Chinese medicine: When you do things to the extreme

Chapter 71 Doctoral Treatment (Subscription Request)

November 10th is Sunday.

It was also Zhou Yanqing's first day on duty as a resident physician.

When Zhou Yanqing arrived at the doctor's lounge at 7:20, Lin Jiang, the doctor on duty yesterday, was still snoring.

The weekend shifts are different from those on weekdays. There is no need to hand over the shifts in the morning. You only need to get up when the senior doctor in your group makes rounds. It doesn’t matter if you make up the handover record later.

Zhou Yanqing moved very quietly without disturbing the other person's rest. After silently putting away his backpack, he walked to the doctor's office wearing his white coat and looked at the two beds he was in charge of.

There is no other reason. Within this group, we do not count doctoral students, but only count the master's students of Tan Zhongyu and Huang Xianming.

The third graders include Dong Jiaguo and Lin Hua, the second graders include Tian Chao and Guo Dongyao, the first graders include Zeng Hui, Xiao Yuanqi, Wang Qingyao, and Zhou Yanqing himself.

Eight people.

There are a total of 64 beds in the department, and only 21 of them can be treated by Professor Tan Zhongyu's team.

Zhou Yanqing didn't even have the chance to take care of more beds.

As for the two beds 20.21 and that were under his charge, they were specially transferred from other people by Chief Inspector Ning Zhu.

There are fewer beds under his charge and the clinical tasks are relatively light, so Zhou Yanqing can be more meticulous when managing the beds.

The first thing he did was to check the medical instructions and corresponding examination results for the two beds he was in charge of.

Bed 20 is a patient who has undergone flap transplantation for severe soft tissue defect. He is currently taking regular medication and receiving infrared light treatment.

"The inflammatory index increased transiently before, but has now decreased. When we check again, we will remember to stop using antibiotics." Zhou Yanqing was looking at the postoperative examination results of bed 20 while making notes in his notebook.

The main purpose of using antibiotics is to prevent infection. It is only after the infection occurs that they have an antibacterial effect.

After finishing the record, Zhou Yanqing turned to the previous page and saw that the patient's albumin level was very low. The result the day before yesterday was only 25g/L. He had taken an albumin supplement yesterday and had the albumin concentration checked in time.

"29.8." Zhou Yanqing recorded and put a question mark behind it.

There are certain regulations for albumin supplementation. If the albumin level is greater than 30, consider dietary supplements and prescribe protein powder. If the albumin level is less than 30, intravenous infusion is recommended.

But 29.8 is a bit out of place.

Zhou Yanqing himself prefers to take protein powder as a dietary supplement, but this is Xiangya Hospital, so Zhou Yanqing doesn't need to spend too much time thinking about such a dilemma. He can just listen to his superiors' opinions.

But according to the opinions of his superiors, Zhou Yanqing can think about the reasons, which is for the sake of theoretical clarity.

Then, Zhou Yanqing wrote: When the albumin level is low, the central venous pressure will decrease, tissue fluid will extravasate, and the interstitial pressure will increase, which will lead to worse local blood circulation. Attention should be paid to distal blood circulation.

He looked up, checking the test results, and muttered in a low voice: Blood coagulation function? The blood coagulation function is relatively normal.

Not too high!
Then the preventive anticoagulation low molecular weight heparin sodium can still be used. The patient is only on the fourth day after surgery and has seldom gotten out of bed to move around. The oral anticoagulant will not be changed for the time being...

Bed 21 is a preoperative patient. He is a patient with a defect on the sole of the foot after resection of a large melanoma on the sole of the foot. He has diabetes. His blood sugar was relatively stable when he was admitted to the hospital, but his blood sugar is currently fluctuating slightly.

……

In this way, Zhou Yanqing observed the inspection results while consolidating his theoretical knowledge.

A voice came from outside: "Yanqing, why are you here so early today?"

Zhou Yanqing turned around and said, "Brother Yu, I'm on duty today. It's my first time on duty, so I'm a little nervous, so I came early."

"Today is Sunday, the day with the most new patients in the department."

"Brother Yu, will Brother Liu come to check on the ward today?"

Brother Liu is the attending physician Liu Qingshan. On normal weekends, Liu Qingshan would bring the chief resident Ning Zhu to make ward rounds, but in reality it might be the other way around.

Yu Yue shook his head and said in a teasing tone: "I guess Brother Liu wouldn't come if Brother Zhu wasn't free."

There must be a story that can be explored in depth, but it is not what Zhou Yanqing is interested in.

He asked with a smile: "Brother Yu, for this emergency surgery class we are in now, do we have to go only when Brother Zhu calls us, or can we go with Brother Zhu at other times?"

Before November 9th, Zhou Yanqing spent most of his free time in the practice room, preparing for the professional channel assessment.

During this period of time, Ning Zhu did not disturb Zhou Yanqing's practice.

After all, everyone believed that Zhou Yanqing was proficient in the assessment items in the training room.

Zhou Yanqing also has daily tasks to do, including 20 incisions. If he simply waits in the ward for elective surgery, he will probably have to wait a very long time.

Yu Yue leaned closer and lowered his voice: "The hospitalization period is very hard, but one of the benefits that comes with it is that you can bring along any junior fellow students you want."

"The brothers and sisters in the same group as the hospital chief can enjoy such benefits. Brother Zhu usually gives priority to people in our group."

"So just wait for the call."

"Yanqing, you don't have to worry about not having the opportunity to operate. When I went back last night, Master told me that the authority you now have is more open than that of Senior Brother Liu and me."

"Master is a bit biased." Yu Yue said, thought for a while, and then nodded again: "Yes, that's it." After Yu Yue finished speaking, Professor Tan Zhongyu just walked in from the door.

Zhou Yanqing immediately gave Yu Yue a little fist, indicating that Professor Tan Zhongyu was coming.

Yu Yue quickly covered his mouth, stood at attention and looked back at Tan Zhongyu as he walked in. He used the index and middle fingers of his right hand to hit Yu Yue's curly hair twice.

Remember one sentence at a time.

"When I'm partial to you, you don't say I'm partial!"

"I let you say it!~" Tan Zhongyu's voice was particularly doting, and the force of the knocking was definitely not strong.

"Master, it's because I have experienced it myself that I can feel it deeply!" Yu Yue said with a serious expression.

Yu Yue must be Tan Zhongyu's favorite disciple. In the entire hand surgery field, Yu Yue is the only "player" who was brought up by Tan Zhongyu and passed the special channel for professional doctorate.

The monster is not as good as Zhou Yanqing, that's because Zhou Yanqing's growth curve is very inhuman.

Generally speaking, among the nearly one hundred applicants for doctoral degrees at Xiangya Hospital, not everyone will be able to find one who takes a special professional or academic channel!

How can Tan Zhongyu not be partial?

"That's actually a human thing to say." Tan Zhongyu withdrew his hand, and then looked Zhou Yanqing up and down, then stared at Yu Yue.

"I heard that you made Yan Qing vomit yesterday by drinking coconut milk? You are so capable, Yu Yue?" Tan Zhongyu walked out of the office with his hands behind his back.

The curly hair on Yu Yue's head spun left and right twice, and he turned to Tan Zhongyu: "It was Senior Brother Liu's idea!"

"Don't try to shirk responsibility."

"You two, come with me. I will assign you some tasks." Without looking back, Tan Zhongyu walked out slowly, and at the same time, he sent back a calm and thoughtful voice.

Yu Yue quickly pulled at the corner of Zhou Yanqing's clothes, but Zhou Yanqing was not a fool. Did he need Yu Yue to remind him of such a good thing?
He stayed still to respect his senior brother and let Yu Yue move first.

After Zhou Yanqing was led into the director's office, the large single office and the tall and wide lattice bookcase immediately caught Zhou Yanqing's eyes.

The fifty-square-meter suite office has an individually designed bedroom inside, with a single yellow-painted wooden bed and neatly folded standard quilts of the same type as those in the doctor's lounge. It is probably the resting area for Professor Tan Zhongyu when he is tired.

The outer office is more than 30 square meters. In addition to the bookshelf, there is also a large desk with ashtrays, mice, keyboards, tea trays, tea cups, large glasses, disposable water cups neatly placed on it...

In another corner of the desk, there is a constant temperature kettle.

After Yu Yue entered, he very sensibly refilled the thermos kettle with water, and then clicked the boil water button...

"Yu Yue, go to the shelf inside and take out a teacup. As usual, stick a waterproof label on the bottom of the cup..." Tan Zhongyu continued to instruct.

Zhou Yanqing was a little confused at first, but Yu Yue said enviously: "Okay, Master, you are so kind to Yanqing. I am only qualified to use a teacup this year. You should at least give Yanqing a chance to try a disposable cup once or twice. As the saying goes, it is easy to go from frugality to luxury..."

"Hurry up, why are you talking so much nonsense?" Tan Zhongyu kicked him and started lighting a cigarette.

And the world, fine branches.

After ordering, he asked Zhou Yanqing: "Yanqing, do you smoke?"

Zhou Yanqing shook his head: "Master, I don't smoke!"

"It's good not to smoke. I hope you can keep this good habit."

"After getting over that hurdle yesterday, the days are actually no different, except that my identity has changed slightly."

"But the change of identity is never the end. All of us want to be a good doctor in the end. Right?" Tan Zhongyu spoke earnestly. He was no longer as arrogant as he was before in Hengda Affiliated No. 1, and became an elder.

Inside the office, Yu Yue's voice came out at an inopportune moment: "Master, there are no more teacups, and the box is empty."

"Just buy it when it's empty, why are you shouting?" Tan Zhongyu was very angry.

Yu Yue looked innocent. He walked out, touching his curly hair, with a bitter face.

Zhou Yanqing pursed his lips and prepared to listen attentively.

"To be a good doctor, you have to pay a lot of price. First of all, you need to put in a lot of effort when you are learning the skills."

"The longer you study, the more you will learn. The more solid your skills are, the more convenient it will be for you to work."

“Of course, what you learn may also change.”

“You need to learn not only clinical practice, but also scientific research. Scientific research thinking, scientific research insight, and scientific research statistical ability are all of great benefit to being a doctor.”

"Don't be misled by the thinking on the Internet."

“There are always people who complain that doctors doing scientific research is like taking off their pants to fart, but no one has ever said that medical research is meaningless!”

"It just so happens that our hand surgery department is a peak that our Chinese predecessors have established in the world."

(End of this chapter)