Chapter 386 Barefoot is not afraid to wear shoes, the cause is in the lungs

It is undeniable that in clinical medicine, female doctors have a natural vulnerability. If nothing else, physical fitness is a major weakness.

In addition, women are not as good as men in dealing with some critical situations and their ability to adapt.

Women are feminine and delicate, and men are masculine and courageous, which is a characteristic given by nature to human beings.

Each has its own strengths and weaknesses.

Female doctors are more attentive and patient, and it is more suitable for studying virology and statistics of various medical data. Then the diagnosis and treatment of pediatric diseases also has a great advantage because of the natural maternal affinity.

There is also nursing work and the like, which women are better at.

Although Professor Sun Limin is also a doctoral student, he is definitely not as good as Lu Hao of Jiang's Orthopedics in terms of surgery.

Li Quan continued to check the file of the second-generation descendants of the Jiang family, who ranked third.

"Jiang can't, deputy chief physician of Jiang's Orthopaedic Hospital, postgraduate degree."

This Jiang can't write that his academic qualifications are graduate students, and he is almost certainly a master's student.

If you are a doctoral student, you will definitely add the word doctorate.

The truth in this is actually different from calling the dean without a surname, and calling the vice president with a name, and removing the adverbs.

It's all about the subtle kung fu on the surface.

You need to taste it with your heart to understand the deep meaning.

Jiang Can's education is not low, at least two levels higher than Li Quan.

There is also a second bachelor's degree above the bachelor's degree.

This is equivalent to a post-undergraduate degree.

One level higher than an undergraduate, theoretically similar to a master's student, but in practice there is still a bit of a difference.

When employing people in many units, the second bachelor's degree and the master's degree are two different levels of treatment.

However, academic qualifications are only a stepping stone to the workplace, and it cannot change one's life.

If you don't work hard, no matter how high your education is, you can still only lie in the corner and eat ashes.

Jiang Fu's academic qualifications are definitely not top among the doctors in modern hospitals.

Including Huier Hospital, some important positions or doctors are now recruited, and at least a bachelor's degree or above is required. There are even positions that directly require a graduate degree.

In addition, Jiang Fu's rank is also very interesting, he is the deputy chief physician, not the chief physician.

It may be because of the lack of work experience, so I was not able to rise to the level of chief physician.

Li Quan calculated the number of years Jiang could not work, thirteen years.

There is such a rule in the promotion of doctors.

Only those who have obtained a master's degree or degree in this specialty or a similar major, and have been engaged in professional and technical positions as junior physicians for no less than 3 years, can be promoted from resident to attending physician.

Theoretically, it takes at least five years of work experience as an attending physician to be promoted from attending physician to associate chief physician.

The reason why such strict promotion requirements are set is to ensure the level of the physician team.

Jiang Fu's work experience is 13 years, including 1 year of internship, 3 years of regular training, 3 years of residency work experience, and 5 years of attending work experience. That adds up to twelve years.

In other words, Jiang has only been promoted to deputy chief physician for only one year.

Most of the second-generation heirs of Jiang's orthopedics have mixed up to the level of chief physician, and this Jiang can't directly kill the third position among the second-generation heirs just by virtue of the new deputy chief physician level of one year.

It is enough to see how strong the potential of this river is.

Jiang is proficient in almost all the orthopaedic and reduction techniques of Jiang's orthopedics, and has learned Jiang's unique porcelain osteopathic medical skills, with a very solid foundation in Western medicine, excellent surgical talent, and extremely rich experience in surgical treatment of various serious bone injuries. He is also highly accomplished in the treatment of tendon injuries. ”

It's another demon.

After Li Quan learned about the first three of the second-generation descendants of Jiang's Orthopedic Hospital, he suddenly felt insignificant.

There are mountains outside the mountains, and there are people outside the people.

It seems that in the future, you must not think that the world is invincible just because you have learned a few ancient divine doctors, and you must always remember that low-key is the royal way to continue to be high-profile.

This is only the second generation of the Jiang family, and those generations must be more powerful and experienced.

After all, the profession of a doctor is very experienced.

The older the doctor, the more popular he becomes, this is the consensus of everyone.

In the face of such a super powerful enemy, Li Quan was not afraid, but excited.

Ever since he learned a number of divine healing techniques, he has been almost invincible. Whether it was an expert, a professor at an ocean hospital, or a young elite, they were all killed by him.

The same is true at Whale Hospital.

The two directors of the orthopedic department went out in person, and they were all killed by him.

The senior physician in charge of him in the emergency department has now directly become his apprentice.

In addition, the secret recipe of Chinese medicine he obtained from the ancient divine doctor was also in an invincible state. Whether it is a diet drug, or a drug for the treatment of leukemia, hemophilia, or bone disease, the efficacy is to kill other drugs.

Including the most advanced drugs researched by developed countries in the West, they can't compare with his secret recipes for traditional Chinese medicine.

To put it bluntly, there is no one who can fight.

Li Quan is so young, no matter how young and old he is, he is somewhat fluttering.

Now after learning about the strong strength of Jiang's Orthopedic Hospital, he suddenly woke up.

You can't continue to float, otherwise you will be stabbed sooner or later.

"Doctor Li, you have already read the dossiers of the second generation of the Jiang family, are you confident?"

Dean Tan asked with a smile.

Note that Dean Tan asked whether he had confidence, not whether he was sure.

In fact, it also shows that Dean Tan knows the strength of the opponent, and is worried that Li Quan will be directly frightened and dare not fight.

"Fight!"

Li Quan spat out a word heavily.

Everyone has already ridden on his head to and pee, even if he is defeated, he has to kill the man's blood bravery. What's more, Li Quan also has a strong confidence in his medical skills.

He is not afraid of any challenge.

Only by playing with the master can you become stronger and stronger.

"Seeing that you are full of fighting spirit and firm attitude, this is a certainty of victory?"

Dean Tan asked with a smile.

If you want to talk about the thousands of staff in the hospital, the person that Dean Tan can't see through the most is Li Quan.

Because Li Quan's medical skills are not at all estimated by the modern medical system and evaluation standards.

Li Quan shocked Dean Tan's eyes again and again.

Vice President Min and Director Hu of the hospital office also looked at Li Quan together.

Being so provoked by Jiang's Orthopaedic Hospital this time, these management of Huier Hospital must be holding back a wave of anger in their hearts.

It's just that everyone is an adult, and they belong to the social elite, and they have long learned restraint and patience.

Before they were absolutely sure, they held their anger in their hearts one by one.

"No, I'm not sure I'll win. It's just that there is a good saying, those who are barefoot are not afraid of wearing shoes. Jiang's Orthopedic Hospital has a big family and a big reputation, even he is not afraid, what is there to be afraid of as a small person?"

Jiang's Orthopedic Hospital is fighting against the odds, while Li Quan is traveling lightly.

Even if he loses, he will only lose one orthopedic sign at most.

But Jiang's Orthopaedic Hospital can't afford to lose.

Because the orthopedic business is the whole of Jiang's Hospital.

Dean Tan had been observing Li Quan's subtle expressions and eye changes.

"Now that you've decided, the hospital has your back. You don't have to worry about these things to fight and publicize, you just need to continue to run the TCM department. When the time comes, we will inform you of the method, time and place of the competition. ”

Dean Tan must have discussed with Vice President Min and Director Hu before Li Quan's arrival.

Regardless of whether Li Quan fought or not, they all had different strategies to deal with the enemy.

Now that Li Quan is willing to play, the faces of the three hospital leaders all show expectant smiles.

"Dean, then I'll go back to the clinic to treat the patient first. ”

"Well, go ahead! You don't have to have any psychological burden, just keep a normal heart. Dean Tan smiled and nodded.

......

Back in the TCM outpatient room, the patients waiting for him in the afternoon were already waiting in line early.

Li Quan received the patients one by one unhurriedly.

His pulse diagnosis and vision skills have been upgraded the fastest. Almost one patient, these two medical skills can each earn 10 skill points.

Olfactory is also a diagnostic technique, but it is rarely suitable for diagnosis, so much so that it is still only 21% of the way to the beginning.

It's still far from being able to ascend to the realm of Xiaocheng.

Looking, hearing, asking, and cutting are the four basic diagnostic methods of traditional Chinese medicine, which are equivalent to doctors' scanners.

It's hard to learn the art of smelling and diagnosticating, but I can't go up, which is not good.

Gotta figure it out.

If there are no conditions, then find a way to create conditions.

"Patient No. 62, Chen Feng. ”

Hu Yue'er shouted at the top of her voice.

An elderly man who was constantly snorting in pain was pushed into the examination room by his children.

"Dr. Li, please take the trouble to help my father, he was accidentally pulled by the dog and fell when he took the dog out for a walk six days ago. After a few days of hospitalization at the local county people's hospital, there was no effect. I saw your medical skills on Douyin, and I came to seek treatment. ”

The family respectfully described the patient's basic condition to Li Quan.

"Okay, I'll show the old man first. Li Quan stood up and gave the old man a preliminary examination.

The old man has a plasterboard on his right arm, which should have a fracture or something.

The elderly have a serious loss of calcium, resulting in loose and fragile bones. Just like a dead branch, it must be well maintained. I am most afraid of falling, or being hit violently.

"Old man, where are you hurting?" asked Li Quan gently.

"Ahhhhh......h

If you can't speak because of a fall, it means that the condition is serious.

Li Quan heard Dr. Luo say that he must be extremely careful when treating patients who are speechless or slurred when they are brought to the hospital.

This is because such a patient is likely to be critically ill and vulnerable to death.

This old man named Chen Feng is 76 years old, which is considered an advanced old man.

The fall has been injured for many days, and it still does not improve after treatment, which already shows that the injury must not be light.

In case Li Quan died in the orthopedic department of traditional Chinese medicine as soon as he took over, it would not be a joke.

Judging from the appearance of the old man, in addition to the plasterboard on his right arm, there is also a gauze bandage on the knee of both knees. Simple detoxification medications can be seen.

Explain that there should only be a bruise on the knee.

"Doctor Li, my father has become like this since he fell and was injured, and he can't speak. ”

The patient's family said from the side.

"Got it!"

Li Quan nodded, and after he looked at the color, he found that the patient's lips were a little dark.

It's like in winter, when it's too cold, and the lips turn purple.

However, the weather is not cold now, and this phenomenon of purple lips is definitely not normal.

In general, purple lips are caused by poor blood circulation.

The reason is that the distal blood supply of the body is insufficient.

Because the cold environment will cause the body temperature to drop, the blood circulation will be slowed down.

Could it be that there is something wrong with the old man's circulatory system?

Li Quan decided to try the smell diagnosis first.

He leaned over and tilted his head, bringing his ears closer to the heart of the patient's chest.

You can hear the patient's heartbeat, knock knock, relatively stable, the strength is not particularly strong, but for a weak and seriously injured old man, it is already very good to have this heartbeat intensity.

It means that the heart is fine.

At this time, Li Quan unexpectedly heard a slight murmur in his lungs when he heard the patient's breathing.

Something seems to be stuck.

Thinking of the patient's purple lips observed during the application just now, could it be that there is something wrong with the lungs?

[You have successfully performed the olfactory diagnosis technique, skill points +10.]

That's great.

Finally gained 10 more skill points.

At the same time, it also shows that Li Quan's diagnosis was not wrong. The patient does have a problem with his lungs.

With this discovery, he tried to take the patient's pulse.

The pulse is rapid and chaotic, pointing directly to the lung meridian.

Li Quan's mind came up with the theory of the pulse method.

"The pulse is measured. The inch pulse is divided into meridians to wait for the yang, and the yang is also the unification of qi. ”

Now it's almost 100% certain that something is wrong with the lungs.

It's just strange to say, when the pulse is cut, the lung meridian is not blocked, and it feels like it has been suppressed by something. Li Quan secretly speculated that the patient might have developed a pulmonary hematoma.

The lungs are made up of numerous alveoli.

When it occurs with a regional hematoma, there may be no obvious coughing symptoms, only breathlessness, chest tightness, wheezing, etc.

The lesion was detected, and Li Quan did not panic.

"What tests have you done at the county people's hospital?

Li Quan began to inquire about the specific treatment of the family.

"Done a bunch of tests, what X-rays, ECGs...... We don't understand it anyway. After the examination, the doctor told us that my father may have suffered an internal injury, and at the same time, his right arm was fractured, and both knees were slightly bruised. As for treatment, the hospital aligned my father's hand fracture and put a cast on it to fix it. Then we were prescribed Osteophile Seven Cents Tablets orally. ”

The patient's family gave a general idea of what they knew.

"Didn't you have surgery?"

The doctor said that my father was too old and had a high risk of surgery, so he was suitable for conservative treatment. ”

The patient's family shook their heads.

After listening to it, Li Quan looked at the examination results of the county people's hospital again, as well as the medical record book.

The treatment of the county people's hospital is conservative and cautious.

But it's understandable.

Because the county-level people's hospital may be the best in the county, but when treating some critical cases, whether it is experience, medical skills, or equipment, it is much worse than the provincial-level hospital.

It's also the fear of accidents.

If you are not cautious and have an accident at two ends in three days, it is not a joke.

"After the initial examination, I suspected that there might be a problem with the patient's lungs, and recommended a color ultrasound of the lungs first, followed by a chest X-ray to further determine the cause. ”

Li Quan said to the patient's family.

"Doctor Li, you mean, my dad has an injury to his lungs, right?"

"It's possible. ”

"Okay, I'll listen to you. To come here is to believe in you. ”

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

It is not mentioned that the patient will be examined on the spot.