Chapter 142: Training (Subscription Request)
After going to work in the afternoon, Yu Zhiming got all the kidney-related examination and analysis data of the kidney disease patients he received yesterday.
Not to mention, it feels really good to have a work assistant, and many things Yu Zhiming only needs to move his mouth.
He confessed to Qiao Lei last night, and this morning, Qiao Lei took the kidney patient to have a corresponding examination.
Yu Zhiming looked at the patient's blood routine, biochemical total, urine routine, urine protein quantification and other detection and analysis data, and combined with his examination and feeling of the patient's kidney, he judged that it was focal segmental glomerulosclerosis apical type.
This is a relatively common glomerular pathological change, and the clinical manifestations are mostly asymptomatic proteinuria and edema.
This condition is hereditary and may be passed on to the next generation. If left untreated, the disease will continue to progress to end-stage renal disease, leading to kidney failure...... Yu Zhiming took the patient's testing and analysis data, his own analysis and judgment, as well as the carefully prescribed prescriptions and other treatment plans, and asked Mr. Qi to correct.
After Qi Yue saw it, he didn't say much, but recommended him to a chief physician of nephrology.
Yu Zhiming ran to the nephrology department and found the doctor Tian. The other party was very enthusiastic, put down his work, and communicated in detail for nearly an hour about the kidney patient Yu Zhiming took over, and then gave advice on Yu Zhiming's treatment plan.
On the way back, Yu Zhiming, who was in a hurry, was like a frosted eggplant, wilted, and looked like he had been hit hard.
It's not that he's misdiagnosed. Yu Zhi's diagnosis was correct, and Dr. Tian gave an affirmation. It's just that the prescriptions and other treatment plans he prescribed, under the guidance of Dr. Tian, have changed greatly.
At first glance, it seems that it is still the same prescription, but the drug has been added or deleted by three types, and the dosage has only changed slightly.
But Yu Zhiming knew it very well in his heart. His prescription has almost undergone a change like tearing down and rebuilding, and the dominant treatment idea revealed by the prescription has changed.
"Got a blow?" Qi Yue asked with a smile on his face. Yu Zhiming shook his head, nodded again, and said, "There are indeed some blows. ”
"But just thinking about it, Dr. Tian is an expert in the field of kidney disease for one or two decades, and I am just a young doctor who understands the skin, and it is normal to have such a big gap." Yu Zhiming sighed again, and said very consciously: "Teacher, I am good at judging symptoms and hands-on, and in terms of specific treatment, it is indeed quite bad. Qi Yue smiled and said, "Compared with diagnosis and hands-on operation, symptomatic treatment requires more experience accumulation. ”
"This gap in time and clinicality cannot be bridged in a short period of time by talent." Qi Yue took the opportunity to teach: "Zhiming, don't fantasize about being proficient in everything. ”
"It's impossible in reality, you have to learn to make trade-offs and make yourself better at what you're good at."
"As for the shortcomings, they can be made up for through cooperation." Yu Zhiming snorted and said, "Teacher, in the selection of patients in the future, I will focus on my own advantages and development direction." Qi Yue said with a satisfied chin head: "Go and treat your kidney patient, if you take over, you will have to be responsible for the end......" Yu Zhiming left the director's office, first went to the upstairs ward area, gave prescriptions and medical instructions to the kidney patients, and told the nurse in charge of precautions.
On his way back, he heard the chatter of several women in a hospital room. Yu Zhiming stopped and looked...... He saw Zhou Mo and the three little nurses in the center grinning around a beautiful young man who didn't talk like a word.
What made Yu Zhiming even more unhappy was that the young man was still holding a jar of familiar sweet potato strips in his hand. This morning, Yu Zhiming was a little anxious when he got out of the car, and forgot to bring snacks such as sweet potato strips when he got off the car.
When it was time for lunch, he went to the parking lot and took a large bag of snacks such as sweet potato strips, peanuts and walnuts back to the big office and distributed some to each colleague.
He deliberately gave Zhou Mo two more jars of sweet potato strips. And the boy in the ward, who looks like a man, is a new patient admitted to Qi Yue this morning.
Since the beginning of the year, the teenager has had more than a dozen episodes of inexplicable fainting, but he has been to several hospitals and has not been able to find the cause.
This morning, Yu Zhiming gave him a full body examination. The internal organs are fine! There is no problem with blood circulation in the brain...... Yu Zhiming walked into the ward with a straight face, and the laughter and laughter in the ward instantly disintegrated.
"Zhou Mo, the third batch of volunteers for sexual sleep, have you confirmed that you have contacted them?" Zhou Mo nodded and said, "Doctor Yu, I have confirmed them one by one, and I will arrive at the hospital on time tomorrow!" ”
"So, what about the follow-up volunteer solicitation?" Yu Zhiming asked again. Zhou Mo replied softly: "As of last night, two hundred and thirty-five applicants have been recruited. She adds, "It's fairly easy to get volunteers when you have enough money." "Their body data collection project for narcolepsy patients reimburses volunteers for travel expenses, not to mention food and lodging, and only needs to patiently accept three days of data monitoring, and they can earn 1,500 yuan.
For such a thing, the applicants are still quite enthusiastic. Yu Zhiming saw that Zhou Mo's answer was fluent, and he found a little reason, and said with a serious face: "Zhou Mo, you are the chief housekeeper and assistant director of the center. ”
"At this time, what if the director or other colleagues have an urgent matter but can't find you?" The corners of Zhou Mo's mouth twitched, but he replied obediently: "Doctor Yu, I'll go back to the office." Yu Zhiming looked at the three little nurses again.
"You've done your work?"
"Don't you know that gathering here to talk and laugh will affect the rest of the patients?" The three little nurses all bowed their heads, one after the other, and walked out of the ward with a small brisk.
Yu Zhiming smiled lightly at the handsome young man, and also turned around and walked out of the ward with Zhou Mo. After walking a few steps in the corridor, Yu Zhiming heard a whispering about him.
"Didn't you just say a few words? He just trained people with a face, but he couldn't control us, and he made it seem like he was the director. ”
"Oh, isn't this overtly jealous? Compared with that young man, the status of the first handsome guy can't be kept. ”
"Let's not say a few words, we did something wrong, and being caught by the head nurse is not as simple as being said a few words......" Yu Zhiming and Zhou Mo returned to the big office one after the other, and after a while, the dean's secretary He Yingjun came.
"Dr. Yu, at 3 p.m. this Friday, the project signing ceremony and tea party will be held in the activity hall on the second floor of the comprehensive office building, please be sure to attend." He Yingjun added: "Friday's physical examination can only be carried out for one morning, sixty people. Yu Zhiming sighed and asked again: "Can I bring my family members to the ceremony?" He Yingjun chuckled and said, "There are no specific regulations on bringing family members to the event, but if you want to bring family members to participate, Dr. Yu must have no problem at all." ”
"Doctor Yu, I'll go and inform Director Qi......" After He Yingjun went to the director's office, Zhou Mo came to Yu Zhiming's side.
"Family? The girl with the surname Gu? ”
"My fourth sister!" Yu Zhiming replied concisely, and added: "Take her to meet a few more young talents." He thought of it again and said, "Zhou Mo, you are a local, when it is time to rest, if it is convenient for you, can you take my fourth sister to participate in more social activities?" ”
"My fourth sister is new to the city, and she needs to get to know more people and integrate into the life of Binhai as soon as possible."
"No problem, leave it to me." Zhou Mo is very enthusiastic. She planned again: "The weather is not so hot, this Sunday, I can ask a few friends to go out for a walk." Qiao Lei also came over.
"Can I also participate? Singing and dancing, drinking and fighting, gags, and livening up the atmosphere, I can do it. ”
"Take me, you're not going to be bored." Zhou Mo glanced at Qiao Lei, and said with disgust: "Let's talk about it then......"