Practicing Medical Skills in a Small Clinic
Chapter 852 - 400: Competition Among Chief Physicians, Diagnosis Made Effortlessly
Chapter 852: Chapter 400: Competition Among Chief Physicians, Diagnosis Made Effortlessly
Director Rong Xuekai of the Critical Care Medicine Department at People’s Hospital is undoubtedly a doctor of great capability. Though originally a barefoot doctor and now quite advanced in age, his medical skills have been honed repeatedly through practice and learning.
Talent like him can be found in major hospitals.
However, many doctors face a narrow path to advancement, and few are as fortunate as he is.
Many practical doctors find themselves stuck on the path of career progression due to lagging behind in academia and research.
From what Li Jingsheng knows, the First Hospital has several senior attending physicians like this. They may have decent skills but can’t compete with young people who have a high educational background when it comes to promotions. In the end, they end up being managed by those who emphasize academics and research.
Those who aren’t successful in the workplace, if not for having families to support and the burdens of life weighing on them, would probably have resigned long ago.
Li Jingsheng thinks that the current treatment plan for this patient is relatively prudent.
However, the patient’s situation is still very dangerous.
If the real cause of the illness is not found, the patient’s condition could quickly deteriorate.
Li Jingsheng looks at Ou Qinglan.
Before he could speak, Ou Qinglan directly asks, "Are they asking you to see the patient again?"
"Isn’t that patient still unresolved? You see, my injuries are already quite stable. Why don’t I go over and take a look?"
Li Jingsheng discusses with her.
"You’ve already worked at the clinic all day. Can’t you just take a good rest? How much is Lian Tao paying you for the consultation? I’ll double it if you stay home and recover properly."
She thought Li Jingsheng was pushing himself so hard for money.
"His consultation fee for me is zero, and I even have to pay for the cab fare myself."
"Then why are you so enthusiastic?"
"Treating people isn’t entirely about money! Diagnosing difficult cases greatly benefits my medical skills. Plus, I really enjoy the sense of achievement from curing challenging cases. Think about it, don’t I run a clinic? If I hone my medical skills well, won’t I be able to develop in a more high-end direction in the future? You also hope your future husband will have status and money, right?"
Li Jingsheng holds her close, working on changing her mind.
The reasoning is understood.
She was concerned for her boyfriend’s health, which is why she made such a request.
"Isn’t your status quite high already?"
She seems to have softened.
Li Jingsheng’s status at the Second Hospital is indeed not low.
"Are you expecting me to spend my whole life as an attending physician at the Second Hospital?"
"Haha, what else do you want to be? A chief physician?"
"If I say I want to be an academician, would you call me crazy?"
Li Jingsheng laughs and asks her.
"Alright, I admit I underestimated your ambitious goals. If you want to go, just promise me you’ll take good care of your health and come back to the clinic to rest soon."
She was shocked when she heard Li Jingsheng wanted to be an academician, even though she knew he said it in jest.
An academician is the ultimate goal for all scholars.
With Li Jingsheng’s current situation, to say he could achieve academician status, or even be recognized as an outstanding young scholar would be quite far-fetched.
But as his girlfriend, she naturally won’t undermine his confidence.
...
After Li Jingsheng took a cab to bring Ou Qinglan home, he headed directly to People’s Hospital.
If the assassination attempt hadn’t occurred, he was supposed to go yesterday to learn radiofrequency ablation techniques from Wang Weiwei.
This plan has now been postponed.
Even the research project he was supposed to conduct with Wang Weiwei and Luo Binggang will have to be delayed.
Fortunately, the injury isn’t too severe; it should take about a dozen days to initially recover.
Luo Binggang committed to living in Jiangli City for this research project, and Li Jingsheng can’t afford to slack off at a crucial moment.
Arriving at People’s Hospital, he heads straight to Lian Tao’s office.
It’s long past normal work hours now.
Only a small number of night shift medical staff remain in the hospital.
Lian Tao’s office door isn’t closed.
He sees Lian Tao frowning as he reviews a patient’s information.
"Brother Lian Tao, is it another cup of instant noodles?"
Li Jingsheng notices a cup of instant noodles on his desk.
"Haha, we haven’t diagnosed this difficult case yet, and if this patient can’t be saved, I might not be able to afford instant noodles anymore."
"Is the patient’s identity very special?"
Li Jingsheng senses something in the remarks.
"The patient’s son-in-law is somewhat influential; I heard he’s the CEO of a billion-dollar listed company. But don’t worry, even if this patient can’t be saved, it’s his own fate. We doctors can’t be held responsible. When I said I couldn’t afford instant noodles, I meant that if my ratings drop any further, there’s probably no hope for me in this year’s evaluation."
When he mentions evaluation, it’s likely not just ordinary department evaluations.
It probably involves significant awards.
Every hospital has different reward mechanisms, and some hospitals offer very generous year-end bonuses for doctors.
Particularly for renowned physicians, they often set quite substantial year-end bonuses to encourage them to be more actively involved in research and medical treatment work.
Additionally, it involves the application for research funding.
Conducting scientific research is very costly.
Those high-quality SCI papers are built upon the foundation of money along with the sweat and wisdom of researchers.
For the average person, having one or two SCI papers might already be something to be proud of.
But for someone like Lian Tao at this level, ordinary SCI papers are of no use. It must be those top-tier industry-leading papers.
There’s another thing that’s quite frustrating.
Domestic core journals have very low recognition internationally.
Speaking of this, it needs to be mentioned again, about the importance of learning English well.
"Have the patient’s liver function tests been done?"
"I’ve already applied for some tests. We can preliminarily rule out parasites, cirrhosis, fatty liver, and most hepatitis issues now. This is a new test, and more results are expected to come in soon, take a look first."
Lian Tao handed the patient’s information over to Li Jingsheng for review.
"Last time, the thrombosis happened in the middle lobe of the right lung!"
Li Jingsheng was slightly surprised after reading.
"Why, is there a problem?"
In terms of pulmonary medicine, Lian Tao regarded himself as quite skilled.
The thrombosis in the right middle lobe had already been timely addressed through interventional surgery, and the patient’s life had been saved.
Could there be another issue?
"The source of this patient’s disease can be confirmed as the liver, but it’s more complex than imagined. It’s possible that liver lesions are causing the lung disease. You were constantly debating whether this patient has pulmonary heart disease or rheumatic heart disease, right? Now I can clearly tell you the answer, the patient undoubtedly has pulmonary heart disease."
Li Jingsheng seemed to effortlessly resolve Lian Tao’s two-day mystery after reviewing the patient’s data.
"You’re amazing! Tell me, how did you diagnose it?"
Lian Tao was taken aback before eagerly asking about Li Jingsheng’s diagnostic process.
"Do you mean you’re not even slightly skeptical about me diagnosing it as pulmonary heart disease?"
Li Jingsheng asked with a smile.
"Come on, don’t I know you well enough? You never use definitive terms for things you’re not confident about. I’ve struggled to confirm the type of heart disease over the past two days while you diagnosed it just by reviewing the data once. I’m really curious about your diagnostic process."
Lian Tao wasn’t as interested in the diagnosis outcome as he was.
"Haha, who else knows me better than Brother Lian Tao! To be fair, it’s nothing special—just intuition plus experience, and comprehensive multidisciplinary diagnosis."
Previously, Li Jingsheng expanded his multidisciplinary approach due to business needs.
Whenever the clinic finally received a patient, but the disease wasn’t within his areas of expertise, he ended up helplessly watching them slip away. That was especially frustrating to him.
Later, as he mastered more diagnostic techniques and acquired the Bone Touching Skill, he started developing more smoothly.
Nowadays, as his diagnostic skills in multiple disciplines reach a certain level, diagnosing complex cases now showcases a significant advantage.
Other doctors may need to invite multiple specialists for a conference to diagnose a complex case.
While Li Jingsheng alone is equal to a collection of specialists from multiple departments.
He holds an advantage even over Lian Tao, who serves as a dual-specialty director, when diagnosing diseases involving multiple areas.
Afterward, he meticulously explained his specific diagnostic thought process to Lian Tao.
This made Lian Tao feel considerable envy.
"You’ve made me consider giving up everything and learning from you, venturing into a multidisciplinary field. The edge you have in diagnosing complex cases truly makes one cry out of envy."
Lian Tao already has dual-specialty expertise, so he understands the immense benefits of mastering more disciplines.
Each additional discipline mastered in medicine exponentially enhances clinical advantages.
Especially for tackling such complex and rare diseases, it’s absolutely impressive.
However, trying to mimic Li Jingsheng would clearly be impractical.
One reason is his age, as learning capacity, memory, and stamina are nowhere near being as sharp and enduring as those of a person in their late twenties.
Moreover, mastering each medical discipline requires substantial time, energy, and hands-on practice.
His achievements in pulmonary and digestive medicine are due to diagnosing numerous clinical cases in those departments.
Typically, the advantage becomes prominent after reaching the level of associate chief physician.
He can begin leading groups independently when receiving patients.
Compared to attending physicians, the treatment is completely different.
"This patient has both liver-related lesions and pulmonary heart disease, making the situation more dangerous than anticipated. Is it possible to visit the ward now? I suspect the current treatment methods may not suffice to save the patient’s life."
Li Jingsheng immediately stated.
"Let’s go, I’ll take you there. The patient is currently admitted to the intensive care department."
Only extremely critical conditions require admission to intensive care.
That department’s treatment costs far exceed those of ordinary wards and concentrates the hospital’s top medical resources.
Li Jingsheng and Lian Tao arrived at the intensive care department, where Lian Tao spoke with the nurse before the door was opened for them to undergo strict sterilization procedures and put on isolation gowns, allowing them to enter the intensive care ward.
Family members also visit for daily check-ins.
This place operates under sterile management, with extremely stringent measures in every aspect.
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