Chapter 23: This is called professional

Through many times of practice, Li Quan found that performing child care inspections to diagnose children can increase 10 skill points at a time. However, for adults, only 5 skill points can be added at a time.
Although it is less effective than treating infants.
However, it is countless times better to catch the blind with both eyes than before.
Li Quan combined the patient's condition and the physical condition reported by the patient, supplemented by inspection surgery, to make a comprehensive diagnosis and judgment. The recorded ward round data, as well as the comments he wrote down in summary, believe that it has far exceeded the level of an intern.
After checking all the four beds he was responsible for, Li Quan walked to the ward where Han Dong was in charge.
"Dr. Han, have you finished the investigation?" Li Quan definitely couldn't call "Dong Zi Dong Zi" in front of the patient.
This will affect the image of the doctor.
Calling Dr. Han is not only a kind of respect, but also allows Han Dong to be majestic in front of patients.
"There are still three beds that have not been checked!" A lot of sweat can be seen on Han Dong's forehead, and he looked at Li Quan for help.
He helped Li Quan speak up and offended Gao Yuan.
Four troublesome patients were assigned.
Han Dong is a relatively lazy person, like this when he is studying, and when he is intern.
This also caused his medical knowledge to be far less solid than Li Quan, and his practical ability was much weaker.
Professor Liu asked them to count the number of individual rounds with one hand.
This time, not only will the ward round be done alone, the patients assigned to him are also severe and critically ill patients.
For Han Dong, it is like asking a student with mediocre grades to do additional questions in Mathematical Olympiad. Are you embarrassing him?
Although Han Dong is lazy, he also knows the importance.
This kind of ward round seemed like a trivial matter, but he did not dare to be sloppy.
If there is a problem that is not discovered in time and an accident occurs, his career will basically come to an end.
"They are already urging, let me help you speed up and finish it!" Li Quan blinked at Han Dong and walked to the hospital bed naturally.
Don't mention the gratitude in Han Dong's heart.
He had long been expecting Li Quan to come to the rescue.
"Doctor Li, thank you!"
Han Dong wiped the sweat from his forehead and stepped back to take charge of the record.
Li Quan glanced at the bedbook in Han Dong's hands, and only recorded basic data such as blood pressure, heart rate, and diet.
In the matter of ward rounds, Han Dong is completely a rookie-level novice.
After really convinced this fat man, he followed Professor Liu and the attending physician on rounds every day. Could it be that he has been hiding behind and dozing off? It feels like nothing has been learned.
Li Quan has a certain understanding of all the patients in the group.
The patient in bed 76 is a 64-year-old grandmother suffering from coronary heart disease and type 2 diabetes. At the same time, this grandmother had a gallbladder stone removal operation last month.
This time I was admitted to the hospital because I found cirrhosis of the liver, and the disease was particularly serious.
Cirrhosis of the liver was originally a chronic disease, and we can only blame this patient and her family for not paying attention to this disease.
It has been dragging on, which led to serious illness now.
The family members of the patient wanted to undergo surgery on the day of admission. However, after Professor Liu received the patient, considering that the patient was too old, he suffered from many diseases and his condition was complicated.
So there is no agreement.
Now it is mainly drug control to alleviate the condition.
Prepare to wait until the patient's physical condition reaches the surgical target before removing the spleen.
Professor Liu is only preparing to implement this treatment plan, and has not decided. Because of the risk assessment of surgery.
In short, this old grandmother belongs to the trouble in trouble. Let alone surgery, her vital signs must be monitored every day she is hospitalized.
Han Dong has checked for so long, and he hasn't even checked the first bed. Why?
Just afraid of accidents.
Li Quanshi looked forward to the diagnosis and looked at the grandmother on the hospital bed.
His sallow face was covered with wrinkles, and brown age spots were irregularly distributed. The old woman's eyes are a little yellowish, which is also an obvious 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 a bit?" Li Quan asked, gently rolling up the old man's trouser legs to check.
The calf that should have been thin and swollen was watery.
"What did you say?" The old man's ears were a little deaf, and he couldn't hear Li Quan's question at all.
After checking the old man's legs, Li Quan said to Han Dongdao, "The swelling of the legs is still serious, which proves that the kidneys have been affected." After checking the legs, Li Quan checked the old man's palms again.
"The palms are dark red, and the liver cirrhosis has not improved significantly. The color of the right palm is lighter than that of the left palm, indicating that the heart and atrial blood vessels are unblocked..."
Li Quan looked at the symptoms of the patient while giving his own conclusions.
Han Dong's two small eyes shined straight, and his hands were writing quickly.
If it wasn't for the unsuitable venue, he would definitely give two thumbs up and praise Li Quan.
Compared with him, Li Quan does not know how many times he is professional.
Even Han Dong believes that Li Quan's ward rounds are not inferior to the attending physician.
"Through a number of data, as well as the patient's eating status, as well as physical activity, comprehensive judgments, the patient is safe tonight. It is recommended to perform surgery as soon as possible, otherwise the kidneys may turn from mild inflammation to severe nephritis."
After seeing the patient, Li Quan made his own suggestions.
Han Dong just bowed his head and worked hard to write.
Record all Li Quan's words.
"Family of the patient, you should try to eat less salty food for the elderly and guide the patient to urinate more. You can drink more boiled water." Li Quan warned the family member of the grandmother's escort.
"Okay, thank you doctor!"
The patient's family also felt Li Quan's professionalism.
The fat doctor who wears glasses is still dipping around after investigating for a long time. In comparison, this Doctor Li seems to be comfortable. Every time he examines a part or asks questions related to the condition, he can ask ideas.
very professional.
Convincing people in their hearts.
"You don't have to be polite! Seeing that your dark circles are heavier, the patient has been admitted to the hospital for three days? Have you been accompanied by you all the time?" Li Quanyu asked mildly.
"Doctor, I didn't expect you to remember even a few days after my mother was admitted to the hospital. Both of my brothers can't walk away, so I have been accompanied by myself these days. Maybe I didn't rest well at night."
The patient's family members' trust in Li Quan has significantly increased.
She smiled helplessly.
"You can take a good rest tonight. Don't worry, 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 members watched him leave the ward with gratitude.
After walking out of the ward, Han Dong couldn't help wiping the sweat from his forehead, and smiled and praised, "Li Quan, you really have you. Now I understand how big the gap between me and you is. If you didn't come to the rescue just now, I don’t know what to do anymore."