He knew very well that the main reason for this situation was the lack of various examination data, and his own limited diagnosis of gastrointestinal medicine was also an important reason.
His gastrointestinal diagnosis is currently at the proficiency level, which is equivalent to the level of a senior resident physician.
When placed in the inpatient department of the hospital, he is regarded as the backbone physician in charge of the bed.
But it's not enough to stand alone.
At least you have to be at the level of attending to be able to start to have the ability to stand alone.
Li Jingsheng gritted his teeth and decided to spend a large sum of life points to upgrade the gastroenterology diagnosis to the master level.
This medical technique is used very frequently, and the business of the small clinic is now improving, and it already sees a lot of patients with gastrointestinal diseases every day.
Gastroenterology proficiency 22.7\/100.
It requires 78 health points to upgrade it.
He remembered that yesterday's health balance was 184 points.
We received a total of 12 or 13 patients today, but we did not receive any difficult cases.
All are ordinary patients.
I didn't receive very strong praise from the patients. At most, I just said a few ceremonial thanks to him.
The health value probably won't increase much.
Because according to experience, diagnosing and treating an ordinary patient can only add 1 point of health, and after treatment, 1 more point can be added.
From prescription to cure, it takes at least three to five days.
The disease comes like a mountain falling, and the disease goes away like stripping silk!
Therefore, he estimated that his health balance would only be around 196 points when he was exhausted.
When he opened the properties panel to view it, he was surprised to find another unexpected gain.
The health balance is as high as 297 points.
It was 101 points more than expected.
How was this obtained?
Searching the intestines and scraping the belly is definitely not obtained by diagnosing and treating patients. Because the more than ten patients admitted today are just ordinary cases.
That leaves only two possibilities.
The first is to learn the advanced bone-setting techniques of bone palping from Dr. Xu. However, he has only learned part of the bone-touching technique, and has not even reached the basic level. This cannot increase his health.
The second option is to save the beggar.
After much deliberation, saving the beggar and gaining 101 health points is most likely.
Diagnose the beggar and gain 1 health point. Save the beggar from a road rage driver and gain 100 health points.
That should be the case.
If I had known that I had so many health points, why would I hesitate?
He spent a lot of money to add 78 health points to gastroenterology diagnosis.
"It's cool! Even if I upgrade this medical skill to the master level, I still have 219 health points left."
He has successfully upgraded gastroenterology diagnosis to a proficient level, and his diagnostic ability in this area is obviously different from the same.
If nothing else, first of all, my understanding of gastrointestinal medicine knowledge has deepened a lot.
In the past, the understanding of the mechanisms of the stomach and intestinal tract, as well as related functions, was only at a shallow level that was deeper than textbook knowledge. Some simple or slightly complex gastrointestinal diseases can be diagnosed and the pathology can be analyzed.
It's different now. We have a more systematic and comprehensive understanding of the stomach, including the esophagus, cardia, duodenum, etc. connected to the stomach.
And it’s more in-depth.
Know the interaction between them.
Not to mention intestinal medical knowledge, the duodenum, jejunum, ileum, cecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, etc., all have a clearer and deeper understanding of the mechanisms. and disease diagnosis capabilities.
He can make a more accurate preliminary judgment on the function of each section of the intestines and what symptoms and adverse reactions may occur if problems occur.
In addition, it has relatively comprehensive diagnostic capabilities for common gastrointestinal inflammation, ulcers, bacterial infections, viral infections and even tumors.
Even though there is only one level difference between the level of a junior attending physician and the level of a senior resident physician, the difference between the two is the difference between a soldier and a general.
Senior resident doctors, no matter how powerful they are, can only be at the level of a team leader, with narrow diagnostic capabilities and limited knowledge. Although he has a low level of experience in treating gastrointestinal diseases, he has already reached the level of "general", and he has a more comprehensive and in-depth knowledge and understanding of the entire field of gastrointestinal diseases.
With his current level of gastrointestinal diagnosis, he is fully capable of making a name for himself in a third-level hospital like the Second Hospital, and gradually has the ability to stand on his own.
It can relieve the chief physician's worries.
If the gastrointestinal diagnosis proficiency level is only the initial acquisition of comprehensive diagnostic capabilities, this time he was promoted to the proficient level, and he has begun to possess comprehensive systematic diagnostic capabilities.
This time when he diagnosed the patient, he was obviously much more calm and confident.
"The patient's temperature is now normal. Has the fever gone away?"
After his diagnostic capabilities improved, he immediately thought of a possibility.
Fever caused by a gastrointestinal cold usually comes and goes away quickly.
"Have you ever had fever, headache or other symptoms after catching a cold the day before yesterday?" he asked the patient.
"You know this! No wonder everyone praises your medical skills!"
The patient's words were basically an admission.
"After I caught a cold the day before yesterday, I started to have a fever the next morning and had a severe headache. But I had cold medicine at home and I took two pills and I was fine soon."
After listening to the patient's story, black lines appeared on Li Jingsheng's forehead.
Consultation is really a technical job!
There are some things that patients won’t tell you at all if you don’t ask.
In fact, this is already very important medical history information.
At this point, it can basically be determined that the patient has fever, headache, and diarrhea caused by a gastrointestinal cold.
After thinking about it, Li Jingsheng prescribed montmorillonite powder to the patient.
Skilled medicinal efficacy and medicinal medicine are basically enough to deal with this common minor disease.
He secretly thought in his heart that when his health balance was a little higher, and then the potency and medicine generation were also upgraded to the proficiency level, it would be perfect.
Montmorillonite powder is often used clinically for patients with frequent diarrhea. It can not only inhibit the microorganisms of the digestive tract, but also cover and protect the mucosa of the digestive tract. The most common adverse reaction caused by this drug is mild constipation.
For those with severe diarrhea, it is definitely a very symptomatic medicine.
However, patients who are allergic to this drug should not take it.
The dosage must also be strictly controlled and must be used under the guidance of a professional doctor.
Li Jingsheng informed the patient in detail about the relevant precautions and the daily dose of medication. The patient paid the money and left happily.
Watching the patient leave, he fell into deep thought.
This patient should have more than just diarrhea, a digestive tract disease.
It's just that doctors in small clinics are not trusted by the majority of patients. People explain that they only buy antidiarrheal medicine, and Li Jingsheng checks this and that for others. It is easy to be mistaken for a rogue doctor who cheats money.
Naturally he had to be cautious about this.
"The patient's body is obviously thin, and from the patient's mobile phone, clothing, and casualness when paying, it can be seen that the patient's financial situation is good. This person is likely to have a digestive tract disease, and it has lasted for at least half a year."
After Li Jingsheng's gastrointestinal diagnosis was upgraded to the proficient level, he had more diagnoses when he diagnosed this man again.
Just because the information is limited, it is impossible to determine whether it is a problem in the upper gastrointestinal tract or a chronic disease in the lower gastrointestinal tract.
I hope I can see this man again next time, and then I can ask him a little bit, or suggest that he go to the hospital for a check-up.
However, it seems that the patients are very disgusted with the hospital's routine, and it is estimated that most of them are unwilling to go to the hospital for examination.
Unless you fall ill and have to go.
…
After get off work, Li Jingsheng finished his dinner and returned to the clinic to practice the bone touching technique he had just learned.
It is still in the initial stage of progress from theory to practice.
Even a lot of theoretical knowledge is only half-understood.
He first touched his leg bones because it was convenient.
It feels like there’s something gained, but it’s not as effective as touching someone else’s bones.
When you touch yourself, the tactile feedback information from the sensory nerves and the hand will overlap and even produce some coverage. This is not conducive to the accumulation of bone touching experience.
Just find someone to let him practice touching bones.
There are only two people in the small clinic, touching Tang Ping? As soon as this idea pops up, suppress it immediately.
Even though she and Li Jingsheng get along very well and have a good relationship.
He even owed her three months' salary and didn't change jobs.
But she has always loved and respected herself, and Li Jingsheng also respected her very much and would never dare to offend her in any way.
You can take the opportunity to practice bone palpation when examining patients in the future.
You can also get some opportunities to touch bones by studying with Dr. Xu at the Orthopedics Clinic of the Second Hospital.
For him, the most difficult thing about any medical skill is getting started.
If you want to get started, you first need to learn all the theoretical knowledge, and then gradually practice it to a certain level. Only then can you reach the entry level.
As long as you get through the door, you'll be happy.
You can easily improve your proficiency in each medical skill by relying on the attribute panel. From entry-level to proficient level, under normal circumstances, it may take one or two years of clinical practice, or even several years.
He only needs 10 health points to achieve it easily.
This advantage is enough for him to boldly expand his medical skills in multiple fields.
Diagnosis, prescriptions, skills, and various medical skills are so many that other doctors are jealous. The key is that he not only has many medical skills, but he is also very good at each one.
This is outrageous.
