I really don't want to be a doctor

Chapter 78 Classification of Dissertations
After the noise, there was an unchanging preoperative discussion.

The joy on everyone's faces was in stark contrast to Wu Liang's loneliness.

Deng Liming sighed softly in his heart, and then arranged for the operation table.

The first and second operations in operating room No. [-] were still Wu Liang's cholecystectomy, followed by Li Xiaojun's operation.

Normally, this made Wu Liang quite satisfied, thinking that this was the order in which his status symbol was arranged, but at this moment, Wu Liang felt that Deng Liming was mocking him.

Of course Li Xiaojun had no objection.

It was even more impossible for Yu Wenxing to have an opinion.

After the preoperative discussion was over, Li Xiaojun completed the ward round in excitement,
The extremely enthusiastic ward rounds made the patients in the ward feel like a spring breeze.

After the ward round, Song Rentou finally couldn't hold back, "Doctor Yu, I also want to write a paper."

"Damn, don't you usually talk slowly? Why did you say what I want to say?" Li Xiaojun gave Song Ren the first look of hatred, and then turned his head and thought: "Yu Wenxing, look, I want to say it too." Write a thesis, can you teach me."

Yu Wenxing smiled,

It seems that the purpose of the hospital leadership has been achieved.

On the one hand, writing papers can improve the hospital's score,
And it can promote the learning of doctors.

after all,

When studying a thesis, not only do you have to think, but you also have to check the literature. In the process of searching the literature, you also study the literature. In the process of repeatedly searching the literature, the doctor improves subtly.

Yu Wenxing had no reason to refuse.

"What kind of stuff do you want to write about?"

Yu Wenxing asked.

Thesis is a very broad concept, which contains multiple categories.

For example, experimental research,

Generally speaking, articles about experimental research are mostly set for basic subjects such as pathology, pathophysiology, and pharmacology;
Another example is clinical analysis, which probably refers to analyzing, discussing, and then summarizing the etiology, clinical manifestations, treatment methods, and curative effect observations of a certain clinical disease.

This type of article generally requires a relatively large number of cases, and it cannot be completed in a short time.

There are also articles about curative effects, such as using a new drug or new therapy to treat a certain disease, comprehensively analyzing the treatment method, effect, course of treatment, etc., and comparing it with the old drug and old therapy to compare the advantages and disadvantages of the curative effect.

Yu Wenxing's "Thinking and Implementation of the Two-hole Method for Laparoscopic Appendectomy" is an article of this type.

This type of article has higher requirements, requiring new drugs, new treatments, and new surgical methods.

It is extremely difficult to write such an article in a county-level hospital.

There is also a relatively simple case report, which mainly reports rare diseases and difficult and severe diseases. Because it is a rare disease or difficult and severe diseases, similar reports are very rare.
But to write this kind of article, you have to have a rare disease first,
I still remember that there was such a patient in the Synergy Hospital back then,
A 14-year-old patient with repeated cough and thick sputum.After being treated with bronchiectasis in many hospitals, the effect was very poor, so I went to the Synergy Hospital.

The patient's symptoms were not typical, but the strength of the collaborative hospital was beyond doubt. After some examinations, a rare disease was diagnosed.

Ciliary Immobility Syndrome!
An autosomal (and rarely X-linked) disorder characterized by dysfunction of ciliary function and structure.

This is an extremely rare disease,

The global incidence is about 1/30000.

One of the criteria for the diagnosis of this disease is to observe the ultrastructure of cilia under an electron microscope.

result,

At a glance, everyone was startled,
The appearance and structure of the cilia in this patient turned out to be normal!
This result puzzled everyone, and after further discussion, everyone still agreed that this patient should be considered immobile ciliary syndrome.

but,
The appearance and structure of the patient's cilia were normal, which did not support this diagnosis.

no way,
The Collaborative Hospital performed gene sequencing on the patient,
Gene sequencing was still very expensive back then. After communicating with the patient's family many times, the patient's family reluctantly agreed.

This also became the last straw for the doctors of the Collaborative Hospital.

The hard work paid off, and finally, a problem was found in the subject's DNAH11 gene. The 2419th nucleotide in the coding region changed from G to C, and the 11272nd nucleotide in the coding region changed from T to C.

This is a chromosomal variation that is hardly ever documented.

In the whole world, there were no literature reports at that time.

finally,
This case was written into a paper, which shocked the global medical community.

Huaguo's medical strength has also been slowly accepted internationally from this moment on.

For a county-level hospital, it is the most difficult to write this kind of article. After all, even if a rare disease really occurs, they will never recognize it.

This is limited by inspection equipment, theoretical knowledge reserves, and so on.

And there is the investigative report,

The significance of this type of article is to investigate and discuss a certain type of disease, such as occupational diseases, the incidence of epidemics, causes, and prevention methods.

This kind of article is not written very quickly, and it usually takes several years of follow-up investigation.

As for the simplest,

Nothing more than a literature review.

Focusing on a certain topic, consult and collect a large number of original medical literature at home and abroad, and write a summary after understanding, analyzing, summarizing, and sorting out.

Although this kind of article is easy to write, the amount of articles that need to be consulted is huge, and you must have a good mentor, otherwise you will not be able to do it in the step of understanding and analysis.

It was also because the thesis was extremely complicated that Yu Wenxing had to ask exactly what kind of paper they wanted to write.

"Which type?"

Li Xiaojun pondered for a while, "I want to write about medicine."

Yu Wenxing almost spurted blood, "I know you write about medicine, what kind of medicine do you want to write about?"

"Writing about general surgery."

"puff!"

Yu Wenxing really vomited blood.

It can be seen that Li Xiaojun knows almost nothing about writing the thesis.

"I want to write clinical analysis."

Song Rentou spoke.

"Oh?" Yu Wenxing smiled noncommittally, "Tell me about your thinking."

Song Rentou nodded, "I think the laparoscopic appendectomy with the two-hole method has not been popularized yet. Now is a good time to publish a paper. I want to collect all the patients with the two-hole method for analysis."

"That's an idea."

Yu Wenxing agrees,
His paper only wrote about the two-hole method, and only wrote about one patient, and discussed the feasibility, but did not conduct in-depth research. Song Rentou's current thinking is good.

"I've collected some information."

Seeing Yu Wenxing nodding, Song Rentou was quite excited, and took out a piece of crumpled paper.

On the paper were written the names of patients who had been operated on with the two-hole method.

can see,

He was diligent.

"Okay, then you continue to collect medical records. When the time comes for patients with appendicitis, I will try to use the two-hole method."

Yu Wenxing smiled and encouraged Song Rentou.

"Thank you Brother Xing."

Song Ren started to write the medical records.

(End of this chapter)