Many years ago, I was a medical student who had just graduated from school. I walked out of the medical university's school gate and walked into the current hospital internship. I had my own doctor's badge on the chest for more than ten years. It’s just the sign of the intern, but it’s enough to make me excited for a few days. My heart is both excited and excited. It is because the medical theory that I have learned for so many years can finally come in handy. It is because I am still a clinical white, I just entered the hospital. I am the first clinical patient, I am afraid that I can’t take care of myself. A good patient is, after all, a major event in human life.
When I entered the hospital, I remember that I was transferred to the Sixi Ward with my superior doctor for the first time. After the doctors took me some important things, I observed me for a while and then let me let the patient control myself, because then the hospital It is also very short of people, lack of doctors, of course, after reading the patient every day, to determine the treatment plan, the next doctor, these are all need to report to the superior doctor, to be verified by the superior doctor. In this way, I started my own doctoral career. When I first arrived at the Sixi Ward, I did a tour of the patients I had to contact for a while. Most of the people living here are patients with liver and stomach diseases. One of the patients, a middle-aged man, had a history of alcoholism, was admitted to hospital due to yellowing of the skin mucosa, and was diagnosed with "burst hepatitis". He had already had an image change of cirrhosis, and he developed hepatic encephalopathy soon after admission. Now Lying in a hospital bed has been in a state of hepatic coma, the skin is cold yellow, unconscious, breathing a specific musty smell, which is the characteristic "rotten apple" smell of liver disease patients. Even if I was in the clinic, I have not been exposed to many patients, but according to my rough experience, I know that his life may only be calculated as "hours".
The patient has been surrounded by two family members, one is his wife and the other is his son. Under normal circumstances, the family members of this patient usually do not welcome the newly appointed interns to examine the patients again from beginning to end. Perhaps they think this is a “smashingâ€, especially when you see the chest card hanging on your chest. It is the word "internist" and it is very unwilling to cooperate. So I only look at his "live sign", which is the general vital signs check, then lean over and take a deep breath, inhale the unique musty smell into my lungs, this is the specific taste of liver coma, I want Keep it in mind.
An old director often told us the following story: He had brought a group of interns before, and entered the clinical department on the first day. There was a comatose patient in a room. The professor asked several doctors to go in and check. Many doctors I was charged when I entered the door. The old director rushed the interns out of the ward and told them that the first pass did not pass and could not continue to check. Only one doctor stopped at the entrance of the door and took a few breaths. Only he was allowed to continue the inspection. Afterwards, the old director explained this because the comatose patient may be hepatic coma, smelling a few breaths at the entrance and smelling the smell of "bad apple" characteristic of hepatic coma patients. This is A clinician should have clinical thinking, which is what an excellent clinician should do. It can be said that the old director gave the intern a profound clinical course.
This kind of motivated predecessor story is in the medical world. In the clinic, many old professors who teach can pass on the experience of his life experience in a unique way. This is a first-time clinical doctor. Very precious experience.
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