Chapter 98 Proficient Level Gastrointestinal Diagnosis
He is very clear that the main reason for this situation is the lack of various examination data, and his own limited diagnosis level of gastrointestinal medicine is also an important reason.
His gastrointestinal diagnosis is currently at the proficiency level, which is equivalent to the level of a senior resident physician.
When placed in the inpatient department of the hospital, he can be regarded as the key physician in charge of the bed.
But it’s not enough to stand alone.
At least you have to be at the level of attending physician before you can begin to have the ability to stand alone.
Li Jingsheng gritted his teeth and decided to spend a large sum of life points to upgrade the gastroenterology diagnosis to the master level.
This medical technique is used very frequently, and the business of the small clinic has improved now, and it already sees a lot of patients with gastrointestinal diseases every day.
Proficient in gastroenterology 22.7/100.
It requires 78 health points to upgrade it.
He remembered that yesterday's health balance was 184 points.
We received a total of 12 or 3 patients today, but we did not receive any difficult cases.
All are ordinary patients.
I didn’t receive very strong praise from the patients. At most, I just thanked him for a few ceremonial words.
The health value probably won’t increase much.
Because according to experience, diagnosing and treating an ordinary patient can only add 1 point of health, and after treatment, 1 more point can be added.
From prescription to cure, it takes at least three to five days.
The illness comes like a mountain falling, and the illness goes away like stripping silk!
Therefore, his estimated health balance is only around 196 points.
When he opened the properties panel to view it, he was surprised to find another unexpected gain.
The health balance is as high as 297 points.
A full 101 points more than expected.
How did you get this?
Searching the intestines and scraping the belly can definitely not be obtained by treating patients. Because the more than ten patients treated today are just ordinary cases.
Then there are only two possibilities left.
The first is to learn the advanced bone-setting technique of bone-touching from Dr. Xu. However, he has only learned part of the bone-touching technique now, and has not even reached the basic level. This cannot increase his health.
The second option is to save the beggar.
After much deliberation, saving the beggar is the most likely way to gain 101 health points.
Diagnose the beggar and gain 1 health point. Save the beggar from a road rage driver and gain 100 health points.
That should be the case.
If I had known that I had so many health points, why would I hesitate?
He spent a lot of money to add 78 health points to gastroenterology diagnosis.
"It's cool! Even if I upgrade this medical skill to master level, I still have 219 health points left."
He successfully upgraded the diagnosis of gastroenterology to a proficient level, and his diagnostic ability in this area is obviously different from the same.
If nothing else, first of all, my understanding of gastrointestinal medicine knowledge has deepened a lot.
In the past, the mechanisms of the stomach and intestinal tract, as well as related functions, only stayed at a shallow level that was deeper than textbook knowledge. Some simple or slightly complex gastrointestinal diseases can be diagnosed, and pathologies can be analyzed.
It's different now. I have a more systematic and comprehensive understanding of the stomach, including the esophagus, cardia, duodenum, etc. that are connected to the stomach.
And it’s more in-depth.
Know the interaction mechanism between them.
Not to mention intestinal medical knowledge, the duodenum, jejunum, ileum, cecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, etc., all have a clearer and deeper understanding of the mechanisms.
and disease diagnosis capabilities.
He can make a more accurate preliminary judgment on the function of each section of the intestinal tract and what symptoms and adverse reactions may occur if problems occur.
In addition, it has relatively comprehensive diagnostic capabilities for common gastrointestinal inflammation, ulcers, bacterial infections, viral infections and even tumors.
Even though there is only one level difference between the level of a junior attending physician and a senior resident physician, the difference between the two is the difference between a soldier and a general.
Senior resident doctors, no matter how powerful they are, can only be at the level of a team leader, with narrow diagnostic capabilities and knowledge. However, the level of junior resident doctors has been raised to the level of 'general', and they are not familiar with the entire field of gastrointestinal diseases.
Have a more comprehensive and in-depth knowledge and understanding.
With his current level of gastrointestinal diagnosis, he is fully capable of starting to stand out in a third-level 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 acquisition of comprehensive diagnostic capabilities, this time he was promoted to the proficient level, and he has begun to possess comprehensive systematic diagnostic capabilities.
This time when he diagnosed the patient, he was obviously much more calm and confident.
"The patient's current temperature is normal. Has the fever subsided?"
After his diagnostic ability improved, he immediately thought of a possibility.
Fever caused by gastrointestinal cold usually comes and goes away 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 this! No wonder everyone praises your medical skills here!"
The patient's words are basically an admission.
"After I caught a cold the day before yesterday, I started to have a fever the next morning and had a severe headache. But I had cold medicine at home, so I took two pills and I was fine soon."
After listening to the patient's story, black lines appeared on Li Jingsheng's forehead.
Consultation is really a technical job!
There are some things that the patient won't tell you at all if you don't ask.
In fact, this is 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 gastrointestinal cold.
After thinking about it, Li Jingsheng prescribed montmorillonite powder to the patient.
Skilled medicinal efficacy and pharmacological medicine are basically enough to deal with this common minor disease.
He secretly thought in his heart that when his health balance was a little higher, and then the potency and medicine generation were also upgraded to the proficiency level, it would be perfect.
Montmorillonite powder is often used clinically for patients with frequent diarrhea. It can not only inhibit the microorganisms of 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 dosage must also be strictly controlled and must be used under the guidance of a professional doctor.
Li Jingsheng informed the patient in detail about the relevant precautions and the daily dose of medication. The patient paid the money and left happily.
Watching the patient leave, he fell into deep thought.
This patient should have more than just diarrhea and other digestive tract diseases.
It's just that doctors in small clinics are not trusted by the majority of patients. They explain that they only buy antidiarrheal medicine, and if Li Jingsheng checks this and that for others, it is easy to be mistaken for a rogue doctor who cheats money.
Naturally, he has to be cautious about this matter.
"The patient's body is obviously thin, and from the mobile phone used by the patient, the clothes he wears, and the casual way he pays, it can be seen that the patient's financial situation is good. This person is likely to have a digestive tract disease, which has lasted for at least half a year."<
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After Li Jingsheng's gastrointestinal diagnosis was upgraded to the proficient level, he had more diagnoses when he diagnosed this man again.
Just because the information is limited, it is impossible to determine whether it is a problem in the upper gastrointestinal tract or a chronic disease in the lower gastrointestinal tract.
I hope I can see this man again next time, and then I can ask him a little or suggest him to go to the hospital for a check-up.
However, it seems that the patients are very disgusted with the hospital's treatment, and most of them are not willing to go to the hospital for examination.
Unless you fall ill and have to go.
……
After get off work, Li Jingsheng had dinner and returned to the clinic to practice the bone-touching technique he had just learned.
We are still in the initial stage of progress from theory to practice.
Even a lot of theoretical knowledge is only half understood.
He first touched his leg bones because it was convenient.
I feel like I've gained something, but it's not as effective as touching other people's bones.
When touching yourself, the tactile feedback information from the sensory nerves and 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 bones.
There are only two people in the small clinic, touching Tang Ping? As soon as this idea came up, I quickly suppressed it.
Even though she and Li Jingsheng get along very well and have a good relationship.
He even owed her three months' salary and didn't change jobs.
But she has always loved and respected herself, and Li Jingsheng also respected her very much and would never dare to offend her in any way.
You can take the opportunity to practice bone palpation when examining patients in the future.
You can also get some opportunities to touch bones by studying with Dr. Xu at the Orthopedics Clinic of the Second Hospital.
For him, the most difficult thing about any medical skill is getting started.
If you want to get started, you first need to learn all the theoretical knowledge, and then gradually practice it to improve it to a certain level. Only then can you reach the entry level.
As long as you get through the door, you'll be happy.
You can easily improve your proficiency in any medical skill by relying on the attribute panel. Under normal circumstances, it may take one or two years of clinical practice, or even several years, to go from entry level to proficiency level.
He only needs 10 health points to easily reach it.
This advantage is enough for him to boldly expand his medical skills in multiple fields.
Diagnosis, prescriptions, skills, and many other medical skills are so many that they make other doctors jealous. The key is that he not only has many medical skills, but he can also be precise in each one.
Chapter completed!