Chapter 23 This is called professionalism
Through repeated practice, Li Quan discovered that using the Child Observation Technique to diagnose children could increase his skill points by 10 points each time, but diagnosing adults could only increase his skill points by 5 points each time.
Although the effect is worse than diagnosing young children.
However, it is much better to be blind than not having learned the art of diagnosis by observation before.
Li Quan combined the patient's condition and the patient's feedback on his physical condition with the help of visual diagnosis to make a comprehensive diagnosis and assessment. The recorded ward round data and his summary comments are believed to be far beyond the level of interns.
After checking all the four beds he was in charge of, Li Quan walked towards the ward Han Dong was in charge of.
"Doctor Han, are you finished with the examination?" Li Quan certainly couldn't call the patient "Dongzi Dongzi" in front of him.
This will affect the image of doctors.
Calling him Doctor Han is both a sign of respect and allows Han Dong to appear dignified in front of patients.
"There are still three beds that have not been checked!" Many beads of sweat could be seen on Han Dong's forehead, and he looked at Li Quan for help.
He spoke up for Li Quan and offended Gao Yuan.
Four very troublesome patients were assigned to me.
Han Dong is a rather lazy person. He was like this when he was studying and when he was doing internship.
This also resulted in his medical knowledge being far less solid than Li Quan's, and his practical ability being much weaker.
The number of times Professor Liu asked them to make private rounds could be counted on one hand.
Not only does he have to make rounds alone this time, but the patients assigned to him are also seriously and critically ill.
For Han Dong, it was like asking a student with average grades to do extra math problems. Aren't you making things difficult for him?
Although Han Dong is lazy, he also knows what is important.
This kind of ward round may seem like a trivial matter, but he dared not be careless at all.
If the problem is not discovered in time and an accident occurs, his career will basically be over.
"They are already urging you to finish it quickly!" Li Quan winked at Han Dong and walked to the bedside naturally.
Han Dong was so grateful that it was beyond words.
He had been looking forward to Li Quan coming to the rescue.
"Thank you, Doctor Li!"
Han Dong wiped the sweat from his forehead and stepped back to take charge of recording.
Li Quan glanced at the bed book in Han Dong's hand, which only recorded basic data such as blood pressure, heart rate, and diet.
When it comes to ward rounds, Han Dong is a complete rookie.
I'm really impressed by this fat guy. He follows Professor Liu and the attending physician on ward rounds every day. Is he always dozing off in the back? It seems like he has learned nothing.
Li Quan has a certain understanding of all the patients in the group.
The patient in bed 76 is a 64-year-old grandmother who suffers from coronary heart disease and type 2 diabetes. She also underwent gallstone removal surgery last month.
This time he was admitted to the hospital because he was diagnosed with liver cirrhosis, and the disease was particularly severe.
Cirrhosis of the liver is a chronic disease. We can only blame this patient and her family for not taking the disease seriously.
It has been delayed until now, which has led to serious symptoms.
The patient's family originally wanted to perform surgery on the day of admission. However, after Professor Liu saw the patient, he considered the patient's age, multiple diseases, and complicated condition.
So I didn’t agree.
Now the main treatment is medication to control and alleviate the condition.
We plan to remove the spleen after the patient's physical condition reaches the surgical criteria.
Professor Liu was only preparing to implement this treatment plan, but had not yet finalized it, because the surgical risk assessment still needed to be done.
In short, this old lady is a troublesome person. Not to mention performing surgery on her, even her vital signs must be monitored every day she is in the hospital.
Han Dong has been checking for so long but hasn't even finished checking the first bed. Why?
I'm just afraid of something happening.
Li Quan performed the visual diagnosis technique and looked at the old lady on the hospital bed.
Her sallow face was covered with wrinkles and irregularly distributed brown age spots. Her eyes were a little muddy and yellow, which was also an obvious symptom of liver disease.
Because the liver is the organ responsible for detoxification.
If something goes wrong with it, it will cause a chain reaction in the body.
"Old man, has the swelling in your legs gone down a bit?" Li Quan asked as he gently rolled up the old man's trouser legs to check.
The calves, which should have been skinny, were now swollen and watery.
"What did you say?" The old man was a little deaf and couldn't hear Li Quan's question at all.
After checking the old man's legs, Li Quan said to Han Dong without turning his head, "The leg swelling is still severe, which proves that the kidneys have been affected." After checking the legs, Li Quan checked the old man's palms.
"Both palms are dark red, and the liver cirrhosis has not improved significantly. The color of the right palm is lighter than the left palm, which means that the blood vessels in the heart and atrium are unobstructed ..."
Li Quan examined the patient's symptoms and gave his own conclusions.
Han Dong's two little eyes were shining and his hands were writing rapidly.
If the venue was not unsuitable, he would definitely give two thumbs up and praise Li Quan highly.
Compared with him, Li Quan is many times more professional than him.
Han Dong even thought that Li Quan's ward rounds were no less skilled than those of the attending physician.
"Based on a number of data, as well as the patient's eating habits and physical activity, the patient is safe tonight. It is recommended that surgery be performed as soon as possible, otherwise the kidneys may turn from mild inflammation to severe nephritis."
After examining the patient, Li Quan offered his own suggestions.
Han Dong just lowered his head and wrote quickly.
Record all of Li Quan's words.
"Family members of the patient, please try to give the elderly less salty food and guide . They can also drink more boiled water." Li Quan advised the family members who were accompanying the old lady.
"Okay, thank you doctor!"
The patient's family also felt Li Quan 's professionalism.
The fat doctor with glasses was procrastinating after examining the patient for a long time. In comparison, Doctor Li seemed to be at ease. Every part he examined or question he asked was related to the patient's condition and he always asked to the point.
Very professional.
It makes people convinced from the bottom of their hearts.
"You're welcome! You have dark circles under your eyes. The patient has been in the hospital for three days, right? Have you been accompanying him all the time?" Li Quan asked in a gentle tone.
"Doctor, I didn't expect you to remember how many days my mother was hospitalized. My two brothers couldn't leave, so I was the only one to take care of her these days. Maybe I didn't get enough rest at night."
The patient's family's trust in Li Quan has obviously increased a lot.
She gave a helpless smile.
"You can have 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 were left watching him leave the ward with gratitude on their faces.
After leaving the ward, Han Dong couldn't help wiping the sweat off his forehead and smiled and praised, "Li Quan, you are amazing. Now I understand how big the gap is between you and me. If you hadn't come to save the situation just now, I don't know what to do."
