This Doctor is Great

Teacher Zhang Luojia looked at Huang Zhichao who was 'backward in horror'.

"It's your turn... Please answer, if a patient has an upper respiratory tract infection, what are the ways to stop the bleeding?"

Huang Zhichao breathed a sigh of relief: "There are drugs to stop bleeding, balloon tube compression to stop bleeding, and endoscopy to stop bleeding under direct vision."

Zhang Luojia continued to ask: "What is the mechanism of norepinephrine in the hemostasis of drugs? What are the contraindications? What are the ways to use it?"

Huang Zhi hesitated for a moment:

"The effect of demethylation is to constrict blood vessels and achieve the purpose of hemostasis. The contraindication is... yes... yes..."

At the end, he shook his head in frustration.

He forgot this knowledge point.

To be honest, he is a doctor in training and works in an ordinary tertiary hospital in the next city. The degree is only a bachelor's degree, plus an on-the-job master's degree.

His learning ability is much worse than that of Xueba and Xue Shen.

For many basic questions, he can memorize some of them, and he can barely memorize the other.

Zhang Luojia didn't scold: "Go back and read more books."

Huang Zhichao nodded as if receiving amnesty, "Okay, okay!"

Zhang Luojia looked at Zhou Mo: "Come and answer the question just now..."

Zhou Mo said without hesitation: "The contraindication of demethylation is to be used with caution in patients with arteriosclerosis. The method of use is divided into oral method and intragastric lavage method. The dosage and method of oral administration are... The dosage method of lavage is..."

Even the precise mg and ml values, Zhou Mo said clearly.

Now,

Even Li Dongmei was surprised.

She can't do this!

Zhang Luojia was completely satisfied and smiled: "Yes, yes."

A great medical student can save her a lot of trouble, and she is naturally happy.

...

The next one is a patient with liver cirrhosis.

Case: Male, 42 years old, admitted to hospital because of "repeated fatigue, vomiting for one year, and edema of both lower extremities for one month". Has a 20-year history of drinking. About 500 grams of white wine per day. B-ultrasound showed mild hepatomegaly, mild splenomegaly, and no hepatobiliary obstruction.

The final examination showed: alcoholic cirrhosis.

Teacher Zhang Luojia is well versed in the question-and-answer style of gastroenterology, and began to ask in a series of deadly questions:

"Huang Zhichao, please answer, the pathogenesis of liver cirrhosis."

This question is the foundation of the foundation.

Huang Zhichao is full of confidence: "The mechanism is that the liver is damaged by various reasons, and then there is necrosis of liver cells... nodular regeneration... fibrous septum... Finally, the liver is gradually deformed and hardened..."

Teacher Zhang Luojia nodded: "Describe the cause of alcoholic liver cirrhosis."

Huang Zhichao: "The reason is long-term drinking, which leads to repeated fatty degeneration, necrosis and regeneration of liver cells... The development process is: alcoholic fatty liver - alcoholic hepatitis - liver fibrosis - alcoholic cirrhosis..."

Zhang Luojia nodded.

Basically not bad.

Huang Zhichao was very happy, and finally his performance was not bad.

At this time, Zhang Luojia suddenly picked a topic and asked Huang Zhichao:

"This patient has liver ascites. What diuretics should I use? How much?"

Huang Zhichao: "…………"

blind.

Absolutely not this question!

Huang Zhichao couldn't help but think in his heart: "We just came to the Gastroenterology Department and haven't studied much yet. How could we possibly understand this?"

Zhang Luojia looked at Zhou Mo: "Did you know?"

Huang Zhichao immediately looked at Zhou Mo with a sympathetic expression: "He's also just here, so he shouldn't understand such small details, right?"

result,

Without thinking, Zhou Mo answered directly:

"Generally use spironolactone 60mg/d (potassium retention) + furosemide 20mg/d (potassium excretion)..."

"If the effect is not obvious, it can be gradually increased to spironolactone 120mg/d + furosemide 40mg/d..."

Teacher Zhang Luojia was immediately satisfied.

Look, this is excellent!

And Huang Zhichao was stunned.

Holy crap, is it so arrogant?

He looked at Zhou Mo resentfully: "Brother, are you new here too? Why are you so familiar with this?"

Li Dongmei also looked at Zhou Mo sideways.

He secretly said in his heart, "Amazing!"

...

for the rest of the time,

Each patient looked at the past. In addition to introducing the condition of each patient, Teacher Zhang Luojia would also habitually ask questions.

Now you can clearly see the difference between the three.

Li Dongmei's eight-year SYS system has a solid theory, but some clinical problems are not well understood.

Huang Zhichao, not only was a little worse in clinical practice, but also in theoretical knowledge. He was completely backward, and he was stumped by many questions. Moreover, it was because Teacher Zhang Luojia deliberately reduced the difficulty of the question.

As for Zhou Mo, it goes without saying that Teacher Zhang Luojia is the most satisfied, with solid theoretical knowledge and a lot of clinical data. You must know that data is the hardest thing to memorize, but pathology is easier to memorize, because there is logic there.

Taken together,

Zhou Mo's performance was 95 points, and he was more afraid of Zhou Mo's pride.

Li Dongmei's performance was 88 points, and she needs to gain more clinical experience, but I believe that Li Dongmei's learning ability will catch up soon.

Huang Zhichao's performance was 75 points, and the level of training doctors would indeed be a little bit worse. Teacher Zhang Luojia was not disappointed, but encouraged Huang Zhichao to work harder. This moved the shivering Huang Zhichao very much. He cheered himself up like chicken blood, and he must work hard.

It has been 3 hours since I checked 12 patients of 3 medical students.

It is already 14:00 now.

Haven't had lunch yet.

"Grumble~~~~"

The four of them were already hungry.

Teacher Zhang Luojia still had a flat face: "Let's go, I'll invite you to eat..."

Huang Zhichao was moved to tears on the spot: "Teacher is so nice, and invited me to dinner!"

Li Dongmei also looked forward to it.

Teacher invites students to dinner? Exciting to think about!

Soon, Teacher Zhang Luojia came to the 'energy supply station' of the department, scanned the code to give money, and bought a bowl of instant noodles for everyone...

Zhou Mo, Li Dongmei, Huang Zhichao: "…………"

really,

Can't expect too much!

The four of them gathered around and ate instant noodles.

Teacher Zhang Luojia: "Wait a minute, each of you will start ward rounds, write medical records, and make doctor's orders. Work hard today and work overtime. You can't put it off until tomorrow, you know?"

Zhou and Mo: "Yes!"

Teacher Zhang Luojia: "Also, each of you now only has 4 patients + an empty bed. The empty bed is reserved for you on purpose. When the time comes, there will be patients who will come to practice admission and diagnosis of patients. …”

Huang Zhichao was already mourning in his heart: "It's over, we have to add new patients in. I'm afraid I'll have to work overtime until late tonight."

Li Dongmei was in high spirits.

...

After eating instant noodles,

The three of Zhou and Mo started looking for a computer, writing medical records and doctor's orders...

Zhou Mo deliberately sat down on the empty computer next to Huang Yiming, and chatted with Huang Yiming while logging in to the system with Teacher Zhang Luojia's account.

"How is it? Today?" Zhou Mo asked.

"It's miserable, I have to take care of 5 patients..." Huang Yiming's eyes were red, and he typed on the keyboard, "I'm starting to miss the Cardiology Department now, 2 patients, it's so comfortable."

"Come on... I also take care of 5 patients..." Zhou Mo patted Huang Yiming on the shoulder.

login system……

Enter the patient's condition...

Zhou Mo's information on patients No. 76-79 managed by Zhou Mo is all deeply memorized in his mind, so he doesn't need to take notes as he is typing quickly with his fingers!

...

At 15:00, the examination reports of 4 patients (morning blood draw ~www.readwn.com~ came out.

According to the report, Zhou Mo changed the case and doctor's order...

...

At this moment,

The nurse at the nurse station walked to the door of the duty room.

"Who is Zhou Mo?"

"I..." Zhou Mo waved.

"A patient is about to come in, and it's already here. 80 beds are arranged. Come and receive it," the nurse said.

"Okay..." Zhou Mo got up.

Li Dongmei and Huang Zhichao looked over.

The patient arrives so soon? Don't wait for tomorrow?

OMG!

Shouldn't we rest?

.