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Chapter 97 Practice Physical Examination

Bai Ye got up early today, because he had to report to the hospital, and the re-examination for the postgraduate entrance examination required practical skill operation, which was more convenient to practice in the hospital.

Moreover, after all, he is still in the internship period, and he doesn't seem to have practiced well yet.

Before the postgraduate entrance examination, there was a leave of absence for the postgraduate entrance examination. After the postgraduate entrance examination, I participated in the Chinese medicine knowledge competition, and then went home for a year. After the New Year, I hurriedly went to the Kyoto experimental group for further study.

The whole person was running back and forth, it was almost April, and the postgraduate re-examination was due in two weeks.

Bai Ye still felt that he should strengthen the basic quality of clinical practice ability.

Don't look at the many skills of lv4 and lv5, but these are the most basic basic skills. When it comes to clinical practice, what is needed is a process of combining theory with practice.

If the basic skills are not solid, what is the likely result?

Knowing what it is, not knowing why!So these basic skills are still very necessary.

However, it is far from enough to have a theoretical basis alone. After all, this is a clinical subject that needs to be practiced and practiced in the clinic.

Bai Ye went to the hospital with Fatty. Fatty took him with him at the hospital every day after the Chinese New Year. His mother found him an old director of the Department of Spleen and Stomach, and asked Fatty to follow him out of the clinic.

The old director is an old expert. He has worked in the Provincial Hospital of Traditional Chinese Medicine for nearly 40 years and is an old famous doctor in the industry in Shanxi Province.

There are two half-day outpatient clinics a week, and when the outpatient clinic is busy, there are nearly 100 people!

Every morning, I get the outpatient clinic at seven o'clock, and it ends at around two noon!

The fat man mainly followed the prescription, arrived at the hospital early every day, and it was two o'clock when he lowered his head and raised it again.

I lost a full seven or eight catties in a month, which made the fat man sigh, no wonder the ancients said that there is Yan Ruyu in the book, how can I gain weight after such high-intensity study!Even if you are as fat as me, it won't be long before you can look like jade!

Bai Ye came to the hospital early with the fat man. Since he didn't come to the hospital last month, he didn't report at all after the year, so naturally he didn't arrange a department.

The general rotation of interns is: each department for one month, after Bai Ye finds the medical department, he knocks on the door and enters.

The administrative department of the hospital has a characteristic, that is, sometimes they work overtime when they are busy, and sometimes they can raise birds when they are free.

Bai Ye waited in the hospital and had nowhere to go, so he went to have breakfast and arrived at the administration building around 08:30.

At the beginning of the year, the medical department was too busy to find the north. After Bai Ye knocked on the door and entered, everyone lowered their heads, not knowing what they were sorting out.

In the past, a middle-aged bald man was in charge of the specialist department. His name was Song and Bai Ye couldn't remember.

After Bai Ye found the man, he took a break and said, "Mr. Song, I'm here to report."

Only then did the man raise his head and look at Bai Ye: "Are you a graduate student? A regular trainee? Or a visiting student? An intern?"

Bai Ye handed over the badge: "Mr. Song, I'm a fifth-year intern at Jinxi Hospital of Traditional Chinese Medicine. My name is Bai Ye. I took a leave of absence last month because of something, so I'm here to report now."

When the man waited for Bai Ye to say his name, he was a little stunned, a little familiar, yes, it was the dean who greeted the director himself a month ago.

An ordinary intern asks for leave and wants to be greeted by the dean?Do you think the dean is idle?
Immediately, the man raised his head and said with a smile, "Well, I'm back, and now I'll arrange a department for you."

Bai Ye saw that the man was so eloquent, so he quickly thanked him: "Thank you teacher."

The man asked, "Do you...do you have any particular department you want to go to?"

Bai Ye was stunned for a moment: "As for the department... Mr. Song, it's like this. I'm going to take the postgraduate re-examination of Haishi University of Traditional Chinese Medicine in mid-April, so I want to practice physical examination and basic clinical skills, and... probably mid-April. I still have to ask you for leave. So I'm sorry to trouble you."

Hearing this, the man thought for a while and smiled: "Haishi University of Traditional Chinese Medicine? Not bad! Young man, you have to work hard. If this is the case...you should go to the training center."

"Recently, the training center has organized our hospital's training students and postgraduates to participate in physical examination and four major puncture skills training. If you help out in the past, you can just study and study. It is also convenient for you to take the postgraduate entrance examination and re-examination. The training will end in the middle of the month. You Just in time to take the retest."

When Bai Ye heard it, his eyes lit up: "Thank you! Thank you teacher."

The man waved his hand, signed the transfer form, and handed it to Bai Ye: "Prepare for the re-examination, come on! Hurry up and report."

After Bai Ye thanked him again, he left.

The regular training center was built by the hospital in 2015, the year the country officially issued a policy on the regular training of medical students.

The purpose of the regular training center is to manage and train medical students. The regular training center of Jinxi Provincial Hospital of Traditional Chinese Medicine occupies two floors, and there are various models in it to facilitate student training.

In fact, there is no specific job here. Bai Ye follows a 33-year-old female teacher named Chen Lin.

Chen Lin said: "Starting today, for the past ten days, every afternoon, students will come to train on the four major punctures, cardiopulmonary resuscitation, physical examination, etc. You follow the teachers and see if there is anything that needs help. It’s okay to be specific, you can read books here in the morning and prepare for the retest.”

In the morning, there were not many people in the training center, and Bai Ye was happy to be at leisure, because there are often lectures here, and these courseware and videos are available on all computers.

Bai Ye turned on the computer and looked for the video of the physical examination.

Physical examination is a routine general examination of the human body in modern medicine. It mainly evaluates some common signs and states of the human body by means of sight, touch, tap and hearing.

From head to toe, first inspect the head and face, then palpate the lymph nodes of the head and face, and check the light reflex of the eyes and the nervous system reflex.

Next is some diagnostic methods for the chest. The chest is the focus of the exam, because there are two very important organs, the lungs and the heart.

Moreover, the clinical diagnosis of the anterior chest is very common, such as lung auscultation, the height of breath sounds, whether there are sputum sounds, whether there are dry and wet rales, etc. These are the main basis for judging the performance of lung cases.

There is also percussion. Some common diseases can be judged by percussion on the lungs. Ordinary percussion of the lungs is voiceless. If there is pleural effusion or pneumothorax, there will be different sounds.

This is especially true for the heart. The position and size of the heart can be judged by percussion, and the five common auscultation areas of the heart can be auscultated.

These things are the most basic, Bai Ye looked at them seriously.

But the gain of reading it again is very low. This kind of thing that is closely linked to practice can only improve faster through practice and learning.

After 3 o'clock in the afternoon, a group of regular trainees came one after another, and they were divided into groups and assigned to study in different rooms.

Bai Ye took the initiative to go to the room for the physical examination. The speaker was Zhou Bobo, a senior attending physician from the hospital's pulmonary disease department.

There are simulated people in the room, and Zhou Bobo personally demonstrates for everyone, starting from head to toe, step by step, and talking about it while doing it.

After watching it live this time, Bai Ye probably had an impression in his heart, but it was just an impression, and it might not be effective if he was actually asked to play.

(End of this chapter)