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1/26(金) セミナー参加

◆今日の気持ち
(外科 4ヶ月目)
・腰麻。今日もスパッと入った。入りやすいひとだったことはあるけれど、棘突起とその間の靭帯と硬膜とが、皮膚のむこうに手でみえるようになってきた気がする。この感覚で、難しいひとでもみえるといいが…。
・ごちゃごちゃしたCTはとたんに読めなくなる。ざっと主要臓器を眺めた後、ごちゃごちゃしたところは解剖を意識してまず取り掛かりやすいところを押さえ、そこから紐解いていかねば。基本。
・セミナーに今日も行かせてもらった! IBDということですごく期待していた。…が、今まででいちばん面白くないセミナーだった…。何が悪かったのか? おそらく、演者に主張したいことがなかったのが原因だろう。いろいろ統計データを持ってきてはいたけれどずるずるといつまでもスライドが続き、途中で打ち切られていたし。研究もすべて、主張がないものは意義は薄く影響力もないのだろうな。
・今日は朝からなにやらとてもつかれていた。寝て回復せねば。

●目指す医師像
まずは、医者

●今の目標
・外科を味わいきる
・「マクギーの身体診断学」を読み終える …早く時間つくる…

●今日の新患・診断
・CCC?
・MKope後 リンパ節転移で胆管狭窄

●今日の病院滞在時間
7時〜23時

●今日行ったこと・見たこと・知ったこと
・内鼠径ヘルニアope 腰麻
・セミナー about IBD

・腹水ある患者にPTCDは、極めて危険

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