Gou is practicing medicine in the clinic

Chapter 67 Intracardiac Diagnosis at the Proficient Level
After the upgrade, he obviously felt that the diagnostic ability of cardiovascular medical diseases has improved to a higher level.

For heart failure, cardiovascular abnormalities, ventricular abnormalities, atrial abnormalities, ventricular fibrillation, congenital heart disease, etc., there are new cognitions and more accurate judgments.

The proficiency level is already equivalent to the level of a senior resident physician.

This is considered a very good strength in the inner field.

Putting it in the cardiology department of the compound, it can even do the work of the attending physician in many cases, and gradually begins to have the ability to stand alone.

Trying to diagnose the young man again, Li Jingsheng's depressing discovery was still obscure.

Even racking their brains, they couldn't identify what kind of disease the patient was suffering from.

The Department of Cardiovascular Medicine is known as one of the most difficult departments, and its talent training cycle even exceeds that of Cardiothoracic Surgery.

It really is a well-deserved reputation.

Regardless of the astonishing number of deputy directors and chief physicians produced by this department, there are many people engaged in scientific research, but very few have reached the director level in clinical practice.

A powerful heart doctor, even in the top three hospitals, can have a very high status.

There is a reason why countless medical students are discouraged by the inner field.

It is difficult to get started, it is difficult to improve, and it is even more difficult to be clinical.

Still can't diagnose, what can I do?
He was a little bit stuck.

Judging from his experience in receiving patients, this patient will buy some antidiarrheal medicine in all likelihood, and then go home and sleep for a night to see the effect.

In order to diagnose the cause of this buddy, he has already consumed 10 points of health.

To advance to the next level, you need to consume 90 health points.

For the doctors in his small clinic, it is enough to keep this diagnostic medical skill at the entry level.

Now that it has been promoted to the proficient level, it is completely enough.

Is it worth spending 90 health points to upgrade a medical skill that can't create economic benefits for the clinic?
Regardless of his remaining 247 health points, every point is hard-earned.

90 health points are used well, and many medical skills can be upgraded.

And even if the diagnostic skills of cardiovascular medicine are upgraded to the proficient level, it may still be impossible to diagnose the real cause of this patient.

The small clinic can't even get an electrocardiogram. How can I make a diagnosis?

No matter how high the level of medical skills is, a comprehensive diagnosis must be made with the help of individual inspection data, combined with symptoms, medical history, course of disease, presence or absence of genetic diseases, and so on.It is by no means a doctor's imagination or assumption.

Medicine is a very rigorous discipline.

It must also be rigorous.

Because this is related to the life and safety of every patient, we dare not be sloppy in the slightest.

Li Jingsheng decided to test the patient's tone first.

"Ma Renli!"

"Well!"

"Your heart sound sounds abnormal. I'm worried that it's dangerous. Why don't you go to a big hospital to have a look!"

Li Jingsheng persuaded him with a more serious tone.

"It's not that serious, is it? Except for diarrhea, I think everything else is fine. Besides, the outpatient department of the hospital is closed early. Otherwise, you can give me some antidiarrheal medicine, and I will be more vigilant in case something goes wrong. If I feel comfortable, I will go to a big hospital for medical treatment in time. But according to my experience, it should be caused by eating unclean food, and it will be cured soon after taking some medicine, it is not a big deal."

The young man pushed his glasses, looking very calm.

Most people with a little culture or medical knowledge will try to make a diagnosis for themselves when they get sick.

It's just that there is definitely a gap between amateurs and professional doctors.

In particular, some dangerous diseases that are relatively rare or whose symptoms seem to be mild are particularly easy to be paralyzed and eventually lead to tragedy.

"That's all right. Tell me about your condition, especially some details that may be overlooked. Just like this, I will prescribe medicine for you to take at home. Don't be afraid of ten thousand, just in case."

The hearts of doctors and parents.

Li Jingsheng was really worried about this patient.

For some heart diseases, it takes only two or three minutes from onset to death, or even shorter.

If you are hospitalized in the hospital, you may be able to rescue him immediately and save your life.

If there is an accident at home, if you live alone, no one will come to rescue you.

Even if you live with your family or friends and everyone falls asleep in the middle of the night, it is very likely that everyone is dead and the body is hard, so it was discovered.

Even if the onset is discovered in time, ordinary people lack rescue knowledge and experience, equipment and drugs, so they can only call 120 and other ambulances.When the ambulance arrives, there is a high probability that it will be rescue in a symbolic sense.

In clinical medicine, knowing that the patient is dead, but at the request of the family members or according to the hospital's regulations, the rescue will usually take 30 minutes.

Although the doctors and nurses hoped for a medical miracle, they often declared clinical death 30 minutes or more after the rescue.

Selling medicine to this patient, Li Jingsheng can earn about eight yuan.

If you don't get an injection, just add some antidiarrheal medicine, the profit is really only so much.

Even if a ruthless person like Boss Zhao received him in person, he would only earn two to thirty yuan at most.

From a legal point of view, this is basically not much risk.

However, from a moral point of view, as a doctor, I know that the patient's condition may not be as simple as it appears on the surface, and there may even be a risk of death.At this time, it is extremely irresponsible to let it go.

It also violates professional ethics.

The patient also saw that Dr. Li was sincerely doing his best, so he patiently explained his condition again.

The patient only had diarrhea, no blood in the stool, melena, or vomiting.

Pain in the abdomen, and there are signs of upward transfer.

After Li Jingsheng listened to it, he found that the hand holding the newspaper was covering his stomach, with an anxious and painful expression on his face.

Looking at this situation, I'm afraid I'm going to have diarrhea again.

Diarrhea is embarrassing because of this, regardless of the occasion, it is impossible to resist the desire to defecate.As long as the toilet cannot be found in time, there is a high probability that it will be pulled on the body.

Look at this situation, it is impossible for the patient to give him more time to think slowly and dialectically.

90 is 90. I hope that after upgrading the diagnosis and treatment of cardiovascular medicine, this young man can be saved.

At least it can help this buddy rule out some potential risks of death.

He didn't hesitate any longer, he could earn more when his health was gone, if this patient's young life disappeared, it would be a tragedy on earth.

Directly consume 90 health points, and upgrade the diagnosis and medical skills of cardiovascular medicine again.

Proficient in Cardiovascular Medicine 100.1/500.

In just over 20 minutes, this medical skill was upgraded by him two consecutive levels, from beginner to proficient level.

Now he has the level of a junior attending physician who is serious about the eight classics.

When he tried to diagnose this patient again, he found that his thoughts flowed like a spring if he had the help of a god.

Cardiovascular diseases related to diarrhea flashed in the brain.

Even better, his thinking has opened up and is no longer as narrow as before.In the past, we only focused on one city and one place, and only locked in a small area.

At this moment, he already has a preliminary view of the overall situation.

It can be connected from more medical fields and body organs and disease occurrence areas to make a comprehensive diagnosis.

"Diarrhea, it is likely that I just ate unclean things, which ruined my stomach. But the heart sound is abnormal, and it is that kind of strange sound, very similar to valvular insufficiency.

Patients often work overtime, stay up late, and sit for a long time, which are extremely harmful to the body.When the heart valves fail to regurgitate, there are some obvious problems.

For example, mitral and tricuspid regurgitation may cause regurgitation.

If it is aortic valve insufficiency, it may cause symptoms such as fatigue, dizziness, fatigue, and dyspnea.

Not to mention pulmonary insufficiency, which can be life-threatening in severe cases.

Even sudden respiratory arrest occurred directly..."

After Li Jingsheng's thinking was opened, he no longer just stared at the focus of diarrhea.

Instead, I began to try to start with abnormal heart sounds, diarrhea, abdominal pain and other aspects at the same time, and connect them together.

(End of this chapter)