Chapter 20 Introduction to Cardiovascular Medicine

Style: Romance Author: River fish manWords: 2777Update Time: 24/01/18 10:57:07
"What's your point of view? There are rules in small clinics, okay? You can't kill them all with one blow! This patient came to my clinic and said she might have a cold and asked for infusion. I found out that she might have a heart disease, and It wasn't a cold, so I refused to give her an infusion. Then she left angrily, and after walking a few steps, she suddenly suffered a heart attack and fell to the ground. I immediately carried out rescue operations and called 120. What was my mistake?"

Li Jingsheng saw that there were already many doctors and nurses on night shift and family members of patients watching around him, and had to explain clearly.

"Then why didn't you tell me earlier?"

Even if the nurse quarreled and settled the matter, she still lost the battle and her mouth was harder than a needle.

"You didn't even ask! I understand the rules of first aid. If there are no family members present, your hospital can handle the patient's arrears first. You save the patient first, and I will help you find a way to contact the family members."

Li Jingsheng turned his back on guests and proposed a solution.

Superiors stipulate that when hospitals encounter critical patients, they need to save them first and then charge.

This is also a reverence for life.

"Sister Mei, please pay this patient's arrears first! I will ask the department leader to sign for approval later."

After the nurse finished speaking to the charge staff at the window, she said to Li Jingsheng, "Can you please follow me over there to register the situation?"

After she learned that the patient's accident was not caused by Li Jingsheng's diagnosis and treatment, her attitude towards Li Jingsheng became much more polite.

I had a verbal spat with Li Jingsheng just now, and I saw that Li Jingsheng was not easy to handle.

If Li Jingsheng didn't cooperate with her work, she would be dumbfounded.

"Can!"

Li Jingsheng nodded in agreement.

When a three-no patient visits, the emergency department medical staff should carefully ask and record the basic information of the patient, including the scene of the disease, the condition at the time, and even the patient's position, etc., in order to provide the most accurate basis for diagnosis and treatment.

But the doctors and nurses who followed the car never asked these questions from beginning to end.

Without even talking to Li Jingsheng more, he preconceived the idea that something happened to the patient during the treatment at Li Jingsheng's clinic.

This is already a failure on their part.

So this fierce nurse girl can't be fierce anymore.

He took Li Jingsheng to the triage table at the nurse station, asked Li Jingsheng to sit down, and poured him a glass of water. The polite attitude is completely different.

Adults are so realistic.

If the patient had a medical accident in Li Jingsheng's clinic, then Li Jingsheng must have begged them to rescue the patient.

The current situation is that Li Jingsheng has no responsibility, so she is begging Li Jingsheng to cooperate with her work.

"Please fill in your name, workplace, home address, and contact number in this form."

She handed Li Jingsheng a registration form.

After filling it out, she took a look.

"Mr. Li, can the phone number you left be reached at any time?"

"Can."

"Do you know this patient? Do you know her home address and other information?"

"The patient said she lives in the dormitory of the old textile factory. I guess she is a retired employee of the textile factory. We can follow this clue to check."

"Okay, thank you for your cooperation. If nothing happens, you can go home."

The medical staff in the emergency room had already found an ID card, mobile phone, and change on the patient's body.

Fortunately, the mobile phone used by the old man is a senior phone and is not locked.

After long pressing the left function key to unlock, the nurse looked for the relative's phone number and started making calls.

Li Jingsheng breathed a sigh of relief. After contacting the family members, they were left to worry about the patient's affairs. He had to go back to the clinic quickly to copy the surveillance video, otherwise if he met an old lady who blackmailed someone, she would not be able to explain clearly with ten mouths.

Now everyone sees the old man falling down on the street. No one dares to help him, so he just walks around.

It’s not that people are indifferent, it’s that everyone is being blackmailed.

It was now 9:46 pm and the bus was long gone. Li Jingsheng used to travel by motorcycle, but now he can only take a taxi home.

There were three or four taxis waiting for passengers parked in front of the hospital.

He walked over and asked about the price, and immediately clicked his tongue.

The journey is only about three kilometers, and the price is 50 yuan. It doesn’t have a meter, which is really shameful.

Normally it’s only about 8 yuan.

Now that money is tight, he is reluctant to spend such a waste of money.

When you're done exercising, you can walk home.

Walking on the deserted street, the night breeze blew, and many shops on both sides of the street were closed. Only a handful of shops are still open for business. These bosses are so hardworking.

Being moved by the scene, Li Jingsheng couldn't help but think about the fate of his clinic.

The big words had already been released, and Tang Ping was promised the position of future head nurse, although she took this statement as a joke and did not take it seriously. Li Jingsheng never talks empty words.

He is a man of his word.

"When I diagnosed that old lady, she seemed to have learned a lot of new medical knowledge. I wonder if there are any new changes in the attribute panel?"

He instinctively used his mind to check the attribute panel.

Li Jingsheng

Grade: Junior resident physician 289.5/500

Diagnosis: Proficiency in Respiratory Medicine 72.4/100, Introduction to Gastroenterology 9.7/10, Introduction to General Surgery 0.1/10, Introduction to Cardiovascular Medicine 0.1/10

Prescription: Proficient in medicinal efficacy 10.6/100, Proficient in medicinal preparation 10.4/100

Skills: proficiency in interrupted suture 47.1/100, proficiency in continuous suture 21.8/100, proficiency in vertical mattress suture 10.7/100, introduction to compression and hemostasis 6.7/10, introduction to ligation and hemostasis 8.6/10, proficiency in bandaging 31.2/100, proficiency in square knot 10.3/ 100, Introduction to Sliding Knot 5.6/10, Introduction to Body Surface Debridement 0.1/10

Talent: None

HP: 112

After checking it out, he was shocked.

That's right?

Proficiency in respiratory medicine diagnosis increased by 1 point, from 71.4 to 72.4.

This is understandable.

After all, the diagnosis of the old lady's condition was very difficult, which greatly improved Li Jingsheng's diagnostic experience in respiratory medicine.

In addition, there is an additional diagnostic skill of cardiovascular medicine.

Even though it was only entry-level, he was still extremely pleasantly surprised.

Cardiovascular medicine is an important department in any large hospital. It has high status, high income, and is easy to achieve academic achievements. There are bonuses for deputy and senior professional titles. Moreover, the probability of re-employment is extremely high when you get old, and your status will not decrease.

These attractive advantages make countless top medical students strive to enter this department.

Unfortunately, the entry barrier to this department is extremely high.

To improve the diagnosis of cardiovascular medicine to a very high level requires a lot of experience. Many experts say it is several times more difficult than studying for a Ph.D.

Of course, if you only reach the entry level, many medical students can achieve it through hard work.

Li Jingsheng also wanted to join this department back then, but the deputy chief physician gave him a six-word evaluation.

I don’t know how high the sky is and how high it is.

Really, this was the evaluation given by the deputy chief physician at that time after learning about his situation.

No face saved at all.

That time was a huge blow to Li Jingsheng.

Later, I devoted all my energy and thought to respiratory medicine, and finally squeezed in.

Respiratory medicine is a medical discipline that is easy to learn but difficult to master.

The threshold is much lower than that of cardiovascular medicine. As long as you work hard, understand the knowledge points you need to learn, and remember what you need to remember, it is not difficult to get started.

But because of the large number of people in this department, the competition is actually more fierce than that of cardiovascular medicine.

Its fierce competition is mainly reflected in the fact that after entry, each level up is a hurdle.

Cardiovascular medicine is difficult to get started and even more difficult to upgrade.

Many people must have heard a saying that advises people to study medicine, and the sky will strike like lightning.

Doctors have a higher social status, their income is stable and not low, and their work is not particularly tiring.

These are just appearances.

If you can achieve great medical skills, you will naturally have everything, live a good life, and have a good career.

But it is unknown how many medical students were later forced to change careers.

Many people were killed when they took the exam for medical license.

Li Jingsheng already had a certain foundation in cardiovascular medicine. This time he diagnosed the old lady, whether it was the initial diagnosis or the subsequent diagnosis after the accident, it brought out his potential.

Only then did he reach the entry level in cardiovascular medicine diagnosis.

For him, this was definitely a big surprise. Because he can directly use his health to improve this medical skill, there is no 'hump' that other doctors need to go through.