Chapter 871: [(871)] Internal Medicine Doctor’s Quiz Chapter 871: [(871)] Internal Medicine Doctor’s Quiz She knew that in emergency cases, Vaseline Gauze could be used, but it was rarely needed. She had not seen a doctor use it during her last rural medical consultation. Besides, there were too many items; some had to be stored away.
For bleeding, ordinary gauze compression was sufficient. Actually, in emergency hospital situations, it was hard to use this item; it was more commonly used for dressing changes in outpatient services. Yao Jie thought that it might be common abroad. It could only appease the leadership–placed on top when the leader was present, and moved to the bottom after they left. As long as one remembered where it was placed, it was fine.
Professor Nie must have had a reason to emphasize this, Xie Wanying thought. So, after Yao Jie left, she took a box of Vaseline Gauze and stuffed it into the side gap of another cardboard box, making it easier to find.
Sometimes, the habits of doctors and nurses were a bit conflicting, especially between those who had never worked together. Conflicts arose from differing habits in various procedures, mainly because their accumulated clinical experiences were not the same. Therefore, it was not simple to decide right from wrong.
The clinic officially opened.
Dr. Kang Mingzhu and Doctor Kim first took their respective places, opened the blood pressure monitors, and hung stethoscopes around their necks. They pulled out medical record papers and prescription papers and began writing the name of the first patient.
Since Xie Wanying herself was working with Nie Jiamin, she, along with Geng Lingfei and Fan Yunyun, could freely choose to learn from other faculty members. After all, other departments had not brought interns. Thus, Fan Yunyun first stood behind Doctor Kim and took out her notebook to learn.
Geng Lingfei and Dai Nanhui followed behind their department seniors, He Guangyou and Qiu Ruiyun, observing.
“Come, help the patient take their blood pressure,” Doctor Kim asked Fan Yunyun, giving her the opportunity to practice her skills.
Fan Yunyun put down her notebook, stepped forward, bent down, and strapped the blood pressure cuff around an elderly man’s arm.
“You’ve positioned the cuff too low,” Doctor Kim observed her not adhering perfectly to the standards and advised, “If you don’t know where to bind it, look to the side.”
Fan Yunyun turned her head and looked around, first finding her idol: Senior Sister Xie was taking the blood pressure of a five-year-old girl, having changed the cuff. This was an enlightening moment for the newcomer, as a child’s blood pressure cuff differed from an adult’s since a child’s arm is shorter and slimmer.
“Who are you looking at?” Doctor Kim noticed she was looking in the wrong direction and directed her to switch her gaze to the second passage. She needed to learn from other internists measuring adults’ blood pressure.
Internists always believed they valued manual blood pressure measuring more than surgeons, such a task being more common for them than operating all day in the surgery room. As the saying goes, practice makes perfect; their accumulated experience surpassed that of surgeons.
Fan Yunyun thus turned her head back to watch Dr. Kang Mingzhu demonstrate the steps to measure a patient’s blood pressure.
“First, locate the brachial artery in the crook of the elbow–this makes it easier to correctly place the stethoscope later. The cuff should be placed just above the brachial artery, approximately 2.5 centimeters from the elbow crease. The inflation bag should face forward.” Treating her younger female colleague, Dr. Kang Mingzhu patiently demonstrated and explained as she performed each step.
Fan Yunyun imitated proficiently.
Suddenly, Dr. Kang Mingzhu asked, “Does this patient have diabetes?”
“This?” Fan Yunyun was puzzled–a question mark formed in her eyes. What did diabetes have to do with measuring blood pressure? Did diabetic patients often have a history of hypertension, hence the need to be more vigilant about high blood pressure?
Seeing that this new intern couldn’t provide the correct answer, Dr. Kang Mingzhu asked a few interns standing further away, “Who can help her answer this question?”