After graduating with a master's degree, Fang Ziye squatted in a prefecture-level city hospital, and it was not difficult to win the establishment and a small amount of talent introduction fees.

Zhongnan Hospital Affiliated to Hanshi University is not a top hospital, but the signboard of Hanshi University is the old 985, and it is still very good at finding a job in some prefecture-level city hospitals in China.

But it's not easy to keep climbing.

Studying for a PhD is not something you can read if you want to!

This opportunity to read is extremely precious!

In order to study hard, write papers, and read literature, Fang Ziye also moved out of the dormitory like other students.

When you have to stay up late to read literature, others may be too tired to sleep after their shifts.

That's not going to be together at all.

Having personal time is important for learning.

——

[Note: Free knowledge points can be used to actively add skill upgrades.] Knowledge points are obtained according to the weight of the physician in the diagnosis and treatment process. Gain details of knowledge points: +0.5, +0.2, +0.1......+0.1】

[Current Knowledge Point Balance: 0.1!] 】

Fang Ziye looked at his only 0.1 free knowledge point to dominate the balance, thoughtfully.

This is the output of my own skill training in the training room, and the efficiency seems to be a little faster than before, it used to be almost two hours to produce 0.1, but today it produced 0.1 in an hour!

In the ward, the patient's medical records are pondered and the doctor's order is amended, and a small amount of output can also be produced.

But the biggest output is that once I followed the tutor to do surgery, and when the teacher asked me to cut a lesion, the output was higher, which was a huge 0.5!

It has been almost half a month since Fang Ziye got this panel, and it has been accumulated to 5 points through various methods.

Through observation and statistics, it is found that the income efficiency of the knowledge point is the rigid operation of the clinical > medical records> outpatient > practice rooms.

"It would be nice if there were some more lesions removed." Fang Ziye muttered to himself.

But he quickly shook his head.

The surgery that my teacher has in the department is only a minor operation, although he claims to be a senior attending officer, but he can have the right to do the operation, that is, a slightly simpler bone defect.

Of course, these slightly simpler bone defects are also rarely touched by the directors of prefecture-level city hospitals.

Other more difficult surgeries are performed by associate professors, and more difficult ones require professors to finish.

When the professor came to the stage, the associate professor was an assistant, and his own teacher could only get some opportunities. And then there are the attending officers and the doctors......

……

Following.

After handing over the class, Fang Ziye's teacher, Yuan Weihong, went to class, he is still a functional laboratory teacher for undergraduates at the Second Clinical College of Han University, and he needs to teach three small classes, and most of the time, he is engaged in teaching.

And in the process of ward rounds, Fang Ziye is a little minion!

Fang Ziye and his mentor Yuan Weihong followed by Professor Deng Yong.

Professor Deng Yong took the lead, Associate Professor Xie Jinyuan followed, and although his teacher was not there, there was also Qin Geluo, the attending physician, who smiled and took over his teacher's position and was scolded.

Professor Deng Yong's two doctoral brothers hurriedly accompanied a group of bigwigs and began to explain the basic situation of the patients, one in the second year of the doctor and the other in the third year of the doctorate. is the total number of hospitalizations within the group.

Fang Ziye and Li Yuanpei are a little older, and because of the departure of the third senior brothers, they are qualified to follow behind the senior brothers.

Behind the two, there are Shu Lang and Gong Ziming in the second year of the master's degree, and Jie Han and Zhu Yunwen in the first year of the master's degree.

plus the small Zhu Pei and the fart worm Lan Tianluo behind Fang Ziye.

A group of 12 people can be said to have gathered all the basic elements of the surgical team except for the interns.

What Fang Ziye needs to do is to report the detailed data of the patients in charge, record some medical instructions to be changed, listen to Professor Deng Yong and Associate Professor Xie Jinyuan discuss some complex cases, and embarrass Professor Deng Yong's two doctoral brothers, choose one or two diseases, and ask them to report on the research progress of the current disease treatment.

Yes, for masters like Fang Ziye and Li Yuanpei, the most common question asked by professors is the current principles of treatment.

The principles of treatment and the research progress of treatment are two areas of scope.

One is the existing treatment modality, and the other is the new treatment option that can be expected......

Professor Deng Yong was in a straight figure with a mole on his chin, and when he heard his doctor's report, he nodded: "I still read some books, but I don't know the progress of the treatment well enough." ”

"Although the treatment of bone defects is a hot topic, nowadays, there is a new type of material that may allow bone cells to crawl and regenerate in the material to replace the traditional bone handling ......," said Professor Deng Yong......

Fang Ziye didn't say that it was like listening to the book of heaven, and he was also half confused.

In clinical practice, it is not easy to understand the diagnosis of a disease, which requires solid basic skills, and then an in-depth understanding of the current treatment principles and treatment methods.

The medical knowledge system is complex.

It can be summed up in eight words.

Persuade people to study medicine, the sky thunders!

……

After checking the room, Fang Ziye finished being a small follower and ushered in his 'peak of life', and the new resident doctor Lan Tianluo hurriedly said positively: "Brother Ye, I'll go to change the medicine first, and you go back to prescribe a doctor's order." ”

"It's not surgery day, let's go to the practice room earlier?"

Fang Ziye nodded and said okay.

After Lan Tianluo ran away, Yuan Weihong's first-year student next to him, that is, Fang Ziye's direct junior brother, also hesitated a little and said, "Senior Brother Fang, can you help me change the doctor's order?" My aunt came to see the outpatient clinic and I took her to see the outpatient ......."

Jiehan, who is Fang Ziye's junior brother, just studied first year this year and entered the clinic on the same day as Lan Tianluo, but because Jiehan is a master's student and a student of Yuan Weihong, the hospitalization always assigned Jiehan two beds in charge.

This is the case in large teaching hospitals, not to mention the operation opportunities in the operating room, but also the clinical beds in charge, all of which are fragrant and sweet, and there are more monks and less porridge, which is not enough at all. You don't want to do things, and some people share what you have to do.

The bed in charge is actually the only opportunity you can become an assistant in the operating room.

The number of times you have become an assistant is pleasing to the eye, and the basic skills are solid, and the superior may be able to reward you with one or two stitches and skin cuts, so that you can really enter the threshold.

Even if a professional master's degree student has a physician qualification certificate, he can be on duty and manage the bed alone, but the right to give medical orders is still with the superiors, and residents and junior masters only need to change the doctor's orders according to the wishes of the superiors.

Unless there are special circumstances-

For example, his junior brother Jiehan handed over 11 beds to his patients.

The meaning given by the superior is to let himself stop the painkillers after the 11th bed and change to oral celecoxib. The postoperative anti-infective drugs were also completely stopped, and the postoperative anticoagulant drugs were also changed from low molecular weight heparin sodium to rivaroxaban and Fang Ziye anticoagulant therapy.

However, at this moment, after carefully looking at the patient's corresponding blood test results, Fang Ziye found that painkillers and anticoagulants can be stopped, but this antibiotic, instead of stopping, must be upgraded!

But even if there is this discovery, Fang Ziye did not dare to advocate the use of drugs independently, but reported-

"Brother Luo, come and take a look, this 11-bed is the patient who had bone removal surgery last Friday, her blood draw index this morning was not good, and her white blood cell count soared to 23 all of a sudden."

"She's going to ask the pharmacy department to come over for a consultation, right?"

Brother Luo is Qin Geluo, who is the chief in the department, and his qualifications are lower than his teacher Yuan Weihong.

When Qin Geluo heard this, he ran over to take a look.

The blood draw result was not until 8:40 in the morning, and it was not yet 8:40 during the ward round, and the inflammation indicators of the last time were close to normal, not because Jiehan was careless.

Qin Geluo immediately made a phone call and went out, and in the process of dialing: "Ziye, you go to see the condition of the wound, immediately send a bacterial culture and drug sensitivity, and then send an exudate for ordinary microscopic examination to see if there are pus cells in the local area!" ”

"Ask the patient again if he has a period of high fever, hand over to the doctor on duty today, and if he has a high fever, temporarily draw a blood culture!"

Infection is the biggest enemy of surgery, and everyone is afraid of it, because once it is infected after surgery, it can make the treatment procedure very cumbersome.

……