Gou is practicing medicine in the clinic

Chapter 264: Leading a new trend in diagnosis, a rival appears?
Li Jingsheng stood up and strode towards the podium.

All eyes were on him.Everyone wants to see who the doctor is who can keep pace with Professor Wang Zhenghai.

Wang Zhenghai is an old man with severe hair loss on the top of his head, and he is a little fat.

The gold-framed glasses he wears are very interesting. They are custom-made glasses with extra-large lenses that completely cover his eyebrows and eye bags.

He probably didn't get such big lenses to cover his eyebrows, but probably to facilitate his vision.

If the lenses are too small, the vision will be affected if the glasses fall a little during surgery or operations such as tube insertion or dressing change.

From this we can see that Professor Wang Zhenghai is a very down-to-earth person.

"Are you Li Jingsheng?"

Wang Zhenghai saw Li Jingsheng being led by the host to stand next to him, side by side, and immediately understood Li Jingsheng's identity.

"Yes, I am Li Jingsheng! Hello Professor Wang, I have long admired your name."

These words are somewhat against my will.

Those who have admired a famous name for a long time and heard it like thunder are all polite words.

But speaking it out in this situation makes the other person feel comfortable.

"Haha, hello, hello! I thought you were at least a middle-aged and elderly doctor over 45 years old, but I didn't expect you to be so young. You are really scary!"

Wang Zhenghai smiled and shook hands warmly with Li Jingsheng.

"Did the young man happen to read about a similar case in a book?"

He was particularly puzzled that such a young man, no matter how good he was, would have limited experience in diagnosis and treatment.

Where did the high score of 53 come from?

The only explanation that can be thought of is that Li Jingsheng happened to read the analysis of similar cases in a book.

"No."

Li Jingsheng shook his head honestly and denied it.

"Oh - that means I happened to encounter a similar case at work!" Wang Zhenghai could only think of two possibilities.

He never thought that Li Jingsheng could diagnose it with his own ability.

Because this is too unbelievable.

"I'm going to make you laugh. Although I have rotated through several departments, I have never worked in the hematology department. I think I was able to diagnose this case by accident!"

Li Jingsheng smiled honestly.

At this time, the president of the Western Medical Association came over personally to distribute medals to them one by one.

Beautiful, tall female staff carrying plates.

"Professor Wang, congratulations!"

"Thank you, Chairman Kim!"

Wang Zhenghai received the trophy, certificate of honor, and 500 yuan cash red envelope with a faint smile on his face.

Honor is such a thing, even if you have won it many times, no one will think too much of it.

"Oh, Dr. Li is really young and promising! It's so gratifying that the Second Hospital has produced such an outstanding young doctor! Remember, young people should not be arrogant and complacent. I hope you can grow up to be our Lijiang City doctor. A new generation of famous experts.”

To be able to become the president, this eloquence is really extraordinary.

Just be nice and obedient.

"Thank you for your encouragement. I must guard against arrogance and impetuosity, and work hard."

Li Jingsheng received the gold trophy, which read the Gold Award for Diagnosis and Treatment of Blood Diseases.

It certainly doesn't feel like real gold.

I don't know if it's gilded or not.

It looks delicate and compact, and holds quite a bit of weight in your hand, with a slight pressure on your hand.

On the certificate of honor, it is written in detail which year and which competition won No.1.It is stamped with the seals of the health authorities, the judging panel, and the medical association.

The gold content is still quite high.

It is considered a provincial and municipal honorary certificate.

He took the red envelope and twisted it. It was so thin that there really were only five pieces of Mao Zedong in it.

In the past, this would have been enough to cover his income for two or three days.

Now, this bonus is really a bit disdainful.

A total of four people won the award. The winner from the People's Hospital was a female professor in her 50s.She is not tall, and her hair must have been dyed, and is even darker than that of a young woman.

short hair.

Women, even when they are 80 years old, still have a love for beauty.

Li Jingsheng did not dare to underestimate this thin female professor. Her achievements in the field of blood diseases were not much lower than Wang Zhenghai's.The scientific research results and papers are all outstanding.

The No. 3 winner is a doctor from a municipal hospital in another province. He is a tall man aged 47 or eight and looks very elegant.He also looks very handsome.

Mo Lanlan won No. 49 with 2 points.

The male doctor named Zhao Yong won No. 45 with 3 points.

It can be seen that the further down the ranking, the score almost drops off a cliff.

This exam question is indeed difficult. Points will be deducted for each additional examination, which makes all doctors who are used to extravagance and waste feel extremely uncomfortable.

The total score is only 55 points, which also includes 5 extra points that can be obtained if each step of the diagnosis is in the correct direction.

If you want to get more than 50 points, it is hard to reach the sky.

Moranlan scored 49 points, which is already a very high score.

That is to say, there happened to be two 53 points, which suppressed her.

Even No. 3’s score of 45 is still a very dazzling high score.

Just like participating in a Mathematical Olympiad competition, scoring [-] or [-] points may be considered a high score.Many people score in the teens, [-]s, or even zero.

"Dear President Kim, can you make a small request?"

After receiving the award, Dr. Zhao Yong, No. 3, asked Chairman Kim.

"Please tell me! If I can do it without breaking the rules of the game, I will try my best to meet your request."

President Jin didn’t know what this person wanted to do.

His answer was watertight.

"I want to see the answers of the two No. 1s and take this opportunity to learn from them. To be honest, they were able to get a super high score of 53 points, which really shocked me and gave me an insight into blood diseases. A true leader in the field.”

Zhao Yong sincerely requested.

"Haha, this request can completely satisfy you. The purpose of holding this skills competition is to improve everyone's diagnosis and treatment level, so that new technologies and new knowledge can be exchanged and spread."

Chairman Jin smiled and readily agreed.

He gestured to the backstage, and their answers appeared on the big screen at the same time.

Inspections including those applied by two people are displayed together.

Interestingly, Li Jingsheng’s and Wang Zhenghai’s inspection applications were exactly the same.

They all applied for routine blood tests first, and then applied for blood gas analysis tests.

The answers vary somewhat, and the final diagnoses are relatively similar.

Professor Wang Zhenghai’s diagnostic idea is that considering that the patient’s white blood cells are significantly elevated, neutrophils are significantly elevated, and platelets are slightly lower than normal, coupled with the patient’s headache, upper respiratory tract infection and other symptoms, drug suppression, Drug allergy and other reasons lead to low platelets.At the same time, the patient has periumbilical tenderness without muscle tension or rebound tenderness, which can preliminarily rule out abdominal infection.
Being able to directly rule out platelet lowering caused by drug inhibition and allergies through those data and the patient's symptoms requires extremely rich experience in this type of diagnosis.

Li Jingsheng was not as experienced as Wang Zhenghai, so he took many detours.

Finally, the diagnostic thinking was changed, and the real cause was slowly identified.

It can only be said that rats have their own ways, and snakes have their own ways.

Although there is a gap in diagnosis and treatment experience between the two, Li Jingsheng has the advantages of multi-field diagnosis and flexible thinking.

In the end, different paths lead to different places.

As for the final diagnosis, the two basically agreed.

They all believe that the onset is sudden and the progress is rapid, and it is an emergency.In addition, when applying for blood gas analysis, the patient's platelets dropped by more than half in a short period of time, and it was ultimately determined that the patient had the highest possibility of meningeal infection.

The answer written by Wang Zhenghai is more precise. The initial diagnosis is fulminant cerebrospinal meningitis, and it is recommended to collect spinal fluid for testing after first aid.

In doing so, he actually took advantage of a small loophole.

There is no actual application for lumbar puncture and spinal fluid testing, it is just a suggestion.

Although Li Jingsheng's diagnosis is a bit earthy, it is more down-to-earth.

And the inferred answer is more stable.

According to Li Jingsheng's idea, the diagnosis can be basically confirmed without extracting spinal fluid.

However, Professor Wang Zhenghai's thinking is completely dominated by experience.Take advantage of everything.

"Dr. Li's diagnostic ideas put Wang to shame!"

After Professor Wang read the answer, his attitude towards Li Jingsheng changed obviously.

At first, I thought that Li Jingsheng happened to have read about similar cases in books, or saw that other superior doctors had diagnosed and treated similar cases.It wasn't until after reading Li Jingsheng's answer that he realized that this young man had come up with an answer based on his extensive medical knowledge and flexible diagnostic thinking, comprehending by analogy, and making a comprehensive diagnosis from multiple directions.

He didn't even dare to think about this kind of diagnostic method.

Based on his knowledge of other experts in the field of blood diseases, he is certain that Li Jingsheng is the only one in the entire Lijiang City, and possibly the entire country, who diagnoses diseases in this way.The taste becomes the style when it is put on the pen.

This is a diagnostic style that is unique to the young doctor in front of me. I am afraid that few people in the world can imitate it.

"You are exaggerating! I just hit it by mistake!"

With Li Jingsheng's modesty at the moment, how could Wang Zhenghai believe his lies.

He was sure that this kid definitely had real skills.

"This is the first time that Professor Wang has said that he is ashamed of himself to a strange doctor! I don't understand the diagnosis of blood diseases, and I can only slightly see that Dr. Li's diagnosis seems to be very stable. He really has what you said. Is it that powerful?"

President Jin asked with interest.

"Wang never flatters others when he speaks. Chairman Jin should be aware of this. This young man Li Jingsheng is not simple! But Wang looks at the sky from a well and underestimates the doctors in the world. I have to judge his diagnostic answers. , just four words, a winding path leads to a quiet place."

Wang Zhenghai sighed.

Dr. Zhao Yong looked at the two people's answers seriously, sometimes showing a thoughtful expression.

The most important thing in learning is thinking.

"The four words "winding paths lead to seclusion" are really insightful! After reading Dr. Li's diagnostic ideas and answers, I can only think of one sentence: The waves behind the Yangtze River push the waves ahead, and the waves in front die on the beach. It is us, the older generation, who lead the way. It was too narrow, too rigid, and lost innovation. His diagnostic ideas and answers showed me a completely different direction of medicine that keeps pace with the times.

In the future, with the popularization of AI applications, I think his diagnostic method will definitely shine, and we, the older generation, will go to the dark side, step by step, and each will win half of the country.

It is even unknown that our textbook-style diagnosis will gradually be eliminated. "

Professor Mo Lanlan gave a higher evaluation.

It actually pushed Li Jingsheng to a point where he was leading a new trend and a new diagnostic trend.

"Ahem...please, seniors, please show your respect and stop flattering me to kill me! It's important to save your life, I'll run away first!"

Li Jingsheng's words made several people smile.

This young man has no stage fright at all, he is humorous, and he was extremely humble even though he won No.1.

"interesting!"

Chairman Jin looked at the back of Li Jingsheng leaving and smiled.

In the audience, the doctors from the People's Hospital and the First Hospital who knew Li Jingsheng all got to know him again.

Only Director Lian Tao felt that it was no surprise that Li Jingsheng could get the first place.

Because he has learned how powerful Li Jingsheng is many times.

The doctors at the Second Hospital were treated like a hero when they saw Li Jingsheng return.

They all looked at him with goodwill, and some of those who knew him even congratulated him one after another.

"I'm really surprised that your kid can even diagnose blood diseases! I always thought you were just a dabbler in running a clinic."

Doctor Xu curled his lips and said with a smile.

"Hey, there are still many things you don't know!"

Li Jingsheng and Dr. Xu rarely discuss personal matters.

Even if we really want to talk about it, it is still a very important matter. Ask Dr. Xu for his opinion.

"show off!"

Doctor Xu glared at him angrily.

He must be very happy to see his apprentice perform so well.

The awards were quickly completed and the second round of competition began.

"The first round of competition made everyone familiar with the rules of the competition. All our competitions this year will touch on the pain points and bad points that doctors usually have. Strict levels are specially set up in these places, and points will be deducted if they fail. For example, in the second round Every opportunity to apply for a round of examinations is extremely precious. In recent years, more and more patients have reported that our doctors prescribe random examinations and over-examine them.

This trend is very bad.

It not only harms the interests of patients, but also seriously wastes precious medical resources.This unhealthy trend should sound the alarm in time and put a stop to it. "

The host's hosting skills are quite good.

One man and one woman, they cooperated to host the ceremony.

The atmosphere of the entire stadium is closely related to the theme of improving medical standards and correcting unhealthy trends in medical care.

Very positive energy.

An event like this with official participation and hosting must promote positive energy.

There were reporters from multiple media and TV stations conducting interviews and even live broadcasting.

These three days were destined to be the three days when Li Jingsheng, the dark horse, was born out of nowhere, and the dragon soared to the sky.

Opportunities are reserved for those who are prepared.

He has been studying crazily for the past few months, working hard to improve various medical skills, and now he can shine on this big stage with his own brilliance.

"Now let's start the second competition event, manual bone setting! This time it is practiced on patients, so there are certain thresholds for participation. Please act according to your ability."

As soon as the host finished speaking, a total of five androids were carried onto the stage.

"All contestants must meet two conditions. First, they must be recommended by their workplace and submit an application for manual bone setting to our organizing committee in advance. Second, they must go on stage to help one of the five bionic people complete a manual surgery. Bone-setting operations.”

Clinical practice is very strictly controlled in the country.

It is absolutely not allowed for unqualified doctors to touch or even operate on patients.

"Teacher, shall we go on stage now?"

Li Jingsheng asked Dr. Xu for his opinion.

"What's the rush? It won't be too late for us to go up after they finish the operation. There's no need to crowd in and join in the fun."

Dr. Xu has a royal demeanor.

He also has strong confidence in his own bone-setting techniques.

I saw the contestants taking the stage one by one for the test, and the bionic man would automatically score points.

Those players who walked down the stage with their heads down must have failed in their performance and were directly eliminated.

Fortunately, it was a bionic person. If it were a real person, wouldn't that patient suffer from blood misfortune for eight lifetimes?
The fact that the hospital dared to invite doctors to participate in the competition shows that the recommended doctors must have a certain level of skill in bone setting.

But now among the ten contestants on stage, at least four have been eliminated.

It shows that the first round of screening is very strict.

Think about it.

If you don’t screen out those with unqualified skills in the first round of the preliminary examination, but in the second round, if you practice it on real people, who will be responsible if there is an accident?
Safety must be strictly controlled.

If an accident does occur, the game may be stopped on the spot.

The current domestic medical regulations are that the patient's life safety is above all else.

Doctor Xu looked at the stage, his eyes narrowed slightly, and his face became very ugly.Even his eyes gradually became fierce and full of hatred.

Li Jingsheng had never seen this kind of look from Dr. Xu.

This is the first time.

Dr. Xu's body began to tremble, and his hands began to tremble most violently.

He clenched his fists tightly, and his face turned red little by little, then turned blue.

"Teacher, are you alright?"

Li Jingsheng asked with concern.

Dr. Xu turned a deaf ear and just stared at the stage.

Li Jingsheng followed his gaze and looked towards the stage. There were many players still queuing up to wait for operations.

More than 3000 people participated in the competition, and there were many more players who used bone-setting techniques than expected.

There were at least six or seventy people.

These are bone-setting masters from both inside and outside the province. They want to take this opportunity to show off their faces and become famous.After returning home, there will naturally be a steady stream of patients coming to our door.

After all, everything adults do is for profit.

After repeated confirmations, Li Jingsheng discovered that the person Dr. Xu was staring at was a 47-year-old man.

Tall, with prominent cheekbones.

The arms feel very long and the hands are extremely large.

Wearing a small braid similar to a ponytail.

I can't see the exact facial expression, but I just feel that this person's movements show strong confidence.

Soon it was the turn of the middle-aged man to set the bone of the bionic man.

With a relaxed look on his face, he casually touched the body of an android, then squeezed and twisted the end of the android's neck, and backed away confidently.Look at the staff responsible for statistics.

The staff member nodded, and the middle-aged man walked off the stage with a smile and returned to his seat.

"Jiupeng International Hospital?"

Li Jingsheng discovered that the area where the man returned was Jiupeng International Hospital.

This is an urban hospital that was established just over a year ago. I heard it is located in the Lijiang High-tech Development Zone.It focuses on international high-end routes. The nurses there give priority to hiring foreign nurses, and the cleaning ladies are all Filipino maids.

The service provided is top notch.

(End of this chapter)