Gou is practicing medicine in the clinic

Chapter 220 A Wooden Skeleton, Not Burning During the Day and Burning at Night
Sometimes the chief physician and deputy chief physician cannot be deified too much. They have rich experience in diagnosis and treatment, outstanding achievements in papers, and may be quite advanced in the field of diagnosis and treatment they are good at.

But when encountering some confusing illnesses, they also scratch their hair.

Some causes seem clear, but after treatment, it is found that there is no effect.At this time, even fools know that it is a misdiagnosis.

This is what directors are most afraid of.

It looks like a simple disease, but it doesn't work with any means of treatment.

For example, the baby with diarrhea who was allergic to milk protein diagnosed by Li Jingsheng last time caused many doctors to scratch their heads.

It was obviously just a simple symptom of diarrhea, but the more it was treated, the worse it became, and various complications sprung up like mushrooms after rain.

Can the doctor not have a headache?
The case that Director Hua called him this time for consultation in the past is, in all likelihood, the surgery patient who entered the palace for the second time.

The so-called second uterus means that the effect of the first operation is not good, or there is too much blood drained after the operation, and there are many complications, etc., all of which require a second operation in time.

Slap in the face is for sure.

No doctor is willing to have a second visit to the palace for a patient who has completed the operation by himself.

But if you do come across it, you have to enter as you should.

It is impossible to disregard the patient's life 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 who hadn't seen him very much. Her long hair almost covered her ears.

Aged in his early 40s.

"Dr. Li is here! Hu Jia, let me introduce you two. He is Dr. Li Jingsheng, newly recruited by our Orthopedic Surgery Department. He will be promoted to be the attending doctor immediately, and he can already hold up half the sky in the manual reduction clinic."

When Director Hua saw Li Jingsheng coming in, he immediately introduced them with a smile.

"Dr. Li, this is one of the best young doctors in our orthopedic surgery department. Hu Jia, the deputy chief physician, is good at diagnosis and treatment in the field of spine. I went to the People's Hospital for further training a while ago, and I just came back the day before yesterday."

Generally, only 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 a strong background in the health authority, so that it can cooperate with the people's hospital.Send some excellent doctors from the hospital to study there.

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 your strength to win its approval.

The Second Hospital is not even considered the top three, and it is probably still far from being recognized by Qiaobang Hospital.

Not to mention it, even Big Brother No. [-] Hospital is still far behind.

The No. [-] hospital in Jiangli City is basically in decline, and its strength continues to decline.The number of outpatient and emergency departments is shrinking, and the number of medical personnel is constantly leaving.

There are only two kinds of people who dare to resign or change jobs, either they are of poor level and have no future.Either the level is high, but you can't get the opportunity to rise, and you want to develop better.

After contacting the way out, he jumped directly to the compound.

There are not only such talents, but there are many.

Those hospitals that are going downhill will lose the top talents of the hospital every year.

Hu Jia can be sent to the People's Hospital for advanced studies, and his strength is definitely not bad.

"Hello, Director Hu! I've heard of you for a long time!"

Li Jingsheng praised the other party politely.

It's all quack talk.

He had basically never heard of the chief physician's name before, and he had only seen it on the doctor's introduction column on the wall.

"It's a pleasure to meet you! I have 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 that your ability must be extremely 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 pretensions.

He took the initiative to stand up and shook hands with Li Jingsheng enthusiastically.

It's not the perfunctory kind, but it's not letting go, but shaking vigorously.

Hand strength is also great.

"As long as Director Hu needs it, I will be there whenever conditions permit."

When Li Jingsheng encountered such a sincere superior doctor, he also treated him sincerely and responded enthusiastically.

"What is conditional permission?"

Hu Jia looked puzzled.

"Dr. Li runs a private clinic and is usually very busy. He only works in our hospital three days a week. He should mean that as long as he has time, he is willing to cooperate with you at any time."

Director Hua explained next to him.

"So that's how it is! I only work three days a week, I'm so envious!"

Hu Jia nodded understandingly.

Hearing that Li Jingsheng only worked 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 take care of the patients?" Director Hua quickly stopped his thoughts.

As the director of the department, I definitely hope that the more people who work, the better.

In particular, some top doctors in the department can hold up a small world and are the backbone of the department.

As for doing miscellaneous and basic tasks, there is no shortage of doctors.

Any regular trainee or intern can become proficient after a period of training.

"Let's hurry up and discuss the case! Dr. Li can look at the patient's medical record, examination report and other information."

Director Hua quickly changed the subject.

Of the five senior doctors present, the lowest was the deputy chief physician, and 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 checked it carefully. The patient is not too old, only in his 30s, which is the golden stage of making money in life.

Nowadays, because of high housing prices, high betrothal gifts, and few girls, male compatriots generally do not get married until they are 30 years old.

There are even later marriages.

This male patient underwent spinal canal repair surgery in the Department of Orthopedics of the Second Hospital three months ago.

At that time, Hu Jia was in charge, and Director Hua himself was in charge.

The difficulty of surgery is relatively high, but not very complicated.But now, three months after the operation, the patient is still paralyzed and suffers from unbearable pain in the lumbar spine.

I came to review twice and couldn't find the problem.

"Do you think this patient is strange? The spinal canal was injured three months ago. Judging from the pictures taken after the operation, it has obviously healed. There is no deformation or protrusion of the spine. The neurological examination did not find out Problem. Our orthopedic surgeon checked the X-ray and CT, and found no problem. But the patient complained of low back pain and couldn’t stand up.”

It was also the first time for Hu Jia to encounter such a thing.

"Damn it, isn't this person deliberately blackmailing our hospital?"

Zhong Hu's temper is not very good.

Tempered and anxious.

The spine must be very complicated, but now the bones have been healed and there is no problem.

The neurosurgery also checked, and the nerves are also fine.

Where is the problem?
"This possibility is not ruled out, but the probability is very small. The patient also went to the Qiaobang Hospital to register for an expert number and had an examination, but no problem was found."

Director Hua denied Zhong Hu's idea.

"Hey, do you think the blood vessels are compressed?"

"This has been investigated, and no obvious problems have been found. And even if the blood vessels are compressed, there will be no pain, symptoms of being unable to stand and walk. It can only be said that there are still too many difficulties in medicine that have not been broken by us humans."

Director Hua shook his head and sighed.

There are too many medical problems and doubts that have not been broken.

Faced with many problems, doctors are helpless.

Li Jingsheng checked the patient's information 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 frowned slightly, his orthopedic surgery diagnosis is currently at the Xiaocheng level.

If only this one diagnostic ability, it is difficult to gain something in diagnosing this case.

Because the vertebral radiographs taken were normal and no abnormalities were found.

His immunological diagnosis is currently at the entry level, and he has certain diagnostic capabilities, but the level is not high.

The patient's leukocyte elevation caught his attention.

"This has also been checked, and no problems have been found. The possibility of aseptic inflammation in the vertebrae can basically be ruled out."

When Director Hu Jia came back, he met a patient who was 'returned to the factory' with a big head.

The key is to check and find no problem.

"Do a puncture and take the spinal cord for examination?"

When Li Jingsheng diagnoses difficult diseases, he often compares axes.

After identifying a direction, he will continue to investigate if it is not ruled out.

"I also checked, and found no obvious problems."

Hu Jia shook his head again.

They have checked everything that Li Jingsheng could think of.

"The medical records describe that the patient was injured in a car accident three months ago, bruised his back and spine, and had obvious trauma and bleeding..." Li Jingsheng seemed to have found a clue from this, but he couldn't grasp it.

"I'll go to the ward to check on the patient's condition first!"

Li Jingsheng greeted them, got up and walked outside.

"53 beds, temporary beds, just in the corridor."

"Ok."

He came to the corridor outside the ward and saw the male patient lying on the bed at a glance.

The complexion is dark yellow, the whole person presents a sick appearance, and the mental state is not very good.

A woman in her 50s was at the bedside.

Her hair was a little disheveled, her face was haggard, the wrinkles on her forehead were extremely deep, and she was also frowning.

"Hello, I'm Li Jingsheng, a doctor of orthopedic surgery. I'm here to understand your situation."

Li Jingsheng greeted the patients.

"Ok!"

The patient's mood is not high.

It may be that Li Jingsheng is very young, and his illness has not been cured for a long time, so he feels depressed.Even disheartened.

"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 swears or beats others, he can communicate patiently.

There is no way, as clinical practitioners have to endure unimaginable hardships.

Medical students who can persevere in regular training are basically those who really love this profession.

Otherwise, it would be unbearable for ordinary people to work continuously for 36 hours during the regular training stage.

He still remembers working the day shift for twelve hours and then being asked to work the night shift.On the second day, I have to participate in the exchange organized by the tutor, and I must prepare the PPT speech.

Staying in the duty room, patients kept calling, and the nurse could only call him to deal with it.

After working until three o'clock in the middle of the night, the patient rested, and he 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 it was done, it was almost six o'clock in the morning.

Thinking about squatting on the table for a while.

As a result, I was woken up again after less than half an hour of sleep.

One patient had a seizure, and he had to rush over to deal with it.

The patient almost bit his finger.

Later, at about eight o'clock, the shift was handed over, and after breakfast, I was called by the instructor to discuss two classic cases together.

At that time, he was really sleepy, but he didn't dare to doze off.

Later, because of his poor condition, he was criticized by his instructor.

That was his most broken time.

It is also the first time that I feel that the work of a doctor is really not something ordinary people can bear.

From working the day shift yesterday to being called over to discuss together in the morning, I have been working for 24 hours.

Poor performance during discussions and being criticized.

Then I have to grit my teeth and persist, and go to another [-]-hour day shift.

Only at noon time I squinted for more than an hour.

That was his first 36-hour shift.

I just feel that doctors are too tired, and the wages of regular training are still low.There is only a basic salary of [-], and there is nothing more.

There is no such thing as regular training for performance commissions.

At that time, the department where he stayed was very dark. He remembered that the overtime allowance and the bonus for writing medical records were all hacked a lot.

I dare not ask.

It's useless to ask.

Then, slowly, I got used to it.

A lot of things are like this, just get over it.

Therefore, facing this patient with a somewhat indifferent attitude, he would not be angry at all.Instead, patiently ask about the patient's condition.

"At that time, I was riding a three-wheeled motorcycle to deliver goods, and collided with a car coming from the opposite side. Then I rolled from the road into a ditch on the side of the road. The water in it was smelly and black, but my back I was injured and couldn’t move. The driver behind the accident called the police. The ambulance arrived after a long time and carried me to the hospital. When they carried me, they all looked disgusted.

The most annoyed thing is the delineation of traffic responsibilities, who actually think that I bear the main responsibility..."

Seeing that Li Jingsheng was waiting for his answer, the man finally opened up the conversation.

Speaking of the injury, he seemed very angry.

Li Jingsheng is not interested in the division of traffic responsibilities.

Many people who ride electric bicycles and tricycles, because they have not passed the driver's license test, are not afraid of penalty points and fines, so they can ride whatever they want.

In the end, there was an accident, and the other party was blamed for driving indiscriminately.

"You are mainly feeling low back pain now, and you can't stand on your legs or walk, right?"

Li Jingsheng decided to touch the man with the bone touch technique.

"Yes! Don't talk about standing, I can't even sit."

the man replied.

"Let me check the previously injured vertebrae for you."

After obtaining the man's consent, Li Jingsheng put the man's body on his side and touched his bones.

The patient's family members helped to support the patient's body.

"Doctor, please speak more kind words to your director. My son is in a car accident now, his illness has not been cured, and his girlfriend has left. He committed suicide several times."

The patient's mother burst into tears as she spoke.

In the face of the disease, human beings are extremely weak.

"Why are you telling the doctor these things?"

The patient scolded the mother in a rough tone.

He may feel that these words have hurt his self-esteem, so he is a little annoyed.

"If you don't respond to the doctor if you have any problems, they will leave you here. You are already like this, what else is there to say?"

The mother scolded her son in turn.

When this kind of thing happens in a family, it is easy to complain and quarrel with each other.

Li Jingsheng didn't interrupt, but felt the patient's bones seriously.

Dacheng level bone touching technique is very clever.

Can clearly feel the hardness, temperature, presence or absence of lesions of the bones through the skin.

In particular, Li Jingsheng feels the bones of patients every day in the outpatient clinic, and is extremely sensitive to the subtle bones of various patients.He can easily distinguish some small differences.

Just like the boss who often does gold business, if you touch it in your hand and weigh it, you can basically determine whether it is true or false.

Because the real gold's feel, weight and other data are all engraved in their minds.

"Why does the patient's vertebrae feel wrong?"

He has seen the film many times without any problems.

However, the patient's vertebrae felt a bit 'wooden' to the touch, so I couldn't tell.

This kind of skeleton has never been encountered before.

"Doctor, report to your director, what's the matter with my son's fever at night?"

The patient's mother said to Li Jingsheng.

"Did he have a fever at night?"

Li Jingsheng touched the patient's vertebrae, and then touched the patient's wrist and phalanx. The bones were normal.

Only one segment of the vertebrae felt more 'wooden' to the touch.

"I feel a little fever, ask your nurses to measure it, but they ignore me."

The family members are a little aggrieved.

It is impossible for the nurse to ignore it under normal circumstances.The family members may have quarreled with the nurse and said harsh words.

Everyone is human, and nurses feel that family members and patients have too many things to do, and there is indeed a possibility of perfunctory.

They are very busy themselves, so it is impossible for them to make patients feel at home like waiters.

At least regular hospitals do not have this kind of service concept.

Some family members and patients like to use nurses as waiters, which is really a big mistake.

Give them some respect and respect and they will be very conscientious.

They will try their best to meet the reasonable demands made by patients.

If you ask a nurse girl to help you beat your legs, squeeze your shoulders, or do other nursing care, you can imagine it, how can they agree?

"I'll borrow a thermometer and take his temperature. Did you admit him to the hospital yesterday?"

"Yes, we came here yesterday morning, and we were not allowed to live in until after four o'clock in the afternoon. They said there were no beds, but there were still beds! I know, you must be afraid that we will cause trouble, so you deliberately said that there are no beds."

This woman is indeed a bit difficult to deal with.

It's a bit speechless to say a few more words.

Naturally, Li Jingsheng would not argue with her, there was no need for this.

If he argues with her and annoys her, and makes a complaint back, Li Jingsheng will be in trouble.

Family members, patients, and doctors and nurses who encounter such incidents often choose to avoid pitfalls.

Everyone is paid wages, and there is no need to get into trouble for such a patient.

Li Jingsheng came to the nurse's station, "Teacher Tang, borrow your thermometer!"

Out of respect, doctors usually call nurses by Teacher XX, or by their names.

But you can't call her Nurse Tang or something like that, it's easy to make mistakes, and you'll be unhappy when you hear it.

(End of this chapter)