Chinese medicine: When you do things to the extreme

Chapter 26: Physical Examination Improvement (Seeking Follow-up Reading)
Half an hour later, Zhou Yanqing smiled and sent the patient back to his wife. After giving instructions on related matters, he quickly ran back to the emergency operating room and saw Li Zhong sitting on the round steel stool.

Zhou Yanqing, whose smiling face was hidden by a mask, squinted his eyes and walked forward: "Brother Zhong, the patient just now was a joke, please don't take it seriously..."

Li Zhong tilted his head, his empty eyes suddenly shining: "Surgical technology is originally pyramid-shaped. If you can't do it, you can't do it. In other words, technology is king."

"Alas... put aside your superior complex! Just practice the basic skills honestly." Li Zhong then stood up.

Zhou Yanqing swallowed twice when he heard this: "Brother Zhong, you..."

"I'm fine. At least your brother Zhong has seen some shit before. What? Do you still look down on the First Affiliated High School of Sun Yat-sen University?" Li Zhong quickly calmed down and directly slapped Zhou Yanqing with a hat.

What I mean is, Brother Li Zhong came from here and you have seen all kinds of geniuses. Do you still think that I can't handle emotions?

Zhou Yanqing chuckled and shook his head, then said frankly, his tone calm and innocent: "No, no, I'm mainly afraid that you, Brother Zhong, will have a problem with me."

"Let's go to the practice room. If there is another emergency later, we can go back and forth together..." Li Zhong interrupted the topic. He obviously felt uncomfortable on his face and was about to start working hard.

Zhou Yanqing pursed his lips and thought for five seconds, then shook his head gently: "Brother Zhong, I have to go back to the ward today. There are a lot of new patients in the department. I want to go through them all and consolidate my theoretical knowledge."

Zhou Yanqing has his own plan. In the next period of time, he will put incision technique first, followed by theory, and then he will gradually hone other basic skills.

These all take time.

Not sure if the badges of hard work and practice makes perfect apply to theory, but try anyway.

If applicable, fulfill the corresponding "activation" conditions and make progress.

If it is not applicable, then you have to work harder and even focus more time on theory. Otherwise, when the time comes to recruit doctoral students, if the theory fails, there will be no follow-up.

As long as you are a doctor, basic theory is very important, whether you are in internal medicine or surgery.

"No wonder others call you the King of Pressure Zhou Yanqing. You really press and you really roll." Li Zhong took a breath and shook his head.

"They are all the same as those top students I met before."

"If you had better resources, you might have a chance to break through the various ladders of success..."

……

After Zhou Yanqing returned to the ward, he continued to study the medical records and think about the case. After reading all the medical histories and auxiliary examination and test results of the patients in the hospital, he went to the bedside to examine the patients.

It is best for patients to undergo a comprehensive physical examination before surgery, which can further consolidate the common physical examination contents of hand surgery.

Of course, when encountering a patient after surgery, Zhou Yanqing can also complete the postoperative physical examination and take a look at the patient's wound healing condition, whether there is redness, swelling, heat or pain, and whether there is an infection. If infected, what is the suspected cause?

For example, if the wound of a flap suture is infected, is it because the antibiotic level used is not high enough, or is it because the blood supply of the selected flap nutrient branch is not rich enough, so that the antibiotics cannot reach the wound edge...

These are many things that Zhou Yanqing needs to consider.

……

Not knowing how long it had been, Zhou Yanqing suddenly saw a flash on the panel.

[Complete the basic physical examination 1000 times, the medal (Thousands of Hammers) is activated, and the basic medical physical examination experience value is +1. ]

[Basic medical examination (proficient 1/3) upgraded to (proficient 2/3).] After finishing the examination, Zhou Yanqing did not stop to check the time, but continued to complete the examination of the new patient in charge of Zhao Gui today...

The physical examination in surgery is different from that in internal medicine. The examinations related to the heart, lungs and abdomen will not be so detailed, and more emphasis will be placed on specialized examinations.

Even though the surgical department attaches great importance to physical examination, there are no corresponding practice materials for physical examination techniques in the training room. From the top to the bottom, everyone can only rely on clinical physical examination of patients for practice.

Not a special focus.

But today, Zhou Yanqing felt that his physical examination skills had improved, so he directly gave the patient a full set of routine basic physical examinations as well as specialized physical examinations related to hand surgery.

"Doctor, is there anything wrong with my husband? Don't scare me when you check all over again."

"Director Gong said he just has some kind of tendon contracture and there's nothing wrong with him!" The patient's wife rubbed her body with a towel in her hand, looking anxious.

The patient was a middle-aged fat man. His right palm had a regular ulnar deviation deformity due to muscle contracture, and radial deviation and flipping were difficult. He was also nervous and looked at Zhou Yanqing with clear and innocent eyes:
"Doctor, did you find anything wrong?"

The patients themselves are also nervous. Anyone who is hospitalized and has a white coat standing next to them for an hour will feel nervous to some extent.

Zhou Yanqing put away his pen, pursed his lips, and explained calmly: "I'm sorry, uncle, I disturbed your rest."

"It's okay. Didn't I explain this to you before I came here? I just want to give you a physical examination and review and consolidate the content in the textbook. Don't be too nervous."

"I have checked it out. Except for the tendon contracture, everything else is fine..."

When she heard that everything was fine, the patient's wife also started to hang the towel.

The middle-aged man breathed a sigh of relief when he heard this: "You scared me, Doctor Zhou."

"When will I have the surgery?" the middle-aged man asked again.

"Today is Wednesday. We will complete the preoperative examinations tomorrow. If everything goes well, the patient should be sent for surgery on Friday for Tuesday."

"The surgery days for our group are Tuesday and Friday," Zhou Yanqing explained in detail.

"Do we have to wait that long?" The patient was surprised.

"There's nothing we can do. Most of the patients who will be operated on on Friday were hospitalized on Saturday and Sunday. But it depends on the situation. If your condition is good, you may also be scheduled for surgery on Friday."

"Surgery is not like buying something and then leaving. Surgery requires quality. The more we doctors know, the higher the quality of the surgery, right?"

"You don't want to delay the quality of the surgery just because it's fast. If the surgery is done and the problem is not solved to your expectation, that would be a waste of money!"

"Okay, thank you uncle for being willing to be my teacher. I have to go find the next patient to practice physical examination with." After Zhou Yanqing finished speaking, he turned and walked to the next ward.

The next ward was the bed in charge of my junior brother Han Dongliang.

However, Zhou Yanqing had been in the ward for less than five minutes when he walked out with a slightly nervous look on his face. As he walked, he quickly called his teacher Gong Yi.

Wednesday was a non-surgery day and a non-outpatient day, so Zhou Yanqing didn't know where Gong Yi was and could only ask for instructions remotely over the phone.

Soon, Zhou Yanqing said anxiously: "Master, I may have found a gallop rhythm. The patient looks fine, and the electrocardiogram is also fine. Do you think we should do a color Doppler ultrasound..."

(End of this chapter)