The road to the rise of great doctors

Chapter 13 Actively strive for
On Monday, Liu Dong came to the urology inpatient ward of the hospital as usual.

The management requirements of medical interns are similar to those of doctors. They must go to work on time, attend shift handovers, and follow the superior doctor to make ward rounds, issue medical orders, perform surgeries, etc., etc.

There are slight differences in each department. The chief resident doctor will give a unified training to the interns who have just entered the department, or they will be directly assigned and the teaching teacher will arrange specific tasks and explain precautions.

The most important thing is discipline. You can't be late, leave early, and ask for leave in advance if you have something to do.Sometimes, it is equivalent to the dual requirements of doctors and students.

Liu Dong has begun to get used to the work rhythm of the hospital.

What was different from the previous two weeks was that after seeing the patients in his own group, he also paid special attention to those patients who were admitted to the hospital on weekend outpatient clinics, such as Wang Wen-Adrenal Adenoma (Cushing's Syndrome), and were assigned to the main hospital for kidney and Adrenal gland disease medical group.

Liu Dong feels that the diseases in his group are already so familiar, and he should develop new opportunities this week.In an environment where medical resources are somewhat tight, taking the initiative may help you grow faster.

Just like the saying, "The only martial arts in the world that can't be broken is fast." He deeply believed it.

With 10 minutes before the shift, Liu Dong returned to the office.I saw that the other 4 interns in the same practice group were already waiting in the office. They were sitting in a corner of the office, 4 men and 2 women, feeling a little tired from the weekend.

The five people in the internship group are all classmates, and they gossip or complain about each other in their spare time.Although they are all about treating illnesses and saving lives, the diseased areas in the urology department are not very convenient for girls.Therefore, the two female students have relatively low enthusiasm for internship in urology department. Their ideal departments are breast surgery and dermatology.

In Liu Dong's opinion, this kind of thinking is very normal.

The development of medicine is no longer what it was more than ten or twenty years ago.

General surgery and hepatobiliary surgery are separated, and most hospitals are independent surgical departments.

General surgery is also subdivided into gastrointestinal surgery, breast surgery, thyroid surgery (some also include two-gland surgery), anorectal surgery, etc.

The diagnosis and treatment of diseases have developed, patients can afford medical treatment, and hospitals have grown and developed. Many experts are no longer content to be under one department director. Subspecialties have been subdivided, and departments have been separated to work independently.

His thoughts drifted away, and Liu Dong retracted his thoughts.He walked over and sat next to one of the female classmates. This female classmate was named Shan Jiajia, and she was in the group with Song Dachuan.

"Shan Jiajia, let's discuss something with you." Liu Dong said in a low voice.

"Say." Shan Jiajia responded, "You don't want to help me with the surgery, do you?"

"Oh, it seems that every move I make can't escape the eyes of beautiful women."

"That's not true. You have been very active since you came to the Department of Urology. I heard from the nurse that you even performed an emergency surgery on duty during the weekend!" Shan Jiajia snorted and continued: "At least one meal, then Plus writing a medical record..."

"I'm not kidding, it's a deal. I visited Director Song's outpatient clinic for a long time yesterday afternoon. I saw that Wang Wen in the outpatient clinic. I also applied to Director Song to take the stage, and he agreed." After Liu Dong finished speaking, he cupped his hands I made a thank you gesture.

"You are amazing!" Shan Jiajia saw that there were more people, so she stopped chatting.

……

After Liu Dong finished his work in his group, he ran to Wang Wen to systematically collect information such as current medical history, past medical history, allergy history, etc., and performed a physical examination. He gathered the examination sheets together and then sat down. I started writing medical records in front of the computer.

"30-year-old female...main complaint...preliminary diagnosis: Cushing's syndrome, right adrenal adenoma, hypertension..." Then a hormone test was prescribed. If ACTH is abnormal, head examination will be continued; if ACTH Normally, you don’t need to check the head images for now.

Hormone examinations are generally more complicated. After the doctor's order is given, the bed nurse in the ward will explain to the patient and family how to collect it, when to collect it, and what position the patient needs to be in.And the results of hormone tests are relatively slow to come out.

While you are waiting for the results, it is time to adjust your metabolism and correct electrolyte imbalances.

After the blood pressure is controlled to a normal or close to normal level with drugs, and the electrolytes are adjusted to the normal range, after the results come back, surgery can be arranged, which usually takes about a week.

……

Although Liu Dong's appearance is not as handsome as the protagonist in the medical novel "The Great Doctor Ling Ran" he has read, but with a height of 178cm, an above-average appearance, and the ability to perceive words and demeanor with LV3, Liu Dong can also be said to be It has the "priority" within the scope of common sense.

After chatting with the nurses for a while at the nursing station, I learned about the types of inpatients currently and found an interesting patient.

This patient had just been admitted to the hospital and received a call from the medical team of another female classmate named Wang Jie.

……

After Liu Dong thanked the nurse, he returned to the office and saw Wang Jie holding a pen and paper and disposable gloves, and was planning to find a male colleague to take medical history and checkup together.

Wang Jie is also quite helpless in the Department of Urology. The main patients in her group are children with pediatric urology diseases, but they are greatly affected by the holidays, so sometimes they also accept some male patients.

She did not shy away from the physical examination of children at all, but for the andrology examination, she had just entered the clinic and was not fully prepared psychologically.

Therefore, sometimes I go to the superior doctor, and sometimes I go to Liu Dong or another male classmate for a physical examination.

This time, the superior doctor went for a consultation, and asked her to ask about the medical history, write the medical records, and give the doctor's orders first, so she was ready to find someone together, and she was emboldened.

Usually female doctors who have been in clinical practice for a long time do not shy away from this kind of thing.The more you see and the more you treat, the doctor is like a parent, and the idea that men and women are different will rarely appear.

Because the ward has not been cleaned yet, the patient is waiting in the corridor.Therefore, Wang Jie directly called the patient to the dressing room, where Liu Dong had already prepared disposable gloves.

The patient's registered information is male

After approaching, I saw that the patient had a pale face and no obvious Adam's apple. He was tall, with long legs and short body. Overall, he was thin and weak, with no muscular feeling.

After laying a new layer of sterile sheets on the dressing bed, the patient was asked to lie on the bed, and then a systematic physical examination began.

There is no obvious increase in lymph node palpation...the breasts on both sides are slightly bulging, and some look like male breast hyperplasia. It is very different from women, but it is somewhat developed compared with men... There is no abnormality in heart and lung auscultation... There is no abnormality in abdominal palpation... ...Is there any percussion pain in both kidneys...

The neurological examination was generally normal...

Then conduct a specialist physical examination of the male reproductive system...

(End of this chapter)