Great doctor starts with adding points

The place where Wu Xie invited Long Yuan to was the game restaurant where Lin Shuang invited Wu Xie and Lu Junyin to dinner.

Eels are the most delicious during the autumn harvest season, especially wild eels, which are just right in size!

While waiting for the food, Long Yuan immediately summed up for Wu Xie: "Xiao Wu, this morning, I saw you almost all morning, and we also experienced fourteen patients together."

The outpatient clinic that Long Yuan visited first, and the occasional Wu Xie went out to negotiate with the waiting patients. Wu Xie did not participate in the patients that Long Yuan saw, but eighteen experienced fourteen, which is not too small. .

Wu Xie nodded seriously, waiting for Long Yuan's comment.

This is a part of the division that few talents can enjoy. According to the ancient sect, this is a closed-door teaching.

In the process of studying for a master’s degree in general, at most it is roughly teaching. You follow and learn, read books by yourself, and occasionally guide you during surgery so that you can learn something. After you go out, you can find a job, which is very good. up.

But if the teacher likes it very much, or the superiors pay special attention to it, then I will ask you to stay alone, talk to you about your ideals, talk about the direction of learning, and make a focused study plan for the next step.

And the most in-depth level is that the teacher and the students will analyze you one-on-one, put all your things on the surface, and see how your current level is and how to learn!

This requires deep teaching skills to be able to do it.

"Reading films and CT are quite satisfactory. You can start from the anatomical plane, instead of simply looking at the report of the radiology department, and you don't just look at what went wrong a little bit, look at the type of edema, and see what is cloudy on the X-ray. This one, it’s pretty good.”

"Prove that you must have worked hard in private, then if you want to go one step further, you must learn to distinguish the layers when reading the film!"

"What is level? From the beginning of our medicine, we first learn systematic anatomy, then regional anatomy, and finally surgical anatomy. The approach of surgical anatomy is the level!"

"Layer by layer, like an onion, you have to peel one by one. This is reading."

After Long Yuan finished speaking, he paused for a while, allowing Wu Xie to digest slowly.

This kind of guidance made Wu Xie very useful, and when he was overjoyed, he quickly poured water on Longyuan.

In fact, if this is the case, Wu Xie is not only listening to it for the first time, but when he listened to it before, how could he have so many feelings? I don’t understand a lot of things. If you give me such a profound explanation, can I understand it?

do not understand.

It can be said that every good professor is generally an excellent genius planner. He can choose a way out and promote growth for geniuses, but he cannot cultivate the basic skills of geniuses.

They are only good at teaching children who have a certain foundation.

Some people are good at laying the foundation for children with zero foundation from scratch, which is different!

"Brother, drink some water!" Wu Xie pushed the teacup to Long Yuan.

Long Yuan was not very thirsty, and continued: "The second is the physical examination, the orthopedic specialist physical examination, the most basic skill is the principle of visual touch. If you don't master this well, you can only follow the wild road at best."

"It can be seen that, as far as you are concerned, I don't need to remind you about the problem of principle, and I don't even need to do too much science popularization and guidance for you, even for some special special inspections."

"For example, some special inspections of elbow joints and wrist joints. You all know that the reserve of knowledge is relatively extensive. If you want to go further in this regard, you must start to exercise your hand feeling!"

"What is hand feeling? During the physical examination of fractures, the first orthopedic examination we encountered was bone friction. The first feeling we heard was bone friction sound."

"But in fact, besides the bone friction feeling of fractures, there are other diseases. You can collect them in private, and then experience them slowly when you encounter them."

"For example, when the gluteal muscle contracture is performed, there is a sense of bouncing, and when the lumbar puncture is performed, there is a sense of breakthrough."

"This kind of detailed experience will greatly improve your medical skills, and sometimes even achieve a qualitative leap!"

Speaking of this, Long Yuan said again: "However, when they reach the level of Master, they just exercise their visual diagnosis ability, that is, you do a physical examination, and he can pass your physical examination and know what is going on with the corresponding signs. Can feel something."

"This is the power of eyesight!"

"I don't know how to do this either. You can ask Master when the time comes."

Wu Xie didn't know what kind of realm Long Yuan was talking about. His current physical examination is proficient. If that kind of touch is a step further, it must be a professional physical examination. As for the next level?

That may be more than specialization, Wu Xie doesn't have so many idle knowledge points to add to the physical examination now.

"Thank you, brother, what you said is enough for me to experience it for several years." Wu Xie returned with a smile.

Clinical practice is a particularly meticulous water-grinding work, and work needs to be practiced.

Long Yuan continued: "In the orthopedic clinic, the key components seem to be only physical examination, film reading, and medical history, right? That's how you understand routinely."

"But it's actually not the case. When I was in the outpatient clinic, the reason why I kept asking you to guess what was the reason was not to make you look advanced, let alone to play tricks. Instead, I want you to understand the principle and experience it .”

"You know what I mean?"

"Why, in our Tongji Hospital, the main treatment starts from the outpatient clinic first, and then we carry out systematic surgical teaching. It is hoped that we can first understand the pathology, and in the process of sitting in the outpatient clinic, we can start from the cause and correspond one by one. to the patient's current symptoms."

"After becoming very familiar with this process, then we can control the entire disease as a whole, which is quite comprehensive."

"At the resident doctor stage, what we do is to receive patients who come from the outpatient department or emergency department. We will understand his medical history, symptoms, clinical manifestations, specialist examinations, imaging examinations, evaluate surgical indications, and evaluate surgical contraindications. , followed by surgical treatment, and then perfect postoperative doctor's orders and postoperative rehabilitation plan, and follow-up."

"In this process, the missing link is to screen patients and understand the real cause of the patient..."

"This is the path you have to take as a doctor. During the operation, some relatively subtle operations are more meticulous. Let's experience this slowly in the subsequent operation."

Long Yuan explained to Wu Xie very detailed and very professional.

This is a professional doctor, a very professional embodiment.

There are some people who know how to express themselves, but they are not very good at expressing it. It may be partly because of their personality, and another part is because they have not learned very well, or they have never thought of relying on teaching.

This is especially true in medicine. Many professors and directors think that if you can learn it, you can learn it, and if you can’t learn it, you can play with eggs. Few people study how to teach.

Of course, generally in top hospitals, many professors have their own way, but these are extremely painstaking, and only a small number of students can enjoy such detailed guidance and discussions like children!

Long Yuan is actually not mature enough in this area. He is just trying to rely on this area, but he also has a strong foundation. After all, Long Yuan has already started formal teaching since his doctoral period.

Soon, the dishes came, and Longyuan was really amazed by the taste of this kind of eel, which was born in the field. Even though they were all eels, the chewiness of the feed was completely different from that of wild eels.

"Well, this is good, this taste is really good, fresh and spicy, and has a good taste."

"Can we make another copy?" Long Yuan asked Wu Xie in a low voice.

What is wrong with this?

Wu Xie immediately called that old Li, who was Lin Shuang's uncle. Wu Xie should call him a grandpa, but Lao Li is actually not that old, so Wu Xie just called Boss Li. A piece of eel."

The man named Lao Li looked up when he heard the words, and said hello.

Moreover, when he said this, his wife scolded in a low voice: "Didn't you tell Dr. Wu to add half a catty? You didn't add it?"

"I added it, why didn't I add it, I guess I thought it was delicious, so I added the pot."

"How could I cheat a small crab?" Lao Li said.

He never cheats the locals. When people from outside come, he will occasionally play tricks, but the taste is always good.

"Then give me a discount later. When I was dancing in the square yesterday, Xiang Mei asked me to go to her house for dinner." The proprietress volunteered.

"It's up to you, I'm going to kill the eel."

After a while, the proprietress added a few small vegetarian dishes to Wu Xie, and brought them over...

A full meal.

Wu Xie followed Long Yuan to the dormitory to rest, but did not go home.

Wu Xie sat on the chair, while Long Yuan sat on the bed, feeling: "In the world, there are only beauties and gourmet food that dare not let you down. The ancients were honest and never deceived us."

"It's a pity that everyone's entanglement and bondage are different. Otherwise, living in this small place for the elderly, the mountains and rivers are beautiful, the birds are singing and the flowers are fragrant. The wind is full of human touch, and the soil is full of mud and leaves."

"Although there are no neon lights flashing, the Chicken Crowing House has a unique flavor."

Don't think about it, Longyuan has committed this old habit again.

Wu Xie laughed and said, "Brother, you should become a poet. Being a doctor would be a shame on your talent."

Long Yuan glanced at Wu Xie, then rolled his eyes: "Who wouldn't moan without illness?"

"The frequency of young models in the clubhouse is the highest."

Not to mention, it kind of rhymes.

Wu Xie asked in a low voice: "Brother, if you have a hobby in this field, I can ask Brother Yusheng to take you to a good place."

As he spoke, he raised his eyebrows towards Long Yuan.

"There are no beauties in reality, so it's hard to have desires. It's better to read novels, but there are not many good books, Xiao Wu, it's a pity, you don't like this."

"You squint for a while, I'll chase after the book for a while, and then go to the outpatient clinic." Long Yuan lay flat on the bed, and began to read the novels he subscribed, while Wu Xie really squinted.

Wu Xie must also have hobbies, but this hobby is hidden by Wu Xie, so there is not so much time to waste.