Sun Jian also received the two-year internship department arrangement form. When the time comes, he will take the internship arrangement form to leave and enter the department, and ask the instructor to fill in the exit identification.
The six Sun Jians were assigned to different departments. They followed the trainee teachers to and from get off work, and had to work night shifts in the inpatient department. Sometimes they didn't see their classmates even once a day.
There are eight people living in the boys' dormitory where Sun Jian lives. In addition to the four of them, there are also Yang Shengqiang, the monitor of the third medical class, Chen Yuguo, Zhang Zhongqing, and Xie Ming. Sun Jian and Yang Shengqiang know each other, but they don't have close friendships. The other three classmates look familiar and can't be called. He didn't give his name, but everyone knew him.
The students were eager to try, but Sun Jian took it for granted. From then on, there was no normal Sunday, and his work and rest time was consistent with the instructor's schedule.
The company's scale and business are getting bigger and bigger, and the opportunity to return to the headquarters after class every day to provide guidance is gone. I hope the instructor will give him a long vacation.
"Hello, Teacher Li!"
Sun Jian bowed to Li Zhongqiu seriously, attracting the attention of Guo Hongwei, Zhang Minhan, outpatient nurse Liang Qiuyan and three waiting patients.
Liang Qiuyan sat at the door, responsible for allocating patients.
"Hello, Teacher Guo!"
Guo Hongwei, deputy chief physician, is also an internal medicine teacher teaching digestive system diseases in the fourth medical class.
"Hello Sun Jian!"
"Hello, teacher!"
Sun Jian did not know Zhang Minhan.
"Sun Jian, hello!"
Li Zhongqiu is a worker, peasant, and soldier student who graduated from Huaji Medical College in 1976. His wife is a nurse in the respiratory department of the hospital, and his son is in the second grade of Huaji Primary School.
The two-year internship is both long and short. Among the directors and deputy directors of various departments in Huaji Hospital, many are teachers of clinical professional courses and all know Sun Jian, who is well-known.
By the end of the internship, Sun Jian, who was eloquent and had outstanding skills, was familiar with almost all the doctors in the outpatient and inpatient departments of Huaji Hospital, including Zhang Xianjun, a former classmate of the Staff Medical College and deputy chief of the Medical Affairs Department.
Zhang Xianjun was twelve years older than him. He worked in the laboratory department of Huaji after graduating from the laboratory major of Huaji Health School. After graduating from a medical college, he changed his career to administrative work in Huaji, starting from the deputy section chief of the medical administration department, and finally working in the medical administration department. Retired as section chief.
In the past ten years, colleges and universities have been forced to suspend their studies, resulting in a shortage of doctors. Junior college students of worker, peasant and soldier students can also work as doctors in Huaji Hospital. There are also many talented workers, peasants and soldiers students among the workers, peasants and soldiers, and they have rich life experience. Almost all of them have taken the postgraduate entrance examination to graduate from junior college to bachelor's degree. Studying for a Ph.D. or studying abroad has improved their diplomas, and many of them are also surgeons and department directors in hospitals.
"Sun Jian, don't be too polite. Just sit next to me and help me write my medical records."
Although Li Zhongqiu said he was not polite, he was very happy in his heart. Almost everyone in Hua Medical University knew about Sun Jian.
Most of the chief physicians, deputy chief physicians and some attending physicians of Huaji Hospital and Jihe Hospital are also employed as professors, associate professors or lecturers of Hua Medical University. Li Zhongqiu is not a professional course teacher. Sun Jian’s deeds are from Guo Hongwei’s mouth. I know.
"Okay, Teacher Li!"
------
"What's wrong with you?"
Li Zhongqiu received a male patient in his fifties. Sun Jian, who was sitting on the side of the reception desk, glanced at the cover of the public medical record. Cao Jinyun, fifty-one years old, driver, browsed through the previous medical records. , this is a patient with chronic gastritis.
"Dr. Li, I have the old stomach problem again. Please help me prescribe some stomach medicine."
"Sun Jian, do you want to continue asking?"
Li Zhongqiu also wanted to test the famous Sun Jian. How did he learn the book knowledge?
"Okay, Teacher Li!"
"Master Cao, please lie down on the examination table and let me examine you?"
Guo Hongwei and Zhang Minhan, who were treating patients, were a little curious when they saw Sun Jian getting up to check the patient?
Ordinary patients in outpatient clinics generally have common diseases (emergency patients go to the emergency department). Since there are too many patients in the morning, doctors can only measure blood pressure and auscultate heart and lung sounds. Each patient can spend up to five minutes and will not check every patient. Ichiban is not like visiting a specialist clinic.
The patient hopes that the doctor will take more time to check carefully, but the patients waiting in line hope that the doctor will look faster. They will become impatient as time goes by and think that the doctor's level is not high.
"Okay, Dr. Sun!"
Cao Jinyun knew that Sun Jian was an intern, but he looked calm and kind to others, and he lay down on the examination table cooperatively.
Li Zhongqiu's face felt a little hot. He saw a doctor from Cao Jinyun. Because he liked to drink and had an irregular diet, his acute gastritis turned into chronic gastritis. As usual, he was prescribed two bottles of Weifukan to neutralize gastric acid and reduce abdominal distension.
"Master Cao, bend your legs and relax. Does it hurt?"
"No pain!"
"Does it hurt?"
"No pain!"
"Does it hurt?"
"It hurts a little!"
"Are you in good spirits every day? Are you eating and sleeping well?"
"When I was young, I didn't feel tired after driving for a whole day, and I could eat a pound of rice in one meal. Now, after driving for an hour, I feel sleepy. I don't want to eat, and I can't sleep well."
"Is it okay to relieve yourself?"
"The urination is fine, but I'm a little constipated."
Sun Jian turned over his cornea and touched Virchow's lymph nodes, but found none.
"Master Cao, I suggest you go to the laboratory to check your blood first to see if you are anemic? Then go to the gastroscopy room for a gastroscopy? Do a thorough investigation?"
Li Zhongqiu, Guo Hongwei and Zhang Minhan were all surprised. Seeing Sun Jian's sophisticated diagnosis and treatment techniques and his natural conversation with patients, how could this be an intern who just started work on his first day? But without consulting Li Zhongqiu, he suggested that the patient undergo a gastroscopy, which was offside!
"Okay, Dr. Sun!"
Cao Jinyun felt that Sun Jian, the intern, was more responsible than Dr. Li, so he didn't consult Dr. Li for his opinion? I left the outpatient department with the test orders and examination sheets prescribed by Dr. Li.
"Teacher Li, Driver Cao has been suffering from chronic gastritis for fifteen years. He is emaciated, weak, and often has abdominal distension. He feels pain in the stomach area when palpating it, and Virchow's lymph nodes are not touched. Do you need to check whether there is anemia? Are there polyps in the stomach? Are the polyps cancerous? Teacher Li, I suspect it’s early-stage gastric cancer?”
Li Zhongqiu looked at Sun Jian with a smile.
Dr. Li must have felt uncomfortable when he made his own decisions, but he couldn't show it in front of his colleagues. Sun Jian didn't want to stand out, but Teacher Li asked him to see a doctor, but he couldn't shirk it. Once he faced a patient, he couldn't help but enter a professional role.
Doctors have the heart of a parent!
In his previous life, he was a chief physician and professor of abdominal surgery. He often came into contact with patients with chronic gastritis and cancer. They were usually diagnosed in the middle and late stages. Even if radical surgery, radiotherapy and chemotherapy were performed, the patient's survival time was generally no more than two years!
Although you have been away from clinical practice for three years, it is difficult to lose the skills and wisdom formed by long-term clinical professional practice in your previous life? Some have formed a conditioned reflex, which is to let Sun Jian now preside over most of the gastrectomy surgery, confident that he can still do a good job.
Intern doctors are not qualified to perform subtotal gastrectomy surgeries!
