Chapter 33 Tang Boqiang looks at the bottom of his eyes

According to Tang Boqiang's observation, this kind of doctor has a common and outstanding characteristic, they are very good at communicating with patients or their families, treat patients and their families gently, and never speak ill of each other. What makes Tang Boqiang even more admired is that these doctors often use some easy-to-understand language to answer the questions of patients and their families, making some seemingly complex medical questions simple and easy to understand in their mouths. This kind of explanation of the condition suddenly shortens the distance between the doctor and the patient, makes the patient have a sense of trust and even dependence on the doctor, and their compliance with the doctor is also surprisingly high.

This kind of thinking is also permeated by Tang Boqiang in his work and life, so that Tang Boqiang gradually becomes good at communicating with colleagues and patients, not afraid of criticism, brave to accept criticism and various challenges, brave to take responsibility, and thus more and more broad-minded.

That's how things are in this world. As long as your concept is right, the method is right, and the mentality is right, all problems will be slowly overcome by you, and people will become stronger and stronger in the process of overcoming various problems and difficulties.

Tang Boqiang's work is very fast, no matter what the people in the department think and think, there is one thing they have to admit, that is, Tang Boqiang's professional level is better than many newly graduated doctors. When analyzing the condition, the logical thinking is very rigorous, even if the final diagnosis is not necessarily correct, it is difficult for others to find fault with his analysis to refute him.

In the Department of Neurology of the Affiliated Hospital of Gulf Medical College, the best way to test a doctor's level in an open form is the director's ward rounds every Wednesday morning and the difficult and critical case discussion every Friday morning.

The first situation is no pressure for Tang Boqiang, because the internship at Xinqiao People's Hospital has repeatedly confirmed Tang Boqiang's ability. During each Wednesday round, Tang Boqiang smoothly reported in detail the various details of the situation of several patients under his charge, and put forward his own views and further treatment ideas for some special cases. As soon as the professional people heard it, they knew that Tang Boqiang had put a lot of effort into these patients, and of course, these performances also made Director Ran deeply satisfied. Once, Director Ran made a "surprise attack" on Tang Boqiang, who was so familiar with his patients. After he saw a patient with tuberculous meningoencephalitis, he suddenly said to Tang Boqiang: "Doctor Tang, you come to see this patient's fundus and tell everyone what you see." ”

Every time Director Ran rounds the room to see the fundus, the person standing next to the power switch will quickly turn off the light. In their words, it is easy to see the fundus in a dark environment to see clearly, so there will always be a "black light" link during the ward rounds every Wednesday, and the light will turn on again when Director Ran sees the fundus. Tang Boqiang disagrees with this treatment, with the experience of seeing a large number of fundus in Xinqiao City, the patient adapts to natural light or light, and then uses the light emitted by the fundus mirror to irradiate, the patient's pupil narrowing is not so bad. But Tang Boqiang saw that so many people were following Director Ran's approval and implementation of such a approach, so it was naturally difficult to raise objections.

Hearing that Director Ran let him see the bottom of his eyes, Tang Boqiang knew that this was Director Ran testing himself. Sister Zhou once told him that there are only three people in the neurology department who can independently have their own ophthalmoscopes, except for Director Ran, the rest are Zhuo and another Zhang Xiaofeng. In other words, it is difficult for others to find fundus lenses if they want to learn to see the fundus, because they do not easily lend them out.

Tang Boqiang remained silent, stepped forward to take the ophthalmoscope handed over by Director Ran, and looked at it skillfully while lying on the side of the patient lying on the bed with a standard gesture of holding the ophthalmoscope. It is strange that at this time, no one thought of the "black light" link. Afterwards, Sister Zhou said that she was frightened by Director Ran's actions at that time, and everyone could see that he wanted to test you or embarrass you, because Sister Zhou also thought that her skills were not up to par. It seems that there are many people waiting to see Tang Boqiang make a fool of himself.

In this patient, intracranial pressure is relatively high and persists for a long time, and the characteristics of fundus changes due to high intracranial pressure are very obvious. When Tang Boqiang described the changes in the patient's fundus, including bleeding spots at the equivalent of what time of the clock, to Director Ran, Director Ran obviously felt momentary stunned, followed by his standard seemingly satisfied smile, and nodded while laughing and said, "Yes, very good, the description is comprehensive and accurate." ”

The weekly discussion of difficult and critical cases is a test for every doctor, testing your knowledge, your logical thinking ability and analytical ability, and testing your understanding and mastery of marginal disciplines. More importantly, according to Director Ran's regulations, every doctor must participate and speak, and this way will force every doctor to do their best to find information and familiarize themselves with all the patient's conditions before the discussion. From the very beginning of his work in the Department of Neurology of the Affiliated Hospital of Gulf Medical College, Tang Boqiang believes that this system will enable the technology of the Department of Neurology of the Affiliated Hospital of Gulf Medical College to continue to develop and eventually stand out in the whole hospital and become a professional strong department of the hospital. The future development confirmed that Tang Boqiang's original judgment was not wrong.

Tang Boqiang attaches great importance to this regular weekly discussion meeting. Every time there was a discussion, whether it was a discussion of the patient in charge of Tang Boqiang, he was very active in preparation, in addition to carefully asking for medical history and physical examination, and carefully analyzing the examination results and treatment response after admission. The rest is to think and run to the library to check the materials to verify whether his thinking or thinking is correct, for this reason, although Tang Boqiang has not been working in the hospital for a long time, the staff of the hospital and the medical school library are very familiar with him, and even made an exception to let him borrow some books that are not borrowed, Tang Boqiang, who knows that these books are precious, is naturally grateful for this, and returns them on time after each reading.

It is indeed not easy to diagnose neurological diseases, and it is even more difficult to diagnose difficult cases. Missing out on symptoms, signs, test results, or a patient's response to treatment can lead you to a wrong diagnosis, and superstitious beliefs can easily confine your thinking to a narrow space and prevent you from getting out. As a result, in the discussion session, everyone expressed their opinions, arguing with each other, and even blushing and hot, full of taste.

Tang Boqiang may have just walked out of school, not deeply involved in the world, the so-called "newborn calves are not afraid of tigers"; Maybe it was influenced by the teacher when I was studying. It was under the encouragement and guidance of the teacher that Tang Boqiang slowly developed the habit of discussing, arguing and tracking the final diagnosis and treatment results of patients. Therefore, in the weekly case discussion, Tang Boqiang's mouth is indispensable, and just like in school, he still maintains the habit of rigorous logical thinking and deduction, analyzing and peeling off the cocoon, and finally comes to the diagnosis that he thinks is correct.