The road to the rise of great doctors

Chapter 54 Clinical Scientist

"Practice learning, turn technology into products, let patients use it, and really cure patients." This is the best situation for the transformation of scientific research into clinical practice.

After the class, Liu Dong gained a lot.He became more and more determined in his career planning, "To become a 'big doctor', you must be able to do both clinical work and technical research."

Liu Dong suddenly remembered a question he saw on the forum: "Did Chinese medicine tamper with Western medicine and modern medicine, so it was so badly criticized?"

He liked one answer: "The long-term vitality of Western medicine comes from innovation, and innovation comes from continuous attempts and attempts supported by theoretical systems. Traditional Chinese medicine, on the other hand, has not yet embarked on a wider path, quoting what I saw when writing novels. The most common sentence is "good writing can be broken", which means that no matter how many routines there are, even if the initial results are not good, as long as the writing is good enough, no routine can stop me from changing to this problem, that is, whether this disease is effective in traditional Chinese medicine or not Western medicine is effective, but what about another disease? In the end, even if people vote with their butts, whoever solves the problem will sit on which side their butt sits. Assuming that Chinese medicine can surpass Western medicine in all aspects, then foreign doctors will also line up to come here to study . To put it another way, if domestic Western medicine reaches or exceeds the level abroad, then Western medicine can also become 'national medicine' in another sense. After all, in this technical discipline of medicine, whoever is stronger has the final say."

At the end of the course, Liu Jianye gave an example and left it as a reflection after class: "Colon cancer progresses after multiple drug treatments, and there is no gold standard for end-line treatment guidelines. What should we do?"

Liu Dong thought about it, and he thought that when he first entered the clinic, the chief resident doctor said during the training, "First of all, you must study the textbooks and guides, observe the patient's condition more, and understand why the diseases in the textbooks and guides are examined and arranged in the way they are. Treatment. In this way, you can gradually grow into a mature resident physician."

"However, when a certain level is reached, it is necessary to 'be better than the blue', start from the guidelines, do some exploration, go beyond the guidelines, and update the guidelines. For those situations where there is no standard treatment, where is the last straw for patients? Further exploration is the last straw and the light of hope for the future.”

Liu Dong now understood the meaning of this sentence. "The survival of patients is mainly limited by the lack of treatment methods. It is not enough to be a doctor who performs surgery. It is not enough to just rely on guidelines to treat diseases."

When the future is uncertain, it is best to listen to the opinions of experts. If your ideas are too big, it is easy for treatment to be "there will be no shop after this village, and there is no way back."From a doctor's point of view, patients at this time should follow whoever they trust for treatment, and they should also have the mentality of "accepting the bet and accepting defeat."Weigh the pros and cons, make an individualized decision, and have no regrets!
On Monday morning, the sun broke through the haze, surpassing the previous brightness.

Liu Dong got up early and went to the kitchen to make breakfast for two people.Then the milk was prepared.

He and Li Xiao have a tacit understanding. Although they have not gone any further, the frequency and intimacy of their interactions are gradually increasing.When things come naturally, it may be a mutual choice between two people.

Liu Dong took a white coat and a schoolbag, and as usual, arrived at the obstetrics and gynecology ward around seven o'clock.

At [-]:[-], all five members of the internship team arrived, and the chief resident doctor also returned to the office.

She took out the schedule and assigned the medical team to the five people.The obstetrics and gynecology department is arranged according to a rotation department. The initial time arrangement is gynecology department for 3 weeks and obstetrics department for 1 week. Therefore, 2 people are assigned to the obstetrics department and 3 people are assigned to the gynecology department.Liu Dong is one of the people in the gynecology department.

Liu Dong was assigned to a group of female attending physicians. He sat in front of the computer and recorded the bed number and diagnosis name of his group so that he could become more familiar with the patient's condition during ward rounds later.

"Do you want to study seriously, or are you just going through the motions? If you study seriously, you must arrive at work on time and cannot be absent from work, and you will have more opportunities. If you want to go through the motions, go to another group." A voice with a sinister tone came out.

Liu Dong glanced and realized that it was the male attending physician in Shan Jiajia's group. "If you ask this, you must study the answer seriously. Who would find it difficult to find it at the beginning?" As expected, Shan Jiajia and another boy answered in unison, they must study seriously!

Liu Dong thought to himself: "I'm pretty lucky. I feel like there aren't that many bad guys in this group."

Today is not an operation day. After the ward rounds, Liu Dong was assigned to change the dressing. He had observed it during the ward rounds. The surgical incisions here were just different from those in the urology department. The external manifestations were horizontal, vertical, or oblique. The incisions are all neat.Typical "surgical incision dressing change."

"It's not difficult!"

Liu Dong skillfully changed the dressing, and the incisions healed well, with no suppuration or cracking.

"Is anyone from Dr. Zong's team here? A new patient has arrived. Dr. Zong asked the intern to ask about the medical history first. She will come over later and give medical orders." A young nurse quickly walked into the office and shouted loudly.

Liu Dong didn't hesitate and immediately responded: "How many beds? I'll be there right away."

After getting the bed number, Liu Dong picked up the banknotes and went to collect medical history.

When I arrived at the bedside, I found a 21-year-old girl lying alone on the bed. She was full of energy, without any stage fright, and she didn't look "weak" at all when she was sick.

The girl's name is Xiaomei. She is a sophomore this year and has a boyfriend. He is a freshman majoring in medicine, but not from medical school. He is a freshman at a new university and her classmate in high school.

The two had been dating quietly since high school, and it was still an "underground love" at that time.As for the boy, his grades in the college entrance examination were not satisfactory in his first year, so he repeated the course for a year and then got admitted to that school.Girls went to college after passing the exam in the first year.

When the two of them arrived in this city far away from their hometown, they felt like birds out of the cage, free and free to do whatever they wanted.The feeling of being completely separated from the constraints of family.Therefore, dry sticks stir up the fire, and there is no need to take any precautions in life.

"A medical student who has not started medical courses is just an ordinary 'medical student without common sense'." Liu Dong muttered in his heart, "They don't even know how to use contraceptive measures."

The two of them had sex several times in succession and intermittently.Then the girl discovered that her regularly scheduled period did not come on time, but since it was the first time she had experienced this kind of thing, she had no idea, so she just put it off and put it off.
Until the vagina began to bleed irregularly, she thought it was an irregular period at first, but it lasted for a long time. After thinking about it, she took a urine pregnancy test, and the result was +, so she came to the hospital.
For women of childbearing age who are living a healthy life and have irregular bleeding after menopause, the first thing to consider is pregnancy-related diseases, such as miscarriage, ectopic pregnancy, and what else?

(End of this chapter)