Chapter 385: Barefoot people are not afraid of those wearing shoes. The cause of the disease is in the lungs.
It is undeniable that female doctors have natural disadvantages in clinical medicine. Apart from other things, 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 gentle and delicate, while men are masculine and brave. These are the characteristics that nature has given to human beings.
I guess everyone has their strengths and weaknesses.
Female doctors are more careful and patient, and are more suitable for studying virology, compiling various medical data, etc. Then, they also have great advantages in diagnosing and treating pediatric diseases because of their natural maternal affinity.
There are also things like nursing work, which women are better at.
Although Professor Sun Limin is also a doctoral student, he is definitely not as good as Lu Hao of Jiang's Orthopedics in terms of surgery.
Li Quan continued to check the file of the third-ranked second-generation heir of the Jiang family.
"Jiang Wufa, deputy chief physician at Jiang's Orthopedic Hospital, graduate degree."
Jiang Wufa's academic qualification is listed as a postgraduate student, so it is almost certain that he is a master's student.
If it is a doctoral student, the word "doctor" will definitely be added.
The reasoning here is actually the same as calling the dean without the surname, and calling the vice-dean with the full name to distinguish them, and then removing the word "vice-dean".
They are all subtle skills on the surface.
You need to taste it carefully to understand its deep meaning.
Jiang Wufa's academic qualifications are not low, at least two levels higher than Li Quan's .
There is also a second bachelor's degree above the undergraduate level.
This is equivalent to a post-bachelor's degree.
It is one level higher than undergraduate students and theoretically similar to master's students, but in reality there are some differences.
When many units recruit people, a second bachelor's degree and a formal master's degree are two different levels of treatment.
However, academic qualifications are only a stepping stone to enter the workplace; they cannot change your destiny.
If you don't work hard, no matter how high your academic qualifications are, you will still be lying in the corner and gathering dust.
Jiang Wufa's academic qualifications are definitely not top-notch among the doctors in modern large hospitals.
Including Huier Hospital, when recruiting for some important positions or doctors, they all require at least a bachelor's degree or above. Some positions even directly require a postgraduate degree.
In addition, Jiang Wufa’s rank is also very interesting. He is associate chief physician, not chief physician.
It may be because of insufficient working years that he was not promoted to the level of chief physician.
Li Quan calculated Jiang Wufa's working years, thirteen years.
There is a rule in the promotion of doctors.
Only those who have obtained a master's degree or qualification in this or a similar major and have worked in a junior physician professional and technical position for no less than three years can be promoted from resident physician to attending physician.
Then theoretically speaking, to be promoted from attending physician to associate chief physician, at least five years of experience as an attending physician is required.
The reason for setting such strict promotion requirements is to ensure the level of the medical team.
Jiang Wufa has thirteen years of work experience, including one year of internship, three years of regular training, three years of resident physician experience, and five years of attending physician experience. That adds up to twelve years.
In other words, it was only a year that Jiang was unable to be promoted to associate chief physician.
Most of the second-generation successors of Jiang's Orthopedics have reached the level of chief physician, but Jiang Bufa has directly risen to the third position among the second-generation successors just by being promoted to the level of deputy chief physician for one year.
This is enough to show how great the potential of Jiang Wufa is.
"Jiang Wufa is proficient in almost all the bone setting and reduction techniques of Jiang's orthopedics. He has also learned Jiang's unique porcelain bone setting technique. He has a very solid foundation in Western medicine, excellent surgical talent, and rich experience in surgical treatment of various serious bone injuries. He also has a high level of attainment in the treatment of tendon injuries."
Another monster.
After Li Quan learned about the first three second-generation successors of Jiang's Orthopedic Hospital, he suddenly felt his own insignificance.
There are mountains beyond mountains and people beyond people.
It seems that in the future we must never think that we are invincible just because we have learned a few medical skills from ancient miracle doctors. We must always remember that keeping a low profile is the way to stay high-profile.
This is only the second generation of Jiang's descendants. The first generation descendants must be more powerful and have more experience.
After all, the profession of doctor requires a lot of experience.
It is a consensus among everyone that doctors become more popular as they get older.
Faced with such a super powerful enemy, Li Quan was not afraid but excited instead.
Since he learned many magical medical skills, he has been almost invincible. Whether it is the experts, professors, or young elites of the Ocean Hospital, they were all defeated by him.
The same is true at Wheeler Hospital.
The two directors of the orthopedics department personally stepped in to deal with the incident, but they were both defeated by him.
His superior physician in the emergency department has now become his apprentice.
In addition, the secret Chinese medicine recipes he obtained from ancient divine doctors are also invincible . Whether it is a weight loss drug, or a drug for treating leukemia, hemophilia, or bone disease, the efficacy is better than other drugs.
Even the most advanced drugs developed by developed Western countries cannot compare with his secret recipes of Chinese medicine.
To put it bluntly, there is not a single one who can fight.
Li Quan is so young, and no matter how mature he is, he is still a little bit arrogant.
Now that he understood the strength of Jiang's Orthopedic Hospital, he suddenly became alert.
You can't keep floating around, or you'll get hurt sooner or later.
"Doctor Li, you have read the archives of the second generation of the Jiang family. Do you have confidence?"
Dean Tan asked with a smile.
Please note that President Tan asked whether you have confidence, not whether you are sure.
In fact, it also shows that Dean Tan is well aware of the strength of his opponent and is worried that Li Quan will be frightened and dare not fight.
"war!"
Li Quan uttered a word in a serious tone.
The enemy had already ridden on his head and peed and shit on him, so even if he couldn't defeat them, he had to fight bravely. Moreover, Li Quan also had great confidence in his medical skills.
He is not afraid of any challenge.
Only by fighting with masters can you become stronger and stronger.
"You seem full of fighting spirit and have a firm attitude. Are you sure you will win?"
Dean Tan asked with a smile.
Among the thousands of employees in the hospital, the person Director Tan can least understand is Li Quan.
Because the medical skills displayed by Li Quan cannot be estimated by modern medical systems and evaluation standards.
Li Quan shocked Dean Tan again and again.
Vice President Min and Director Hu from the Dean's Office also looked at Li Quan.
Being provoked by Jiang's Orthopedic Hospital this time, the management of Huier Hospital must be filled with anger.
It’s just that we are all adults and social elites, and we have all learned to restrain and endure.
Until they were absolutely sure, they all held back their anger.
"No, I have no confidence in winning. But there is a saying that goes, those who are barefoot are not afraid of those who wear shoes. Jiang's Orthopedic Hospital is a big company with a great reputation. Even he is not afraid of it. What should I, a small person, be afraid of?"
Jiang's Orthopedic Hospital is fighting a desperate battle, while Li Quan is going into battle with light equipment.
Even if he failed, the most he would lose would be the reputation of his orthopedics department.
But Jiang's Orthopedic Hospital cannot afford to lose.
Because orthopedic business is all that Jiang’s Hospital has.
Dean Tan has been observing Li Quan's subtle expressions and eye changes.
"Since you have made up your mind, the hospital will be your solid backing. You don't have to worry about the competition and publicity. You just need to continue to run the Chinese medicine department well. When the method, time and place of the competition are determined, we will notify you."
Dean Tan must have discussed this with Vice Dean Min and Director Hu before Li Quan arrived.
Whether Li Quan fights or not, they have different strategies to deal with the enemy.
Now that Li Quan is willing to fight, the three hospital leaders all have expectant smiles on their faces.
"Dean, I'll go back to the clinic to treat the patient."
"Well, go ahead! You don't have to have any psychological burden, just keep a normal mind." Dean Tan nodded with a smile.
…
When he returned to the TCM clinic, the patients waiting for his afternoon appointment were already lining up waiting for him.
Li Quan saw each patient calmly.
His pulse diagnosis and visual diagnosis skills upgraded the fastest. Almost every time a patient came, he could earn 10 skill points for each of these two medical skills.
Auscultation is also a diagnostic medical skill, but there are very few situations where it is suitable for diagnosis, so much so that it is still only used at an entry-level rate of 21%.
There is still a long way to go before reaching the minor success stage.
Observation, auscultation, questioning and palpation are the four basic diagnostic methods in Traditional Chinese Medicine, which are equivalent to a doctor's scanner.
I have finally learned the art of auscultation, but I cannot advance to higher positions. This is not acceptable.
We have to find a way.
If there are no conditions, then find ways to create them.
"Patient No. 62, Chen Feng."
Hu Yueer shouted at the top of her voice.
An old man who kept groaning in pain was pushed into the clinic by his children.
"Doctor Li, please take the trouble to help my dad. Six days ago, he was walking with the dog and was accidentally pulled by the dog and fell. We were hospitalized in the local county people's hospital for a few days, but there was no effect. I saw your excellent medical skills on Douyin and came here to see you."
The family members respectfully described the patient's basic condition to Li Quan.
"Okay, I'll take a look at the old man first." Li Quan stood up and gave the old man a preliminary examination.
The old man had a plaster cast on his right arm, which must have been a fracture.
The elderly have a serious loss of calcium, which leads to loose and fragile bones. Just like dead branches, they must be well maintained. They are most afraid of falling or being hit hard.
"Old man, where does it hurt?" Li Quan asked gently.
"Ah ah..." The old man's face was dark yellow and he was unable to speak.
If the inability to speak is caused by a fall, it means the condition is very serious.
Li Quan heard Dr. Luo say that one must be extremely careful when treating patients who are unable to speak or whose speech is unclear when they are sent to the hospital.
Because such patients are likely to be in critical condition and very likely to die.
The old man named Chen Feng is 76 years old, which is considered an elderly person.
The fact that he had been injured for many days and had not shown any improvement after treatment shows that the injury must be serious.
If Li Quan died in the Traditional Chinese Medicine Orthopedics Department just after taking over, it would be no joke.
Judging from the old man's appearance, in addition to the plasterboard on his right arm, his knees were bandaged with gauze, and simple detoxification drugs could be seen.
This means the knee is just a scratch.
"Doctor Li, my dad has been in this state since he fell and can't speak."
The patient's family member said nearby.
"knew!"
Li Quan nodded. After observing the patient's complexion, he found that his lips were a little black.
Just like in winter, the weather is too cold and causes the lips to turn purple.
But the weather is not cold now, so the phenomenon of purple lips is definitely not normal.
Generally speaking, purple lips are caused by poor blood circulation.
The reason is insufficient blood supply to the distal parts of the body.
Because the cold environment will cause the body temperature to drop, the blood circulation rate will slow down.
Is there something wrong with this old man's blood circulation system?
Li Quan decided to try the smell diagnosis technique first.
He leaned over and tilted his head so that his ear was close to the patient's heart.
You can hear the patient's heartbeat, boom, boom, boom, it is relatively stable and not particularly strong, but for a frail and seriously injured elderly person, this heartbeat intensity is already very good.
It means there is nothing wrong with the heart.
At this time, Li Quan unexpectedly heard a slight murmur coming from the patient's lungs when he breathed.
Like something is stuck.
Considering that the patient's lips were purple when I performed the foresight examination just now, could there be something wrong with his lungs?
[You have successfully performed the art of auscultation, skill points +10. ]
marvelous.
The art of smell diagnosis finally gained 10 skill points.
It also showed that Li Quan's diagnosis was correct. The patient did have lung problems.
After making this discovery, he tried to take the patient's pulse.
The pulse is rapid and disorderly, pointing directly to the lung meridian.
The theory of pulse diagnosis emerged in Li Quan's mind.
"The pulse is divided into Cun, Guan and Chi. The Cun pulse is divided into meridians to observe Yang, and Yang is the rule of Qi."
Now it is almost 100% certain that there is something wrong with the lungs.
It was strange that when he felt the patient's pulse, the lung meridian was not blocked, but felt like it was being suppressed by something. Li Quan secretly guessed that the patient might have a pulmonary hematoma.
The lungs are made up of countless alveoli.
When regional hematoma occurs, there may be no obvious coughing symptoms, only difficulty breathing, chest tightness, shortness of breath, etc.
Now that the lesion had been found, Li Quan was no longer panicked.
"What tests did you do at the County People's Hospital? Did you bring your medical records?"
Li Quan began to ask the family members about the specific treatment situation.
"We did a lot of tests, such as X-rays, electrocardiograms... Anyway, we didn't understand. After the doctor checked us out, he told us that my dad might have internal injuries, and his right arm was broken, and both knees were slightly abraded. As for treatment, the hospital aligned the fractured part of my dad's hand and fixed it with plaster. Then they prescribed us oral bone-setting tablets."
The patient's family members roughly told what they knew.
"Didn't you have surgery?"
"No! The doctor said my dad is too old and the risk of surgery is high, so conservative treatment is more suitable."
The patient's family shook their heads.
After listening to this, Li Quan looked again at the examination results and medical records from the County People’s Hospital.
The treatment at the County People's Hospital is conservative and cautious.
But this is understandable.
Because the county-level people's hospital may be the best in the county, but when it comes to treating some critical cases, its experience, medical skills, or equipment are much worse than those of large provincial-level hospitals.
It is also afraid of accidents.
If you are not careful and alert, accidents may happen every other day, which is no joke.
"After a preliminary examination, I suspected that the patient might have a problem with his lungs. I suggested that he first do a lung color Doppler ultrasound and then a chest X-ray to further clarify the cause of the disease."
Li Quan said to the patient's family.
"Doctor Li, you mean that my father's lungs are injured, right?"
“It’s possible.”
"Okay, I'll listen to you. I came here because I believe in you."
The patient's family members trust Li Quan quite a bit.
Of course, we didn't mention arranging for the patient to be examined on the spot.
