Chapter 18: Shoujian (Seeking Collection, Seeking Reading)

September 15, close to noon.

Fang Ziye, who was on duty, scrolled up and down the mobile phone page to order takeout.

Lan Tianluo, who was in charge of the bed alone, imitated Fang Ziye's habits, and after putting the medical records on the shelf and the discharge medical records one by one, he also took out his mobile phone and sat next to Fang Ziye, touching his stomach: "Senior Brother Fang, the senior brothers in the department all say that the beautiful senior sister is very powerful. ”

"What do you mean by a beautiful senior sister? She has a name, her name is Luo Tingzhu. You should be called Senior Sister Luo. Fang Ziye rolled his eyes at Lan Tianluo and corrected him.

Then he handed over the phone: "Oh, let's order it together and save some delivery fees." ”

Lan Tianluo was a little embarrassed: "Senior Brother Fang, can I invite you?" ”

Last month, Lan Tianluo was not qualified to manage the bed alone, and Fang Ziye paid for the meal when he was on duty. Nowadays, although Lan Tianluo has been in charge of the bed alone, he does not have a medical practitioner qualification certificate and still cannot be on duty alone.

Continuing to follow, Lan Tianluo was embarrassed to eat and drink for nothing.

Fang Ziye put away his mobile phone: "Tianluo, have you paid your salary?" That's a big deal. ”

During the training period, the subsidy given by Zhongnan Hospital is 5,000 yuan, and the subsidy for professional master's students who are merged into the regular training is 1,400.

Lan Tianluo immediately handed over the mobile phone, and straightened his chest and stomach with a solemn attitude: "Just sent it in the morning, senior brother, just order!" ”

"It's still the same, it tastes better to go out to eat at a cost, and it's too expensive to eat a takeout, which is not suitable." Fang Ziye searched a familiar barbecue restaurant and ordered a set meal, fifteen yuan and nine cents.

Lan Tianluo took back his mobile phone, and after ordering a pepper-flavored barbecue rice, he said, "Senior brother, I heard Senior Brother Shu Lang say that Senior Sister Luo had already cleared the first practice room corresponding to the graduate student and the residential training stage when Professor Deng recruited and assessed him. ”

"Hey, how did you say she practiced this clinical operation?"

There are two people in Professor Deng Yong's group in the second year of master's degree, one Shu Lang is a student of Professor Deng Yong, and Gong Ziming is a student of Associate Professor Xie Jinyuan.

Professor Deng Yong has a master's degree every year, Associate Professor Xie Jinyuan and Yuan Weihong take turns to accept students, originally Fang Ziye also has a senior brother, who works after graduation, and Professor Xie now only has Gong Ziming as a student.

"So how do I know? Genius estimates have genius ideas. ”

"Han University has an eight-year continuous program of clinical medicine bachelor's, master's and doctoral degrees, and the admission score is generally not lower than the minimum admission line of Fuda, and sometimes you can even go to Qingbei." Fang Ziye objective analysis.

There is a certain gap between the top and bottom of this thing.

Fang Ziye's own qualifications are not too bad, otherwise he would not be able to enter the primary 211, and kill a handful of 985/211 at the master's level to enter Zhongnan Hospital.

But Fang Ziye also knew that his qualifications were absolutely not related to the top class.

If you add the current plus points, then it is calculated separately, but the time to obtain is too short, and it may still take time to catch up, and it is impossible to achieve it overnight.

Luo Tingzhu is now in his fifth year of entering college, which is equivalent to only four years of study in college.

At this age, Fang Ziye is still a senior and a stupid and cute internship, of course it is difficult to understand.

"That does bother." Lan Tianluo has an inexplicable fear of people who can go to Qingbei and don't.

"But Sister Good-looking is really good-looking and excellent." Lan Tianluo's eyes were slightly misty.

"I heard that Professor Deng Yong didn't want her to come to our trauma surgery department at first, saying that there are many professors of internal medicine, especially dermatology, in this hospital who have greeted her, and said that Sister Luo Tingzhu is very talented in this area, and hopes that she will further study in these directions......"

"However, Senior Sister Luo is more interested in surgery, and for some reason she chose trauma surgery."

"Everyone has his own ambitions." Fang Ziye stretched.

As soon as lunch is eaten, patients will come to the department one after another, and the trauma surgery department of Zhongnan Hospital generally does not accept trauma emergencies, because most of the trauma emergencies are too simple.

However, the simple trauma emergency department is that most of the patients who are not transferred to the ward after being operated on by the superiors, so most of the patients are transported from the outpatient department.

These elective patients who are to be hospitalized have been opened and eaten countless times by professors or attending superiors, and they feel that they are relatively high-quality, so they are admitted to the ward and can be handed over to the doctors in charge of the bed for treatment.

For example, those who are more difficult to deal with, or those who are more hesitant to undergo surgery, will be returned at the outpatient level.

Although a patient like this has been gnawed countless times by his superiors, he basically will not gain anything else, but Fang Ziye is still conscientious, carefully checking the doctor's orders, and trying to find some small diagnoses that the teachers in the outpatient clinic did not find or did not care about.

These diagnoses, once they are excavated by themselves, can be transformed into knowledge points and taken into the pocket by Fang Ziye......

Fang Ziye has helped two patients complete the hospitalization procedures, and have completed the relevant medical instructions before the operation, one has no chronic disease, but the other has a history of thrombocytopenia, has been treated before, and does not continue to take medication at present.

Therefore, Fang Ziye quickly checked the laboratory tests corresponding to thrombocytopenia before the operation, such as coagulation, liver and kidney function, blood routine, etc......

"Senior Brother Fang, we are a surgeon, is it too troublesome to routinely do cardiopulmonary auscultation and these examinations for patients on duty? After all, none of these organs are the patient's chief complaint. Lan Tianluo asked when he was waiting for Fang Ziye to receive the third patient.

"Exercise your ability, we have fewer opportunities to operate, physical examination is a routine operation that we can do when we receive patients, so we should naturally cherish it more." Fang Ziye naturally didn't say to Lan Tianluo, don't follow me to learn, I'm here to gather wool.

After Fang Ziye read the laboratory test results of the thrombocytopenia patient and sent the consultation application form, he walked to the operation room.

"I'm sorry, big sister, I've kept you waiting. You've completed all the hospitalization procedures, right? Lan Tianluo asked politely.

The person who came was a middle-aged woman of about forty years old, with a slightly dark complexion, a small figure, and a rather thick appearance.

"It's okay, doctor, you're busy, too." Middle-aged women like that.

"I'm going to lie down, right?" She asked.

"Yes. Big brother, you help the big sister lie down. Then pull the clothes up to expose your little belly. "Examining the opposite sex, even for older women, requires someone to be there to witness it.

The family is the best, otherwise you need a nurse, and a male doctor like Lan Tianluo can't do it, this is a kind of self-protection, so as not to be framed is violation, after all, these are the blood and tears of the predecessors, not to say that you have to meet, but be prepared.

For cardiopulmonary auscultation, Fang Ziye skipped it and directly started the abdominal examination.

The abdominal examination is based on visual and tactile percussion, and the patient comes to the doctor with lower limb deformity and wants to come for osteotomy and orthopedics. There are no pre-existing conditions, and inspection, palpation, and percussion of the abdomen are fine.

But when Fang Ziye routinely listened to the abdominal vascular bruit, he heard a strange blow-like murmur.

When Fang Ziye heard this, his face changed suddenly.

After changing auscultation to palpation, no pulsation was touched, but the sound was still there when the auscultation was re-examined.

This may be a blood vessel related lesion, a windy murmur, and it is more considered to point to a hemangioma-

Abdominal aortic aneurysm?

"Doctor, is there a problem?" The patient's husband asked when he saw that Fang Ziye's face changed suddenly.