This Doctor is Great
Chapter 73: Standardized patient tests? Ready for this thing?
soon,
Ju Xiaojie, the doctor on duty in the Nephrology Department, came to the Cardiology Department.
Those who step on the hot wheel are very busy and in a hurry.
28 beds for consultation.
"Sorry, I'm late. Today, a patient's family sent a mango fruit basket, which made me very busy on duty and delayed..."
Dr. Ju Xiaojie apologized to Mr. Huang Li.
I don't know what's going on today, it's very dark, there are always patients who have problems, and more discharges and admissions than usual, making him, the doctor on duty, so busy.
Teacher Huang Li smiled: "It's fine, I've tried it too..."
Then he led Dr. Ju Xiaojie and Zhou Mo to the 28th bed.
Dr. Ju Xiaojie asked the patient some questions, then did a detailed physical examination, and then asked about the amount of fluid in and out...
Ju Xiaojie's final conclusion: "Yes, it's chronic nephritis, and it's already quite serious..."
Teacher Huang Li: "How to treat?"
Dr. Ju Xiaojie pondered for a while: "I saw that the patient's serum creatinine level has not exceeded 200mg/dL, only 140. ACEI and ARB can be used... Let's try captopril first... If you can't tolerate it, then Change the ARB..."
"If the serum creatinine exceeds 200, ACEI and ARB cannot be used, and these two types will worsen renal function. Calcium ion antagonists are the first choice for drug selection, because calcium ion antagonists are metabolized in the liver and are not excreted through the kidneys. So there is no effect on kidney function…”
talking and talking,
Dr. Ju Xiaojie's face gradually became strange.
"its not right!"
The voice is an octave higher!
Doctor Ju Xiaojie looked unhappy and stared at Teacher Huang Li: "Didn't you send me a doctor's order? The doctor's order above is exactly the same as what I just said... Which kidney doctor came to consult? Since the consultation has been done Now, why are you calling me here? You are not being kind!"
A little stingy.
Mr. Huang Li quickly explained: "This patient has not been consulted yet, so he (pointing to Zhou Mo) wrote the doctor's order. He is the doctor in charge of the bed. He checked the patient's medical records and orders."
Dr. Ju Xiaojie looked at Zhou Mo with a shocked expression: "You? What did you write?"
Zhou Mo showed a 'modest' smile: "I wrote it."
I'm sorry, you two, I opened up a lot, and you two's waists are dodged!
Dr. Ju Xiaojie asked in surprise, "You're so young, you're a medical student? Have you ever cycled through your kidneys?... No, I don't remember it."
If a handsome boy like Zhou Mo went to the Nephrology Department, he would definitely remember it.
Teacher Huang Li laughed: "He has never been to the Department of Nephrology, and the Department of Cardiology is the first department in his rotation."
Dr. Ju Xiaojie laughed: "That's a major in internal medicine, not bad..."
Teacher Huang Li: "You are wrong, he is a pediatrician."
Dr. Ju Xiaojie: "..."
'Are you kidding me? ' strange expression.
Pediatrics,
I've never rotated the kidneys,
Can you make such a diagnosis, a doctor's order?
Are you kidding me?
Dr. Ju Xiaojie was shocked!
Actually, Teacher Huang Li was as shocked as he was.
Shocked Zhou Mo, both in terms of diagnosis and doctor's orders, all coincided with Dr. Ju Xiaojie's.
Zhou Mo, do you know so much about the kidney?
Every line is like a mountain, and Zhou Mo didn't learn this, and he didn't cycle through the kidneys.
magic! !
bell bell~~~~
At this time, Dr. Ju Xiaojie's cell phone rang.
"What? Another emergency came over? My God, kill me..."
Doctor Ju Xiaojie wailed.
Dr. Ju Xiaojie hung up the phone and hurriedly said to Mr. Huang Li, "Hurry up and get the consultation record, I'll sign it and leave, there's another patient over there..."
I'm in a hurry!
Teacher Huang Li: "Writing the consultation record is not so fast, or you should go back first, and after the consultation record is written, I will call you and sign it..."
Dr. Ju Xiaojie shook his head: "It's too troublesome...Wait..."
Dr. Ju Xiaojie glanced at Zhou Mo: "The medical records and doctor's orders he wrote are good, copy and paste, and change a few words to form the consultation record. After I signed it quickly, I left..."
Teacher Huang Li: "..."
Zhou Mo: "..."
also!
save time and energy!
Zhou Mo quickly returned to the duty room and copied and pasted the consultation records.
blah blah~~~
3 minutes, it's done.
"I didn't bring a pen, I borrowed a pen..."
"give……"
Zhou Mo stared at the pen while handing it over. Don't let the pen slip away.
Dr. Ju Xiaojie quickly signed.
"Zhou Mo..." Huang Yiming called out from a distance at the nurse's station, carrying two cups of milk tea.
"Eh..." Zhou Mo turned his head subconsciously.
Hey, milk tea is here!
After Dr. Ju Xiaojie signed the letter, he subconsciously pinned the pen to his pocket: "It's nothing, I'll go."
Teacher Huang Li: "Thank you, Dr. Ju Xiaojie."
Dr. Ju Xiaojie smiled: "You're welcome."
Then he left in a hurry and flew away!
Zhou Mo politely waved goodbye: "Thank you, Dr. Ju Xiaojie!"
and many more!
What about my pen?
Zhou Mo looked at his pockets and his hands!
Empty.
"………………"
Needless to say, it must have been taken away by Dr. Ju Xiaojie in the kidney.
Gan!
……
……
duty room,
Zhou Mo drank milk tea, making up for the hurt of losing another blue pen.
Seeing that Huang Yiming was chatting with the nurse girl, he subconsciously stole one, but Huang Yiming looked over as if he had a sixth sense.
Zhou Mo: "..."
Quietly withdraw his hand.
Steal failure +1!
……
18:00…
Zhou Mo got it all done.
He glanced at the medical students.
"??????"
"Why don't one or two leave work?"
Now they are not as new as they were at the beginning. They are all masters of learning, and they learn things very quickly. In 3 weeks, they have been able to manage 2 patients with ease. Overtime is rare.
Zhou Mo was puzzled.
Why don't you get off work?
"and many more……"
"Could it be because of the standardized patient assessment tomorrow?"
Standardized patients (SP for short), also known as simulated patients, refer to normal people or patients who can accurately represent the actual clinical problems of patients after standardized and systematic training.
Anyway,
This kind of exam~www.readwn.com~ is basically a new doctor who is embarrassed by patients.
When encountering a more 'powerful' patient, he will take Dr. Mengxin into the ditch.
so,
Wang Lilong, a newcomer who has only been to the clinic two or three times (two only went once), is like a formidable enemy to this kind of exam!
Moreover, it is very unpleasant to let Zhou Mo take the first place every time, and let them be the proud sons of the emperor who are self-proclaimed masters of learning!
Therefore, they naturally have to prepare well.
Kill sp!
Kill Zhou Mo!
Oye!
Zhou Mo saw that everyone was working so hard, so he didn't get off work at all.
turn on computer.
Continue to review the literature on "X syndrome".
The dissertation, we have to hurry up, there is only one month left in the rotation time in the Cardiology Department.
(Last time, Chapter 68 was wrong. It has been revised. Setting: Rotate a department for 2-3 months.)
"Hey, Zhou Mo, what are you doing?" Huang Yiming stretched after finishing a guide.
Curiously, he looked over his head and saw that Zhou Mo was doing literature, not cases.
So I couldn't help but ask.
"Prepare the thesis materials..." Zhou Mo continued to read without turning his head.
"No, the standardized patient assessment will be done tomorrow, why don't you prepare?" Huang Yiming couldn't help but wanted to persuade Zhou Mo.
Zhou Mo's face was "perplexed": "Does this require preparation? Isn't it enough to have hands?"
Huang Yiming: "..."
Other struggling medical students: "..."
The atmosphere froze for a while.
Damn!
He seems to be pretending, but I can't do anything about him!
Police Mistress, do you care about this kind of thing? !
.
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