The internal medicine internship started in September. Since we did not have to assist during operations and anesthesia, it was relatively easier than the surgery internship. The internal medicine internship allowed us to have more time and energy to learn basic examinations, such as measuring blood pressure and touching lymph nodes. We had to arrive at the clinic at 8:30 a.m. every morning. After preparing for what was needed for the clinic, we started to consult and perform physical examinations for patients at 9 a.m. Then, we reported the patient’s condition to the doctor.
The internal medicine clinics are divided into general internal medicine clinics, respiratory clinics, oncology clinics and behavior clinics. The respiratory clinic is responsible for illness concerning the cardiopulmonary function. Cardiopulmonary function tests and cardiac ultrasound are performed in the clinic. For the oncology clinic, as the name suggests, it is a tumor specialist and chemotherapy is performed in the clinic, while the behavioral consultation is to improve behavioral problems by training and drugs.
In the internal medicine clinic, blood tests, x-ray and ultrasound are done to improve the accuracy of differential diagnosis. Doctors patiently explain the reason for the examination to the pet owners. Thus, it is very important to learn how to make the pet owner better understand the various examinations. If it is not explained clearly, the owner may refuse some paid examinations, which may result in the animals not being able to get the most suitable treatment. After the examination, its results should also be explained to the pet owner in detail. For example, a blood test can tell whether the animal has anemia, and whether its liver and kidney function and its body is inflamed or not; X-ray results can tell whether their lungs are abnormal, whether their organs are enlarged or shrunken, or whether there is tumor; and ultrasound is a more careful examination of organs, such as the size of the kidneys and bladder, the thickness of the intestines, and even the condition of the organs. Therefore, each examination method has its own importance, and none of them can be replaced.