1/23(火) セミナー参加
◆今日の気持ち
(外科 4ヶ月目)
・緊急度の判断が重要…。鑑別・検査・診断・治療のすべてにまたがる思考ができていなくて、その途中で止まってしまう。だから、緊急性のある状況でスピードを緩めてしまったりする。動きすぎてもトラブルまねくし…、というのはあるけれど、手足を動かさないにせよ頭くらいは動かさないとな。bystanderで余裕ある研修医のうちに、訓練しておかないと。
・いろいろな、正しいスタイルがある。自分は不器用なのだし、惑わされないで自分に合ったスタイルだけ使用できるようになろう。それが近道。上司に合わせてスタイルを使いこなすのは、自分には無理。
●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
●今日の新患・診断
・MK
・ileus
・胃潰瘍出血
・GERD?
●今日の病院滞在時間
7時半〜18時
●今日行ったこと・見たこと・知ったこと
・整形カンファ
・GERD勉強会
・縫合
創に対して90°or180°の姿勢をとる。最後まで創を閉じれないときはそれでもいいが、それでも結び目は必ず端に寄せる。左手・セッシは無理に使わない、バランスをとるためのもの。平行棒のでの手を思い出す。バランスが崩れたときに、動かす。
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