Chapter 10 This time's awesome was not bought by the teacher (ask for collection, ask for follow-up)
There are not many rare diseases in the outpatient clinic of trauma surgery, but the title of my teacher is the attending patient, and he is also outpatient on the same day as Professor Deng Yong, so there are no patients with rare diseases who come to see him.
There was another patient with plantar fasciitis, Fang Ziye ruled out the fracture through consultation and physical examination, and did not feel a special hard lump, according to the patient's symptoms of aggravated pain when he stepped on a protruding hard object, and the diagnosis was almost confirmed.
In advance, he was instructed to buy a pair of shoes with softer soles and send him for an X-ray to check for suspicious 'tumor' lesions, which can be regarded as the end of this patient's consultation.
When you see an outpatient clinic, don't be arrogant! Not exhaustive enough.
Fractures can be largely ruled out by physical examination, but not by mass.
At least Fang Ziye's physical examination is not so profound.
Yuan Weihong looked at Fang Ziye, who had followed him for two years and had the demeanor of a small doctor, and he was also swimming around the ward, even if Fang Ziye had finished watching the last patient with chronic ankle pain.
He pressed his hand: "You continue to stay there, and when a patient comes over to review the film, you watch it for him first, and then grind the doctor's instructions yourself, if there is a mistake or impropriety, I will point it out to you." ”
"It's a pity I didn't bring tea."
Fang Ziye was instantly overjoyed when he heard this, and kept this matter in his heart: "Master, you can have it next time." ”
Yuan Weihong smiled back.
He also came from Fang Ziye's age, knowing that the theory of a young doctor at this age is gradually approaching maturity, and he can understand if he wants to get through the doctor's addiction......
However, after Yuan Weihong delegated power like this, Fang Ziye showed the film to the patients behind him, and carefully pondered the doctor's instructions, and the growth of knowledge points seemed to be crazy, and in just one hour, it increased to as much as thirty-nine points!
Such a crazy speed is many times more than honestly grinding doctor's orders in the ward, carefully asking about medical history, etc., and bringing more knowledge points.
Proper aggressiveness, very useful for their own growth.
After getting off work, Yuan Weihong still straddled the small electric donkey with both feet, looked at Fang Ziye, who was smiling like a "father-in-law's face", and asked: "The sense of accomplishment brought by seeing the outpatient clinic alone is very cool, right?" ”
Fang Ziye nodded steadily: "Thank you, Master, for the opportunity." ”
Yuan Weihong unscrewed the electric door and took two steps, and then took two steps backwards with his feet: "Is it that there is no pressure to write an article and lock your body, your whole mentality has become a lot easier?" ”
"You've grown a lot lately."
Fang Ziye is Yuan Weihong's first student, and he has been by his side honestly for more than two years.
Fang Ziye immediately shook his head.
The teacher gave a 'super master's degree in the field of nature', where did Fang Ziye dare to say that writing articles is not good, but his own strength is not enough, if he can continue to produce such high-quality articles.
Don't say that you are studying for a doctorate, even if you occasionally make a joke with an associate professor in the department, the other party has to bear it.
Doing scientific research is not only a shortcut to a Ph.D., but also a shortcut to a professional title.
Because in clinical practice, only patients are talked, and scientific research results are the whole world, and the voice of yourself and your unit is transmitted to the world.
The difficulty is also completely different.
Yuan Weihong just rode away......
However, the next day, when Yuan Weihong saw Fang Ziye again, Fang Ziye seemed to be a different person, from eight to twelve o'clock in the morning, he was soaking in the ward, facing the three patients he was in charge of, starting from the physical examination to the end of the medical record writing, meticulously, and striving to be flawless.
Every word and sentence seems to be carefully considered, and the baht must be compared.
For the use of every doctor's order, Fang Ziye even found the support of the article, and then occasionally needed to be modified, so he first asked Yuan Weihong if it was okay to use it like this, and whether it was considered a piece of paper.
And Fang Ziye's actions, such a chain of evidence, and such cautious behavior, even Fang Ziye's teacher, Yuan Weihong, felt deep pressure.
I don't dare to say that the articles published by others are absolutely useless, but I also think that it is just to reduce the probability of complications with very small data, and change to an innocuous drug, which is actually completely unnecessary.
However, the principle of prudence can be adhered to, the mechanism of action of the two drugs is exactly the same, and Yuan Weihong also authorized the amendment.
Yuan Weihong also heard the report of his current youngest student, Jiehan, who found that his senior brother Fang Ziye would inevitably go to the vegetable market to buy a lot of pounds or two to go home after four hours of practice in the afternoon, and he didn't know what he was doing.
And when he was on duty and couldn't go to the practice room, what Fang Ziye was doing was to treat every newly admitted patient like a great enemy, and strive to be careful and meticulous.
The task of the doctor on duty is to prepare for the admission of new patients.
What needs to be responsible is to establish a medical record template and prescribe a preoperative medical order. Then the next day, let the bedside doctor take over.
However, because the first right to receive newly admitted patients on duty days belonged to the doctor on duty, Fang Ziye did not hesitate to ask for the details of the medical history and the comprehensive physical examination, and even did not hesitate to take the diagnostic textbooks into the operation room to compare them one by one......
But such a serious behavior, although it seems quite strange to outsiders, is actually not strange.
When you really want to learn, many operations, examinations, or diagnoses must come from the textbooks, but they are higher than the textbooks, and it is not a shame to treat patients carefully.
Finally, on August 20, five days after the last visit.
Fang Ziye's accumulation of knowledge points has finally reached as many as 50 points, which is enough to add a medical basic skill to level 3, and it is very likely that he will be able to clear the requirements of the practice room with one operation.
After careful consideration, Fang Ziye chose to add some sutures.
The department is full of major surgeries, and the only operation that the little doctor can take over is suture, even if you are good at other operations, your superiors will not hand it over to you, so you can only pretend to eat ashes in the practice room.
However, suturing is not the same, maybe others will see you pleasing to the eye and know that your suturing skills have improved, and they will give you a chance to reward you once or twice.
Practice room.
The third suture material of suture surgery is tofu, for trauma surgeons, as long as the suture can be sutured tofu, the sutures do not break the tofu, and the needle is like a needle on the tofu, and there is no bias in the process of knotting.
And the suture knot can not be relaxed, the depth of the suture can not be deeper than 5mm, and the left and right stitch span can not be greater than 5mm, even if it is out of the customs.
As we all know, tofu is not that the more sutures, the harder it is to suture, and the shallower the sutures, the more difficult it is to suture.
Fang Ziye carefully followed the long mouth of the tofu and operated the results of the twenty-four stitches, leaping on the practice table, the stitches were fine and dense, and the thread knots were stable and steady, as if they were glued on after measuring with a ruler.
Around the practice platform, not only Fang Ziye's junior brothers came to watch in amazement, but not only Fang Ziye's classmates were in disbelief, but even the senior brother who happened to be in the practice room was quite smack-smacking.
"Could it be that this is the small party that plays normally after not writing articles?"
Fang Ziye was comfortable in his heart, looking up at everyone with a smile on his face.
This time, it was not bought by the teacher, it was grown by himself.