Gou is practicing medicine in the clinic

Chapter 2 Drug Effects and Pharmacokinetics at the Proficiency Level
After reading all the information, Li Jingsheng couldn't help feeling ashamed.

When I resigned from the hospital to start a clinic, I was so ambitious that I thought I could turn my career around. Unexpectedly, after nine months, my medical skills have hardly improved.

The number of patients received is pitifully small, and most of them have colds, fevers, and minor traumas.

If you want to improve your medical skills, you have to follow the attending physicians and directors in large hospitals to treat those difficult cases.For a slightly more serious disease, the patient would go to a big hospital, and it was impossible for him, a doctor in the clinic, to practice.

There was no superior doctor to teach him, which made his medical skills progress slowly.

Almost all medical students want to enter a large hospital, and there is a reason for that.

He has worked in a large hospital for more than five years and is a senior resident doctor, but his rank is displayed as a low-year resident doctor, which shows that his medical skills are much worse than imagined.

I was young and frivolous before, and I am indeed a little confident.

Prescription medicine has always been his weakness, and the efficacy of medicine mainly refers to the effect and principle of the medicine on the body.Pharmacokinetics refers to the process of drug absorption, distribution, biotransformation and excretion in the body, as well as the law of drug effect and blood drug concentration changing with time.

He understands the basic pharmacology, but he is basically blind to the advanced pharmacodynamics and pharmacokinetics.

As for the combination of drugs, I dare not even think about it.

People are killed, the clinic closes every minute, and there is no peace for the rest of my life.

He opened a clinic by himself, and the frequency of medication was extremely high. He dreamed of improving his prescription skills.

Even upgrading from entry to proficiency can significantly improve his healing level.

This can greatly improve the reputation of repeat customers and clinics, and the safety of medication will also be greatly improved.

The benefits can be described as a basket.

It's a pity that he can't improve if he wants to.

He spends part of his time reading books almost every day, but the effect is not satisfactory.

There is a big difference between theory and practice.

Patients don't get sick according to the conditions described in the book.

Diagnosis and medication must be flexible, and after comprehensive consideration, consider it carefully.

Now that such an information panel popped up suddenly, he realized that it was very likely that he was lucky enough to activate a cheat like the system.As long as you get the hang of it, it will be much easier to improve your prescription skills in the future.

He moved on to research other information.

Skills mainly refer to surgery, which is the shortcoming of most doctors.Many chief physicians can't even do simple sutures, let alone the risky laparotomy.

The training period for surgeons is usually calculated in ten years.

A talented medical student needs to study with his teacher in the operating room for more than ten years before he can achieve a little success.Only at this time can one perform operations at or below the second level alone.

Surgeons in major hospitals have always been a scarce talent because the training cycle is too long.

Talented people are even rarer.

Li Jingsheng worked in the hospital for six years, but he never dared to use a knife on a patient, not even cutting a small tumor.At most, they help patients suture small wounds and the like.

The point is that he doesn't sew well.

Almost all of the wounds he sewed up would leave unsightly scars after healing.

The only advantage is that it is cheap.

Nine out of ten people who come to the clinic for treatment are trying to get cheap.

What is life value for?

Only 13 years left to live?His nerves couldn't help but tense. Now he is not even 30 years old. Doesn't this mean that he will not live to be 50 years old?
After some exploration, he soon realized that it was just a false alarm.

Health points can be used to add to any item in levels, diagnoses, prescriptions, and skills.

After making this discovery, Li Jingsheng was excited for a while.

He wanted to improve every skill, but unfortunately his health was only 13 points. After some careful thinking, he decided to improve the two abilities of the prescription's medicinal effect and pharmacokinetics first.

The efficacy of the medicine is currently 6.4/10 for beginners, and it only needs 4 points to advance it to the proficient level.

Without hesitation, I decisively added 4 points to it.

In an instant, his health changed from 13 points to 9 points, but his medicine effect was upgraded from beginner to proficient 10.4/100.

In the past, countless night readings with lamplights could not make it advance, but at this moment, the effect of the medicine was directly promoted to the proficient level, and he experienced a pleasure that he had never had before.

At the moment when the effect of the medicine was advanced to proficiency, his brain seemed to be enlightened suddenly.

He has a new cognition and understanding of the clinical effects, side effects, and toxic reactions of many common drugs.

For example, the most commonly used penicillin, also known as penicillin, is used to kill bacteria.

The concept of its use was vague before.

Wound infection, tonsil inflammation, pneumonia, boils, etc., almost as long as it is a bacterial infection, Li Jingsheng basically uses it.

One side cures all diseases, which is actually a manifestation of poor level.

Now that the drug effect has been promoted to proficiency, his clinical use of penicillin has changed from vague to clear.

After continuous development, there are dozens of penicillins. They have different advantages and disadvantages, and their killing effects on different bacteria are also different.

For example, if a patient who has stomach pain caused by eating undercooked chicken is found to be infected with Salmonella, he will first choose mecillin or penicillin-like penicillin.

Because this type of penicillin is more resistant to enzymes, it has a good effect on certain negative bacilli, such as Escherichia coli, Klebsiella and Salmonella, but has a poor effect on Pseudomonas aeruginosa.

It may not have been possible to achieve such a precise level of medication before.

This is why some doctors have obvious effects after treating a disease, and the disease can be cured very quickly.Some doctors have unsatisfactory effects after taking medication, or their illnesses recur.

In addition to more precise medication, we also have a deeper understanding of the toxic and side effects, sequelae, and teratogenic effects of various drugs.

It is not enough to just consider the curative effect of the medicine, but also the side effects after taking the medicine.

For example, pregnant women have many drugs that cannot be taken, otherwise it may cause fetal malformation and even miscarriage.Or patients with heart stents and vascular stents need to be extra cautious when taking hemostatic drugs.

For different patients, medication has strict requirements.

After the efficacy of the medicine is promoted to the proficient level, the safety factor and therapeutic effect of the medicine given to the patient will be greatly improved.

Li Jingsheng couldn't help being very excited after experiencing the huge benefits brought by the promotion of the proficiency level of the medicine.

He has seen the light of counterattack in life.

This time, he didn't even think about it, and directly allocated 8 points of health to replace it.

Breakthrough from entry to proficiency in an instant.

Pharmacokinetic proficiency 10.3/100.

The full name of pharmacokinetics is pharmacokinetics, and its effect is not inferior to that of medicine.

After taking a drug, whether it can be absorbed by the body, its distribution in the body, biochemical transformation and excretion all belong to pharmacokinetics.In particular, the law of blood drug concentration over time is directly related to drug safety.

Accidents of death caused by transfusion in small clinics occur from time to time.

It is often caused by the doctor's poor level of pharmacokinetics and blind pursuit of curative effect.

For example, duodenal ulcer can be treated with famotidine.The dosage for an adult is 20mg*5, administered intravenously.This drug has a characteristic, the metabolism is extremely slow, and the drug effect time is extremely long.If the doctor's pharmacokinetic level is not enough, the infusion is too fast or repeated medication in a short period of time, which may cause extremely serious consequences.

For the vast majority of clinics, as long as there is an accident, it is basically over.

It is too important to improve the pharmacokinetics.

It can further improve his medication level and safety factor.

The efficacy and pharmacokinetics of many doctors in small clinics are only at the entry level.Li Jingsheng has now raised these two medical skills to the proficient level, which is a great competitive advantage.

He dared to use the medicine that others dare not use.

For the same disease, other clinics can only recover after a week of medication, but his medication may make the patient recover in three days.

And the dosage will be more precise and the cost will be lower.

Medication is also more accurate.

Health is really a good thing, he used up only 1 point in the blink of an eye.

Gotta figure out a way to make more money.

Because there are still many medical skills to be improved, especially surgical skills, even a knot can't be tied well, which greatly affects the suture effect.

"Big sister, big sister, don't go! We can infuse here, and we can give you infusion now."

Nurse Tang Ping's voice to keep the patient came to Li Jingsheng's ears, bringing him back to reality.

You can charge at least 80 yuan for one infusion for a patient, and 160 yuan for two infusions.

She obviously refused to let go easily.

Tang Ping sometimes feels anxious for her boss, her salary can't be paid, and she always thinks about patients.The key is that in the end, the patients ridiculed that the medical skills are not as good as others.

Doing business too honestly is a disadvantage.

"Really?"

The patient turned his head and looked at Tang Ping in doubt.

"Of course it's true. This is my practice certificate, issued by the competent health department, and certified by the state." Tang Ping persuaded such patients to be extremely skilled.

There is such an honest boss at the stall, no matter how tactful she is, she will have to drink the northwest wind.

"How much is your infusion here? The effect won't be worse than Kuaikang Clinic, right?"

The patient obviously believed a little, and stopped walking while holding the doorknob.

(End of this chapter)