Medical road ahead
Chapter 42
"These two questions cannot be answered with 'yes' or 'no'." Qiao Tan said.
"How to say?"
It was Qin Xiao who asked the question. He was propping his chin with one hand and staring at Qiao Tan excitedly.
This pair of eyes immediately made Qiao Tan nervous. She who was originally fluent in speech became stuttering, and her two hands were sometimes clasped and sometimes loosened, "Just say that."
"Drink first."
Seeing this, Qin Xiao unscrewed another bottle of mineral water for her, and took out a tissue and handed it to her.
grumbling-
After Qiao Tan drank three minutes of the mineral water in the bottle, he felt a little comfortable.
Then, she wiped the sweat on her palms with a paper towel, stabilized her mind, and said slowly: "I graduated from a nutrition major, so I will use my experience in learning nutrition to answer the questions from the two friends just now."
"Cough cough!"
Clearing her throat, she brushed aside the broken hair in front of her forehead, held the microphone in her hand, and straightened her back, "Beginners in nutrition are naturally a pile of theoretical knowledge, which is similar to the courses of formal training institutions. After reading several books, I can call myself a 'Nutritionist', but when I went to the hospital for an internship with my teacher, I found that the knowledge memorized in my head could not be applied in practice, just like the teacher asked me about fat. I can immediately explain the functions of the body in detail, and I can draw inferences from one instance, but when I was asked how to control fat intake for a certain patient, my eyes were darkened and I couldn’t answer.”
"This is how I feel when I first learn nutrition, and it is also the doubts faced by most of my friends who have participated in formal institutional training and have been admitted as 'Nutritionist' and 'Health Manager'. I feel that I have studied hard for a long time, but it is useless. .Because theoretical knowledge is only the first stage of nutrition and the most superficial stage, it is difficult to apply it in practice.”
"To advance, you must master medical knowledge, such as basic medicine, physiology, pathology, biology, immunology, endocrinology, molecular medicine, cytology, neurology, life sciences, etc. If you want to use nutrition knowledge to Helping others and self-interest, rather than becoming a professional nutrition physician, does not necessarily require a deep and proficient knowledge of these medical knowledge, but it must have a comprehensive understanding, and be familiar with the physiological operation of the body and the internal structure of the body. "
"Because nutrition can be as simple as the seven major nutrients, energy, vitamins, minerals, etc., but only by understanding the body's structure, physiology, pathology, immunity, endocrine, nerves, cells, metabolism, etc. Apply the basic knowledge to practice. Otherwise, you can only brag to others, but you can’t help others.”
"As for the third stage, what I have experienced in two years of clinical practice and recent work is to learn psychology well. Although we are treating diseases, it is people who are sick. Only by understanding people's thoughts, behaviors, and personalities can they Only in this way can we treat the disease according to the individual, because the "disease" seems to be a physical damage, but it is actually a mental victim. No patient will say that he has no pressure and no negative emotions. When the mental damage of the patient reaches the extreme, it will inevitably affect the body cause adverse effects and eventually aggravate the condition.”
"And there are more and more diseases caused by personal emotions, stress, and living environment. Therefore, the key to treating diseases and people is 'people'."
Speaking of this, Qiao Tan subconsciously glanced at Qin Xiao, who was also looking at her with a smile on his face.
The two looked at each other from a distance, and both smiled without saying a word.
Afterwards, Qiao Tan looked at the audience, raised his lips and continued: "In addition to understanding psychology and providing psychological counseling to patients, we also need to use nutrients flexibly, and use nutrients as the core to help patients with various chronic diseases recover and recuperate, as well as help their health. Crowds prevent disease."
Looking at Qiao Tan, who is speaking freely and getting better, Liu Yaxiu showed a gratified smile
"Ouch! Doctor doctor, I want to see a doctor"
Wang Xiaobo, who had just stepped out of the nurse's station, suddenly saw a middle-aged man with a brown complexion staggering towards him, and rushed to meet him, but before he got close, the man staggered and rushed towards him.
"careful!"
Wang Xiaobo hurriedly supported him, "Brother, what's wrong with you? What's wrong?"
"I'm dizzy, tired, and want to vomit."
Before the word "spit" was finished, there was a "wow" and vomited all over the floor.
"Uh!"
Caught off guard, Wang Xiaobo was also covered in dirt, but he was only stunned for two seconds before quickly helping the fainting patient into the consulting room.
"Xiao Bo, what's wrong with this man?"
Wang Xiaobo's senior sister Xiang Hao came up to ask, but as soon as she got close, she frowned and covered her nose with the vomit on the two of them.
"Drunkard?" she asked in a low voice.
"Not like."
Wang Xiaobo shook his head, resisting the unspeakable stench, and lowered his head to check the man's condition.
"Yellowing of the skin, eyeballs"
He opened the man's drooping eyelids, "It's also yellowish, with bruises on the skin, like drunk and lethargic."
Then, he sniffed the vomit left at the corner of the man's mouth, "There is no smell of alcohol."
"abdomen."
He reached out to the man's abdomen and found that the abdomen was swollen. He patted it lightly, and heard a distinct "clang" sound, "There is ascites."
"Senior Sister Xiang, this eldest brother is probably suffering from liver failure or acute."
After the preliminary diagnosis, Wang Xiaobo and Xiang Hao quickly sent the fainted patient to the Department of Hepatology for examination.
"The jaundice is high, the liver function is abnormal, and the indicators are frighteningly high. It is very likely that it is liver failure as judged by Dr. Xiao Wang. Therefore, it is necessary to carry out etiological screening and further diagnosis."
Dr. Jiang from the Department of Hepatology conducted a blood test on this patient, and told Wang Xiaobo and Xiang Hao about his condition, and asked: "Is he not accompanied by relatives? Did he tell you what he ate, what to do before the onset of the disease?" What have you been?"
"No."
Wang Xiaobo shook his head, and told the story of how he met the patient.
"At first glance, I thought he was drunk." Xiang Hao said.
"Vomiting and dizziness, it does look a bit like being drunk, but thanks to Doctor Xiao Wang's sharp eyes, he can see the clues, otherwise, it would be troublesome to misdiagnose."
Dr. Jiang smiled, and said again: "The patient's mental state is very poor now. We can only inform him that we are going to do the screening for the cause after he is fully awake."
"Okay, sorry to trouble you, Doctor Jiang, my senior sister and I will go to work first."
After Wang Xiaobo said goodbye to Dr. Jiang, he and Xianghao returned to the emergency department and continued to receive other patients.
"Xiao Bo, yes, you can detect it in time when you encounter a patient with liver disease for the first time."
During the break between work, Xiang Hao never forgot to praise, "Do you want me to report to Director Jin so that she can credit you with a credit?"
"Damn! This is the scope of my duties. If there is anything to be credited, don't tell her, lest she scold you for making a fuss." Wang Xiaobo laughed dumbfounded.
"Haha! It seems that you are getting more and more familiar with Director Jin's temperament." Xiang Hao laughed.
"Hehe. After being scolded a few times, I will naturally understand."
Wang Xiaobo smiled wryly, and then said: "I really want to know the result of that patient's etiology screening."
"Nine vitamins a day?"
Before leaving get off work, the patient finally woke up and revealed his abnormal behavior before the onset of the illness. Knowing that he had taken a large amount of vitamins continuously before he developed symptoms of liver failure, Wang Xiaobo was the first to exclaim, dumbfounded.
"How to say?"
It was Qin Xiao who asked the question. He was propping his chin with one hand and staring at Qiao Tan excitedly.
This pair of eyes immediately made Qiao Tan nervous. She who was originally fluent in speech became stuttering, and her two hands were sometimes clasped and sometimes loosened, "Just say that."
"Drink first."
Seeing this, Qin Xiao unscrewed another bottle of mineral water for her, and took out a tissue and handed it to her.
grumbling-
After Qiao Tan drank three minutes of the mineral water in the bottle, he felt a little comfortable.
Then, she wiped the sweat on her palms with a paper towel, stabilized her mind, and said slowly: "I graduated from a nutrition major, so I will use my experience in learning nutrition to answer the questions from the two friends just now."
"Cough cough!"
Clearing her throat, she brushed aside the broken hair in front of her forehead, held the microphone in her hand, and straightened her back, "Beginners in nutrition are naturally a pile of theoretical knowledge, which is similar to the courses of formal training institutions. After reading several books, I can call myself a 'Nutritionist', but when I went to the hospital for an internship with my teacher, I found that the knowledge memorized in my head could not be applied in practice, just like the teacher asked me about fat. I can immediately explain the functions of the body in detail, and I can draw inferences from one instance, but when I was asked how to control fat intake for a certain patient, my eyes were darkened and I couldn’t answer.”
"This is how I feel when I first learn nutrition, and it is also the doubts faced by most of my friends who have participated in formal institutional training and have been admitted as 'Nutritionist' and 'Health Manager'. I feel that I have studied hard for a long time, but it is useless. .Because theoretical knowledge is only the first stage of nutrition and the most superficial stage, it is difficult to apply it in practice.”
"To advance, you must master medical knowledge, such as basic medicine, physiology, pathology, biology, immunology, endocrinology, molecular medicine, cytology, neurology, life sciences, etc. If you want to use nutrition knowledge to Helping others and self-interest, rather than becoming a professional nutrition physician, does not necessarily require a deep and proficient knowledge of these medical knowledge, but it must have a comprehensive understanding, and be familiar with the physiological operation of the body and the internal structure of the body. "
"Because nutrition can be as simple as the seven major nutrients, energy, vitamins, minerals, etc., but only by understanding the body's structure, physiology, pathology, immunity, endocrine, nerves, cells, metabolism, etc. Apply the basic knowledge to practice. Otherwise, you can only brag to others, but you can’t help others.”
"As for the third stage, what I have experienced in two years of clinical practice and recent work is to learn psychology well. Although we are treating diseases, it is people who are sick. Only by understanding people's thoughts, behaviors, and personalities can they Only in this way can we treat the disease according to the individual, because the "disease" seems to be a physical damage, but it is actually a mental victim. No patient will say that he has no pressure and no negative emotions. When the mental damage of the patient reaches the extreme, it will inevitably affect the body cause adverse effects and eventually aggravate the condition.”
"And there are more and more diseases caused by personal emotions, stress, and living environment. Therefore, the key to treating diseases and people is 'people'."
Speaking of this, Qiao Tan subconsciously glanced at Qin Xiao, who was also looking at her with a smile on his face.
The two looked at each other from a distance, and both smiled without saying a word.
Afterwards, Qiao Tan looked at the audience, raised his lips and continued: "In addition to understanding psychology and providing psychological counseling to patients, we also need to use nutrients flexibly, and use nutrients as the core to help patients with various chronic diseases recover and recuperate, as well as help their health. Crowds prevent disease."
Looking at Qiao Tan, who is speaking freely and getting better, Liu Yaxiu showed a gratified smile
"Ouch! Doctor doctor, I want to see a doctor"
Wang Xiaobo, who had just stepped out of the nurse's station, suddenly saw a middle-aged man with a brown complexion staggering towards him, and rushed to meet him, but before he got close, the man staggered and rushed towards him.
"careful!"
Wang Xiaobo hurriedly supported him, "Brother, what's wrong with you? What's wrong?"
"I'm dizzy, tired, and want to vomit."
Before the word "spit" was finished, there was a "wow" and vomited all over the floor.
"Uh!"
Caught off guard, Wang Xiaobo was also covered in dirt, but he was only stunned for two seconds before quickly helping the fainting patient into the consulting room.
"Xiao Bo, what's wrong with this man?"
Wang Xiaobo's senior sister Xiang Hao came up to ask, but as soon as she got close, she frowned and covered her nose with the vomit on the two of them.
"Drunkard?" she asked in a low voice.
"Not like."
Wang Xiaobo shook his head, resisting the unspeakable stench, and lowered his head to check the man's condition.
"Yellowing of the skin, eyeballs"
He opened the man's drooping eyelids, "It's also yellowish, with bruises on the skin, like drunk and lethargic."
Then, he sniffed the vomit left at the corner of the man's mouth, "There is no smell of alcohol."
"abdomen."
He reached out to the man's abdomen and found that the abdomen was swollen. He patted it lightly, and heard a distinct "clang" sound, "There is ascites."
"Senior Sister Xiang, this eldest brother is probably suffering from liver failure or acute."
After the preliminary diagnosis, Wang Xiaobo and Xiang Hao quickly sent the fainted patient to the Department of Hepatology for examination.
"The jaundice is high, the liver function is abnormal, and the indicators are frighteningly high. It is very likely that it is liver failure as judged by Dr. Xiao Wang. Therefore, it is necessary to carry out etiological screening and further diagnosis."
Dr. Jiang from the Department of Hepatology conducted a blood test on this patient, and told Wang Xiaobo and Xiang Hao about his condition, and asked: "Is he not accompanied by relatives? Did he tell you what he ate, what to do before the onset of the disease?" What have you been?"
"No."
Wang Xiaobo shook his head, and told the story of how he met the patient.
"At first glance, I thought he was drunk." Xiang Hao said.
"Vomiting and dizziness, it does look a bit like being drunk, but thanks to Doctor Xiao Wang's sharp eyes, he can see the clues, otherwise, it would be troublesome to misdiagnose."
Dr. Jiang smiled, and said again: "The patient's mental state is very poor now. We can only inform him that we are going to do the screening for the cause after he is fully awake."
"Okay, sorry to trouble you, Doctor Jiang, my senior sister and I will go to work first."
After Wang Xiaobo said goodbye to Dr. Jiang, he and Xianghao returned to the emergency department and continued to receive other patients.
"Xiao Bo, yes, you can detect it in time when you encounter a patient with liver disease for the first time."
During the break between work, Xiang Hao never forgot to praise, "Do you want me to report to Director Jin so that she can credit you with a credit?"
"Damn! This is the scope of my duties. If there is anything to be credited, don't tell her, lest she scold you for making a fuss." Wang Xiaobo laughed dumbfounded.
"Haha! It seems that you are getting more and more familiar with Director Jin's temperament." Xiang Hao laughed.
"Hehe. After being scolded a few times, I will naturally understand."
Wang Xiaobo smiled wryly, and then said: "I really want to know the result of that patient's etiology screening."
"Nine vitamins a day?"
Before leaving get off work, the patient finally woke up and revealed his abnormal behavior before the onset of the illness. Knowing that he had taken a large amount of vitamins continuously before he developed symptoms of liver failure, Wang Xiaobo was the first to exclaim, dumbfounded.
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