This doctor is great

Chapter 17 The first departmental rounds and case reports

Saturday and Sunday,
As a hard-working bed doctor, Zhou Mo undoubtedly has no way to rest.

No, to be precise, I have one day off to schedule shifts, but I only took half a day off, and continued to work on the remaining half day.

And this half day off, Zhou Mo used it to move.

Officially moved from the distant Yupan Square to the dormitory of the school staff, and it will be 500 meters away from work, which is very convenient, and there is also a school canteen.

During these two days, the grandma in bed 29 was happily discharged from the hospital. When she was discharged, she even gave a fruit basket to the fifth group, and at the same time took Zhou Mo's hand to thank her repeatedly.

"It's a pity, my granddaughter is not natural, otherwise I would have introduced it to you!"

Grandma said with a pity on her face.

Zhou Mo wants to say something: Granny, I heard that your house has several suites, and there are also several shops in the Thirteenth Bank. Actually, I don't mind...

……

on Monday,

A new week has arrived!

That was Zhou Mo's second week in cardiology!
Today is the day of the big rounds of the department, which is very important.

Zhou Mo started to get up at 7 o'clock, then brushed his teeth and washed his face, went to the school cafeteria to eat, and then walked 7 minutes to the cardiology department.

It's cool to live close, without squeezing Death Line 3 for fitness.

"Morning..."

"morning……"

"Have you had breakfast yet?"

"I just went to the dining hall to get some buns..."

As soon as Zhou Mo entered the cardiology department, he obviously felt the excitement, like a vegetable market.

Forty or fifty doctors from the general practice all came, and several of them were white-haired professors in their sixties.

Many nurses also came.

"Zhou Mo!" Huang Yiming greeted from a distance.

He was standing with other medical students, Wang Lilong, Huang Xinyi, Chen Sumei, Zhangwu, Ye Rong...etc.

Zhou Mo walked over.

All the medical students looked at Zhou Mo together.

At this time, Zhou Mo is undoubtedly the focus of the 10 medical students, because Zhou Mo is going to report a case today, which is a rare opportunity to express himself.

Zhang Wu and Ye Rong, who are already in charge of the bed, are envious in their hearts, and at the same time they are looking forward to when they can be on the big stage of this big ward round.

Huang Yiming patted Zhou Mo on the shoulder: "How are you preparing? Are you nervous?"

Zhou Mo smiled confidently: "It's okay..."

Because the 29th bed was discharged, Zhou Mo took care of one less patient, and the spare time in these three days has increased.Then I started frantically supplementing various related papers to answer questions from professors.

Wang Lilong clenched his fist: "Come on!!"

Others also shouted: "Come on!!"

Cheer for Zhou Mo.

Zhou Mo looked at his watch, it was almost time.

"Go, go to the meeting room..."

quickly,

会议 室

The projector turns on,

There are many doctors, all the doctors in the whole department, except those who are on business trips or those who have special reasons, they all sit here.

The boss of the department, that is, Professor Qi, the director of administration, sat in the middle of the front, and the subordinates behind him sat in the back according to their 'rank'.

It is impossible to conduct a large round of wards in all wards.
Instead, PPT report first, electronic ward rounds, go through all the special and difficult patients.

One by one, the regular training doctors, resident doctors, and fellow doctors who are currently in charge, went up one after another, opened the PPT, and projected the report.

"CCu8 bed, male patient, 48 years old, was admitted to the hospital mainly due to cardiac arrest. There was no history of cardiovascular disease, family history and drug abuse history. After defibrillation, spontaneous circulation was restored. The patient developed pneumothorax due to compression during cardiopulmonary resuscitation. Later The patient was transferred to CCU for further treatment. CAG showed no significant coronary artery stenosis, pulmonary artery CTA showed no signs of pulmonary embolism, and left pneumothorax formation was seen. UCG showed no abnormal wall motion and no cardiac contusion. LVEF was 60%. Six hours later Arrhythmia occurs, as shown in the picture, urgent blood test returns: blood potassium 6mmol/L..."

Professor Qi glanced at it, and said sternly: "Go back and consolidate the monism and dualism of hypokalemia. I remember summarizing the data three months ago... Also, pay attention to secondary aldosteronism..."

"Yes! Professor!"

The doctor in charge of the report suddenly broke out in cold sweat on his forehead. This was Professor Qi criticizing his lack of solid knowledge.

And his superior doctor, that is, the attending doctor also quickly lowered his head, for fear of being called by name.

Huang Yiming and the other medical students were suddenly frightened.

This director is so strict!

Next doctor report.

"Bed No. 21, male patient, 33 years old. The main cause of "chest pain for 4 hours" was admitted to the hospital. Physical examination: general condition, stable hemodynamics. No special medical history. Smoking history for 8 years. Emergency admission ECG is shown in Figure 1 , After getting Figure 1, it was found that the left and right hands may be reversed, and some special treatment was performed immediately and a new ECG was obtained, and then ECG 2 was obtained."

This case is interesting,
Although Figure 1 is taken upside down, it has a certain reference value, and it has a feeling of interlocking with Figure [-].

Moreover, a myocardial infarction at such a young age of 33...is worth discussing.

The director and several professors gave comments and suggestions.

The third doctor came to report.

"Bed 24, male patient, 35 years old, no special discomfort, abnormal CK-MB found in physical examination. CK was normal, HBDH decreased, LDH decreased. Thyroid function, liver function, troponin, electrocardiogram, cardiac color Doppler were all normal... 2 This is true for 3 re-examinations within a month..."

……

Fourth, it was Zhou Mo's turn.

Zhou Mo walked up to the stage, inserted the USB flash drive into the computer, and started to open his PPT.

"Hello teachers, today I am reporting a rather special case, please give your comments..."

"Female patient, 65 years old, 10 years of refractory hypertension, accompanied by long-term headaches, the cause has not been found..."

Zhou Mo explained the condition, diagnosis process, and treatment process very fluently.

There was a low hum in the conference room...

Finally, Professor Qi nodded: "This case, everyone can learn from it. Refractory hypertension may not be really difficult to treat. It may just be that we haven't found the right method..."

Then he looked at Zhou Mo,
Hey, he turned out to be a big handsome boy.

Why haven't I seen it before?
After all, such a handsome boy is always easy to leave an impression on others.

"What's your name?" Professor Qi was justified by Zhou Mo's appearance.

"Hello, Professor Qi, my name is Zhou Mo, a medical student who just arrived..." Zhou Mo played a trick and told about his 'just arrived'.

"Huh, just here?" Director Qi was surprised: "I remember the new batch, it's only been less than a week, right? Not only did they manage the bed independently, but they also cured a patient, and they performed well."

And some of the attending doctors around were bustling.

"Is he Zhou Mo?"

"I remember his clinical experience is zero?"

"We were all wrong! We thought it was the worst, but it turned out to be the best!"

"He's pretty pretty..." (female doctor)
If there is a reputation system,
It is estimated that Zhou Mo's head will continue to float the reputation of the department +1+1+1...

Then the prestige title was upgraded from "unknown" to "up-and-coming"...

As for the 9 medical students, they were already too envious.

A man should be like this · jpg
Zhou Mo naturally jumped for joy.

If I didn't show my strength one more time, the possibility of staying in the hospital would increase by 1%!

"No, it's not enough, this case is not difficult to put it bluntly... I still need to continue to show more performance!"

Zhou Mo cheers for himself!
.

(End of this chapter)