Great doctor starts with adding points
Chapter 141 Subjective initiative (first update, please subscribe)
"Brother, you go to the outpatient clinic first. I will come down after checking the room upstairs. I have already told Yu Sheng that he will help me deal with the patients later." The next day, Wu Xie accompanied Long Yuan from the hospital. When Xu Huifang came out of the noodle shop, she explained to Long Yuan like this.
"Ward rounds are a business, you should do your work first."
After Long Yuan returned, he continued: "Xiao Wu, I really don't know how to answer the question you asked me yesterday. After all, Master and I have never asked you about this before."
"But it doesn't matter. Since you now feel that cases and diseases are the anchors for learning, then you can just adapt to your own first."
Yesterday, Wu Xie took the initiative to discuss a problem with Long Yuan, that is, the problem of learning anchors.
Anchor point, originally intended to be a kind of hyperlink in web page production, is also called named anchor, such as a quick locator!
Learning anchors are actually self-created words, which are equivalent to a summary and positioning pile of the knowledge system. You can quickly summarize a knowledge block with an anchor to achieve the effect of quick retrieval and quick memory storage.
Establishing learning anchors is a relatively advanced learning method.
Wu Xie's explanation to Long Yuan was that after he came here to manage the bed, he found that under pressure, he would be very cautious in supervising the entire diagnosis and treatment process of the patient, so he would check the corresponding information and literature.
In the process, Wu Xie found that his memory speed and understanding of knowledge had greatly improved.
There are two purposes for Wu Xie to explain to Long Yuan in this way. One is to explain why he agreed to Lu Junyin to be in charge of so many beds, and the other is to pave the way for the situation. There was a bed in Tongji Hospital or something.
At least, you can let others have a psychological preparation in advance.
In order to be cautious, Wu Xie also specifically asked Long Yuan, in the process of getting along with Long Yuan before, did he mention a learning method or other things that are more suitable for him.
A person's memory can be lost, but talent and sensitivity to certain things are innate.
If Wu Xie can have a better learning method, tell Long Yuan about it, and if he can go back, that would be great.
Long Yuan didn't respond at the time, saying he was going to ask.
But the result is that Long Yuan and Wu Xie, Wu Xie and others never mentioned this matter at all.
"Senior brother, thank you for causing you trouble." Wu Xie was not disappointed, but just asked more on the principle of not losing money, without any other meaning.
"Well, you go to the ward rounds first, and then look at the 14-bed patient, whether the results of the drug sensitivity test have come out, and everything else is fine, just wait until you are discharged from the hospital." Long Yuan still took the initiative to confess to Wu Xie in this way .
Now, the most difficult thing to deal with in the department is Zhang Chunmei, who has a bed of 14. Although it seems that her condition is the mildest, she has not undergone surgery, and it is just an infection on the surface of the skin, but the current treatment effect is not good.
Wu Xie nodded and walked towards the department.
After arriving, after the simple handover, Lu Junyin knew that Wu Xie was going to go to the outpatient clinic with Longyuan, so he immediately said: "Xiao Wu, you should go and see your bed first, and then leave the matter to Zhong Yusheng and Guo Lixiang. Just go to the clinic."
"For the other patients, we'll just follow Dr. Luo to check them out. After that, two surgeries will be arranged tomorrow, both of which are simple small fractures. You don't need to worry about that..."
It is very common for Wu Xie to leave chores to other people when he has something to do. When Zhong Yusheng goes on a blind date, Guo Lixiang will do the work. Guo Lixiang is a person who basically has nothing to do. Strive to get a doctor's qualification certificate as soon as possible...
When Wu Xie went down to the outpatient clinic, the time was only 8:10.
Longyuan just saw two patients, and at the entrance of the consulting room, people in the town heard that experts from Tongji Hospital had come to the hospital, and there was already a queue at the entrance, and there were at least a dozen old men and women there. Talking about it.
Seeing Wu Xie coming down, they all greeted Wu Xie with a smile.
"Doctor Xiao Wu, have you had breakfast?"
"Doctor Xiao Wu, are you coming to the outpatient clinic too?"
"Look at what you said, Xiao Wu also graduated from Tongji Hospital, so he is familiar with the experts of Tongji Hospital..."
Wu Xie also greeted them before walking in, holding a blue and black pen in her hand, ready to take over Long Yuan's work of writing medical records at any time.
However, as soon as Wu Xie entered, Long Yuan was reading the films and did not write the medical records.
The person sitting opposite Longyuan was an old lady surnamed Zhang in the town, who knew Wu Xie. She shouted enthusiastically, and the family member accompanying her, that is, her daughter, also asked: "Doctor Wu, Is this Doctor Long your teacher or who?"
"This is my senior brother! Madam!" Wu Xie replied with a smile. "You came quite early."
At this moment, Long Yuan almost finished watching all the old lady Zhang's films, then passed the X-ray to Wu Xie, and said, "Xiao Wu, look, this patient's condition is relatively classic, this film, Basically, it is presented according to the textbook, and it is hard to find."
When sitting in the outpatient clinic, there are students or juniors. After seeing the classic or typical plain film features or signs, the superior doctor or teacher will take a good look at the students.
In fact, clinically, there are not many typical signs and imaging examination results. The things in the textbook can only be used as a principled reference, and the degree of individual variation also exists.
Hearing Longyuan treat Wu Xie like this, and thinking of Wu Xie's reputation in the town, the old lady Zhang and her daughter were even more happy.
This Dr. Long took Wu Xie as if he was a student. Wu Xie's level is good, and his level must be higher.
You don't need to go to Han City to be seen by experts from Tongji Hospital. Today can be regarded as coming.
After Long Yuan gave the film to Wu Xie, Long Yuan explained: "Auntie, big sister, we have plenty of time today, and we are not in a hurry. We work slowly and carefully. Let's watch slowly. There are not many patients today."
Today, Longyuan has only 27 accounts. Compared with his full 50 accounts in Tongji Hospital every week, the number of patients is like a joke.
And they are all chronic diseases!
"We're not in a hurry, Doctor Long, take your time, don't worry." Mrs. Zhang was about seventy years old, showing her missing teeth.
After Wu Xie watched the flat film carefully, he knew why Long Yuan said it was a classic.
"Senior brother, is this tennis elbow?!" Wu Xie replied quite confidently, and at the same time began to look at the other party's age.
"Tennis elbow? I don't have a ball here, right?" These words scared Granny Zhang and her daughter.
Her daughter knows a little more: "My mother hasn't played ball yet, has she?"
Wu Xie quickly explained: "Ma'am, grandma, this is not a ball, this is the name of a disease, don't worry."
"It's just a common name."
Tennis elbow (lateral epicondylitis) is painful inflammation of the tendon at the origin of the extensor muscles of the forearm on the outside of the elbow joint. Pain arises from chronic lacerations caused by repetitive exertion of the forearm extensor muscles.
Tennis elbow is a typical case of overuse syndrome, which has certain occupational characteristics. Tennis and badminton players are more common, and housewives, bricklayers, carpenters, etc. who repeatedly do elbow activities for a long time are also prone to this disease.
To be reasonable, these occupations that can be found in textbooks do not match this old lady, do they?
Long Yuan is not surprised that Wu Xie can see the diagnosis of this disease: "Guess or how to watch it? I have plenty of time today, let me see how you watch the movie now."
It is good to go to the outpatient clinic, especially the chronic disease outpatient clinic, where there are not many patients, so you can disassemble the case, explain it to Wu Xie slowly, and at the same time see what level Wu Xie is.
Why do the superiors like to ask questions first? It's not for embarrassment, but to see which step the students have learned in detail, and then in the teaching process, which level should they go deep into!
The level of elementary school students, if you teach him high school knowledge, unless there are a few abnormal geniuses, it will be strange if others can understand!
"For the elbow joint of a normal person, the size of the lateral epicondyle of the humerus is generally 2-6mm on the X-ray film. This film shows the hyperplasia of the condyle, with a limited increase in length and a protruding width protruding from the edge of the elbow joint."
"There is sclerosis in the condyle, which means bone sclerosis and thickening and blurred white shadows. These fine white shadows indicate that the bone tissue in the condyle has become denser, which is a manifestation of bone hyperplasia."
"Brother, look, this irregular bone hyperplasia is a normal periosteal reaction." Wu Xie listed out the things he could understand one by one.
This is also particular. The reason why Wu Xie chose to add points to proficiency instead of specialization was because he was afraid that he would be at the same level as Long Yuan after he became a master, which would make Long Yuan feel a little awkward during the teaching process. Sexual guidance can get knowledge points.
I made my level a little lower, and Longyuan found out and gave some pointers, maybe I can get more knowledge points, which can maximize the gain of knowledge points, and at the same time, I also have certain basic skills, which is easy to learn and understand.
Otherwise, Wu Xie could go straight to specialization, and then fight in the ring with Long Yuan, and even explain it so that Long Yuan has no room for supplements.
Although this feels very refreshing, it is not conducive to learning and the growth of knowledge points. Wu Xie now dreams of gaining more knowledge points, so every step needs to be carefully considered.
This is also one of the subjective initiatives of learning, not just actively learning and asking questions.
For those who can learn, they will prepare themselves for learning at any time, and even prepare for their superiors to teach in silence. This is the real learning and the embodiment of intelligence.
Long Yuan heard the words and said: "It's already very good. The location is accurate first, the lesion is found, and some details and anatomy can be seen. It proves that you have worked hard."
"But can you tell from this picture, this aunt, which muscle hurts the most?"
When Long Yuan asked such a question, Wu Xie was stumped.
Wu Xie, who blinked, shook his head ecstatically, while looking forward to Long Yuan's further explanation.
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