Ding Bowen, who was beside Tang Boqiang, gently touched Tang Boqiang with his shoulder, and Tang Boqiang naturally understood what Ding Bowen meant. Before coming to Xinqiao, they were all worried about the faculty and teaching quality of Xinqiao People's Hospital, because internal medicine is the foundation of all disciplines, and once the foundation of internal medicine is not good, it will be very passive in the future. Now it seems that Ding Bowen, Tang Boqiang and even several other classmates must have dispelled this doubt. Yes, with such a tough and demanding teacher, why worry about not being able to learn?

After Mr. Cai finished speaking, Liao Yanhan immediately picked up, introduced herself on behalf of the internal medicine practice group and said that she would abide by the regulations of the hospital and the department, and learn internal medicine well under the guidance of the teachers. Tang Boqiang looked at Liao Yanhan's clear and unhurried rhythm when he spoke, and his calm and relaxed bearing, and couldn't help but secretly admire in his heart: Our second class is really full of strong players.

After the shift was completed, Tang Boqiang immediately pulled the medical record car and followed Teacher Zhu Haoran to check the ward. This is the first day of the internship, and it is the first day of the internship that Tang Boqiang has been looking forward to for a long time. No matter what, Tang Boqiang was still a little excited in his heart.

In Tang Boqiang's eyes, Mr. Zhu is about 30 years old, medium in stature, kind and gentle, and silent, and should be a person with a similar personality to Tang Boqiang.

Mr. Zhu is in charge of half of the beds in the second area of the Department of Internal Medicine, which can reach more than 30 patients at the peak, and more than 20 patients under normal circumstances. It seems that Mr. Zhu has been prepared, and he obviously wants to check the level and ability of this student named Tang Boqiang during the first day's rounds. Tang Boqiang soon understood that Mr. Zhu had a strong purpose in doing this: I dare to let this student manage this group of patients without me letting go of my eyes.

The first patient on the ward rounds was in a more serious condition, a patient with cirrhosis and ascites, and his general condition was also very poor. After a conversation and examination, Mr. Zhu turned to Tang Boqiang and asked questions. From the etiology, pathogenesis, clinical symptoms and signs, evolution and prognosis of liver cirrhosis, almost every chapter of the book was asked, Tang Boqiang calmly answered Mr. Zhu's questions one by one, and from time to time put forward some of his own views on the patients in front of him. Tang Boqiang could see that Mr. Zhu was very satisfied with his answer, and there was no question that Mr. Zhu needed to repeat or rhetorically ask, and Tang Boqiang's first appearance was very beautiful.

When I looked at the medical records yesterday, Tang Boqiang had already learned that the patients in charge of Mr. Zhu were very diverse, involving almost all diseases in the internal medicine system. In the coming week, he will spend a lot of time refreshing, digesting, learning, and absorbing the knowledge of these systemic diseases.

The ward rounds continued, and questions kept floating out of Mr. Zhu's mouth, and Tang Boqiang, who reacted very quickly, could always answer the questions immediately. One question and one answer, the speed is extremely fast, and outsiders think that the two are fighting and competing. In fact, both Mr. Zhu and Tang Boqiang knew very well in their hearts that they were enjoying such academic exchanges and discussions, and the first ward rounds between master and apprentice had reached an unprecedented level of tacit understanding.

After seeing the patient, Mr. Zhu was not in a hurry to return to the doctor's office, but beckoned to Tang Boqiang, who immediately followed quickly. It turned out that Mr. Zhu took him to find Nurse Zhang Xiaoqing of the Department of Internal Medicine and introduced Tang Boqiang to Nurse Zhang in person, and asked Nurse Zhang to give more guidance and teach Tang Boqiang his knowledge in nursing. Later, Tang Boqiang heard Nurse Zhang say that he was very busy on Monday morning, and he really didn't expect Dr. Zhu to make this move, which was the first time for Dr. Zhu, who has always been taciturn, that he was moved by your learning attitude.

In fact, Tang Boqiang was also very moved by Mr. Zhu's move, and recalled this scene many years after graduation, and there was always a warmth in his heart.

Back in the office, Tang Boqiang followed Mr. Zhu to prescribe medical orders. Teacher Zhu pointed out and said that Tang Boqiang's pen was quickly written in the medical record book and on the examination sheet. After each patient's medical order is prescribed, he will immediately hand it over to Mr. Zhu for review, and if there is no problem, Mr. Zhu will put it on the side of the prescribed order so that the nurse can pick it up at any time. If there is a problem, Mr. Zhu immediately pointed it out, and Tang Boqiang also immediately revised and corrected it. This kind of learning is very practical, so that Tang Boqiang quickly understands the situation of the patients he is in charge of and the details of treatment. Mr. Zhu's teaching method is very pertinent and challenging for a novice like Tang Boqiang, who has a strong desire for knowledge.

After the doctor's order was issued, Mr. Zhu left the doctor's office, and Tang Boqiang stayed alone to record the condition of the cases that did not need to be amended. Tang Boqiang's writing of the patient's medical record has his own distinctive characteristics since this time, he will write his diagnosis of the patient, the thinking and analysis of the problems encountered, and the solution to the problem in the medical record, this habit continued until 2003 at the end of 2003, when the medical turmoil was surging.

As soon as this batch of records is written, the nurse will also send the medical records back to the medical record car. Tang Boqiang then finished writing these medical records, and then found out yesterday's test sheets one by one and posted them and marked each test sheet in the upper left corner, and the careful Tang Boqiang marked the problematic test sheet with a red pen.

After dinner that night, Liao Yanhan, the leader of the group, convened the internal medicine team to hold a small meeting in the "hall" of the dormitory, mainly to discuss how everyone can cooperate and cooperate, not only to successfully complete the internship, but also to learn real skills. Liao Yanhan pointed out that there are many diseases in internal medicine, and there are many serious patients, and there will be no fewer patients who will encounter difficult cases and severe rescue in the future. At the same time, if you encounter a patient who is being rescued, notify everyone to go back to the ward to participate in the rescue as much as possible. On this point, everyone agrees.

Tang Boqiang's true colors of "desperate Sanlang" are revealed at this moment. He pointed out that when he went to work today, he found a phenomenon that when there were seriously ill patients in a ward, other patients in the ward would go out and avoid them. If the rescue of the patient is not successful, these patients who go out will not dare to return to the ward for a long time. This is a very rare window period, the pupils will dilate after the death of the patient, usually we can't learn to see the fundus, because the pupils of normal people will become smaller under the stimulation of light, if we are not familiar with the structure of the fundus, we can't see at all. After death, the edge of the pupil will spread to the extreme, and the pupil at this time is the largest, and it is the best time to see the pupil. He suggested that at this time, everyone can take turns to look at the real fundus structure, believing that after seeing more fundus structure rules, it will be much easier to see the fundus of ordinary patients in the future.

Although he is a medical student, although he has seen and touched countless corpses, and although he has also dissected corpses, everyone understands that Tang Boqiang's proposal is good, but when it comes to looking at the eyes of a corpse that has just died with almost zero contact, everyone is still a little drumming in their hearts.

"I agree with Bo Qiang." Wen Ruofei broke the short silence.

"Fundus vision is an important basic skill in internal medicine, especially neurology. Usually it is really difficult for us to see it, just relying on the teacher to say how the bottom of the eyes is, it is too abstract for us, and we must have seen it ourselves to be our own knowledge. Wen Ruofei continued: "Our purpose is to learn, believing that the Buddha will bless us and that the spirits of the dead will not blame us." Because if we learn this knowledge well, we will be able to diagnose and treat many related patients in the future, which is a great merit. ”

Wen Ruofei's words were undoubtedly intentional, in order to untie the knot for the other three students. Rarely, Wen Ruofei's association of medicine and Buddhism really made Tang Boqiang admire his godlike reaction and vast knowledge.

In fact, everyone is not a timid person, and even less so for these learning maniacs. It's just that they haven't considered the question raised by Tang Boqiang, it feels a bit sudden, and everyone naturally agrees as soon as the scripture is said. Liao Yanhan asked Tang Boqiang a very practical question: "Which one, Tang Boqiang, do you have a way to get the ophthalmoscope?" In the past, when I was in the internship, the teachers kept the ophthalmic mirror like a treasure, and never gave us the initiative to use it, and the use of it was also carried out under the strict supervision of the teacher. Are you sure? ”

"I can't say I'm completely sure, after all, it's a valuable instrument. However, during today's ward round, I heard Mr. Zhu say that although our internal medicine department is a large internal medicine system, the patients in charge of each doctor are not divided into specialties. However, the director of the Department of Internal Medicine said that in the future, they will develop in the direction of specialty, so they have actually divided labor, but because of the shortage of manpower, they have not been able to arrange personnel to study in the corresponding specialties of Huaxia Medicine. According to Mr. Zhu, he was assigned to the neurology group and believed that he had an ophthalmoscope in his hand. Tang Boqiang replied.

"Okay, you are a Tang Boqiang, you have only worked hard to find out the bottom of Teacher Zhu in detail, I really can't see it, you are amazing." Yang Longyue, who was next to Liao Yanhan, said in her Mandarin with a thick provincial accent.

"Hehe, let me tell you, don't be surprised if Tang Boqiang does anything in the future or says something that surprises you just now. You just continue to wait and watch Tang Boqiang's good show, his ability is definitely beyond your imagination. Ding Bowen said in a strange voice to Liao Yanhan and Yang Longyue, and after speaking, he squeezed his eyebrows at Tang Boqiang, making Tang Boqiang cry and laugh.

In the evening, other internship groups also learned from the internal medicine group and organized a meeting with the students in the group to exchange and communicate. For a time, a strong learning atmosphere enveloped the group of Chinese medical students in Xinqiao People's Hospital. Since then, everyone has seen their busy figures, most of the time they are running between wards and dormitories, how to learn clinical skills well has become a theme of the interns of Huaxia Medical in Xinqiao People's Hospital.

Tang Boqiang has developed a habit since he was a child, as long as there is something he wants to do, he must do it on time, only in advance, never postpone or be late. Thinking that he would have to do the morning nursing work with the nurse at 6 o'clock tomorrow morning, he went to bed very early in the evening. When he woke up the next morning and looked at his watch, just after half past five, he quickly did his morning "homework" and rushed to the hospital room. The nurse on duty was surprised and happy that he was on time, and the nurse had already ordered, so he took Tang Boqiang to draw blood first. What surprised the nurse on duty was that Tang Boqiang got started so quickly and moved so gently. In fact, she didn't know that for the care this morning, Tang Boqiang had read a lot of books, and he had repeated the various operation essentials mentioned in the book many times in his mind. When you combine these theories and imaginary things with the actual operations you see, it naturally "comes naturally".

The next basic operation techniques such as dosing, exhaust, intramuscular injection, intravenous injection are quickly learned and slowly proficient under the guidance of the nurse teacher.

After finishing the nursing work, Tang Boqiang looked at his watch, just after 7 o'clock, Tang Boqiang quickly washed his hands and told the nurse teacher to go to breakfast. Walking along the dim and narrow, oblique upward road to the canteen, as Mr. Zhao said, the road was empty, and when I walked into the canteen, there were only three or three people buying breakfast, and they left immediately after buying. Tang Boqiang bought the porridge and bread he wanted, sat on the empty row of chairs, ate breakfast as quickly as possible, and quickly left the dining hall. For Tang Boqiang, the eerie atmosphere in the canteen is more uncomfortable than facing a dying patient.