Gou is practicing medicine in the clinic
Chapter 400 The competition between chief doctors easily diagnosed the result
Chapter 400 The competition between chief doctors easily diagnosed the result
Director Rong Xuekai of the Department of Critical Care Medicine of the People's Hospital is definitely a powerful doctor.Although this person is a barefoot doctor and is older, every bit of his medical skill has been honed over time and has been continuously improved through practice and study.
Practical talents like him are found in all major hospitals.
It's just that many doctors have narrow paths for advancement, and few are as lucky as him.
Many practical doctors are stuck on the road to promotion because they cannot keep up with academic and scientific research.
As far as Li Jingsheng knows, there are several such old attending doctors in the First Hospital. Their skills are obviously good, but they cannot compete for promotion with young people with high academic qualifications.In the end, it will be managed by those who value academics and scientific research.
These people who are unhappy in the workplace would probably have resigned long ago if they didn't have families to support and were burdened by the burden of life.
Li Jingsheng believes that the patient's current treatment plan is relatively safe.
But the situation for patients remains dangerous.
If the real cause cannot be found, the patient's condition can easily deteriorate rapidly.
Li Jingsheng looked at Ou Qinglan.
Before he could speak, Ou Qinglan asked directly, "Did I ask you to come over for medical consultation again?"
"Isn't that patient still unresolved? You see my injury is very stable now. Why don't you let me go over and take a look?"
Li Jingsheng discussed with her.
"You've been working in the clinic all day, can't you take a good rest? How much does it cost for Lian Tao to pay for your visit? I'll give you double the amount, so you can recuperate at home, okay?"
She thought Li Jingsheng was working so hard to make money.
"The fee for his consultation was zero yuan, and I had to pay for the taxi fare myself."
"Then you are still so active?"
"Treating people is not all about money! The diagnosis and treatment of difficult cases is of great benefit to my medical skills. Also, I enjoy the sense of accomplishment that comes from curing difficult cases. Think about it, Don’t I open a clinic? After I have mastered my medical skills, can I develop in a higher-end direction in the future? You also hope that your future husband will have status and money, right? "
Li Jingsheng hugged her and did some ideological work.
I actually understand the truth.
She was also concerned about her boyfriend's health, so she asked like this.
"Isn't your current status quite high?"
She's obviously loosened up a bit.
Li Jingsheng's status in the Second Hospital is indeed not low.
"Do you expect me to be the attending physician at the Second Hospital for the rest of my life?"
"Haha, then what else do you want to be? Chief physician?"
"If I said I wanted to be an academician, would you call me crazy?"
Li Jingsheng asked her with a smile.
"Okay, I admit that I have underestimated the lofty ambitions of your swan. Go if you want, and promise me that you must take good care of your body and go back to the clinic to rest early."
She heard that Li Jingsheng was going to be an academician, and even though she knew he was joking, she was still shocked.
Academicianship is the ultimate goal of all scholars.
With Li Jingsheng's conditions, he was still a long way from becoming an academician, or even becoming an outstanding youth.
But as his girlfriend, she naturally won't dampen his self-confidence.
……
After Li Jingsheng took a taxi to send Ou Qinglan home, he went directly to the People's Hospital.
If the assassination incident had not occurred, he would have gone over yesterday to learn radiofrequency ablation technology from Wang Weiwei.
Now this matter can only be postponed.
Even the research project carried out with Wang Weiwei and Luo Binggang can only be postponed.
Fortunately, the injury is not too serious, and he should be able to recover initially within ten days.
In order to do research on this topic, Luo Binggang went to live in Mayor Jiangli. Li Jingsheng did not dare to lose control at the critical moment.
When I arrived at the People's Hospital, I went straight to Lian Tao's office.
It's long past normal off-duty time.
Only a small number of medical staff working the night shift remain in the hospital.
Lian Tao's office door was not closed.
At a glance, Lian Tao was studying the patient's information with a frown.
"Brother Lian Tao, is this another bucket of instant noodles?"
Li Jingsheng saw an instant noodle bucket on his desk.
"Hey, isn't this a difficult case that has not been diagnosed? If this patient cannot be saved, I guess I won't even be able to eat instant noodles in the future."
"Is the patient's identity special?"
Li Jingsheng heard that there was something behind his words.
"The patient's son-in-law has some background. I heard he is the CEO of a listed company worth hundreds of billions. But don't worry, even if this patient cannot be saved, it is his own fault. We as doctors cannot bear any responsibility. I It means that I can't even eat instant noodles, and it means that if my score drops further, I will probably have nothing to do with this year's evaluation."
The evaluation he was talking about should not be the ordinary department evaluation.
Major prizes are likely to be involved.
Each hospital has a different reward and punishment mechanism. Some hospitals give doctors very considerable year-end bonuses.
Especially for some famous doctors, in order to make them more actively involved in scientific research, diagnosis and treatment, a considerable year-end bonus is often set.
In addition, it also involves application for project funds.Doing scientific research is very expensive.
Those high-quality SCI papers are the result of money and the sweat and wisdom of scientific researchers.
For ordinary people, perhaps having one or two SCI papers would be a source of pride.
But at Lian Tao's level, ordinary SCI papers are of no use at all.It must be the kind of top-notch paper in the industry.
There's another thing that's a little bit more fucked up.
Domestic core journals have very low recognition from the international community.
Speaking of this, I have to mention the importance of learning English well.
"Have you performed liver function tests on the patient?"
"I have applied for some tests. Now we can preliminarily rule out parasites, liver cirrhosis, fatty liver and most hepatitis problems. This is a new test. I estimate that some test results will be available later. You can take a look first."
Lian Tao showed the patient's information to Li Jingsheng for review.
"The last time the blood clot occurred was in the middle lobe of the right lung!"
Li Jingsheng was slightly surprised after seeing it.
"What, is there a problem?"
In terms of respiratory medicine, Lian Tao considers himself to be quite good.
The thromboembolism in the right middle lobe of the lung was promptly treated through interventional surgery, and the patient's life was saved.
Are there any other questions?
"There is no doubt that the source of this patient's disease should be in the liver. But it is more complicated than imagined. It is possible that liver disease causes lung disease. Haven't you been wondering whether this patient has pulmonary heart disease or rheumatic heart disease? Now? I can tell you the answer clearly, the patient has pulmonary heart disease."
After Li Jingsheng read the patient's information, he directly solved the doubts that had troubled Lian Tao for two days.
"You, are you so awesome? Tell me, how were you diagnosed?"
Lian Tao was stunned for a moment, and then asked Li Jingsheng about his diagnostic ideas.
"Could it be that when I said it was pulmonary heart disease, you didn't doubt the result at all?"
Li Jingsheng asked back with a smile.
"Go, go, don't I know you? You never use affirmative words when you are unsure about things. When I diagnosed this case in the past two days, I have been unable to confirm what kind of heart disease it is. You actually only gave the information I diagnosed it after just one look. I’m so curious about your diagnosis process.”
Lian Tao was not that interested in the diagnosis results.
"Haha, the one who knows me is Brother Tao! To be honest, it's nothing, just intuition plus experience, and multi-disciplinary comprehensive diagnosis."
Li Jingsheng's previous development of multiple disciplines was also due to business needs.
The clinic finally accepted a patient, but because the patient's disease was not his area of expertise, he could only watch the patient go away in vain.This made him feel particularly uncomfortable.
Later, as he learned more and more diagnostic and medical skills, and mastered the bone palpation technique, his development became smoother and smoother.
Now, as his multi-disciplinary diagnostic skills have reached a certain level, he will have a huge advantage in diagnosing these difficult cases.
When other doctors diagnose a difficult case, they may need to invite doctors from multiple departments for joint consultation.
Li Jingsheng alone is equivalent to a collection of doctors from multiple departments.
When diagnosing this multi-field disease, he even has an advantage over Lian Tao, the dual department director.
Next, he explained his specific diagnosis ideas to Lian Tao in detail.
Lian Tao was filled with envy upon hearing this.
"It makes me want to completely degenerate now, learn from you, and develop into a multi-disciplinary field. Your advantage in diagnosing such difficult cases really makes people cry with envy."
Lian Tao is a dual-discipline person himself, so he naturally understands the huge benefits of being proficient in one more discipline.
For every additional medical discipline you are proficient in, the clinical benefits will increase exponentially.
Especially overcoming this difficult and complicated disease is really awesome.
However, if he wants to imitate Li Jingsheng, it obviously won't work.
One is that he is older, and his learning ability and memory are not as good as those of young people.The energy is far less than that of a 28-year-old boy.
Also, mastering every medical discipline requires a lot of time, energy, and practice.
He was able to achieve success in the Department of Respiratory Medicine and Gastroenterology because he diagnosed and treated a large number of clinical cases in these two departments.
Generally, after being promoted to deputy chief physician, the advantages in this regard are particularly obvious.
You can start to independently lead a team to pick up patients.
Compared with the attending physician, there are two completely different treatments.
"This patient has both liver-derived lesions and pulmonary heart disease, so his situation is more dangerous than imagined. Is it convenient to go to the ward to see the patient now? I guess the existing treatments may not be able to Save the patient’s life.”
Li Jingsheng said directly.
"Let's go, I'll take you there. The patient is now in the critical care department."
Only in extremely critical cases will patients be admitted to the intensive care unit.
The treatment costs there are far higher than those in ordinary wards, and the hospital's top medical resources are concentrated there.
Li Jingsheng and Lian Tao came to the Department of Intensive Care Medicine. After Lian Tao talked to the nurse, he opened the door from the inside and allowed the two to go through strict sterilization procedures and put on isolation gowns before entering the intensive care unit.
Family members also come in to visit every day.
Sterile management is implemented here and all aspects are very strict.
(End of this chapter)
Director Rong Xuekai of the Department of Critical Care Medicine of the People's Hospital is definitely a powerful doctor.Although this person is a barefoot doctor and is older, every bit of his medical skill has been honed over time and has been continuously improved through practice and study.
Practical talents like him are found in all major hospitals.
It's just that many doctors have narrow paths for advancement, and few are as lucky as him.
Many practical doctors are stuck on the road to promotion because they cannot keep up with academic and scientific research.
As far as Li Jingsheng knows, there are several such old attending doctors in the First Hospital. Their skills are obviously good, but they cannot compete for promotion with young people with high academic qualifications.In the end, it will be managed by those who value academics and scientific research.
These people who are unhappy in the workplace would probably have resigned long ago if they didn't have families to support and were burdened by the burden of life.
Li Jingsheng believes that the patient's current treatment plan is relatively safe.
But the situation for patients remains dangerous.
If the real cause cannot be found, the patient's condition can easily deteriorate rapidly.
Li Jingsheng looked at Ou Qinglan.
Before he could speak, Ou Qinglan asked directly, "Did I ask you to come over for medical consultation again?"
"Isn't that patient still unresolved? You see my injury is very stable now. Why don't you let me go over and take a look?"
Li Jingsheng discussed with her.
"You've been working in the clinic all day, can't you take a good rest? How much does it cost for Lian Tao to pay for your visit? I'll give you double the amount, so you can recuperate at home, okay?"
She thought Li Jingsheng was working so hard to make money.
"The fee for his consultation was zero yuan, and I had to pay for the taxi fare myself."
"Then you are still so active?"
"Treating people is not all about money! The diagnosis and treatment of difficult cases is of great benefit to my medical skills. Also, I enjoy the sense of accomplishment that comes from curing difficult cases. Think about it, Don’t I open a clinic? After I have mastered my medical skills, can I develop in a higher-end direction in the future? You also hope that your future husband will have status and money, right? "
Li Jingsheng hugged her and did some ideological work.
I actually understand the truth.
She was also concerned about her boyfriend's health, so she asked like this.
"Isn't your current status quite high?"
She's obviously loosened up a bit.
Li Jingsheng's status in the Second Hospital is indeed not low.
"Do you expect me to be the attending physician at the Second Hospital for the rest of my life?"
"Haha, then what else do you want to be? Chief physician?"
"If I said I wanted to be an academician, would you call me crazy?"
Li Jingsheng asked her with a smile.
"Okay, I admit that I have underestimated the lofty ambitions of your swan. Go if you want, and promise me that you must take good care of your body and go back to the clinic to rest early."
She heard that Li Jingsheng was going to be an academician, and even though she knew he was joking, she was still shocked.
Academicianship is the ultimate goal of all scholars.
With Li Jingsheng's conditions, he was still a long way from becoming an academician, or even becoming an outstanding youth.
But as his girlfriend, she naturally won't dampen his self-confidence.
……
After Li Jingsheng took a taxi to send Ou Qinglan home, he went directly to the People's Hospital.
If the assassination incident had not occurred, he would have gone over yesterday to learn radiofrequency ablation technology from Wang Weiwei.
Now this matter can only be postponed.
Even the research project carried out with Wang Weiwei and Luo Binggang can only be postponed.
Fortunately, the injury is not too serious, and he should be able to recover initially within ten days.
In order to do research on this topic, Luo Binggang went to live in Mayor Jiangli. Li Jingsheng did not dare to lose control at the critical moment.
When I arrived at the People's Hospital, I went straight to Lian Tao's office.
It's long past normal off-duty time.
Only a small number of medical staff working the night shift remain in the hospital.
Lian Tao's office door was not closed.
At a glance, Lian Tao was studying the patient's information with a frown.
"Brother Lian Tao, is this another bucket of instant noodles?"
Li Jingsheng saw an instant noodle bucket on his desk.
"Hey, isn't this a difficult case that has not been diagnosed? If this patient cannot be saved, I guess I won't even be able to eat instant noodles in the future."
"Is the patient's identity special?"
Li Jingsheng heard that there was something behind his words.
"The patient's son-in-law has some background. I heard he is the CEO of a listed company worth hundreds of billions. But don't worry, even if this patient cannot be saved, it is his own fault. We as doctors cannot bear any responsibility. I It means that I can't even eat instant noodles, and it means that if my score drops further, I will probably have nothing to do with this year's evaluation."
The evaluation he was talking about should not be the ordinary department evaluation.
Major prizes are likely to be involved.
Each hospital has a different reward and punishment mechanism. Some hospitals give doctors very considerable year-end bonuses.
Especially for some famous doctors, in order to make them more actively involved in scientific research, diagnosis and treatment, a considerable year-end bonus is often set.
In addition, it also involves application for project funds.Doing scientific research is very expensive.
Those high-quality SCI papers are the result of money and the sweat and wisdom of scientific researchers.
For ordinary people, perhaps having one or two SCI papers would be a source of pride.
But at Lian Tao's level, ordinary SCI papers are of no use at all.It must be the kind of top-notch paper in the industry.
There's another thing that's a little bit more fucked up.
Domestic core journals have very low recognition from the international community.
Speaking of this, I have to mention the importance of learning English well.
"Have you performed liver function tests on the patient?"
"I have applied for some tests. Now we can preliminarily rule out parasites, liver cirrhosis, fatty liver and most hepatitis problems. This is a new test. I estimate that some test results will be available later. You can take a look first."
Lian Tao showed the patient's information to Li Jingsheng for review.
"The last time the blood clot occurred was in the middle lobe of the right lung!"
Li Jingsheng was slightly surprised after seeing it.
"What, is there a problem?"
In terms of respiratory medicine, Lian Tao considers himself to be quite good.
The thromboembolism in the right middle lobe of the lung was promptly treated through interventional surgery, and the patient's life was saved.
Are there any other questions?
"There is no doubt that the source of this patient's disease should be in the liver. But it is more complicated than imagined. It is possible that liver disease causes lung disease. Haven't you been wondering whether this patient has pulmonary heart disease or rheumatic heart disease? Now? I can tell you the answer clearly, the patient has pulmonary heart disease."
After Li Jingsheng read the patient's information, he directly solved the doubts that had troubled Lian Tao for two days.
"You, are you so awesome? Tell me, how were you diagnosed?"
Lian Tao was stunned for a moment, and then asked Li Jingsheng about his diagnostic ideas.
"Could it be that when I said it was pulmonary heart disease, you didn't doubt the result at all?"
Li Jingsheng asked back with a smile.
"Go, go, don't I know you? You never use affirmative words when you are unsure about things. When I diagnosed this case in the past two days, I have been unable to confirm what kind of heart disease it is. You actually only gave the information I diagnosed it after just one look. I’m so curious about your diagnosis process.”
Lian Tao was not that interested in the diagnosis results.
"Haha, the one who knows me is Brother Tao! To be honest, it's nothing, just intuition plus experience, and multi-disciplinary comprehensive diagnosis."
Li Jingsheng's previous development of multiple disciplines was also due to business needs.
The clinic finally accepted a patient, but because the patient's disease was not his area of expertise, he could only watch the patient go away in vain.This made him feel particularly uncomfortable.
Later, as he learned more and more diagnostic and medical skills, and mastered the bone palpation technique, his development became smoother and smoother.
Now, as his multi-disciplinary diagnostic skills have reached a certain level, he will have a huge advantage in diagnosing these difficult cases.
When other doctors diagnose a difficult case, they may need to invite doctors from multiple departments for joint consultation.
Li Jingsheng alone is equivalent to a collection of doctors from multiple departments.
When diagnosing this multi-field disease, he even has an advantage over Lian Tao, the dual department director.
Next, he explained his specific diagnosis ideas to Lian Tao in detail.
Lian Tao was filled with envy upon hearing this.
"It makes me want to completely degenerate now, learn from you, and develop into a multi-disciplinary field. Your advantage in diagnosing such difficult cases really makes people cry with envy."
Lian Tao is a dual-discipline person himself, so he naturally understands the huge benefits of being proficient in one more discipline.
For every additional medical discipline you are proficient in, the clinical benefits will increase exponentially.
Especially overcoming this difficult and complicated disease is really awesome.
However, if he wants to imitate Li Jingsheng, it obviously won't work.
One is that he is older, and his learning ability and memory are not as good as those of young people.The energy is far less than that of a 28-year-old boy.
Also, mastering every medical discipline requires a lot of time, energy, and practice.
He was able to achieve success in the Department of Respiratory Medicine and Gastroenterology because he diagnosed and treated a large number of clinical cases in these two departments.
Generally, after being promoted to deputy chief physician, the advantages in this regard are particularly obvious.
You can start to independently lead a team to pick up patients.
Compared with the attending physician, there are two completely different treatments.
"This patient has both liver-derived lesions and pulmonary heart disease, so his situation is more dangerous than imagined. Is it convenient to go to the ward to see the patient now? I guess the existing treatments may not be able to Save the patient’s life.”
Li Jingsheng said directly.
"Let's go, I'll take you there. The patient is now in the critical care department."
Only in extremely critical cases will patients be admitted to the intensive care unit.
The treatment costs there are far higher than those in ordinary wards, and the hospital's top medical resources are concentrated there.
Li Jingsheng and Lian Tao came to the Department of Intensive Care Medicine. After Lian Tao talked to the nurse, he opened the door from the inside and allowed the two to go through strict sterilization procedures and put on isolation gowns before entering the intensive care unit.
Family members also come in to visit every day.
Sterile management is implemented here and all aspects are very strict.
(End of this chapter)
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