I Spent Those Years In the Operating Room Fighting Monsters

Chapter 66: Let's see a few more patients!

   Lu Cheng is really very nervous. This is the first time in his history that he has stood on the stage as a "teacher" and taught a group of teachers.

   When he was undergraduate, Lu Cheng taught in a small class, but they were all classmates. Everyone was a rookie. I previewed. If you didn't preview, I know a little better than you.

   But it is different now. Over 80% of the people sitting below are more senior than Lu Cheng, and even a few of them were teachers when he was in the emergency department.

   This identity is different, and the mentality will naturally be tense.

   But when things got to this point, Lu Cheng could only say: "Teachers, hello everyone, I am Lu Cheng, Lu Cheng in orthopedics."

   "To be honest, I am very nervous now, because before I came to the emergency room, I didn't have any preparation, including what to talk about and the preparation of the PPT. Even I was completely unfamiliar with the PPT made by Dr. Dong Yihe."

"So calling me to share the experience, in fact, is to read this PPT. This is a bit of a waste of teachers’ time. It is better to be like this. Because Dr. Dong Yihe had a temporary accident, let’s prepare it together. Let’s look at some of the things we’re sharing and learn about it.”

   Lu Cheng is trying to pull Dong Yihe, although he said that Dong Yihe came here to share his experience as a deal with his quota, but is Dong Yihe hard?

   He also worked hard!

   He also watched nearly 60 or 70 patients. Although the results were not very good, some patients even experienced complications after being introduced from the orthopedics department, because the discovery was timely and there was no major problem. A few people failed to save their lives.

   But don’t forget Dong Yihe’s identity. He is an orthopedic surgeon. He only needs to understand the types of orthopedic diseases and specialize in orthopedic issues.

   The patients he had seen had no problems in orthopedics, and he had to look at other issues, which in itself was a harsh requirement.

   Not everyone is Lu Cheng...

   There are a lot of ppts, more than 50 full pictures and texts. It proves that Dong Yihe is very well prepared, but most of the contents are clichés.

   Lucheng was over in about seven or eight minutes.

   And then to the last thank you page, Lu Cheng bowed to everyone again: "Thank you for watching."

   "The content prepared by Dr. Dong Yihe is quite comprehensive. Many small details may also be the accumulation of Dr. Dong Yihe's usual clinical experience, which are very important details."

After Lu Cheng continued with Dong Yihe’s topic again, he changed the subject: “However, I personally feel that perhaps the clinical symptoms of the emergency department are not that important. Physical examinations, detailed, accurate and comprehensive physical examinations, are me. Think the most important!"

   Originally, when Lu Cheng played the PPT, everyone was drowsy. They are always going to the emergency room for the things that can be found in the books. Do they still need to take a closer look? ?

   But out of respect and pity for Dong Yihe, everyone is just acting.

   It was Lu Cheng that they were really interested in. Such a turning point immediately drew everyone's attention to Lu Cheng.

  Physical examination?

  Physical examination, isn't this the most basic?

Lu Cheng combined his own process of using the panel. Every time he needs to find a health bar, he must first check his body. Only when he finds a problem will it be digitized. Otherwise, he can only see it at a glance. The traumatic blood strip!

   Lu Cheng continued: "The patient's medical history, disease, and clinical manifestations are all confusing, and even the patient's oral medical history is not always completely believed."

   "Because except for a few particularly obvious clinical manifestations, they are actually the subjective opinions of patients."

   The definition of clinical manifestation refers to a series of abnormal changes in the body of a patient after a certain disease in medicine. Most of these problems are spoken by the patients themselves. It hurts here and there.

   The patient is not professional, and may not be able to say the key points in many cases.

   "However, when our doctors perform physical examinations on patients, the passive performance of patients is more objective and true. Let me take the time when Dr. Dong Yihe fell just now, as an example."

   "What we saw was his sudden fainting, vomiting, and weakness in his limbs! This is what we saw with our own eyes. It is easy to think of cerebrovascular diseases, and we should also think of it because cerebrovascular diseases are more dangerous."

   "It's just that if we look at it more comprehensively and seriously, we will find that Dong Yihe's eyes and pupils are normal. It is not like an external sign of cerebrovascular disease, and his mentality is also good."

   "Although this may be a manifestation of cerebrovascular disease when it is still mild, such as transient syncope, hypoglycemia and other symptoms may occur."

   "But through vomit, we can at least rule out hypoglycemia. When transient syncope, we will not check the patient's limb muscle weakness. And we have not found an increase in muscle tone on the patient."

   "These are some physical examination results that let me rule out cerebrovascular diseases."

   "According to what we have seen, myocardial infarction and pulmonary infarction will not suddenly fall to the ground so quickly, and it can be basically eliminated."

   "Of course I didn't have time to do a cardiopulmonary physical examination, and when I touched my abdomen, I didn't feel the gastrointestinal type. But I am an orthopedic surgeon, so I can clearly feel Dr. Dong Yihe's muscle tremor..."

   "Rejoining..."

   Lu Cheng said slowly ~www.wuxiaspot.com~ Everyone didn't care about it, but with what Lu Cheng said, everyone's expressions gradually became serious.

   Yes, although physical examination is basic, it is this basic thing that occupies a huge space in diagnostics. In fact, the diagnosis of many patients does not rely solely on imaging and laboratory examinations.

   If imaging examination and laboratory examination are qualitative, then physical examination is positioning.

   The characterization and positioning of a disease is very important.

   eloquently, Lu Cheng talked about it for about twenty minutes before finally finishing what Lu Cheng wanted to talk about. Combined with Dong Yihe's living case, everyone heard it interestingly, and they also listened to it.

   Of course, the content to be shared with the more than fifty ppt prepared by Dong Yihe at this time is still slightly shorter.

   Mao Lei saw that the time was too short, and after Lu Cheng finished speaking, he immediately said: "Are you like me? Listening to Lu Cheng's speech is very interesting, but I haven't heard it?"

   "But we have to be considerate. Lu Cheng was temporarily pulled up to give lectures, so what he was talking about was completely real thoughts, not a rehearsal class."

   "I think this is good, there must be some emergency patients coming out today. Let's go to see a few patients with Lu Cheng and study together, okay?"

  Although Mao Lei also thinks that it is not good for Lu Cheng to talk so short, but this is the real experience sharing, the actual experience sharing. Compared to the PPT prepared by Dong Yihe, this may be of more interest to everyone.

   This proposal is good, to be honest, call them to listen to ppt, it is better to see a few patients.

   So Lu Cheng could only be led by Mao Lei and crowded into the emergency department.

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