four major puncture skills training. It is also convenient for you to take the postgraduate entrance examination and re-examination, and the training will be over in the middle of the month, and you can just go to the re-examination. ”

When Bai Ye heard this, his eyes suddenly lit up: "Thank you! Thank you, teacher." ”

The man waved his hand, signed the transfer form, and handed it to Bai Ye: "Prepare well for the retest, come on! ”

After Bai Ye thanked him again, he left.

The training center was built by the hospital in 2015, the year when the state officially introduced the policy of medical student training.

The purpose of the training center is to manage and train medical students, and the training center of Jinxi Provincial Hospital of Traditional Chinese Medicine occupies a whole two floors, and there are various models in it to facilitate the training of students.

In fact, there is no specific job here, Bai Ye followed a 33-year-old female teacher named Chen Lin.

Chen Lin said: "Starting today, in the past ten days, every afternoon, students come to train the four major punctures, cardiopulmonary resuscitation, physical examination, etc., you follow those teachers to see if there is anything you need help with, and you can get started." It's nothing, you can read the book here in the morning and prepare for the retest. ”

In the morning, there were not many people in the entire training center, and Bai Ye was happy to be free, because there were often lectures here, and all computers had these courseware and videos.

Bai Ye turned on the computer and looked for the video of the physical examination.

Physical examination is a routine examination of the human body in modern medicine, mainly using the means of visual touch and percussion to evaluate some common signs and states of the human body.

From head to toe, the head and face are first inspected, followed by palpation of the head and face lymph nodes, and the examination of the light reflex of the eye and the nervous system reflex.

This is followed by some diagnostic maneuvers for the chest, which is the focus of the exam because there are two very important organs: the lungs and the heart.

Moreover, the clinical diagnosis of the anterior chest is very common, such as lung auscultation, the level of breath sounds, whether there is a sputum sound, whether there is a dry and wet rales, etc., which are the main basis for judging the manifestations of pulmonary cases.

There is also percussion, through the percussion of the lungs can be judged some common diseases, the ordinary percussion of the lungs is a clear sound, if there is a pleural effusion or pneumothorax, there are different sounds.

This is especially true of the heart, where the position and size of the heart can be determined by percussion, and auscultation of the five common auscultation areas of the heart.

These things are the most basic, and Bai Ye takes them seriously.

But the harvest of watching it is very low, and this kind of thing that is closely linked to practice will progress faster through practical learning.

At about 3 o'clock in the afternoon, a group of regular trainees came one after another, and they were assigned to each different room to study.

Bai Ye took the initiative to go to the room where the physical examination was held, and the speaker was a doctor from the hospital's pulmonology department, named Zhou Bobo, a senior attending physician.

There are simulators in the room, and Zhou Bobo personally demonstrates to everyone, starting from head to toe, step by step, telling as he goes.

After watching the scene this time, Bai Ye probably had an impression in his heart, but it was just an impression, and it was only an impression that really let him go on the field to do the estimation.