Writing is a hard work that requires calmness. With a high degree of concentration and unity of spirit and will, more than a few hours of mechanized finger movement can produce a decent article. This work is destined to be the kind of "amateur"
The type of "just watch the excitement, but the insider knows the ropes". After all, in modern society, everyone has written compositions when they were in school, and everyone can basically type. What's so difficult?
In this regard, Sun Lien only has one thing to say: You can do whatever you want.
How troublesome are Tongxie's standard medical case records? Just compare it with the case records of the Department of Surgery of the Fourth Central Hospital. The surgical case records have "templates". Generally speaking, three sentences can complete a patient's case record.
In the first sentence of the case record, the patient was diagnosed with xxx disease. In the second sentence, xxx was performed during the operation and the treatment was completed after the operation. In the third sentence, the patient's condition was satisfactory after the operation. Then there is a set of fixed doctor's order template combinations, waiting for the ward rounds.
When it comes to words, omit everything that can be omitted, and write "same as before" if it can be "same as before". Generally speaking, the ward round record and case record together can write more than a hundred words, even if the surgeon is concerned
.
As for internal medicine... the average case record of a patient is 1,500 words. It is normal to fill two pages of A4 paper. If any regular training or intern doctor dares to record cases in a surgical style, the director of the department will definitely treat that poor person
He's so swollen that he doesn't even have the courage to stand up. According to the common opinion of physicians, "How dare you call a doctor a case when you write about it?"
Sun Lien's internal medicine teacher was an old professor in the school. When the old man was in class, the whole class once scolded him with one sentence and dared not say a word, "The difference between people and monkeys is that people know how ignorant they are, while monkeys don't think so."
I understand everything myself.”
The content of internal medicine is complicated, and internal medicine is indeed different from the expectations of newly admitted medical students. What everyone has seen and learned from movies and TV shows is that surgeons wear surgical uniforms and rejuvenate themselves, treating diseases and saving people. And internal medicine...
How can a surgeon be handsome if he only knows palliative care and has to think about it for a long time before taking a medicine? In the eyes of the newbies, only surgeons are called "doctors". Internal medicine is probably the same as a pharmacist.
The old man in the Department of Internal Medicine, whose surname is Zhao, was already an old expert who was rehired from retirement. But the old man didn't know which nerve was wrong, so he gave up his good job of "hosting scientific research projects" and wanted to teach.
As for doctors, especially internists, who are getting older, the most unsightly thing is the rookies' admiration for surgeons and their disdain for internal medicine. They are also industry giants and surgical leaders. People look down on internal medicine because of the surgeries they perform.
Internal medicine can't do it. A bunch of rookies, who haven't even grown their hair yet, want to imitate surgeons and play the contempt chain? Intern doctors and trained doctors are the low end of the contempt chain in the entire industry!
A group of young people who had just entered school were scolded by the old professor as monkeys. The young people were always a little unconvinced. Most of Sun Lien's classmates also felt that the old man was deliberately suppressing and looking for trouble. But Sun Lien listened to these words.
Go in. He is also a doctor. He has probably seen more diseases than a novice like me has heard of. What's wrong with calling you a monkey? As long as you don't curse your mother, then treat it as a good word. If you do, then you will
Pretend you didn't hear it.
Although he is mentally prepared and has enough ideological awareness, Sun Lien is still struggling. Case records are not only good if they are written as much as possible. Each symptom must be described accurately, and the patient's condition must be recorded accurately, and cannot be made up. Since Sun Lien
After deciding to require his own case records according to Tongxie standards, he would find a small book during his usual outpatient service and write down the patient conditions he observed in shorthand notation. At the end of the consultation, when he needed to fill in the record
, Sun Lien will look at these symbols and restore them to the patient's condition.
However, although this move sounds good, for Sun Lien, it has a fatal flaw.
He's not familiar enough with these symbols... yet.
Being unfamiliar with symbols means that he needs to recall and compare previous cases to understand what the symbols he wrote down mean. A case record of about 1,500 words, Sun Lien needs to read and check almost one
It took hours to finish.
It's just terrible.
Fortunately, there were not many patients diverted from other clinics today. Sun Lien was able to slowly supplement his records. When it was almost five o'clock in the afternoon, the door of the ninth clinic was suddenly knocked open. The person who entered was Dr. Cao Yanhua.
, followed behind him was a middle-aged man with a painful look on his face.
"Little Sun." Dr. Cao greeted Sun Li'en and pointed to the middle-aged man behind him, "This is my second uncle. He was supposed to go to the outpatient clinic to prescribe famotidine tablets, but the outpatient department has already
It’s time to get off work. Xiao Sun, if you have nothing particularly urgent to do now, can you help drive the car?”
Sun Lien glanced at the waiting list on his computer screen. Indeed, there was a male patient named Cao who complained of "acid reflux and difficulty swallowing." Dr. Cao Yanhua not only brought his second uncle to see the doctor, but also registered a number. This
This is a sign of "respect" for Sun Li'en. Doctors often do this kind of thing. Usually it's a matter of relatives and friends of several big-name experts asking each other but they can't get a call, so they might make a switch.
No. Please work overtime to see a doctor during your break or off-duty time. If you have relatives who need my help in the future, you can bring them over directly.
Bringing people to see a doctor directly is a favor, and registering to bring someone to see a doctor is giving face. Besides, they just want a prescription for medicine, so Sun Lien naturally has no reason to refuse. He nodded and said to the middle-aged man who looked not at ease,
"Uncle Cao, please sit down first."
The status bar hung above Uncle Cao's head, "Cao Jianguo, male, 54 years old, esophageal smooth muscle peristalsis weakened, lower esophageal sphincter insufficiency."
Sun Lien asked the person to sit on the seat in front of him without changing his expression, and retrieved his previous medical orders and medication records from the computer.
"Have you taken the medicine for two weeks?" Sun Lien's eyebrows twitched slightly after seeing the record. "Are you still suffering from stomach acid now?"
Cao Jianguo nodded, a little embarrassed and said, "Yes."
Cao Yanhua interjected, "I asked my second aunt, and the old man can tell me everything else. He just keeps forgetting to take his medicine. I should have taken the medicine last week, but I didn't take it until yesterday."
Is this an old pigeon? Sun Lien smiled and prepared to prescribe medicine. Anyway, Lao Cao's disease was diagnosed at the Gastroenterology Department of the Fourth Central Hospital, and Cao Yanhua must have read the report. It took two weeks and he still had stomach acid, that's because
It shouldn't be a big deal if you don't take your medicine as prescribed.
Although the prescriptions for the medicines have been written, after all, they are patients who come to see him. According to Sun Lien's current requirements for himself, this case still needs to be written in detail. So Sun Lien asked Comrade Cao to lie on the bed in the consulting room.
He was going to give him a physical examination. Cao Yanhua also knew that Sun Lien was tormenting him recently, so he didn't express any objection to this behavior. He just thought that his second uncle was here to work as a model to train Sun Lien.
The physical examination went smoothly, and the contents recorded by Sun Lien in the notebook were gradually increasing. Those shorthand symbols with special meanings were actually designed by him himself. The more he used them, the more he gradually became proficient.
"What's your job?" Sun Lien was checking Cao Jianguo's neurological reflexes, but he was afraid that he would be too bored lying on the bed, so he chatted with Cao Jianguo all the time.
"Farmer." Cao Jianguo burped several times after lying down. The smell was quite bad, which made him a little embarrassed. "I'm causing you trouble."
"Hey, what's the point?" Sun Lien responded with a smile, "Brother Cao usually helps me a lot. A few days ago, he took over my shift and took over several patients who drank too much. As a result, Brother Cao was busy with work.
One night, someone even vomited all over me."
Cao Yanhua closed his eyes in pain. He seemed to see the serious-faced middle-aged man being stared at so hard that he went numb, and then the other person opened his mouth and spat all over himself. This experience is not only indelible in time, but even some details
It will become clearer as time goes by, such as the sour smell with the smell of alcohol, such as the disgusting feeling of vomit getting into the collar of clothes and flowing to one's back.
Dr. Cao Yanhua was busy disgusting himself, while Sun Lien began to examine Cao Jianguo's hands. These were indeed the hands of an old farmer. The skin on his hands was hard and thick, and there were many calluses.
"Don't you usually wear gloves when doing farm work?" Sun Lien touched Cao Jianguo's rough hands and sighed, "These hands are full of calluses."
"How can a farmer be so valuable?" Cao Jianguo laughed honestly, "Young man, you probably haven't played with a hoe much. If you wear gloves, the handle of the hoe will be too slippery and you won't be able to hold it."
Sun Lien nodded thoughtfully, and then frowned. Cao Jianguo's calluses were not only on one side of his hands, but also on the metacarpophalangeal joints on the back of his hands.
In previous novels, those with callouses in this position were all masters of boxing. Sun Lien recalled with some nostalgia the martial arts novels he had read in high school. Unexpectedly, Cao Jianguo was also a hidden master.
"Doctor Cao, do you have the habit of practicing martial arts in your family?" Sun Li'en said to Cao Yanhua, "Why haven't I heard you talk about it before?"
Cao Yanhua finally broke free from the disgusting memories and was a little confused about Sun Lien's question, "Dancing practice? What kind of dance? No one in my family can dance."
"It's not dancing, it's martial arts." Sun Lien pointed to the back of Cao Jianguo's hand, "There are calluses on the metacarpophalangeal joints. It will take a long time to punch them out, right?"
"No way..." Cao Yanhua scratched his head, "Second uncle, do you know martial arts?"
"No." Cao Jianguo burped again, "I don't know where those calluses came from on the back of my hands. They didn't seem to be there a few years ago."
Sun Lien frowned. This was not in line with his common sense. People with calluses on their hands must know where their calluses came from. For example, the callus on his right index finger was made by using a pen when he was a student.
of.
What if these calluses are not real calluses, but a symptom?
Sun Lien glanced at the status bar above Cao Jianguo's head again.
"Cao Jianguo, male, 54 years old, with weakened esophageal smooth muscle peristalsis, insufficiency of the lower esophageal sphincter, and diffuse skin thickening." A new prompt was added to the status bar, and this time the prompt was not the usual one when he had other findings.
It's white, but has the same black font as the status bar's built-in prompts.
Sun Lien's eyes widened, "No... Uncle Cao doesn't have reflux esophagitis!"