Chapter 123 The Rigor of Medicine
Originally, I didn't teach you, but I stole the herd of cattle that I learned next to me, and stole a loneliness.
Looking at Tang Yi, who was gradually moving away, he didn't care about the question of losing face, and hurriedly chased him out, "Doctor Tang, wait." ”
The operating room of the emergency department of the National Medical University was renovated from the original rescue room, and there was no special disinfection room or changing area.
The closed door of the operating room opens to reveal a long corridor flanked by consultation rooms and observation areas.
Because of the special nature of the emergency department, patients visit even at noon.
The emergency department, which was relatively quiet, was broken by the sudden sound of the cows, attracting the attention of several good people.
Tang Yi, who didn't want to deal with the other party, had no choice but to stop, "Is there something wrong?" ”
Facing Tang Yi, who was younger than himself, the herd couldn't let go of his body, and he hesitated for a long time, "I apologize to you for what happened in the clinic just now, please forgive me." ”
"You already apologized to me when you were in the operating room, and if nothing else, I'll leave." Tang Yi said flatly.
The tone without any change in tone made the cow even more nervous, and if he wanted to learn laparoscopic surgery, he would either go to other Western hospitals for further study, or he could only follow the one in front of him.
The number of places for further training in the hospital is limited, and generally the selected people can basically be regarded as the key training objects of the hospital.
The herd has no background, and the ability can only be regarded as the middle to upper middle in the same batch, plus it has just been a year, even if there is an opportunity for further study, it will not be the turn.
Therefore, if you want to learn laparoscopic surgery, you can only find Tang Yi, and only Tang Yi.
The herd, who had long figured this out, didn't care about Tang Yi's tone at all, "Doctor Tang, I want to learn laparoscopic surgery!" ”
Tang Yi said, "Oh, if you want to learn, why are you telling me this?" ”
Big brother, did you really not understand the meaning of my words, or were you pretending to be stupid and deliberately taking revenge on me for my previous actions. MD, people are under the eaves, I have to bow my head, wait for Lao Tzu to learn laparoscopic surgery, see how I clean you up. Niu Qun gritted his teeth, "Doctor Tang, I want to learn laparoscopic surgery from you, please teach me, please." ”
The moment he saw the herd in the operating room, Tang Yi guessed, "Oh, you want to learn laparoscopic appendectomy, right?" Have you had a wound stitched up? ”
"I practiced for a while when I was in school."
Hearing such an answer, Tang Yi nodded, "That is to say, I have not stitched up the patient's wound in the real sense, and I haven't even practiced after going to work." ”
The herd nodded and said disapprerovingly, "Isn't laparoscopic appendectomy a minimally invasive surgery?" The wound is only one centimeter in size, no more than one or two stitches, and you just need to know some suturing skills. ”
"Understanding doesn't mean you can get started, according to what you said, you don't need to follow the teacher for internship after graduating from college, you can directly start diagnosing and treating patients." Tang Yi swept away the previous casualness and became a little more serious, "The purpose of wound suturing is to reduce the tension near the wound, which is conducive to wound healing, preventing infection, and the other is aesthetics." Rough suturing techniques can cause large wound gaps and scarring. Many patients choose laparoscopic surgery, in addition to fast recovery, it also has the advantage of small scars, and the sutured wound is like a, do you think the patient will be happy? ”
Deterred by Tang Yi's momentum, although the cow herd had a thousand words in his heart, he didn't dare to refute it anymore.
"After I go back, I go to the vegetable market to buy a few catties of chicken breast meat and go back to practice, if the family conditions are better, I will choose pork. When the wound can be sutured to meet the textbook standards, let's talk about the problem of teaching you surgery! Leaving a faint sentence, Tang Yi turned around directly, leaving a back alone.
Medicine is a rigorous discipline, ranging from the patient's description of the condition to the patient's inadvertent action, which directly affects the doctor's judgment of the condition. Tang Yi still remembered what Gu Fan said to him in the garden when he first studied Chinese medicine.
In the same way, when he was studying in the West, Sampus also said to him, we should not allow any negligence when treating patients, any of your negligence will affect the patient's recovery at least, and may directly threaten the patient's life in serious cases.
One of these two is Taishan Beidou in the field of traditional Chinese medicine, and the other is a world-renowned top cardiology expert. It is their rigorous medical attitude that has made them where they are today.
It is precisely because of the careful teaching of these two people that Tang Yi was deeply affected.
So when the herd said such irresponsible words, Tang Yi actually didn't want to teach the other party laparoscopic surgery from the bottom of his heart, but for many reasons, he didn't directly refuse.
After checking the bed, Shi Yan looked at the herd of cattle still wearing surgical gowns and stood there blankly, "Doctor Niu, how is laparoscopic surgery?" ”
In the face of the ridicule in Shi Yan's tone, the cow herd was angry, but because the other party came earlier than him, he didn't dare to attack, "It's okay!" ”
"Oh? Then I have to congratulate you, laparoscopic surgery is one of the few Western doctors in our hospital, and if you master this surgery, you will have a bright future in the future. Shi Yan said with a hypocritical smile.
The herd had a gloomy face, thanked them hypocritically, and left directly around the other party.
Looking at the back of the other party leaving, the smile on Shi Yan's face converged, full of doubts, how could the newcomer also enter the operating room? Could it be that he is also studying laparoscopic surgery? No, I have to go to Director Tang and talk about it, such a good opportunity must be fought for.
As the so-called spring sleepiness, autumn and summer nap, it is already the autumn season, back in the consultation room, Tang Yi leaned on the back of the chair and yawned.
At this time, he missed working in the school infirmary so much that he was unrestrained and slept until he woke up.
Just when Tang Yi was drowsy, the door of the consultation room was pushed open from the outside, and a middle-aged man walked in with his chest clutched.
Perhaps because of the severe pain in his chest, the man seemed to be out of breath when he spoke, and his voice was intermittent, "Doctor, my chest hurts." ”
Tang Yi stretched out his hand and motioned for the other party to sit down, taking his pulse with one hand, "When did it start?" ”
The man bent over his waist and tried to relieve the pain in this way, "I had lunch yesterday!" ”
After tasting the pulse and checking the tongue coating, Tang Yi stood up, motioned to the other party to take his hand away, and put one hand on the man's back, so that the other party could straighten his chest as much as possible, and pressed the other hand on the place where the man was holding, "Is this it?" ”
"Go down a little more!"
Tang Yi said, "Is this here?" ”
The man shook his head, "Some more." ”
Pain in the position of the sword bone in the chest? Tang Yi then asked, "Does it hurt when I press it?" Is it exacerbated or mitigated? ”
"It's a lot less painful when you press it."
Tang Yi asked again, "What kind of pain is it?" Is it continuous, or is it a bout of pain, or is it a hot pain? ”
The man thought for a moment and shook his head, "I can't tell." ”
After the pain, Tang Yi asked whether the patient had a cold and fever recently, whether he had a cough with phlegm, urine and urine, and how he rested.
The man also gave detailed answers one by one.
Listening to this, Tang Yi fell into deep thought, is it pneumonia? The tongue coating is normal, no chest tightness, breath-holding, no fever and cough and other symptoms. Is it gastritis? You can eat and drink normally, and there are no symptoms of acid reflux hiccups and loss of appetite.
After glancing at the patient, Tang Yi clicked on the computer and found what he was looking for in the inspection column.
After all, it is a modern society, even if the Chinese Medical Hall is a traditional Chinese medicine hospital, advocating traditional Chinese medicine, some necessary modern examination equipment is still necessary.
Tang Yi smiled bitterly in his heart, "In this case, the cardiopulmonary function problem is considered first, I will prescribe a few tests for you here, you go to do it first, and then come back when the results come out." ”
The man hesitated, "Why does the Chinese medicine hospital also have to do an examination?" ”
"There are many causes of chest pain, such as heart, lungs, gastritis and even diaphragmitis, etc., and from your description, it is impossible to accurately diagnose it, so you need to use modern tests as an aid." Tang Yi explained slowly.
The middle-aged man looked at Tang Yi in front of him suspiciously, the reason why he chose the Chinese Medical Hall was to save a fee for the examination, but when he came here, the examination was done, and it may not be as good as the Western Hospital, and he fell into contemplation for a while.
Just as the middle-aged man was hesitating, the door of the consultation room was pushed open from the outside.
Tang Yi looked at the lead wash that walked in and stood up, "Director Xi." ”
Washing lead Hua held the thermos cup, waved his hand and motioned for Tang Yi to sit down, ignoring it.
Sitting back in his seat, Tang Yi continued to sit on the patient's work, "No matter which hospital you go to, these examinations are essential. Even if it is a traditional Chinese medicine hospital, it is necessary to determine the cause before prescribing medicine, right? ”
Xi Jianhua, who had been standing behind him, looked at the patient's situation recorded by Tang Yi on the computer, pulled a stool to sit aside, stretched out his hand and knocked on the table, "Stretch out your hand, I'll take the pulse!" ”
There was hesitation among the men, Tang Yi was too young and his medical skills were not good, and now that the chief doctor was personally involved, he was naturally very happy.
After washing the lead, he glanced at the computer next to him, "Have you had a fever and cough in the past six months, and the situation is still relatively serious?" ”
The man thought for a while, and quickly said in surprise, "Yes, when the Chinese New Year was approaching, I had a cold, and I had a cough for more than half a month, so I went to the clinic for an emergency and took medicine for a few days." ”
The middle-aged man gave a thumbs up, "Doctor, you are really a god, just by taking the pulse, you can diagnose my situation half a year ago." ”
Wash the lead Hua smiled lightly and waved his hand, "Is the doctor going to finish eating?" ”
The middle-aged man shook his head, "No, it's to be poisoned, what medicine do you take when you are cured?" ”
"Your illness is the root of the disease because you didn't finish the medicine prescribed by the doctor." Wash lead Hua said.
When the middle-aged man heard this, "Isn't the illness cured?" ”
"That's curing your symptoms, and the damage inside is still there." After explaining to the patient, "Small problem, I will prescribe a course of medicine for you here, go back twice a day, and take it for a week." Remember to take the medicine on time, even if you no longer feel pain. ”
The middle-aged man nodded again and again, and dared not to take medicine according to the doctor's instructions, "Okay, okay, everything is up to the doctor." ”
Seeing the patient away, he sat back in his position with a smile, "You have diagnosed the cause of the pain under the sword bone that may be causing it." However, if there are no palpitations, angina, dizziness, nausea, nausea, and normal appetite, then heart and stomach diseases can be ruled out, and only the possibility of lung diseases remains.
Tang Yi stood aside respectfully and listened to every word that Xi Jianhua said, and conducted a secondary analysis in his mind based on the patient's situation.