Gou is practicing medicine in the clinic

With the Second Hospital working behind the scenes and trying its best to help Li Jingsheng solve this matter, it was natural that it would be solved beautifully.

At present, the direction of public opinion is rapidly reversing.

By then, both his Sunshine Clinic and himself should be able to earn another wave of popularity.

The benefits of this kind of positive publicity go without saying.

Having a high reputation means having golden credibility in the minds of customers and patients.

When people buy medicine from Sunshine Clinic, they dare to place an order without batting an eyelid.

When I came to see a doctor, I came in the same way.

"Hasn't the incident on the Internet been reversed? Besides, I am relying on the People's Hospital. Don't talk about such a trivial matter. Even if you make a big mistake, it will not affect me. Professor Wang Are you being asked to go over and learn radiofrequency ablation?"

Lian Tao didn't care about the so-called influence.

Think about it, the People's Hospital is as big as a giant.Unless the doctors at the hospital really made a big mistake, anyone who dares to spread rumors is seeking death.

"Brother Lian Tao, you are very well-informed! You already knew the message that Lao Wang just sent me this morning."

"Hey, this matter is still in your favor. Originally, it was quite difficult for me to get in touch with Professor Wang. After he knew that you and I were good friends, he immediately became much more enthusiastic towards me. It happened to be the case of respiratory failure today. When it came to cardiovascular medicine, I went over to ask him for advice. When we talked about you, he mentioned that you would go over today to learn radiofrequency ablation."

Cardiovascular physicians have three magic weapons for treating diseases.

Drug therapy, interventional therapy, radiofrequency ablation.

Now some cardiovascular physicians in hospitals have begun to evolve the fourth 'magic weapon', endoscopic surgery.

I really doubt that one day, medicine and surgery will no longer be separated.

Physicians can also perform surgeries.

"If you have time, you can come over early and have fun at my place!"

Lian Tao tried his best to find him for help.

"Okay! If I get off work later, I'll go there early. Send the information of those two patients to my phone first."

When it comes to watching movies, it’s actually best to watch the original film.

If you look at it with a mobile phone, there will be certain errors, and you may even be unable to see it.

But the results of biochemical tests and routine blood tests were absolutely fine.

This is why when registering with a specialist, patients are required to bring all the information to avoid a wasted trip.

This information does not refer to basic information such as ID cards, but the examinations done by the patient, previous medical records of hospitalization in other hospitals, etc.

Nowadays, hospitals generally do not give medical records to patients because they are all electronic medical records.

If the patient needs it, he or she can apply for a copy.

There is no need to worry about ordinary diseases.

If there are disputes during the treatment process, or there are difficult and complicated diseases, it is best to ask for medical records, just in case.

Li Jingsheng knew Lian Tao's character very well.

When encountering such a difficult case, he would really not be able to sleep if he didn't help him find out the cause.Like a madman, I checked information all night long and asked people for advice.

rack your brains to identify and make inferences.

Li Jingsheng is also very responsible in diagnosing patients, but not to the level of Lian Tao.The most that can be done is to keep the patient's story in mind and try every possible means to find the real cause.

The information of the two patients was sent quickly.

The patient with respiratory failure is a male. His symptoms include cough, heart murmur, palpitations, and cyanosis.

Usually, cyanosis on the face or fingertips is basically a sign of poor oxygen saturation.

It is most likely due to hypoxia caused by various reasons.

This male patient had heart murmurs and palpitations, which made people first suspect that his lung function was affected due to heart disease.Respiratory failure occurs.

Many people tend to confuse respiratory failure and heart failure. In fact, they are two completely different diseases.

Both diseases can kill people.

After carefully checking the information of this male patient, I found out that this man not only had palpitations and heart murmur, but also suffered from generalized edema.

And the disease has been going on for a very long time, more than seven years.

There are many causes of body edema, but they all remain the same.

The most fundamental reason is definitely that there is too much water retained in the body and cannot be discharged.

The first organ to be tortured is the kidney.

Just like when a patient has a medical accident during treatment, no matter who caused it, the first person to be held accountable is the attending doctor.

This attending physician is often the deputy chief physician or chief physician.

Although the attending physician also has the opportunity to treat patients in outpatient clinics, if he encounters some patients who cannot be handled, or patients who have problems, he must report this to the superior doctor.

The department is like a small kingdom, with groups basically as combat units.

To be able to lead a team independently, one must be at least the deputy chief physician.

Although Li Jingsheng has an independent medical team in the outpatient clinic, with doctors and nurses at his disposal.It is up to him to decide whether the patient can be treated or not.

But he is not a team leader in the strict sense.

Just because of his special abilities, he is considered a special independent group in the orthopedic surgery department, directly led by the department director.

If he has anything to do, he often reports directly to Director Hua.

This is somewhat similar to a 'special economic zone' or a 'municipality', which is a very special existence.

This patient developed generalized edema that lasted seven years.

Plus the presence of a heart murmur.

Li Jingsheng could almost think with his eyes closed that the patient might have a problem with the mitral valve.Rheumatic heart disease is most likely to occur.

This disease is not very common, but its symptoms are distinctive.The patient's body temperature was normal, 36.6 degrees, and his pulse was 120 beats per minute, which was obviously a bit too fast.

Breathing 31 times per minute, much higher than normal.

Under normal circumstances, adults only need to breathe about 1 to 12 times per minute.

Most people do it fifteen or six times a minute.

If it is close to twenty times per minute, in a relatively calm state without strenuous exercise, this frequency is on the high side.

You should consider whether it is poor lung capacity or other problems.

The patient suffered from respiratory failure and was cyanotic. His body could only breathe desperately in order to obtain more oxygen.

Therefore, his breathing rate is much higher than that of ordinary people.

When humans do strenuous exercise, their breathing rate increases, which is actually similar to this principle.

When the body exercises vigorously, its consumption of oxygen increases, and the body automatically increases its breathing rate to meet the demand for oxygen.

He looked at the patient's blood routine and blood gas analysis results.

Hemoglobin 192 grams per liter.

A normal adult male's hemoglobin is between 120 and 160.

This man's hemoglobin was much higher than the normal value, which was obviously abnormal.

There are many causes of elevated hemoglobin.

The most common ones are hypoxia and tumors, especially liver cancer and kidney cancer. Female ovarian cancer is most likely to cause excessive red blood cell production.

There are also people who like to snore while sleeping, and their hemoglobin is likely to be higher than normal.

The reason for snoring is that the nostrils and airways are blocked. When people are asleep, the body subconsciously makes some protective reactions.Snoring with your mouth open is very common.

Ultimately, the increase in hemoglobin caused by snoring is caused by long-term hypoxia.

In addition, myeloproliferative diseases can also cause hemoglobin abnormalities.

However, bone marrow diseases are relatively rare clinically.

The main reason for this patient's hemoglobin being so high should be long-term hypoxia.

Li Jingsheng put this clue aside for the time being.

Instead, look for clues that are more conducive to diagnosis.

The patient's chest X-ray showed patchy shadows in both lungs and a significantly enlarged heart.This reminded Li Jingsheng of a case he had diagnosed not long ago. The similarity between the two was very high!
But even so, the same disease and the same pathological manifestations may ultimately have completely different causes.

He did not jump to conclusions based solely on his last diagnosis experience.

Being able to ask Lian Tao to consult Professor Wang Weiwei and still not be able to find out the final cause shows that this disease is definitely not simple.

While he was eating, he studied the case carefully. Unknowingly, more than 40 minutes had passed.

"Alas, time is running out."

He showed a wry smile, stood up and walked out of the cafeteria.

I can't take a walk around the orthopedic surgery department today.

After work, his greatest pleasure is to spend time with his girlfriend.

If she encounters a case that she cannot handle, Li Jingsheng will also help her solve it.

Professor Wu was an old fox. After knowing that Li Jingsheng had the advantage of protecting his girlfriend, he would often deliberately give Ou Qinglan some difficult or difficult cases.

Because he knew very well that as long as Li Jingsheng passed, he would definitely not be able to bear to see his girlfriend in trouble.

Most likely they will help.

Li Jingsheng knew it well and never pointed it out. Professor Wu's wishes were fulfilled every time.

To be honest, he wasn't disgusted.

Every adult makes some calculations for his or her own benefit.

People who don't do it for themselves will be punished by heaven and earth.

That kind of completely selfless person is only suitable for living in a fairy tale world. In the real cruel world, he has no ability to survive at all.

Unless you have parents or boyfriend to protect you, then it doesn't matter anyway.

Even if you can't compete, you can still have enough food and clothing.

Ordinary people must learn to be selfish.This is also nature.

Almost all animals have this nature.

To give the simplest example, sows generally have fourteen nipples.If it gives birth to fourteen piglets in a litter, each of them will get one.Originally this was more fair.

But researchers have found that strong piglets have strong food protection properties.

They will occupy two or even three.

As for other weaker piglets, if there is no manual intervention, it is likely that they will not have milk to eat.

This phenomenon is more complex in human society.

Because humans are highly intelligent creatures.

When you want to compete for certain interests, there are many ways.Various means are often used instead of simple fighting.

Therefore, Li Jingsheng understood Professor Wu's calculation very well.

Li Jingsheng is naturally happy to be able to help Ou Qinglan improve her status in orthopedic surgery, while also allowing her to learn a lot of knowledge and improve her medical skills in the diagnosis and treatment of these difficult cases.

To him, giving a little more is nothing.

He went to help Lian Tao diagnose these two difficult cases today, but did not go to the orthopedic surgery inpatient department. (End of chapter)