My medical skills add experience
Chapter 11
Chapter 11
Why is the most backward hemostasis, but the latecomers prevail?
Because after the hemostasis was upgraded to the third level, he did not stop practicing.
A large number of bleeding points will appear in each dissection.If the bleeding is not stopped in time, the mice will lose blood and die after dissecting five or six wounds.
Based on the principle of not wasting props, he could only stop the bleeding while dissecting.
After the hemostasis technique is upgraded to the third level, the accuracy of hemostasis basically reaches 100%, and a bleeding point can be stopped in one second.
More than 600 experience points, it looks scary, but in fact, you only need to click 3000 or more than two hundred times.
"The four surgical basic medical skills have all been upgraded to the third level as they wished, and the competition for the training qualification must be stable. If the pathological diagnosis can be upgraded to the third level, it will be perfect."
Zhou Can didn't stay up late, but disposed of the garbage, took a shower and went to bed.
Staying up late before the exam is a taboo.
……
In the early morning of the next day, all interns got up early to prepare for the regular training exam.
As early as two weeks ago, everyone had signed up.
Zhou Can applied for general surgery.
However, according to Tuya's past practice, the hospital has the final say on which department to arrange.
He got up relatively early today, washed up and went to the bathroom, and it was almost 7 o'clock after he finished.
The regular training recruitment starts at 8 o'clock, and there is still plenty of time.
He quickly took out 1000 cases of surgical pathological diagnosis and began to read.
"The patient, Ms. Ma, 43 years old, found a broad bean-sized lump in her left breast when she took a bath in February this year. She had no symptoms at the time, so she didn't care about it. In July this year, she found that the lump continued to grow and was the size of a walnut. The patient came During menstruation, I felt pain in my left breast and worried about cancer, so I went to the local hospital for treatment. After investigation, the patient had no symptoms such as high fever, low fever, chest pain, cough, nipple discharge and bloody discharge. No obvious weight loss, appetite, sleep Basically normal..."
Judging from these symptoms, the patient should only have a benign tumor.
However, pathological diagnosis requires a combination of multiple information to judge.Inspection results are especially important.
"Palpation, the mass is 5*5*4cm, hard, and the surface is not smooth."
Seeing this, Zhou Can's heart skipped a beat.
There was an ominous premonition.
"The blood routine is basically normal, and there is no abnormality in the urine routine and stool routine. X-ray examination, chest X-ray and chest X-ray showed abnormalities. Mammography shows that the upper outer upper limit of the left breast is irregular, with high density in the central area."
It's over, this female patient has a malignant tumor in all likelihood.
If you can see a doctor as soon as you find a lump, the result may be much better.
The vast majority of serious illnesses are caused by the patient's birth from a small illness to a serious illness.
"B-ultrasound, a homogeneous mass in the upper outer quadrant of the left breast, with the possibility of malignant transformation."
All test results are getting worse.
"The patient has breast cancer without a doubt."
[Pathological diagnosis experience value +0.1. 】
Zhou Can got 0.1 experience points, but he couldn't be happier.
What a pity for this female patient.
It would be great if it was treated sooner.
Then look at the subsequent treatment results. The patient was diagnosed with cancer after a biopsy.After further testing, the cancer cells had spread to surrounding tissues and organs, and the opportunity for surgery was lost.
After chemotherapy, the patient finally died on October 10 of that year.
When encountering similar patients in the future, we must let them receive treatment as soon as possible.
He looked up at the time, 7:34.
No time to read, have to report to the hospital.
The gang of "uncles" and "menopausal women" in the personnel department of the hospital are all masters that their relatives do not recognize.If the regular training recruitment is late, he probably won't even let him in.
He ran all the way to the hospital cafeteria to have breakfast, and then went to the outpatient hall for a stroll to see if he could seize the last chance to diagnose another patient.
His pathological diagnosis experience value is only 0.9 away from being able to advance.
I'm really not reconciled!
There was already a long queue in front of the smart registration machine in the outpatient hall, and the hall was very noisy.
He would not dare to ask a patient about symptoms and medical history at random.
Afraid of being beaten by family members.
These days, what patients and their families hate most is Yituo and scalpers.
When meeting someone with a bad temper, it's just an old punch, and it's not worth it.
All the real doctors have developed sharp eyes and eloquent skills.Knowing what kind of patients or family members to choose for treatment, they are not easy to be beaten.
Zhou Can searched around, but couldn't find a suitable patient.
Look at the time, it is already 7:47.
From the outpatient hall to the teaching and scientific research building, 3 minutes is enough.
There are 10 minutes left, so hurry up.
In the end, he locked on an aunt who was at the back of the line.
Through observation, the aunt showed a painful expression from time to time, and frequently looked at the smart registration machine at the front of the line.
She should be very anxious.
There is no male family member to accompany the doctor, so the probability of being beaten is very small.
Zhou Can stepped forward and asked with a smile, "Auntie, do you have a stomachache?"
The aunt glared at him, her face full of displeasure, "Who's the auntie? Am I that old? Go, go, go away, I'm annoying."
The powder that this aunt made up on her face fell off.The wrinkles around the corners of the mouth and eyes are all revealed.
Very fierce.
Zhou Can was so frightened that he didn't dare to say anything more, so he hurried to it.
Soon, he found another target.
This is a young man in his 20s, fair and frail.It should be Xiaobai who is new to society.
"Brother, how about seeing a doctor?"
"Ah."
The young man looked him up timidly.
"Where is the discomfort?"
Zhou Can was overjoyed, finally met someone easy to talk to.
The final 0.9 experience value has been settled.
"Uh...I'm registering for my mother."
Zhou Can was disappointed for a while.
It was not easy to meet someone who was easy to talk to, but it turned out that it was not the patient himself.
"Security, security, that person is Yituo, that's him. Just now he asked me about his condition, and now he is asking that young man about his condition. It must be Yituo..."
Big Mom yelled at the patrolling security guards.
Zhou Can has a dark face, don't mess with Auntie if you mess with anyone.
Especially the sick aunt.
The hospital also hates Yituo.Not only will it lead to the outflow of patients, but it will also harm the patients, seriously damage the interests of the patients, and tarnish the reputation of Tuya Hospital.
The two security guards immediately took off their batons and rushed over.
"Which hospital's medical care? Be honest!"
"Follow us to the security department!"
Zhou Can is going to participate in the regular training recruitment soon, how can he have the time to go to the security department with them.
Hurry up and show your internship certificate.
"I'm an intern doctor in this hospital, not a medical care provider."
After the two security guards looked at his ID, their expressions softened a little.
"Okay, it turned out to be an intern. No wonder I came here to ask patients about everything. Fortunately, I was very vigilant, so I was not harmed. Everyone, keep your eyes open. Don't be tricked by interns to give them practice."
The aunt scolded at the top of her voice.
Many people stared at Zhou Can with extremely unfriendly eyes.
I don't know what disease this aunt has, didn't she just call her auntie?Why so much hatred?
Zhou Can did not dare to cause adverse effects on the hospital because of this matter.
Otherwise, the people from the medical department should come to the door.
Obviously wronged, he had to explain to the patients queuing up with a smile on his face, "I'm just doing a research project, please don't get me wrong."
Everyone looked at him with less cold eyes.
Zhou Can hurried away.
After being made such a fuss by that vicious aunt, and then asking other patients for questioning, they probably won't have a good face.
Walking out of the outpatient hall, he took out his cell phone and glanced at the time.
5 minutes left.
Look again.
A middle-aged man who just got out of a taxi caught his attention.
The middle-aged man, about 50 years old, was wearing black trousers, a blue shirt and no tie.Carrying a black handbag.
Judging by this style, he is probably a boss or a company executive.
At first glance, he noticed that the man's face was a little pale.
The same goes for the lips.
Walking is normal, mental state is not bad.His brows were slightly frowned.
Zhou Can relied on the doctor's keen intuition, this man must be sick.
(End of this chapter)
Why is the most backward hemostasis, but the latecomers prevail?
Because after the hemostasis was upgraded to the third level, he did not stop practicing.
A large number of bleeding points will appear in each dissection.If the bleeding is not stopped in time, the mice will lose blood and die after dissecting five or six wounds.
Based on the principle of not wasting props, he could only stop the bleeding while dissecting.
After the hemostasis technique is upgraded to the third level, the accuracy of hemostasis basically reaches 100%, and a bleeding point can be stopped in one second.
More than 600 experience points, it looks scary, but in fact, you only need to click 3000 or more than two hundred times.
"The four surgical basic medical skills have all been upgraded to the third level as they wished, and the competition for the training qualification must be stable. If the pathological diagnosis can be upgraded to the third level, it will be perfect."
Zhou Can didn't stay up late, but disposed of the garbage, took a shower and went to bed.
Staying up late before the exam is a taboo.
……
In the early morning of the next day, all interns got up early to prepare for the regular training exam.
As early as two weeks ago, everyone had signed up.
Zhou Can applied for general surgery.
However, according to Tuya's past practice, the hospital has the final say on which department to arrange.
He got up relatively early today, washed up and went to the bathroom, and it was almost 7 o'clock after he finished.
The regular training recruitment starts at 8 o'clock, and there is still plenty of time.
He quickly took out 1000 cases of surgical pathological diagnosis and began to read.
"The patient, Ms. Ma, 43 years old, found a broad bean-sized lump in her left breast when she took a bath in February this year. She had no symptoms at the time, so she didn't care about it. In July this year, she found that the lump continued to grow and was the size of a walnut. The patient came During menstruation, I felt pain in my left breast and worried about cancer, so I went to the local hospital for treatment. After investigation, the patient had no symptoms such as high fever, low fever, chest pain, cough, nipple discharge and bloody discharge. No obvious weight loss, appetite, sleep Basically normal..."
Judging from these symptoms, the patient should only have a benign tumor.
However, pathological diagnosis requires a combination of multiple information to judge.Inspection results are especially important.
"Palpation, the mass is 5*5*4cm, hard, and the surface is not smooth."
Seeing this, Zhou Can's heart skipped a beat.
There was an ominous premonition.
"The blood routine is basically normal, and there is no abnormality in the urine routine and stool routine. X-ray examination, chest X-ray and chest X-ray showed abnormalities. Mammography shows that the upper outer upper limit of the left breast is irregular, with high density in the central area."
It's over, this female patient has a malignant tumor in all likelihood.
If you can see a doctor as soon as you find a lump, the result may be much better.
The vast majority of serious illnesses are caused by the patient's birth from a small illness to a serious illness.
"B-ultrasound, a homogeneous mass in the upper outer quadrant of the left breast, with the possibility of malignant transformation."
All test results are getting worse.
"The patient has breast cancer without a doubt."
[Pathological diagnosis experience value +0.1. 】
Zhou Can got 0.1 experience points, but he couldn't be happier.
What a pity for this female patient.
It would be great if it was treated sooner.
Then look at the subsequent treatment results. The patient was diagnosed with cancer after a biopsy.After further testing, the cancer cells had spread to surrounding tissues and organs, and the opportunity for surgery was lost.
After chemotherapy, the patient finally died on October 10 of that year.
When encountering similar patients in the future, we must let them receive treatment as soon as possible.
He looked up at the time, 7:34.
No time to read, have to report to the hospital.
The gang of "uncles" and "menopausal women" in the personnel department of the hospital are all masters that their relatives do not recognize.If the regular training recruitment is late, he probably won't even let him in.
He ran all the way to the hospital cafeteria to have breakfast, and then went to the outpatient hall for a stroll to see if he could seize the last chance to diagnose another patient.
His pathological diagnosis experience value is only 0.9 away from being able to advance.
I'm really not reconciled!
There was already a long queue in front of the smart registration machine in the outpatient hall, and the hall was very noisy.
He would not dare to ask a patient about symptoms and medical history at random.
Afraid of being beaten by family members.
These days, what patients and their families hate most is Yituo and scalpers.
When meeting someone with a bad temper, it's just an old punch, and it's not worth it.
All the real doctors have developed sharp eyes and eloquent skills.Knowing what kind of patients or family members to choose for treatment, they are not easy to be beaten.
Zhou Can searched around, but couldn't find a suitable patient.
Look at the time, it is already 7:47.
From the outpatient hall to the teaching and scientific research building, 3 minutes is enough.
There are 10 minutes left, so hurry up.
In the end, he locked on an aunt who was at the back of the line.
Through observation, the aunt showed a painful expression from time to time, and frequently looked at the smart registration machine at the front of the line.
She should be very anxious.
There is no male family member to accompany the doctor, so the probability of being beaten is very small.
Zhou Can stepped forward and asked with a smile, "Auntie, do you have a stomachache?"
The aunt glared at him, her face full of displeasure, "Who's the auntie? Am I that old? Go, go, go away, I'm annoying."
The powder that this aunt made up on her face fell off.The wrinkles around the corners of the mouth and eyes are all revealed.
Very fierce.
Zhou Can was so frightened that he didn't dare to say anything more, so he hurried to it.
Soon, he found another target.
This is a young man in his 20s, fair and frail.It should be Xiaobai who is new to society.
"Brother, how about seeing a doctor?"
"Ah."
The young man looked him up timidly.
"Where is the discomfort?"
Zhou Can was overjoyed, finally met someone easy to talk to.
The final 0.9 experience value has been settled.
"Uh...I'm registering for my mother."
Zhou Can was disappointed for a while.
It was not easy to meet someone who was easy to talk to, but it turned out that it was not the patient himself.
"Security, security, that person is Yituo, that's him. Just now he asked me about his condition, and now he is asking that young man about his condition. It must be Yituo..."
Big Mom yelled at the patrolling security guards.
Zhou Can has a dark face, don't mess with Auntie if you mess with anyone.
Especially the sick aunt.
The hospital also hates Yituo.Not only will it lead to the outflow of patients, but it will also harm the patients, seriously damage the interests of the patients, and tarnish the reputation of Tuya Hospital.
The two security guards immediately took off their batons and rushed over.
"Which hospital's medical care? Be honest!"
"Follow us to the security department!"
Zhou Can is going to participate in the regular training recruitment soon, how can he have the time to go to the security department with them.
Hurry up and show your internship certificate.
"I'm an intern doctor in this hospital, not a medical care provider."
After the two security guards looked at his ID, their expressions softened a little.
"Okay, it turned out to be an intern. No wonder I came here to ask patients about everything. Fortunately, I was very vigilant, so I was not harmed. Everyone, keep your eyes open. Don't be tricked by interns to give them practice."
The aunt scolded at the top of her voice.
Many people stared at Zhou Can with extremely unfriendly eyes.
I don't know what disease this aunt has, didn't she just call her auntie?Why so much hatred?
Zhou Can did not dare to cause adverse effects on the hospital because of this matter.
Otherwise, the people from the medical department should come to the door.
Obviously wronged, he had to explain to the patients queuing up with a smile on his face, "I'm just doing a research project, please don't get me wrong."
Everyone looked at him with less cold eyes.
Zhou Can hurried away.
After being made such a fuss by that vicious aunt, and then asking other patients for questioning, they probably won't have a good face.
Walking out of the outpatient hall, he took out his cell phone and glanced at the time.
5 minutes left.
Look again.
A middle-aged man who just got out of a taxi caught his attention.
The middle-aged man, about 50 years old, was wearing black trousers, a blue shirt and no tie.Carrying a black handbag.
Judging by this style, he is probably a boss or a company executive.
At first glance, he noticed that the man's face was a little pale.
The same goes for the lips.
Walking is normal, mental state is not bad.His brows were slightly frowned.
Zhou Can relied on the doctor's keen intuition, this man must be sick.
(End of this chapter)
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