I'm really an intern
Chapter 215
Chapter 215
The moment the attending doctor spoke, senior brother Guipei broke out in a cold sweat.
Although he tried his best to comfort himself with the ah q spirit.
"I can do it, I can do it, although I copied it, but I am also familiar with the medical history, what if the answer comes out!"
But strong uneasiness and guilt still came to my heart.
The thing he hates the most in his life is being questioned by the superior doctor!
This was the case no matter when he was an intern or a regular trainee!
Because he can never answer!
Whenever a superior doctor who likes to ask questions makes ward rounds, he will stand as long as he can, trying to reduce his sense of existence.
But now, the first bed checked happened to be his...
And I am so alive, the medical records I copied have been praised by the superior doctors, and now I have a high sense of existence!
This is so flattering!
The scariest thing in the world is not being pushed.
Instead, he was lifted to the highest point and then pushed!
While senior brother Guipei burst into tears, he couldn't help but start to complain about the person who wrote the medical records in the emergency department.
What are you writing so well!
You must know that this attending senior brother has very high requirements for medical records!He couldn't find fault with what he wrote!
I couldn't change a single word because I hurt myself.
It's better to be the same as usual, because of the medical records, I was scolded, and then I could avoid most of the soul questioning later...
Zhang Tianyang watched the play silently on the periphery of the crowd.
Of course he could see the visible sweat oozing from the forehead of Senior Brother Gui Pei.
This is the normal reaction of the trainee trainees to the questions of the superior doctor.
But what the sixth sense told him, he didn't think about Brother Guipei's vague hostility towards him for a while.
When he realized it after two seconds of reaction, he couldn't help but want to laugh again.
And over there, the attending doctor's soul questioning has already begun.
"Well, please explain to everyone why you wrote this paragraph, this series of positive and negative signs and symptoms in this order."
The attending doctor gave his own question, and read out the passage of "the patient's sudden change of consciousness after drinking yesterday...accompanied by vomiting...neck resistance...".
Brother Guipei, who was sweating profusely, hadn't reacted for a while.
He also thought that the attending brother would ask some questions, such as what is the patient's disease, how to diagnose the disease, and what medicine to use for treatment.
But the question turned out to be why the various signs and symptoms in the patient's current medical history should be written like this?
What kind of problem is this?
No, is this a problem? ? ?
Isn't it written directly after the patient who asked the doctor had no symptoms? ? ?
Why do you write like this?
Because the patient is so sick!
Senior Brother Guipei was stunned.
He had no way of answering this question!
The expressions on the faces of the three residents around him remained unchanged.
However, the faces of all the regular training and advanced training brothers and sisters also showed doubts.
They also feel that this question is inexplicable.
But no one jumped out to speak.
After all, the Department of Neurology of Dongfang Hospital is very strong. Although there are many spiritual questions in the teaching rounds, it is still "teaching" in essence.
Listen carefully, you will definitely learn something.
The attending doctor obviously also saw the doubts on their faces, and didn't ask Gui Pei to answer right away.
His eyes swept across the faces.
He noticed that in addition to his three residents, the two interns standing at the back also looked very calm.
My heart couldn't help but move slightly.
Faced with this kind of question, I am still very calm, or else I am experienced and know the answer.
Otherwise, it is too ignorant, waiting for the answer from the superior.
These two interns are said to be very good, so it is unlikely to be the latter.
After sweeping around, the attending doctor smiled and began to explain.
"I think your medical history is really well written, and your thinking is very clear."
"This question of thinking is something that many students don't pay much attention to, but it is actually very important."
"We often say that when writing a patient's history of present illness, you need to write a lot of positive signs and negative signs."
"When many students write, they like to throw all these things up, regardless of the order.
Some people will write all the positive signs, and then write the negative signs.
Some even think of which to write.
this is not right. "
Entering the lecture session, a circle of white coats involuntarily popped out small books.
Even Senior Brother Gui Pei couldn't help but start recording.
"Positive and negative symptoms and signs can help us judge the condition and make a differential diagnosis of several possible diseases."
"So, when writing medical records, we must have our own thinking.
It is best to keep related symptoms and signs together so that it can be seen at a glance by the person reading the medical record.
Oh, it turns out that this patient has this and this symptom, which may be some kind of disease.
This patient does not have these symptoms, so which disease can be ruled out. "
"Although there are so many symptoms and signs, but the sequence is different, it can be seen that the level of the person who wrote the medical records is different."
The doctor in charge explained it in detail.
Surrounded by a circle of white coats, they were scribbling in a small notebook, and at the same time showed a look of sudden realization.
That's it!
Many of them turned out to be throwing up various symptoms and signs, regardless of the order.
After all, you will never be aware of this kind of thinking and skills if the superior doctor does not tell you.
Even if you look back and forth between the excellent medical records and your own failed medical records, you can only question unconvinced.
"Isn't it just that the order is different! Everything else is the same! Why am I 60 and she is 100?"
Brother Guipei also suddenly realized.
That's it!
It turned out that the question asked by the attending brother was really an important question!
He hurriedly wrote down this key point in his small notebook, and a knowledgeable smile appeared on his face.
But when he looked up, he couldn't laugh.
Because the attending senior brother was staring at him with piercing eyes.
The surrounding white coats also stared at him with piercing eyes.
"Gudu"
He swallowed hard.
His eyes looked and looked at the line, revealing an ugly look.
"Brother, this section of mine is a direct copy of the emergency medical records, I don't know..."
Brother Guipei lowered his head in shame.
The attending doctor was stunned for a second, showing a disappointed look of "it really is".
He didn't expect Senior Brother Gui Pei to be able to answer, his eyes subconsciously wandered among the white coats.
Ignoring the three residents he was very reassured about, he started picking lucky classmates at random.
"Will you try to explain?"
"I don't know? What about you, tell me what you think."
"I don't know? What about you?"
"you?"
"And you?"
Five people were randomly selected, but none of them could answer, and the face of the attending doctor had already darkened significantly.
His eyes flickered in front of Zhang Tianyang, and then flashed back quickly.
"That, Xiao Zhang, do you know?"
Ugh……
Zhang Tianyang sighed silently in his heart.
Originally wanted to hide merit and fame.
But now that the roll call...
Then tell the truth!
"I think that's the way to think about it."
When Zhang Tianyang spoke slowly, he immediately attracted the evasive eyes around him.
And senior brother Guipei, who was hiding next to him and wanted to use the intern's light to reduce his sense of presence, instantly stood up straight without looking sideways.
No idea!
It's okay for this intern to act aggressively without knowing the heights of the heavens and the earth, and it's even hurting them!
So many eyes, it's scary, okay?
The attending doctor finally got a response, and couldn't help raising his eyebrows, becoming interested.
"Xiao Zhang, tell me."
Ask for a reward and monthly pass!beep beep
(End of this chapter)
The moment the attending doctor spoke, senior brother Guipei broke out in a cold sweat.
Although he tried his best to comfort himself with the ah q spirit.
"I can do it, I can do it, although I copied it, but I am also familiar with the medical history, what if the answer comes out!"
But strong uneasiness and guilt still came to my heart.
The thing he hates the most in his life is being questioned by the superior doctor!
This was the case no matter when he was an intern or a regular trainee!
Because he can never answer!
Whenever a superior doctor who likes to ask questions makes ward rounds, he will stand as long as he can, trying to reduce his sense of existence.
But now, the first bed checked happened to be his...
And I am so alive, the medical records I copied have been praised by the superior doctors, and now I have a high sense of existence!
This is so flattering!
The scariest thing in the world is not being pushed.
Instead, he was lifted to the highest point and then pushed!
While senior brother Guipei burst into tears, he couldn't help but start to complain about the person who wrote the medical records in the emergency department.
What are you writing so well!
You must know that this attending senior brother has very high requirements for medical records!He couldn't find fault with what he wrote!
I couldn't change a single word because I hurt myself.
It's better to be the same as usual, because of the medical records, I was scolded, and then I could avoid most of the soul questioning later...
Zhang Tianyang watched the play silently on the periphery of the crowd.
Of course he could see the visible sweat oozing from the forehead of Senior Brother Gui Pei.
This is the normal reaction of the trainee trainees to the questions of the superior doctor.
But what the sixth sense told him, he didn't think about Brother Guipei's vague hostility towards him for a while.
When he realized it after two seconds of reaction, he couldn't help but want to laugh again.
And over there, the attending doctor's soul questioning has already begun.
"Well, please explain to everyone why you wrote this paragraph, this series of positive and negative signs and symptoms in this order."
The attending doctor gave his own question, and read out the passage of "the patient's sudden change of consciousness after drinking yesterday...accompanied by vomiting...neck resistance...".
Brother Guipei, who was sweating profusely, hadn't reacted for a while.
He also thought that the attending brother would ask some questions, such as what is the patient's disease, how to diagnose the disease, and what medicine to use for treatment.
But the question turned out to be why the various signs and symptoms in the patient's current medical history should be written like this?
What kind of problem is this?
No, is this a problem? ? ?
Isn't it written directly after the patient who asked the doctor had no symptoms? ? ?
Why do you write like this?
Because the patient is so sick!
Senior Brother Guipei was stunned.
He had no way of answering this question!
The expressions on the faces of the three residents around him remained unchanged.
However, the faces of all the regular training and advanced training brothers and sisters also showed doubts.
They also feel that this question is inexplicable.
But no one jumped out to speak.
After all, the Department of Neurology of Dongfang Hospital is very strong. Although there are many spiritual questions in the teaching rounds, it is still "teaching" in essence.
Listen carefully, you will definitely learn something.
The attending doctor obviously also saw the doubts on their faces, and didn't ask Gui Pei to answer right away.
His eyes swept across the faces.
He noticed that in addition to his three residents, the two interns standing at the back also looked very calm.
My heart couldn't help but move slightly.
Faced with this kind of question, I am still very calm, or else I am experienced and know the answer.
Otherwise, it is too ignorant, waiting for the answer from the superior.
These two interns are said to be very good, so it is unlikely to be the latter.
After sweeping around, the attending doctor smiled and began to explain.
"I think your medical history is really well written, and your thinking is very clear."
"This question of thinking is something that many students don't pay much attention to, but it is actually very important."
"We often say that when writing a patient's history of present illness, you need to write a lot of positive signs and negative signs."
"When many students write, they like to throw all these things up, regardless of the order.
Some people will write all the positive signs, and then write the negative signs.
Some even think of which to write.
this is not right. "
Entering the lecture session, a circle of white coats involuntarily popped out small books.
Even Senior Brother Gui Pei couldn't help but start recording.
"Positive and negative symptoms and signs can help us judge the condition and make a differential diagnosis of several possible diseases."
"So, when writing medical records, we must have our own thinking.
It is best to keep related symptoms and signs together so that it can be seen at a glance by the person reading the medical record.
Oh, it turns out that this patient has this and this symptom, which may be some kind of disease.
This patient does not have these symptoms, so which disease can be ruled out. "
"Although there are so many symptoms and signs, but the sequence is different, it can be seen that the level of the person who wrote the medical records is different."
The doctor in charge explained it in detail.
Surrounded by a circle of white coats, they were scribbling in a small notebook, and at the same time showed a look of sudden realization.
That's it!
Many of them turned out to be throwing up various symptoms and signs, regardless of the order.
After all, you will never be aware of this kind of thinking and skills if the superior doctor does not tell you.
Even if you look back and forth between the excellent medical records and your own failed medical records, you can only question unconvinced.
"Isn't it just that the order is different! Everything else is the same! Why am I 60 and she is 100?"
Brother Guipei also suddenly realized.
That's it!
It turned out that the question asked by the attending brother was really an important question!
He hurriedly wrote down this key point in his small notebook, and a knowledgeable smile appeared on his face.
But when he looked up, he couldn't laugh.
Because the attending senior brother was staring at him with piercing eyes.
The surrounding white coats also stared at him with piercing eyes.
"Gudu"
He swallowed hard.
His eyes looked and looked at the line, revealing an ugly look.
"Brother, this section of mine is a direct copy of the emergency medical records, I don't know..."
Brother Guipei lowered his head in shame.
The attending doctor was stunned for a second, showing a disappointed look of "it really is".
He didn't expect Senior Brother Gui Pei to be able to answer, his eyes subconsciously wandered among the white coats.
Ignoring the three residents he was very reassured about, he started picking lucky classmates at random.
"Will you try to explain?"
"I don't know? What about you, tell me what you think."
"I don't know? What about you?"
"you?"
"And you?"
Five people were randomly selected, but none of them could answer, and the face of the attending doctor had already darkened significantly.
His eyes flickered in front of Zhang Tianyang, and then flashed back quickly.
"That, Xiao Zhang, do you know?"
Ugh……
Zhang Tianyang sighed silently in his heart.
Originally wanted to hide merit and fame.
But now that the roll call...
Then tell the truth!
"I think that's the way to think about it."
When Zhang Tianyang spoke slowly, he immediately attracted the evasive eyes around him.
And senior brother Guipei, who was hiding next to him and wanted to use the intern's light to reduce his sense of presence, instantly stood up straight without looking sideways.
No idea!
It's okay for this intern to act aggressively without knowing the heights of the heavens and the earth, and it's even hurting them!
So many eyes, it's scary, okay?
The attending doctor finally got a response, and couldn't help raising his eyebrows, becoming interested.
"Xiao Zhang, tell me."
Ask for a reward and monthly pass!beep beep
(End of this chapter)
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