Gou is practicing medicine in the clinic

Chapter 20 Introduction to Cardiovascular Medicine
"What's your point of view? Small clinics have rules, okay? You can't kill them all! This patient came to my clinic and said she might have a cold and asked for an infusion. I found out that she might have a heart attack, and It wasn’t a cold, so she refused to give her an infusion. Then she left angrily, walked a few steps, and suddenly fell to the ground after a heart attack. I immediately rescued her and called 120. Where did I go wrong?”

Li Jingsheng saw that there were already many doctors and nurses on night shifts and the family members of patients watching, so he had to explain clearly.

"Then why didn't you tell me earlier?"

Even if the nurses quarreled unreasonably, they won't lose, and their mouths are harder than needles.

"You didn't even ask! I understand the rules of first aid. If there is no family member present, your hospital can settle the arrears for the patient first. You save people first, and I will help you find a way to contact the family members."

Li Jingsheng turned against the customer and proposed a solution.

The superior stipulates that the hospital needs to save the patient first before charging when it encounters a critically ill patient.

This is also the reverence for life.

"Sister Mei, let's settle the arrears for this patient first! I will ask the department leader to sign for approval later."

After the nurse finished talking to the staff at the window, she said to Li Jingsheng, "Then can you please follow me over there to register the situation?"

After she learned that the patient was not an accident during Li Jingsheng's diagnosis and treatment, her attitude towards Li Jingsheng became more polite.

I had a verbal battle with Li Jingsheng just now, and I also saw that Li Jingsheng was not easy to handle.

No matter how polite she is, if Li Jingsheng doesn't cooperate with her work, she will really be dumbfounded.

"can!"

Li Jingsheng nodded in agreement.

When a three-no patient sees a doctor, the doctors and nurses in the emergency department should carefully ask and record the basic situation of the patient, including the scene of the onset, the condition at the time, and even the patient's body position, so as to provide the most accurate basis for diagnosis and treatment.

But the doctors and nurses following the car never asked these questions from the beginning to the end.

I didn't even talk to Li Jingsheng much, so I preconceived that something happened to the patient during the treatment in Li Jingsheng's clinic.

This is already their failure.

So this fierce nurse girl couldn't be more fierce.

He brought Li Jingsheng to the triage table at the nurse's station, asked Li Jingsheng to sit down, and poured him another glass of water.The polite attitude is like two different people.

Adults are just that realistic.

If the patient had a medical accident in Li Jingsheng's clinic, then Li Jingsheng must be begging them to rescue the patient.

The current situation is that Li Jingsheng has no responsibility, so she begged Li Jingsheng to cooperate with her work.

"Please fill in this form with your name, work unit, home address, and contact number."

She handed Li Jingsheng a registration form.

After filling it out, she glanced at it.

"Mr. Li, can you get through the phone number you left at any time?"

"can."

"Do you know this patient? Do you know her home address and other information?"

"The patient said that she lived in the unit dormitory of the old textile factory. I guess she should be a retired employee of the textile factory. You can follow this clue to check."

"Okay, thank you for your cooperation. If there is nothing else, you can go home."

The medical staff in the emergency room found an ID card, mobile phone, and change on the patient.

Fortunately, the mobile phone used by the elderly is an elderly machine and is not locked.

After long pressing the left function key to unlock, the nurse looks for the phone number of the relative and starts calling.

Li Jingsheng heaved a sigh of relief. After contacting the family members, he let the family members worry about the patient.He has to go back to the clinic to make a copy of the surveillance video, otherwise, if he encounters a blackmailing old lady, he will not be able to speak clearly with ten mouths.

Now when everyone sees the old man fell down on the street, no one dares to help them, and they all walk around.

It's not that people are indifferent, but that everyone is blackmailed.

It is now 46:[-] in the evening, and the bus is long gone.Li Jingsheng used to travel by motorcycle, but now he can only take a taxi to go home.

There were three or four waiting taxis parked at the entrance of the hospital.

He walked over to ask the price and clicked his tongue.

It's only about three kilometers away, and the asking price is 50 yuan, without a watch, it's really dark.

Under normal circumstances, it is about 8 yuan.

Now that money is tight, he is reluctant to spend such an unjust sum of money.

Right when the exercise is good, walk home.

Walking on the empty and deserted street, the night wind was blowing, and many shops on both sides of the street were closed.Only a handful of shops are still open for business, and these owners are really hardworking.

Touching the scene, Li Jingsheng couldn't help thinking about the fate of his clinic.

The big talk had already been released, and Tang Ping was promised the position of head nurse in the future, even though she took it as a joke and didn't take it seriously.Li Jingsheng never spoke empty words.

He is a man of his word.

"When diagnosing that old lady, it seems that I learned a lot of new medical knowledge. I wonder if there are any new changes in the attribute panel?"

He instinctively checked the properties panel with his mind.

Li Jingsheng

Grade: junior resident physician 289.5/500
诊断：呼吸内科熟练72.4/100，胃肠内科入门9.7/10，普外科入门0.1/10，心血管内科入门0.1/10
Prescription: proficiency in efficacy 10.6/100, proficiency in drug generation 10.4/100
技能：间断缝合熟练47.1/100，连续缝合熟练21.8/100，垂直褥式缝合熟练10.7/100，压迫止血入门6.7/10，结扎止血入门8.6/10，包扎熟练31.2/100，方结熟练10.3/100，滑结入门5.6/10，体表清创术入门0.1/10
Talent: none
Health: 112
After checking, he was terrified.

Are you right?

The proficiency of respiratory medicine diagnosis increased by 1 point, from 71.4 to 72.4.

This is understandable.

After all, the diagnosis of the old lady's condition was very difficult, which greatly improved Li Jingsheng's experience in respiratory medicine diagnosis.

In addition, there is an additional diagnostic medical skill in cardiovascular medicine.

Even though it was only an entry level, he was still very pleasantly surprised.

Cardiovascular medicine is an important department in any big hospital, with high status, high income, and easy academic achievements. There are bonuses for deputy high and senior professional titles, and the probability of re-employment is extremely high when you get old, and your status will not decrease.

These attractive advantages make countless top medical students want to enter this department.

It's a pity that the entry threshold for this department is extremely high.

If you want to improve the diagnosis of cardiovascular medicine to a very high level, you need experience. Many experts say that it is several times more difficult than studying for a Ph.D.

Of course, many medical students can achieve it through hard work if they only reach the entry level.

Li Jingsheng also wanted to join this department, but the deputy chief physician gave him a six-word evaluation.

I don't know how high the sky is.

Indeed, this was the evaluation given by the deputy chief physician at that time after learning about his situation.

No face left.

That time hit Li Jingsheng very hard.

Later, I devoted all my energy and thoughts to the Department of Respiratory Medicine, and finally got in.

Respiratory medicine is a medical discipline that is easy to learn but difficult to master.

It is much lower than the threshold of cardiovascular medicine. As long as you work hard, understand the knowledge points you need to learn, and memorize what you need to remember, it is not difficult to get started.

It's just that because of the large number of people in this department, the competition is actually more intense than that of cardiovascular medicine.

Its fierce competition is mainly reflected after getting started, and every level is a hurdle.

Cardiovascular medicine is difficult to get started, and even harder to upgrade.

Many people should have heard the saying that persuading people to study medicine is like a thunderbolt.

Doctors have a high social status, their income is stable and not low, and their work is not particularly tiring.

These are just appearances.

If you can achieve great medical skills, you will naturally have everything, a good life, and a good career.

But there are so many medical students who were forced to change their careers, I don't know how many.

A lot of people were killed when they took the exam for a medical license.

Li Jingsheng already had a certain foundation in cardiovascular medicine. This time he gave the old lady a diagnosis, whether it was the initial diagnosis or the diagnosis after the accident, he was forced out of his potential.

Only in one fell swoop did his cardiovascular medical diagnosis reach the entry level.

For him, this is definitely a big surprise.Because he can directly improve this medical skill with his life value, there is no 'hurdle' that other doctors need to go through.

(End of this chapter)