The road to the rise of great doctors
Chapter 49
Chapter 49
"A doctor treats muscles and bones externally, tames the five internal organs internally, dispels diseases, eliminates pain, and saves lives and heals the wounded with specialized skills. This is the benevolence of a skillful hand. A doctor follows the way of heaven, explores good prescriptions, promotes kindness, comforts people, and Taking a public stand to help the world and bring peace to the people is the hero of the Xinglin."
“To be a doctor, you must first have noble medical ethics, extreme responsibility, and high compassion, as well as exquisite medical skills and the art of service.”
Closing the biographies of medical experts, Liu Dong quietly recalled all the things that had happened in the past month. He was judging whether he was on the "road of great medicine".Not to mention other things, but thinking of his "wonderful hands and benevolent heart", he thought he could barely do it.
In the evening of this day, Liu Dong decided to review the exam carefully so that he could put down his burden and travel lightly when he went to the next department.
As the saying goes, "The sharpening of the sword will never fail the chopping of firewood."If you want to work steadily and move towards success step by step, you cannot replace strategic laziness with tactical diligence.
Review and reflection are essential.
The first internship department is coming to an end, which is an excellent time to review.
Liu Dong thought carefully about everything that happened in the Department of Urology, and he felt like he was in another world.It seems that the experience of just one month exceeds the five years of undergraduate study and the innocence before college.Medicine also began to occupy almost all of his time, and he lived a life of "two points and one line" every day.
In this month, he changed from a regular campus life to a working life of "36 to [-]". Sometimes he would spontaneously look for opportunities for growth and exercise, and suddenly became "on call for [-] hours" or even More.
You pay a lot, and you gain a lot.
He transitioned from a medical student to an intern, and he was a doctor who met the standards of a "real bedside doctor" that the "old doctor" said and saw in his eyes.
Basic operations and minor surgeries in urology, such as catheterization, circumcision, and cystostomy, have been performed, and I am confident that I can complete them independently.I also participated in complex surgeries and rare trauma. I was involved in open surgeries, laparoscopic surgeries, and microscopic surgeries. I also experienced endoscopic operations such as cystoscopy.
Basic surgical operations, such as sterile dressing change, "cultivation" of surgical assistants, judgment of whether surgery is needed, judgment of which surgeries are emergency surgeries, time-limited surgeries or elective surgeries, perioperative precautions and consultations, etc. .
The relationship between surgery and anatomy also has a deeper understanding and cognition of the anatomical concepts of several surgical approaches.
I am even more aware that "what you learn on paper is ultimately shallow, but you must know that you must do it in detail."To realize the journey from understanding to complete mastery, the road in between is the road between the resident physician and the (deputy) chief physician.
In addition, the experience of emergency surgery not only improves skills, but also greatly inspires confidence in practicing medicine.
The more Liu Dong thought about it, the more he realized that if he wanted to lie down, he would just do it step by step.But if you want to achieve something, you must be diligent and hard-working. Every minute and every second that should be spent is essential.If you want to shorten the time for making achievements, you must make full use of your time.
Medicine is essentially a hard-working life!
Regarding the differences in medical treatment between medical students and doctors, he also lamented that in the theory class, the various diseases taught by the teacher seemed to be very simple and had common characteristics.But in clinical practice, when a specific patient comes, the answer may not be so easy to think of, and there may even be more than one answer.
"Studying medicine is learning commonness, but treating diseases is treating 'individuality'." Liu Dong thought.When diagnosing and treating patients, it is like the police solving a case. It may be a small case when it comes, but as the interrogation process and evidence are collected, there may be another case or the truth hidden behind it.
When seeing a doctor, you should not be satisfied with the main complaint and basic diagnosis when you come to see a doctor. You should make a comprehensive diagnosis as much as possible, find urgent diseases that may have serious consequences, and then tell the patient that these must be treated first!Try to be comprehensive, holistic and reasonable in arranging the disposal plan, and cannot "press the gourd and lift the ladle".
Nor can we think that it is all-inclusive and foolproof, because no matter how doctors make their diagnosis conform to the actual condition of the disease, and no matter how the diagnosis and treatment they make conform to the existing guidelines or consensus, they can only be regarded as the diagnosis and treatment of a certain stage of the disease under the current conditions. know.Different people may have different physical conditions, different tolerances, and different expectations for curative effects.Therefore, patients or family members should try their best to understand the disease and treatment options, and work with the doctor to choose a suitable solution, and provide targeted diagnosis and treatment according to the specific situation!
And the only way to do that is to push yourself to learn every day.The learning here is not limited to book knowledge or guidelines or consensus, but to observe the changes in the patient's condition and pay attention to the discovery and solution of clinical details.It is also necessary to pay attention to the basic fields such as the physiology and biochemistry of diseases and the current status of new drug research and development, as well as whether there are breakthroughs.
Let yourself first achieve this: have a concept and thinking about the disease as a whole, and know what you should do and how to do it, and then do it one by one!In short, do the right thing at the right time.
Liu Dong let his ideas fly, diverged his thinking, and recorded everything of value.If you don't think clearly, record the keywords of the question and leave them for future answers.
There are not many days left for his internship in urology surgery, and since he wants to delve deeper into this field in the future, Liu Dong cherishes the remaining time even more.
He came to the ward early to check the night nursing records + doctor's orders, ward rounds, and dressing changes. Before the arrival of the superior doctor, he first understood all the details of the patients he was responsible for, and had a thorough understanding of all the patient's conditions. palm.
After dealing with his group's affairs, he came to the nurse's station and checked the diagnostic information of the inpatients.
Suddenly, the situation of one of them caught Liu Dong's attention.
This patient's diagnosis was urinary incontinence.
Urinary incontinence is a common disease in urology, which means the uncontrolled leakage of urine from the urethral opening and may be encountered in all ages.
Among them, stress urinary incontinence has the highest incidence rate, accounting for "half of all urinary incontinence".There may be many factors related to the onset of this type of urinary incontinence, including but not limited to older age, having had children, pelvic organ prolapse, obesity, etc.Typical symptoms are occasional leakage of urine when coughing, laughing, sneezing or exercising.
When encountering something interesting, many people will laugh and say, "I pissed myself laughing", but in the face of such ridicule, these people cannot laugh.
They may be embarrassed to tell their families, or they may not dare or refuse to participate in social activities, and feel helpless and anxious. This is a real situation that happens to many people.
However, there are ways to treat it.
(End of this chapter)
"A doctor treats muscles and bones externally, tames the five internal organs internally, dispels diseases, eliminates pain, and saves lives and heals the wounded with specialized skills. This is the benevolence of a skillful hand. A doctor follows the way of heaven, explores good prescriptions, promotes kindness, comforts people, and Taking a public stand to help the world and bring peace to the people is the hero of the Xinglin."
“To be a doctor, you must first have noble medical ethics, extreme responsibility, and high compassion, as well as exquisite medical skills and the art of service.”
Closing the biographies of medical experts, Liu Dong quietly recalled all the things that had happened in the past month. He was judging whether he was on the "road of great medicine".Not to mention other things, but thinking of his "wonderful hands and benevolent heart", he thought he could barely do it.
In the evening of this day, Liu Dong decided to review the exam carefully so that he could put down his burden and travel lightly when he went to the next department.
As the saying goes, "The sharpening of the sword will never fail the chopping of firewood."If you want to work steadily and move towards success step by step, you cannot replace strategic laziness with tactical diligence.
Review and reflection are essential.
The first internship department is coming to an end, which is an excellent time to review.
Liu Dong thought carefully about everything that happened in the Department of Urology, and he felt like he was in another world.It seems that the experience of just one month exceeds the five years of undergraduate study and the innocence before college.Medicine also began to occupy almost all of his time, and he lived a life of "two points and one line" every day.
In this month, he changed from a regular campus life to a working life of "36 to [-]". Sometimes he would spontaneously look for opportunities for growth and exercise, and suddenly became "on call for [-] hours" or even More.
You pay a lot, and you gain a lot.
He transitioned from a medical student to an intern, and he was a doctor who met the standards of a "real bedside doctor" that the "old doctor" said and saw in his eyes.
Basic operations and minor surgeries in urology, such as catheterization, circumcision, and cystostomy, have been performed, and I am confident that I can complete them independently.I also participated in complex surgeries and rare trauma. I was involved in open surgeries, laparoscopic surgeries, and microscopic surgeries. I also experienced endoscopic operations such as cystoscopy.
Basic surgical operations, such as sterile dressing change, "cultivation" of surgical assistants, judgment of whether surgery is needed, judgment of which surgeries are emergency surgeries, time-limited surgeries or elective surgeries, perioperative precautions and consultations, etc. .
The relationship between surgery and anatomy also has a deeper understanding and cognition of the anatomical concepts of several surgical approaches.
I am even more aware that "what you learn on paper is ultimately shallow, but you must know that you must do it in detail."To realize the journey from understanding to complete mastery, the road in between is the road between the resident physician and the (deputy) chief physician.
In addition, the experience of emergency surgery not only improves skills, but also greatly inspires confidence in practicing medicine.
The more Liu Dong thought about it, the more he realized that if he wanted to lie down, he would just do it step by step.But if you want to achieve something, you must be diligent and hard-working. Every minute and every second that should be spent is essential.If you want to shorten the time for making achievements, you must make full use of your time.
Medicine is essentially a hard-working life!
Regarding the differences in medical treatment between medical students and doctors, he also lamented that in the theory class, the various diseases taught by the teacher seemed to be very simple and had common characteristics.But in clinical practice, when a specific patient comes, the answer may not be so easy to think of, and there may even be more than one answer.
"Studying medicine is learning commonness, but treating diseases is treating 'individuality'." Liu Dong thought.When diagnosing and treating patients, it is like the police solving a case. It may be a small case when it comes, but as the interrogation process and evidence are collected, there may be another case or the truth hidden behind it.
When seeing a doctor, you should not be satisfied with the main complaint and basic diagnosis when you come to see a doctor. You should make a comprehensive diagnosis as much as possible, find urgent diseases that may have serious consequences, and then tell the patient that these must be treated first!Try to be comprehensive, holistic and reasonable in arranging the disposal plan, and cannot "press the gourd and lift the ladle".
Nor can we think that it is all-inclusive and foolproof, because no matter how doctors make their diagnosis conform to the actual condition of the disease, and no matter how the diagnosis and treatment they make conform to the existing guidelines or consensus, they can only be regarded as the diagnosis and treatment of a certain stage of the disease under the current conditions. know.Different people may have different physical conditions, different tolerances, and different expectations for curative effects.Therefore, patients or family members should try their best to understand the disease and treatment options, and work with the doctor to choose a suitable solution, and provide targeted diagnosis and treatment according to the specific situation!
And the only way to do that is to push yourself to learn every day.The learning here is not limited to book knowledge or guidelines or consensus, but to observe the changes in the patient's condition and pay attention to the discovery and solution of clinical details.It is also necessary to pay attention to the basic fields such as the physiology and biochemistry of diseases and the current status of new drug research and development, as well as whether there are breakthroughs.
Let yourself first achieve this: have a concept and thinking about the disease as a whole, and know what you should do and how to do it, and then do it one by one!In short, do the right thing at the right time.
Liu Dong let his ideas fly, diverged his thinking, and recorded everything of value.If you don't think clearly, record the keywords of the question and leave them for future answers.
There are not many days left for his internship in urology surgery, and since he wants to delve deeper into this field in the future, Liu Dong cherishes the remaining time even more.
He came to the ward early to check the night nursing records + doctor's orders, ward rounds, and dressing changes. Before the arrival of the superior doctor, he first understood all the details of the patients he was responsible for, and had a thorough understanding of all the patient's conditions. palm.
After dealing with his group's affairs, he came to the nurse's station and checked the diagnostic information of the inpatients.
Suddenly, the situation of one of them caught Liu Dong's attention.
This patient's diagnosis was urinary incontinence.
Urinary incontinence is a common disease in urology, which means the uncontrolled leakage of urine from the urethral opening and may be encountered in all ages.
Among them, stress urinary incontinence has the highest incidence rate, accounting for "half of all urinary incontinence".There may be many factors related to the onset of this type of urinary incontinence, including but not limited to older age, having had children, pelvic organ prolapse, obesity, etc.Typical symptoms are occasional leakage of urine when coughing, laughing, sneezing or exercising.
When encountering something interesting, many people will laugh and say, "I pissed myself laughing", but in the face of such ridicule, these people cannot laugh.
They may be embarrassed to tell their families, or they may not dare or refuse to participate in social activities, and feel helpless and anxious. This is a real situation that happens to many people.
However, there are ways to treat it.
(End of this chapter)
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