Gou is practicing medicine in the clinic

Chapter 318: All his skills are forced out of him, a young man who doesn’t know how high the sky is and how high he is

When doctors are asked this by patients, they basically don’t answer directly.

No one can beat this guarantee.

But doctors rely on experience and know that tumors take time to grow.It is actually very reliable to ask patients to review once every six months.

Just conclude that it will not grow.

Then there is no need for surgery.

And even if it does grow up, it won't grow particularly big in half a year.Under normal circumstances, it will not grow from the size of a sesame seed to the size of a fist.

If you really find that it has grown from the size of a sesame seed to a centimeter in diameter within half a year, it is not too late to cut it.

In fact, many imaging examinations cannot detect tumors below 5 mm.

Clinically, tumors below 1cm are regarded as microtumors.

The doctor will conduct a comprehensive assessment and, if the risk is deemed to be low, the patient may be advised not to undergo surgery.

Because all surgeries have risks.

And some surgeries are particularly risky.

There is also a characteristic of tumors. The more it is stimulated, the more likely it is to grow rapidly.

Even for some patients, it may not be a big deal without surgery.But after the operation, it may get worse, and it may not work for a few months, or even half a year.There are many real cases like this.

In the operating room, the operation was going on nervously.

"Xiao Li, why did you determine that it is likely to be a benign tumor based on just a chest X-ray?"

Director Zhang asked curiously.

"A comprehensive diagnosis made from many aspects! For example, the clear boundary, the size and shape of the tumor, the patient's symptoms, the patient's medical history, age, work content, living environment, etc., make a comprehensive diagnosis .In the entire diagnostic process, chest X-ray is actually only a small part of the diagnostic basis."

Li Jingsheng did not shy away from sharing his diagnosis method.

"This kind of diagnostic ability is worth learning from all of you. Lao He, including Lao He, lacks this kind of comprehensive diagnostic awareness. Lao He may have a little such awareness, but the sensitivity is far from enough."

Director Zhang works hard to help his doctors improve.

They are extremely lucky to have such a good department director.He is both a teacher and a friend. He not only guides their treatment ideas, but also enables his doctors to develop good habits of long-term consideration for patients.

And when you find a doctor who has very good highlights, you will be called upon to learn from him.

This kind of department director is definitely a good teacher and helpful friend.

"I'm very curious. Dr. Li is a doctor in the Orthopedic Surgery Manual Reduction Clinic. How does he have such excellent comprehensive diagnostic capabilities? Can you tell me a little bit about it?"

The instrument nurse glanced at him with her bright eyes.

Soon he kept an eye on the patient's wounds and closely cooperated with Director Zhang's surgical work.

"It is not difficult to develop this kind of comprehensive diagnostic ability. As long as you can carefully understand all aspects of information and examination reports every time you see a patient, then use your own thinking to make a diagnosis, and finally compare it with the correct diagnosis conclusion. It will take a little longer. , you can have comprehensive diagnostic awareness.”

Dr. He shared his own growth experience.

"Just how to improve the sensitivity of diagnosis, such as determining whether the tumor is malignant or benign, does it need to be treated immediately? Does the patient have other potential risks? What is the general direction of the prognosis? I think these are the most difficult."

The other doctors listened carefully.

Doctors in the same department communicate most with case studies. Most people cherish this method of improving diagnostic awareness and sensitivity.

"To put it bluntly, it's actually very simple. I am a clinic owner, and I don't dare to be careless in every patient I treat. Because as long as I overturn once, my clinic may be over. The cost is too high, so I will try it once. There is no opportunity for mistakes, which finally forces me to improve my diagnostic sensitivity. From the moment a patient walks in, I may have already started to make some judgments about him."

Li Jingsheng believes that any doctor can become sharper than a beast under that kind of strong pressure.

"I used to look down on clinic doctors, but I didn't expect the experts to be among the people!"

"My ability is nothing at all. There is a clinic on that street that has been open for more than 20 years. The boss is the real master! As for his ability to treat diseases, I think he is just like that. But a patient Whether it can be cured or whether something will happen, he can make the correct judgment every time. It's really incredible."

Li Jingsheng is talking about Boss Zhao.

Having been able to open a clinic without incident for more than 20 years, Boss Zhao is definitely one of the best.

"I gained some knowledge today! I'll visit Dr. Li's clinic another day!"

After hearing this, Dr. He was very moved.

Other doctors also want to gain knowledge.

Colleagues are enemies, and doctors usually don’t go to other people’s clinics.

It is impossible to learn anything in-depth even if you go there.

Now that they knew Li Jingsheng, they had this opportunity.

"Okay, you are welcome at any time! But I have a large number of patients to treat almost every day. If I am busy when you go, please forgive me for the poor reception."

His relationship with several doctors and nurses in the cardiothoracic surgery department has obviously become more and more familiar.

Director Zhang saw everything and was secretly happy.

……

After the operation, Li Jingsheng's surgical ability was initially recognized by Director Zhang, and he also won the respect of the cardiothoracic surgery team.

Director Zhang made it clear that as long as Li Jingsheng is willing, he can be asked to participate in various surgeries in the future.

As long as there is an opportunity to exercise, he will be taken care of.

Returning to the outpatient clinic, he once again threw himself into intense work, not to mention it.

It's a pity that the two newly recruited students are not able to share the burden for him now, otherwise, he would definitely be able to relax a lot.

At around 40:[-], when he was about to get off work, he unexpectedly received a call from Vice President Jin.

"Xiao Li, haven't you gotten off work yet?"

"There are still seven patients waiting for treatment. It will probably take more than an hour. If you have any instructions, please feel free to give them."

Li Jingsheng sets the patient's bones, but the actual manual reduction time is very short.

You can get one done in a minute or two at most.

However, before treatment, a consultation is required, communication with the patient is required, and the bones need to be touched and films taken to formulate the optimal treatment plan.

After reduction, most cases still need external fixation.

After that, you have to prescribe medicine to the patient and explain some precautions and the time for the next review.

There is a lot of work that no one can help him with yet.

If a lot of communication work is left to Li Li, then she will definitely be able to explain things to patients in a templated manner.This is certainly detrimental to patients.

Some patients may need to come back for a review after three days, and some patients can come back for a review after one or two months as long as there are no abnormalities.

There are also medications, precautions, rehabilitation actions, etc., which Li Li cannot clearly explain to patients now.

Originally, after studying these communication tasks many times, I would definitely be competent.

But she is also very busy at work every day, and it is really impossible to ask her to do it perfectly in a short time.

Dr. Chen is also a very unmotivated person.

Otherwise, I can definitely help Li Jingsheng take care of his worries.

Now it depends on the growth of Ye Hui and Yang Luqing.

Then Director Hua promised to help Li Jingsheng select a group of young medical students. When they meet good candidates, Li Jingsheng's work pressure will be greatly reduced.

"Don't be so serious! If it's convenient for you tonight, I'd like to treat you to a casual dinner after get off work."

Vice President Jin took the initiative to treat a young attending physician to dinner?

Li Jingsheng is not a three-year-old child, so he knew as soon as he heard that the other party must have something to ask for.

"I appreciate your kindness! Recently, my clinic has launched an online medicine sales business. For packaging and delivery, there is a serious shortage of manpower. How about I treat you to dinner next time!"

Li Jingsheng declined politely.

He actually doesn't like attending dinner parties.

I would rather eat fast food for 15 yuan, or a work meal in the cafeteria for [-] or [-] yuan.

Because the mouth that eats people is soft and the hands that take people are short.

As long as you eat someone else's big meal, there will definitely be something to ask for.

"That's right! Okay, let's make an appointment next time. When you get off work, come to my office. I have good news for you."

Vice President Jin couldn't invite him to dinner, so he asked Li Jingsheng to go to his office.

"Okay! Then I'll come find you in more than an hour."

Li Jingsheng couldn't refuse.

Officials crushed people to death.

The deputy dean summoned him, which was a good thing that many people could only dream of.

No matter how great the good news was, he could have told it on the phone, but Vice President Jin asked him to go to the office for an interview.

This is obviously a drunkard who is not interested in drinking.

After Li Jingsheng finished get off work, Ou Qinglan told him that he had bought food for him in the hospital cafeteria, packed it and left it in the doctor's office, and asked him to pick it up after get off work.

She is unlucky today and has to work overtime again.

Orthopedic surgery has been getting busier and busier recently.

But this is also a good thing.The better orthopedic surgery develops, the more opportunities she will have.

He chose to go to Vice Dean Jin's office first.

Over there in the administration building.

Not long after, he appeared outside Vice President Jin's office and faintly heard conversations coming from inside. It seemed that there was more than one person.

After knocking on the door and entering, he saw Vice President Jin and a 27-year-old young man.

The two had a very intimate conversation, and the young man seemed very casual and natural sitting opposite Vice President Jin.

It seems that the relationship between the two is unusual.

"Hey, Xiao Li is here! Let me introduce you, this is Jin Yanyu, my nephew."

While Vice President Jin stood up to greet him, he specially introduced the identity of the young man to Li Jingsheng.

"Hello there!"

The young man took the initiative to shake hands and say hello to Li Jingsheng.

His attitude seemed modest, but it was difficult to conceal the arrogance engraved in his bones.

Just like in the domestic medical community, every doctor who has dealt with a doctor from a top hospital in the Imperial Capital says that the doctors at that hospital are very arrogant.But they are indeed very strong, and all of them are elites in the medical field.

It's normal to be a little arrogant.

"Hello!"

After all, Li Jingsheng is much more mature than this young man. If nothing else, just for the sake of Vice President Jin's face, he will do his best to show off his skills.

I already knew what was going on.

Last time, Vice President Jin wanted his nephew to learn manual bone-setting techniques from Dr. Xu, but Dr. Xu refused.

Now that he saw that Li Jingsheng was taking the initiative to recruit apprentices, he felt that the opportunity had come.

So I took this opportunity to call my nephew to the hospital and Li Jingsheng to his office for an appointment.

"You are not an outsider, sit down, sit down!"

Vice President Jin took a small purple clay cup and poured tea for Li Jingsheng.

When he came in, Li Jingsheng saw Vice President Jin and his nephew sitting across from each other at the tea table.

There is a saying that uncle and nephew are not equal.

They don't follow these rules.

"Xiao Li, congratulations, your appointment as a teaching assistant at the Medical University has finally been put in place. Professor Di has agreed to hire you as his teaching assistant, and is interested in conducting research on manual bone setting."

After Vice President Jin poured him tea, he told him another piece of good news.

This made Li Jingsheng very happy, but he couldn't say he was completely surprised.

Ever since he successfully cured Professor Di's bone injury, he knew that his job as a teaching assistant was on the way.

Professor Di is still in the hospital, but he has already agreed to this matter and implemented it.There should be factors that contributed to the success of the Second Hospital.

"Great! Thank you to the hospital, and thank you, Director Jin, for helping me with this matter. I will definitely keep your cultivation in mind."

Li Jingsheng thanked him in person.

This is very necessary.

Vice President Jin has indeed been busy working on this matter.

"Haha, I just like your grateful heart. When it comes to helping you, you really don't ask for anything in return. We are all in the same boat. We work together to develop the Second Hospital. This is what we share. Goal. Now that my teaching title is in place, you can start working on your thesis. If you are not able to carry out the project alone, you can first find the director and deputy chief physician you are familiar with to see what projects they are working on. There’s nothing for you, so try to get involved.”

This is a reminder for Li Jingsheng to make rapid progress.

Prepare for higher professional titles in the future.

There are many rigid requirements for advancing from an attending physician to a deputy chief physician.

If you want to achieve greater success, you must seize every opportunity for improvement.

A 40-year-old chief physician is still a deputy director at 50 years old. I can tell with my toes that the upper limit must be very low.

Li Jingsheng has been lagging behind for several years in his promotion to chief physician.

This time I was promoted to chief physician because I jumped in line.

He directly killed Qin Fei and many competitors.

But his classmates, who are doing well, have either been promoted to attending physician for several years, and are working hard to achieve the title of deputy senior professional title.Or you already have a doctorate degree, which is extremely dazzling.

Therefore, if he wants to catch up with those peers who are doing well, he must work harder and seize every minute and every second.

With the high-level contacts he has made now and the good foundation laid by this skills competition, it is possible that he can help him achieve overtaking in corners.

"Dr. Li, I heard that you are now recruiting a large number of manual bone-setting students. Can you give me a chance to try it?"

After all, Jin Yanyu was too young and could not hold his breath.

Listening to his uncle and Li Jingsheng chatting in a paternalistic manner, but not mentioning his affairs, he couldn't sit still.

He even took the initiative to bring it up.

It can also be seen from this that he is very young.

This young man may be thinking that he can rely on his uncle's position as deputy dean to overpower Li Jingsheng.

In fact, this approach is very naive and stupid.

There is also a hint of arrogance.

To put it bluntly, Dean Jin and Li Jingsheng were always very polite and courteous to each other.

He, as a nephew, is nothing.

Why should Li Jingsheng blame him?
"Yan Yu is a child who is impatient and has always wanted to become a disciple of a skilled bone-setting teacher, but unfortunately he didn't have the opportunity. A few days ago, I just casually mentioned it at the dinner table and said that Dr. Li in our hospital was recruiting bone-setting students. , he immediately urged me to help with the matchmaking. I said that I couldn’t make the final decision on this matter, it had to depend on Dr. Li’s wishes.”

Dean Jin quickly spoke up to make amends to avoid making Li Jingsheng unhappy.

"Haha, I understand. When I begged Dr. Xu to take me in, I felt the same way."

Li Jingsheng responded with a smile.

"Dean Jin, please rest assured. As long as Yan Yu meets the standards, I will definitely be happy to include him in the surgical clinic team. If you take good care of me, I will actually relax some standards."

These words are both bright and comfortable to listen to, and they are also very flexible.

The initiative is always in Li Jingsheng's hands.

Because the standard is set by him, if he says it will work, it will work. If he says no, it will not work.

"Haha, thank you so much! I don't know how many times I have risked my life for these younger generations." Vice President Jin laughed.

Li Jingsheng didn't bother to look at Jin Yanyu.

"You need to be willing to endure hardships and have a benevolent heart as a doctor to set bones. Can you do it?"

"Yes! I definitely can! Even though my family is in a good situation, I have suffered a lot since I was a child."

Jin Yanyu straightened his chest and tried his best to praise his excellence.

Family nurturing is really important.

If this boy were the son of Dean Jin, his ability to deal with people would definitely not be so bad.

"Wait for me in Clinic 2 of the Manual Reduction Clinic at eight o'clock the day after tomorrow."

Li Jingsheng was too lazy to say anything more.

Just ask this kid to go over and practice it the day after tomorrow. Then he can observe it secretly and draw conclusions.

As for Jin Yanyu praising himself so hard, Li Jingsheng thought he was farting.

Wouldn't believe it at all.

When a person with a slightly higher level tests a person, they won't listen to what he says at all, but look at what he does.

"It's passed! Thank you Dr. Li!"

Jin Yanyu's emotional intelligence and IQ are really worrying.

I can't understand the true meaning of other people's words at all.

"Yan Yu, go buy me a pack of cigarettes and come back."

Black lines began to appear on Dean Jin's forehead.

This nephew has no idea how he grew up so big.My communication skills with people are really weak.

After sending Jin Yanyu away, Dean Jin looked at Li Jingsheng and said with a wry smile, "My nephew just came out of school not long ago. His lack of social experience made Dr. Li laugh."

"It doesn't matter, it's all this way. When I was his age, I was more innocent."

Li Jingsheng smiled and waved his hands.

"Doctor Li, tell me the truth. Is this child suitable for learning bone-setting techniques? His mind is sometimes the type where his heart is as high as the sky and his life is as thin as paper."

"Uh... I really don't dare to make random assertions about this. Let him go over and give it a try the day after tomorrow! If it's not suitable, I will call you and communicate with you in time."

Li Jingsheng did not dare to easily predict a person's fate.

From his answers, it can also be seen that he has become more and more mature, and gradually has the maturity and stability that only big guys have, as well as that open mind.

(End of this chapter)