Interesting. [Tears]

After seeing this question, I suddenly wanted to laugh out loud very badly.

First of all, Dopamine can tell you responsibly:None of the words in the textbooks or on the practitioner exams are redundant, not even the punctuation.

They are a summary of a large number of diseases and a typical concentration of possibilities.

Secondly, what Dopamine is trying to say is that the same book, the same knowledge, will be received and utilized differently by different people.

The sin is not in the book, but in the healer himself.

Dopamine used to say:

The same disease can occur in different patients with completely windy symptoms.

It is also entirely possible that the same or similar symptoms occur in different patients with different diseases.

A few of the most common and ordinary cases are given to illustrate this:

One day, two middle-aged male patients with dizziness came to the emergency room successively.

The symptoms of both individuals were self-induced dizziness with vomiting on several occasions, and the rest did not have any specific history or symptoms.

However, while the first patient's cause was uncontrolled hypertension, the second patient had a cerebral hemorrhage.

Half a month ago, a male patient in his 60s and 70s came into the resuscitation room.

The main symptom in patients in their 60s was precordial pain for 50 minutes, and in patients in their 70s the main cause was diarrhea and weakness for three days.

As a result, both were acute myocardial infarctions.

Therefore, it is important to master the knowledge points in textbooks, and it is equally important to apply them flexibly in the context of practical work!

Let more people know a little bit more!

The last dopamine: emergency medicine practitioners, meet many people, run into many things!

Sending you two words.

First sentence: After three years of studying medicine, I realize that there is no incurable disease in the world; after three years of practicing medicine, I realize that there is no usable prescription in the world.

The second sentence: practicing taijiquan must be skillful in playing the routine, so as to be able to see the moves on the battlefield.

With the theory, but also must be in practice for a long time in order to see the good disease.

This question at first glance want to laugh, but in fact think about it, indeed for some medical students, indeed. When we first went to college, our teachers often tell us a sentence: the patient will not be exactly the same as written in the book, so do not think that the knowledge of the book to memorize on the line, as usual, the eyes are high and low.

When we come from school to the clinic, we may all have our hands full at first; after all, patients with the same disease may exhibit a myriad of symptoms. This requires a strict grasp of the fundamentals of medicine for those of us who intend to be in the clinical line of work.

Only when the foundation is well laid can you have sufficient theoretical knowledge, and then go on in practice, gradually learning to adapt. This accumulation of experience cannot be overnight, it often takes years of precipitation, which is why some people say that the older a doctor gets, the more valuable he is.

What should I do when I encounter this situation? There is really no good way, only continue to learn, try to further study, little by little to accumulate their own experience. You see a patient did not understand, then see is a, see a hundred a thousand, one day, you have seen more and more, accumulate more and more experience.

Whether you are a Chinese medicine practitioner or a Western medicine practitioner, as long as you still want to be a doctor, this is the path you have to take. It may be a long road, but as long as you choose it, you have to grit your teeth and go on little by little.

Not according to the textbook said sick is illegal to be sick, you give the patient that your disease textbooks do not have, can not be cured and finished?

As a matter of fact, for the training system of Chinese doctors, getting a physician's license does not mean having the ability to really practice medicine independently.

Take the five-year undergraduate degree in clinical medicine as an example, according to the existing policy, one must work in a medical unit for one year after graduation before one is qualified to apply for the licensing examination. It is not surprising at all that the medical students we educate from school are, in essence, only semi-finished products of doctors. With the addition of one year's training in clinical work, they have only just familiarized themselves with the common business processes in the clinic, and they may be blinded if there is a slight change in circumstances.

Although doctors at this stage are certified as physicians, they still basically work under the supervision of their supervising physicians in the hospital. They mainly manage hospitalized patients and complete some basic casework, so they are also called residents. They can always ask for advice and help from their supervising doctors when they meet unsure situations.

It is only after 5 years of licensed medical practitioner qualification that you are eligible to take the examination for attending physician. At this time, the clinical work has been 6 years, from the experience of the basic competence of the specialty of the diagnosis and treatment of common and frequent diseases. In large hospitals, only doctors at the level of attending physician or above are qualified to sit in outpatient clinics. In this sense, this is a sign that a doctor has begun to have the ability to practice medicine independently.

The exam can be passed with 60 points, but seeing a patient who only understands 60% is certainly not; the exam may have key points and non-key points, but the patient will not be sick only according to the key points in the book; even if you memorize the entire textbook, it is only the tip of the iceberg of all the knowledge, and any of these chapters can be taken out, and another half-foot-thick magnum opus can be written.

Coupled with the fact that medical knowledge is constantly being updated every year, it can be said that there is no end to learning. Any doctor needs to be a lifelong learner.

Acquiring knowledge is still only one aspect, mastering scientific thinking methods and knowing how to apply knowledge flexibly is also a very important thing.

It's not uncommon for patients to get sick and not follow the exam. You can absolutely continue to look up information, you can ask for advice, discuss it. But if you don't learn and progress over time, and you only ever know that little bit of the exam, you're doomed.

Welcome to follow Dr. Zheng Baike, learn practical health knowledge every day.

Feel free to leave a comment to discuss.

This is a good question. Nowadays, many doctors don't know how to adapt, copying and pasting exactly what is written in the textbooks, which eventually makes their thinking more and more limited.

If you get a physician's license, it means you have a superb memory, no problem with exams, a high achiever on exams, and a dwarf in practice.

If it turns out that the patient is suffering from a disease that you can't medicate, or it doesn't match up with the books, then I'm honored to tell you that you're not fit to be a doctor, neither Chinese nor Western medicine.

Theories are dead, people are alive, and diseases and the human body are always changing. Doctors need not only knowledge, but also enlightenment, the ability to learn by touching and learning by example, otherwise it will be difficult or impossible to become a qualified doctor.

A doctor who only sees patients by the book. Then the doctor is just a quack. Clinical symptoms are intricate and complex, as a qualified doctor, should use their own knowledge, combined with their own clinical experience, to make a comprehensive analysis of the condition, and then prescribe the right medicine. The knowledge in the books are some typical cases. They are rarely seen in the clinic. You must also learn to learn to generalize and learn by example.

👍👍👍👍🌹😄😄😄😄.