Three summaries of respiratory internal medicine internship
The development of today's medicine is undergoing profound changes and facing great opportunities and challenges. On the one hand, with the development of medicine itself and related disciplines, new diagnostic and therapeutic techniques and methods are emerging, solving many previously insurmountable problems and providing more choices for patients and doctors. The following is my collection of respiratory internal medicine internship summary, welcome to read.
Respiratory internal medicine internship summary 1
The first station of my internship point, is the respiratory internal medicine department of Huangtang Hospital, I remember the first day of the department, my teacher - Mr. Zhu, take me to check the room, stepped into the door of the ward at the moment, the scene in front of us really froze for a moment, the whole ward of the air is so dull and quiet, lying in the beds of the patients are a bit The most important thing is that they have to rely on the mask oxygen absorber to maintain life, sucking oxygen still open mouth breathing, my friend in the day before the internship, had warned me, no matter how you see how let you stunned by the scene, like the blood, limbs, and so on, must not be in the patient or family members to see you stunned expression.
So I tried very hard to calm down my expression, to replace the hidden depths of shock and sympathy with a smile, and patiently listened to the patient or the family's description of the condition (in fact, I was wearing a mask, and no matter how much expression I showed, it was unlikely that they would see it.) After the checkup, Mr. Zhu, said, "Look at me to do an electrocardiogram, and the future electrocardiograms, I'll leave it to you. Mr. Zhu taught us in a very easy-to-understand way, and what he said, which is still fresh in my mind, the first thing he said was, "You've read the novel 'The Red and the Black,' right?" Then he went on to say, "Remember, the right limb leads up and down, it's red and black'" We laughed, and the teacher shook his hand at us and said, "Let's be doctors and not yellow and green doctors, (as far as I know about Mr. Zhu, "not yellow and green doctors" he did)" "What is a yellow-green doctor?" "Yellow-green doctors were once known as charlatan doctors, doctors who specialize in mucking about and cheating and swindling." "Well then, the left limb lead is yellow and green" After the teacher said so, I really admire the teacher, this memorization method is ingenious, good to remember, but also combined with the education of our minds! Time did not allow me to stay there for a long time, soon, followed by Mr. Zhu into the ward, do the electrocardiogram, Mr. Zhu is very skillful to the limb leads, chest leads inserted, and do every step will turn his head to explain for us.
At first, I and Xiaodonglin, Guixin, Weicheng, four people often mixed together into the ward to do ECG, most of the time they are hand in hand in teaching me, and then, do more, naturally familiar with, and now the four of us can go to the ward alone, do ECG this work well, and, we may have the same feeling, do ECG, in fact, is the simplest practical operation in the department, the most simple, and the most important thing is to do, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple. The other operations done in this department are thoracic puncture and lumbar puncture, which are often performed while we are standing on the side, looking at the teacher's skillful operation, and our hearts are itching to go to practice, or maybe one day, we are thinking that it would be good for me to have the ability to perform such an operation after practicing it! My classmates told me that the opportunity would come, and I was looking forward to it. Most of the time, we stayed in the office, to put it nicely, we were the assistants of our instructors, to put it badly, we were the helpers! We help answer the phone, record the doctor's orders, write a medical record, open the laboratory bill, find the family to sign, talk ......, a busy, is a morning, an afternoon.
Work to work, but learning to tighten the point, the theory of learning in school, to find back in practice does take a bit of effort, but really, the theory of some practice after a toss, will be rooted in the head more firmly, like in school, we diagnosis teacher to tell us about the lungs auscultation, what dry rhonchi, wet rosary, croup, always confused, seem to understand the feeling of non-understanding, now as if their concepts have been in the mind, but not to understand. Now it seems that their concepts have slowly become clearer in my mind, and I am trying to distinguish them clearly one by one! Staying in the hospital, learning is not only these, but also put once the wrong concepts corrected, because once my three closest family members have lived in Huangtang Hospital, I used to wrongly think that the doctors here, is to drag your patients in the hospital, as long as you can drag as long as you can drag. One more second, one more penny for you.
The doctor said, "I don't want to see you in the hospital, but I want to see you in the hospital," he said. In fact, it is not, the doctor also hope that the patient can quickly get well, as soon as possible, sometimes they are bitterly keep the patient in the hospital, because the condition needs, because in some formal treatment, the condition can be improved, or afraid of you out of the hospital, out of any accident, in the hospital, there is a full range of medical equipment and a group of medical team, if there is any accident, the need for rescue, but also to try to pull you from the death line! The first thing you need to do is to get your hands dirty!
There are times when a doctor will decide whether or not to do a certain test based on your condition. I once saw Mr. Zhang tell a patient's family member, "The patient's condition has improved, so this blood culture can be avoided to save money! If you agree, sign it." (That day we had a morning meeting! (At the morning meeting that day, I remembered that the higher-ups had instructed that once pneumonia is diagnosed, blood culture is essential and must be done, but Dr. Zhang still considered for the patient.)" And this morning, my teacher, Mr. Zhu, when prescribing medicine to a patient, told the patient's family, "This medicine, which is sold in our hospital, is imported and costs 16 yuan a bottle, while it is sold outside for only three yuan a bottle, so you'd better go out and buy it with the medicine list. I was moved by these doctors again and again, the heart surging with a stream of hot water, hot water after, stay in the bottom of the heart is more is the affirmation of these doctors, not only is the affirmation of their medical skills, more is the affirmation of their medical morality, medical morality is noble, such a doctor, can be considered a good doctor, the hospital has the existence of these good doctors, is considered a good hospital, the hospital in Huangtang is known as the best hospital in Meizhou City, is really worthy of the name!
Not only in our department, I have seen many patients by the doctor's careful treatment and nurses careful care, good discharged, but also heard our class in other departments of the internship students, heard, today which which patient was discharged, today which which patient was successfully rescued? I personally felt that the greatness of the doctor, a white angel, with their a warm heart to treat the patient, in their careful care, a living life and to be reborn, and can be in the normal track of life in a happy existence!
But regrettably, some things, you can not avoid you, some people, you can not retain, there are some patients, and did not succeed in rescuing, there are some patients, the condition has not improved, but the doctors, nurses, after all, is also a human being, is not a god, they can not do anything to return to heaven, there are some facts, destined to be unable to change, in fact, I would like to say to the families, as long as a ray of hope, a ray of hope, they will not give up easily, but they will not give up easily. In fact, I would like to tell these families that as long as there is a chance of survival and a ray of hope, they will not give up so easily, but they have already tried their best, and there are only cruel facts that really make it impossible for them to save! After these initial journeys, I feel more y that the cause of medicine is a very sacred cause, and the lives of patients are closely related to be a doctor, easy to be a good doctor, difficult to learn this road of medicine, is a difficult journey, come up with a strong, no matter how much difficulty encountered, we must strive to go on, the internship for ten months to work hard to Mr. Wu Li, Mr. Zhu, Ms. Zhang, to be the same!
Respiratory medicine internship summary 2I have been working in the Department of Internal Medicine for more than two months, from the clinical manifestations of respiratory diseases clinical manifestations lack of specificity. I found that most respiratory diseases have cough, sputum, hemoptysis, chest pain, croup, fever, shortness of breath and other manifestations, these manifestations are often a lack of specificity, they may be the manifestation of colds, bronchitis and other mild diseases, but also may be a severe pneumonia, lung cancer and other fatal diseases of the early clinical symptoms, if you don't further examination to confirm the diagnosis, it is likely to lead to a delay in the condition, resulting in irreversible consequences, therefore Therefore, when dealing with respiratory diseases, one should not make a clinical diagnosis on the basis of a clinical symptom or sign of a patient, but should further conduct the necessary examinations, obtain reliable clinical information, and make a diagnosis carefully through rigorous and correct clinical thinking. As a matter of fact, there are many types of respiratory diseases, but they can be summarized as infections, tumors, and cysts.
Through study and practice, I was able to grasp the causes of various clinical diseases, but lacked practical operation, and was able to know the basic pathological process, but lacked more study. I believe that in the future study and work, I will become a qualified doctor to serve the community and the people! Since this month, I have conscientiously abided by the rules and regulations of the department. Do not be late for work, do not leave early after work, do not miss work. Seriously and timely completion of the tasks given to me by the teacher to seriously complete the operation. Patiently and carefully treating patients, responding to the needs of patients in a timely manner to the instructor, and seriously learning from the experience of various operations. Every time I receive a task, I am very happy, but sometimes I am still nervous when I meet some patients. Whenever this happens, my instructor will give me confidence with encouraging words and trusting eyes, so that I can find confidence!
Today I want to say this because I have been loved by the teachers in the respiratory department, and this kind of feeling is something I have never experienced in my internship. I was touched by every teacher here, from the head nurse to every teacher. From the first day, I fell in love with this place, so whatever I do I accept it from the bottom of my heart and am willing to do it. Because the teachers love us and at the same time are y loved by us.
The first day to the department, I came early to the respiratory department, I was infected by the enthusiasm of the teachers, no matter what operation teachers will take you, as long as it is something that can be taught to you teachers will be patient. My teacher is xx, she is a particularly straightforward person, warm, generous, kind-hearted. xx teacher not only gave me professional knowledge, but also gave me the importance of the internship experience and the difficulties. I really gained a lot here. During this internship, I learned about the use of ventilators, sputum care for patients with airway incision, the replacement of chest drainage bags, and personally did catheterization and arterial blood gas; and also learned how to make medical prescriptions, how to proofread and so on.
In the days of treatment with Mr. XX, I also had a very fulfilling life, specializing in the pharmacological effects of injections and oral medications I have a general understanding of, and can individually check the oral medication. I began to use my lunch break to study the pharmacological effects of the injections. Towards the end of my time with Ms. XX, she asked me to bring the operation manual with me, instructed me on how to standardize the operation, and gave me the opportunity to go to the pharmacy to check the oral medication. Afterward I thought, although I did not make much progress in the operation, but I still enriched myself, I still have made progress!
Overall, in the respiratory department is one of the departments where I learned the most, the head nurse and every teacher's lectures, they disregarded their own rest time, and even under the night shift still patiently and in detail counseled us, a group of naive students, we are full of gratitude in our hearts to them. The honorable and lovely teachers not only lit up the light in our hearts, but also became the role model in my heart forever.
Respiratory medicine internship summary 3
In respiratory medicine internship to be two months, is now two months of work is summarized as follows:
In fact, the respiratory system disease disease variety, but can be summarized into infection, tumor and tuberculosis three categories. Infectious diseases can be divided into bacteria, viruses, parasites and so on according to the etiology, tumors are mainly lung cancer, the other types of diseases are often unknown or currently tasted no clear attribution of the disease, these diseases are often rare or only need to know the disease.
In terms of history taking, in addition to mastering the general method of history taking, attention should also be paid to learning the characteristics of respiratory diseases in history taking. The strong compensatory function of the respiratory organs and the lack of specificity of the clinical symptoms of respiratory diseases is one of the characteristics of respiratory diseases, if the lack of specificity of the symptoms of the lack of detailed understanding of itself, it is difficult to further clinical examination and diagnosis to provide useful information, so in the history of the patient is often satisfied with what the patient's symptoms, but ignored the further understanding of the symptoms, so that the clinical data The lack of due value.
For example, patients with respiratory diseases, most of them have a cough as a clinical manifestation, if only to meet the patient has a cough as a symptom, but not further in-depth study, this clinical information for the diagnosis of the disease is obviously very limited, if the cough as a symptom of a further understanding of the cough to find out the length of the cough; the nature of the cough is a dry cough or phlegm; coughing law Is paroxysmal or persistent, is episodic or recurrent; its degree is light or heavy; the size of the sound, the frequency of the high and low; with the climate and the relationship between the weather; whether there is a diurnal rhythm; with the position, the relationship between the movement and so on, through such a detailed understanding of the problem, it will be found that, although many diseases have a cough, but a variety of diseases of the cough is still a difference in the discovery and understanding of the difference between these The discovery and recognition of these differences will provide effective clinical information for the diagnosis and further examination of the disease.
In the treatment of respiratory infections in respiratory medicine is very common, so the application of antibiotics in respiratory medicine is very extensive, the rational use of antibiotics is the key to the treatment of respiratory infectious diseases, therefore, familiar with and understanding of the indications of commonly used antibiotics, metabolic pathways in the body, toxicity, and side effects, as well as the synergism of the combination of the application of the synergistic effects of the role of antagonism, contraindications to the knowledge of the preparation of is also very important. The first step is to make sure that you are familiar with the indications for the use of antibiotics.
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