Doctor level: Senior resident physician 553/1000.
It is comfortable and directly increases the level experience value by 52.1.
Under normal circumstances, receiving ordinary cases adds very little level experience points. Treating a common cold patient only increases 0.1 experience points.
A slightly more difficult one can add more than 1 experience point.
Unsurprisingly, such a large increase at one time must be because he successfully diagnosed cases of tuberculosis that even major hospitals had misdiagnosed.
Tuberculosis and early-stage lung cancer are highly similar in terms of symptoms and imaging findings.
Sometimes the results of a sputum smear are negative.
More likely to lead to misdiagnosis.
It is not easy for a doctor from a small clinic to successfully correct this misdiagnosed case under simple conditions.
The gains gained from it are also great.
In particular, this is the first time that medical knowledge has been comprehensively applied in clinical practice, and similar symptoms of family members have been linked together for diagnosis.
This is also the first time that the diagnosis results of a major hospital have been overturned.
Dare to challenge authority and deny the diagnosis results of authoritative doctors. This requires great courage and courage for him, a doctor in a small clinic.
This kind of leapfrog growth adds 50 points of level experience to him, which is really not much at all.
Proficiency in Respiratory Medicine 111.9\/500.
In-call diagnostic proficiency increased by 11 points.
If you guessed correctly, one of the proficiency points comes from multiple patients with colds and coughs, and the other 10 proficiency points come from successfully diagnosing two tuberculosis patients.
HP: 257.
The health points increased by 107 points, 7 of which came from ordinary patients.
The 100-point surge came from an elderly man with tuberculosis.
Seeing that the health points were used more and more, he couldn't help but sigh. Spending the health points to improve the doctor's level and medical skills was the right way.
If he were still at his previous level as a quack doctor, he would not be able to diagnose or treat the old lady with an abnormality, the old man with the pustule on his back, Ms. Ou with acute bronchitis caused by pollen allergy, or the father and daughter with tuberculosis.
Therefore, he realized that only by constantly spending his health points and improving his medical skills could he possibly earn back more health points.
Spending money does not mean spending money indiscriminately.
Instead, save it for the critical moments and spend your health points on the 'blade'.
Whether it is surgery or orthopedics, many of them can only be learned in the operating rooms or outpatient clinics of large hospitals.
It is difficult to get started by reading books, watching instructional videos, and buying tools to practice.
"I run a clinic here, and I don't have the chance to work in a big hospital! I'll pay the rent first, and when I have some money, it might be a good idea to find an orthopedic surgeon to study privately."
But the best way is to follow an experienced doctor to the outpatient clinic and the operating room to learn.
For example, manual reduction of the shoulder joint.
Only by watching a superior doctor perform the procedure, explaining the essentials of the reset technique in detail, and practicing it can you get started quickly.
It’s difficult to get started just by listening to the teacher’s explanation.
Teaching by words and deeds is the most ideal.
At this time, a young man with a bag in his left hand and a newspaper in his right hand came in.
After taking a look, I found that Li Jingsheng was the only one in the clinic.
Perhaps feeling a little deserted, he was ready to quit.
"Who are you looking for? What's the matter?"
Li Jingsheng discovered him.
This man was wearing dark gray trousers, leather shoes with a lot of dust on his feet, a striped shirt and a dark red tie.
Wearing glasses, he looks slightly thin.
Judging from his appearance, he should be a programmer or salesman.
"I saw the report about your clinic in the Metropolis Daily. I happened to have diarrhea recently, so I wanted to ask if there are any anti-diarrheal medicines here?"
The man came in.
As soon as he got close, Li Jingsheng smelled a sour smell.
It may be caused by sweating all day.
However, the rancid smell is quite strong, and it may be due to not taking a shower for two days after sweating.
This pungent smell can often be smelled in Internet cafes.
In order to play games, some "masters" spend all day and night in Internet cafes without going home or taking a shower, and eventually their bodies stink.
"I have antidiarrheal medicine here, but it needs to be dispensed according to your symptoms. How long have you had diarrhea?"
"It's been three or four days! I've been busy with projects recently, and I can usually go home only once every two days. I stayed up late on Monday writing programs all night, and I had diarrhea the next day. I thought I would be fine, but I didn't. It got worse when I thought about it. Now I feel a little pain in my stomach, coming and going, and I always want to go to the toilet."
The man is indeed a programmer.
There is a high-tech development zone in Jiangli City, which is about half an hour's drive away.
Many young people working in high-tech development zones rent houses in the old streets in the south of the city in order to save rent. The rent here is cheap, prices are also cheap, and all kinds of specialty snacks are everywhere.
The most important thing is that the atmosphere is good.
It has attracted a large number of young workers to rent and live here.
They go their separate ways during the day and come back to stay at night.
Some lucky people, through hard work, finally saved enough for a down payment and bought a house in the High-tech Development Zone.
After the lucky ones who have successfully bought a house move out, young people in their twenties who have just graduated from school will move in, and this cycle continues.
Those who can successfully buy a house through hard work eventually take root in the city and integrate into the city.
Young people who have failed to make money have no hope after their thirties and will either return to their hometowns to develop or go to other cities.
The income of programmers is quite high.
The lowest is seven to eight thousand per month.
This young man is twenty-eight or nine years old. He probably wants to change his destiny through hard work and own a house of his own in this city.
The reality is very cruel. It is difficult to get married without a house.
Men work very hard to find a wife.
"Come here, I'll take your temperature and blood pressure."
Li Jingsheng could understand the difficulty of this young man.
What can help him is to eliminate hidden dangers as much as possible and prescribe the most suitable antidiarrheal medicine.
"Do I need to take my blood pressure and body temperature to buy antidiarrheal medicine?"
"Don't worry, this is a free clinic project and there is no charge."
Li Jingsheng knew what the young man was worried about.
Don't look at programmers making 10,000 to 20,000 yuan a month, or even more, but they are basically risking their lives to make money.
All you earn is hard-earned money.
Many programmers laugh at themselves as "moving bricks" and code farmers.
They are also quite stingy with their money.
Because I want to keep money to do big things.
Buying a house, buying a car, getting married, everything costs a lot of money.
"No wonder even the Metropolis Daily praised your medical ethics here! The experience is indeed very good."
The man did not refuse this time and sat down next to the examination table in cooperation.
Li Jingsheng took his temperature, which was normal, 36.7 degrees.
My blood pressure was measured and it was still normal.
Out of caution, he took the patient's pulse. Faster.
120 times/minute.
This means that the patient's heart rate is probably also 120 beats/minute.
Li Jingsheng's originally relaxed expression suddenly became tense.
Your heart rate will not increase for no reason.
Diarrhea is not a serious problem in itself, it is very common.
It usually heals on its own without medication.
The duration generally does not last too long, and some can heal on their own within two to three days. Those who are more stubborn can heal themselves in about half a month.
If the diarrhea is severe and lasts for more than three days, you will need to seek medical attention. It can cause problems such as dehydration, imbalance of water, electrolyte and acid-base balance, and poor nutrient absorption.
There is also a type of chronic diarrhea, which is not serious but occurs repeatedly.
If this happens for more than three weeks, you should go to the hospital for a check-up.
"Is diarrhea serious?"
"It's a bit serious, especially this afternoon. I feel like I'm going to collapse."
The young man replied.
"Is there any pain in your chest?"
"It seems to be a little painful. I can't tell whether it's stomach pain or chest pain. Because when my stomach hurts, my chest also feels a little painful."
Some pain can radiate to other areas.
For example, upper abdominal pain may radiate to the back or even the shoulders.
This requires careful screening by doctors based on their professional knowledge.
"Let me listen to your heart sounds. Your heart rate seems a little too fast."
Li Jingsheng motioned to the man to unbutton two shirt buttons.
"Is this serious?"
The man asked nervously.
"I can't answer you yet. I will give you a more accurate suggestion after my diagnosis is completed."
After Li Jingsheng finished speaking, he began to listen to the man's heartbeat seriously.
"Dong...baah! Dong...baah!"
He heard a distinct murmur in the patient's heart.
There is definitely something wrong with this.
As for whether it is serious, to be honest, his cardiovascular medicine diagnosis level is a bit disappointing.
It's just entry level now and can't be diagnosed.
He definitely can't cure heart disease here.
Li Jingsheng was thinking about whether to upgrade his cardiovascular medicine diagnostic skills to a higher level for this young man?
He has been unwilling to spend precious life points to upgrade this medical skill because of cardiovascular disease. Even if it is diagnosed, his small clinic cannot afford it.
At that time, the patients can only be advised to go to large hospitals for treatment.
Now there are only more than two months left to pay the rent, and Tang Ping still owes her salary. He dare not waste his life points on medical skills that cannot create benefits.
If he were asked to improve his surgical suturing skills, he wouldn't even blink an eyelid.
"Are you the Dr. Li mentioned in the newspaper?"
The young man couldn't help but ask when he saw Li Jingsheng bowing his head in silence.
"Yes, my surname is Li."
"Dr. Li, I guess it's not a serious illness. It may be that I stayed up late that night and worked overtime and ate unhygienic snacks, which caused diarrhea. Please prescribe some antidiarrheal medicine for me. I'll take it at home and see the effect. If it's still the same tomorrow, If it doesn’t feel better, I’ll go to the hospital for a check-up.”
The young man said.
If it was a minor problem with headache and brain fever, Li Jingsheng would definitely agree.
Diarrhea, accompanied by a fast heart rate and a heart murmur, made him very worried.
Some heart diseases progress rapidly, and if the time for treatment is missed, a fresh life will be lost!
This patient was only in his twenties, and his parents had managed to put him through college. How would his family survive if something went wrong?
"Don't worry, I'll make a diagnosis again. I'm not afraid of just diarrhea. I'm afraid that you have a heart problem and you live alone, which is very dangerous. Give me a little more time and let me go over your medical history and illness. Symptoms.”
Li Jingsheng couldn't even do a routine blood test here, so he could only make inferences based on his experience and knowledge.
10 health points may be able to save a young life, but it's a waste.
After a moment of hesitation, Li Jingsheng spent 10 health points on the spot to upgrade the cardiovascular medicine diagnosis to a proficient level.
