Chapter 23 This is called professionalism

Through many practices, Li Quan found that using the children's observation technique to diagnose children can increase 10 skill points at a time. However, for adult diagnosis, you can only add 5 skill points at a time.

Although it is less effective than diagnosing young children.

However, compared to not learning the art of observation before, it is countless times better to catch blind in both eyes.

Li Quan combined the patient's condition and the patient's feedback on the physical condition, supplemented by the diagnosis and diagnosis, to make a comprehensive diagnosis and evaluation. The recorded rounds and the comments he summarized and wrote down are believed to have far exceeded the level of interns.

After checking all the four beds he was responsible for, Li Quan walked to the ward that Han Dong was in charge of.

"Doctor Han, is the investigation finished?" Li Quan must not be called 'Dongzi Dongzi' in front of the patient.

This will affect the image of the doctor.

Addressing Dr. Han is not only a form of respect, but also gives Han Dong a sense of majesty in front of patients.

"There are still three beds that haven't been checked!" Han Dong could see a lot of beads of sweat on his forehead, and he cast a plea of help at Li Quan.

He helped Li Quan speak up and offended Gao Yuan.

Four very troublesome patients were assigned.

Han Dong is relatively lazy, this is the case when he is studying, and the same is true when he is interning.

This also leads to his medical knowledge being far less solid than Li Quan's, and his practical ability is much weaker.

The number of times Professor Liu asked them to make individual rounds can be counted on one hand.

This time, not only did he have to make separate rounds, but the patients assigned to him were also serious and critically ill patients.

For Han Dong, it is like asking a student with mediocre grades to do additional questions in the Olympiad. Aren't you embarrassed for him?

Although Han Dong is lazy, he also knows the importance of it.

This kind of ward round seems to be a trivial matter, but he doesn't dare to be sloppy.

If the problem is not detected in time, and there is an accident at that time, his career is basically over.

"They're already urging over there, I'll help you speed it up!" Li Quan winked at Han Dong and naturally walked to the hospital bed.

Han Dong was so grateful in his heart, don't mention it.

He had long been looking forward to Li Quan coming to the rescue.

"Dr. Li, thank you!"

Han Dong wiped the sweat from his forehead and retreated to the back to take charge of the record.

Li Quan glanced at the bed book in Han Dong's hand, and only recorded the basic data such as blood pressure, heart rate, and diet.

In the matter of ward rounds, Han Dong is completely a rookie-level novice.

I really obeyed this fat man, and followed Professor Liu and the attending physician on ward rounds every day, did he keep hiding behind and dozing off? It felt like he hadn't learned anything.

Li Quan has a certain understanding of all the patients in the group.

The patient at bed 76 is a 64-year-old grandmother with coronary heart disease and type II diabetes, who also had gallstone removal surgery last month.

This admission was due to the detection of cirrhosis of the liver, and the lesions were particularly severe.

Cirrhosis is a chronic disease, and the patient and her family can only be blamed for not paying attention to this disease.

It has been dragging on for a long time, which has led to the current serious illness.

The patient's family wanted to have surgery on the same day as they were admitted. However, after receiving the patient, Professor Liu took into account the patient's age, and he suffered from many diseases and complicated conditions.

So there was no agreement.

Now the main thing is to control the drug and alleviate the condition.

Wait until the patient's physical condition reaches the surgical indicators before removing the spleen.

Professor Liu is only preparing to implement this treatment plan, and has not decided. This is because there is also a surgical risk assessment.

In short, this old woman is a trouble in trouble, not to mention operating on her, even every day she is hospitalized, her vital signs must be monitored at all times.

Han Dong has been checking for so long, and he hasn't even finished checking the first bed, why?

It's just the fear that something will happen.

Li Quanshi looked forward to the diagnosis and looked at the grandmother on the hospital bed.

The sallow face is crawling with wrinkles, and there are patches of brown age spots irregularly distributed. The grandmother's eyes are a little yellow, which is also a clear symptom of liver patients.

Because the liver is the organ responsible for detoxification.

If something goes wrong, it will cause a chain reaction in the body.

"Old man, has your leg swelling gone away a little?" Li Quan asked as he gently rolled up the old man's trouser leg to check.

The calves, which were supposed to be dry and thin, were swollen and watery.

"What did you say?" The old man's ears were a little deaf, and he couldn't hear Li Quan's question clearly.

After Li Quan checked the old man's legs, he said to Han Dong without looking back, "The leg swelling is still serious, which proves that it has affected the kidneys." After checking his legs, Li Quan inspected the old man's palms again.

"The palms are dark red, and the cirrhosis of the liver has not improved significantly. The color of the right palm is lighter than that of the left palm, indicating that the blood vessels of the heart and atria are ...... unobstructed."

Li Quan looked at the patient's symptoms and came to his own conclusions.

Han Dong's two little eyes shone brightly, and his hands were also writing rapidly.

If it weren't for the fact that the venue was not suitable, he would definitely give two thumbs up and praise Li Quan.

Compared to him, Li Quan doesn't know how many times more professional than him.

Even, Han Dong thinks that Li Quan's ward rounds are not inferior to those of the attending physician.

"Through a number of data, as well as the patient's eating situation, as well as physical activity, the comprehensive evaluation of the patient's safety tonight. It is advisable to perform surgery as soon as possible, otherwise the kidney may change from mild inflammation to severe nephritis. ”

After seeing the patient, Li Quan put forward his own suggestions.

Han Dong just bowed his head and worked hard to write.

Record all of Li Quan's words.

"Patient's family, you should try to give the elderly less salty food and guide the patient to urinate more. You can drink more plain water. Li Quan told the grandmother's accompanying family.

"Okay, thank you, doctor!"

The patient's family also felt Li Quan's professionalism.

The fat doctor with glasses was still grinding for a long time, compared to it, this Dr. Li seemed to be at ease, every time he examined a part or asked a question, it was related to the condition, and he could ask the point.

Very professional.

It is convincing.

"You don't have to be polite! Seeing that your dark circles are relatively heavy, the patient has been admitted to the hospital for three days, right?" asked Li Quan in a gentle tone.

"Doctor, I didn't expect you to remember even a few days after my mother was admitted to the hospital. My two older brothers can't leave, so I've been alone for the past few days, and I may not have had a good night's rest. ”

The patient's family's trust in Li Quan has obviously improved a lot.

She smiled helplessly.

"You can rest well tonight, rest assured, your mother is safe. Li Quan said with a smile, and continued to check the next bed with Han Dong.

Only the patient's family watched him leave the ward with a grateful face.

After walking out of the ward, Han Dong couldn't help wiping the sweat from his forehead, and praised with a smile, "Li Quan, there is really you, now I understand how big the gap between me and you is." If you hadn't come to the rescue, I wouldn't have known what I would have done. ”