The genius doctor starts from the game

Chapter 22: Expert or Expert?
Liu Jun's words undoubtedly confirmed Lu Cheng's diagnosis and its basis.

Lu Cheng revised Pang Lin's statement and diagnosis, and it was completely correct.

After Wang Xiaoyang listened, he nodded in surprise. Everyone had their own opinions. This would definitely be beneficial to the development of the department. If he had to talk to the public, he would always come to listen to what he said. The people below lost their thinking. That's the scary thing.

He said: "This patient is relatively complicated, and it is quite difficult to make a differential diagnosis."

"Originally, I wanted to explain it to everyone, but Lu Cheng has already said what I wanted to say, so everyone will verify it carefully. This patient is indeed easily diagnosed as rotator cuff injury and acromion impingement. Let people ignore the more common diagnosis of frozen shoulder."

"As for the SLAP damage, it requires a lot of skill in film reading to be able to see it. We must give Lu Cheng a thumbs up for this. He memorized and understood the SLAP that Li Hui just said yesterday. Its true meaning is just being used clinically today."

"It proves that what our interns actually lack is knowledge reserves, not thinking!"

Then, Wang Xiaoyang said: "Zhuo Yuan, arrange a Y-slice film for the patient to verify whether there is impingement on the acromion. Although it can be seen on the MRI, the best proof is the plain film. Then send the patient for surgery. Cleaning + labrum repair!"

"Okay! Master." Chen Zhuoyuan didn't dare to speak at the moment, he just felt,
These interns are simply not human.
Especially this Lu Cheng, it seems that he is not the junior he brought yesterday.

There seems to be something wrong with the interns of this year. First of all, Pang Lin's knowledge reserve is enough to compare with him, and he may even have a stronger grasp of the basics and in-depth knowledge than him.
Another Lu Cheng pops up, what's all this?
Are you here for an internship, or are you here to blow our self-confidence?
When Wang Xiaoyang said this, he said:

"Professor Liu, you have always been the main team in sports medicine in our group. Now that the two interns have talked about this level, why don't you give me some ideas?"

"It's teaching ward rounds. If we just listen to the speeches of junior doctors, then the original meaning of teaching ward rounds will be lost."

This step is usually not done, because basically no one can analyze a disease in such a detailed way, which means that their level of mastery has not yet reached that level.

Then a more in-depth analysis is unnecessary.

Meals need to be eaten one bite at a time, and the understanding of diseases must be deepened step by step. To a novice, to talk about it in depth will be more confusing for them.
Only after they find a starting point, they can untangle it and sort it out, then it will be systematized all at once.

For example, if a disease is a cube,

Only those who are waiting to learn, at least on the eight points, stand firmly on one or two points, and enter this disease first, they are also qualified to follow the lines, horizontal lines or vertical lines of the cube. To get the whole picture.

Of course, Wang Xiaoyang's intention was also to remind Lu Cheng, Pang Lin and others,
Although what they understand is quite detailed and precise at their stage, there is still a lot of room for improvement.

Wang Xiaoyang himself can summarize these words, but after all, he has given the field of sports medicine to Liu Jun for too long, and has not paid in-depth attention to it in recent years, so he feels that Liu Jun is the final summary of this. Not suitable.

Li Hui is also okay, but Li Hui is slightly younger than Liu Jun after all,
Moreover, Li Hui is only in charge now, and enjoys a high level of treatment, which is a level higher than Liu Jun, and they are all people who follow him.

Although Liu Jun's academics are not as good as Li Hui's, Wang Xiaoyang still wants to give Liu Jun a hand.

The promotion of a teaching hospital's professional title depends on the comprehensive aspects of academic level, teaching level, and graduate level after graduation; teaching is definitely a very important part of it.

Wang Xiaoyang said so, of course Liu Jun would not refuse, and he was able to figure out what Wang Xiaoyang meant,
In the group, he is an associate professor, but relatively speaking, the salary is the lowest. However, Liu Jun did not think there was any unfairness. On the contrary, Li Hui was relatively the most unfair. Whether it is academic or professional, it is already enough , just stuck in the superficial article,
As for himself, he has only been promoted to the deputy high school for more than four years, and his academic accumulation is not enough for the time being, so even if the treatment is not as good as Li Hui, it is normal.
Liu Jun then said: "Student Pang Lin and Lu Cheng are actually very good and excellent."

"Especially for student Lu Cheng, as an intern, he can accurately separate such difficult cases in our sports medicine. This is a very difficult thing."

"Yesterday, our teacher Li Hui actually told everyone about rotator cuff injuries and shoulder joint injuries, and I will use the foundation laid by Teacher Li Hui to make some supplements. "

Liu Jun unabashedly praised Lu Cheng and Pang Lin,

Although the wording of Lu Cheng's praise of Lu Cheng is more straightforward, both Pang Lin and Lu Cheng have shown a level far beyond their current age and knowledge structure.

This is excellence. Even if Lu Cheng is better, it cannot cover Pang Lin's excellence and make him have no sense of existence.

"First of all, let's define frozen shoulder, rotator cuff injury and acromion impingement syndrome, so that everyone can understand."

"Plainly speaking, frozen shoulder means that the shoulder joint is frozen, and it is filled with a large amount of hyperplastic synovium, like a ball of wool, which makes the shoulder joint very stiff, so that the patient has pain and limited mobility. "

"Injury to the rotator cuff is just like the layer of sleeves that cover our shoulder joints. Injury occurs. It mainly manifests in the limitation of movement and pain, as well as the decline of muscle strength. Depending on the degree of injury , the degree of muscle strength decline will also be different. However, the patient's own passive activities are actually not a big problem, and the active activities will be obviously limited."

"Shoulder impingement syndrome is like the door we usually open. There is a stone caught in it. You can't close the door, so his main manifestation is obvious limitation of movement. And because of long-term extrusion, it will let"

"This way, we can find the most prominent point. Frozen shoulder: limited mobility, no structural damage. Exaggerated to understand, the joint is full of wool."

"Rotator cuff injury: structural damage, decreased muscle strength. If you think about it a bit more exaggeratedly, the tendon is broken directly. The patient can't lift it by himself and has no strength, but we can help him lift it up,"

"Acromial impingement syndrome: Structural problems, protruding osteophytes, possibly accompanied by structural damage, such as rotator cuff damage. It is exaggerated to think that there is a stone stuck in the joint. , the tendon will also be worn out."

"This time, can everyone understand?"

When Liu Jun said this, let alone Lu Cheng and others, even the patient himself put up a thumbs up and said with a smile:
"Professor Liu, you really deserve to be an expert. I understand what you said. It's easy to understand. The frozen shoulder is pulled, the rotator cuff is damaged, and the impingement syndrome is a stone stuck! "

Then he said to the patients in bed 2 and bed 3: "Old He, you should understand, right?"

2.3. The patients and their family members on the [-]rd bed nodded like chickens pecking rice, and compared their hands with their thumbs again;

Boast: "An expert is still an expert!"

(End of this chapter)