I can see the status bar

Chapter 760 Highly Abstract
Chen Tianyang was not in a good mood, strictly speaking it was very bad.

He never thought that one day he would almost collapse because the students were too stupid.

In terms of educating students, Chen Tianyang has always been very knowledgeable. More than 30 years of clinical and teaching career have allowed him to accumulate a lot of relevant experience. No matter what kind of students, Chen Tianyang always has a way to find the most suitable teaching method for them in a short time.

But Chen Tianyang ignored a key factor of his own success - the students he taught were all screened by the college entrance examination and carefully trained by other teachers.Without this education system as a filter and backing, it is very difficult to teach an ordinary person to become a qualified surgeon.

The working habits of physicians are very different from those of surgeons.And Dr. Ma Yongfang works in the relatively relaxed endocrinology department, so it is even more difficult to get used to the surgeon's working mode all at once.

Compared with this, the main factor that makes the whole work full of pain and challenges is Dr. Ma Yongfang's own "personality defect".She's not very good at handling a job full of complex conflicts and stress.

Dr. Ma Yongfang once tried to learn how to drive, but the result of this attempt was quite devastating. When she was studying subject two, she created a historic record of five crashes during the day.Although only on the training ground, and just crashing at a slow-moving pace in first gear.But the terrified coaches still made the decision to refund the training.

In general, when Dr. Ma Yongfang encounters extremely stressful situations, he is always more inclined to be stiff and overwhelmed than to take decisive measures.This also caused Chen Tianyang's training to have little effect.

"You can't do this." At two o'clock in the morning, Chen Tianyang finally couldn't bear it anymore.He gave up the idea of ​​continuing today, and turned to try to solve the most fundamental problem, "This matter is actually quite simple, what are you worried about?"

Dr. Ma Yongfang turned to look at Chen Tianyang, and after a long time, he choked out three words, "I don't know."

Chen Tianyang rolled his eyes, this kind of answer is the most despairing.You don't even know how to comfort this kind of "don't know what you're afraid of" people.All in all, she was afraid, and her fear had seriously affected her normal actions.

Chen Tianyang is better at teaching students.It was beyond Chen Tianyang's ability to deal with psychological problems.He could only try to explain it again in a gentler tone, and then asked Ma Yongfang to record the video of his demonstration, and then let it go.

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No one knew what the result of the training was after Ma Yongfang was called away by Chen Tianyang in the morning.Anyway, everyone has nothing else to do now, so we sat together in a small conference room and looked at the literature and cases.Looking at the current situation, Sun Li'en seemed that everyone was really doing nothing, so he decided to simply sort out the few cases he encountered recently.

The materials are all ready-made. Sun Lien himself is the keynote speaker. The main content of his speech is to explain the disease and share his own diagnosis ideas.

Diagnosis ideas, this thing, used to rely mainly on the status bar to give prompts.But now... Sun Lien felt that he had gradually mastered some tricks, something that belonged to him.

Even if he wants to teach other colleagues about the status bar, they may not be able to learn it.But the diagnostic thinking is not the case. Almost every doctor can find something useful to himself.

"My thinking will still change according to the occasion, especially in the comprehensive diagnosis center and in the emergency room." After talking about a few cases, Sun Lien entered the summary stage. "In general, the clinical diagnosis of emergency needs to give priority to the possibility of critical illness. Considering and verifying or excluding critical illness first can save the patient's life as much as possible-if the patient himself is not critically ill, then this He can delay getting up for a while."

"But in the comprehensive diagnostic center, you can't simply maintain an emergency mentality. I will give priority to patients suffering from certain intractable diseases or rare diseases. After all, patients who will come to our comprehensive diagnostic center...except for a few Except for the patients who were directly admitted, most of the patients came to our center after being diagnosed in other hospitals or after multiple diagnoses." Sun Lien completed his summary, "When facing the patients in the comprehensive diagnosis center , think about it more, and ask more about 'why the doctors in other hospitals can't see it', which is of great benefit to the advancement of diagnosis."

This is a special technique that Sun Lien discovered during his recent work and study.And it's really useful to say it-many patients who come to the comprehensive diagnosis center have very confusing symptoms.At the same time, for various reasons, the illnesses they complained about contained some "misleading" elements.However, the wrong judgments of other doctors can to some extent become the key to prying into the essence of misleading.

Why do people diagnose wrongly?Did they see or discover some evidence during the examination that would support the diagnosis?If this evidence doesn't directly prove a diagnosis, how did they come about?When the thinking expands to this point, Sun Li'en is often able to successfully find some clues that have been overlooked.

These clues become the key to solving the mystery.

At the end of the speech, Sun Lien did not receive the expected applause, and there was only silence in the conference room.Everyone was thinking about something, and they didn't even seem to realize that Sun Lien's speech was over.

"Actually, I think... Dr. Sun, your speech missed a more essential thing." Yuan Ping'an said after a long silence, "This essential thing may not even be discovered by you yourself."

"I think so too." Xu Yourong echoed, "Dr. Sun, what you mentioned is just a diagnostic application technique. Not all the patients you took over were missed or misdiagnosed by other hospitals. There is no way to use this technique." Explain the diagnosis of other patients."

"I think it's serious." Yuan Ping'an slapped his thigh suddenly, and then looked at his colleagues around him seeking support.The other doctors also nodded, agreeing to this "essence". "If you want to make a good diagnosis, the most fundamental attitude should be to be serious. Only by taking seriously every self-report, every symptom, and even every inspection item of the patient, can the difference be quickly discovered. If you still use the outpatient-like assembly line A mentality like this is definitely not a good way to make a diagnosis.”

Sun Li'en smiled wryly twice, "I also go to the outpatient clinic..."

"The efficiency of your outpatient clinic is the lowest in the entire emergency department." In order to support his own conclusion, Yuan Pingan did not hesitate to expose Sun Lien's background. "Others can see eighty or ninety or even one or two hundred patients in a class. You can count up to [-] patients in a full class."

Although there are also triage problems at the triage desk, as well as differences in the internal division of labor in the emergency department.But what Yuan Pingan said was indeed true—Sun Lien spent far more time on each patient than other colleagues.And this often means more detailed consultation and more physical examination items.

"Seriousness is the core and the key." Xu Yourong nodded beside him, "Dr. Sun's ability to detect the symptoms of problems is far stronger than others, and grasping every problem symptom and analyzing their relationship with the disease in detail... that's the only way to do it." is the key to diagnostic thinking."

Sun Li'en's speech did not receive applause. What he waited for was the sincere praise from two colleagues, which sounded like he was blushing.

"This is also inseparable from the usual accumulation." Wang Guonan nodded, "Other doctors may not take patients seriously, but their accumulation is not enough. Even if they see the signs of problems, they may not be able to realize them. Symptoms indicate problems."

Discussions were lively.I don't know whether Sun Lien's diagnosis was too shocking, or everyone really observed a lot of important content in their daily work.In short, Sun Lien's diagnostic thinking has been raised and raised to the height of a "simple applied philosophy" by them.

"Are you holding a flattering meeting?" At this moment, Chen Tianyang brought Dr. Ma Yongfang into the small meeting room.Then he unceremoniously interrupted the meeting, "Pack up your things, and conduct another exercise—this time according to the highest standard." The latter paragraph was for Xu Yourong to hear.

"Doctor Ma, are you alright?" Xu Yourong glanced at Ma Yongfang curiously, the expression on her face was still a little stiff, but it seemed that she... seemed to have coordinated a lot.

"No problem, let's start." Ma Yongfang nodded towards Xu Yourong, and then put on a mask for herself.

Xu Yourong watched everyone stand in their positions, and then gave an order, "The treatment...start!"

(End of this chapter)