After Du Leng took the inspection results, his face was heavy, and his sword eyebrows were slightly furrowed.

Obviously, the disease is not so easy to diagnose.

His medical knowledge is definitely no problem, and he is more profound than the average chief physician. The ability to diagnose specific causes by examining the data to detect abnormalities is also very powerful.

It's just that diagnosing a patient is not medically knowledgeable.

Otherwise, modern artificial intelligence is so developed that it can collect all the medical knowledge together, input it into the computer, and directly diagnose the disease by artificial intelligence.

In his lifetime, a doctor can learn less than 1/10,000 of the medical knowledge of an ordinary computer.

In terms of knowledge memory and storage capabilities, computers completely kill human beings in seconds.

It can take more than half an hour for us humans to memorize a text, and this is only a preliminary memory. If you don't consolidate and review it, you will forget it after a while.

But if you want to save this text to your computer, you can just copy it directly, and you may not need even a second.

And as long as the computer's hard drive is not damaged, it can be remembered forever.

There is no such thing as forgetting or having a blurred memory.

It turns out that neither computers nor artificial intelligence can replace doctors.

Because there are so many factors to consider when diagnosing a disease.

Diagnostic ideas are ever-changing, and it is necessary to apply medical knowledge to life, rather than copying it.

"Dr. Du, may I ask what is my wife's illness?"

Seeing that Du Leng was silent for a long time, the family couldn't help but feel a little anxious.

It's about his wife's life, can the family not be in a hurry!

"Uh...... Well, judging from her blood picture and urine test results, she needs to further check her blood sugar. The cause may be related to her type 2 diabetes. ”

Du Leng can sit independently, and his magic skills are naturally not bad.

In fact, every doctor has to learn to fool.

Even if you are just in the inpatient department, you don't need to sit in the clinic, and you also have to deal with patients and family members. I won't fool around and suffer losses and get angry.

Sometimes, when something is clearly done right, you have to be scolded by a senior doctor after being scolded by your family.

This kind of Zhu Bajie looks in the mirror, and it is not a human treatment inside and out, and every rookie doctor has encountered it.

After being wronged, sometimes you can only knock out your teeth and swallow blood, wipe away your tears, and remember it for a long time next time.

Some smart medical students have learned to fool since the beginning of their internships, and they are obviously not as good as those novice doctors who don't know how to fool. However, they are able to get along well with their families and patients. The tasks assigned by the senior doctor can also be completed well, so as to be appreciated by the superiors.

"We checked blood sugar at the Provincial People's Hospital not long ago, and it's not been a few days, can the results from last time be used?"

The family members were a little unhappy.

The female patient sat in a chair, her limbs shaking uncontrollably, and her hands and feet seemed to be a little weak. You need the support of your family to sit still.

Looking at this situation, it is indeed not easy to run around to do inspections.

"It's been so long, and if I refer to the results of the last examination to diagnose her, it would be irresponsible to the patient. You see, the MRI results of the saddle area that you checked in the outer hospital thought they had medical reference significance, so I didn't let you check them again. I can understand that it is not easy for you, as long as it can save you time and money, I will try my best to help you save money. ”

Du Leng flickered at the family, and the family was convinced.

Honestly took his wife to check her blood sugar.

Zhou Can admired Du Leng's flickering skills very much, and secretly studied to himself.

After the patient left, a new patient sat down at Du Leng's desk. It is enviable that so many patients can take the initiative to diagnose him.

Deputy Director Shi and Zhou Can have not opened since the morning.

Still has a shameful record of zero visits.

Director Zhang Bihua's consultation table has been surrounded by seven or eight patients and their families. There was a long queue, and there was finally a little bit of an expert to diagnose the weather.

Director Dai of the Department of Pediatrics was also busy.

There are two other specialists from obstetrics and gynaecology who are also a little busy.

Even the deputy chief physician of the Department of Obstetrics and Gynecology, who specializes in infertility, was already surrounded by several patients at his desk.

The deputy director of the Department of Gastroenterology, and a middle-aged deputy chief physician with a Mediterranean hairstyle in the Department of Neurology, are extremely cold and can only watch others diagnose diseases.

"It's such a shame to sit here! If I sat until the end of the evening and there were still no patients, I would call Director Shang and go back to Tuya Hospital directly. ”

Deputy Director Shi's face has begun to be unbearable.

Sitting here and being treated as a zoo by other patients and their families is a bit of a shock.

"Director Shi, don't worry, I see that the female patient who drank a lot of water that Du Leng received is also close to our gastroenterology department. Let's get mixed up in a while, so we can open up. ”

Zhou Can gave advice to Deputy Director Shi.

Just went back with such a disgraced face, how can the Department of Gastroenterology look up and behave in front of other departments in the future?

Drinking a lot of water can really go hand in hand with digestive disorders.

Although the woman was most likely suffering from a gynecological disease.

However, when doctors diagnose a disease, the boundaries are sometimes not clear. In many cases, it is a cross-departmental consultation, and it is even necessary to invite experts from multiple departments to carry out joint consultations.

"But that patient is extremely difficult to diagnose at first glance, let's mix it in, in case we can't find the cause, won't it be even more embarrassing? The strength of the Provincial People's Hospital is not bad, and it is even much stronger than our Tuya Hospital in some medical fields. Even the Provincial People's Exhibition Hospital couldn't find out, and we really didn't know that sure. ”

Deputy Director Shi wanted to open the business, but he looked ahead and backwards, and was afraid that he would shoot himself in the foot.

He didn't dare to mix.

"I just quietly observed, and found that the woman was unconscious, her hands and feet were shaking, and she was almost paralyzed. This is quite similar to a case I read about in medical books. I dare not say that I am sure that it is enough, but I am sure that it is enough. ”

Zhou Can knew that Deputy Director Shi had always been cautious and timid, and if he wanted Deputy Director Shi to agree to pull the patient over, he had to give Deputy Director Shi a reassuring pill first.

"Are you really 40% sure?"

Deputy Director Shi is very aware of Zhou Can's ability.

Diagnosing such an extremely difficult case, Deputy Director Shi himself is not sure at all. It's like asking an ordinary junior high school student to do an Olympiad math problem, maybe he can't even touch the wind.

I don't know which angle to start.

"When have I ever made a joke?"

Zhou Can's face was serious.

"Okay, I'll give this old face a fight. If the cause of the disease is not found, it is not only the two of us who are ashamed, don't we still have doctors from the Provincial People's Hospital as a foil? ”

Deputy Director Shi said it arrogantly, in fact, it was because Zhou Can gave him a reassuring pill that he dared to say so.

Zhou Can didn't break it, but quietly gave him a thumbs up, "Director Shi is domineering!" Powerful! ”

"Hehe, you can't stay idle like this forever! Director Shang is still counting on the two of us to win glory for the Department of Gastroenterology! ”

He replied with a smile.

After the two discussed it, they waited patiently for the opportunity.

Du Leng didn't know that he had been targeted by Zhou Can and them at the moment, and he was still trying his best to deal with the patients who came to him for treatment.

Judging from his diagnosis and treatment behavior, it is a bit like a horse arguing about soldiers, and he is boastful.

All kinds of medical principles have been said, quoting scriptures and classics, and talking endlessly. However, these are only medical theories and cannot be put into practice.

Let's say someone has a stomachache and the doctor analyzes the possible causes. Enteritis, intestinal tumors, liver cancer, gastric ulcers, etc., list seven or eight possible causes in one go, and explain the pathological mechanism of each cause and the organs that may be affected.

After the explanation, ask the patient to do this test and that test, but the real cause cannot be determined.

In the end, how to treat the patient's disease cannot be implemented.

Or use some cure-all-style treatment tricks, the effect is not good.

After Zhou Can looked at it for a while, he shook his head secretly.

What people are most afraid of is being burdened by false fame.

Needless to say, Du Leng's talent is genuine. However, because his starting point is very high, his sense of superiority is too high, so that his eyes are above the top, and it is difficult for him to really sink down and study humbly.

Regardless of the level of education, doctors should learn step by step from the most basic clinical practice after joining the work.

And it shouldn't be too ambitious, the low-end work can't be looked at, and the high-end ones are directly started only to find that it is a false shelf. When encountering a slightly more difficult disease, it is a little difficult to find the direction, and there is nowhere to use it.

If Du Leng can't realize his problem, he will be left far behind by Zhou Can, and the gap between the two will get bigger and bigger.

Zhou Can's starting point is far inferior to Du Leng, but he can start learning from the most basic clinical practice in a down-to-earth manner, and then work steadily and steadily, step by step. He walked very steadily.

And Du Leng climbed too fast, the foundation was not firm, and it was easy to fall with a blue nose and swollen face.

After more than an hour, the female patient who had been drinking a lot of water came back after taking her blood sugar.

With her husband's support, she stood in line behind a patient.

After Du Leng finished treating the patient in front of him, the female patient sat at the consultation table with the support of her husband.

"Dr. Du, we have finished checking our blood sugar, please take the trouble to take a look."

The family took the results of the examination to Du Leng.

"Blood glucose (intravenous) 52 mmol/L, Na + 173 mmol/L, K + 3.9 MMMOl/L, Cr 165.7umol/L......"

Du Leng said to himself with a serious face while checking the patient's blood sugar values.

"This blood sugar is a bit high!"

The family member asked nervously, "Dr. Du, is my wife's illness serious?" Can it be cured? ”

"She must have a serious problem! Otherwise, you would have been cured in the first three hospitals. The medical level of the Provincial People's Hospital is so high that the cause of the disease cannot be found. No doctor dares to say that it will cure the patient's disease, so we can only follow the medical diagnosis and demonstration, and slowly observe the efficacy after taking the medicine. ”

Du Leng said a lot, and the family members only nodded.

At this moment, the super-obese female patient also came back after the examination.

Two difficult cases came together.

Du Leng's pressure suddenly increased.

He quietly cast a pleading glance at Director Zhang Bihua, who was sitting at the middle of the table, but unfortunately Director Zhang was also busy at the moment and didn't have time to look at him.

Regarding the situation on Du Leng's side, Director Zhang didn't know at all.

There is a saying that the house leak coincides with overnight rain.

Complete one's misery.

There are already two difficult patients pressed on their hands, one of them has not been solved, and another patient with hearing loss, blurred vision, and low-grade fever has also returned after the examination.

Du Leng looked at the patients waiting in line for him to diagnose the cause and give a treatment plan, and the pressure was great.

If it's just a patient, fooling the magic can still come in handy.

At the same time, there are several patients, all of whom are fooling, which is fooling the family members. The family will definitely not agree.

However, this binge drinking cold water, the condition of type 2 diabetic patients is already very bad, and the idea of prescribing some placebo drugs to cope with it is very tempting. It's just that if you eat and die, it's not a joke.

Patients like this can become seriously ill if they are dragged on casually. At that time, the family will not care so much, he will only think that he has taken the medicine prescribed by Du Leng, and his condition has worsened. At that point, Du Leng is in danger.

The family members can't tell the placebo that is prescribed, but the medical department and the competent department can easily find out.

Therefore, he took the examination sheet and checked it repeatedly, his expression was hesitant, and he was unable to give a specific cause and treatment plan.

"Doctor, how long will it take! My daughter's body is too fat to stand for long periods of time. ”

The father of the obese female patient began to urge loudly.

I took my daughter to Xinxiang Women's and Children's Hospital for treatment, and I originally wanted to catch up with the experts from Tuya Hospital to sit here, which was very good. However, after a day of examination, when I happily came to wait in line with the test results, I found that Dr. Du, who graduated from a prestigious overseas university, did not seem to be as powerful as I imagined.

Gradually, a trace of distrust began to grow in the hearts of the families.

As the wait continues, this mistrust grows.

"Don't mention it, waiting is really annoying, we've been here for a long time! I did a check-up for almost a day, and I waited for Dr. Du to see the results of the test and find out the cause. ”

Family members queuing behind obese female patients complained.

The patient with a low-grade fever, hearing loss, and blurred vision must have had pain in her body because her expression was painful. The body needs to be supported by family members.

It is not clear exactly where the pain is, but it may be in the leg or hip joint.

"Don't say it, we all seem to be in the same situation! Hmph, we also did a half-day examination, but the diagnosis result was delayed. ”

The husband of the female patient who drank cold water was already obviously dissatisfied.

This kind of complaint, dissatisfaction can easily resonate, leading to increasing dissatisfaction among all family members and patients who have been queuing for a long time.

"Dr. Du, what is my wife's illness, you should give an explanation!"

The family urged again.

Du Leng's diagnosis and treatment experience is very small, and in the face of the doubts of many family members and patients, he is very angry and a little panicked at the same time.

"As I said, many hospitals have not been able to find out her disease, and it is not so easy to investigate. If you don't trust me, you can see another doctor. ”

Words and actions in anger can easily hurt people.

It is very easy to trigger the escalation of conflicts.

The family members have been queuing for so long, doing this and that examination according to Du Leng's requirements, but Du Leng is now extremely irresponsible and asks them to find other doctors for treatment.

This is so irresponsible.

"If we don't trust you, we won't see you. You let us do whatever inspections we do, tossing for such an old day, can't you just send us away with such an attitude, right? ”

The family's face was already a little red, and their expressions were very serious, and it was estimated that the anger had also risen.

"My attitude is fine, I am here to seriously analyze the cause of your wife, but you have been urging. Again, if you don't want to wait, you can find another doctor to see you. ”

Du Leng is cultured and cultivated, and it is impossible to scold his family directly on the street.

It's normal to speak a little choking and a little tempered.

The mud bodhisattva still has three points of anger, let alone a high-minded returnee doctor like him.

was questioned by many family members in public, and he definitely couldn't hold his face.

Unfortunately, he met a grumpy family member today.

Bang!

The family member slapped his palm on the table, and the items on it flew up a few centimeters high.

"You're okay with that? Are you fooling our families and patients? After checking for a long time, I said a lot of what diseases were, but now I tell us that we can't find out the cause. The key attitude is still so bad, the expert is not the king of heaven, but a doctor who serves the people. If you don't know how to see a doctor, don't sit around here. ”

I really didn't expect this grumpy family member to quarrel, and his mouth was quite powerful.

His roar was really a bit loud, and it was estimated that everyone in the entire outpatient hall heard it.

The point is that what he said is still somewhat reasonable.

There was a quarrel here, and the quarrel was very fierce, which immediately alarmed Dean Tian, who was waiting in Meizizi to vigorously publicize the rescue of children with severe bronchitis in the expert outpatient clinic.

"What's going on? Why did that returnee doctor quarrel with his family? ”

Dean Tian's head suddenly grew for a while.

I wanted to send the hospital assistant or the director of the hospital office to extinguish the fire first, but she was worried that they would not handle it well, so she hurriedly rushed to the scene with someone to mediate.

"Eliminate gas, all eliminate gas. Doctors work hard, we have to understand. It is not easy for families and patients, and we need to understand it as well. Doctors and patients are friendly and cooperative, and they need to trust and understand each other. ”

After Dean Tian came up, he did not rush to ask the reason for the matter, but lowered the fire on both sides.

"I am Tian Yuxiang, the director of Xinxiang Women's and Children's Hospital, if you have any grievances, you can tell me directly, and I will find a way to solve it for you."

Dean Tian once again cooled down the grumpy family members.

"Dean Tian, you come to evaluate the judges, this Dr. Du let us do a one-day examination, but we couldn't diagnose the cause, not to mention, and the attitude was very bad. scolded us, saying that he didn't want to wait and could find another doctor. Do you say angry people are not angry? ”

The family was indignant.

(End of chapter)