Chapter 2 Internship
It was already two o'clock in the afternoon after a full meal, Hao Zhe went directly to the teaching building because he wanted to attend the afternoon training class, and Yi Sheng came to the specimen exhibition room on the top floor of the unplaning building alone.
Approaching the graduate school entrance examination and the end of the semester, although the school did not close the showroom for the convenience of studying, the strong smell of formalin and the dim light made this specimen showroom, which is called "one of the scariest places in medical school" by the outside world, no one cared about it at all.
Yi Sheng doesn't care, as long as no one botheres.
As a medical student, I did feel a little sick when I first started learning anatomy, but as long as I stayed in medical school for a few years, I couldn't sleep well at night without holding a skeleton model.
Yi Sheng called up the Little Medical Immortal System, looked at the gourd that had become a fine in the lower right corner, and asked, "What about your six brothers? No, it's five, I can't see the six babies being invisible." ”
"I'm not a gourd baby, I'm a little gourd of the medical fairy. The little gourd touched the beards of the gourd growing at the bottom of his own, and said with the appearance of a master in the world: "The hanging pot helps the world to save the people, and the whole world is talking about me." ”
I've never seen such narcissism, this sentence is clearly about Professor Li Yuanshan, okay!
However, Yi Sheng does not argue, unless he has a sick brain, Yi Sheng said: "Why do I click on the folder but it prompts me that I have no permission?"
"Medicine is not achieved overnight, it is an accumulation, and only when the host meets the corresponding requirements can the permissions be unlocked one by one," Xiaohu explained. ”
This tone, this look, Yi Sheng suddenly felt that this thing was not Wang Hai'an sitting behind him, but after thinking about it, he also knew that if Wang Hai'an had this ability, he wouldn't have to be a tutor at Nanyao Medical College to retire with peace of mind.
"Then what do I need to do now?" Yi Sheng asked, if he was allowed to be admitted to graduate school first, he would definitely not hesitate to uninstall this thing.
As a great clinician, the knowledge in the textbook is always only the foundation, and if you want to be called an excellent doctor, you must enter the hospital for internship. Difficulty: 1 star. Rewards: Medical history inquiry, basic joint-seam method (expert level). ”
The medical history inquiry is not bad, the domestic medical school does not pay more attention to the teaching of clinical practice while learning theoretical knowledge than abroad, and the medical history inquiry is something that will only be used in clinical practice, and the school will only simply mention two sentences and disappear. As for the basic butt seam legality, basically every medical student is familiar with it, Yi Sheng asked: "The medical history inquiry can be regarded as the overall content of a teaching unit, but the basic butt seam is just a kind of suture, and it is too stingy, right?"
"The basic butt seam method includes a total of nine suture methods, including simple interrupted seam method, simple continuous seam method, purse seam method, cross seam method, simple seam seam method, continuous seam seam method, inversion seam method, valgus seam method and figure-of-eight seam method. Little Hulu explained.
"That's not bad. Yi Sheng nodded, "But what does this expert mean?"
"The medical system is divided into four levels, Ordinary Level, Elite Level, Expert Level and Master Level. The little gourd said step by step.
"That means that as long as I enter the hospital for an internship, I will be considered to have completed the task. ”
"Only when the host completes the first main quest will the subsequent quest begin. In addition, a friendly reminder that while the host uses the Little Doctor Immortal system, the system will release side quests from time to time, and you can get a lottery opportunity to complete the side quests and get unexpected gains. The little gourd prompted humanely.
Yi Sheng asked Xiao Hulu the last question that made Yi Sheng's blood boil: If I use the Xiaoyixian system, what achievements can I achieve in the future?
"A peerless doctor. ”
Yi Sheng turned off the Little Medical Immortal System, jumped up excitedly, clenched his fists and said: "I didn't expect that I, Yi Sheng, would have today!Doctors of this world, are you ready to surrender at my feet?hahahaha........"
"A rapid increase in adrenal hormone secretion in the host is detected, which may cause arrhythmias, ventricular fibrillation, and initiate an emergency protection plan. ”
"Bang!"
Yi Sheng closed his eyes and fell to the ground on all fours, falling into a coma.
..................
Wang Haian sat in the office, lifted his glasses, looked at Yi Sheng, who was sitting beside him in disbelief, and said, "You said you don't want to go to graduate school, you want to go directly to the internship?"
Yi Sheng nodded very firmly and said, "Teacher, I have already decided." ”
Wang Haian called up Yi Sheng's bland transcript and sighed: "Indeed, with your grades, even if you apply for the graduate school of this university, it is a little difficult. ”
The postgraduate entrance examination is not as good as the college entrance examination, although there are many people in the college entrance examination, but it is the first exam and then the score and then choose the college, unlike the postgraduate entrance examination, which is the first to register and then take the exam, which often leads to a large number of people clearly passing the postgraduate examination line, but not reaching the file line of the institution they are applying for, resulting in no school to go to school in the end.
"I'll talk to Dean Han in a while, you will go to the Personnel Department of the Affiliated Hospital tomorrow to claim two sets of isolation gowns and badges, and then see which department Dean Han will assign you to. Wang Hai'an said.
"Thank you, teacher!" Yi Sheng said.
Three hundred and sixty lines, probably only students who have come out of medical school will go to jobs related to what they have studied in college so easily, and Yi Sheng doesn't know how short of people the hospital is. But he knows that if a medical student wants to intern in the hospital, the hospital will be happy to let you go in to study, even if you don't know anything, at least you will help the doctors in the department to send cases and run errands.
Early the next morning, Yi Sheng came to the Affiliated Hospital of Nanyao Medical College, which is located 500 meters west of Nanyao Medical College, Wang Haian had already said hello, Yi Sheng went directly to the personnel department to fill out a medical student internship statement, received two sets of isolation gowns and badges, put on a mask, put on a badge and hung the stethoscope around his neck Yi Sheng stood in front of the instrument mirror and looked at himself carefully, but he was quite a famous doctor.
Yi Sheng was arranged in the nephrology department, which was specially taken care of by Wang Hai'an, the nephrology department is a small department, few people live and leisure, Wang Hai'an's original intention is to hope that Yi Sheng can not only get in touch with the clinic in the nephrology department, but also have leisure time to read more books, and prepare for the next year's medical practitioner qualification examination and the official preparation examination of the affiliated hospital.
Yi Sheng once calculated an account, saying that medical students have five years of college, three years of graduate school, three years of doctorate, and then three years of regular training, one year of residency, one year of hospitalization, and after passing the title assessment, at least until the age of thirty-five, can really be called an attending physician and have the right to prescribe. Even if some medical school graduate students have their own three-year regular training, when they are called attending physicians, they have long passed the age of establishment.
However, Wang Hai'an's arrangement was not of great use to Yi Sheng. Yi Sheng, who owns the Little Medical Immortal System, only needs to complete various tasks in the Little Medical Immortal System, and he can go to the road of winning Bai Fumei and embarking on the pinnacle of life, I don't know how much better than those students of the same age who get up early and study hard in the dark!
When he came to the nephrology department, the nephrology department was shifting, and the director Lin Guangqing saw Yi Sheng standing outside, so he waved his hand to signal him to come in, and said to the doctors and nurses in the nephrology department: "Come on, come on, let me introduce to you, this intern is called Yi Sheng, and he came to our department for internship, and everyone should take care of him more in the future." ”
"It's a shame that the name isn't the right doctor. A little nurse teased.
Yi Sheng took off his mask, bowed lightly and said with a smile: "Hello teachers, my name is Yi Sheng, I am a fifth-year student of Nanyao Medical College, and I hope that all seniors will take care of me when I come to the affiliated hospital for internship." ”
Nephrology belongs to the category of internal medicine, and a room full of people except Lin Guangqing are all women, after seeing Yi Sheng's true face, a young nurse can't help but exclaim, "So handsome!"
"Feng Juan, Yi Sheng will be brought by you. Director Lin Guangqing said to an attending physician in his early forties.
Feng Juan nodded and smiled, "Okay, director." It just so happens that I've been busy for the past two days, so let Yi Sheng follow me, and I can be brisker. ”
After Lin Guangqing left, the little medical immortal system in Yi Sheng's mind prompted Yi Sheng to complete the main task.
"Ding!"
"Congratulations to the host for completing the main quest, gaining the medical history skills, and the basic butt seam method (expert level). ”
Yi Sheng moved a stool and sat next to Feng Juan's desk, Feng Juan stared at the computer screen and said: "I'll sort out the cases first, I was on the night shift last night, so I will go to rest after checking the room today, you can use my computer to find some cases when you are idle." ”
Yi Sheng nodded, stood up and went to the ward for a turn, there were only a dozen patients, and there were only four patients assigned to Feng Juan, which was not much better than a attending gastroenterology department in the peak season with more than 20 patients.
After a simple round, Feng Juan leaned against the wall and watched the pen in Yi Sheng's hand move rapidly, and nodded with satisfaction.
"The clinical diagnosis of nephrotic syndrome is not difficult, but the treatment effect of different pathological changes is different, and some pathological types are easy to develop into renal insufficiency, even if the pathological type with a good prognosis can affect the function of various organs due to severe systemic edema caused by it and is prone to various serious complications such as life-threatening infection and pulmonary embolism, so the importance of early etiology and pathological type diagnosis and overall treatment is emphasized. ”
After Feng Juan roughly explained the pathogenesis and clinical manifestations of nephrotic syndrome to Yi Sheng, she suddenly asked, "What is the standard for hemodialysis?"
Yi Sheng obviously didn't expect Feng Juan to carry out a surprise attack, so he stopped thinking for a moment and stammered: "Anuria for more than 48 hours, blood potassium greater than 6.5mmol/l, blood urea nitrogen greater than 21.4mmol/l, and.... There is also marked edema, vomiting, drowsiness, agitation, or impaired consciousness. ”
Feng Juan looked at Yi Sheng, "Go back and read more books." ”
Yi Sheng lowered his head.
"Come with me to the dialysis unit in a moment. ”