Liu Muqiao gives some benefits to pediatrics. From now on, doctors and nurses will rush to go to pediatrics.
It is true that pediatricians are very hard-working, and they face child patients who cannot express themselves well, so the difficulty of seeing a doctor becomes much more difficult. When taking medicine, each patient has to calculate on the fly, how much amount to take, how much water to take, all have to use a calculator to calculate.
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Medical records need to be written in the same way, and getting in and out of the hospital is much faster than in a general internal medicine department. Therefore, if you are busy with medical records, the workload of medical records is also much greater.
In internal medicine, it is normal for patients not to see results within 3 or 5 days, but this is not the case in pediatrics.
Pediatricians can’t wait to give it an injection and get better immediately. If it doesn’t work in 1 day, the family members will be anxious. If it doesn’t work in 3 days, you have to find a reason to convince them. Without a good reason, you will be in trouble. It’s hard to be a pediatrician.
Among the people, there are little doctors who take shortcuts. They can become famous by using two magic weapons - hormones and diazepam.
Of course, regular professional people would not do this, but there are many hormone doctors in rural areas and small cities. If a child has a fever, no matter what the reason is, they will first give a dose of dexamethasone, and then half a dose.
Support stability.
Hormones have a fever-reducing effect, and diazepam has a sedative effect.
After one injection, the sick child no longer had a fever and became quiet again. Of course the parents were happy.
In fact, it has no benefit to the disease.
The most common causes of fever in children are viral infection and bacterial infection. First use antipyretic injections and stabilizing injections, and then treat them with antiviral and antibacterial drugs.
Therefore, some very famous doctors in private or small hospitals became famous in this way.
In regular hospitals, generally speaking, hormones are not easily used, and sedatives are even more difficult to use.
This also reflects from the side that pediatricians are not good at being a pediatrician.
As for pediatric nurses, it’s even more difficult.
Pediatric nurses must have unique skills and the ability to hit the nail on the head.
In fact, giving injections to nurses is a technical job. Thinking about giving injections in pediatrics makes your body goosebumps. It is difficult to hit the nail on the head when giving injections to adults. To hit the nail on the head in children, the requirements are really high.
In pediatrics, it is very rare for nurses not to be scolded by the parents of their children, and many nurses have been slapped.
Liu Miqiao has experienced the difficulties of pediatric nurses since he was an intern in pediatrics 5 or 6 years ago. At that time, he had good puncture skills and stood out in a kindergarten food poisoning incident because Liu Miqiao was quick and accurate in injecting. p>
Liu Ya seized the opportunity at that time and asked Liu Miqiao to bring out a group of good apprentices, and her pediatrician flourished as a result.
Liu Miqiao sympathizes with pediatrics, and he gave this patent to pediatrics today out of gratitude.
He started in pediatrics.
The consultation went smoothly. It took one and a half hours to conduct consultations for three children.
The consultation is not about listening to Liu Muqiao alone, but everyone talking freely, and finally Liu Muqiao returns to the head and makes a concluding speech.
This is a method that Liu Muqiao insists on no matter how busy he is. The purpose of this is to improve the level of doctors at all levels, especially to improve doctors’ logical analysis capabilities.
Doctors cannot just read books, nor can they rely solely on clinical experience. They must be based on book knowledge and accumulate experience through practice.
No matter how capable you are as a doctor, you cannot do without a process of logical analysis. You must be able to pass logical analysis for all diseases.
If anyone is to say, based on my experience, what this diagnosis should be, this won’t work.
Instead, it should be done with precise logical analysis.
For example, some young doctors, based on book knowledge, treat a 60-year-old patient with polydipsia, polyuria, weight loss, and no very special medical history. If you assign type 1 diabetes to the patient, that means there is no clinical evidence.
The manifestation of experience.
It is not impossible for people over 60 to get type 1 diabetes, but it is very rare. At least, it is difficult for you to be the first doctor to see him. Therefore, with an experienced doctor, you will not easily make a diagnosis of type 1 diabetes.<
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During every consultation, Liu Muqiao would listen carefully to the speeches of doctors at all levels, and finally point them out when summarizing. This is very valuable for the improvement of young doctors.
Liu Muqiao also requires that doctors at all levels must do their homework before consultation. In fact, it is not required, and they will work hard to do their homework because no one wants to make stupid mistakes when speaking.
When Liu Muqiao consults, you can make mistakes, and you are likely to make mistakes, because Director Yuan is actually not sure about the patients he consults, so he invites him for consultation.
Anyone can make mistakes. This is a problem that everyone faces, but you should try your best not to make stupid mistakes.
During Liu Muqiao's consultation with three patients, one agreed with Director Yuan's diagnosis and treatment, and the other two made changes, one with a revised diagnosis and one with a revised treatment.
This is the harvest.
Every doctor does not regard such a consultation as a task, a job, or a procedure, but as a high-level learning opportunity.
Today, A Ling did not speak. She always sat quietly at the back of the crowd, as if she had something on her mind.
However, Fatty Dr. Zhou’s speech today was more positive.
Dr. Zhou was Liu Muqiao's first pediatrician. At that time, he was one of the most common doctors in the hospital who worked as a monk and hit the clock.
He regards going to work as a job. Work is 7 hours a day. No one wants to ask me after get off work. It’s just money. It would be nice to have a few more. If I don’t have it, I won’t work too hard.
He is still the attending physician.
I have been taking the deputy chief doctor exam for 3 years, but the difference is 1 or 2 points every time. This is a representative figure of unmotivated people in Antai Hospital.
Because, under the leadership of Liu Muqiao, the doctors at Antai Hospital are at a relatively high level in most disciplines. For example, the overall level of pediatrics has improved. Dr. Zhou's level should also improve.
In the eyes of outsiders, exceptional promotions at Antai Hospital have become the norm. How come there are still people who have not been able to pass the exam to be the deputy chief doctor for many years?
Dr. Zhou now knows his shame and becomes brave.
His level is indeed relatively poor. His first degree was a junior college degree. On top of the junior college degree, he studied for an undergraduate degree and then took a postgraduate examination. Such an academic qualification is definitely not popular in Antai Hospital.
The original shape is revealed.
Now, he is working hard, and he is determined to win this year's professional title exam.
His speech today was praised by Liu Muqiao. After all, he is a senior attending doctor, and his level is not much different from that of the deputy chief doctor.
Dr. Zhou smiled.
He recently completed an article, by himself, and published it in a core journal. This article should be of a high level.
Seeing that it was getting late, Director Yuan said: "Liu Miqiao, if there is nothing special, I'll treat you as a guest. How about having dinner together? I have a secret to tell you."
