Chapter Ninety-Eight: Director's Rounds (II)
Li Jiangyu had already straightened up: "Chen Luo's answer is very detailed, no wonder he can advance in the knockout round." ”
The defense questions in the clinical skills competition are actually similar to the questions asked by the director during ward rounds, asking about some key knowledge points, or places that are more likely to be ambiguous in diagnosis and medication.
Combined with clinical practice, it is often more impressive.
The difference is that the questions asked during the ward rounds are more random, all of which are based on the current patient's situation, and there is no scope of knowledge points at all, which is wider than the scope of the clinical skills competition.
The question about tongue diagnosis just now was completely out of standard for freshmen and sophomores, and Li Jiangyu didn't expect Chen Luo to answer so perfectly.
Not only Li Jiangyu, but also some residents and interns on the side couldn't help but admire.
Originally, many people thought in their hearts that Chen Luo, Lu Yunhai and others could be promoted, maybe there was an element of luck, but now Director Li asks any question, and Chen Luo can answer it immediately, this is the level.
At the very least, it shows that Chen has skimmed this aspect.
While speaking, Li Jiangyu had already walked to the next patient, and the same resident doctor talked about the patient's situation, Li Jiangyu did an examination, and then asked, and then told some precautions.
The director of the ward round generally does not give instructions on the specific treatment plan, and most of them give guidance in the general direction, and at the same time can understand the correctness of the treatment plan.
"Does the patient still have blood in the stool?"
Listening to what the resident doctor said, Li Jiangyu asked emphatically.
"Yes."
"The patient has always had a history of blood in the stool for several years. ”
"Hmm."
Li Jiangyu nodded, and while continuing to check, he asked, "Who can say what situations need to be paid attention to in terms of blood treatment?" ”
This time, many people subconsciously looked at Chen Luo again.
Relatively speaking, Chen Luo and Lu Yunhai are naturally the two with the least qualifications, and in the crowd, they are a bit like budding newcomers who have just transferred to another school.
To be more precise, it's a bit like a little brother who jumped from a lower grade.
To be able to skip a grade, the level is definitely not bad, everyone is mentally prepared, but I still can't help but want to know what is so good about the students who have just skipped a grade.
Lu Yunhai is actually a frequent visitor, he often came to the hospital before college, and Chen Luo is the one who has just arrived.
In the past, Chen Luo followed Qin Xingchao, and everyone didn't have much contact, but today is a rare opportunity, and most people naturally want to see how Chen Luo, the provincial champion, is.
Qin Xingchao couldn't help laughing.
It is said that the wood is beautiful in the forest, the wind will destroy it, a person is too good, everywhere you go is the focus, whether it is other people who want to see your level or want to see you ugly, this kind of psychology is the norm in every place.
"If you know, tell everyone."
Qin Xingchao said with a smile.
Li Jiangyu was also surprised.
This question is completely different from the previous one, which involves more clinical knowledge, not to mention medical students, and even some residents may not be able to answer it well.
Qin Xingchao actually asked Chen Luo to answer again, it seems that Qin Xingchao attaches more importance to Chen Luo.
Chen Luo never flinched from answering the question, recalled a little, and said: "Blood in the stool syndrome is not uncommon in traditional Chinese medicine, generally speaking, the cause of blood in the stool is mostly the dampness and heat of the human body, and the mixture of dampness and heat suppresses the large intestine and damages the yin and ......"
"When treating blood, we can't simply stop bleeding, but also follow the precept of 'blood has no stop', we can't simply stop treatment, we must find out the cause, in addition to the conventional cold blood to stop bleeding, but also to activate blood circulation....."
"It is recorded in the "Neijing", "Qi is the handsome blood, blood is the mother of qi", "Qi is bloody......"
"It is also said in the "Su Wen: The Great Treatise on the Truth" that we should guard the pathogenesis, each according to its own subordinate, sparse its flesh and blood, and adjust its spiritual energy, and then ...... peace."
"Therefore, stopping bleeding in clinical practice is nothing more than clearing heat and cooling blood, activating meridians, and activating blood circulation......"
Chen Luo answered this question comprehensively in combination with the various medical books he had read, and relatively speaking, the conditioning was not as smooth as directly reciting some of the content in the textbook before.
As the saying goes, everything is inseparable, and many theories and treatments of traditional Chinese medicine are derived from the "Yellow Emperor's Neijing", and then extended.
As long as you read and understand, no matter how the question changes, you will always find the answer.
Listening to Chen Luo's answer, everyone on the side was a little stunned for a while.
Is this really a freshman?
In particular, some attending doctors in the Department of Traditional Chinese Medicine, as well as Lu Jianmin and others, all felt that Chen Luo was better than several interns and advanced students in their department, and they all knew more.
Li Jiangyu was stunned for a while, and then said, "Chen Luo, how much have you learned?" ”
Li Jiangyu learned about Chen Luo from Qin Xingchao's mouth, and knew that Chen Luo had not studied Chinese medicine for a long time, and he only met An Yuanming after taking the high school entrance examination.
"My master said that it is not difficult to learn Chinese medicine, even if you only read one or two books, you can be a good doctor if you eat it thoroughly."
Chen Luo said.
On the side, Sun Wanqing covered her mouth and smiled, she said this.
Learning Chinese medicine is not as difficult as you think, you only need to read one or two books, in fact, you can be a good doctor, continue to read more books to increase the breadth, in fact, it is a process to improve your level from time to time.
Among the classics of traditional Chinese medicine, one of the most important books is Zhang Zhongjing's "Treatise on Typhoid Fever", as long as you read this book thoroughly, most common diseases can be treated, and they can be treated very well.
Traditional Chinese medicine pays attention to erudition, but there is also a core, first read the core books, read through, and then read other books, learn other things, that is, constantly add water to the bottle.
If you don't understand the core, it's like a leak under the bottle, no matter how much you see, you can't find the door, you can't find the way.
In this regard, Sun Wanqing helped Chen Luo very much, and the foundation was very good.
"This problem is described in great detail in the "Yellow Emperor's Neijing" and "Treatise on Typhoid Fever".
"An Lao really knows how to teach his disciples."
Li Jiangyu said with emotion.
Chen Luo was talking about Sun Wanqing, but Qin Xingchao, Li Jiangyu and others subconsciously thought that it was An Yuanming.
"Ann?"
"Is it An Yuanming An Lao?"
"Chen Luo said his master just now?"
At this time, many people on the side were muttering in their hearts, combined with Chen Luo's information, combined with Li Jiangyu's information, could it be that Chen Luo was An Yuanming's apprentice?
No wonder?
Let's just say that their Director Qin took such good care of the son of a high school classmate, and everyone speculated before that there was something ...... between the two What about private relationships.
If it weren't for the big gap between Chen Luo's appearance and Qin Xingchao, many people would think that Chen Luo might be Qin Xingchao's illegitimate son.
Fortunately, the hospital is different from other companies, the hospital accepts volunteers, as long as you don't need a salary, volunteer to help, and have an acquaintance to introduce you, most of the hospitals will not say much.
But if you want people to teach by hand, it's impossible.
After making trouble for a long time, it turned out that Chen Luo was An Yuanming's apprentice.
Chen Luo smiled and didn't explain anything.
"Add raw puhuang and dandelion to the original formula."
Li Jiangyu did an examination, checked the previous patient's prescription, and advised.
"Yes, Director Li."
"Chen Luo, do you know the role of raw puhuang and dandelion?"
Li Jiangyu asked Chen Luo with a smile again.
"Raw puhuang can stop bleeding without stasis, dandelion clears away heat and dampness and detoxification, and at the same time reduces swelling and disperses intestinal knots, and does not hurt righteousness."
Chen Xiao pondered for a moment and replied.
"Lao Qin, if Chen Luo graduates, he won't be able to come to our hospital, and I will come to you when I retire."
Li Jiangyu said to Qin Xingchao half-jokingly.
"I do my best."
Qin Xingchao said with a smile: "Director Li, you also know that Chen Luo is so good, there will definitely be a lot of hospitals competing for it at that time." ”
The most important thing is that Chen Luo is An Yuanming's apprentice, and he may follow An Yuanming's advice when the time comes, and Qin Xingchao really can't guarantee anything in this regard.
Lu Yunhai is Lu Jianmin's son, and Lu Jianmin says that his son should listen, but Chen Luo is more of his connections to Qin Xingchao.
Ever since he knew that Chen Luo was An Yuanming's apprentice, Qin Xingchao could feel that whether it was Li Jiangyu or Lu Jianmin, their attitude towards him had changed a little.
"Haha."
Li Jiangyu smiled and continued to walk towards the next patient, while Chen Luo continued to shrink to the back.
"I said Chen Luo, you don't go to class all day, just study by yourself, and you still learn so well?"
Lu Yunhai asked in a low voice.
The first of the two questions just now, Lu Yunhai felt that he could answer them, and the second question, he couldn't answer them so well.
Chen Luo has only been studying medicine for a few months, and these few months are really better than his past few years?
"Traditional Chinese medicine is actually very similar to Chinese, it is completely possible to rely on one's own understanding and self-study, plus clinical practice, it is indeed not difficult."
Chen Luo said.
Chen Luo's progress is so fast, of course, there are Sun Wanqing's factors, but it also has a lot to do with Chen Luo's comprehension ability.
Lv Yunhai: "......"
is with Chen Luo, and he can really only be used as a foil.
In the ward rounds later, Li Jiangyu also asked a few questions from time to time, but with Chen Luo's two answers before, this time others stopped looking at Chen Luo, and some interns and resident doctors also rushed to answer and strive for performance.
At the end of the ward round, Chen Luo and Lu Yunhai were still in the ward to understand the patient's condition, mainly Qin Xingchao and Lu Jianmin were called by Li Jiangyu, no one took them, and they had no arrangements.
"I'm going to Yanjing tomorrow, and you'll have to worry about Lao Lu in class."
Li Jiangyu explained.
"Don't worry, director, I'll do my best, but it can't be too long, I'm afraid I won't be able to control it if it's too long, and I want you to stabilize the morale of the army."
Lu Jianmin said hurriedly.
"You old Lu, play tricks on me."
Li Jiangyu smiled: "There is a meeting in the hall next Wednesday, I can't go, Lao Lu, you go to participate, I'm not here, Lao Lu and Lao Qin, you two have to work hard." ”