After reading all the information, Li Jingsheng couldn't help but feel ashamed.
When I resigned from the hospital and opened a clinic, I was very ambitious and thought I could make a great career. Unexpectedly, nine months later, my medical skills have barely improved.
There were very few patients received, mostly with colds, fevers, minor trauma, and the like.
If you want to improve your medical skills, you have to work with attending doctors and directors in large hospitals to treat difficult cases. For slightly more serious diseases, patients would go to big hospitals, and it would not be his turn as a clinic doctor to practice.
Without a superior doctor to teach him, his medical skills progressed slowly.
Almost all medical students want to enter a big hospital, and there is a reason for this.
He has obviously worked in a large hospital for more than five years and is a senior resident, but his rank is shown as a junior resident, which shows that his medical skills are much worse than expected.
When I was young and frivolous in the past, I was indeed a little obsessed with self-confidence.
Prescriptions have always been his weak point. Medicinal efficacy mainly refers to the effect of drugs on the body and the principle of action. Drug generation refers to the process of drug absorption, distribution, biotransformation and excretion in the body, as well as the law of drug effects and blood drug concentration increasing and decreasing with time.
He understands basic pharmacology, but he is basically blind when it comes to advanced medicinal effects and pharmacology.
As for combined medication, I can’t even think about it.
If someone loses his life, the clinic will be closed in a matter of minutes, and there will be no peace for the rest of his life.
Opening his own clinic, he uses medicine very frequently, and he dreams of improving his prescribing skills.
Even upgrading from beginner to proficient can significantly improve his treatment level.
This can greatly improve the reputation of repeat customers and the clinic, and the safety of medication will also be greatly improved.
The benefits are endless.
It's a pity that he can't improve if he wants to.
He spends part of his time reading almost every day, but the effect is not ideal.
The difference between theory and practice is very big.
Patients do not get sick according to the conditions described in the book.
Diagnosis and medication must be flexible and must be carefully considered after comprehensive consideration.
Now that such an information panel suddenly appeared, he realized that he might be lucky enough to turn on a cheat in the system. As long as you get the hang of it, it will be much easier to improve your prescription skills in the future.
He continued researching other information.
Skills mainly refer to surgery, which is a shortcoming of most doctors. Many chief doctors cannot even do simple suturing, let alone the risky laparotomy.
The training period for surgeons is usually measured in ten years.
A talented medical student needs to study with a teacher in the operating room for more than ten years before he can achieve some success. Only at this time can you perform surgeries of level 2 or below independently.
Surgeons in major hospitals have always been a scarce talent because the training cycle is too long.
Those with talent are even rarer.
Li Jingsheng has worked in the hospital for six years, but he has never dared to operate a knife on a patient, not even to cut a small tumor. At most, they can help patients suture small wounds and the like.
The key is that he is not good at sewing.
Almost all of the wounds he sutured would leave ugly and hideous scars after healing.
The only advantage is that it's cheap.
Nine out of ten people who come to the clinic for treatment are doing it for free.
What are health points for?
Only 13 years left to live? His nerves couldn't help but become tense. He was not even thirty years old now. Doesn't this mean that he would not be able to survive even fifty years old?
After some searching, he soon discovered that it was just a false alarm.
Health points can be used to increase any item in level, diagnosis, prescription, and skill.
After making this discovery, Li Jingsheng felt excited.
He wanted to improve every skill, but unfortunately his health was only 13 points. After some careful thinking, he decided to improve the efficacy and metabolism of the prescription first.
The potency is currently 6.4/10 for beginners, and it only takes 4 points to advance it to the proficiency level.
Without hesitation, I decisively added 4 points to it.
In an instant, his health points changed from 13 points to 9 points, but his potency was upgraded from beginner level to expert level 10.4/100.
In the past, he had been unable to advance to the proficiency level despite burning the midnight oil countless times. At this moment, the effect of the drug was directly promoted to the proficiency level, and he experienced a pleasure he had never experienced before.
At the moment when the effect of the medicine reached a proficient level, his mind seemed to suddenly be enlightened.
We have a new understanding of the clinical effects, side effects, toxic reactions, etc. of many common drugs.
For example, the most commonly used penicillin, also known as penicillin, is a bactericidal agent.
In the past, the concept of its use was very vague.
Wound infection, tonsillitis, pneumonia, boils, etc. Li Jingsheng basically uses it for almost any bacterial infection.
One person can cure all diseases, which is actually a sign of poor quality.
Now that the efficacy of medicine has been promoted to proficiency, his clinical use of penicillin has become much clearer from vagueness.
After continuous development, there are dozens of penicillins. They have different advantages and disadvantages, and their killing effects on different bacteria are also different.
For example, if you encounter a patient who has stomach pain after eating undercooked chicken, and it is found that he is infected with Salmonella, he will first choose mecillin or mecillin-based penicillin.
Because this type of penicillin is characterized by being relatively enzyme-resistant, it is very effective against certain negative bacilli, such as coli, Klebsiella and Salmonella, but is less effective against Pseudomonas aeruginosa.
It may not have been possible to achieve such a precise level of medication before.
This is why when treating the same disease, some doctors have obvious effects after using the medicine, and the disease can be cured quickly. Some doctors use medicine but the effect is unsatisfactory, or the condition relapses.
In addition to more precise medication use, we also have a deeper understanding of the toxic side effects, sequelae, teratogenic effects, etc. of various drugs.
It’s not enough to just consider the efficacy of the drug; you also have to consider the side effects after taking the drug.
For example, there are many drugs that pregnant women cannot take, otherwise they may cause fetal malformation or even miscarriage. Or patients with cardiac stents or vascular stents need to be extra cautious when taking hemostatic drugs.
There are strict requirements for medication for different patients.
After the drug effect reaches a proficient level, the safety factor and therapeutic effect of his medication on patients will be greatly improved.
Li Jingsheng couldn't help but feel excited after experiencing the huge benefits brought by improving the efficacy of the medicine to the proficiency level.
He has seen the light of life's counterattack.
This time, I didn't even think twice and just allocated 8 health points to the drug.
Breakthrough from beginner to proficient in an instant.
Medicinal agent proficiency 10.3/100.
The full name of pharmacokinetics is pharmacokinetics, and its effect is no less effective than that of medicine.
Whether a drug can be absorbed by the body after taking it, its distribution in the body, biochemical transformation and excretion all belong to pharmacokinetics. In particular, the pattern of changes in blood drug concentration over time is directly related to drug safety.
Deaths caused by infusions in small clinics occur from time to time.
It is often caused by doctors’ poor drug metabolism and blind pursuit of curative effect.
For example, duodenal ulcer can be treated with famotidine. The dosage for adults is 20mg*5, administered intravenously. This medicine has a characteristic: its metabolism is extremely slow and its effect lasts very long. If the doctor's pharmacokinetics level is insufficient, the infusion is too fast or the medication is repeated in a short period of time, it may cause extremely serious consequences.
For most clinics, one accident is all it takes.
It is very important to increase the drug generation.
It can further improve his medication level and safety factor.
Many doctors in small clinics are only entry-level in terms of drug efficacy and drug metabolism. Li Jingsheng has now upgraded these two medical skills to a proficient level, which is a great competitive advantage.
He dared to use medicine that others did not dare to use.
The same disease can only be cured after a week in other clinics, but the patient may recover in three days with his medication.
Moreover, the dosage will be more precise and the cost will be lower.
Medication is also more accurate.
Life is such a good thing, he used it up to only 1 point in the blink of an eye.
I have to find a way to make more money.
Because there are still many medical skills that need to be improved, especially surgical skills. It is difficult to tie a knot well, which greatly affects the suturing effect.
"Sister, eldest sister, don't leave! We can give you infusions here, and we can give them to you now."
Nurse Tang Ping's voice urging the patient to stay reached Li Jingsheng's ears, bringing him back to reality.
A patient can receive at least 80 yuan for one infusion, and 160 yuan for two infusions.
She obviously refused to let go easily.
Tang Ping sometimes feels anxious for her boss, who cannot even pay her salary, but she always thinks of her patients. The key is that in the end, patients ridiculed him for not being as good as other doctors.
Being too honest in business means you will suffer losses.
"real?"
The patient turned to look at Tang Ping doubtfully.
"Of course it's true. This is my practicing certificate, issued by the health authority, and nationally certified." Tang Ping has long been very skilled in persuading such patients.
There is such an honest boss in the stall, no matter how tactful she is, she will be in trouble.
"How much does the infusion cost here? The effect won't be worse than that of Kuai Kang Clinic, right?"
The patient obviously believed it, and he stopped while holding on to the door handle.
