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

It is undeniable that in clinical medicine, female doctors are naturally weak. Not to mention anything 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 respond.
Women are feminine and delicate, and men are masculine and courageous, which are the characteristics given to humans by nature.
Each has its own strengths and weaknesses.
Female doctors are more attentive and patient. They are more suitable for studying virology and collecting various medical data. Then diagnose and treat pediatric diseases, because of their natural maternal affinity, they also have great advantages.
There is also nursing work. Women are better at it.
Although Professor Sun Limin is also a doctoral student, he is definitely not better than Lu Hao from Jiang's orthopedics department in the area of ​​surgery.
Li Quan continued to check the archives of Jiang's second-generation heirs, who ranked third.
"Jiang Wueng, deputy chief physician of Jiang's Orthopedic Hospital, graduate degree."
This Jiang Can’t write a graduate student, almost certainly a postgraduate.
If you are a PhD student, you will definitely add the word PhD.
The reasoning here is actually the same as when calling the dean without the surname, and when calling the deputy dean with the name, it is the same truth.
All belong to the subtle skill of the face.
It takes heart to taste to understand the deep meaning.
Jiang Cannot's education is not low, at least two levels higher than Li Quan.
There is also a second bachelor degree above the bachelor degree.
This is equivalent to a post-undergraduate degree.
It is one level higher than that of undergraduates, and similar in theory to postgraduates, but in fact it is still a bit different.
When many units employ people, the second bachelor's degree and the master's degree postgraduate are two different levels of treatment.
However, academic qualifications are just a stepping stone to entering the workplace, and they cannot change their fate.
If you don't work hard, no matter how high your education is, you can only lie in the corner and eat ashes.
Jiang's academic qualifications are definitely not among the top doctors in the modern hospital.
Including Whale Hospital, now recruiting some important positions or doctors will require at least a bachelor degree or above. Even some positions directly require a graduate degree.
In addition, Jiang Wu's rank is also very interesting, he is the deputy chief physician, not the chief physician.
It may be because of not enough working years that he failed to reach the level of chief physician.
Li Quan calculated the number of years Jiang could not work, 13 years.
There is such a rule in the promotion of physicians.
Only after obtaining a master's degree or a degree in this major or a similar major, and having been engaged in a junior doctor's professional and technical position for at least 3 years, can they be promoted from a resident doctor to a chief physician.
Then in theory, it takes at least five years of work experience as an attending physician to be promoted from an attending physician to an associate chief physician.
The reason for setting such strict promotion requirements is to ensure the level of the physician team.
Jiang Wu's work experience is 13 years, one year of internship, three years of regular training, three years of residency work experience, and five years of attending work experience. That adds up to twelve years.
In other words, it was only a year since Jiang was unable to be promoted to deputy chief physician.
Most of the second-generation descendants of Jiang’s orthopedics are at the level of chief physician, and this Jiang can’t be directly ranked third among the second-generation descendants with just one year’s new rank as deputy chief physician.
It is enough to see how fierce this Jiang can't potential is.
"Jiang Wu, proficient in almost all bone setting and reduction techniques of Jiang's orthopedics, and learned Jiang's unique porcelain osteosynthesis. He has a solid foundation in western medicine, excellent surgical talents, and rich experience in surgical treatment of various serious bone injuries. He is also very accomplished in the treatment of tendon injuries."
It's another evildoer.
After Li Quan got to know 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 never think that you will be invincible just because you have learned a few ancient genius doctors. You must always remember that low-key is the kingly way of continuous high-profile.
This is only the second-generation descendant of the Jiang family. Those descendants must be stronger and more experienced.
After all, the profession of a doctor is very experienced.
The older the doctor, the more popular it is. This is the consensus of all.
Facing such a super powerful enemy, Li Quan was not afraid, but very excited.
Since learning many magical skills, he has been almost invincible. Whether it was experts, professors, or young elites from Yuanyang Hospital, he was all killed by him.
The same is true at Whale Hospital.
The two directors of the orthopedics department went out in person, and they were all ashamed by him.
The senior physician in charge of him in the emergency department has now become his apprentice directly.
In addition, the secret recipe of Chinese medicine he obtained from ancient genius doctors is also in an invincible state. Whether it is a weight-loss drug, or a drug to treat leukemia, hemophilia, or bone disease, the effect is to kill other drugs.
Including the most advanced medicines developed by Western developed countries, it cannot be compared with his secret recipe of 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 airy.
Now that he understands the strength of Jiang's Orthopedic Hospital, he suddenly wakes up.
You can't keep floating, otherwise you will get a knife sooner or later.
"Doctor Li, you have read the archives of Jiang's second-generation heirs. Are you confident?"
Dean Tan asked with a smile.
Note that Dean Tan asked if he had confidence, not if he was sure.
In fact, it also shows that Dean Tan is well aware of the strength of his opponent and fears that Li Quan will be frightened and afraid to fight.
"war!"
Li Quan weighed out a word.
Everyone has been riding on his head to and pee. Even if he loses, he still has to be brave. What's more, Li Quan also has strong confidence in his medical skills.
He is not afraid of any challenge.
Only by fighting with masters can you become stronger and stronger.
"Seeing your fighting spirit and firm attitude, is this sure to win?"
Dean Tan asked with a smile.
When it comes to thousands of staff in the hospital, the person that President Tan can't see through is Li Quan.
This is because the medical skills that Li Quan showed off are simply beyond the estimation of modern medical systems and evaluation standards.
Li Quan shocked Dean Tan's eyes again and again.
Deputy Dean Min and Director Hu of the hospital also looked at Li Quan together.
Being so provoked by Jiang's Orthopaedic Hospital this time, the management of Whale Hospital must be holding back a wave of anger.
It's just that everyone is an adult and belongs to the elite of the society. Each one has long learned restraint and patience.
Before they were absolutely sure, they held their anger in their hearts one by one.
"No, I don't have any confidence to win. It's just a good saying, barefoot people are not afraid to wear shoes. Jiang's Orthopedics Hospital is a big business and famous, even he is not afraid. What is good for me as a small person Are you afraid of it?"
Jiang’s Orthopaedic Hospital was a last-ditch battle, while Li Quan went lightly.
Even if he loses, he will lose only one orthopedic sign at best.
But Jiang’s Orthopedic Hospital cannot afford to lose.
Because the orthopedics business is all of Jiang's Hospital.
Dean Tan has been observing Li Quan's subtle expressions and changes in his eyes.
"Now that you have decided, the hospital will be your solid backing. You don't have to worry about fighting and propagating these things. You only need to continue to run the Chinese medicine department. At that time, the method, time and place of the test will be determined. We will notify you."
Dean Tan must have discussed with Deputy Dean Min and Director Hu before Li Quan arrived.
Regardless of whether Li Quan fights or does not fight, they have different strategies to deal with the enemy.
Now that Li Quan is willing to play, the faces of the three hospital leaders all showed expectant smiles.
"President, then I will go back to the clinic to treat the patient."
"Well, go! You don't have to have any psychological burden, just keep a normal heart." Dean Tan nodded with a smile.
...
Back in the Chinese medicine clinic, the patients waiting in the afternoon lined up for him.
Li Quan accepted the doctors one by one without a hassle.
His pulse diagnosis and inspection techniques have been upgraded the fastest. Almost a patient can earn 10 skill points in these two medical skills.
Auscultation is also a diagnostic technique, but there are few cases where it is suitable for diagnosis, so that it is still only 21% of the entry level.
Want to rise to Xiaocheng realm is still far away.
Wang Wen Qi Qie is the four basic diagnosis methods of Chinese medicine, which is equivalent to a doctor's scanner.
It's not easy to learn the astrology technique, but it can't go up.
Have to find a way.
If there are no conditions, try to create conditions.
"Patient 62, Chen Feng."
Hu Yueer shouted in a loud voice.
An old man who kept making painful grunts was pushed into the clinic by his children.
"Doctor Li, please help my dad. When he took the dog out for a walk six days ago, he was accidentally pulled by the dog and fell down. We were hospitalized in the local county people’s hospital for a few days. No effect. I saw your excellent medical skills on Douyin, so I came here to seek medical advice."
Family members respectfully described the patient's basic situation to Li Quan.
"Okay, I'll show it to the old man first." Li Quan stood up and gave the old man a preliminary check.
The old man has a plasterboard on his right arm, and there should be a fracture.
Because of the serious loss of calcium in the elderly, the bones become loose and fragile. Like dead branches, it must be well maintained. I am most afraid of falling, or being hit hard.
"Old man, where is your pain?" Li Quan asked gently.
"Yeah..." The old man's face was dark yellow, unable to speak.
If it is because of a fall that makes you unable to speak, it means that your condition is very serious.
Li Quan heard one thing from Dr. Luo that he must be extremely careful when treating patients who were already speechless when they were sent to the hospital or who were slurred.
Because such a patient is probably already in a critical condition and is very likely to die.
This old man named Chen Feng is 76 years old, which is considered to be an elderly man.
After many days of falling injury, but no improvement after treatment, it has already proved that the injury is definitely not light.
If Li Quan just took over and died in the orthopedic department of Chinese medicine, it would not be a joke.
Judging from the appearance of the old man, in addition to the plasterboard on his right arm, there are also gauze wrapped around the knees of both knees. You can see simple detoxification medication.
Explain that the knee should be just a bruise.
"Doctor Li, my dad has become like this after his fall, and he is speechless."
The patient's family said next to him.
"Got it!"
Li Quan nodded. After looking at the color, he found that the patient's lips were a little black.
It's like in winter when the weather is too cold, causing the lips to turn purple.
But now the weather is not cold, this kind of purple lips is definitely not normal.
Under normal circumstances, the purple lips are caused by poor blood circulation.
The reason is that the blood supply to the distal end of the body is insufficient.
Because the cold environment will cause the body temperature to drop, the blood circulation speed will slow down.
Is there something wrong with the old man's blood circulation system?
Li Quan decided to try the smell and diagnosis technique first.
He leaned down, tilted his head, and brought his ears close to the heart of the patient's chest.
The patient’s heartbeat can be heard, which is relatively stable and not very strong, but for a weak and severely injured elderly person, this heartbeat strength is already very good.
That means the heart is fine.
At this time, when Li Quan accidentally heard the patient breathe, a slight noise came from his lungs.
It seems that something is stuck.
Recall that the patient’s lips were purplish during the vision diagnosis operation just now. Could it be that there is a problem with the lungs?
[You have successfully performed the smell and diagnosis technique, skill points +10.]
awesome.
Summoning and Diagnosis finally gained another 10 skill points.
It also shows that Li Quan's diagnosis is not wrong. There is indeed a problem with the patient’s lungs.
With this discovery, he tried to get the patient's pulse.
The pulse is rapid and chaotic, pointing directly to the lung meridian.
The pulse theory emerged in Li Quan's mind.
"The pulse is divided into the cun and the ruler. The cun pulse is divided into the meridian to wait for the yang, and the yang is the unity of qi."
Now it is almost 100% certain that there is a problem with the lungs.
It's just strange to say that when the pulse was cut, the lung meridian was not blocked, and it felt like something was suppressed. Li Quan secretly guessed that the patient probably had a pulmonary hematoma.
The lungs are made up of countless alveoli.
When it develops regional hematoma, it may not produce obvious symptoms of coughing, but only have difficulty breathing, chest tightness, and wheezing.
When the lesion was found, Li Quan didn't panic.
"What kind of examinations did you have at the County People's Hospital? Did you bring the medical records?"
Li Quan began to inquire about the specific treatment of his family.
"Did a lot of examinations, what X-rays, electrocardiograms...we don’t understand anyway. After the examination, the doctor told us that my dad might have suffered an internal injury, and at the same time he broke his right arm and had slight knees. Scraped. As for treatment, the hospital aligns the fractured part of my dad's hand and fixed it with a plaster. Then we prescribed Qili tablets for oral administration."
The family members of the patient gave a rough idea of ​​what they knew.
"Did you have no surgery?"
"I didn't do it! The doctor said that my dad was too old and had a high risk of surgery, so he was suitable for conservative treatment."
The patient's family shook his head.
After listening to Li Quan, he read the examination results of the County People's Hospital again, as well as the medical records.
The treatment at the County People's Hospital is conservative and cautious.
But this is understandable.
Because county-level people's hospitals may be the best in county towns, but when treating some critical cases, regardless of experience, medical skills, or equipment, they are much worse than provincial-level hospitals.
It is also afraid of accidents.
If you are not careful, and there is an accident every three days, it is not a joke.
"After a preliminary examination, I suspect that the patient's lungs may have problems. It is recommended to do a lung color Doppler ultrasound first, and then add a chest X-ray to further clarify the cause."
Li Quan said to the patient's family.
"Doctor Li, you mean, my dad's lungs were injured, right?"
"It's possible."
"That's OK, I listen to you. Come here to believe in you."
The patient’s family trusted Li Quan.
Arrangements for examination of patients on the spot are not mentioned.