Gou is practicing medicine in the clinic

Chapter 393: The professor is having a rough time, but there is love and justice
On the way back to the clinic, he was still thinking about the cause of this respiratory failure patient.

Judging from some examination results and the patient's symptoms, it is by no means as simple as imagined.

He planned to study the specific issues at the People's Hospital after work later.It is best to look at the patient, listen to the heart and lung sounds, check the degree of cyanosis, etc.

Since ancient times, among the four diagnostic techniques used by doctors to diagnose diseases, inspection and smelling have been ranked at the top.

Inspection is to check the patient's body, color, and spirit, while auscultation is to listen to the patient's voice, including speaking, breathing, etc.Then there's the smell.

Modern Western medicine actually has some similarities with Chinese medicine in some aspects.

The doctor conducts a physical examination of the patient, which includes observing the patient's skin color, face, nail color, pupils, etc.You can also use a stethoscope to listen to the patient's heart, lungs, bowel sounds, etc.

These two points are very similar to the two diagnostic techniques of sight and smell in traditional Chinese medicine.

This respiratory failure patient has been suffering from the disease for seven years. What were the first symptoms?Is it because respiratory failure causes heart disease?Or is the heart enlargement causing respiratory failure?

Or maybe the heart disease is caused by other problems.

Every doubtful point needs to be identified one by one and investigated.

Sometimes, the more complex the case, the more complicated the syndrome differentiation process is.May involve medical knowledge in many fields.

This is somewhat similar to a combination lock.

There are only a maximum of 99 variations for a two-digit password.

If it were three digits, that would be 999 variations.

When diagnosing difficult cases, there are many possible causes because there are many doubts.

During the investigation, even experienced experts sometimes have to find someone to help with consultation.

Although every clinician has learned general medical knowledge, the theoretical knowledge in textbooks and actual clinical diagnosis and treatment are completely different things.

An old expert is only familiar with diseases in the field in which he is good at.

If you switch to an unfamiliar field, you may be slapped in the face in minutes.

And it's not an ordinary slap in the face, it's the kind that makes both the left and right cheeks swollen.

On the way back to the clinic, Ou Qinglan called.

During working hours, if there is nothing urgent, she can secretly send at most two WeChat messages.

Call me now, there must be something important.

"My dear, why didn't you come over today?"

As soon as the call was connected, Ou Qinglan asked him.

"Hey, don't mention it. I originally wanted to go find you, but as soon as I sat down to eat, Director Lian Tao of the People's Hospital came to me for consultation on two difficult cases. None of them have been solved now. I will get off work later. You still have to go to the People’s Hospital.”

Li Jingsheng quickly took the blame.

At this time, the brother is here to take the blame.

"No wonder he didn't come! Even Lian Tao, why is he, a chief physician, always looking for you to help him with consultations? He is also a chief physician of two disciplines and the youngest second-level chief physician of the People's Hospital. I wonder if his grades are spent. Bought with money?”

It seems that Ou Qinglan has long been dissatisfied with this matter.

Because Li Jingsheng didn't have much rest time, and she often had to work night shifts, the two had very little time for trysts.

Sometimes, Lian Tao would call Li Jingsheng away with just one phone call.

She could bear it once or twice, but after more times, she became a little unhappy.

"Brother Lian Tao is still very capable. He is a genuine director of dual departments and one of the youngest and most promising chief physicians of the People's Hospital. The team he leads has already received the National Natural Science Foundation of China, which is enough to show that he is very capable. It's amazing. It's just that the People's Hospital is very famous, and many difficult cases go there for diagnosis and treatment. The chief physician of the People's Hospital is also a human being, and he also has areas that he is not good at.

It just so happens that I am a jack of all trades and know a little bit about everything.

He thought highly of me, so he came to me. "

Li Jingsheng quickly explained.

With Lian Tao's potential, if he hadn't been over 45 years old, he might even have been able to reach the elite ranks.

It’s just that the conditions for challenging outstanding young people across the country are too harsh, and countless evil scholars have fallen through this hurdle.

This is also the only way to become an academician.

Lian Tao can be regarded as an extremely evil being. He is a doctoral student and has experience of studying abroad. His scientific research, papers, and clinical achievements...have met the requirements for applying for outstanding youth in many aspects.

It's just that there are still some differences.

For example, he failed to reach the level of first-level chief physician.

This is also the tragedy of dual subject directors.

Too much to chew.

There are many doctors who choose to pursue both clinical and academic promotion at the same time, which is also an inevitable choice to become academicians.

But few people choose to study two completely different medical disciplines at the same time.

Just look at Lian Tao and you will understand.

He is such a monster. Logically speaking, he has long been qualified to be rated as a chief physician.

However, choosing the two fields of internal medicine and gastroenterology at the same time eventually led to the evaluation of physician titles falling behind.

After all, in a top provincial-level tertiary hospital like the People's Hospital, being promoted to a first-level chief physician, even a fourth-level chief physician, is a lifelong dream for countless people.

The stronger the top three teams, the more talents they have and the fiercer the competition.

"Okay! They know you are excellent, so they all ask you for help. Now I also need help. Professor Wu assigned a patient to me, and I am really worried that something will happen. Can you come over and help me?"

Ou Qinglan called him and it turned out that something was wrong.

"My wife is in trouble, so of course you should help. Can I come over after work later?"

"Who is your wife? You're talking nonsense."

It was the first time she heard Li Jingsheng call her that, and she seemed shy and a little happy.

"I'll send you the patient's condition. Don't forget it later!"

After hanging up the phone, she sent the patient’s condition.

He was a patient who suffered a fall. Because he had underlying diseases, Professor Wu was probably a little unsure, but he wanted to take on the job.That's why I thought of asking Li Jingsheng for help.

But he couldn't find Li Jingsheng directly, so he took a detour and assigned the patient to Ou Qinglan, a novice doctor.

Then he forced Li Jingsheng to take action in disguise.

After reading the patient's information, Li Jingsheng felt that although there were certain risks, as long as the surgical plan was well formulated and adequate preparations were made, there would be no problem.

The patient has anemia and osteoporosis, these two points should be what worries Professor Wu the most.

If the patient's recovery from the bone injury is not satisfactory after surgery, points will definitely be deducted.

It might even cause trouble.

The Second Hospital is now determined to become bigger and stronger. Both the hospital's management and Director Hua of the Orthopedic Surgery Department attach great importance to medical quality.

This point happens to be Professor Wu's shortcoming.

Professor Wu's academic and scientific research are not bad, but he is a bit weak in clinical practice.

Now, under the leadership of Li Jingsheng, the business volume of the Orthopedic Surgery Department continues to grow. Other chief physicians and deputy chief physicians are all working hard to make contributions, and Professor Wu is naturally envious of it.

It's just that this kind of thing is not something he can do if he wants to.

The clinical capabilities are weak and many patients are afraid to accept it.

I always treat some simple cases, but my performance and ratings are not improving.

This forced Professor Wu to find ways to find some patients who could handle it.

The patient now given to Ou Qinglan is a revenue-generating case.

The total cost of treatment can reach more than [-] at least.

After all, even if everything goes well for the patient, there should be around 13 left until he is discharged.

Also, this patient was hit and injured by someone else's motor vehicle.

With insurance companies covering most of the costs, such patients can definitely be regarded as 'high-quality income-generating patients' in the eyes of doctors.

"Professor Wu is really having a miserable time. We have to find a way to transfer Qinglan to another group."

Li Jingsheng really didn't look down on Professor Wu, but the other person's abilities were indeed limited.

Chen Anchen, Director Zhong Hu and others from the Orthopedic Surgery Department are much stronger than him, and their voice is getting stronger and stronger.Because of their medical team, their income generation is getting stronger and stronger.The team is also growing.

In the second group that Professor Wu belongs to, even his team leader has a crotch, let alone the doctors under him.

The flatterer Ruan Xiaoqin is considered a 'general' under Professor Wu.

Ability to sit alone and share many tasks during surgery.

But in Li Jingsheng's opinion, this general's level was really not that good.

There is no comparison with Hu Jia and others.

If Ou Qinglan is transferred to another group, which group should she go to?
Zhong Hu, Chen Anchen, and Director Hua all have good relationships with Li Jingsheng.

Director Hua may not accept her.

Because he is the head of the department, he has to take Professor Wu's ideas into consideration.

Then only Zhong Hu and Chen Anchen were left.

Li Jingsheng decided to find an opportunity to ask Ou Qinglan's opinion.

Also, this matter is somewhat unreasonable. Even if it was discussed, I would definitely not talk to Director Hua first.

……

When Li Jingsheng returned to the outpatient clinic, the patients had already lined up and were just waiting for their number to be called.

After Li Jingsheng came back, he quickly got into work.

One patient after another recovered under his treatment.

Several students performed fairly well.

"No. 42, Xu Yiqiu."

Li Li called out the number from the front.

A 37-year-old man walked in, wearing a cheap suit and his hair was slightly messy.

Hearing this name and seeing the black suit this man was wearing, Li Jingsheng seemed to have some impression of this man.

I should have sought treatment from him last time.

It was just that it had been a long time, and he could no longer remember exactly which part of the body was treated.

When the man walks, his right leg is slightly lame.

"Could it be that the last time he was treated was his right leg?"

Li Jingsheng really couldn't remember.

"Are you reviewing or treating the patient?" he asked proactively.

Except for a slight limp in his right leg when he walked, there was no other problem with this man.

"Recheck!"

The man's voice was emotionless.

Could it be that because my right leg became a little lame after the manual reduction, I was a little dissatisfied with the doctor?

Li Jingsheng stared at the man's right leg.

"Teacher, be careful!"

Two students reminded Li Jingsheng at the same time.

But he obviously didn't react.

When he instinctively looked up, he saw that the man was stabbing his chest with a sharp knife twenty to thirty centimeters long.

"Security, security, come quickly..."

When Li Li saw this scene, she frantically pressed the alarm bell and screamed.

The students were frightened by what happened suddenly.

I believe any normal person would feel scared when faced with a man armed with a sharp weapon.

When Li Jingsheng faced the sharp knife coming from him, the only thing he could do was to block it with both hands.

Try to grab the opponent's hands that are responsible for the crime.

As soon as he reached out, the man swung a sharp knife and cut his arm.

Facing an assailant holding a murder weapon, and the other person was a strong man, Li Jingsheng found that he had overestimated his ability to resist.

He regretted not bringing pepper spray with him.

I might become a legend today.

Really unwilling.

I finally got through it today, I have wealth, I have a beautiful girlfriend, and I also have status.

Unexpectedly, a patient came who wanted to kill him.

"Teacher, run!"

At this critical moment, Liu Xian, who was short, thin, and usually taciturn, rushed forward and hugged the assailant tightly.

The assailant struggled desperately and stabbed Liu Xian with the sharp knife in his hand.

Fortunately, Li Jingsheng reacted at this time.

He picked up the chair and hit the person on the head hard.

Not to mention this, another kick hit the man's abdomen.

When facing a murderous gangster, you must do everything you can to knock him down or repel him.Then try to get a chance to escape.

"Ah... I'm going to kill you, kill you..."

The man was knocked to the ground, his head bleeding, but he still roared like a wild beast.

After being timid at first, Jin Yanyu also rushed forward with a tractor to deal with the assailant.

Ye Hui was so frightened that he could hardly do anything except scream.

The performance of big man Yang Luqing also dropped a bit.

As if he was stupid, he shrank into the corner in fear.Now that I have come to my senses, I still dare not step forward.

Dr. Chen was a little far away, but he rushed over to help with a chair.

Li Jingsheng and Jin Yanyu had already worked together to knock the sharp knife from the gangster's hand to the ground, and then stepped forward together to hold him down.

After Dr. Chen rushed over, he also helped control the gangster.

The three of them worked together to pin the criminal to the ground.

There are orthopedic patients everywhere outside, with limited mobility and extremely poor defense capabilities.

If this man goes out with a knife and kills everyone indiscriminately, the consequences will be disastrous.

The assailant was very strong, struggling like a cow and roaring.

"To give my daughter her life, you will all die...haha..."

It's a bit inexplicable, and I always feel that this person is mentally abnormal.

The eyes are also a little weird.

"Bring the gauze over here and tie the person up first."

"Oh, oh, yes."

Ye Hui hurriedly came over with the gauze belt.

Her hands were still shaking.

He was obviously terrified just now.

Li Jingsheng's arm was scratched by the knife and was still bleeding.

Fortunately, the injury was not very deep.

Several people worked together to tie the assailant's hands and then tied his legs.

The hospital security also arrived in time and finally brought the situation under control.

The gangsters were committing murder just now, but none of the family members outside dared to come in to help, which made Li Jingsheng feel a little chilled.

On the contrary, Liu Xian, at the most dangerous moment, resolutely rushed forward and hugged the gangster, telling Li Jingsheng to run away.

This made Li Jingsheng get to know this person again.

If you want to know what a person thinks, don't listen to what he says, watch what he does.

Liu Xian is usually like a boring gourd, introverted and a bit withdrawn, although he has good talents in all aspects.But he was not liked by Li Jingsheng.

The investigation of him has been ongoing.

I only taught some basic bone-setting techniques.

I never expected that Liu Xian would be so brave in the face of the gangster's sharp blade.

Seeing that the gangster was under control, Li Jingsheng looked at Liu Xian.

He clutched his abdomen, and blood spilled out from between his fingers, staining his hands red.

"Liu Xian, did I stab you?"

Everything happened so fast just now, and Li Jingsheng didn't see it clearly.

"A little."

Liu Xian gritted his teeth and his voice sounded painful.

"I'll take you to the emergency room for treatment first. Can you still leave?"

"can!"

Liu Xian agreed simply.

"Li Li, have you called the police?"

"Reported!"

"Call Director Hua and report what happened here to the hospital leaders. I'll take Liu Xian for rescue first."

Li Jingsheng said as he helped Liu Xian walk to the emergency department.

There happened to be a flat bed.

"Liu Xian, get up!"

Li Jingsheng helped him up, and then pushed him to the emergency room regardless of the wound on his hand that was still bleeding.

"Leave, please let me!"

He roared all the way and pushed people into the emergency reception hall.

"Please call me Director Yan. A doctor in our orthopedic surgery department was stabbed in the abdomen by a patient and needs rescue."

Li Jingsheng is relatively familiar with Director Yan of the emergency department.

It's not like we have a deep friendship, but we can talk.

Now that I have something to do, it shows its usefulness.

"How? Push the person into the emergency room first."

Director Yan has already heard the news and ran over.

"The patient originally wanted to kill me, but he hugged the patient tightly and saved me, but the patient stabbed him. Director Yan, please save him."

Li Jingsheng has always been very loyal.

It’s just that I have tasted the warmth and coldness of human relationships and is used to seeing the hot and cold world, so I am a little more wary of people.

I no longer show my heart to others easily, let alone have deep friendships with others at will.

Liu Xian was injured trying to save him. Now he only has one idea, he must save Liu Xian.

Fortunately, the stabbing was in the abdomen and it was in a hospital. As long as he was rescued in time, it should not be fatal.

"Don't worry, it's my duty to save lives. Your hand is also injured and is still bleeding. Please take care of it quickly."

"I'm fine, let's help Liu Xian deal with it first!"

Li Jingsheng didn't care about his injuries.

Despite what he said, Director Yan still called a doctor to help him deal with the wound quickly.

At this time, Director Yan had also given Liu Xian a preliminary inspection of the wound.

"Fortunately, the injury is not deep, and the deepest part should not have reached the peritoneal layer. The knife should have scratched at an angle, rather than stabbing the abdomen directly with the edge. Debridement and sutures should not cause any serious problems. "

Director Yan has rich first aid experience. After seeing the wound, he said that Liu Xian's injury was not life-threatening.

"Thank you! If the operating room is limited, please help him deal with it first. I just need to tie my arm to stop the bleeding temporarily."

When Li Jingsheng heard that Liu Xian was fine, his anxious heart finally fell to the ground.

"You two are affectionate, and I am righteous. Don't worry, it's not a serious injury. It's no problem for both of you to treat it together. Push it to the operating room, and I'll debridement and suture you immediately."

Director Yan knew the importance of Li Jingsheng, so it was naturally impossible for him to throw Li Jingsheng aside.

At this time, a nurse hurried over.

"The chief dean just called and asked us to rescue the injured medical staff at all costs."

(End of this chapter)