Chapter 53 The assessment begins
Wu Xiaofu’s mood did not waver when he saw the patient’s pain. Unlike the doctor who had just visited the hospital, Wu Xiaofu’s thoughts would not be carried away by the patient yet.
"Okay, let me check your body first to determine how to use painkillers."
After saying this, the patient was immediately willing to cooperate, as long as he knew that you were here to give him painkillers. In fact, he can accept the work he does to solve the pain relief request. At least he feels that you care about his feelings. Wu Xiaofu still has some experience in dealing with this kind of patients.
On the diagnosis and treatment bed, Wu Xiaofu was making inquiries while performing hand movements. The patient now has pain in the left kidney, perineum, right groin and thigh. The left kidney also has tenderness and percussion pain. Once the location of the pain is determined, it will be more appropriate. If the patient says that there is tea-colored urine when urinating in the morning, it will be even more certain.
With the symptoms and signs correct, Wu Xiaofu became more confident.
At the same time, you can relieve the pain first and then conduct auxiliary examinations. After all, it is not a tribulation, so you don’t need to be very sure.
"Okay, I will give you some painkillers and a list of examinations first. You go get the medicine first. You can ask the patient to wait in the treatment room first, and the family members go to get the medicine and inject it in the treatment room. After the injection, I will go for a check-up and then come back.”
6542, whose scientific name is racemic anisodamine hydrochloride, is the most commonly used drug in clinical practice, but I can’t say whether it can calm the patient’s pain. .
However, it is definitely useful psychologically.
After hearing Wu Xiaofu's words, the patient and his family members hurried to the treatment room, where medicine was prescribed and they needed to be injected to relieve the pain.
Sitting down again, Liu Wenyin silently praised Wu Xiaofu. This patient was not easy to deal with, but now Wu Xiaofu solved it calmly. Even if it were her, Liu Wenyin didn't think she would be able to compete. Xiaofu handled it better.
It is also necessary to make a few noises or shout loudly to shock. Unlike Wu Xiaofu, who quickly grasps the rhythm. After a set of procedures, the patients will follow Wu Xiaofu's rhythm.
Is this really what an intern can do?
Genius, this is genius.
Liu Wenyin was completely relieved. The patients behind her might not be able to trouble Wu Xiaofu.
Sure enough, it can be said that Wu Xiaofu is gradually getting better and smoother, and Liu Wenyin is very happy to watch. When there are patients who need suturing, Liu Wenyin will not let Wu Xiaofu do it. Today, she will reminisce about her youth, and then Become an assistant again.
Wu Xiaofu naturally wouldn’t object when Liu Wenyin gave him face like this.
The patient with renal ureteral stones later also came back. After another examination, it was clear at a glance.
Ureteral stones are very common, and the ureter has three narrow parts, which are also the most susceptible to incarceration. The first narrow part is the junction of the renal pelvis and the ureter, and the second narrow part is where the ureter crosses As for the location of the iliac blood vessels, the third narrowing point is the narrowest point in the entire ureter, where the ureter enters the bladder, which is the inner section of the bladder wall of the ureter.
Clinically, stones often stay in these three places, and the patient's stone-impacted area does not have these three stenoses.
And it is at the narrowest point where the ureter enters the bladder. The stone is 0.5cm, so there is no need for surgical treatment. Nowadays, the most common method for ureteral stones is extracorporeal lithotripsy. This patient in front of me is just right. Listen It is said that there is a particularly powerful teacher in the extracorporeal lithotripsy room of the First Affiliated Hospital.
This patient is blessed.
When Wu Xiaofu said that extracorporeal lithotripsy would have a high probability of resolving the stones without surgery, the patient was also very happy. Before the stones were broken, he thanked Wu Xiaofu profusely.
Time passed. At noon, Liu Wenyin ordered a meal, and the two of them exchanged meals. It was not until about two o'clock in the afternoon that Wu Xiaofu left the clinic.
In the conference room, it was already half past two when Wu Xiaofu came in.
However, although there is still half an hour, the other seven students have already arrived, and Wu Xiaofu is still the last one.
"Hey, they're all here!" Qu Ying looked at Wu Xiaofu and was speechless, "Aren't you anxious at all?"
"Are you anxious? , I’m not on special training.”
Wu Xiaofu sat on the empty seat, right next to Qu Ying.
"Special training! What special training?"
The seven people were immediately interested, thinking that Wu Xiaofu had found the secret. They must ask for advice. Sharpening a gun in the face of battle will make it shine even if it is not bright. .
I was still thinking that no wonder Wu Xiaofu was so confident. It turned out that he had found a special training class.
"Teacher Liu asked me to make independent clinic visits this morning. Do you think this is special training? I will simulate it for tomorrow's assessment."
Make a house call!
The seven people immediately glared at each other, "That is tomorrow's assessment. Tomorrow, you should think about today, Brother Fu, you are so irritating."
The seven people immediately ignored Wu Xiaofu , hurriedly started to focus on the ppt in his hand, so as not to compete with Wu Xiaofu.
Even Qu Ying gave Wu Xiaofu half of his back.
As time passed, doctors began to walk into the conference room one by one. Looking at each doctor, Wu Xiaofu and the others knew that they were playing a big game. They thought that there were only four directors coming to assess, but now it’s better , these are eighty teachers, and they don’t even need to start reporting medical records, they are already nervous.
This is not at the same level as facing four directors.
In the last five minutes, the four directors also arrived. Director Xiong looked at the eight people and said, "Eight minutes each, which of you will come first? If no one is willing, we will draw lots to decide."
The eight people looked at each other, all hesitant.
This kind of medical record report takes eight minutes for each person, and an hour has passed for eight people. The first person to appear is easily forgotten, unless you perform exceptionally well, which they are not. I feel confident that I can beat other students.
"Then let me do it first."
Wu Xiaofu smiled and stood up directly. Everything has advantages and disadvantages, it depends on how you look at it. For example, at this time, no one is willing to stand up. If Wu Xiaofu stands up, it will be easy for the four directors to appreciate him. Although the four directors definitely value the content of the medical record report, and this advantage is definitely not as important as the ranking, Wu Xiaofu is confident in his medical record report.
Qu Ying and the others were relieved when they heard that Wu Xiaofu wanted to go up first.
Director Xiong and the others also nodded.
Wu Xiaofu’s performance during this period is really impressive. Even they cannot ignore Wu Xiaofu’s performance. Director Lian of the General Surgery Department had seen Wu Xiaofu perform laparoscopic appendix surgery under the guidance of Duan Hao before. When watching the video, he felt even more regretful. If he had known that Wu Xiaofu was so talented, he would have definitely asked Wu Xiaofu over first.
As tutors this time, the reason why I chose them and their subjects is actually because these four subjects are the most lacking of people. Those who perform best in the following will basically stay in whichever group they come from. Come on, this is what they value.
Connect to the computer, introduce yourself, take a deep breath, fight monsters and upgrade the first level, it’s finally about to begin.
(End of this chapter)