Great doctor starts with adding points
Chapter 137 Teaching first (first update, please subscribe)
Then everyone gathered together, and a relatively formal shift took place in a relatively simple manner, that is, the nurse on duty and the doctor on duty talked about the current situation of patients coming in and out.
There was no surgery scheduled yesterday or today, so there is no rhythm of shifting patients for surgery.
However, after such a simple handover procedure, Lu Junyin stood up first, and clapped his hands to attract everyone's attention: "Brothers and sisters in the department, let me add a word, that is what we are looking forward to Two experts, Long Yuan and Luo Wei, have finally come to our department."
"The first and second ones are on my right, respectively. Well, now everyone can welcome the two teachers to our department with warm applause, and lead us to make progress together!" Lu Junyin said Lead the applause first.
Everyone else kept pace, and thirty seconds passed before the thunderous applause in the doctor's office gradually stopped, and laughter broke out everywhere.
Long Yuan was not embarrassed either, and just said generously: "Brother Wei, Director Long put a big mountain on our shoulders from the beginning, and he didn't dare to make progress with us. Discuss."
Luo Wei also nodded: "Thank you, teachers, for your love. Teacher Long's words are right. Learning from each other and making progress together is the right thing to do in the future."
However, Luo Wei soon sold Longyuan: "Of course, I am here to be a student. Teacher Long is an expert from Tongji Hospital in the province. We all learn from him together and seize this rare opportunity."
Everyone can do the icing on the cake.
As the saying goes, thousands of wears and thousands of wears, flattery does not wear, Longyuan came here to lead everyone to develop new technologies, so there is no excessive modesty, just smiled and said: "Brother Wei, you were bought by Director Lu Right? So much pressure on me."
"If one day I can't bear it anymore, I will lie down wherever I fall."
Long Yuan doesn't have too much airs. Although he is very homely in private, it doesn't mean that he doesn't know how to get along and communicate with others, including welcoming and seeing him off.
Lu Junyin said: "Mr. Long is still very humorous. We can all learn from this and strive to create a slightly better atmosphere in our department."
"There are no other things for the time being. Let's do our own work. Our doctor team has started rounds. If the head nurse, your nursing team, the follow-up workload may become more heavy after the arrival of Teacher Long. It will take a lot of hard work." you guys."
Xu Yahui laughed when she heard the words: "We strive to keep up with the growth rhythm of the directors."
...
After this, Lu Junyin let Longyuan and Luo Wei start a new day of big rounds. The scale of this big rounds was relatively formal, and most of the rights were relatively handed over.
"Mr. Long, Mr. Luo, the number of patients in our department is not much at present. The total number of beds in the department is only fifteen, which may not be enough for your usual ward rounds. Don't laugh at our small workshop."
"The main reason is that the patients are looking forward to your arrival. This is not just a chance, I hope the two teachers can take you around." Lu Junyin still accompanied the smile.
Long Yuan said as he walked: "Director Lu, from now on, you can call me Long Yuan or Doctor Long. You are the director, and it is not convenient for you to call me teacher. Since we are destined to get together, we can talk about things differently." Yes, there's no need to be so polite."
"What do you think, Wei Ge?"
Luo Wei quickly said: "I also think Director Lu is too polite, I don't dare to be a teacher, Doctor Long, you can call me Xiao Luo, or I can call you Brother Yuan."
In such a joke, it can be regarded as getting rid of the teacher's title.
Walked into the ward.
In fact, most of the patients Lu Junyin and He Ling are in charge of are general surgery diseases. Although Long Yuan and Luo Wei have also been involved, they are not professional after all, so it is impossible to give any guidance.
It is just to ask questions casually, and then look at the test results. The current treatment plan will not be modified if there is no problem, and even if there are flaws, it will not be pointed out.
Professionals, doing professional things, and other departments, if they don't have a very thorough understanding, naturally they won't do anything unnecessary.
And when the ward round came to the patient in charge of Wu Xie!
When Wu Xie reported the medical records of the first patient, every detail, the corresponding symptoms and corresponding reasons of each doctor's order, and even the antibacterial spectrum of antibiotics, he gave back to Longyuan and Luo Wei like a treasure!
"Dr. Long, Dr. Luo, and the director. This is Uncle Zhou with 10 beds. He had an operation at the County People's Hospital. After the operation, Uncle Zhou took a bath by himself, so the wound was washed away by water. When he was first admitted to the hospital, the wound It was red and swollen, the surface was as smooth as a mirror, and there was a slight exudate, but no special purulent discharge was seen."
"And such symptoms lasted for a few days, very similar to an infection under the incision. When I was in the county hospital, the sutures were not removed for drainage."
"Therefore, I took into account that Director Lin Peiyuan and Dr. Luo Wei and others inferred that the condition was a non-infectious inflammatory response, so I did not give it away for drainage, but gave symptomatic treatment and prescribed cefuroxime for preventive anti-infection. Treatment, and anti-infection with mannitol, the hospital currently has no oral anti-inflammatory drugs. Advise the patient to rest in bed and avoid water and foreign objects."
"Currently watching..."
Although the patients under Wu Xie's supervision were not reflected on the panel, Wu Xie reported everything clearly, including the ins and outs, the reasons for the medication, and the results of the medication, which were sent to everyone's ears.
This is the first time that Wu Xie has reported the medical records in such a serious and detailed manner, because Wu Xie knows that Long Yuan seems careless, but he is actually a particularly rigorous academic school, and of course a practical school, a combination of the two.
When he was in Tongji Hospital, he didn't want his juniors to learn the tricks of the rivers and lakes, report medical records or do things, as long as they produce results without knowing the reasons.
Longyuan nodded when he heard the words, put on the examination gloves, and tore off Uncle Zhou's external dressing: "The wound is healing well. It should be that the external water source caused a local inflammatory reaction, which caused the healing scar on the surface of the incision to swell. , and there is also infiltration of external water sources!"
"It is better for this kind of patients to take anti-inflammatory drugs orally, such as some Chinese patent medicines such as Maizhiling, but if they don't have them, they can only use intravenous drugs like mannitol."
"Director Lu, this oral drug has a high reimbursement rate and is effective. It can be introduced appropriately."
After hearing this, Lu Junyin immediately said: "Well, Dr. Long, I am urging the pharmacy and the purchasing department to connect. You also know that this requires procedures and filings!"
"And the other party feels that our hospital is too small, so they may not be willing to come."
Longyuan snorted softly when he heard the words, and said, "If you don't want to come, don't force it, then you can also take Sodium Aescinate, Huoxue Tongmai Tablets, whatever!"
The reimbursement ratio of Maizhiling is high, and the clinical effect is indeed good. As the first choice, there are many alternative drugs.
Uncle Jin was the first to bear the brunt of seeing Longyuan, and even Lu Junyin was a foil, smiling happily, feeling that he had made a lot of money, and he was lucky to be able to be treated by experts from Tongji Hospital without going to Han City!
...
All the way through the ward rounds, Wu Xie's case report work is quite rigorous.
This is the habit and basic skills that Wu Xie practiced when he was in graduate school before. It's just that he didn't have many opportunities to perform in the town hospital, and he was mainly in charge of the beds.
As the doctor in charge, there is no need to explain too much to Lu Junyin.
As for this, Lu Junyin quickly discovered the unusual place, and when he walked back to the office, he said: "Xiao Zhong, Xiao Guo, when you report cases in the future, you should learn from Xiao Wu and sort out the context of the disease yourself. Give it a shot so you can learn something."
Hearing this, Long Yuan nodded slightly, and said something from his heart: "To be a surgeon, the most basic thing is surgical operation, and to be a good surgeon, the most basic thing is surgical diagnosis and treatment thinking, which includes Accurate medication, disease diagnosis, analysis of treatment plan.”
"When you first start learning this way of thinking, you will find it difficult, but if you use it smoothly, you will find that many things that you swallowed before will be very clear, and the clinical work will become smoother."
"Not necessarily all master's students have better qualifications than undergraduates, but they will consciously cultivate a habit and have more knowledge during the master's stage. These are actually in the ordinary bed work. was forced out."
Long Yuan likes to teach, so he said so much.
Guo Lixiang and Zhong Yusheng immediately nodded upon hearing this.
"Good teacher Long!" Lu Junyin and others couldn't call Teacher Long, but they could.
After Long Yuan heard the words, he continued: "Director Lu, I think these two little brothers are also quite good, so they may sometimes say a few more words more politely."
"Don't mind!"
Lu Junyin quickly shook his head: "That won't, that won't, Doctor Long, don't worry!"
"Xiao Wu can be as good as he is now, it must be because of Dr. Long's good teaching."
Guo Lixiang and Zhong Yusheng shook their heads quickly, not wanting to leave any negative influence on Longyuan's heart.
At this moment, Lu Junyin's phone rang.
The ringing of the phone just interrupted everyone's conversation. Lu Junyin took out the phone and hung up when he saw that the note was inappropriate, and apologized to Long Yuan and Luo Wei, and then ordered: "You go to revise the doctor's order and change the medicine first. .”
"Doctor Long, Doctor Luo, I'll answer the phone." Lu Junyin walked aside after speaking.
Luo Wei nodded, and habitually found a seat and sat down.
Wu Xie hurriedly pulled Long Yuan over and persuaded him, "Brother, both Yu Sheng and Li Xiang love to learn. You don't need to create a more rigorous atmosphere when you come here, and copy what Master taught to you. Here."
Long Yuan took a look at Wu Xie: "I definitely won't copy them, I'm just trying to test their understanding."
"I don't know how to engage in the battle of hundreds of ships!" Long Yuan whispered, his eyes narrowed slightly.
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