the first year in the Plastic Surgery Department I have spent one fully year in the plastic surgery department of a 3-A-level hospital in Shanghai. I learned a lot in the past one year. At the begining when I leave the classroom to the ward, I knew nothing about what I was learning. The first patient I admitted is one suffering from neurofibroma, what caused a huge bag-like tumor in his right leg. It was the third time that patient be in hospital. He had cutted down part of the tumor during the previous operations, but the neurofibroma can recur in a short time and grow very fast, so the tumor can't be cutted off entirely. We did the same as before, nothing but cutted part of the huge tumor and sutured the wound. My teacher told me that maybe genetic therapy can arrise some hope of the neurofibroma sufferers, but all those are long to be achieved.

2011-4-6 It is doctor Chen who is on duty today. And it also his first day on duty. But he is different from me, since he had been working in junior hospital for about 8 years when he came to this hospital. He asked me whether he could go to sleep after 8. I replied that he can go to sleep whenever he want to, but the same he be awakened by patient or nurse. Things seems to go smoothly this night, so I should go to sleep too. Doctor Chen has not been awakened by anybody yet, at the time of 23:18.

The first day I am on duty This is the first day I am on duty, I am not police, not detective, yes I am a doctor, to-be. I major in Plastic Surgery, something sounds good, but quite different from Cosmtic Surgery. Although we do both of them, but the later is for being more beautiful, and the former is for being more healther and mor comfortable. All the day time is fill of tiny things, just like changing surgical dressing, handling with patients's headache or sick. In the evening, there was a patient who took a Urine fistula repairing two days ago, said that the urination caused pain in his scrotum. I should go and check it.

a case of Discharge Records today, my boss ask me to write medical note for an foreigner patient, so this is the Discharge Records. Is there any doctor online? Can you corrcet it for me? Discharge Records Section: Plastic Surgery Department Bed: 36 ID: 11234567 Name: Smith Gender: Male Age: 58y Medical record No: 474675 Admission date: 2011-1-22 Discharge date: 2011-4-1 Diagnosis: 1. insect Bites; 2. Necrotizing fasciitis of the lower abdomen, right thigh, and scrotum; 3. pyohemia Condition when discharge: The patient is in a good recovery condition when the 24th day after operation. A walking capability is showed quite well without feeling uncomfortable. The patient request for leaving hospital and backing home country. Physical Examination: the patient’s general appearance is well. Both the skin grafting area in R-thigh and skin supplying area in L-thigh heal well. There is still skin defection of a 3cm×2cm elliptic area in the right inguinal region, where granulation tissue is growing. The wound in the scrotum is not as well as other places, from where transudation still appear. Medical advices: 1. Go to the local hospital for medical care immediately when arrived; 2. Try best not to take violent activities when on travel, especially not to get hit in the skin grafting area. 3. Keep the surgical dressing dry, clean, and stable, in case that cause infection. 4. See doctor whenever feel sick or uncomfortable. Other information The telephone number of Plastic Surgery Department: 86-021-00000000 Signature: Date: