Chapter 421 They are all masters, and the answers are all correct, but there are superior and inferior.
Jiang's orthopedic medical skills should actually belong to a model of integrated Chinese and Western medicine.
It not only has the medical skills of traditional Chinese medicine, but also integrates the advanced bone treatment technology of Western medicine.
"Pick a patient who is difficult at random! To show fairness, Whale Hospital can send someone to participate. ”
Dean Jiang commanded.
In the end, it is the dean, and he is much more confident than the second-generation heirs of the Jiang family.
When Li Quan and Jiang Enke and others were competing in medical skills before, Jiang's side kept making small moves. When selecting patients, not only the fields that the three second-generation descendants of the Jiang family are good at, but also a patient with low surgical difficulty should be selected when treating the disease.
At this moment, President Jiang asked the people of Huier Hospital to select patients together, at least much more upright than those second-generation heirs.
It didn't take long for a very special patient to be carried onto the stage by the staff.
The patient's height was only about 1.2 meters, and his back was hunched to the right, and even through his clothes, he could see that his back bone was deformed and bulging, forming a hump.
This person went to the hospital for treatment, but he was not treated with a hunchback.
Instead, it was injured.
Now that his injuries are unknown, he keeps snorting in pain.
"Ahh......h
It's very rhythmic.
The pain he is suffering from is also rhythmic. It should be a constant labor pain.
"Young man, let's diagnose together, write down the diagnosis results, and the host will announce them in public. Dean Jiang proposed.
"Good!"
Li Quan has already performed a survey and has begun to conduct a preliminary investigation of the patient.
Dean Jiang began to inquire about the patient's condition.
"What's wrong with you, young man?
"Ah......h I was dying, and I fell to the ground while performing the show...... Ahh......h My whole body hurts, like someone is cutting my flesh with a knife...... Ahh......h
This patient should not belong to the dwarf.
Although his height is no more than one meter two, the real reason for his lack of growth is a deformity in his back.
Dean Jiang asked him for a long time, which was basically equivalent to asking in vain.
"Come, I'll take your pulse. Li Quan buckled the patient's wrist pulse and made a careful diagnosis.
Dean Jiang actually took the patient's pulse.
This made Li Quan very surprised.
The second-generation descendants of the Jiang family all looked down on the diagnosis of pulse, but they did not expect that Dean Jiang knew the medical skill of diagnosing pulse.
Moreover, looking at Dean Jiang's fingers, sometimes high and sometimes low, it is obvious that he is quite hot in diagnosing the pulse.
At least I have learned the method of three parts and nine waiting pulses.
"Please open your mouth and let me see!"
After Li Quan finished taking the pulse, he said to the patient.
The patient struggled to open his mouth, and Li Quan could faintly see that there was bloodshot thick phlegm in the patient's throat. The color of the tongue coating is normal, and the tongue is large and involuted. The patient's lips are somewhat pale.
The patient also had blood streaks in his nostrils and no blood in his ear holes.
The patient's eyelids were then opened to look at it, and it was normal.
"I'm done. Li Quan smiled at Dean Jiang.
"Something goes. ”
Dean Jiang nodded slightly, everyone is an expert, and as soon as you look at the other party's diagnostic techniques, you can know whether the other party has real skills.
Li Quan returned to his seat and began to write the diagnosis results, but Dean Jiang was not in a hurry, and continued to diagnose the patient with a calm expression.
From this point of view, Dean Jiang is much more stable than those second-generation heirs.
It is not affected by face at all, and there is no performance of quick success.
Li Quan knew that the opponent he met this time was stronger than any other.
Instead, he had some expectations.
Diagnosis is only the first step, and the next prescription and treatment are the most important.
Prescribed, Li Quan did not panic.
He has not yet learned pharmacological syndrome differentiation, but there are some adjuvant treatment prescriptions in the orthopedic surgery he has learned. Just take it and use it.
After Li Quan finished writing the diagnosis, he showed it to Dr. Luo, who was sitting next to him.
On the surface, it's a discussion, but it's actually a formality.
Without a doctor's license, it is inevitable that there will be many inconveniences.
Li Quan's Western medical license has already been examined, and it is estimated that he can get it as early as March next year. When that happens, he will no longer have to be subject to many restrictions and will be able to act much more freely.
After discussing the diagnosis, Li Quan raised his eyes and looked at Dean Jiang.
At this moment, Dean Jiang had just finished his diagnosis, and when he returned to his seat, he began to write his diagnostic opinions.
I saw Dean Jiang write quickly at first, then stopped and thought for nearly a minute before continuing to write.
It was this subtle action that gave Li Quan a general understanding of Dean Jiang's diagnostic level.
It is estimated that Dean Jiang's pulse diagnosis ability is only equivalent to the realm of Xiaocheng.
Because like Li Quan is now diagnosing patients, as long as the diagnosis is clear, there is no need to think about it when writing.
Dean Jiang not only pondered, but also pondered for a minute, which showed that he was not sure about the diagnosis of a certain lesion or condition.
This is because the pulse cannot reach the subtleties, or the experience is insufficient, or the lesion is vague, so it is not accurate.
The corners of Li Quan's mouth were slightly upturned, and that lesion was indeed difficult to diagnose.
If I didn't have the pulse diagnosis technique of the master realm and the vision diagnosis technique, I am afraid that I would be like Dean Jiang, racking my brains to think and deduce repeatedly.
Five minutes later, Dean Jiang finally finished writing the diagnosis.
At this time, Dean Jiang picked up the diagnostic opinion he had written, and did not immediately hand it over to the hostess, but like a student taking the exam, he read it twice, changed it again, and made sure that it was correct, and then handed it over to the hostess.
The attitude is quite rigorous.
Generally speaking, the older the doctor, the more rigorous the attitude.
Many people take it for granted that older doctors are lax because they have more experience in diagnosis and treatment. In fact, this is absolutely wrong thinking.
No matter which hospital you have, as long as you have a little bit of fame, when you visit them, you can see their attitude when they diagnose them.
That's really more cautious than a child crossing a single-plank bridge.
If you are not sure, or if you have any questions, he will repeatedly ask you about your specific situation, the cause, the symptoms of physical discomfort, the duration of the pain, how long it has been on, etc.
Why do doctors become more cautious as they get older?
Because they were scared by a slap in the face.
Don't laugh.
It's true.
Almost every doctor has been slapped in the face countless times from entering the industry to slowly growing into a generation of famous doctors.
Sometimes, it is clear that the disease can be diagnosed based on the data of various examinations.
Then, the treatment is ineffective.
Check again and consult with another doctor. In the end, the diagnosis was overturned and he was mercilessly slapped in the face.
The doctors have been slapped in the face more times, and they have learned better.
When writing a diagnostic opinion, most people put a question mark at the end.
What does that mean?
After I diagnosed you, based on the results, I suspected that you had this disease.
If you look closely, you will find that most of the doctors in the hospital diagnose the disease in this way.
You ask him, doctor, do I really have this disease? Does it have to be this disease?
He can only tell you vaguely that, based on the results of the examination, he suspects that you have this disease, but he does not rule out the possibility of other unknown diseases.
"Well, now the doctors at both hospitals have finished diagnosing the patient. After the patient has completed the examination, I will announce the diagnosis of the two doctors. Now that the results of both diagnoses have been received to me, I promise that no one will have a chance to revise the results again. ”
The hostess took away the diagnosis written by the two.
"Dean Jiang, I don't know what tests you recommend to patients to do to clarify the cause of the disease?" The hostess was invited by Jiang's Hospital, so she naturally had to give priority to helping Jiang's side speak.
President Jiang's status and seniority are higher than Li Quan's, and he should be the first to speak.
"I recommend an MRI, a blood routine and an electrocardiogram for the patient. ”
Dean Jiang gave suggestions for inspection.
This is the clearest imaging examination that can be done directly.
"Doctor Li Quan, what about your examination plan?" The hostess still had a hint of annoyance when she looked at Li Quan.
"Hmm...... I think Dean Jiang's inspection items are very good. Li Quan's inspection opinion was actually the same as that of President Jiang.
This surprised the judges and the audience present.
An idea pops up in everyone's mind, a wise doctor, maybe the diagnosis is the same.
The patient is sent for examination.
During this time, everyone is bored waiting here.
It was already half-past twelve at noon.
"I haven't eaten yet, if the judges have no opinions, I'll ask someone to bring fast food, and everyone will have a meal, do you think it's okay?" Dean Jiang asked the opinions of several judges.
"Very good!"
Several judges nodded.
The guests sitting in the first two rows of the audience are also in charge of the meal. But those media reporters can only solve it themselves.
The melon-eating crowds watching from afar, Jiang's Hospital will not care about their food.
The hostess asked for a box and sealed the two diagnostic opinions in public.
Fast food was quickly delivered to the table.
Li Quan, Dr. Luo and others all received boxed lunches.
Although Li Quan had a hard time with Jiang's Hospital, he was one of the invited contestants. The organizer should have such a small amount of belly.
A boxed lunch doesn't cost much.
If Li Quan's box lunch is not distributed alone, it will make people laugh.
Dean Jiang has done a good job in these details.
The side dishes of the lunch box are quite good, including stir-fried meat with carrots, scrambled eggs with green peppers, baby cabbage, and fried tofu.
Li Quan was really hungry.
Before I operated on the patient with a broken leg bone, I was highly focused, not to mention, but still a manual work.
After they had finished eating, it wasn't long before the patient was carried back to the stage after the examination.
"Okay, the patient has come back from the examination, and now I will start to announce the diagnosis of both doctors in public. See which side has the more accurate diagnosis. The hostess opened the box and took out the two sealed diagnostic opinions.
"The first is the diagnostic opinion of President Jiang of Jiang's Orthopaedic Hospital. The patient suffered injuries to the fifth and sixth segments of the lumbar vertebrae, the elbow joint of the right arm, the femoral head on both sides, and the back bone was born with deformity. Minor shock injuries to internal organs. ”
This is the diagnosis given by President Jiang.
"Oh my God...... Dr. Jiang is worthy of being the top orthopedic expert in our country, and the diagnosis results are consistent with the MRI diagnosis results without the help of any instruments. Dean Jiang's medical skills are really good. ”
After the hostess announced Dean Jiang's diagnosis, she blew it violently.
Dean Jiang had an indifferent smile on his face.
It is estimated that when he wrote these diagnostic opinions, a heart must have hung in the air.
Just like in the exam, we may answer the questions well, but we don't know what to do about our results.
It is not until the teacher finishes reading the paper and announces the results that a heart can land.
Dean Jiang, as the successor of the Jiang family and the director of the Jiang family orthopedics, competed with Li Quan, a regular doctor, to test his medical skills, which in itself was already a dimensionality reduction blow.
If the dimensionality reduction attack is not successful, it will fail in the first round of diagnostic competition, and even like Gannko, he will be misdiagnosed twice, isn't it a big joke?
Now that his diagnosis is consistent with the results of the MRI, he is equivalent to answering the question correctly.
The light on his face is kept for the time being.
The following is the diagnostic opinion of Dr. Li Quan of Huier Hospital. The patient suffered minor injuries to the fifth and sixth segments of the lumbar spine, dislocated elbow joints and bone injuries in the right arm, injuries to both femoral heads, and lacerations to the left femoral head. There were shock injuries to the liver, both lungs, and large and small intestines, and there was slight bleeding in the left lung. The bones of the back are not born with deformities. ”
After the host read Li Quan's diagnosis, the audience burst into exclamations.
And the sound is higher and higher.
There is no other reason.
Li Quan's diagnosis is clearer and more accurate.
Whoever is more powerful will be judged.
Moreover, there is a diagnosis that is different from that of President Jiang.
Dean Jiang's old face couldn't help but be a little embarrassed.
He had to admit that the diagnostic opinion written by Li Quan was actually accurate to which internal organs and what the degree of damage was. This is something he can't compare.
Relatively speaking, President Jiang's diagnosis is very vague.
There is only an approximate range.
"Doctor Li, I don't know why you diagnosed the patient's back bone deformity as non-natural? Do you think it's an acquired cause?" asked Dean Jiang.
"I am more than 90% sure that the patient's back bone deformity is an acquired cause. It's a pity that the patient's parents didn't take their child to the doctor in time at that time, resulting in the patient eventually growing into what he is now. ”
Li Quan didn't want to say that.
Because if the patient's parents were still alive, listening to his words, he would definitely feel guilty and regret it for the rest of his life.
"When a patient is born, he or she should be like a normal baby. It's just that there is a chondroma in his back bone, which causes a little deformity in the back bone. In fact, it can be judged from the patient's shoulder width and the length of both arms that it is not congenital. ”
Li Quan talked eloquently, and said that Dean Jiang was stunned.
Although Dean Jiang has obtained Jiang's true inheritance of osteopathic medical skills, he also has a high attainment in traditional Chinese medicine.
However, compared with Li Quan's medical skills, he is far behind.
There is no comparison at all.
This is also destined for him to lose in the first round of diagnostic medical skills.
"The shoulders are the same width and the arms are the same length, which can indeed be used as an important basis for judging whether the back bone is a congenital deformity. It's just that I didn't expect that the patient's back bone had chondroma inside, and Dr. Li Quan could actually diagnose it. Today, Zhao has thoroughly seen the magic of the diagnostic techniques of traditional Chinese medicine. Compared with high-end instruments, it is not bad at all. ”
President Zhao sighed, he, the president of the Western Medical Association, praised Chinese medicine in public so much, it was because Li Quan's diagnostic skills really shocked him.