Gou is practicing medicine in the clinic

The patient's cough continues, and he needs to press his chest hard with his hands and cough desperately.

The cough of tracheitis is short and short, and the sound is like blowing in a broken bag.

The sound of bronchitis is duller and sometimes prolonged.It's a bit like the feeling of a soprano singing a high note, elongating the note, but unable to raise the note.

Li Jingsheng was carefully identifying the location of the patient's lesions.

This is a direction he wants to break through in the near future.

In the past, it was not even possible to judge whether there was a disease in the patient's respiratory tract from the patient's cough.Later, after his intra-respiratory diagnosis level improved, he could roughly infer the person's respiratory condition just by listening to the patient's coughing or even speaking voice.

It is certainly not enough to just judge whether there are pathological changes in the patient's respiratory tract.

Doctors must strive for excellence.

Now he's working toward more advanced diagnostic levels.

The specific location of the lesion can be accurately located through the patient's cough.

Although the clinical diagnosis and treatment of Western medicine are all based on the test results, not the doctor's guess.But a doctor’s subjective diagnosis is also very meaningful.

Doctors examine patients, but doctors with poor skills will only perform examinations mechanically according to textbooks.A doctor with some level of experience will give the patient a preliminary diagnosis.

A series of targeted tests are then prescribed.

Both seem to be able to find the cause, but the former requires many detours.

It is a waste of patients' money and time.

If the patient is suffering from an acute illness, and it is a highly dangerous emergency, every second at this time is extremely precious.If you unfortunately meet a doctor with a low level of expertise and wastes precious rescue time on unnecessary examinations, it will definitely be a heartbreaking thing.

The patient will also suffer from bloody misfortune for eight lifetimes, and may eventually die because he misses the best opportunity for rescue.

Li Jingsheng's general direction of improving medical skills is definitely correct.

It's just that the path he took was extremely difficult, and it was not something that ordinary doctors would dare to take.

Then again, if he really got through, it would be almost impossible to imitate because of the high barriers to entry.He will probably become the most powerful doctor of our time.

He tilted his ears to carefully distinguish the patient's cough.

"The sound is broken and stuck. This is definitely not caused by bronchial or tracheal disease. I am afraid that this phenomenon can only be caused by major lung disease."

Li Jingsheng analyzed quickly in his mind.

As for where in the lung the disease occurred, he couldn't tell.

I'm afraid he needs to improve his intra-breath diagnostic skills to a higher level before he can be able to tell which part of the lungs the disease is.

[Respiratory medicine diagnosis +1, health +1000. 】

What a pleasant surprise.

I didn’t expect that just by listening to a cough, I could get such an amazing health bonus.

The reward this time should be for a major breakthrough in medical skills.

Almost every time a major breakthrough in medical skills was achieved, he was able to obtain such a large life value reward.

The minimum reward is 10 health points, and the maximum reward is 100. A direct reward of 1000 like this is relatively rare.

With this unexpected gain in health points, he could already upgrade his doctor level to director and still have a lot left over.

From the moment he entered a medical school, he had been looking forward to one day becoming a chief physician.

Now finally have this opportunity.

He did not hesitate and decisively consumed more than 4000 health points, directly pushing the doctor's level from deputy chief physician to chief physician.

At this moment, he felt that his life was complete.

Finally stepped into the highest level that doctors dream of.

The highest level of a clinician is chief physician, which has reached the top.

Going up further, it is no longer a 'banned level' title that ordinary people can reach.

For example, if you go up to the first-level chief physician level, you can also strive to be recognized as an outstanding young person, and then when you have outstanding young people, you can further challenge the Yangtze River Scholars of higher ranks.

As for the final level of academician, it is no longer just about strength.

It also depends on luck.

The vast majority of the best and most evil doctors can die without regrets if they can stop being candidates for academicianship.

The kind that truly has no regrets.

Life's counterattacks are so wonderful sometimes.More than half a year ago, Li Jingsheng would have been satisfied if he could make a living and pay Tang Ping's salary, let alone attacking the chief physician.

Li Jingsheng

Level: Third-level chief physician 10000/20000
Feeling the new level and completely different experience, he was very intoxicated.

Although he is only a third-level chief physician, this is already very satisfying for him.

At this point, if his professional title can keep up, he will immediately become a genuine chief physician and a real expert.

Then again, not many third-level chief physicians call themselves experts.

They were all installed by force.

There is no way, this society is like this, as long as you have a little social status, you can hear a lot of beautiful words.

The patient had finished coughing at this time, and Li Jingsheng began to touch the patient's bones to check the bone condition of the limbs, joints and other parts.

He found that after the doctor was promoted to the level of chief physician, his bone palpation skills seemed to have improved again.

The higher the level of a doctor, the stronger his skills will become.

The feeling of touching the bones becomes clearer, and the diagnosis and analysis of the information after touching the bones also becomes more "quick".Improving the doctor's level is indeed king.

After careful inspection, he found that, as Director Zhong Hu said, the patient's limb joints were obviously swollen.

It feels moderately hard, neither the softer edema nor the hard hematoma or tumor.

Its softness and hardness are comparable to ordinary muscles.

But when he felt the patient's bones carefully, his heart sank to the bottom.

The patient's bone image was poor.

Not only is there osteoporosis, but there is also dead wood sign, like a big tree that is about to die.

Under normal circumstances, no matter how sick the patient is, as long as he is still breathing, the bone elephant will be a normal and energetic bone elephant.

According to his experience of touching bones, as long as there are signs of dead wood and bones, it must be a serious disease.

And it is most likely a malignant tumor.

Only the extremely destructive nature of malignant tumors can make bones lose their vitality and slowly wither away.

Malignant tumor cells are the devil among devils. Their destructive power and deprivation of body nutrients are very overbearing.The kind that leaves no way for the body to survive.

If it is a benign tumor, although it will occupy most of the body's nutrients, it will not destroy other parts of the body.

This patient's coughing sound reflected that the lesion was in the lungs, and the bone appearance was extremely bad. He was suffering from cancer, and the cancer cells had invaded the bones, which were like dead wood and bones.

Also, the patient had suffered from joint pain for more than four months.

This shows that cancer cells are no longer in the bone for a day or two.

If it is cancer in situ within the bone, symmetrical pain in the limbs is generally rare.

When most patients get sick, it is the focus of the disease that first causes pain.

From this point, it can also be reflected that the patient's bone cancer is likely to metastasize from elsewhere.

There are not many types of cancer that can invade the bones of the limbs at the same time.For example, pancreatic cancer, which is called the king of cancers, is very honest.

In the early stages there are almost no obvious symptoms.

But by the time it starts showing symptoms, it's already late.

Most adenocarcinomas are benign, but adenocarcinomas are notorious.

Lung cancer is also in the adenocarcinoma family tree.

This patient's teeth are black, indicating a long history of smoking.

Not long ago, Li Jingsheng diagnosed a patient with lung disease.

Combined with the patient's symmetrical pain in his limbs, he no longer needed further diagnosis and analysis.

"Director Zhong, I have checked it out, let's go outside and talk!"

Li Jingsheng naturally would not talk about cancer in front of the patient.

Some truths should never be easily told to patients.

After learning that it is cancer, many patients will have a huge psychological burden.On the contrary, it is not good for the condition.

Some people say that cancer patients should never undergo chemotherapy, otherwise it will shorten their life span.

Isn’t it magical to spend hundreds of thousands to cure cancer, but instead it shortens your life span?
Chemotherapy is a double-edged sword. It kills one thousand enemies but damages oneself eight hundred.

Many patients' bodies cannot tolerate chemotherapy.

Usually it only takes one or two rounds of chemotherapy before the patient's body collapses at a speed visible to the naked eye.

That is to say, modern medical technology has not yet developed to that point, otherwise chemotherapy will be eliminated sooner or later.

Radiotherapy is also very harmful to the body.

At present, human beings' methods to deal with cancer are actually very weak.The only ones that are really effective are surgical resection, chemotherapy, and radiotherapy.

As for targeted drugs, immune T-cell drugs, etc., they have not yet reached a very mature stage of technology and there is still a long way to go.

To make rapid progress, it requires a lot of money.

Better teams can apply for some basic scientific research, but 500 million a year in funding is just a drop in the bucket for truly top scientific research projects.

Zhong Hu and Li Jingsheng walked out of the ward.

"Xiao Li, the investigation was completed so quickly? Are you saying that because you are anxious to go back to work?"

Zhong Hu was somewhat skeptical.

Because Li Jingsheng was just going through the motions. He entered the ward and had a brief chat with the patient, then touched the bones and said that the examination was completed. Isn't this just a formality?
He had no idea that Li Jingsheng had already made rapid diagnoses in his mind many times.

"Director Zhong, I am really in a hurry to go back to the outpatient clinic, and I only have 5 minutes left. But I just examined the patient, and I think it was quite careful. Whether the examination is careful or not has little to do with the length of the examination. I think so ."

After Li Jingsheng finished explaining, he started talking about his condition.

"It's best to take a x-ray of the patient's lungs. I suspect it may be lung cancer and metastasis, which leads to swelling of the bones and joints of the limbs and abnormal proliferation."

He didn't say anything unless he said it, and as soon as he said it, Director Zhong was frightened.

"You, you said the patient has cancer?"

"Yes! It's almost certainly bone cancer. The lungs may be the first organ where the cancer occurs. Later, it metastasized."

Li Jingsheng nodded solemnly to confirm.

"I guess we can find out if we take a film." (End of chapter)