Chapter 322 318. A very new kind of speech

Author: Hao Xifeng

Chapter 322 318. A very new kind of speech

Kawei stood by the bed and put on his outfit for the day. Just as he was about to sit down at his desk and look at his upcoming schedule, there were some unexplained noises outside the door. He immediately realized what was going on outside.

, quickly stood up and walked towards the door:

"How many days have it been since then, and you still have to check even a waiter?"

"This is an order. Dr. Kawei, you have also served in the army and know that there is nothing we can do."

Kawei opened the door, and the gloomy look of the man in black passed by, and the attendant's bright voice finally sounded in his ears: "Dr. Kawei, breakfast is served downstairs. You can go downstairs to enjoy it until ten o'clock. If

If you don’t have time, we can provide packaging services.”

The speech is at 9 o'clock, so Carvey has plenty of time.

But there were too many people who needed to be greeted in this hotel, and he didn't like to socialize. He was originally going to pack it, but now he changed his mind: "Bring breakfast up."

"I don't know what you want to eat?" The hotel attendant stood at the door and took out a small book, "The main thing today is."

"It's up to you. Don't take too much. I can't eat too much."

"OK."

The morning sunshine had not yet fully penetrated into the hotel room, so Kawei simply sorted out yesterday's harvest.

Except for the last enamel unicorn, which was bought by Eugenie for 50,000 francs, Cavell almost got rid of most of it, including three paintings, two manuscripts and a large number of domestic collections, but spent very little money.

Now that the money has been given, the items are still piled in the auction house's warehouse and can be kept for a month.

Before, Kawei wanted to send the things back to Vienna, but there were still many details to be dealt with on how to send them and when to send them. Now that he had just arrived in Paris, there were many things to deal with. He didn't have the spare time, so he asked the other party to keep it for him.

the best choice.

As for other auctions related to domestic collections, they were mainly concentrated in the past few years, but now there are many fewer. Most of them will choose to collect them themselves or give them to Eugenie.

After the auction, Kawei also informed Bernard that he would be notified if there was any news in this regard.

Kawei sighed and looked up at the ceiling. He didn't know whether to be grateful that he was temporarily freed from such a trivial matter on a whim, or whether he should push himself a few more words at this time to prevent him from giving up halfway.

After all, it is still not professional enough, and it is not enough for a person who only specializes in medicine to do such a thing.

Kawei took a deep breath, erased the unpleasantness accumulated in his mind, and focused on today's work.

Speaking of speeches, Kawei actually did not participate in many. Before the time travel, he was talking about surgical procedures and some new treatment plans. He faced colleagues who had been working for many years, but today he had to face some

Students who have not graduated yet.

Even now, Kawei has not thought of the specific content of his speech.

"Dr. Carvey, breakfast is here."

"Um, here we come."

The School of Medicine of the University of Paris has a long history and has provided a large number of medical talents to France and even Europe. It is one of the cornerstones of the development of modern medicine.

There is almost no free time in the lecture hall of the medical school. Half of the medical conferences in Paris are held here. There are too many medical leaders who cannot even receive invitations here. Being able to stand on the lecture stage of this medical school is enough to show that they are here.

portion size.

Kawei didn't have much pressure on big scenes, but he really couldn't think of what to say to those students.

Key points of cesarean section?

How to hone surgical skills?

Or talk about the importance of vital signs and body temperature?

These are very important for clinical practice, but they don’t seem to be very important, because if you want to form this kind of common sense construct in daily work, just relying on him to talk for an hour is not enough, far from enough.

They are just medical students, and most of them have not yet been exposed to clinical practice. It is too early to directly talk about clinical practice. What's more, even if they do go to clinical internship, the doctors they follow are not themselves. Will they really be able to remember these things by then?

I have to say, if I really remember it and how long I can persist, will it conflict with the philosophy of teaching doctors?

On the carriage, Kawei racked his brains for a while, but after entering the venue and looking at the children about his own age, he immediately remembered his experience as a teacher when he was young.

Oh, I forgot about it.

They are still students and are facing the beginning of their careers. What they urgently need now is not to fill their empty minds with advanced medical knowledge, but to learn how to learn knowledge in the arduous internship work.

Kawei walked up to the podium carrying his small bag, looked at the time, and then wrote his name on the board behind him.

His appearance immediately attracted a lot of attention, and just like everyone else, the discussion focused on Kawei's nationality and age. Then a small group of people who had seen Kawei's surgery began to admire his surgical skills, and talked with another person.

A small number of skeptical people began to discuss some topics that were not within the scope of medicine.

"It's almost time, I didn't expect so many people to come."

Kawi looked at the packed venue and said in French: "I know you have a lot to ask, but today is not the day for interviews. I have to complete a personal speech here, and I will leave the questions after the speech."

After pouring a basin of cold water on their heads, Kawei asked: "Have you all participated in hospital internships?"

Just as he had guessed, most people shook their heads, and those who did not express their opinions were mostly older doctors. After the audience scope was determined, Kawei began to enter today's topic: "I want to ask you, in

In the entire medical learning journey, which period is the most difficult?”

It is indeed a gathering of the best brains in Europe. As soon as this question arises, the correct answer also appears.

"As you know, in the long journey of medical learning, no learning curve is as steep as that of residents. There is a huge gap between interns who have just completed theoretical studies and residents who can stand alone. This is also the reason why doctors

Entering the most important part of his journey to success.”

Kawei made the opening remarks, and from his position as a teaching teacher, he said: "I don't know much about the internship system of Paris Medical College. The internship in Vienna did not last long, about half a year. The content of the internship during this period is very important.

, directly determines whether a graduate can quickly become a resident doctor."

At this time, there were no systematic examinations for doctors, let alone the so-called physician's practicing certificate. It was more of a formal examination by the Medical Doctors Association. As long as you passed the examination of the Medical Doctors Association and successfully entered the Medical Doctors Association, you were admitted.

However, the assessment itself contains very little content, and the answers are very subjective, which cannot be compared with the systematic written examination + practical operation assessment.

"I believe it will be easy for you to pass the examination of the Medical Association, and I am certainly not here to hear how to pass the examination." Kawei said, "What I want to say is how to truly learn the knowledge you want during the internship."

Students have different views on internships, but they all want to learn as much as possible. Unfortunately, many people use their energy in the wrong place.

"First of all, you have to position yourself right."

Kawei wrote on the board, [You are students, correct your attitude and enjoy learning]: "Students naturally focus on learning, why do you want to learn? Because you don't understand, you have to learn. So when you encounter something you don't understand, you have to learn."

Just say "I don't understand" openly, then find the answer in the teacher's explanation, and write it down back to the teacher.

Those who lie about what they know to protect their self-esteem are idiots. Clinic is not a school. Wrong feedback will make the teacher make mistakes in your judgment, and then superimpose these mistakes on the patient.

So be yourself, make sure you are energetic, set learning goals, and complete your work on time.”

Pure text preaching is always boring, even if what Kawei talks about is valuable personal experience, it will reduce the quality of the speech. So after ending the first point, he introduced a typical case: "We will now use the previous case

Taking a female patient with abdominal pain as an example to describe what intern doctors need to do.”

Carvey wrote the medical history on the board:

[Patient, female, named Eugenie, 18 years old. Two days ago she developed abdominal pain, constipation, and no vomiting. Initially, the internal medicine department diagnosed her with hysteria. She took enema for recovery at home. The constipation was relieved, but the abdominal pain was not affected.

General effect.

The abdominal pain worsened the next day, so I consulted the internal medicine department again. After eating a piece of bread that had been left out for a long time, I was diagnosed with gastrointestinal inflammation. In addition to enema, I added mercury to induce vomiting. My parents did not follow the instructions, but gave antimony to continue.

Catharsis still has little effect.

The abdominal pain did not go away on the third day, and even showed signs of worsening. Finally, he went to the surgery department, where he was diagnosed with mild hysteria and appendicitis and admitted to the hospital.]

Kawei didn't ask them how to deal with it, because they couldn't do it yet, and everything still had to start from the basics: "It may be different from the content in the theoretical classes in your medical school. If you want to find a foundation of clinical medicine, then the first

The first priority is definitely communication. It runs through your entire career as a doctor. Whether you are with your colleagues or patients, you need to communicate with each other.

Now this patient is admitted to the ward you manage, because the first patient was Dr. Juyong. Professor Sedieu, who has never seen the patient before, wants to ask about her situation. Who can report it? "

Reporting is naturally different from writing on the blackboard, and it is impossible to review verbally, so the key lies in how to outline a clear and complete "picture" of the patient in a short period of time.

She raised her hand first and made the mistake that many interns are accustomed to: "I would describe her as [a person suffering from mild hysteria, once eating some unclean food, a small amount of diarrhea without vomiting, abdominal pain that lasted for two days, once

An 18-year-old female patient who failed to respond to herbal enemas and antimonials].”

Kawei frowned slightly as he listened, but still affirmed: "It's basically simple, but it's not enough."

After being inspired, the second person simplified the report: "What about an 18-year-old female patient who has had abdominal pain for two days, diarrhea but no vomiting, and herbal enema and antimony treatment failed?"

"This time the streamlining is good, but there are still problems."

In the eyes of medical students, this "medical history + physical signs" reporting model is a good form of expression.

But clinically, this model is not the most effective way to convey information verbally: "Your task is to extract and summarize the key content of the medical history and physical signs. You cannot be immersed in describing complex medical history and details. You need to streamline it. Of course, in streamlining

It’s not about streamlining for the sake of streamlining. Oversimplification will ignore some important content.”

Kawei drew several circles on the blackboard of the medical history just now, focusing on abdominal pain.

"How many times did I mention abdominal pain in total?"

"three times."

"Does this mean that Dr. Juyong, who wrote the medical history, also believes that abdominal pain is the main reason for seeking medical treatment? Should you highlight the diagnosis of abdominal pain when reporting? Then" Kawei underlined "aggravation", "Have you ever thought about it?
To be continued...