I really don't want to be a doctor

Chapter 235 It's Really You
Teacher Li raised his hand and signaled the intern to show him the case of Xu Yongnian in the 15th bed.

Jing Xiaoran and the three searched for the case in their own hands, and the case in bed 15 happened to be held in Wang Lei's hands.

Wang Lei quickly pulled out the 15-bed case and handed it to Mr. Li respectfully.

Teacher Li took the case folder with a smile and began to look through Xu Yongnian's specific medical history.

After flipping through a few pages, Teacher Li suddenly nodded in praise, "Well, not bad, not bad, well written."

Everyone looked at the smile that couldn't be hidden on Mr. Li's face, and they were all puzzled.

"Wang Lei, tell everyone, why do you suspect that the patient has the possibility of digestive tract CA?"

Teacher Li closed the medical record, handed it back to Wang Lei, and asked with a smile.

CA, the abbreviation of the English word Cancer for cancer.

In China, facing a serious illness like cancer, most family members would choose not to tell the patient the real condition, that is, to try every means to conceal the condition.

Moreover, doctors and nurses are often required to cooperate to conceal the disease, and some even repeatedly explain to doctors and nurses not to let patients know what disease they have.

Therefore, when doctors make ward rounds, doctors and nurses usually use the abbreviation of CA instead of cancer.

"What? Gastrointestinal CA?" Wang Lei looked at Teacher Li in a daze.

Of course he knew that CA meant digestive tract tumor, but she didn't quite understand why Teacher Li asked such a question?

Isn't the patient in front of me admitted to the hospital with "anemia awaiting investigation"?And he has never expressed his views on the 15-bed patient.

Teacher Li pointed to the medical records of bed 15 with a smile, and said, "I see that your medical records are well written. These items of differential diagnosis and diagnosis basis are not copied and pasted, but have their own ideas, and one of them is digestion. possible diagnosis of tract tumors."

"Anemia needs to be investigated, and gastrointestinal tumors are considered. This is beyond the imagination of ordinary hematology clinicians."

If it is placed in the Department of Internal Medicine, it is not uncommon for anemia to consider tumors.

However, with the advancement and development of medicine, doctors have become more and more specialized, and the barriers between various departments have become very high.

Not to mention the huge difference between surgery and internal medicine, even the diseases between various internal medicines are also very different.

It is very difficult for a doctor to specialize in the diseases of his own department, let alone consider the diseases of other departments.

When a doctor in the hematology department sees a patient with "anemia waiting for investigation", he must think about the diseases of the blood system. How can he think of diseases in the gastroenterology department?
The more Mr. Li looked at this student named Wang Lei, the smile on his face became wider and wider.

"Ms. Li, I didn't write this medical record..." Wang Lei finally understood the whole story.

Teacher Li mistakenly thought that this medical record was written by him, "The medical records of our group were all written by Teacher Zhang Hang himself, and our students did not participate."

Mr. Li was stunned, he really didn't know about this habit, but he came back to his senses immediately, and said in a deep voice: "It's easy to explain, you interns are unlikely to write this kind of medical records The clinical thinking mode revealed by this medical record can definitely reach the level of senior attending doctors. Xiao Zhang, you can write such a medical record, which shows that your clinical experience has become more and more advanced in the past two years. Enriched, moving towards an excellent attending physician."

Hearing Teacher Li's praise, Zhang Hang suppressed his smile, coughed lightly and said, "Teacher, I didn't write this patient's medical record, it was him."

Zhang Hang pointed to Jing Xiaoran who was in the corner of the ward.

And Jing Xiaoran was chatting with Weng Huijin in a low voice at this time.

"Sister, did you come to the hospital so early? We just finished the scientific meeting."

"Well, I finished the job fair a few days ago, so I came to see my uncle today if I have nothing to do. He has no relatives or reasons in Fancheng."

"Very good. Now the ward round is the superior teacher of our group, a very experienced doctor."

"Oh, junior, why do I feel like they are all looking at you..."

Jing Xiaoran raised his head, sure enough, Teacher Li, Zhang Hang and the two interns from the two foreign universities were all looking at him, their eyes full of weirdness.

Feeling that something was wrong with the atmosphere, Jing Xiaoran stood up straight and looked at Zhang Hang suspiciously.

"Teacher Li, that's him, his name is Jing Xiaoran." Zhang Hang smiled at Jing Xiaoran.

"Are you a five-year school or a seven-year school?" Teacher Li looked at Jing Xiaoran with interest.

Jing Xiaoran hadn't figured out what happened yet, seeing Mr. Li's question, he could only reply: "Teacher, I'm a five-year student, and I'm a junior this year."

"Junior?" Teacher Li's expression froze slightly, "You wrote the medical records for bed 15?"

"En." Jing Xiaoran nodded, it turned out that they were discussing Xu Yongnian's medical records.

If it is said that the embodiment of a surgeon's skills depends on the proficiency of the operation, the best way to judge the level of a physician is to see whether his medical record writing is standardized and reasonable.

"Then come and tell everyone, how did you consider digestive tract CA?" Teacher Li suppressed the shock in his heart.

"How did you come up with it..." Jing Xiaoran thought for a while, "According to the existing examination results, most of the diseases of the blood system have been ruled out. Considering that the patient is a middle-aged man and has no other symptoms. I think the biggest possibility It is the CA of the digestive tract."

"That's it?" Teacher Li certainly understood what Jing Xiaoran meant.

But what Jing Xiaoran said represented his clinical thinking, he didn't tell the whole clinical diagnosis process.

After all, medicine is an empirical science, and no matter how solid book knowledge is, it is just a rigid text.

If you don't practice clinically for a few years, you can't become an excellent doctor.

"Do you think you've seen such a case?" Teacher Li asked tentatively.

"Well, I've seen him before." Jing Xiaoran nodded.

But that was encountered in the clinical career in the previous life, and more than once.In the previous life, the emergency room was basically a hodgepodge of various diseases, so the clinical thinking will not be limited, and the diseases of various systems must be fully considered.

However, in his life, he has rotated in only three departments, so he must have never encountered such a case.

"Have you met before?!" Mrs. Li nodded slightly, "Then you are also very good. What clinical class are you in? I have already taught you the chapter on the blood system."

"Ms. Li, am I from a medical university? I'm a clinical major at Ning'an Medical College, and I'm a junior today." Jing Xiaoran said.

"Ning'an Medical College, junior?" Teacher Li was a little confused, which caught him off guard.

But he suddenly thought of something, "Your name is Jing Xiaoran? Are you from that, that, some laboratory..."

Teacher Li tried hard to recall, even scratching his head, the name Jing Xiaoran was too familiar.

"Shenzhou Biopharmaceutical Laboratory, Jing Xiaoran." Jing Xiaoran whispered.

"That's right! It's really you."

(End of this chapter)