Chapter 277: The idea of intercepting, the fate of taking on a job without the necessary skills
After Du Leng received the test results, he looked thoughtful with his brows slightly furrowed.
Apparently, this disease is not that easy to diagnose.
There is no doubt that his medical knowledge is beyond doubt, and he is even more knowledgeable than the average chief physician. His ability to detect abnormalities by examining data and diagnose specific causes is also very strong.
Just diagnosing a disease does not require extensive medical knowledge.
Otherwise, with the development of modern artificial intelligence, it is entirely possible to collect all medical knowledge together, input it into a computer, and then use artificial intelligence to diagnose diseases directly.
The amount of medical knowledge a doctor can learn in his entire life is less than one-tenth of that of an ordinary computer.
When it comes to knowledge memory and storage capabilities, computers completely beat humans.
It may take us more than half an hour to memorize a text, and this is just the initial memory. If it is not consolidated and reviewed, it will be forgotten after a period of time.
However, if you want to store this text in your computer, you can just copy it, which may not even take a second.
And as long as the computer's hard drive is not damaged, it can remember it forever.
There are no problems with forgetfulness or blurred memory.
Facts have proven 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 medical knowledge needs to be applied flexibly rather than mechanically.
"Dr. Du, what is my wife's illness?"
The family members became anxious when they saw Du Leng remained silent for a long time.
This concerns the wife’s life, how can the family members not be anxious!
"Uh... well, judging from her blood and urine test results, we need to further check her blood sugar. The cause may be related to her type 2 diabetes."
Du Leng is able to see patients independently, so he must be quite good at fooling people.
In fact, every doctor has to learn to fool people.
Even if you just hang out in the inpatient department and don't need to see patients, you still have to deal with patients and their families. You won't fool around and suffer losses and bullying.
Sometimes, even if you have done nothing wrong, you will still be scolded by your family members and then by your senior doctors.
Every rookie doctor has experienced this kind of treatment, like Zhu Bajie looking in the mirror, feeling like a nobody.
When you are wronged, sometimes you can only swallow your anger, wipe away your tears, and remember it next time.
Some smart medical students have learned to cheat since the beginning of their internship. They are obviously not as good as the novice doctors who don't know how to cheat. However, they can get along well with the family members and patients. They can also complete the tasks assigned by the superior doctors very well, thus gaining the appreciation of the superiors.
"We checked our blood sugar at the Provincial People's Hospital not long ago. It's only been a few days. Can we use the last result?"
The family members were somewhat unhappy.
The female patient sat on a chair, her limbs shaking uncontrollably, and her hands and feet seemed to be powerless. She needed the support of her family to sit steadily.
Looking at the situation, it is really not easy to run around and get checked everywhere.
"It's been so long. If I refer to the last test results to diagnose her, it would be irresponsible to the patient. Look, I think the sellar region MRI results you checked at another hospital are of medical reference value, so I didn't ask you to check it again. I understand your difficulties. As long as I can save you time and money, I will do my best to help you save money."
Du Leng fooled the family members and they were convinced.
He obediently took his wife to check her blood sugar.
Zhou Can admired Du Leng's ability to deceive people and learned from him secretly.
After that patient left, a new patient sat in front of Du Leng's desk. It was very enviable that so many patients took the initiative to seek his diagnosis.
Deputy Director Shi and Zhou Can have not opened the shop since this morning.
It still maintains a shameful record of zero patient admissions.
There were already seven or eight patients and their families gathered around Director Zhang Bihua's desk. A long queue had formed, and it finally felt like an expert's consultation.
Director Dai from the Pediatrics Department also became busy.
There are two other experts from the Department of Obstetrics and Gynecology who are also a little busy.
Even the deputy chief physician of obstetrics and gynecology who specializes in infertility had several patients surrounding his desk.
Deputy Director Shi of the Department of Gastroenterology and a middle-aged deputy chief physician with a Mediterranean hairstyle in the Department of Neurology were both extremely deserted and could only watch others diagnose patients.
"It's so embarrassing to sit here! If there are still no patients by the end of the day, I will call Director Shang and go directly back to Tuya Hospital."
Deputy Director Shi was beginning to feel embarrassed.
It's really discouraging to sit here and be watched by other patients and their families as if I were a monkey in a zoo.
"Don't worry, Director Shi. I think the female patient who drank a lot of water that Du Leng treated is related to our gastroenterology department. We might as well get involved and open a business."
Zhou Can gave advice to Deputy Director Shi.
They went back in disgrace. How could the Department of Gastroenterology hold their heads up in front of other departments?
Drinking lots of water is indeed linked to digestive system diseases.
Even though the woman most likely had a gynecological disease.
However, when doctors diagnose patients, the boundaries are sometimes unclear. In many cases, the diagnosis is made across departments, and even experts from multiple departments need to be invited to conduct joint consultations.
"But that patient is extremely difficult to diagnose. If we get involved and fail to find the cause, wouldn't that be even more embarrassing? The Provincial People's Hospital is not bad. In some medical fields, it is even much stronger than our Tuya Hospital. Even the Provincial People's Exhibition Hospital couldn't find the cause, so we really don't have that confidence."
Deputy Director Shi wanted to open the business, but he was hesitant and afraid that he would shoot himself in the foot.
He didn't dare to get involved.
"I just observed quietly and found that the woman's consciousness was dull, her hands and feet were trembling, and she was almost paralyzed. The symptoms were quite similar . I can't say I'm very sure, but 40% is enough."
Zhou Can knew that Deputy Director Shi had always been cautious and timid. If he wanted Deputy Director Shi to agree to bring the patient over, he had to give him some reassurance first.
"Are you really 40% sure?"
Deputy Director Shi is very clear about Zhou Can's abilities.
Deputy Director Shi himself had no confidence in diagnosing this extremely difficult case. It was like asking an ordinary junior high school student to do math problems. He might not even be able to feel the wind.
I don't know which angle to start from.
"Have I ever been joking?"
Zhou Can's face was serious.
"Okay, I'll risk my reputation and give it a try. If we can't find the cause of the disease, it won't just be the two of us who will be embarrassed. Aren't there doctors from the Provincial People's Hospital as foils?"
Deputy Director Shi spoke with great pride, but in fact, it was only because Zhou Can gave him a reassurance that he dared to say so.
Zhou Can didn't point it out, but quietly gave him a thumbs up, "Director Shi is so domineering! So courageous!"
"Hey, we can't just sit around like this forever! Director Shang is counting on us to bring honor to the Department of Gastroenterology!"
He replied with a smile.
After the two of them had discussed it, they waited patiently for their opportunity.
At this moment, Du Leng didn't know that he had been targeted by Zhou Can and others. 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 Ma Su's discussion of military affairs, full of boasting.
He talked about all kinds of medical theories, citing classics and scriptures, but these were just medical theories and could not be put into practice.
For example, someone has a stomachache, and the doctor analyzes the possible causes for her. Enteritis, intestinal tumors, liver cancer, gastric ulcers, etc., seven or eight possible causes are listed in one breath, and the pathological mechanism of each cause and the organs that may be involved are explained.
After the explanation, the patient was asked to undergo this test and that test, but the real cause of the disease could not be determined.
In the end, how to treat the patient's disease could not be implemented.
Or using some panacea-like treatment methods may not be very effective.
After looking at it for a while, Zhou Can shook his head secretly.
What people fear most is being burdened by false reputation.
Du Leng's talent is beyond doubt, it is genuine. But because he started from a high point, he has a strong sense of superiority, so he has high expectations and it is difficult for him to really calm down and learn.
Regardless of their academic qualifications, doctors should learn step by step from the most basic clinical practice after they start working.
We should not aim too high, look down on low-end jobs, and directly start high-end jobs, only to find that they are just empty talk. When encountering a slightly more difficult disease, we are somewhat confused about the direction and have no place to use our strength.
If Du Leng fails to realize his own problem, he will be left far behind by Zhou Can, and the gap between them will become larger and larger.
Zhou Can's starting point was far inferior to Du Leng's, but he was able to learn from the most basic clinical practice and then steadily advance step by step. He walked very steadily.
But Du Leng climbed too fast and had a weak foundation, so he could easily fall and get bruised.
After about an hour, the female patient who drank a lot of water came back after measuring her blood sugar.
Supported by her husband, she stood in line behind a patient.
After Du Leng finished treating the patient in front of him, the female patient sat down at the examination table with the help of her husband.
"Dr. Du, we have checked the blood sugar. Please take a look."
The family members gave the test results to Du Leng.
"Blood sugar (venous) 52mmol/L, Na+ 173mmol/L, K+ 3.9MMMOl/L, Cr 165.7umol/L..."
Du Leng talked to himself with a serious expression while checking the patient's blood sugar levels.
"This blood sugar is a bit high!"
The family member asked nervously, "Dr. Du, is my wife's illness serious? Can it be cured?"
"Her problem must be serious! Otherwise, you would have cured her in the previous three hospitals. The Provincial People's Hospital, with its high medical level, couldn't find the cause. Do you think her disease is difficult to treat? No doctor dares to guarantee that he can cure the patient. We can only follow medical diagnosis and demonstration, and observe the effect of the medicine slowly after using it."
Du Leng talked a lot and the family members could only nod.
Just then, the super obese female patient came back after the examination.
Two difficult cases were clustered together.
Du Leng's pressure suddenly increased.
He quietly cast a pleading look towards Director Zhang Bihua, who was sitting at the table in the middle, but unfortunately Director Zhang was also extremely busy at the moment and had no time to even look at him.
Director Zhang had no idea about Du Leng's situation.
There is a saying that goes "When it rains, it pours."
Misfortunes never come singly.
There are already two difficult patients on hand, neither of which has been resolved yet. Another patient with hearing loss, blurred vision, and low fever has also returned after the examination.
Du Leng felt under great pressure as he looked at the patients queuing up to wait for him to diagnose the cause of their illness and give them a treatment plan.
If there is only one patient, the magic of deception can still come in handy.
There are several patients at the same time, and they are all fooling around, which is to fool the family members as if they are fools. The family members will definitely not agree.
But this patient, who drinks cold water like crazy and has type 2 diabetes, is already in a very bad condition, and it is tempting to prescribe some placebo to cope with it. But if someone dies from the consumption, it is no joke.
Patients like this will become seriously ill if they are delayed. By then, the family members will not care so much, they will only think that the condition has worsened due to taking the medicine prescribed by Du Leng. At that point, Du Leng will be in danger.
Family members cannot distinguish the placebo medication prescribed, but the medical department and the competent department can easily find it out.
So, he looked over the test sheets one by one, with a hesitant expression, and was unable to give a specific cause of the disease and treatment plan.
"Doctor, how long will it take? My daughter is too fat and can't stand for a long time."
The father of the obese female patient began to urge her.
I took my daughter to Xinxiang Women's and Children's Hospital for treatment. I thought it was great to see the experts from Tuya Hospital. But after a day of examinations, I happily waited in line with the test results, only to find that Dr. Du, who graduated from a famous overseas university, was not as good as I had imagined.
A trace of distrust gradually began to grow in the hearts of the family members.
As the waiting time increases, this distrust will continue to grow.
"Don't mention it. Waiting is really annoying. We have been here for a long time! We have been doing examinations for almost a day, and we are just waiting for Dr. Du to look at the results and find out the cause of the disease."
The family members queuing behind the obese female patient complained.
This patient with a low-grade fever, hearing loss, and blurred vision must have some pain on her body, because her expression showed that she was in great pain. She needed the support of her family members.
I don't know exactly where the pain is, it could be in the leg or hip joint.
"It's true, it seems like we're all experiencing the same thing! Humph, we've been doing tests for most of the day, but we still haven't been able to come up with a diagnosis."
The husband of the female patient who drank cold water crazily was obviously dissatisfied.
This kind of complaining and dissatisfaction can easily resonate with others, causing all family members and patients who have been waiting in line for a long time to become increasingly dissatisfied.
"Dr. Du, what is my wife's illness? Please give me an explanation!"
The family urged again.
Du Leng had very little experience in diagnosis and treatment. Faced with questions from many family members and patients, he was very angry and a little panicked.
"I told you, her disease has not been diagnosed in many hospitals. It is not that easy to diagnose. If you don't trust me, you can find another doctor."
Words and actions taken in anger can easily hurt others.
It is very easy to cause the escalation of conflicts.
The family members have waited in line for such a long time and done this and that examination according to Du Leng's request, but now Du Leng is extremely irresponsible and asks them to seek treatment from other doctors.
This is so irresponsible.
"If we didn't trust you, we wouldn't have come to you for medical treatment. We just did whatever tests you asked us to do. You've been going through all this trouble, you can't just send us away with this attitude, right?"
The family member's face was a little red and his expression was very serious. He was probably getting angry.
"There's nothing wrong with my attitude. I'm here to carefully analyze the cause of your wife's illness, but you keep urging her. Again, if you don't want to wait, you can find another doctor."
Du Leng is a cultured and well-educated person, so it is impossible for him to curse directly at the family members.
It's normal to speak in a somewhat sarcastic and temperful manner.
Even a clay Buddha would have some temper, let alone a proud and arrogant overseas returnee PhD like him.
Being questioned by many family members in public, he must have felt embarrassed.
Unfortunately, he met a bad-tempered family member today.
Bang!
The family member slapped the examination table, causing the objects on it to fly several centimeters high.
"Is your attitude okay? Are you treating us family members and patients like fools? You've examined for a long time, and told us a lot of diseases, but now you tell us that you can't find the cause. The key is that your attitude is so bad. Experts are not the kings and queens, they are doctors serving the people. If you can't treat a patient, don't sit here and torture the patient."
I really didn't expect that this hot-tempered family member would be so aggressive in his words when quarreling.
His roar was really loud, and I guess everyone in the outpatient hall heard it.
The key is that what he said makes some sense.
A quarrel broke out here and it was very fierce, which immediately alarmed Dean Tian, who was happily waiting to publicize the fact that the expert clinic saved a child with severe bronchitis.
"What's going on? Why did that overseas returnee doctor quarrel with his family members?"
Dean Tian suddenly felt a headache.
She originally wanted to send the hospital assistant or the director to put out the fire, but was worried that they would not be able to handle it properly, so she hurriedly brought people to the scene to mediate.
"Calm down, everyone. We should understand that doctors work hard. We should also understand that it is not easy for family members and patients. Doctors and patients have a friendly cooperative relationship. There should be mutual trust and understanding."
After Dean Tian came up, he did not rush to ask the cause of the incident, but instead tried to calm down both parties.
"I am Tian Yuxiang, the director of Xinxiang Women's and Children's Hospital. If you have any dissatisfaction, you can tell me directly. I will find a way to solve it for you."
Dean Tian once again calmed down the hot-tempered family member.
"President Tian, please judge for yourself. This Dr. Du made us spend a whole day examining us, but he was not able to diagnose the cause of the disease. His attitude was also very bad. He told us that if we didn't want to wait, we could find another doctor. Don't you think this is infuriating?"
The family members are outraged.
