There is no need to be too normal to be a doctor.

Chapter 76 The first day of clinical practice

October [-]st.

Chen Gong got up early, packed his things, put on his white coat and set off.

The affiliated hospital is not far from the school, only a 10-minute walk. Occasionally, I can meet some senior students on the road who are in a hurry.

He ate the buns and walked towards the hospital.

Or they are seniors who go to the library to prepare for the postgraduate entrance examination.

It is rare to see such a leisurely and comfortable scene on the campus of the Medical University. After reaching senior year, the pace of life becomes very hectic.

Even on National Day, students can still be seen everywhere holding books and reciting under the shade of trees.

Perhaps choosing the path of medicine means that the rest of your life will be filled with various exams and studies.

……

After Chen Gong arrived at the osteoarthritis doctor's office, Qin Xuehai hadn't come yet.

The doctor on duty was busy. After several interns and trainees came in, they habitually sat on the chairs and waited for the shift to begin.

Because it was the National Day holiday, there were not many people.

Chen Gong had nothing to do, so she picked up a medical record folder on the table and read it.

Compared with the mechanized knowledge in the book, the patient's situation is indeed much more exciting.

The medical records are very comprehensive, from current history to past history, to diagnosis and medication, all are clearly described and recorded.

Chen Gong unknowingly became fascinated by what he saw.

Because each case is simply a series of short answer questions.

Past history is a condition.

Inspection test results are an auxiliary primary reference factor.

In addition, the patient's current medical history should also be considered.

The patient's diagnosis is then derived.

Although Chen Gong came to the clinic for the first time, she was quickly attracted to this challenging work.

Every diagnosis is like solving a case, unraveling each mystery and finding the final truth.

Then proceed to symptomatic treatment.

However, what makes Chen Gong most happy is that he discovered his shortcomings.

I haven't felt this feeling for a long time.

Hundreds of physiological and biochemical indicators are like fascinating numbers. These are the results of biochemical products.

Although Chen Gong currently has no way to clearly understand the meaning of these indicators.

However, these indicators are clues to the essence of the disease through phenomena.

Being a doctor is so much fun!
……

Qin Xuehai came to the doctor's office around [-]:[-]. As soon as he entered the door, he saw Chen Gong holding a medical record and looking at it. He was stunned for a moment, and then smiled.

This kid really makes me worry-free.

Early shifts started soon.

Chen Gong also put down his medical record folder and listened carefully.

Along with the early shift, there are also simple seminars, which are not long in duration but very concise.

Chen Gong has benefited a lot from this. This is a process of transformation from learning thinking to clinical thinking.

After the shift handover was over, Qin Xuehai called Chen Gong over: "How was it?"

"Is it the same as going to school for the first time in clinical practice?"

Chen Gong smiled slightly: "It's different."

Qin Xuehai stopped what he was doing and looked at Chen Gong: "What's the difference?"

Chen Gong's eyes were shining: "Clinical practice is so interesting. I feel excited, eager, and hope to apply what I have learned!"

After Qin Xuehai listened, he did not make any comments, but said to Chen Gong: "Follow me for ward rounds."

He didn't feel any curiosity about Chen Gong's answer.

Every medical student who enters clinical practice for the first time is full of freshness about all the unknowns.

but……

Qin Xuehai couldn't help but shook his head.

He thought about how he was different from Chen Gong when he first arrived at the clinic.

At this time, Chen Gong was the same as himself before, perhaps this sense of freshness was much stronger than his own.

Because his knowledge is more solid and his foundation is stronger.

So I especially hope to get an opportunity to apply what I have learned.

but……

Really?
Clinical practice is not child's play.

Medicine is by no means omnipotent.

He hoped that Chen Gong would realize that the disease was special and not what was written in textbooks.

Patients don’t get diseases by following textbooks and guides.

Each patient's disease may be an independent individual.

Therefore, clinical and basic knowledge are two completely different worlds, and the so-called clinical experience is to transform basic knowledge into clinical knowledge.

However, Qin Xuehai did not say it directly.

Because only what you really feel is the real understanding.

So, Qin Xuehai smiled: "Okay, let's go, let's go to the ward rounds!"

Compared with shift handover, ward rounds involve personal contact with patients, and this process also allows Chen Gong to have real close contact with patients.

Afterwards, Chen Gong followed the large troops and started ward rounds under the leadership of Qin Xuehai and Zeng Hui.

Zeng Hui glanced at Chen Gong curiously, smiled at Qin Xuehai and asked, "Director Qin, this is..."

Qin Xuehai smiled: "A very good child, talented."

"I'll bring him here so he can get some clinical exposure."

"I may not be here these days, so please take care of me."

After Zeng Hui heard this, he immediately smiled and said, "That's easy to say."

The ward rounds were still slow. There were 61 beds in the Orthopedics and Joint Department. Chen Gong followed Qin Xuehai and Zeng Hui behind them, observing and learning carefully.

Facing all kinds of patients and diseases, there are too many unknown things.

However, this kind of unknown and doubt will only increase Chen Gong's interest and stimulate his fighting spirit.

At this time, Chen Gong was like a sponge, truly touching the sea water in the medical field.

As for the fear of the unknown?
He didn't!

In fact, he seemed to be more convinced of the path he was going to take.After the two-hour round, Qin Xuehai and Zeng Hui returned to the director's office. The two looked at each other, and Zeng Hui asked in a low voice: "This child is only a sophomore. It's appropriate for you to go to such a high intensity all of a sudden." ?"

Qin Xuehai narrowed his eyes and smiled: "You don't understand him!"

"This kid...is different from others."

While talking, the two sat down and Chen Gong also walked in.

Qin Xuehai looked at Chen Gong and smiled: "How is it? Do you have any insights?"

Zeng Hui took the initiative to pour a glass of water for Qin Xuehai, and by the way, he also poured a glass for Chen Gong.

Zeng Hui was not stupid, and he could see at a glance that Qin Xuehai was different from Chen Gong.

Then he stood aside and looked at Chen Gong with some curiosity, wanting to see what unique insights this child had.

After Chen Gong was silent for a moment, he smiled and said, "A little bit."

Qin Xuehai was stunned for a moment: "Oh? Tell me."

Chen Gong said with a serious face: "I feel that the medical knowledge we have learned is not enough to completely solve clinical problems."

"Disease is a complex subject...and we still don't know enough about it."

Hearing Chen Gong's words, Qin Xuehai smiled happily.

He would be satisfied if he could get Chen Gong's answer.

His biggest worry is complacency!
In clinical medicine, the most taboo thing is pride.

Qin Xuehai glanced at Chen Gong and said seriously:
"When I first entered the clinic, like you, I was very excited and even excited. I thought I was ready for clinical practice and could treat patients and realize my ambitions."

"But, gradually, what I saw was...the incompleteness of medicine, or the uncontrollability of the disease."

"In the face of disease, we are really too small."

"This is medicine!"

"I feel that as a doctor, you need to learn more and master more knowledge."

"Pure academic disciplines cannot treat patients accurately."

“There’s a saying I’m sure you’ve heard that sometimes heals, often helps, and always comforts.”

"That's the main state of our medicine right now."

"Clinical practice is about facing patients. Behind every patient is a living life and a family."

"So, facing patients is not as monotonous as facing experimental subjects."

"I hope you can learn to be cautious."

"This is what I have learned from decades of clinical experience."

"Don't be careless at any time."

"It's good that you realize that."

Zeng Hui on the side nodded and looked at Chen Gong and said, "Have you heard of this sentence?"

"Clinical medicine consists of two parts."

“Part of it is medical knowledge.”

"Medicine is a developing and imperfect discipline that will encounter various shortcomings and problems, and it cannot solve all problems."

"And the other part is the doctor."

"So, the deficiency needs to be solved by the doctor himself."

“The combination of the two is clinical medicine.”

Qin Xuehai smiled with satisfaction. Learning comes step by step and cannot be achieved overnight. Today, at least Chen Gong should realize his insignificance.

Next, when he was about to comfort and encourage Chen Gong with some positive words, he saw that instead of being depressed, Chen Gong's eyes were shining.

He said with a somewhat excited tone:
"Understood!"

"I will definitely study hard when I go back."

"After this ward round, I also discovered that medical knowledge is simply not enough to completely solve clinical problems."

"I just took notes. As far as orthopedics is concerned, there are many skills that need to be mastered to achieve accurate diagnosis."

"For example, regarding the diagnosis process, the consultation not only requires investigation of the situation, but also the need to figure out the other person's mind. Sometimes patients and family members will also tell lies! This requires the addition of medical psychology, criminal investigation psychology... and other disciplines, Only in this way can the patient's condition be clearly identified.

In addition, visual examination is also very important, which requires us to master human body structure, movement mechanics, and even human appearance aesthetics, and combine them for diagnosis. "

"In addition, in judging the disease process, you also need to have knowledge of material immunology, biomechanics, laboratory science, imaging..."

"As for treatment, we need to know more about pharmacy, nursing, psychological counseling..."

“Only by mastering these disciplines can we better serve patients.”

"What's wrong...Director Qin, Director Zeng...did I not speak comprehensively enough?"

"What's lacking, I hope I can add something..."

Chen Gong's eyes were shining, and there were so many subjects recorded in the notebook in his hand that the two directors in the room were stunned.

Hearing Chen Gong's words, Qin Xuehai couldn't help but widen his eyes and was dumbfounded.

But... at least he's okay.

After all, he has already had some contact with Chen Gong.

But Zeng Hui looked at Chen Gong and felt a little numb.

This...there's something wrong with this kid.

We are doctors, okay?
We are not gods!
Pharmacy, testing, and imaging are all understandable, and psychology is also acceptable!
but……

What the hell are you asking us to learn about human body aesthetics?

And this criminal investigation psychology, what do you want to do?

And patient counter-reconnaissance?

Zeng Hui's eyes were trembling when he looked at Chen Gong, and his scalp even felt numb.

After he coughed, Zeng Hui quickly got up and found an excuse to leave.

no way!
He was worried that if he continued to stay, he would be scolded.

You kid, you're not here to be a doctor, you're here to cause trouble, right?

We are already exhausted, why should we learn so much?
Does it fit? !
unusual!
This kid is definitely not normal!

Thinking of spending the next few days with him, Zeng Hui felt like a lump in his throat and made him feel uncomfortable all over.

He felt that he was allergic to Chen Gong.

……

ps: Hehe, the next step will be exciting...

I feel like I’m relatively comfortable writing about clinical practice, but I have to try to make a breakthrough, come on, veteran!

6 words have been sent, please support me.

(End of this chapter)