Sometimes we really shouldn’t overly deify the chief physician and deputy chief physician. They have rich experience in diagnosis and treatment, have made outstanding achievements in papers, and may be quite advanced in diagnosis and treatment in their areas of expertise.
But when encountering some complicated and confusing conditions, they also pull their hair sometimes.
Some causes seem obvious, but after treatment, it is found that there is no effect. At this time, even a fool would know that it was a misdiagnosis.
This is what directors fear most.
It seems like a simple disease, but no treatment method works.
For example, the baby with diarrhea that was allergic to cow's milk protein that Li Jingsheng diagnosed last time left many doctors scratching their heads.
It was obviously just a simple symptom of diarrhea, but it got worse with treatment, and various complications popped up like mushrooms after a rain.
Can doctors avoid headaches?
The cases that Director Hua called him for consultation this time were most likely the second surgery patient.
The so-called second surgery means that the first surgery is not effective, or there is too much blood being drained after the surgery, or there are multiple complications, etc., so a second surgery needs to be performed in time.
A slap in the face for sure.
No doctor wants a patient who has undergone surgery to have a second visit to the uterus.
But if you really encounter it, you have to go in.
It’s impossible to put the patient’s life in danger just for the sake of the doctor’s face!
Li Jingsheng rushed to the orthopedic surgery consultation room and found that there were only Director Hua, Professor Wu, Chen Anchen, Zhong Hu, and a middle-aged doctor whom he had never met before. He was quite tall, with decent facial features and a bushy head. Her long hair almost covers her ears.
Aged in his early forties.
"Dr. Li is here! Hu Jia, let me introduce you two. He is Dr. Li Jingsheng, the new recruit of our orthopedic surgery department. He will be promoted to attending hospital immediately. He can already hold up half the sky in the manual reduction clinic."
Director Hua saw Li Jingsheng coming in and immediately introduced the two of them with a smile.
"Dr. Li, this is one of the best young doctors in our orthopedic surgery department. Hu Jia, deputy chief physician, specializes in diagnosis and treatment in the field of spine. He went to the People's Hospital for further training some time ago and just came back the day before yesterday."
Generally, only exceptionally outstanding doctors have the opportunity to study in other hospitals.
In the eyes of the Second Hospital, the People's Hospital is considered a very awesome existence.
It can only look up.
That is to say, the Second Hospital has strong backing from the health authorities, so it can cooperate with the People's Hospital. Send some outstanding doctors from the hospital for further training.
As for Qiaobang Hospital, its nature is very special and it has a joint venture background. If you want to cooperate with it, you may have to rely on its strength to win its recognition.
The Second Hospital is not even considered a top three hospital, and it is probably still far from being recognized by Qiaobang Hospital.
Not to mention it, even Big Brother No. 1 Hospital is still far from it.
The No. 1 hospitals in Jiangli City are basically in decline, and their strength continues to decline. The number of outpatient and emergency rooms is shrinking, and the number of medical personnel is constantly leaving.
There are only two types of people who dare to resign or change jobs. Either they are of poor quality and have no future. Either the level is high, but the promotion opportunities are not available, and one wants to develop better.
After contacting the way out, jump directly to the compound.
Not only do such talents exist, but there are many of them.
Hospitals in decline lose their top talent every year.
Hu Jia can be sent to the People's Hospital for further study, and his strength is definitely not bad.
"Hello, Director Hu! I have long admired your name!"
Li Jingsheng complimented the other party politely.
They are all clichés.
He had never heard of the chief physician's name before, and had only seen it in the doctor's introduction column on the wall.
"Nice to meet you! I've been back to the department for two days, and the name I heard the most is you. To be recognized by so many colleagues in the department, I believe your ability must be very strong. From now on, we will all be colleagues in the same department, yes Comrades, I hope to have the opportunity to cooperate more."
Although Hu Jia is the deputy chief physician, he has no airs.
He stood up and shook hands with Li Jingsheng warmly.
Not the perfunctory kind, but holding on without letting go and shaking hard.
The hand strength is also very strong.
"As long as Director Hu is in need, I will be on call as long as conditions permit."
When Li Jingsheng met a superior doctor who treated people sincerely, he treated him sincerely and responded enthusiastically.
"What do you mean by conditions permitting?"
Hu Jia looked confused.
"Dr. Li runs a private clinic and is very busy at ordinary times. He only works in our hospital three days a week. He should mean that he is willing to cooperate with you at any time as long as he has time."
Director Hua explained from the side.
"So that's it! I only work three days a week. I'm so jealous!"
Hu Jia nodded understandingly.
Hearing that Li Jingsheng only works three days a week, his tone was full of sourness.
"Director Hu, don't learn from Dr. Li. You are the main force of our department. If you think about rest every day, who will deal with the patients?" Director Hua quickly stopped his thoughts.
As a department director, I definitely want as many people working as possible.
In particular, some of the top doctors in the department can each support a small world and are the backbone of the department.
As for doctors who do odd jobs and basic tasks, there is no shortage of them.
Any regular training or intern can become proficient in it after a period of training.
"Let's hurry up and discuss the case! Dr. Li can take a look at the patient's medical records, examination reports and other information."
Director Hua quickly changed the topic.
Among the five superior doctors present, the lowest one was the deputy chief physician. Only Li Jingsheng participated in the consultation as a resident physician.
This is actually a recognition of his strength.
Because Li Jingsheng performed well in discussing many difficult cases.
Li Jingsheng took the information and looked at it carefully. He found that the patient was not too old, only in his thirties, which was the golden stage of life to make money.
Nowadays, because of high housing prices, high betrothal gifts, and few girls, men generally do not get married until they are thirty years old.
There are even those who get married later.
This male patient underwent spinal canal repair surgery at the Orthopedic Surgery Department of the Second Hospital three months ago.
At that time, Hu Jia was in charge, and Director Hua was personally in charge.
The surgery is more difficult, but not very complicated. But now, three months after the operation, the patient is still paralyzed in the lower body and suffers from unbearable pain in the lumbar spine.
I came here twice for re-examination and no problem was found.
"Do you think this patient is strange? The spinal canal was injured three months ago. Judging from the films taken after the operation, it has obviously healed. There is no deformation or protrusion of the spine. The neurological examination found nothing. Problem. Our orthopedic surgery department checked X-rays and CT scans and found no problems. But the patient just complained of lower back pain and couldn't stand up."
It was also the first time for Hu Jia to encounter such a thing.
"Damn it, is this person trying to blackmail our hospital?"
Zhong Hu's temper is not very good.
Hot tempered and impatient.
The spine must be very complicated, but now the bones have healed and there are no problems.
The neurosurgery also checked and found that there was no problem with the nerves either.
What's the problem?
"This possibility cannot be ruled out, but the probability is very small. The patient also went to Qiaobang Hospital to get a specialist number and did an examination, but no problem was found."
Director Hua rejected Zhong Hu’s idea.
"Hey, do you think the blood vessels are being compressed?"
"This has been checked and no obvious problems have been found. Moreover, even if the blood vessels are compressed, there will be no pain or inability to stand or walk. It can only be said that there are still too many difficulties in medicine that have not been overcome by us humans."
Director Hua shook his head and sighed.
There are too many medical problems and doubts that have not been solved.
Faced with many problems, doctors are helpless.
Li Jingsheng took the patient's information and checked it repeatedly.
"The patient's blood picture still has a little abnormality, but it's not obvious. The white blood cells are obviously elevated."
Li Jingsheng's brows furrowed slightly. His orthopedic surgery diagnosis is currently at the Xiaocheng level.
It would be difficult to make any gains in diagnosing this case with just this diagnostic ability.
Because the vertebral films taken were normal and no abnormalities were found.
His immunological diagnosis is currently at entry level and he has certain diagnostic capabilities, but his level is not high.
The patient's elevated white blood cells caught his attention.
"This has been checked and no problem has been found. The possibility of aseptic inflammation in the vertebrae can basically be ruled out."
Director Hu Jia just came back and met a patient who had returned to the factory and had a big head.
The key is to check but still can't find the problem.
"How about doing a puncture and taking out the spinal cord for examination?"
When Li Jingsheng diagnoses difficult diseases, he often sticks to the axis.
After identifying a direction, he would keep investigating it until it was ruled out.
"I also checked and found no obvious problems."
Hu Jia shook his head again.
They had already checked everything Li Jingsheng could think of.
"The medical records describe that the patient was injured in a car accident three months ago. He injured his back and spine, and there was obvious trauma and bleeding..." Li Jingsheng seemed to have found an opportunity from this, but he could not seize it.
"I'll go to the ward to check on the patient's condition first!"
Li Jingsheng said hello to them, got up and walked outside.
"Bed 53, temporary beds, just in the corridor."
"OK."
He came to the corridor outside the ward and immediately saw the male patient lying on the bed.
His complexion was dark yellow, his whole person had a sickly appearance, and his mental condition was not very good.
A woman in her fifties accompanied her at the bedside.
His hair was a little messy, his face was haggard, his forehead had very deep wrinkles, and he also had a frown on his face.
"Hello, I'm Li Jingsheng, a doctor of orthopedic surgery. I'm here to find out about your situation."
Li Jingsheng greets patients.
"Um!"
The patient's mood is low.
Perhaps seeing that Li Jingsheng was very young and had a lingering illness, he felt depressed. Even frustrated.
"Can you describe the specific process of your injury?"
Li Jingsheng often deals with patients and has seen all kinds of patients.
As long as he is not the kind of patient who curses or hits others, he can communicate patiently.
There is no other way. Those who do clinical work must endure a lot of hardships that are unimaginable to ordinary people.
Medical students who can persist in the required training basically really love this profession.
Otherwise, working for 36 consecutive hours during the regular training stage would not be something that ordinary people can bear.
He still remembers working the twelve-hour day shift and then being asked to work the night shift. On the second day, you have to participate in an exchange organized by your tutor, and you must prepare a PPT speech.
Staying in the duty room, patients kept calling, and the nurse could only ask him to go over and deal with it.
After working until about three o'clock in the night, the patient rested and finally got a moment of peace. Although he was very sleepy at the time, he still gritted his teeth and finished the PPT speech. By the time I finished, it was almost six o'clock in the morning.
I thought I could lie down on the table and squint for a while.
As a result, I was woken up again less than half an hour after sleeping.
A patient had an epileptic seizure, and he had to rush over to deal with it.
I almost got my finger bitten by the patient.
The shift was handed over at almost eight o'clock later. After breakfast, I was called by the instructor to discuss two classic cases.
He was really sleepy at that time, but he didn't dare to doze off.
Later, I was criticized by my instructor because of my poor condition.
That was the most devastating time he ever had.
This is also the first time that I feel that the job of a doctor is really not something that ordinary people can bear.
From the day shift yesterday until I was called over for discussion in the morning, I worked a full twenty-four hours.
If you perform poorly during discussions, you will be criticized.
Then I had to grit my teeth and work another twelve-hour day shift.
I only squinted for more than an hour at noon.
That was the first time he worked a 36-hour shift.
I just feel that doctors are too tired and the salary for regular training is still low. There is only a basic salary of 3,000, not even a cent more.
Performance commissions have no part in regulating training.
The department he worked in at that time was very dark, and he remembered that a lot of overtime allowances and bonuses for writing medical records had been hacked away.
Don't dare to ask.
It’s useless to ask.
Later, I gradually got used to it.
A lot of things are like this, just get over it and you'll be fine.
Therefore, when he faces this patient with a somewhat cold attitude, he will not be angry at all. Instead, patiently ask about the patient’s condition.
"I was riding a three-wheeled motorcycle to deliver goods and collided with a car coming from the opposite direction. Then I rolled off the road and into the ditch on the side of the road. The water inside was smelly and black, but my back I was injured and couldn't move. The driver who caused the accident behind me called the police. It took a long time for the ambulance to arrive, and they carried me to the hospital. When they carried me, they all looked disgusted.
The most annoying thing is the traffic responsibility stipulation, which actually thinks that I bear the main responsibility..."
The man saw Li Jingsheng waiting for his answer and finally opened the conversation.
He seemed very angry when talking about the injury.
Li Jingsheng is not interested in the division of traffic responsibilities.
Many people who ride electric bikes and tricycles can ride however they want because they have never passed the driver's license test and are not afraid of demerit points or fines.
In the end, if an accident occurs, the other person will be blamed for driving recklessly.
"You mainly feel pain in your lower back now, and you can't stand up or walk with your legs, right?"
Li Jingsheng decided to use the bone touching technique to touch the man.
"Yes! Let alone standing, I can't even sit down."
the man replied.
"Let me check the previously injured vertebrae for you."
After Li Jingsheng obtained the man's consent, he moved the man's body to a side-lying position and then felt his bones.
The patient's family members helped support the patient's body.
"Doctor, please speak kindly to your director. My son has been in a car accident and has not been cured. His girlfriend has also left. He has committed suicide several times."
The patient's mother shed tears as she spoke.
In the face of disease, human beings appear extremely weak.
"Why are you telling the doctor this?"
The patient cursed his mother in a harsh tone.
He may have felt that these words hurt his self-esteem, so he was a little annoyed.
"If you don't respond to the doctor if you have a problem, they will just leave you here. You are already like this, what else is there to say?"
The mother in turn scolded her son.
When something like this happens in a family, it's easy to complain and quarrel with each other.
Li Jingsheng did not interrupt, but carefully touched the patient's bones.
Dacheng-level bone-touching technique is very skillful.
You can clearly feel the hardness, temperature, presence of lesions, etc. of the bones through the skin.
In particular, Li Jingsheng touches the bones of patients in the outpatient clinic every day, and is extremely sensitive to the subtle bones of various patients. He can easily distinguish some small differences.
Just like a boss who often does gold business, he can basically judge whether it is genuine or fake by touching and weighing it in his hand.
Because the feel, weight and other data of real gold are all imprinted in their minds.
"Why does the patient's vertebrae feel wrong when touched?"
He has watched the film many times and has no problems with it.
However, the patient's vertebrae felt a bit "wooden" and it was hard to tell.
This kind of bone elephant has never been encountered before.
"Doctor, tell your director why my son has a fever at night?"
The patient's mother said to Li Jingsheng.
"Did he have a fever at night?"
After Li Jingsheng touched the patient's vertebrae, he then touched the patient's wrist bones and phalanges. The bones were normal.
Only one section of the vertebrae feels "wooden" to the touch.
"I feel a little feverish. I asked your nurses to help me measure it, but they ignored me."
The family members feel a little aggrieved.
It is impossible for a nurse to ignore him under normal circumstances. The family member may have had an argument with the nurse and said unpleasant things.
We are all human beings, and nurses feel that family members and patients have too many things to do, and there is a real possibility of perfunctory care.
They are very busy and naturally cannot make patients feel at home like waiters.
At least regular hospitals don’t have this service concept.
Some family members and patients like to use nurses as waiters, which is really wrong.
Give them more respect and respect, and they will be very conscientious.
They will also try their best to meet the reasonable requests made by patients.
If a nurse girl is asked to help with leg-beating, shoulder-squeezing, or other care, how can she agree to it?
"I'm going to borrow a thermometer and take his temperature. Did you admit him yesterday?"
"Yes, we came here yesterday morning, and it wasn't until about four o'clock in the afternoon that we were allowed to move in. They said there were no beds, but there were still beds! I know you must be afraid that we would cause trouble, so you deliberately said there were no beds."
This woman is indeed a bit difficult to deal with.
Saying more than a few words will leave people speechless.
Li Jingsheng would naturally not argue with her, there was no need.
If he argued with her, made her unhappy, and complained back, Li Jingsheng would be in trouble.
When encountering family members, patients, and doctors and nurses who have many such incidents, they will choose to avoid them.
Everyone is getting paid, so there is no need to get into trouble for such a patient.
Li Jingsheng came to the nurse's station and said, "Teacher Tang, please lend me your thermometer!"
Out of respect, doctors usually call nurses a certain teacher, or they can also call them by their first names.
But you can't call her "Nurse Tang" or something like that. It's easy to make assumptions and make you unhappy.
(End of chapter)
