Xueba is also open

Chapter 240 Getting Better

In the three-story orthopedic department of Puze Hospital, there is only one chief director, and that is Li Jianwei.

The 5th floor is the Orthopedics Department, the 6th floor is the Orthopedics Department, and the 7th floor is the Spine Department. Li Jianwei goes to the three departments for rounds every Monday, Tuesday, and Wednesday morning.

Bai Ye mainly follows Li Jianwei in the orthopedics department. There are many orthopedic operations, basically a few operations a day, and Li Jianwei only participates in those difficult operations, and usually other chief physicians are responsible for them.

The department of orthopedics has a well-developed level of talents, and it is a well-developed department in Puze. There are eight senior experts and above, more than ten deputy senior and deputy chief physicians, and the rest are basically attending physicians.

Although bone injuries and joints are clearly distinguished on the third floor, the patients are not so particular. Basically, the patients admitted to the three floors are similar.

After a period of familiarization, Bai Ye already had a basic understanding of the things in the department.

Especially during the ward rounds, Bai Ye could basically answer Li Jianwei's questions clearly and clearly.

Orthopedics basic subject skill lv6, this is not easy, after two weeks of admission, Bai Ye has a general understanding of orthopedics, and clinical orthopedics has also reached lv2 level.

Moreover, Bai Ye finally got a reminder of the system task:

【Ding!Entering the Department of Orthopedics, triggering the regular training task: Independently manage ten patients, from admission to discharge, to truly become a clinical doctor, and after completing the task, acquire small clinical skills in the Department of Orthopedics and Traumatology. 】

Not only about the task, but Bai Ye found a problem. There are not many opportunities to follow the director to get started, and the improvement of clinical skills is too slow. Therefore, Bai Ye took the initiative to propose his own idea to Li Jianwei: I want to take the initiative to try Manage patients independently.

When Bai Ye proposed this idea, Li Jianwei hesitated for a moment. Many Gui Peisheng had already started to manage patients independently, but they were all postgraduates majoring in orthopedics, helping their teachers to manage patients.

When the shift was handed over the next morning, there were no interns, all of them were doctors from the department, so Li Jianwei announced something.

"Today, I want to tell you something. I want Bai Ye to try to take care of the patients independently and take on the responsibility of a doctor in charge. Bai Ye is fully responsible for the whole process from picking up the patient to when the patient is discharged."

"During this period of time, please take care of yourself and pay more attention. By the way, pay attention to the recovery of some patients. If you have anything to pay attention to, please help Bai Ye with any difficulties."

When everyone heard this, they all agreed.

Thus, Bai Ye successfully became a temporary doctor in charge.

On that day, Bai Ye received a patient, who was admitted by Li Jianwei at the outpatient clinic, a patient with a herniated lumbar intervertebral disc.

This patient is an elderly person, and the main purpose of hospitalization is maintenance. The medical insurance in Kyoto City can directly reimburse 90.00%, and the main purpose of admission is the annual rehabilitation treatment.

Bai Ye guessed that Li Jianwei was worried about him, and in order to train him, he accepted a relatively simple and easy-to-manage patient.

But although the disease is simple, Bai Ye doesn't want to be careless. On the contrary, doing a simple thing well to the extreme is art.

What's more, the simpler the disease, the harder it is to cure it.

Moreover, this kind of mild illness also gave Bai Ye a gradual process.

After all, Puze Hospital is a hospital that integrates traditional Chinese and Western medicine.

There are many traditional Chinese medicine treatment methods, such as traditional Chinese medicine sinking treatment on the lower back, acupoint sticking, small needle knife, acupuncture, medicine cupping, etc., all of which have significant curative effects, and massage is more effective in relieving the disease.

Moreover, there are many methods of modern medicine, such as various supportive therapies, traction therapy, and epidural injection of corticosteroids, etc.

Of course, surgery can be performed for severe patients, but surgery for herniated discs requires surgical indications, and surgery is generally not encouraged. After all, postoperative recovery is not necessarily good, and the technology is not perfect.

Only patients with serious conditions, long history, ineffective conservative treatment and severe pain, or even patients with complications, such as nerve root paralysis, accompanied by muscle atrophy, decreased muscle strength and spinal stenosis, are encouraged to do it.

After the patient came, Bai Ye was very attentive. Managing the patient independently and teaching with a teacher were two completely different things.

Because the patient's current medical history and past history all need to be asked, what drugs have been taken before, whether there is a history of drug food allergy, blood transfusion history, surgical trauma history, etc. This is the case.

Bai Ye didn't dare to be careless. Although he was just a simple patient, he still did his best.

Bai Ye carefully considered everything from case collection to doctor's order.

Including the blood that needs to be tested and the items to be checked, Bai Ye went to do it carefully.

Of course, departments have templates, such as blood drawing, blood routine, urine routine, stool routine and occult blood, liver and kidney function, coagulation, blood viscosity, etc.

In the morning of the next day, the patient had his blood drawn, filmed and examined.

After Bai Ye saw the test sheet, he judged based on the results of the relevant tests. These processes were very disciplined.

A week later, Bai Ye was able to handle many common things in clinic.

Seeing that Bai Ye might gradually enter the door, Li Jianwei also took in other patients for Bai Ye, such as patients after knee replacement surgery, etc...

It has been nearly a month since I came to the orthopedics department. After this period of familiarization, Bai Ye has been able to maturely grasp these basic precautions, and most importantly, the experience gained in this short period of time is more than double that of the previous two weeks .

It directly brought Bai Ye's orthopedics clinical skill level to lv3, a professional level.

He also has a lot of proficiency in some common diseases in the Department of Orthopedics and Traumatology, and gradually Bai Ye discovered that many of the diseases of the patients are really complicated. One patient in the department was found to have other diseases because he needed an operation. If these patients were admitted to Bai Ye, it might still be difficult to deal with them.

Li Jianwei did it intentionally when he admitted patients. They were all very simple patients without too many complications, so they were relatively better.

Moreover, the diagnosis is very clear. They all simply need conservative treatment. Li Jianwei will not accept those who are seriously ill and need surgery. He is afraid that something will happen to him. Of course, the main reason is that he is worried that Bai Ye will not be able to manage the surgical patients. .

After the first batch of patients were discharged from the hospital, Bai Ye vacated several hospital beds. After sorting out the cases leisurely, Bai Ye sat here and read a book.

Today is the weekend, and there are only doctors on duty in the hospital. At this time, the nurse called and said that the emergency department received a lot of patients today, and the orthopedic department should be called for emergency consultation.

After Liu Xiaogang, the doctor on duty, heard the news, he didn't bother to wait for the elevator, and ran directly downstairs.

And Bai Ye hurried down to follow Liu Xiaogang, urgent consultation!What is the matter?
ps: I recommend a book by a friend, "The World of Cultivation". The author is an old author. If you like to read this kind of article, you can read it.

　Thank you for the reward of 500 starting coins from that year, thank you for your support~
　　The plot is slowly unfolding, I hope everyone will support it~ Subscriptions are sluggish, cough cough cough cough

　　
　
(End of this chapter)