This doctor has a system

Chapter 2 2. First day in respiratory medicine

The Department of Respiratory Medicine, also known as the Department of Respiratory and Critical Care Medicine, is a large department.It manages everything from small colds and fevers to tuberculosis and pneumonia to large lung tumors.

Gao Feng, Wang Xuanxuan, and more than 60 Gui Peisheng arrived at Ward 1 of the Department of Respiratory Medicine early in the morning with transfer slips.

The Respiratory Department of the Provincial People's Hospital is located in Building 7 of the East Campus, of which the 8th, 9th, 11th, and 15th floors are all respiratory medicine wards, and each ward has about 120 beds.

Just like this, every winter and spring season, there are often cases of queuing up for hospitalization, which is also related to the traditional Chinese concept.

The secretary of Respiratory Internal Medicine was Zhang Qian, who looked young, so they were divided into groups after finishing the class. Gao Feng went to the 9th floor, and Wang Xuanxuan went to the 15th floor.Everyone put on their white coats, and after signing their names, they hurried to find their own teachers.

Gao Feng's teacher is Li Huizhen, a Ph.D. and attending physician. The director of this group is also surnamed Li.He should have gone to the outpatient clinic, but Gao Feng didn't see anyone.

Including Gao Feng, a total of 4 students followed Li Huizhen. She had just taken the night shift last night and was a little out of spirits. After asking Gao Feng and their names, she created a WeChat group and drew everyone into it.

From the WeChat group, Gao Feng also knew the names of the other three people, Qi Nannan, female; Cheng Song, male; Hu Jiaran, male.

Among them, Cheng Song is a graduate student who belongs to the kind of four-in-one training, which is different from Gao Feng and the others.

Li Huizhen went through the patients with a computer, and started rounds on time at 8:[-], Gao Feng and others hurriedly followed behind her.

There were 31 patients in their group. When Li Huizhen passed the patients just now, Gao Feng noticed that the patients included pneumonia, bronchial asthma, chronic obstructive pulmonary disease, lung cancer, and the cause of fever to be investigated. The latter part was not clear.

For the first 7 patients, Li Huizhen checked them relatively quickly. It should be that the hospitalization time was relatively long, and the patients' conditions were relatively stable.

The eighth patient was a 8-year-old middle-aged man. He was taking oxygen when he came in, and his breathing was a little short.Gao Feng remembered that his name was Li Lei, and the diagnosis was written as bronchial asthma.

When Li Lei saw the doctor walking in, he nodded immediately.

"Is it better?" Li Huizhen let him half lie on the bed.

"It's much better, and I'm still short of breath." Li Lei was a patient who came yesterday afternoon. He has a history of bronchial asthma and is usually allergic to mutton and crab.This time I went out to eat barbecue with my friends, and after eating lamb skewers, I induced an acute attack of asthma.

"You know you are allergic to mutton, but you still eat it?" Li Huizhen said she couldn't understand.

Speaking of this, Li Lei was depressed for a while. This barbecue restaurant is near his home, and he often eats there. The mutton is all fake.I went to eat again yesterday, the boss felt that he was always coming, he was an old customer, and he realized that he served real mutton.
After eating it, he felt that something was wrong. It tasted different from before, not as delicious as before.

Li Lei was wondering, but after a while he began to feel tightness in his chest, shortness of breath, and rashes all over his body.The friend who was traveling with him was taken aback and drove him over quickly.

After listening to his narration, the ward was full of joyful atmosphere.

Li Huizhen asked everyone to use a stethoscope to listen to the wheezing sound of the lungs, and told them that in respiratory medicine, they must learn to see, touch, tap, and listen to the lungs. Auscultation is very important.

After leaving the door of the ward, the large army stopped, and Li Huizhen asked everyone to stand in a row against the wall, and the familiar questioning session came again.

It can be seen that everyone seems to be a little nervous, with their necks shrinking back.Only Gao Feng was relatively calm, which also caught Li Huizhen's attention.

"Your name is Gao Feng, right? You're pretty handsome. Tell me the definition of bronchial asthma."

That's it?too easy!Gao Feng was a little disappointed.

"Asthma, referred to as bronchial asthma, is a chronic airway inflammatory disease involving a variety of cells, such as mast cells, eosinophils, T lymphocytes, neutrophils, etc. and cell components. Clinically, it is manifested as recurrent Wheezing, shortness of breath, chest tightness, coughing and other symptoms."

"That's very good, then tell me about the medicines commonly used for asthma." Li Huizhen obviously wanted to ask Gao Feng down.

"There are mainly 6 categories, glucocorticoids, B2 receptor agonists, theophyllines, leukotriene regulators, anticholinergics, and anti-IGM antibodies." Gao Feng finished his answer without pausing, not paying attention to Qi Nannan who was behind him looking at him They're all star-studded.

Li Huizhen took a second look at Gao Feng before saying, "You have solid basic skills. Did you graduate from that school? What degree?"

"NMG Medical University. Postgraduate student."

As the rounds continued, a voice sounded in Gao Feng's mind: "Congratulations, you have been affirmed by the instructor. Your smooth answer made Li Huizhen agree with you, and I will reward you with 1 skill point."

Looking around, no one responded, which made Gao Feng breathe a sigh of relief.Even adding points, it seems that this system is more powerful than I imagined.

What is this skill point added to?Physical and mental discomfort seem to be necessary for a while, Gao Feng thought about it, and felt that it should be added to the diagnosis and treatment of diseases.

Because he is in the Department of Respiratory Medicine, Gao Feng added this skill point to Internal Medicine-Respiratory System-Pneumonia, and the diagnosis and treatment level of pneumonia suddenly became elementary.

Immediately, a lot of knowledge about pneumonia treatment poured into his mind, and he gained so much treatment experience in an instant, which made Gao Feng a little happy.

You must know that seeing a doctor depends on clinical experience, and few patients will get sick as described in the book.That's why some MDs don't see doctors either.

Speaking of this, some patients always like to hang up some so-called chief physician and expert accounts. Some directors and experts are promoted to professional titles based on scientific research and academic qualifications, but seeing a doctor is not their strong point.

If it is not an intractable disease, it is enough to hang up the number of the old attending doctor or the deputy chief physician, except in special cases.

The last patient was a 14-year-old girl. Before entering the ward, Li Huizhen deliberately explained to everyone: "This patient is lung cancer, which has multiple metastases, but the patient himself does not know. Remember not to talk about the condition in front of the patient. .”

The 14-year-old terminal lung cancer patient shocked everyone.Walking into the ward, the little girl saw a lot of people coming, so she quickly put on her hat.

The older woman next to her should be the patient's mother. It can be seen that she is in a good mental state.Seeing the doctor coming, I tried to put a smile on my face.

Li Huizhen asked the little girl how she was eating, is she coughing badly now?

"I always feel sick after eating, and my cough is better." The little girl replied timidly.

Before leaving, the little girl plucked up her courage and asked, "Auntie, can I still recover from this illness?"

"Of course you can. You have pneumonia, but the area is a bit large. If you work harder, it will definitely be cured." Li Huizhen said to her with a smile.

After going out, no one said a word, Gao Feng gently closed the door of the ward.

"Go back and take a look at the lung adenocarcinoma, and I will ask questions tomorrow. You go to familiarize yourself with the HIS system of the hospital this afternoon, and I will go for consultation. Gao Feng will call me if there is anything." Li Huizhen left quickly.

(End of this chapter)