Gou is practicing medicine in the clinic

Chapter 98 Gastrointestinal Diagnosis at the Proficient Level
He is very clear that the main reason for this situation is the lack of various inspection data, and his own limited diagnosis of gastrointestinal internal medicine is also an important reason.

His gastrointestinal diagnosis is currently at the proficient level, which is equivalent to the level of a senior resident physician.

Putting it in the inpatient department of the hospital can be regarded as the backbone doctor in charge of the bed.

But not enough to stand alone.

At least one has to be at the level of attending to start to have the ability to stand alone.

Li Jingsheng gritted his teeth, and decided to spend a lot of life points to upgrade the diagnosis of gastroenterology to the proficient level.

This medical technique is used very frequently. The small clinic is now doing well, and there are already many patients with gastrointestinal diseases being treated every day.

Proficiency in gastroenterology 22.7/100.

Requires 78 health points to upgrade it.

He remembered that yesterday's health balance was 184 points.

One day of consultation today, there should be twelve or thirteen patients, but no difficult cases were received.

All are ordinary patients.

I didn't get very strong praise from patients, and the most was a few words of courtesy to thank him.

It is estimated that the value of life will not increase too much.

Because according to experience, diagnosing and treating an ordinary patient can only increase 1 point of life, and after curing, it can add 1 point.

It takes at least three to five days from prescription to cure.

Sickness comes like a mountain, but goes away like shredded silk!

Therefore, he estimated that the remaining life value would be around 196 points.

As a result, when he opened the property panel to view it, he was surprised to find another unexpected harvest.

The life value balance is as high as 297 points.

A full 101 points more than expected.

How is this obtained?
It is certain that it was not acquired through diagnosis and treatment of patients.Because the more than ten patients received today are just ordinary cases.

Then there are only two possibilities left.

The first one is to learn advanced bone setting techniques and bone palpation from Dr. Xu.However, he has only learned part of the Bone Touching Technique, and he has not even reached the entry level, so it is impossible to increase his life.

The second is to save the beggar.

After much deliberation, it is most likely that saving the beggar will gain 101 health points.

Diagnose the beggar, gain 1 health, and save the beggar from the road rage driver, gain 100 health.

It should be right.

If I had known that there were so many health points, I would have hesitated!

He spent a lot of money to add 78 health points to the gastroenterology diagnosis.

"Excellent! Even if I upgrade this medical skill to the proficient level, I still have 219 health points left."

Successfully upgraded the diagnosis of gastroenterology to the proficient level, his diagnostic ability in this area is obviously not the same.

Not to mention anything else, first of all, my understanding of gastrointestinal medicine has deepened a lot.

In the past, the mechanism and related functions of the stomach and intestines were only at a shallow level that is a little deeper than textbook knowledge.It can diagnose some simple or slightly complicated gastrointestinal diseases, and can analyze the pathology.

It is different now. I have a more systematic and comprehensive understanding of the stomach, and even the esophagus, cardia, and duodenum connected to the stomach.

And more in-depth.

Know the mechanism of interaction between them.

Not to mention the knowledge of intestinal medicine, duodenum, jejunum, ileum, cecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, etc., all have a clearer and deeper understanding of the mechanism and disease diagnosis capabilities.

He can make a more accurate preliminary judgment on the function of each intestinal tract and what symptoms and adverse reactions may occur after a problem occurs.

In addition, it has a relatively comprehensive diagnostic ability for common gastrointestinal inflammation, ulcers, bacterial infections, viral infections and even tumors.

Regardless of the fact that there is only one level difference between the level of attending physicians with low seniority and the level of senior resident physicians, the difference between the two is the difference between a soldier and a general.

No matter how good a senior resident physician is, he can only be at the level of a small team leader, and his diagnostic ability and knowledge are relatively narrow.The level of attendings with low seniority has been raised to the level of "general", and he has a more comprehensive and in-depth knowledge and understanding of the entire field of gastrointestinal diseases.

His current level of gastrointestinal diagnosis is fully capable of starting to stand out in a large tertiary hospital like the Second Hospital, and gradually has the ability to stand alone.

It can help the chief physician to share his worries.

If the gastrointestinal diagnosis proficiency level is only the initial comprehensive diagnostic ability, this time he has been promoted to the proficient level, and he has already begun to have a comprehensive systemic diagnostic ability.

This time when he diagnoses the patient again, he is obviously more calm and confident.

"The patient's body temperature is normal now, has the fever subsided?"

After his diagnostic ability improved, he immediately thought of a possibility.

Fever caused by stomach flu usually comes and goes quickly.

"Have you ever had symptoms such as fever and headache after catching a cold the day before yesterday?" He asked the patient.

"You know all about this! No wonder everyone praises your excellent medical skills!"

The patient's words are basically tantamount to admitting.

"After I caught a cold the day before yesterday, I started to have a fever the next morning, and I had a terrible headache. But I have cold medicine at home, and I took two pills, and I got better soon."

After listening to the patient's narration, Li Jingsheng's forehead appeared black line.

Interrogation is really a technical job!

Some things, if you don't ask, patients won't tell you at all.

In fact, these are already very important medical history information.

At this point, it can basically be determined that the patient has fever, headache, and diarrhea caused by a stomach flu.

After thinking about it, Li Jingsheng prescribed montmorillonite powder to the patient.

The proficient level of drug efficacy and drug substitution medicine is basically enough to deal with this common minor disease.

He secretly planned in his heart, wait until the balance of life points is a little more, and then the efficacy and medicine generation will also be upgraded to the proficient level, then it will be perfect.

Smectite powder is commonly used clinically for patients with frequent diarrhea. It can not only inhibit microorganisms in the digestive tract, but also cover and protect the mucosa of the digestive tract.The most common adverse reaction caused by this drug is mild constipation.

For those with severe diarrhea, it is definitely a very symptomatic medicine.

However, patients who are allergic to this drug should not take it.

The dose should also be strictly controlled and must be used under the guidance of a professional doctor.

Li Jingsheng informed the patient of the relevant precautions and the daily dosage of the medicine in detail. The patient paid the money and left happily.

Seeing the figure of the patient leaving, he fell into deep thought.

This patient should not only have diarrhea, a digestive tract disease.

It's just that the doctors in small clinics are not very trusted by the majority of patients. They explained that they only buy antidiarrheal medicines, and Li Jingsheng asked them to check this and that.

Of course he has to be cautious about this.

"The patient's body is obviously thin, and from the mobile phone the patient uses, the clothes he wears, and the casualness of payment, it can be seen that the patient's financial situation is good. This person is likely to have a digestive tract disease, and it has lasted for at least half a year."

After Li Jingsheng's gastrointestinal diagnosis was upgraded to the proficient level, when he diagnosed this man, he had more diagnoses.

Just because of limited information, it is impossible to determine whether it is a problem of the upper gastrointestinal tract or a chronic disease of the lower gastrointestinal tract.

I hope to see this man again next time, and then I can ask him a little bit, or suggest that he go to the hospital for an examination.

However, seeing that patients are very disgusted with the hospital's set, it is estimated that most of them are unwilling to go to the hospital for examination.

Unless you are sick, you must go.

……

After get off work, Li Jingsheng finished his dinner and returned to the clinic to practice the bone-palping technique he had just learned.

It is still in the initial state of progress from theory to practice.

Even a lot of theoretical knowledge is just half-knowledge.

He touched his own leg bones first, because it was convenient.

It feels like there are some gains, but it's not as effective as touching other people's bones.

When touching yourself, because the sensory nerve and the tactile feedback information of the hand will overlap and even produce some coverage.This is not conducive to the accumulation of bone touching experience.

Just find someone to let him practice touching the bone.

There are only two people in the small clinic, touching Tang Ping?As soon as this thought popped up, I quickly suppressed it.

Don't look at her getting along very well with Li Jingsheng, and their relationship is also very good.

He even owed her three months' wages and didn't quit.

But she has always loved and respected herself, and Li Jingsheng also respected her very much and never dared to offend her.

In the future, you can take the opportunity to practice bone palpation when you do examinations on patients.

Going to the orthopedic clinic of the Second Hospital to study with Dr. Xu can also get some opportunities to feel the bones.

For him, the most difficult part of any medical skill is getting started.

If you want to reach the entry level, you need to learn all the theoretical knowledge first, and then gradually practice to improve to a certain level, and then you can reach the entry level.

As long as you enter the door, it will be cool.

Relying on the attribute panel can easily improve the proficiency of a medical skill.From entry to proficient level, under normal circumstances, it may take one to two years of clinical practice, or even several years.

He only needs 10 health points to reach it easily.

This advantage is enough for him to boldly expand his medical skills in many fields.

Diagnosis, prescriptions, skills, and many other medical skills make other doctors jealous.The key is not only that he has a lot of medical skills, but he can also be excellent in each one.

This is against the sky.

(End of this chapter)