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Author: Jiangdi Youbai

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"Brother, you go to the outpatient clinic first. I will check the rooms upstairs and then come down. I have already told Yusheng that he will help me deal with the patients later." The next day, Wu Xie accompanied Long Yuan from the clinic.

When Xu Huifang came out of the noodle shop, she explained to Long Yuan like this.

"Ward rounds are business, you go about your business first."

After Long Yuan returned, he continued: "Xiao Wu, I'm really not sure how to answer the question you asked me yesterday. After all, neither Master nor I have asked you about this before."

"But it doesn't matter. Now that you think cases and diseases are the anchor points for learning, just adapt to your own situation first."

Yesterday, Wu Xie took the initiative to discuss an issue with Long Yuan, which was about learning anchor points.

Anchor is originally a type of hyperlink in web page production, also called named anchor, like a quick locator!

Learning anchor point is actually a self-created word, which is equivalent to a summary and positioning stake of the knowledge system. It can quickly summarize a piece of knowledge with an anchor point to achieve the effect of quick extraction and quick storage and memory.

Establishing learning anchor points is a relatively advanced learning method.

Wu Xie's explanation to Long Yuan was that he came here to manage the bed, and found that under pressure, he would be very cautious about the entire diagnosis and treatment process of the patient, so he would check the corresponding information and literature.

In the process, Wu Xie found that his memory speed and understanding of knowledge had greatly improved.

Wu Xie had two purposes for explaining this to Long Yuan. One was to explain why he agreed to supervising Lu Junyin with so many beds, and the other was to pave the way for the situation and see if he and Long Yuan could convince the master together.

I got a bed or something in Tongji Hospital.

At least, you can let others have a mental preparation in advance.

To be cautious, Wu Xie also specifically asked Long Yuan whether he had mentioned any learning methods or other methods that were more suitable for him during his previous interactions with Long Yuan.

A person's memory can be lost, but talent and sensitivity to certain things are innate.

If Wu Xie could have a better learning method, tell Long Yuan about it, and be able to trace it back, that would also be very good.

Long Yuan did not respond at that time and said he was going to ask.

But the result was that Long Yuan, Wu Xie, Wu Xie and others never mentioned this matter at all.

"Senior brother, thank you for causing trouble to you." Wu Xie was not disappointed, he just asked more questions based on the principle of not suffering any loss, and had no other meaning.

"Well, you go up for ward rounds first, and then check with the patient in bed 14 to see if the drug sensitivity test results have come out. Everything else is fine. You can wait until he is discharged." Long Yuan still took the initiative to explain this to Wu Xie.

.

Now, the most difficult person to deal with in the department is Zhang Chunmei in bed 14. Although it seems that her condition is the mildest and she has not undergone surgery and is just an infection on the surface of the skin, the current treatment effect is not good.

Wu Xie nodded and walked towards the department.

After arriving, after a brief shift change, Lu Junyin knew that Wu Xie was going to the outpatient clinic with Long Yuan, so he immediately said: "Xiao Wu, please go and check your bed first, and then leave the matter to Zhong Yusheng and Guo Lixiang.

Just go to the clinic."

"For other patients, we will just check with Dr. Luo. Then, we will arrange two surgeries tomorrow. They are both simple small fractures. You don't need to worry about this for now..."

When Wu Xie has something to do, he leaves chores to others. This is very common. When Zhong Yusheng goes on a blind date, he will also leave things to Guo Lixiang. Guo Lixiang is a person who basically has nothing to do. Medical assistants must learn hard.

Try to take the medical qualification certificate exam as soon as possible...

When Wu Xie went down to the outpatient clinic again, the time was only around eight o'clock.

Long Yuan had just seen two patients, and at the door of the consulting room, people in the town heard that experts from Tongji Hospital were coming to the hospital, and there was already a queue at the door. There were at least a dozen old men and women, seven or more people there.

Talking eloquently.

When they saw Wu Xie coming down, they all greeted Wu Xie with a smile.

"Doctor Xiao Wu, have you had breakfast?"

"Dr. Xiao Wu, do you also come to see the outpatient clinic?"

"Looking at what you said, Xiao Wu also graduated from Tongji Hospital, so he is familiar with the experts from Tongji Hospital..."

Wu Xie also greeted them before walking in, holding the blue-black pen in his hand, ready to take over Long Yuan's work of writing medical records.

However, as soon as Wu Xie entered, Long Yuan was reading the films and did not write any medical records.

The person sitting opposite Long Yuan was an old lady named Zhang from the town who knew Wu Xie. She shouted enthusiastically, and the family member accompanying her, her daughter, also asked: "Doctor Wu,

Is this Doctor Long your teacher or someone else?"

"This is my senior brother! Ma'am!" Wu Xie replied with a smile. "You guys came quite early."

Long Yuan had almost finished watching all the films of Mrs. Zhang at this moment, and then pushed the X-ray to Wu Xie and said: "Xiao Wu, look at this patient's condition. This film,

Basically, even if it is presented according to the textbook, it is difficult to find."

When sitting in the clinic, there are students or junior students. After seeing the classic or typical plain radiograph features or physical signs, the superior doctor or teacher will give the student a good look.

In fact, in clinical practice, there are not many typical physical signs and imaging examination results. The things in textbooks can only be used as a principle reference, and individual variations also exist.

Hearing Long Yuan treat Wu Xie like this, and then thinking about Wu Xie's reputation in the town, the old lady Zhang and her daughter became even more happy.

This Doctor Long guided Wu Xie as if he were a student. Wu Xie's level was pretty good, and his level must be even higher.

You don't have to go to Han City to be seen by experts from Tongji Hospital. Today is a great day.

After Long Yuan gave the film to Wu Xie, Long Yuan explained: "Auntie, eldest sister, we have plenty of time today. We are not in a hurry. Work slowly and carefully. Let's take our time. There are not many patients today."

Long Yuan only registered twenty-seven numbers today. Compared to the 50 numbers he received every week at Tongji Hospital, the number of patients seemed like a joke.

And they are all chronic diseases!

"We are not in a hurry, Doctor Long. Take your time and take your time. Don't be in a hurry." Mrs. Zhang was about seventy years old, showing her missing teeth.

After Wu Xie carefully watched the film, he understood why Long Yuan said it was a classic.

"Brother, is this tennis elbow?!" Wu Xie replied quite firmly and began to look at the other person's age.

"Tennis elbow? I don't have a ball here, do I?" These words frightened both Mrs. Zhang and her daughter.

Her daughter, on the other hand, knows better: "My mother has never played football, right?"

Wu Xie quickly explained: "Honey, grandma, this is not a ball. This is the name of a disease. Don't worry."

"It's just a common name."

Tennis elbow (lateral epicondylitis) is inflammation and pain of the tendons at the origin of the forearm extensor muscles on the outside of the elbow joint. The pain is caused by chronic tears and strains caused by repeated force on the forearm extensor muscles.

Tennis elbow is a typical case of overuse syndrome, which has certain occupational characteristics. It is more common among tennis and badminton players. Housewives, bricklayers, carpenters, etc. who do long-term and repeated elbow activities are also susceptible to this disease.

To be fair, these career correspondences found in textbooks don't quite match this old lady, right?

Long Yuan was not surprised that Wu Xie could see the diagnosis of this disease: "Guess what? You have plenty of time today. Let me see how you watch the movie now."

This is one advantage of sitting in an outpatient clinic. Especially in chronic disease outpatient clinics, where there are not many patients, you can break down the cases and slowly explain them to Wu Xie, and at the same time see what Wu Xie's level is.

Why do superiors like to ask questions first? It’s not to embarrass them, but to see which step the students have understood, and then which level they should go deeper into during the teaching process!

If you teach high school knowledge to a primary school student, it will be strange if other people can understand it except for a few perverted geniuses!

"In a normal elbow joint, the size of the lateral epicondyle of the humerus on an X-ray film is generally 2-6 mm. This film shows the hyperplasia of the condyle, with limited length increase and width protruding from the edge of the elbow joint."

"Sclerosis in the condyles means bone hardening and thickening with blurred white shadows. These fine white developments mean that the bone tissue in the condyles has become denser, which is a sign of bone hyperplasia."

"Senior brother, look, this irregular bone hyperplasia is a normal periosteal reaction." Wu Xie listed the things he could understand one by one.

This also has its merits. The reason why Wu Xie chose to add points to proficiency instead of specialization is that he was afraid that if he reached specialization, he would be at the same level as Long Yuan, which would make Long Yuan's teaching process slightly embarrassing. Secondly, it was simply because

Sexual advice can gain knowledge points.

I have made my level a little lower, and Long Yuan will give me some pointers after discovering it. Maybe I can get more knowledge points, which can maximize the gain of knowledge points. At the same time, I also have certain basic skills, which is easy to learn and understand.

Otherwise, Wu Xie could have gone straight to specialization, and then competed in the ring with Long Yuan, even explaining it so that Long Yuan would have no room to add anything.

Although this feels great, it is not conducive to learning and the increase of knowledge points. Wu Xie now dreams of gaining more knowledge points, so every step needs to be carefully considered.

This is also one of the subjective initiatives of learning. It is not just about taking the initiative to learn and ask questions.

For those who know how to learn, they will prepare themselves to learn at any time, and even prepare to teach their superiors silently. This is true learning and the embodiment of intelligence.

When Long Yuan heard this, he said: "The vision is already very good. The positioning is accurate first, the lesion is found, and some details and anatomy can be seen. It proves that you have worked hard."

"But can you tell from this picture, which muscle of this aunt has the most severe pain?"

When Long Yuan asked this question, Wu Xie was stumped.

Wu Xie blinked and shook his head ecstatically, looking forward to Long Yuan's further explanation.
Chapter completed!