October 1st.

Chen Gong got up early to pack up his things, put on a white coat and set off.

The affiliated hospital is not far from the school, and it is only a 10-minute walk away.

Holding the bun and eating it, he walked towards the hospital.

Either it's the seniors who go to the library to prepare for the graduate school entrance examination.

It's rare to see that kind of laid-back scene on the campus of the medical university, and after the senior year, the pace of life is very rushed.

Even if it is the National Day, you can still see students holding books and reciting them in the shade of trees.

Perhaps choosing the path of medicine means that the rest of your life will be filled with various exams and studies.

……

After Chen Gong arrived at the osteoarthrist's office, Qin Xuehai had not yet come.

The doctor on duty was busy, and after a few interns and trainees came in, they habitually sat on the chair and waited for the shift to begin.

Because it is the National Day holiday, there are not many people.

Chen Gong had nothing to do, picked up a medical record folder on the table and looked at it.

Compared with the mechanized knowledge in the book, the patient's situation is really much more exciting.

The medical record is very comprehensive, from the current medical history to the past medical history, to the diagnosis and medication, which are clearly described and recorded.

Chen Gong unconsciously became a little fascinated.

Because of this case, it is simply a series of short-answer questions.

Anamnesis is conditional.

The results of the examination are the main reference factors for the aid.

In addition to this, the patient's present medical history should be taken into account.

The patient's diagnosis is then derived.

Although Chen Gong is now in the clinic for the first time, he ...... But I was quickly attracted by this challenging work.

Every diagnosis is like solving a case, debunking one mystery after another, and seeking the ultimate truth.

Symptomatic treatment is then performed.

However, what made Chen Gong happiest was that he found his own shortcomings.

It's been a long time since I've felt this feeling.

Hundreds of physiological and biochemical indicators, just like fascinating numbers, are the result of biochemical products.

Although Chen Gong currently has no way to clearly understand the significance of these indicators.

However, these indicators are clues to the essence of the disease through the phenomenon.

It's so much fun to be a doctor!

……

Qin Xuehai came to the doctor's office at around 7:40, and as soon as he entered the door, he saw Chen Gong holding a medical record clip looking at the medical record, he was stunned for a moment, and then smiled.

This kid is really worry-free.

The morning shift soon began.

Chen Gong also put down the medical record folder and listened carefully.

Along with the morning shift, there were also simple discussions, which did not last long, but were very streamlined.

Chen Gong has benefited a lot, which is a process of transformation from learning thinking to clinical thinking.

After the shift was over, Qin Xuehai called Chen Gong over: "How is it?" ”

"The first time I came to the clinic, is it the same as in school?"

Chen Gong smiled slightly: "It's different." ”

Qin Xuehai stopped what he was doing and looked at Chen Gong: "What's the difference?" ”

Chen Gong's eyes lit up: "The clinic is so interesting, I feel excited, eager, and hope to apply what I have learned!" ”

After listening to this, Qin Xuehai did not make any evaluation, but said to Chen Gong: "Follow and go to the ward round." ”

He didn't feel any curiosity about Chen Gong's answer.

Every medical student who has just entered the clinic is full of freshness about this unknown.

But......

Qin Xuehai couldn't help but shake his head.

He thought that when he first arrived at the clinic, what was the difference between him and Chen Gong?

At this time, Chen Gong is the same as himself, perhaps this freshness is much stronger than himself.

Because his knowledge is more solid, and his foundation is stronger.

Therefore, I especially hope to get a chance to apply what I have learned.

But......

Is that really the case?

Clinical, not child's play.

Medicine, too, is by no means omnipotent.

He hoped that Chen Gong would realize the particularity of the disease, not what was written in the textbook.

Patients do not follow textbooks and guidelines to get sick.

Each patient's disease may be an individual.

Therefore, clinical and basic are two completely different worlds, and the so-called clinical experience is to transform basic knowledge into clinical knowledge.

However, Qin Xuehai did not say it directly.

Because only what you really feel is the real feeling.

Therefore, Qin Xuehai smiled: "Okay, let's go, let's go to the ward round!" ”

Compared with shifts, ward rounds will personally contact patients, and this process will also allow Chen Gong to really get close to patients.

Subsequently, Chen Gong followed the large army, and under the leadership of Qin Xuehai and Zeng Hui, he began to make rounds.

Zeng Hui glanced at Chen Gong curiously, smiled at Qin Xuehai and asked, "Director Qin, is this ......?"

Qin Xuehai smiled: "A very good kid, talented. ”

"I brought him over to give him a clinical touch."

"I may not be here these days, you bring more."

After Zeng Hui heard it, he immediately smiled: "It's easy to say." ”

The ward rounds are still slow, there are 61 beds in the orthopedic and joint department, Chen Gong followed Qin Xuehai and Zeng Hui, followed behind the two, carefully observing and studying.

There are so many unknowns in the face of all kinds of patients, all kinds of diseases.

However, this kind of unknown and difficult problem will only increase Chen Gong's interest and stimulate his fighting spirit.

At this time, Chen Gong is like a sponge, really touching the seawater in the medical field.

As for the fear of the unknown?

He didn't!

Even, he seems to be more convinced of the path he is going.

After the two-hour rounds, Qin Xuehai and Zeng Hui returned to the director's office, the two looked at each other, and Zeng Hui asked in a low voice: "This child is only a sophomore, is it appropriate for you to go to such a high intensity all of a sudden?" ”

Qin Xuehai squinted and smiled: "You don't know him!" ”

"This kid...... It's not like anyone else. ”

While talking, the two sat down, and Chen Gong also walked in.

Qin Xuehai looked at Chen Gong and smiled: "How is it, do you have any feelings?" ”

Zeng Hui took the initiative to pour a glass of water for Qin Xuehai, and by the way, he also poured a glass for Chen Gong.

Zeng Hui is not stupid, and he can see at a glance that Qin Xuehai is different from Chen Gong.

Then he stood aside and looked at Chen Gong with a little curiosity, wanting to see what unique insights this child had.

After Chen Gong was silent for a moment, he said with a smile: "There is a little. ”

Qin Xuehai was stunned for a moment: "Oh? You talk about it. ”

Chen Gong said with a serious face: "I think the medical knowledge we have learned is not enough to completely solve the clinical problems. ”

"Disease is a complex subject...... In comparison, we still don't have enough knowledge. ”

Hearing Chen Gong's words, Qin Xuehai smiled with relief.

If he can get Chen Gong's answer, he will be content.

His biggest fear is complacency!

In clinical medicine, the most taboo is pride.

Qin Xuehai glanced at Chen Gong and said earnestly:

"When I first entered the clinic, like you, I was very excited and even excited, I thought I was clinically ready, I could treat patients, and I could exert my revenge."

"Gradually, however, what I saw was...... The incompleteness of medicine, or the uncontrollability of disease. ”

"We are really too small in the face of disease."

"This is medicine!"

"I feel like as a doctor, I need to learn more things, I need to master more knowledge."

"Pure discipline cannot accurately treat patients."

"There is a saying, I'm sure you've heard, sometimes healing, often helping, always comforting."

"That's the main state of our medicine right now."

"Clinical practice is to face patients, and behind every patient, there is a fresh life, a family."

"So, it's not as monotonous to face a patient as it is to an experimental subject."

"I hope you can learn to be cautious."

"It's what I've learned from decades of clinical experience."

"At no time should you be careless."

"It's good that you realize that."

Zeng Hui on the side nodded and looked at Chen Gong and said, "Have you heard of a sentence?" ”

"Clinical medicine is composed of two parts."

"Part of it is medical knowledge."

"Medicine is a developing, imperfect discipline that encounters all kinds of deficiencies and problems, and at the same time cannot solve all problems."

"And the other part, it's the doctors."

"Therefore, the part of this deficiency needs to be solved by the doctor himself."

"Combined, that's clinical medicine."

Qin Xuehai smiled with satisfaction, learning is step by step, it is impossible to achieve it overnight, today at least let Chen Gong realize his insignificance.

Next, when he was about to comfort and encourage Chen Gong with some positive words, he saw that instead of being depressed, Chen Gong's eyes were shining.

He said in a somewhat excited tone:

"Got it!"

"I'll study hard when I go back."

"After this round, I also found that medical knowledge is simply not enough to completely solve clinical problems."

"I just took notes, and in terms of orthopedics, there are many skills that need to be mastered to achieve accurate diagnosis."

"For example, in the process of diagnosis, the consultation not only needs to investigate the situation, but also needs to find out the other person's heart, and sometimes the patient and family will also tell lies! This requires medical psychology and forensic psychology...... and other disciplines, so that the patient's situation can be clearly identified.

In addition, inspection is also very important, which requires us to grasp the anatomy of the human body, the mechanics of movement, and even the aesthetics of the appearance of the human body, and combine them to make a diagnosis. ”

"In addition, in the process of judging diseases, it is also necessary to have ...... in material immunology, biomechanics, laboratory science, and imaging."

"There are more things you need to know about treatment, such ......as pharmacy, nursing, and psychological counseling."

"Only by mastering these disciplines can we better serve patients."

"What's wrong...... Director Qin, Director Zeng...... Am I not being comprehensive enough? ”

"Where is the shortage, I hope to add a little ......"

Chen Gong's eyes lit up, and there were too many subjects recorded in the notebook in his hand, so that the two directors in the room were all stunned.

Hearing Chen Gong's words, Qin Xuehai's eyes widened involuntarily and he was dumbfounded.

But...... At least he's fine.

After all, he has already had some contact with Chen Gong.

But Zeng Hui looked at Chen Gong and felt a little numb.

This...... Something is wrong with this kid.

Are we doctors?

We are not gods!

Pharmacy, testing, and imaging can all be understood, and psychology can also accept it!

But......

What the hell do you make us learn about human body aesthetics?

And this forensic psychology, what are you going to do?

And patient anti-reconnaissance?

Zeng Hui's eyes trembled a little when he looked at Chen Gong, and even his scalp was numb.

After he coughed, Zeng Hui hurriedly got up and found a reason to leave.

No way!

He was worried that if he continued to stay, he would not be able to help but scold his mother.

You're not here to be a doctor, you're here to make trouble, are you?

We're tired of being dogs, and we're still going to learn so much?

Is it appropriate?!

Abnormal!

This kid is definitely not normal!

Thinking of getting along with him for the next few days, Zeng Hui felt like a fish in his throat and felt unwell.

He felt that he was allergic to Chen Gong.

……

PS: Hehe, it's going to be exciting next......

I feel that I am still relatively comfortable writing clinical practice, but I have to try to break through, come on veteran!

6,000 words sent, begging for support.