Practicing Medical Skills in a Small Clinic

Chapter 757 - 352: The Barefoot Doctor’s Rise and Dr. Li’s Consultation

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Chapter 757: Chapter 352: The Barefoot Doctor’s Rise and Dr. Li’s Consultation

Regarding Li Jingsheng, a pillar of the department, he also went to great lengths to win him over.

"After all, you are my superior, so it’s only right to show some respect. But since you’ve made a request, don’t blame me for being too casual in the future and disrupting seniority."

Li Jingsheng agreed verbally, but inwardly, he was as clear as a mirror.

He still had to be cautious with his words in the future.

How could one truly be too casual with superiors?

"Haha, I actually like it casual. Old Hua, Brother Hua, call me whatever you want. I almost forgot the main issue - the cause of that child’s illness has been preliminarily identified. You’re impressive! You actually guessed right again."

Director Hua was in an excellent mood, speaking with joy.

"Medicine is a very serious matter, yet you used the word ’guess’—that’s quite discouraging!"

When Li Jingsheng heard the diagnosis results were out, he was invigorated.

"What exactly is the illness?"

This Director Hua seldom kept people in suspense.

But today, he deliberately kept it mysterious.

"The pathological diagnosis result is acute encephalitis, and interstitial myocarditis with heart failure was also detected. Experts from the People’s Hospital were consulted online. It’s preliminarily concluded that the child’s coma was caused by acute encephalitis, leading to a fall at home, not a fall causing the coma.

The myocarditis is likely due to a virus infection, which then led to heart failure.

Your initial diagnosis matches almost exactly."

Director Hua delivered the diagnosis results.

He really admired this young man; how did Li Jingsheng manage to see through such a complex condition and point straight to the source of the disease?

At the time, Director Hua was also present for the consultation, and to be honest, he was at a loss.

Initially, everyone even had fierce debates about whether the child fell unconscious first or vice versa.

After examining the child’s condition, Li Jingsheng insisted from the start on ruling out any potential virus infection.

Such diagnostic acuity and accuracy are truly daunting.

Countless chief physicians who have practiced for decades spend a lifetime striving for this ability.

"Acute encephalitis, myocarditis, with heart failure as well—this is quite life-threatening! The child’s breathing has also become problematic, indicating it’s not simply pulmonary edema. I suspect there’s pulmonary congestion. How’s the emergency department handling it?"

Li Jingsheng felt heavy-hearted hearing this.

Once myocarditis appears, it’s often accompanied by a virus infection, especially acute ones; there’s almost no escape.

The child’s acute encephalitis must undoubtedly be acute viral encephalitis too.

If this patient came to him for diagnosis, he would immediately advise them to seek treatment at a larger hospital.

He wouldn’t dare touch it, even for a million.

"Director Yan from the emergency department estimated a high risk, so he reported to the hospital leadership and then tried to persuade the family to connect with the People’s Hospital. The child has just been transferred there, and I hear it was Director Rong Xuekai from the critical care department himself who brought nurses to pick up the child."

When Director Hua mentioned the child being transferred, his tone carried a sense of relief.

One knows one’s own situation.

The child’s condition was that severe, and with the second hospital’s medical expertise, rescue levels, equipment, and testing capabilities, they were incapable of managing it.

Transferring the child gave a sliver of hope.

Had the child remained at the second hospital for treatment, it would have been nearly a death sentence.

Identifying the cause of the disease wouldn’t help either.

Many diseases remain untreatable even after diagnosing the cause.

There are numerous unresolved challenges in medicine.

"Isn’t Director Rong Xuekai somewhat of an expert in respiratory and heart failure resuscitation? I’ve even had the privilege to read a few of his SCI papers and core journal articles—a remarkably skilled critical care expert."

Hearing the name Rong Xuekai, Li Jingsheng felt the child’s chances of survival slightly improved.

To gauge a doctor’s competence, reading their clinical series papers will suffice.

Template-like papers, or even those cobbled together, can be easily distinguished by professionals in the field.

Such papers are often produced by lackluster associate chief physicians or chief physicians aiming for promotions or accolades, sometimes even purchased.

After all, buying materials and piecing them together, without sufficient skill, makes them difficult to pass review.

Rong Xuekai’s papers are worlds apart from those template-like papers.

The writing exudes incredibly strong medical knowledge and extensive clinical rescue experience at every turn. Many theoretical ’experts’ write papers lacking in practical applicability.

They typically highlight their strengths and avoid weaknesses, steering towards a research route while downplaying clinical aspects.

But Director Rong Xuekai’s papers focus more on clinical practice than research.

For any theoretical point, he can provide numerous clinical practices to elaborate or prove it.

An absolute pragmatist.

Because this individual has genuine skills and leans heavily on practice, Li Jingsheng was awestruck after reading Rong Xuekai’s paper on respiratory failure. From then on, he couldn’t stop searching and studying this person’s papers.

It was truly unexpected that the child’s parents could actually enlist someone like Rong Xuekai; that Secretary Bei must wield considerable influence!

"Director Rong Xuekai is indeed a model among pragmatists; even many top critical care specialists in Beijing deeply admire him. His only shortcoming is his academic background. He was initially a barefoot doctor, then attended a medical secondary school. Later, he achieved his associate’s and bachelor’s degrees through self-study exams at the hospital. This is why he remains just an associate professor and is well-known within the circle but scarcely recognized externally."

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