The director made rounds of wards, Chen Luo had heard of it for a long time, but it was the first time he had seen it and it was the first time he participated in it.

Zhongping Central Hospital is a tertiary hospital, and it is still ranked relatively high among several hospitals in Zhongping City.

There are almost 256 tertiary hospitals in Zhongping City, among which the Provincial People's Hospital, the Central Hospital, the Affiliated Hospital of the Provincial Medical University, the Central Hospital, the First Hospital of the City and other hospitals are all strong and well-known general hospitals.

The Provincial Hospital of Traditional Chinese Medicine and the Municipal Hospital of Traditional Chinese Medicine belong to the Affiliated Hospital of Hanzhou University of Traditional Chinese Medicine, which is a comprehensive traditional Chinese medicine hospital, and is also a relatively strong comprehensive strength in the top three hospitals in Zhongping City.

The Department of Traditional Chinese Medicine of Zhongping Central Hospital is also a large department, and today's director rounds the ward, basically more than half of the doctors in the department followed.

Li Jiangyu, the director of the department, walked in the front, the two deputy directors Qin Xingchao and Lv Jianmin walked behind, followed by a group of attending and resident doctors, and at the end there were regular trainees, advanced students, and interns.

Chen Luo and Lu Yunhai were at the end, walking with a few interns.

The interns in the hospital are basically not very old, only twenty-three or fourteen years old.

As hospitals have higher and higher requirements for medical students' academic qualifications, it has basically become a very common thing for medical students to study in graduate school.

But most of the interns are still fifth-year students.

Although the duration of study is eight years, medical students must also have one year of clinical work practice in order to graduate, or to graduate with three certificates in one.

That is to say, during the study period, you must have a one-year graduation internship equivalent to a bachelor's degree and more than one year of clinical work practice, so as to be eligible to take the medical practitioner skills test and obtain a medical practitioner certificate.

So whether it's a five-year or an eight-year system, fifth-year students spend almost the entire year studying in the hospital, and they spend very little time in school.

At the end of the senior year, basically the theoretical knowledge is almost learned, and the fifth year is clinical practice, and the qualifications of clinical practice are obtained, and then continue to graduate school.

During graduate school, most medical students in clinical medicine still focus on the clinical aspect and do not need to sit in the classroom all day.

Zhongping Central Hospital is an affiliated hospital affiliated to Hanzhou Medical University, and most of the interns in the hospital are from Hanzhou Medical University.

"Chen Luo, Yunhai, you really don't give our school face this time, the freshmen eliminated the seniors."

An intern said to Chen Luo and Lu Yunhai with a smile.

For these interns, they will continue to graduate school after the internship, and then they will have to think about finding a job.

Chen Luo and Lu Yunhai are only freshmen, so Li Jiangyu and others attach so much importance to them, and they are obviously very worthy of friendship.

has an opportunity, and many people are willing to make friends with Chen Luo and Lu Yunhai.

"The senior is from the Provincial Medical University?"

Chen Luo asked.

"A few of us are."

The one who spoke was a tall, thin man with glasses, named Li Zexun.

"You can't blame us, we're just freshmen."

Lu Yunhai said with a smile.

"Junior brother, what you said is really ......"

Li Zekai said with a smile: "The freshman won the junior and senior year, which is even more embarrassing." ”

"Be brave after being ashamed."

This time he entered the finals, and Lu Yunhai was obviously in a good mood.

In fact, if he hadn't been called to the hospital by Chen Luo, Lu Yunhai would probably have found an opportunity to pretend to be a match today and enjoy the glory after promotion.

It is said that wealth and nobility do not return to their hometowns like brocade clothes at night, people, after achieving a certain achievement, they must enjoy the benefits brought to themselves after achieving success.

Both material and spiritual.

Especially after having money, you must have been greatly satisfied materially, but what you need is spiritual pleasure, and how can spiritual pleasure come about?

It must be pretending to be forced to bring the greatest spiritual enjoyment.

Li Zexun: "......"

"Yunhai, I think you should learn from Chen Luo, so as to save some face for everyone."

Lu Yunhai was speechless for a while.

Chen Luo?

If Chen Luo opened his mouth, it is estimated that there is a high probability that he will say something like "I also want to keep a low profile, but my strength does not allow it, or who makes the other party so rubbish".

Do you think Chen Luo will speak well?

What to think.

It's nothing more than that Chen Luo doesn't usually talk to other people, and he looks harmless to humans and animals.

Chen Luo didn't really have much mind to chat with other people at this time, but he was very interested in today's rounds.

In major hospitals, the significance of the director's ward rounds is actually more inclined to the teaching significance, and by the way, a rough understanding of the patient's situation.

Generally speaking, the director rounds the ward only once a week, and for patients who are hospitalized for a short period of time, they may not be encountered, and there are many patients during the ward rounds, so the director cannot take care of every patient too carefully.

In addition to medical tasks, the hospital itself also undertakes clinical teaching tasks.

After all, the growth of doctors is to gradually grow in the clinic, every medical student is a rookie when he first arrives in the hospital, how can he become a real doctor without growth and continuous learning?

The ward rounds of the department director are of clinical teaching significance, which is one of the important ways to cultivate the clinical thinking ability of medical students and better combine medical theory with clinical practice.

At the same time, it is also a good time for young doctors to expand their theoretical knowledge and improve their clinical skills.

During the big rounds, there are many patients and many types, and at this time, interns and new doctors can observe and learn more.

At the same time, the director's ward rounds will also randomly check the level of some doctors, giving doctors a sense of urgency.

Moreover, the director's ward round is also an opportunity for newcomers to perform, and if they perform well, they will impress the leaders, so that they can have more opportunities in their future work.

At this stage, Chen Luo's visit to the Central Hospital is basically Saturday and Sunday, and it is rare to meet Li Jiangyu to make rounds in advance today.

Walking out of the duty room, a large group of doctors went to the inpatient area under the leadership of Li Jiangyu, the director of the department, and entered the ward one by one to start rounds.

There is an alcohol gel for disinfection at the door of each ward, and before entering, Li Jiangyu smeared it on his hands, and then entered the ward while rubbing it.

"Who is responsible for the patient?"

As he walked, Li Jiangyu asked.

"Director Li, it's me."

A resident doctor hurried forward.

According to the current division of labor arrangements of major hospitals, doctors below the intermediate title are not qualified to do outpatient services, that is to say, the ordinary number of outpatient clinics meets attending doctors, and the expert number is deputy high and senior level.

A formal doctor without a physician title is also a resident doctor, and a resident doctor is not an official title, but the name of the major hospitals themselves.

Each resident doctor is responsible for several beds, responsible for checking the daily condition of patients, carrying out the doctor's orders, sorting out medical records, writing medical records, etc.

If you want to understand the basic situation of the patient, it is naturally the doctor who manages the bed.

Li Jiangyu went to the bedside to examine the patient, and at the same time asked about the situation, and the resident doctor also talked about the patient's condition, when he was hospitalized, what symptoms he had in the past few days, how to treat it, and what improvements he had.

At this time, Chen Luo stood on the side and listened very carefully.

The so-called medical records are all from reality, and they are not fabricated out of thin air, whether it is in the case club, or in the classroom, or reading some medical case books, the medical records in it are all coming from this way.

When the resident doctor talked about the patient's condition, Chen Luo also observed the patient, and could see the patient's complexion, spirit, whether the face was ruddy, whether it was pale, whether the spirit was tired, and so on.

These practical things are the biggest difference between books and clinics.

It's like a blind man who has never seen a color, and someone describes on the side how bright red is, how green it is, how yellow it is, how it is about flowers.

The blind can only imagine in his mind, and if he does not look, the blind man's cognition of some things can only exist in the imagination for the rest of his life.

Only when you know what red is and see it yourself, can you really match, and if you have seen the flowers, you can know whether it is beautiful or not.

This is also the truth that Sun Wanqing told Chen Luo when she first took Chen Luo to read the book and explain.

While learning the basics, you can observe by yourself, combine the actual things with the things in the books, and understand them more intuitively, so that you can remember them deeply.

In the past, the master and the disciples all started from the basic skills, to help deal with the medicinal materials, grasp the medicine, boil the medicine, and watch the master diagnose the disease, the master did not even explain it in the early stage, only when you comprehended the introduction yourself, the master was willing to take you.

"Open your mouth."

Li Jiangyu leaned over to the patient, and while saying to the patient, he asked casually: "Who will tell me how to look at the sublingual vein, interns." ”

Saying that, Li Jiangyu added: "If you know Chen Luo and Yunhai, you can also talk about it. ”

Maybe it was because Chen Luo and Lu Yunhai were present, or it could be that other people also wanted to see the level of Chen Luo and Lu Yunhai, and for a while, no one spoke to the interns.

"Chen Luo, you can say it."

Qin Xingchao smiled and said to Chen Luo: "It's okay if you don't know, after all, you haven't studied for a long time." ”

"Let the patient open his mouth and raise the tongue in the direction of the palate, with the tip of the tongue lightly touching the palate, but do not use too much force, so that the tongue will naturally relax and the veins under the tongue will be fully exposed. First, observe the length, thickness, and color of the large veins on both sides of the tongue frenulum for abnormal changes such as distension and curvature, and then observe whether there are any abnormalities in the color and shape of the surrounding small veins. ”

These basic things are naturally difficult to Chen Luo: "The change of the sublingual pulse is sometimes earlier than the change of tongue color, so the sublingual vein is an important basis for analyzing the operation of qi and blood." ”

"Sublingual vein diagnosis refers to the method of diagnosing the color, shape, and filling of sublingual veins to help determine diseases. Normal sublingual veins are looming under the tongue, the veins are dark red, the veins are soft, and there are no bending and tight bundles. ”