Chapter 169 Keep moving forward
Chapter 169 Keep moving forward
"Doctor Zhang, I feel that the study over the past few days has given me a deeper understanding of pathology." Chen Fang smiled slightly, with a gleam of curiosity in her eyes.
"Yes, that's true." Doctor Zhang nodded, put down the medical records in his hand, and looked at her seriously. "However, understanding and mastering are two different things. You need to constantly consolidate in practice."
"I understand. I will remember every word you said." Chen Fang's voice was firm and clear, as if she was swearing an oath to Dr. Zhang.
"Well, let's do a case discussion today." Doctor Zhang stood up, walked to the whiteboard, and began to write down the basic information of a case. "This is a 50-year-old male patient who complained of chest pain and shortness of breath. How do you think we should deal with it?"
"First, I will ask about the patient's medical history and understand his lifestyle and family medical history." Chen Fang responded quickly, with a thoughtful gleam in her eyes.
"Very good, what's next?" Doctor Zhang smiled and encouraged her to continue.
"Then, I will perform a physical examination, especially auscultation of the heart and lungs to see if there are any abnormal heart or breath sounds." Chen Fang's tone became more and more confident, as if she was describing a battle that was about to unfold.
"Yes, physical examination is the key. What auxiliary examinations will you consider next?" There was a hint of expectation in Doctor Zhang's eyes.
"I would recommend an electrocardiogram and chest X-ray, and if necessary, consider a cardiac ultrasound." Chen Fang's voice became more and more firm, as if she had already built a complete diagnosis and treatment process in her mind.
"Very good, Chen Fang, your thinking is clear." Doctor Zhang nodded with satisfaction, secretly pleased in his heart. He knew that Chen Fang's progress during this period was obvious.
"Thank you for your guidance, Dr. Zhang. I will continue to work hard." Chen Fang smiled slightly, her face filled with youthful vigor.
"It is necessary to work hard, but we must also learn to reflect." Doctor Zhang turned around and looked at her seriously. "Every case is a story. We must not only master knowledge, but also learn to listen to the patients' voices."
"I will. I will try my best to understand every patient's story." There was a firm light in Chen Fang's eyes, as if she was making a promise to Dr. Zhang.
"Okay, let's continue discussing this case." Doctor Zhang walked back to the whiteboard and began to explain in detail the possible causes and treatment plans for the patient.
As the discussion deepened, Chen Fang gradually realized that medicine is not just about cold numbers and formulas, but also about communication and understanding between people. Her thinking continued to expand under the guidance of Dr. Zhang, and vivid cases emerged in her mind.
"Doctor Zhang, do you think that psychological factors will affect the patient's condition when dealing with this case?" Chen Fang suddenly asked, with a gleam of curiosity in her eyes.
"Of course, psychological factors play an important role in medicine." Doctor Zhang answered seriously, his tone full of deep thought, "The patient's emotions and stress will have an impact on the body. We should not only pay attention to their physical condition, but also their mental health."
"I understand now. Medicine is not only a science, but also an art." Chen Fang seemed to have realized something and was full of expectations for her future career.
"Yes, medicine is an art that requires constant learning and reflection." Doctor Zhang smiled slightly, with a look of satisfaction in his eyes, "You have taken an important step on this path."
"Thank you, Dr. Zhang. I will continue to work hard and live up to your expectations." Chen Fang's voice was firm and clear, as if she was swearing an oath to the future.
"Okay, that's all for today's discussion." Doctor Zhang put away the pen on the whiteboard and turned to face Chen Fang. "Remember, on the path of medicine, always maintain a humble and curious heart."
"Please come in." She greeted the elderly patient who walked in with a warm smile on her face.
An old man in his seventies walked in slowly, his face full of traces of time and a look of fatigue. He nodded slightly, sat on the chair, and a hint of uneasiness appeared in his eyes.
"Hello, old man, where do you feel uncomfortable?" Chen Fang tried her best to make her voice sound gentle and kind, trying to make the patient relax.
"I've been feeling a little stuffy in my chest these days, and my breathing isn't smooth." The old man whispered, with a hint of worry in his eyes.
"How long has this situation lasted?" Chen Fang recorded it carefully with a focused look.
"It's been almost a week. At first I thought I was just tired and didn't take it seriously." The old man sighed, as if recalling something, "but it's getting worse recently. I always feel suffocated when I sleep at night."
"I understand." Chen Fang nodded and began to analyze the possible causes in her mind. "Do you have any other symptoms, such as coughing, fever, or palpitations?"
"No, I just cough occasionally, nothing special." The old man shook his head, with a hint of helplessness in his expression.
"Do you have a history of high blood pressure, diabetes or heart disease?" Chen Fang continued to ask, trying to sound professional.
"I have high blood pressure, and it's well controlled with medication." The old man said, raising his hand and touching his forehead, as if he was thinking.
"Okay, have you had any special emotional fluctuations or life pressures recently?" Chen Fang tried to understand the patient's condition from a psychological level.
"Some things have been happening at home these days, and the children are busy with work. I'm alone here, and I can't help feeling a little worried." The old man sighed, a hint of sadness flashing in his eyes.
"I understand. Emotions may also affect the physical condition." Chen Fang carefully recorded the information while thinking about the next examination plan. "Next, I will give you a simple physical examination to check your cardiopulmonary function."
"Okay, thank you for your help." The old man smiled slightly, as if he was relieved by Chen Fang's attitude.
Chen Fang stood up, walked to the old man, and began to auscultate his heart and lungs. She used a stethoscope to carefully listen to the old man's heart and breathing sounds, silently analyzing the possible situation in her mind.
"Your breathing sounds are a bit rough, maybe your airway is blocked." Chen Fang said seriously, with concern in her voice, "I suggest you do a chest X-ray to see the specific situation."
"How long will it take to know the results?" the old man asked worriedly.
"Normally, you will get the results on the same day after the examination." Chen Fang comforted him with a smile, "Don't worry, I will follow up the whole process and make sure you get timely treatment."
"Thank you, little girl." The old man said gratefully, and the tension on his face seemed to ease a little.
"You're welcome. This is what I should do." Chen Fang responded softly, feeling secretly relieved in her heart.
"I was a doctor when I was young, but I didn't expect to become a patient now." The old man suddenly smiled, with a hint of nostalgia in his eyes.
"Then you must have a lot of stories to share." Chen Fang's eyes sparkled with curiosity, "Can you tell me about them?"
"Of course." The old man smiled slightly, as if reminiscing about the past. "When I was young, I worked as a doctor in the countryside. The conditions were difficult at that time, but every time I saw a patient recover, I was always very happy."
"You must have seen a lot of interesting cases, right?" Chen Fang listened carefully, full of respect for the old man's experience.
"Yes, one time I met a child who had eaten poisonous mushrooms by mistake. I rushed him to the hospital and fortunately he was rescued in time." The old man recalled that incident with a gleam in his eyes. "At that time, I really tried my best. I had only one thought in my mind, which was to save him."
"You are such a good doctor." Chen Fang admired sincerely, and her respect for the old man grew deeper.
"Thank you, young man." The old man smiled slightly, with satisfaction in his eyes. "You should also work hard to become an excellent doctor in the future."
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