I learned skills in a different world

As for staying in Beijing for internship, Shen Fangshi could only call his grandfather and tell him that he would have to go back later this winter vacation. Grandpa Bai was disappointed but also happy and proud of his grandson, asking him to practice well, but also keep warm and be careful of the flu.

Shen Fangshi was very happy to get this internship opportunity, but he was a little worried about side task 2. Beijing is the capital city, with big hospitals everywhere and many famous doctors. And Shen Fangshi is only a freshman now. How could anyone trust an intern instead of seeking treatment from other reliable doctors?

...So where to find a hundred patients? He can't go to the street and grab a person and ask him if he is sick and if he needs my help to treat you. It is conceivable that if he really does this, he He would definitely be treated as a lunatic and beaten to death.

Moreover, this internship was due to the flu, and the hospital was short of manpower, so he would not be allowed to treat patients as a freshman intern. He was probably going to be an assistant and take care of patients.

So what should we do to get him started?

Shen Fangshi's internship was at the Affiliated Hospital of Beijing Medical University. He was assigned to be an intern in the Respiratory Department and studied with Dr. Liu of the hospital. Because during the internship, medical students mainly learn from the teachers some knowledge that cannot be obtained in school, so the internship is There is no salary.

Now that the flu is breaking out, the respiratory department is overcrowded every day. Shen Fangshi wears protective clothing every day and is so busy that his feet never touch the floor. In fact, Shen Fangshi is a practitioner and is not afraid of ordinary virus evil at all. However, he must wear protective clothing to show off in the hospital. If it weren't for him secretly running his skills, he probably wouldn't be able to endure this high-intensity work.

At first, people in the department had some objections to him being able to do internships in his freshman year, and Dr. Liu didn't pay much attention to him. But when they saw that he didn't complain about being tired, he did his work in an orderly manner, which saved them a lot. Things gradually improved.

Shen Fangshi didn't care about other people's opinions. He was not a person who was good at interacting with others. In his previous life, he didn't have much contact with people. He was estranged from his relatives. He only had a sister who was once his fiancée and a close friend. friend.

Later, after his death, his soul wandered for thousands of years and had long been accustomed to being alone. Then he was brought here by the Tiangong system. Although there was Grandpa Bai, he was the grandfather of the original owner, so he could never integrate into this environment. .

He is used to entertaining himself and immersing himself in his own world. To be honest, the arrival of the Tiangong System has added a bit of color to his boring life, so he does not reject doing tasks. Cultivation is also very interesting, thinking that he can do it in the future Going to more different worlds made him look forward to the days ahead.

Now Shen Fangshi is busy studying with Dr. Liu. Originally, for the internship of medical students, the hospital has teaching tasks and has to take responsibility for the work of the interns. The teaching teachers need to prepare lessons, give lectures, etc.

However, this internship is a special situation. The interns are used to relieve manpower pressure. The teaching teachers generally do not have time to guide the interns, so there is no mandatory quota.

Therefore, how much an intern can learn depends entirely on the mood of the teacher.

But after more than two months of busy work, the flu virus has been suppressed recently, and the pressure on the hospital has been reduced a lot. Shen Fangshi took advantage of this time to ask for leave for a week. Before leaving his job, he asked Dr. Liu to write a written leave note including a safety commitment and contact information. , after getting the approval and signature from the head of the department for future reference, I finally went home and spent a belated Spring Festival with Grandpa Bai.

After a few days of comfortable Spring Festival, Shen Fangshi returned to Beijing and started his busy internship career again.

Dr. Liu has a much better attitude towards him now and takes better care of him. In addition to ward rounds, Shen Fangshi will be asked to diagnose first during the consultation. As long as his diagnosis is correct, the treatment plan he prescribes will be approved by Dr. Liu, and After successfully curing the disease, Shen Fangshi was even counted as a patient. This was expected by Shen Fangshi. After all, this was how Shen Fangshi completed the task at home under the supervision of his grandfather.

Now he has treated thirty-four patients, and Dr. Liu is even more surprised, because he was young when he saw Shen Fang before and thought he was a connected person who came in through the back door. Dr. Liu himself is fifty-six years old and relies on himself Those who have reached this position step by step certainly don’t like related households.

And Dr. Liu doesn't think that an intern with no experience can be of much help. Instead, it will make the already busy hospital even more chaotic.

But then I discovered that Bai Lian was modest and studious, and his medical skills were indeed good. Later, when I asked about it, I found out that Bai Lian was recommended by the teachers at the college. Then I realized that I had misunderstood Bai Lian, and I felt a little embarrassed, so I could only I usually teach Bai Lian a lot, and then the more I teach, the more I feel that Bai Lian is not simple. Many things can be understood at a glance, and the diagnosis is very accurate. As long as no accidents occur, I will definitely achieve great achievements in medical skills in the future.

On this day, Shen Fangshi was following Dr. Liu to inspect the wards. As soon as he walked to a ward, there was a sudden commotion outside the corridor. Shen Fangshi and Dr. Liu were thinking about what was going on, and the noise suddenly became louder.

A middle-aged woman cursed and pushed an old lady in a wheelchair, followed by two men with fierce looks behind her.

Before Shen Fangshi could react, the woman shouted at the top of her lungs: "You are so unscrupulous! The black-hearted hospital has given up its conscience for money. My mother's asthma has not healed after taking medicine for so long! Pay for it! You must pay for it!"

"I have evidence in my hand. This is the drug list prescribed by the doctor in your hospital!" He said, shaking a piece of paper in his hand.

Seeing more and more people watching, Shen Fangshi pulled a nurse and asked in a low voice: "What's going on?"

The nurse also knew Shen Fangshi. She turned around and saw Shen Fangshi wearing a mask, and said regretfully: "That old lady was a patient of Dr. Zhen, but Dr. Zhen was indeed wronged. It has been more than a year. Those people just registered casually. Dr. Zhen took a look and found that the old lady had a cough, phlegm, and breathlessness, which was very similar to asthma. He asked them to do a lung function test and chest X-ray first. As a result, they were afraid of spending money, so they directly asked Dr. Zhen to recommend it. Dr. Zhen doesn’t listen to anything she says about asthma medicine, and now she’s making trouble when something goes wrong.”

As he spoke, he said in a lower voice: "I heard that they didn't buy the medicine at our hospital because it was too expensive. Instead, they took the medicine list to a small clinic to buy the medicine."

Shen Fangshi had a general understanding of the whole thing, and then took a closer look at the old lady in the wheelchair. Her facial expression seemed unnatural, her limbs were trembling slightly, and she was sweating all the time.

Shen Fangshi's heart twisted and he walked quickly to the old lady to check carefully.

The middle-aged woman was still shouting loudly when she suddenly saw a young doctor approaching. She was flustered and couldn't help taking a few steps back. When she reacted, she immediately pointed at Shen Fangshi and said, "Who are you? What do you want to do? You want to fight in broad daylight." people?"

The two men also reacted. When they came to arrest Shen Fang, Shen Fangshi certainly wouldn't let anyone catch him and shouted in a low voice: "Don't move!"

"This old lady doesn't have asthma."

People around me felt that everything happened too fast. Before, they were listening to the middle-aged woman swearing. The next second, a young doctor came and said that the old lady didn't have asthma. What was that? How did this young doctor get to the patient through the crowd of onlookers? They didn't see it clearly at all...

This was the voice of an old man, "You said it's not asthma, what is it?"

"It's an anxiety disorder." Shen Fangshi looked at the person who spoke. He had gray hair and wore glasses. He was the deputy director of the affiliated hospital and Director Shen of the Respiratory Department.

"anxiety?"

“Yes, anxiety disorder mainly manifests as the psychological experience and feeling of excessive worry. Patients will have persistent or episodic inexplicable anxiety, fear, tension and uneasiness. In addition, they often experience accelerated heart rate, accelerated breathing, and sweating. , tremors, weakness, tiredness, difficulty sleeping, and intestinal problems. These are very similar to the symptoms of asthma, and can be easily confused if you don’t check carefully. However, there are many types of anxiety disorders, but I don’t know this old lady What it is, we need to check it carefully.”

For example: generalized anxiety disorder is mainly characterized by persistent and excessive worry about possible and unpredictable dangers or unfortunate events; social anxiety disorder is mainly characterized by inappropriate behaviors in situations where people are paying attention and may be commented on. Anxiety; Panic disorder is mainly characterized by sudden and irresistible fear, fear, worry and a feeling of impending doom and impending death during daily activities. 1

Seeing his calm and unhurried appearance, everyone unconsciously began to trust him a bit.

Although it is not asthma, and anxiety disorder does not sound serious, in fact, anxiety disorder can affect the nervous system, such as excitating the sympathetic nerve, causing vasoconstriction, increased blood pressure, and increased heart rate, thus inducing chronic cardiovascular and cerebrovascular diseases in patients. Such as acute exacerbations of hypertension, coronary heart disease, stroke, heart failure, etc.;

Severe anxiety may even induce depression, which can ultimately lead to self-harm or even suicide, with serious consequences. Therefore, we should also pay attention to this disease. 2

For anxiety disorders, it is best to go to the psychiatric department for treatment. Although the patient's family members were unwilling to undergo pulmonary function tests and chest X-ray examinations, which led to the wrong treatment plan, Dr. Zhen did have to bear some responsibility. In the end, the hospital took the final decision and proposed that the hospital be responsible. They had to pay for the old lady's subsequent psychological treatment and drug treatment themselves, and Dr. Zhen personally compensated the old lady 20,000 yuan.