This doctor is great

Chapter 3 The first ward round...

Department of Cardiology, fifth group.

"Hi, my name is Huang Yiming..."

"Hello, Zhou Mo..."

The two shake hands.

Zhou Mo and Huang Yiming were assigned to a group and introduced themselves to each other.

Huang Yiming looked at Zhou Mo, thinking about Zhou Mo's education.

Gee...

In this round, I am sure to win! !
At this moment,
A half-bald, middle-aged doctor walked in.

"You are Huang Yiming and Zhou Mo? I am Chen Bing, your teacher..."

Chen Bing, a resident doctor, looked at the two cute new medical students Zhou Mo and Huang Yiming, and felt a splitting headache.

No clinical experience, the most troublesome!
"Hello teacher!" Huang Yiming shouted loudly and respectfully.

Zhou Mo looked sideways slightly, he didn't expect this senior brother to come to trouble.

Zhou Mo: "Hello, teacher!"

"You don't need to call me Teacher, just call me Senior Brother Chen..."

"Hello Senior Brother Chen!"

"Hello, Senior Brother Chen."

Chen Bing nodded, and then cut to the chase and said: "You just entered the department today, and you may not know one thing... From the moment you 10 medical students entered the department, a competition has already begun. Make a game and bet on 10 of you, who will perform the best and who will perform the worst...Rate once a week..."

Zhou Mo and Huang Yiming: "???"

fuck

And this operation?
Leaders, you are so coquettish!
At this moment, Huang Yiming was already nervous.

But he glanced at Zhou Mo vaguely, and immediately relaxed again. After all, he is also a master of SYS Ph.D., so it shouldn't be possible for him to be at the bottom, right?
On the contrary, Zhou Mo was faintly excited and looking forward to it.

He also wanted to know, who was the best between himself and the masters of theology!

"All right!"

"Next, I'll take you to rounds..."

"By the way, let me see your fineness..."

Zhou Mo and Huang Yiming were shocked,
The assessment is here!

When I graduated from an undergraduate degree, I had an internship in a hospital and had some experience, but now it has been several years, and I don’t know how much I have left...

……

quickly,

Doctor Chen Bing brought Zhou Mo and Huang Yiming to one of the wards.

28 beds.

The patient is an elderly man in his 60s, male, with thinning hair, and he is lying on the bed at this time.

"Hi doctor..."

"Hi doctor..."

Patients, family members and wives greeted politely.

Chen Bing smiled: "Uncle, let me check your room..."

Patient: "Thank you doctor..."

3 people stood in front of the 28 beds.

Chen Bing said to Zhou Mo and the two: "The 28th bed...is in charge of a medical student of mine, and now he has gone to another department for a turn, and you need to take over later..."

Thinking of this, Dr. Chen Bing couldn't help being happy again.

After all, it is very painful to write medical records and adjust doctor's orders.

Now that there are students coming, these miscellaneous things can be left to the students to do.

Cool!
"Okay, who's going first now?"

Chen Bing looked at Zhou Mo and Huang Yiming.

Huang Yiming hesitated for a moment. To be honest, he had no idea.

Zhou Mo raised his hand first: "I'll come first..."

I, Zhou Mo, will not lose to anyone!
Chen Bing looked at Zhou Mo in surprise, nodded with a smile and said, "Okay, come and try..."

Zhou Mo took a deep breath.

Picked up the sign hanging by the bed.

"Bed 28, Zhang Jianguo... old man, how do you feel today?"

"It's okay, much better than yesterday..."

"May I ask why you were admitted to the hospital?"

"Chest pain..."

"Have you had high blood pressure before? How many years?"

"Hypertension for 4 years..."

"Any other medical history?"

While asking, record in the notebook.

It went smoothly and nothing went wrong.

Then I did a physical examination, listened to heart sounds and so on...

5 minutes later,
A standard and smooth ward round process is over.

The summary is:

——Patient Zhang Jianguo, 62 years old, with a history of hypertension for 4 years, without diabetes or hyperlipidemia, suffered coronary artery stenosis 2 years ago due to coronary heart disease (coronary atherosclerosis), and underwent interventional surgery in the Department of Cardiology. a stand.

——Sudden angina pectoris 3 days ago, continued to be unconscious, and then admitted to the hospital, found to have myocardial infarction...

During the whole ward round, Chen Bing beside him couldn't help being surprised, but at the same time faintly excited.

[I'll go, yes! ]
[This Zhou Mo has the lowest educational background, but he seems to be talented in this clinical practice! ]
[Many medical students need at least several times or more than ten times to have such smooth ward rounds! ]
[Moreover, during the consultation process just now, it is obvious that he has a very solid foundation in hypertension, coronary heart disease, intervention, stents, etc. in the Department of Cardiology, which makes the consultation seem so easy. ]
[Good guy, I thought it was the worst one, but it turned out to be a surprise for me! ]
And Huang Yiming,
At this moment, his face couldn't hold back anymore.

[I'll go, this week, Mo, it's amazing! ]
In his heart, he began to feel uneasy, because he always thought that Zhou Mo would be at the bottom, so he could relax a bit, but Zhou Mo directly gave him a 'surprise'!
"Teacher, my rounds are complete."

Zhou Mo finished recording and put down his pen.

Chen Bing nodded: "Yes..."

I can't help but like Zhou Mo, a cute new medical student.

But I'm still not sure if Zhou Mo really has material.

So, he couldn't help but start asking questions.

Chen Bing: "At first, the patient fainted because of angina pectoris... What is angina pectoris?"

This is basic knowledge, very simple.

Zhou Mo answered easily: "Angina pectoris is a clinical syndrome mainly manifested by episodic chest pain or chest discomfort caused by coronary insufficiency, acute temporary ischemia and hypoxia of the myocardium."

Chen Bing began to increase clinical practice: "Tell me, what medicine is there for angina pectoris?"

Zhou Mo didn't hesitate to think: "Myocardial infarction, the most commonly used medicines are Suxiao Jiuxin Pills, nitroglycerin...but generally nitroglycerin, the effect is the best..."

Chen Bing: "Is there anything special that needs to be paid attention to when using nitroglycerin?"

Zhou Mo thought for a while and said, "It should be the posture after taking it... sit or semi-recumbent..."

Chen Bing was even more surprised, and he really understood, so he couldn't help but continue to test: "Tell me the principle."

Zhou Mo talked eloquently: "If you are standing, due to the effect of gravity, the blood will stagnate to the lower limbs, which will easily cause insufficient blood supply to the brain, which will lead to postural hypotension, dizziness, and even induce syncope... Taking medicine while lying down will lead to return of blood. The amount increases rapidly and increases the load on the heart... so you have to sit or eat in a semi-recumbent position..."

Chen Bing nodded.

Solid knowledge!

Not bad!

Keep asking to see his limit!

Increase the difficulty!

Chen Bing asked a more difficult question: "If angina pectoris causes myocardial infarction, how should I use the medicine?"

Zhou Mo said without hesitation, "Use "aspirin enteric-coated tablets", which is an anti-platelet aggregation drug! "

what,
Really understand!
Then Chen Bing asked several other more difficult questions that involved on-the-spot issues, and Zhou Mo answered them all smoothly.

Doctor Chen Bing nodded, feeling a little excited inside.

It feels like someone lost a treasure, and then I picked it up.

"Are you sure you haven't had clinical experience?"

"No."

"Okay... good performance..."

Chen Bing praised happily.

Zhou Mo smiled.

After passing this level, it was not in vain that he endured for 13 hours and read a lot of materials about the Department of Cardiology.

Teacher Chen Bing looked at Huang Yiming at this moment: "The next thing is you."

Huang Yiming held up his notebook: "No problem!"

Full of confidence!

As a top student, he naturally has a strong ability to analyze and summarize. He has already summed up the process of ward rounds through Zhou Mo's ward rounds just now.

Wards rounds skills, get! !
Idiot!
"Okay!" Chen Bing nodded, and came to bed 39: "I'm also in charge of bed 39, come and check the room..."

"is teacher!"

Huang Yiming is full of confidence.

Hold your head high!

I will do better than Zhou Mo!
.

(End of this chapter)