The communication with the head nurse made Tian Lu question the knowledge he learned purely from books. Throughout the day, he spent the day in the room of the blood purification room, watching waves of patients get on the machine, treat, get off the machine, and then the next wave of patients stepped into the dialysis room, and the nurses repeated the same work: disinfect the machine, get on the machine, treat, get off the machine。。。。。。

For a whole day, Tian Lu found many unreasonable, or non-compliant places.

Take Tian Lu thinks that the most important aseptic operation is an example, many times the nurse door is more arbitrary, basically no one can strictly follow the norms to execute, for them, it seems that it is more convenient, fast, and can complete a patient's operation process as soon as possible. However, according to Tian Lu's calculations, if it is really strictly operated, each nurse can only be responsible for one or two patients at most, and it is completely impossible to complete such a workload as now!

The more he observed, the more confused Tian Lu became: which of the two is the most important, whether to strictly standardize the operation or to complete the treatment according to the actual situation?

Tian Lu instinctively thought that the book was correct, but the heavy work pressure in the clinic made him feel that if he strictly followed the norms, it would be impossible to complete the treatment of all patients with the existing manpower, which made it difficult to blame these hard-working nurses.

He can only attribute the reason for this phenomenon to the fact that the hospital does not have a sufficient number of nurses, but he can't figure it out, now that there are so many people graduating from the School of Nursing every year, why can't he recruit more nurses to help?

The words of the head nurse may be realized one day in the future, after several years of clinical work, but at least for now, he can only bury this question deep in his heart.

Although he had such and such problems, Tian Lu still liked this hemodialysis room in this short day.

One by one, the patients come here, as casually as they come to home, and the nurses' attitude towards the patients is different from that of the doctors, especially the older nurses, who chat with the patients casually during the operation, joke with each other, just like an old friend, and do their best to take care of these patients.

This kind of warm and peaceful atmosphere makes Tian Lu, who has just experienced the tension and indifference of the emergency department, particularly like!

Most of the patients are of a certain age, and most of them are over 50 years old, but some are very young, and some are only about 30 years old. Tian Lu also learned after asking the head nurse that these young people have basically just been on dialysis, at most one or two years, but many of those who are older have been on dialysis for six or seven years, or even ten years!

The younger the patient, the shorter the dialysis time, the more silent they are when they come, and in addition to the necessary communication with the nurse, the hours of treatment are spent lying silently on the bed alone, staring blankly at the ceiling. And the older the patient, the longer the dialysis time, the more relaxed they become, laughing with the nurses, communicating with the patients, or reading books and newspapers alone, humming a little song that no one can hear clearly, just like at home.

Tian Lu couldn't understand how these patients could be so comfortable with dialysis two or three times a week, for hours each time, and running between home and hospital.

Regarding Tian Lu's question, the head nurse's answer was also unusually simple: "These patients basically need kidney transplants to get out of the sea of suffering, but those who can wait until **** are a minority after all." When I first started dialysis, I was worried about work, family, and ****, and I had a black face every day, but after a few years, I found that no matter how I survived, I got used to it, and when I let go, people naturally relaxed. ”

"In their words, it's resignation!"

The head nurse's last faint sentence caused a lot of impact on Tian Lu!

The two departments of successive internships, the dialysis room of the emergency department and the nephrology department, are completely two concepts, one is sudden injury and sudden disease, and the most important thing is the timely and correct response to the rescue, as long as these two points are met, many patients can be saved. However, the patients in this dialysis unit are basically chronic, and many of them have no good treatment other than kidney transplantation, and can only be maintained by perennial dialysis.

And this kind of maintenance is a kind of torment in Tian Lu's eyes!

Watching silently and thinking quietly, Tian Lu used a pair of eyes and a pair of ears to observe what could never be learned in the system。。。。。。

Emergency, Kidney, Infectious Diseases, Pediatrics, Respiratory, Cardiology, Digestion, Neurology, and the internship life in the first semester of the fifth year passed unconsciously in these internal medicine departments.

Each department has its own set of working methods, and different patients need doctors to deal with them in different ways. It's a pity that basically just a rough idea, the internship of the department is over, and under the distrust of the teachers to the interns, there are few opportunities to do it yourself, and Tian Lu can only rely on a pair of eyes and a pair of ears to slowly accumulate experience.

In fact, as far as Tian Lu's personal feelings are concerned, in addition to emergency and breathing, the directors of other departments, including the teachers, do not pay much attention to the five-year interns, which is very different from the attitude towards the eight-year system, and many students skip classes and classes in order to take the postgraduate entrance examination, and it is also common for them to skip classes and classes, including Feng Lin and Ye Lan, who often ask for leave or skip classes, in their opinion, internships are far less important than preparing for exams. This phenomenon makes teachers even more distrustful of interns.

Unlike others, for the internship, Taro put 100% effort into it!

See more, listen more, ask more, Tian Lu implemented the mantra of these internships to the fullest, even if he met a very impatient teacher, he could cheekily find other doctors in the department and ask a question, for this reason, he even did not hesitate to reduce the time of systematic learning, took the initiative to help the doctors with chores, accompanied the night shift, in order to be able to understand the clinical work of doctors in a more comprehensive way.

The half-year internship also gave Tian Lu a lot of feelings.

First of all, the work of the doctors is really hard, for example, in the outpatient clinic of Kaminai, Tian Lu went to it twice, and worked as an assistant to a deputy director, who was responsible for calling numbers, arranging patients, and observing the doctor's consultation. Often, after a morning outpatient visit, by 12 o'clock, the doctor still had several patients who had not finished reading, so he could only work overtime and continue, and he could not even eat.

But in the same way, Tian Lu also has a hard time accepting some of the doctor's actions: for patients who should continue to have further examinations, the doctor only gives understatement comfort and a bunch of medicines, while some older patients need detailed lifestyle guidance in addition to medicine, but they also only get a few words of explanation.

Tian Lu couldn't figure it out.

As a young man, like the dialysis room before, he couldn't figure it out. He doesn't understand the lack of medical resources, nor does he understand the uneven distribution of medical resources, so he doesn't understand why a patient needs to wait for a month or even months for a single examination, and why a doctor has to see so many patients in a day, so that they can only end the inquiry and diagnosis hastily many times! He only saw that many patients came from other places to get the best diagnosis and treatment, and either continued to spend money with a glimmer of hope, or they could only go back or rush to the next big hospital in despair.

However, gradually, Tian Lu finally understood the emotion of a teacher unintentionally: In China, it is often faced with first-class equipment, second-rate doctors, and third-rate patients!

As one of the best hospitals in Lingnan Province, the equipment attached to one can definitely be regarded as in line with international standards, and all kinds of advanced instruments are often one of the first hospitals to be introduced in China.

But the level of doctors is hardly satisfactory.

Even if it is attached to the first, the level of doctors is uneven, and some diagnosis and treatment processes that should be standardized are often habitually ignored by doctors. It's like when he was in the pediatric internship, Tian Lu was surprised to see that the doctors did not follow the routine observation and identification of neonatal jaundice, and directly gave the best antibiotics to the babies!

At such times, it is often also the time when Tian Lu feels most confused.

On the one hand, he knew that this treatment was not correct and that it was not advisable to treat blindly at least until the cause was confirmed, but on the other hand, he also understood the difficulties of these doctors.

In reality, the poor medical environment makes doctors instinctively choose the safest and most beneficial strategy for the hospital. Just like neonatal jaundice, this problem may be physiological or pathological, but many times it is difficult to determine and must wait, but often the parents of newborns are the most impatient family members, once it is pathological jaundice, and the doctor delays the time in order to diagnose it, it will be criticized.

The same is true for other departments, on the Internet, on the news, from time to time over the years, you can hear the news that doctors have been beaten and killed, and the first affiliated hospital has often encountered medical disputes, and a large number of family members or doctors have been tossing endlessly, which is a headache. Therefore, in order to avoid medical disputes as much as possible, doctors often hold the mentality of being cautious and not making mistakes, and excessive medical treatment abounds.

But understanding is not the same as acceptance.

In the heart of the little intern, there is a trace of doubt about the current medical system and the current situation.

As for the third-rate patients, this is not a discriminatory or ridiculous word, but a kind of emotion of the teacher about reality. During his internship in the Department of Internal Medicine, Tian Lu met all kinds of patients, including poor, rich, young, and old, but when he arrived at the hospital, most of the patients gave Tian Lu the impression that it was too late!

A simple cold has become chronic bronchitis, and the tumors that can be detected early have been dragged to an advanced stage, and Tian Lu has even seen some patients whose tumors are obviously so big that they come to the doctor! At the beginning, these conditions surprised him inexplicably: many diseases, as long as they have an annual physical examination, or if they have mild symptoms, they can be controlled, the prognosis is very good, and even does not affect the normal quality of life, but patients often delay until they can no longer delay to come to the hospital, causing extremely serious consequences.

It wasn't until later, after seeing and listening a lot, that Tian Lu slowly understood: poverty, lack of health knowledge, and imperfect medical system can all become the causes of this result, and these things are far from being solved by one person or one hospital!

Confused.

This is what Tian Lu got the most feeling during the internship.

If he was full of hope for the future before the internship, what he saw and heard during the internship made him doubt many things.

In this incomprehensible confusion, the days passed day by day.

When Tian Lu was interning in the last internship department of this semester: neurology, he sent a long-awaited letter from the distant ocean from the other side of the ocean.

。。。。。。。。。。。。。。。。。。。。。

I want to finish writing about the impact of the internship on the protagonist as soon as possible.,But I didn't control it well.,Writing too quickly.,It feels bad.,But I don't want to break the update.,Make do with it.。