My medical path
Chapter 132
Chapter 132
Today is Monday, except for those who have to go up for surgery, the rest of the people will go round with one of the bosses, and Zhu Bin, as the boss, will accompany him throughout the process.
Today it's Professor Ding Wei's turn to conduct rounds.
Professor Ding and Chen Bo still have a certain understanding, and the brachial plexus in the area is the absolute authority.
Because of his reputation, Professor Ding is also someone who throws knives everywhere inside and outside the province.
Chen Bo and his department had invited him a few times, but at that time Chen Bo was not outstanding, and he was unwilling to approach Professor Ding, so Professor Ding definitely didn't recognize him.
The provincial doctor's ward rounds are really impressive.
Chen Bo cast a glance, Professor Ding walked in front, Zhu Bin followed, followed by more than [-] doctors.
All dressed in white coats, they walked casually, rigorous and solemn.
Every time a patient was in front of him, the doctor in charge of the bed immediately reported the medical history, and then Zhu Bin proposed a diagnosis and treatment plan. Finally, Professor Ding made a final decision, and the patient's operation plan was finalized.
Afterwards, it is the boss's business, coordinating and arranging the operation, notifying the equipment manufacturer to prepare materials, talking about important operations, etc...
After the surgery is arranged, the corresponding big boss has to be notified of the schedule of the surgery...
Besides seeing patients during the ward rounds, the big guy just takes time to show up in the operating room, completes the operation, and then pats his butt and leaves...
Of course, if there is no boss to make rounds, these things will be handled by the boss himself.
Because it is a teaching hospital, and the First Affiliated Hospital is directly affiliated to the Guangnan Medical University, it is essentially different from the affiliated hospitals in other cities.
The boss likes to ask questions during the ward rounds, so every time the boss does the ward rounds, it is also the most disturbing time for many doctors, graduate students and regular trainees.
As for the interns, forget it, there is no sense of existence at all.
Chen Bo didn't push to the front deliberately, but just followed behind the team. He saw that everyone except the professor had a small notebook in their hands.
Chen Bo is too familiar with this kind of scene, and he always prepares it in advance when he brings a notebook, in case the professor asks about the patient's condition.
Furthermore, it is necessary to record the instructions of the professor's ward rounds, so as not to miss the doctor's order, which will be severely criticized.
Although each person manages only three to four beds, Chen Bo, a hospital of this level, knows that they are very particular about efficiency.
Patients basically change batches every three to five days, that is to say, after a month, there are generally more than [-] patients who are discharged from the hospital with three or four beds.
Bed doctors have to write medical records, go through hospital discharge, change dressings, talk about surgery, perform surgery, and there are countless academic conferences and training...
In a department with many emergency departments like this, there are often emergencies, and they may stay up all night at every turn...
Moreover, in a hospital of this level, because the operating room is limited, there is at most one operating room for each department. What if there are several professors at the same time?
That can only be scheduled for surgery day.
There are three professors in Trauma Hand Surgery including the director, that is to say, each professor has booked one day, and the other two days are coordinated according to the situation of the department.
When it comes to the day of surgery, the doctor in charge of the bed basically spends a day in the operating room.
Therefore, trauma and hand surgery is a relatively busy department in orthopedics, and even for advanced students, it is the most difficult department.
At this time, Professor Ding Wei found a patient with carpal tunnel syndrome.
Chen Bo knew that the professor's favorite question was about this kind of patients.
Sure enough, after a brief inspection of the patient, Professor Ding looked at a fellow doctor who was following him and asked:
"Dr. Liao, tell me what structure is inside the carpal tunnel?"
The person who was asked was Dr. Liao Shixing from Zhongsha County People's Hospital.
Dr. Liao is a semi-annual trainee and has been here for a month, so Professor Ding can call him by name.
Liao Shixing suddenly tensed up when he heard Professor Ding's question.
Because this kind of time is the time to test the theoretical basis the most. If you can answer it under the watchful eyes of everyone, that's fine, and you will stand out if you are respected by others.
But if you can't answer, you don't need the professor to lecture you, you can feel ashamed yourself.
"Director Ding, in addition to the median nerve, there are flexor hallucis longus tendons in the carpal tunnel, and the superficial and deep flexor tendons of the other four fingers."
Liao Shixing's foundation is not bad, and his answer is very accurate. Professor Ding nodded in satisfaction, and asked again:
"Since you mentioned the median nerve, let me ask another question. If the median nerve in the arm is broken, what symptoms will it cause?"
This is a question about nerve innervation in the middle of the test. It is easy to answer, but it is difficult to answer comprehensively.
"Well, it will cause ape palm, sensory impairment of the three and a half fingers on the radial side, impairment of palm function... and... I don't remember the others!"
Liao Shixing blushed obviously.
After listening to Liao Shixing's answer, Chen Bo knew that he only had a rough idea of the content of this part, which was not systematic enough.
"Anyone else have anything to add?"
Professor Ding glanced at the other advanced students, postgraduates, and training doctors behind him.
Chen Bo noticed it. When Professor Ding saw it, everyone lowered their heads.
Chen Bo is very familiar with this operation. He had a similar experience before. It was nothing more than trying not to attract the attention of the professor, so as not to call himself and lose face if he couldn't answer.
What Chen Bo didn't realize was that all the people in front lowered their heads, and his own head was still raised high, which made him stand out.
In fact, before Chen Bo came here, he had made up his mind to keep a low profile. He felt that it was quite cool to pretend to be a pig and eat a tiger.
As a result, on the first day today, I didn't grasp it well. Just now, because he was observing others with great interest, he didn't pay attention to lowering his head in time. When he saw Professor Ding's eyes, he knew it was going to be bad...
Professor Ding saw that there were still people who dared to look at him at this meeting, and his interest was aroused by this young man, Chen Bo.
"Is this student just here today? His name is...?"
"Chen Bo, Doctor Chen."
At this time, the boss Zhu Bin spoke up in time.
"Oh, Dr. Chen, the young man is good, he looks very energetic! Now, Dr. Liao answered part of the answer just now, but it is not comprehensive enough. You can continue to answer the question just now."
Professor Ding looked at Chen Bo and said with a smile.
Following Professor Ding's words, everyone's eyes focused on Chen Bo.
Chen Bo also secretly sighed in his heart, it seems that it is impossible for him to keep a low profile...
Taking a deep breath, Chen Bo calmly replied:
"Injury to the median nerve in the arm segment, including impairment of sensory and motor function..."
"In terms of feeling, as Dr. Liao said just now, it is mainly due to the abnormal sensation of the three and a half fingers on the radial side and the thenar part..."
Hearing this, everyone at the scene looked at Chen Bo with respect, and Professor Ding's eyes were full of imperceptible appreciation...
(End of this chapter)
Today is Monday, except for those who have to go up for surgery, the rest of the people will go round with one of the bosses, and Zhu Bin, as the boss, will accompany him throughout the process.
Today it's Professor Ding Wei's turn to conduct rounds.
Professor Ding and Chen Bo still have a certain understanding, and the brachial plexus in the area is the absolute authority.
Because of his reputation, Professor Ding is also someone who throws knives everywhere inside and outside the province.
Chen Bo and his department had invited him a few times, but at that time Chen Bo was not outstanding, and he was unwilling to approach Professor Ding, so Professor Ding definitely didn't recognize him.
The provincial doctor's ward rounds are really impressive.
Chen Bo cast a glance, Professor Ding walked in front, Zhu Bin followed, followed by more than [-] doctors.
All dressed in white coats, they walked casually, rigorous and solemn.
Every time a patient was in front of him, the doctor in charge of the bed immediately reported the medical history, and then Zhu Bin proposed a diagnosis and treatment plan. Finally, Professor Ding made a final decision, and the patient's operation plan was finalized.
Afterwards, it is the boss's business, coordinating and arranging the operation, notifying the equipment manufacturer to prepare materials, talking about important operations, etc...
After the surgery is arranged, the corresponding big boss has to be notified of the schedule of the surgery...
Besides seeing patients during the ward rounds, the big guy just takes time to show up in the operating room, completes the operation, and then pats his butt and leaves...
Of course, if there is no boss to make rounds, these things will be handled by the boss himself.
Because it is a teaching hospital, and the First Affiliated Hospital is directly affiliated to the Guangnan Medical University, it is essentially different from the affiliated hospitals in other cities.
The boss likes to ask questions during the ward rounds, so every time the boss does the ward rounds, it is also the most disturbing time for many doctors, graduate students and regular trainees.
As for the interns, forget it, there is no sense of existence at all.
Chen Bo didn't push to the front deliberately, but just followed behind the team. He saw that everyone except the professor had a small notebook in their hands.
Chen Bo is too familiar with this kind of scene, and he always prepares it in advance when he brings a notebook, in case the professor asks about the patient's condition.
Furthermore, it is necessary to record the instructions of the professor's ward rounds, so as not to miss the doctor's order, which will be severely criticized.
Although each person manages only three to four beds, Chen Bo, a hospital of this level, knows that they are very particular about efficiency.
Patients basically change batches every three to five days, that is to say, after a month, there are generally more than [-] patients who are discharged from the hospital with three or four beds.
Bed doctors have to write medical records, go through hospital discharge, change dressings, talk about surgery, perform surgery, and there are countless academic conferences and training...
In a department with many emergency departments like this, there are often emergencies, and they may stay up all night at every turn...
Moreover, in a hospital of this level, because the operating room is limited, there is at most one operating room for each department. What if there are several professors at the same time?
That can only be scheduled for surgery day.
There are three professors in Trauma Hand Surgery including the director, that is to say, each professor has booked one day, and the other two days are coordinated according to the situation of the department.
When it comes to the day of surgery, the doctor in charge of the bed basically spends a day in the operating room.
Therefore, trauma and hand surgery is a relatively busy department in orthopedics, and even for advanced students, it is the most difficult department.
At this time, Professor Ding Wei found a patient with carpal tunnel syndrome.
Chen Bo knew that the professor's favorite question was about this kind of patients.
Sure enough, after a brief inspection of the patient, Professor Ding looked at a fellow doctor who was following him and asked:
"Dr. Liao, tell me what structure is inside the carpal tunnel?"
The person who was asked was Dr. Liao Shixing from Zhongsha County People's Hospital.
Dr. Liao is a semi-annual trainee and has been here for a month, so Professor Ding can call him by name.
Liao Shixing suddenly tensed up when he heard Professor Ding's question.
Because this kind of time is the time to test the theoretical basis the most. If you can answer it under the watchful eyes of everyone, that's fine, and you will stand out if you are respected by others.
But if you can't answer, you don't need the professor to lecture you, you can feel ashamed yourself.
"Director Ding, in addition to the median nerve, there are flexor hallucis longus tendons in the carpal tunnel, and the superficial and deep flexor tendons of the other four fingers."
Liao Shixing's foundation is not bad, and his answer is very accurate. Professor Ding nodded in satisfaction, and asked again:
"Since you mentioned the median nerve, let me ask another question. If the median nerve in the arm is broken, what symptoms will it cause?"
This is a question about nerve innervation in the middle of the test. It is easy to answer, but it is difficult to answer comprehensively.
"Well, it will cause ape palm, sensory impairment of the three and a half fingers on the radial side, impairment of palm function... and... I don't remember the others!"
Liao Shixing blushed obviously.
After listening to Liao Shixing's answer, Chen Bo knew that he only had a rough idea of the content of this part, which was not systematic enough.
"Anyone else have anything to add?"
Professor Ding glanced at the other advanced students, postgraduates, and training doctors behind him.
Chen Bo noticed it. When Professor Ding saw it, everyone lowered their heads.
Chen Bo is very familiar with this operation. He had a similar experience before. It was nothing more than trying not to attract the attention of the professor, so as not to call himself and lose face if he couldn't answer.
What Chen Bo didn't realize was that all the people in front lowered their heads, and his own head was still raised high, which made him stand out.
In fact, before Chen Bo came here, he had made up his mind to keep a low profile. He felt that it was quite cool to pretend to be a pig and eat a tiger.
As a result, on the first day today, I didn't grasp it well. Just now, because he was observing others with great interest, he didn't pay attention to lowering his head in time. When he saw Professor Ding's eyes, he knew it was going to be bad...
Professor Ding saw that there were still people who dared to look at him at this meeting, and his interest was aroused by this young man, Chen Bo.
"Is this student just here today? His name is...?"
"Chen Bo, Doctor Chen."
At this time, the boss Zhu Bin spoke up in time.
"Oh, Dr. Chen, the young man is good, he looks very energetic! Now, Dr. Liao answered part of the answer just now, but it is not comprehensive enough. You can continue to answer the question just now."
Professor Ding looked at Chen Bo and said with a smile.
Following Professor Ding's words, everyone's eyes focused on Chen Bo.
Chen Bo also secretly sighed in his heart, it seems that it is impossible for him to keep a low profile...
Taking a deep breath, Chen Bo calmly replied:
"Injury to the median nerve in the arm segment, including impairment of sensory and motor function..."
"In terms of feeling, as Dr. Liao said just now, it is mainly due to the abnormal sensation of the three and a half fingers on the radial side and the thenar part..."
Hearing this, everyone at the scene looked at Chen Bo with respect, and Professor Ding's eyes were full of imperceptible appreciation...
(End of this chapter)
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