Monday, July 29, 2019

Week 7 - Xieyue Xiao

This week is very packed but also most exciting because I starting following the rounds! My clinician let me join the afternoon rounds with fellows and residents instead of morning rounds. Every afternoon, we meet in the office first and talk about each case one by one. Doctors will go through their cases, either old or new, and come up with their solutions. Dr. Satlin will be ready to answer any questions and comment on their treatment plans. If we have some time left, Dr. Satlin will give some small lectures. Last time he talked about the different generations of cephalosporin antibiotics, including their coverage and efficacy towards specific microorganisms. 
After all the case presentation, we will go to the hospital and see the patients still with questions. Dr. Satlin will ask them a set of questions. Sometimes I found some questions seem to be irrelevant, but they have the correlation. For instance, we have a patient with very severe back pain and we found the abscess in his liver from scanning. When we went to check he,  he was asked about any recent dental experiences and oral conditions. The reason is our mouth is colonized with a large flora of microorganisms and some times they can get into the bloodstream through a tiny wound, and maybe get into the liver from the bloodstream and form abscess finally. 
What I have learned are not only medical knowledge. I also found working as a doctor is not only about diseases itself, a large part of it is how to communicate and deal with patients. Everyone has a unique personality and it is very important to work with them in the correct way. And, with patience, always. 

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