After the upgrade, he clearly felt that his diagnostic capabilities for cardiovascular diseases had improved to a higher level.
We have a new understanding and more accurate judgments about heart failure, cardiovascular abnormalities, ventricular abnormalities, atrial abnormalities, ventricular fibrillation, congenital heart disease, etc.
The proficiency level is already equivalent to the level of a senior resident physician.
This is considered a very good strength in the inner field.
When I was placed in the hospital's cardiology department, I could even do the work of the attending physician in many cases, and I gradually began to have the ability to stand on my own.
Trying to diagnose the young man again, Li Jingsheng's depressed discovery was still obscure.
Even if I rack my brains, I can't identify which disease the patient has.
Cardiovascular medicine is known as one of the most difficult departments to recruit talents, and its talent training cycle even exceeds that of cardiothoracic surgery.
It really lives up to its reputation.
Despite the staggering number of deputy directors and chief physicians produced by this department, many are engaged in scientific research, but very few have reached the director-level clinical level.
A powerful chief cardiologist can have a very high status even in a top tertiary hospital.
Countless medical students are intimidated by the field of the heart, and for good reason.
It is difficult to get started, difficult to improve, and even more difficult in clinical practice.
Still can't diagnose, what should I do?
He's a little bit stuck in a trap.
Judging from his experience in treating patients, this patient will most likely buy some antidiarrheal medicine, take it, and then go home and sleep for a night to see the effect.
In order to diagnose the cause of this buddy's disease, he has consumed 10 health points.
To advance to the next level, you need to consume 90 health points.
For a doctor in his small clinic, it is enough to keep this diagnostic skill at the entry level.
Now that I have been promoted to the proficiency level, it is completely enough.
Is it worth spending another 90 health points to upgrade a medical skill that cannot create economic benefits for the clinic?
Don't look at the fact that his health balance is still 247 points, but every point is hard-earned.
If you make good use of 90 health points, you can upgrade many medical skills.
Moreover, even if the diagnostic skills of cardiovascular medicine are upgraded to the proficient level, there is still a possibility that the patient’s true cause will not be diagnosed.
The small clinic can't even perform an electrocardiogram, so how can it be diagnosed?
No matter how high the level of medical skills is, one must rely on each examination data to make a comprehensive diagnosis based on symptoms, medical history, course of disease, presence of genetic diseases, etc. It is by no means the doctor’s imagination or conjecture.
Medicine is a very rigorous subject.
It must also be rigorous.
Because this is related to the life safety of every patient, we must not be careless in the slightest.
Li Jingsheng decided to explore the patient's tone first.
"Ma Renli!"
"Well!"
"Your heart sound sounds strange. I'm worried that it's dangerous. Why don't you go to a big hospital for a checkup?"
Li Jingsheng persuaded him in a more serious tone.
"It's not that serious, right? Except for diarrhea, I think everything else is fine. Besides, the hospital outpatient department has closed early now. Otherwise, you can give me some antidiarrheal medicine, and I will be more vigilant myself in case anything goes wrong. I felt comfortable, so I went to a big hospital for medical treatment in time. But according to my experience, it was probably diarrhea caused by eating unclean food. It will be cured quickly by taking some medicine, so it is not a big deal."
The young man pushed up his glasses and looked very calm.
Most people who have some education or some medical knowledge will try to make a diagnosis for themselves after getting sick.
There is definitely a gap between amateurs and professional doctors.
In particular, some dangerous diseases that are rare or have seemingly mild symptoms can easily make people careless and eventually lead to tragedy.
"That's all right. You can tell me more about your condition, especially some details that may be overlooked. I'll prescribe medicine for you to take at home. Don't be afraid of ten thousand, just be afraid of the worst."
Doctors are like parents.
Li Jingsheng was really worried for this patient.
For some heart diseases, the time from onset to death is only two to three minutes, or even shorter.
If you are hospitalized, you may be able to be rescued immediately and save your life.
If something happens at home, if you live alone, no one will come to rescue you.
Even if you live with family or friends, if everyone is asleep late at night, it is very likely that the person is already dead and the body is hardened before being discovered.
Even if the disease is detected in time, ordinary people lack rescue knowledge and experience, equipment and medicines, so they can only call 120 and wait for an ambulance to come. When the ambulance arrives, it will most likely be a symbolic rescue.
In clinical medicine, even though the patient is known to be dead, at the request of the family or in accordance with the hospital's regulations, the patient is usually resuscitated for 30 minutes.
Although doctors and nurses hope for a medical miracle, they often declare clinical death after 30 minutes or more of resuscitation.
Li Jingsheng can earn about eight yuan by selling medicine to this patient.
If you don’t give injections and just dispense some anti-diarrheal medicine, the profit is really only so much.
Even if a ruthless person like Boss Zhao receives it in person, he will only earn twenty or thirty yuan at most.
Legally speaking, this is basically not a big risk.
However, from a moral point of view, as a doctor, he knows that the patient's condition may not be as simple as it appears, and there may even be a risk of death. It would be extremely irresponsible to leave things alone at this time.
It also violates professional ethics.
The patient also saw that Dr. Li was sincerely interested in him, so he patiently explained his condition again.
The patient only had diarrhea, without blood in the stool, black stool, or vomiting.
Abdominal pain occurs, and there are signs of upward transfer.
After listening, Li Jingsheng found that the patient's hand holding the newspaper was covering his stomach, with an anxious and painful expression on his face.
Looking at this situation, I'm afraid I'm going to have diarrhea again.
Diarrhea is embarrassing because you can't help but have a bowel movement regardless of the occasion. As long as you can't find the toilet in time, there is a high probability that you will poop on yourself.
Looking at this situation, it is impossible for the patient to give him more time to think and analyze the syndrome slowly.
90 is 90. I hope that upgrading cardiovascular medicine diagnosis and treatment can save this young man’s life.
At least it can help this buddy eliminate some potential risks of illness and death.
He did not hesitate again. If the life points were lost, he could earn them again. If the patient's young life disappeared, it would be a tragedy in the world.
Directly consume 90 points of health points to upgrade the cardiovascular medicine diagnostic skills again.
Proficiency in Cardiovascular Medicine 100.1\/500.
In just over twenty minutes, he upgraded this medical skill by two levels, from entry level to proficient level.
Now he has the level of a serious junior attending physician.
When he tried to diagnose the patient again, he found that his thoughts were flowing like a spring with divine help.
Diarrhea-related cardiovascular diseases flashed through my mind.
Even better, his mind opened up and was no longer as narrow-minded as before. In the past, we only focused on one city and one place, and only focused on a small area.
At this moment, he has initially gained an overall view of the situation.
It can connect more medical fields, body organs, and disease occurrence areas to provide a comprehensive diagnosis.
"Diarrhea, it's probably just eating unclean food and spoiling the stomach. But the heart sound is abnormal, and it's that strange sound, which is very similar to valvular insufficiency.
Patients often work overtime, stay up late, and sit for long periods of time, which are extremely harmful to the body. When the heart has valvular insufficiency, there will be some obvious problems.
For example, mitral valve and tricuspid valve insufficiency can cause regurgitation.
If it is aortic valve insufficiency, it may cause symptoms such as weakness, dizziness, fatigue, and difficulty breathing.
Not to mention pulmonary valve insufficiency, which can be life-threatening in severe cases.
Or even direct respiratory arrest..."
After Li Jingsheng opened his mind, he no longer just focused on diarrhea.
Instead, they began to try to deal with abnormal heart sounds, diarrhea, abdominal pain, etc. at the same time and connect them together.
