Chapter 239: Getting better and better (for the lazy classmates of P
There is only one chief director on the three floors of the Orthopedics Department of Puze Hospital, and that is Li Jianwei.
The fifth floor is the Department of Orthopedics and Joints, the sixth floor is the Department of Orthopedics and Traumatology, and the seventh floor is the Department of Spine. Li Jianwei goes to the three departments for rounds every Monday, Tuesday, and Wednesday morning.
Bai Ye mainly followed Li Jianwei in the orthopedics department. There were many orthopedic surgeries, basically several surgeries every day, while Li Jianwei only participated in those difficult surgeries. Usually, other chief physicians were responsible for them respectively.
The talent level of orthopedics is very complete, and it is a well-developed department in Puze. There are eight senior experts or above, more than ten deputy senior deputy chief physicians, and the rest are basically attending physicians.
Although bone injuries, bones and joints are clearly distinguished on the three floors, the patients are not so particular. Basically, the patients admitted on the three floors are the same.
After a period of familiarity, Bai Ye already had a basic understanding of things in the department.
Especially during ward rounds, Bai Ye could basically answer Li Jianwei's questions clearly and clearly.
The basic subject skill of orthopedics and traumatology is level 6, which is not easy at all. After two weeks of admission study, Bai Ye has a general understanding of orthopedics, and clinical orthopedics and traumatology has also reached level 2.
Moreover, Bai Ye finally got a system task reminder:
[Ding! Entering the Department of Orthopedics will trigger a training task: independently manage ten patients, from admission to discharge, and truly become a clinical doctor. Upon completion of the task, you will obtain small clinical skills in Orthopedics and Traumatology. 】
Not only talking about the tasks, but also Bai Ye discovered a problem. There were really not many opportunities to get started with the director, and the clinical skill level was improved too slowly. Therefore, Bai Ye took the initiative to propose his own idea to Li Jianwei: he wanted to take the initiative to try it.
Independently manage patients.
When Bai Ye put forward this idea, Li Jianwei hesitated. Many graduate students had already begun to manage patients independently, but they were all graduate students in orthopedics and traumatology, helping teachers manage patients.
When the shift was handed over the next morning, there were no interns, all were doctors in the department, so Li Jianwei announced something.
"Today, I want to tell you something. I want Bai Ye to try to take care of patients independently and assume the responsibility of a doctor in charge. Bai Ye will be fully responsible for the entire process from receiving the patient to the patient being discharged."
"Everyone should be more careful during this time, pay more attention, and pay attention to the recovery of some patients. If there is anything, please pay more attention, and if Bai Ye has any difficulties, please help."
Upon hearing this, everyone agreed one after another.
As a result, Bai Ye successfully became a temporary doctor in charge.
Bai Ye received a patient that day, a patient with lumbar disc herniation who was admitted by Li Jianwei from the outpatient clinic.
This patient is an elderly person, and the main purpose of hospitalization is maintenance. Kyoto City Medical Insurance directly reimburses 90% of the patient, and the main purpose of hospitalization is annual rehabilitation treatment.
Bai Ye guessed that Li Jianwei was worried about him, and in order to train him, he admitted a relatively simple patient who was easy to manage.
However, although the disease is simple, Bai Ye does not want to be careless. On the contrary, doing a simple thing well and doing it to the extreme is art.
What's more, the simpler the disease, the harder it is to cure it.
Moreover, this kind of mild patient also gave Bai Ye a gradual process.
After all, Puze Hospital is a hospital integrating traditional Chinese and Western medicine.
There are many treatment methods of traditional Chinese medicine, such as the treatment of waist and back swelling with traditional Chinese medicine, acupoint application, acupuncture, acupuncture, medicine cup removal, etc. The curative effects are very significant, and massage is more effective in relieving the condition.
Moreover, there are many methods of modern medicine, including various supportive therapies, traction therapy, epidural injection of corticosteroids, etc.
Of course, surgery can be performed on severe patients, but surgery for disc herniation requires surgical indications, and surgery is generally not encouraged. After all, postoperative recovery is not necessarily good, and the technology is not perfect.
Only patients with serious illness, long medical history, ineffective conservative treatment and severe pain, or even patients with complications such as nerve root paralysis, muscle atrophy, decreased muscle strength and spinal stenosis are encouraged to do it.
After the patient came, Bai Ye was very attentive. Managing the patient independently and having a teacher to teach him were completely different things.
This is because the patient’s current and past medical history needs to be asked, including what drugs they have taken before, whether they have any history of drug or food allergies, blood transfusion history, surgical trauma history, etc.
Bai Ye didn't dare to be careless. Although he was just a simple patient, he still did his best seriously.
From collecting cases to issuing medical orders, Bai Ye carefully considered everything.
Including the blood and examination items that needed to be tested, Bai Ye went through them carefully.
Of course, the department has templates, such as blood drawing, blood routine, urine routine, stool routine and occult blood, liver and kidney function, coagulation, blood viscosity, etc.
The next morning, the patient had blood drawn, films taken, and related examinations done.
After Bai Ye saw the test form, he made judgments based on the relevant inspection results. These processes were very training.
A week later, Bai Ye was able to handle many common clinical issues.
Seeing that Bai Ye might be gradually getting involved, Li Jianwei also accepted other patients for Bai Ye, such as patients after knee replacement surgery, etc...
It has been nearly a month since he came to the Department of Orthopedics. After this period of familiarity, Bai Ye has been able to maturely grasp these basic precautions, and most importantly, the experience gained in this short period of time is more than double that of the previous two weeks. .
This directly brought Bai Ye's clinical skill level in orthopedics and traumatology to level 3, a professional level.
He also gained a lot of proficiency in some common diseases in the Department of Orthopedics and Traumatology, and gradually Bai Ye discovered that many of the patients' diseases were really complicated. A patient in the department needed surgery, but other diseases were found out, and he almost had a problem at that time. If Bai Ye admitted these patients, it might still be difficult to deal with them.
Li Jianwei deliberately did this when he admitted patients. They were all very simple patients without too many complications, so they were relatively good.
And the diagnosis is very clear, they all simply need conservative treatment, and those with really serious conditions that require surgery, Li Jianwei will not accept them to Bai Ye, for fear that something will happen to him, and of course, mainly because he is worried that Bai Ye will not be able to manage the surgery patients. .
After the first batch of patients were discharged from the hospital, Bai Ye vacated a few hospital beds. After Bai Ye leisurely sorted out the cases, he sat here and read a book.
Today is the weekend, and the hospital only has doctors on duty. At this time, the nurse called and said that the emergency department had received many patients today and that they needed an orthopedic emergency consultation.
After Liu Xiaogang, the doctor on duty, learned the news, he ran directly downstairs without waiting for the elevator.
And Bai Ye also hurriedly followed Liu Xiaogang downstairs for urgent consultation! What on earth is going on?
ps: I recommend a book by a friend, "The Mortal World of Monasticism". The author is an old author. If you like reading this kind of writing, you can read it.