My medical skills add experience

Chapter 277 The idea of ​​​​cutting Hu, the end of the porcelain job without diamonds

After Du Leng received the test results, he was ponderous, and his sword eyebrows were slightly frowned.

Obviously, the disease is not so easy to diagnose.

His medical knowledge is definitely not a problem, it is more profound than the general chief physician.The ability to diagnose specific causes by examining data to find abnormalities is also very powerful.

It's just that the diagnosis is not medically knowledgeable.

Otherwise, modern artificial intelligence is so developed that it is completely possible to collect all medical knowledge, input it into the computer, and directly use artificial intelligence to diagnose the disease.

A doctor spends his whole life, and the medical knowledge he can learn is less than one ten-thousandth of an ordinary computer.

In terms of knowledge memory and storage capacity, computers completely kill humans in seconds.

It may take more than half an hour for us humans to memorize a text hard, and this is only a preliminary memory.If it is not consolidated and reviewed, it will be forgotten after a period of time.

But if you want to save this text in the computer, you can just copy it directly, and it may not even take a second.

And as long as the hard disk of the computer is not damaged, it can be remembered forever.

There are no problems of forgetting or fuzzy memory.

Facts have proved that neither computers nor artificial intelligence can replace doctors.

Because there are too many factors to consider when diagnosing a disease.

Diagnosis ideas are ever-changing, and medical knowledge needs to be learned and applied instead of mechanically applied.

"Dr. Du, may I ask what's wrong with my wife?"

Seeing that Du Leng remained silent for a long time, the family members couldn't help feeling anxious.

It's about his wife's life, so can the family not be in a hurry!

"Uh... Well, judging from the results of her blood and urine tests, she needs to check her blood sugar further. The cause may be related to her type 2 diabetes."

Du Leng was able to sit in the clinic independently, so it's not bad to fool you.

In fact, every doctor must learn to fool.

Even if you just hang out in the inpatient department, you don't need to sit in the clinic, and dealing with patients and family members is also indispensable.Don't fool around and suffer and suffer.

Sometimes, when one thing is obviously done right, the family member scolds him and the superior doctor scolds him.

This kind of treatment that Zhu Bajie looks in the mirror and is not human inside and out has happened to every rookie doctor.

When I am wronged, sometimes I can only knock out my teeth and swallow my blood, wipe away my tears, and remember it next time.

Some smart medical students have learned to fool from the beginning of their internship, and they are obviously not as good as those novice doctors who don't know how to fool.But they can mingle with family members and patients and get along harmoniously.The tasks assigned by the superior doctor can also be completed very well, which is appreciated by the superior.

"We checked the blood sugar at the Provincial People's Hospital not long ago. It's only been a few days. Can the last result be used?"

The family members were a little unhappy.

The female patient was sitting on a chair, her limbs trembling uncontrollably, and her hands and feet seemed to be unable to exert strength.Family members are needed to support him to sit still.

Looking at the situation, it is really not easy to run around to check.

"It's been so long. If I refer to the results of the last examination to give her a diagnosis, it would be irresponsible to the patient. You see, the MRI results of the sellar region that you checked in the outer hospital, I think they have medical reference significance, just I didn't ask you to check again. I can understand your difficulty, as long as I can save you time and money, I will try my best to help you save."

Du Leng flicked at the family members, and the family members were convinced.

He honestly took his wife to check his blood sugar.

Zhou Can admired Du Leng's tricks of deception, and secretly learned it.

After that patient left, another new patient sat at Du Leng's desk.It is very enviable that so many patients come to him for diagnosis.

Deputy Director Shi and Zhou Can haven't opened since morning.

It still maintains a shameful record of zero admissions.

Seven or eight patients and their family members have already surrounded Director Zhang Bihua's consultation table.There was a long queue, and finally there was something that an expert should have.

Director Dai of the Department of Pediatrics also got 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 the obstetrics and gynecology department who specializes in infertility has already surrounded several patients.

The deputy director Shi of the Department of Gastroenterology, and a middle-aged deputy chief physician with a Mediterranean haircut in the Department of Neurology, are extremely deserted and can only watch others diagnose diseases.

"It's too embarrassing to sit here! If there are still no patients after finishing work in the evening, I will call Director Shang and go straight back to Tuya Hospital."

Deputy Director Shi began to lose face.

Sitting here being watched by other patients and their family members as a zoo, it is really shocking.

"Director Shi, don't worry. I think the female patient Du Leng received who drank a lot of water is comparable to our gastroenterology department. We might as well get involved in a while and open up."

Zhou Can offered advice to Deputy Director Shi.

Just went back in such a disheveled manner, how will the Department of Gastroenterology hold its head high in front of other departments in the future?

Drinking a lot of water and digestive system diseases can indeed catch up.

Although that woman is likely to be a gynecological disease.

But when a doctor diagnoses a disease, the boundaries are sometimes not clear.In many cases, it is a cross-departmental diagnosis, and it is even necessary to invite experts from multiple departments to conduct joint consultations.

"But that patient is extremely difficult to diagnose at first glance. If we mix it in, if we can't find out the cause, won't it be more embarrassing? The strength of the Provincial People's Hospital is not bad, and it is even stronger than our Tuya Hospital in some medical fields. A lot. Even the Provincial People's Exhibition Hospital couldn't find out, we really don't have that confidence."

Deputy Director Shi thought that he wanted to open the business, but he looked forward and backward, and was afraid that he would shoot himself in the foot instead.

He dare not mix.

"I observed quietly just now, and found that the woman's consciousness was slow, her hands and feet were trembling, and she was almost limp. This is quite similar to a case of symptoms I saw in a medical book. I can't say with a high degree of certainty, but it is [-]% sure that it is enough. of."

Zhou Can knew that Deputy Director Shi was always cautious and timid. If he wanted to get Deputy Director Shi to agree to bring the patient over, he had to give Deputy Director Shi a reassurance.

"Are you really [-]% sure?"

Deputy Director Shi is very aware of Zhou Can's ability.

Deputy Director Shi himself was not at all sure of diagnosing such an extremely difficult and difficult case.It's like asking an ordinary junior high school student to do a Mathematical Olympiad, and he may not even be able to touch the wind.

I don't know where to start from.

"When did I ever joke?"

Zhou Can's face was serious.

"Okay, I'll fight with this old face. If the cause of the disease is not found out, it will not only be the two of us who will be ashamed. Isn't there a doctor from the Provincial People's Hospital as a foil?"

Deputy Director Shi spoke so proudly, but actually it was 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 domineering! Courageous!"

"Hey, I can't stay idle like this forever! Director Shang still expects us to win glory for the Department of Gastroenterology!"

He smiled back.

After the two discussed properly, they patiently waited for the opportunity.

At this moment, Du Leng didn't know that Zhou Can and the others had already targeted him, and he was still trying his best to deal with the patients who came to see him.

Judging from his diagnosis and treatment behavior, it is a bit like Ma Su's rhetoric and rhetoric.

He talked about all kinds of medical theories, quoted scriptures, and talked endlessly.But these are just medical theories and cannot 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 ulcer, etc., listed seven or eight possible causes in one go, and explained the pathological mechanism of each cause and the organs that may be involved.

After the explanation is over, let the patient do this test and that test, but the real cause cannot be determined.

How to treat the patient's disease in the end cannot be implemented.

Or use some panacea-style treatment tricks, but the effect is not good.

After Zhou Can looked at it for a while, he shook his head secretly.

People, the most fearful thing is to be burdened by false fame.

Needless to say, Du Leng's talent is genuine.But because he has a high starting point and a sense of superiority, his eyes are higher than the top, so it is difficult for him to really settle down and study with an open mind.

Regardless of the level of academic qualifications, doctors should learn step by step from the most basic clinical practice after starting work.

It should not be too ambitious, look down on low-end jobs, and get started directly with high-end jobs only to find out that it turned out to be an empty shelf.When encountering a slightly more difficult disease, I feel a little confused and have nowhere to use my strength.

If Du Leng can't realize his problem, Zhou Can will be left far behind, and the gap between the two will become wider and wider.

Zhou Can's starting point is far inferior to that of Du Leng, but he can start to learn from the most basic clinical practice, and then make steady progress, step by step.He walked very steadily.

But Du Leng climbed too fast, his foundation was weak, and he could easily fall and get bruised and swollen.

After more than an hour, the female patient who drank a lot of water came back after measuring her blood sugar.

Standing in line behind a patient, supported by her husband.

After Du Leng finished treating the patient in front of him, the female patient sat at the consulting table with her husband's support.

"Dr. Du, we have checked the blood sugar, please take the trouble to check."

The family members brought the test results to Du Leng.

"Blood sugar (venous) 52mmol/L, Na+173mmol/L, K+3.9MMMOl/L, Cr165.7umol/L..."

While checking the patient's blood sugar values, Du Leng said to himself with a serious face.

"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 been cured in the first three hospitals. The medical level of the Provincial People's Hospital is so high that you can't find out the cause. Do you think her disease is troublesome? No doctor dares to say for sure. It will definitely cure the patient's disease, we can only follow the medical diagnosis and demonstration, and slowly observe the curative effect after taking the medicine."

Du Leng blah blah, and the family members only nodded.

At this moment, the super obese female patient also came back from the examination.

Two difficult cases got together.

Du Leng's pressure suddenly increased.

He quietly cast a help-seeking look at Director Zhang Bihua who was sitting at the consultation table in the middle, but unfortunately Director Zhang was also very busy at the moment and had no time to look at him at all.

Director Zhang didn't know anything about Du Leng's situation.

There is a saying that there is a leak in the house and it rains all night.

Misfortune never comes singly.

There are already two patients with difficult problems, one of which has not been resolved, and another patient with hearing loss, blurred vision, and low-grade fever has also returned from the examination.

Du Leng looked at the patients queuing up waiting for him to diagnose the cause and give a treatment plan, and the pressure was great.

If it's just a patient, the deceptive skill can still come in handy.

There are several patients at the same time, all of them are fooling around, this is fooling the family members for fools.The family will definitely not agree.

But the condition of this type 2 diabetic patient who drank cold water binge was already very bad, so the idea of ​​randomly prescribing some placebo to cope with it was very tempting.It's just that if someone dies, it's not a joke.

A patient like this will become seriously ill if he procrastinates casually.At that time, the family members will not care so much, he will only think that he has taken the medicine prescribed by Du Leng and his condition has worsened.At that point, Du Leng is in danger.

The family members couldn't tell the difference between the placebo medicine prescribed, but the medical department and the competent department could easily find out.

Therefore, he took the examination sheet and checked it repeatedly, with a hesitant expression on his face, unable to give a specific cause and treatment plan for a long time.

"Doctor, how long will it take! My daughter's body is too fat to stand for a long time."

The father of the obese female patient began to urge her.

I took my daughter to the Xinxiang Maternity and Children's Hospital for consultation. I thought I would catch up with the experts from Tuya Hospital to come here for consultation. It was very good.However, after a day's examination, he happily came to wait in line with the examination results, but found that Dr. Du, who graduated from a famous overseas school, did not seem to be as powerful as he imagined.

A trace of distrust gradually began to grow in the hearts of the family members.

As the waiting time prolongs, this trace of mistrust will continue to magnify.

"Don't mention it, waiting is really annoying. We have been here for a long time! After almost a day of examination, we are waiting for Dr. Du to find out the cause after seeing the examination results."

The family members who lined up behind the obese female patient complained.

There must have been some pain in this patient with a low-grade fever, hearing loss, and blurred vision, because her expression was distressed.The body completely needs the support of family members.

I don't know exactly where the pain is, but it may be in the leg or hip joint.

"Don't tell me, our experience seems to be the same! Huh, we also did the examination for most of the day, but the diagnosis result has not been given yet."

The husband of the female patient who binge-drank cold water already had obvious dissatisfaction.

This kind of complaint and dissatisfaction can easily resonate, causing all the family members and patients who have been queuing for a long time to become more and more dissatisfied.

"Dr. Du, what's wrong with my wife, you can give me an explanation!"

The family urged again.

Du Leng has very little experience in diagnosis and treatment. Faced with doubts from many family members and patients, he was very angry and a little panicked.

"As I said, many hospitals failed to find out her disease, so it's not easy to find out. If you don't trust me, you can also find other doctors to see."

Words and actions in anger can easily hurt.

It is very easy to cause the escalation of conflicts.

The family members lined up for such a long time to do 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 don't trust you, we won't see you. You can do whatever checks you ask us to do. You've been tossing around for so long, can't you just dismiss us with this attitude?"

The faces of the family members were already a little red, and their expressions were very serious. It is estimated that their anger has also come up.

"My attitude is fine. I'm here to seriously analyze the cause of your wife, but you keep urging her. It's still the same sentence, if you don't want to wait, you can find another doctor to see it."

Du Leng is cultured and self-cultivated, so it is impossible to directly scold his family members.

It's perfectly normal to speak a little choking and have a bit of a temper.

The mud bodhisattva is still angry, not to mention a proud returnee doctor like him.

Being questioned by many family members in public, he must lose face.

Unfortunately, he encountered a violent family member today.

boom!
The family member just slapped the examination table with one palm, causing the items on it to fly several centimeters high.

"Your attitude is okay? Are you fooling our family members and patients as fools? After investigating for a long time and talking about a lot of diseases and diseases, now they tell us that we can't find out the cause. The key attitude is still so bad, experts He is not the king of heaven, but a doctor who serves the people. If you don’t know how to see a doctor, don’t just sit here and fiddle with patients.”

I really didn't expect this violent family member to quarrel, and their mouths are quite fierce.

His yelling was really loud, and everyone in the entire outpatient hall probably heard it.

The key is that what he said still makes sense.

There was a quarrel here, and it was so fierce that it immediately alarmed Dean Tian, ​​who was waiting for Meizizi to vigorously publicize the rescue of children with severe bronchitis in the expert clinic.

"What's going on? Why did the returnee doctor quarrel with his family?"

Dean Tian suddenly felt dizzy.

She wanted to send the hospital assistant or the director of the hospital office to put out the fire first, but she was worried that they would not handle it well, so she hurriedly brought people to the scene to mediate in person.

"Get rid of your anger, let's get rid of your anger. The doctors have worked hard, and we must understand. It is not easy for family members and patients, and we also need to understand. Doctors and patients are a friendly cooperative relationship. Mutual trust and mutual understanding is the only way."

After Dean Tian came up, he was not in a hurry to ask the reason of the matter, but turned down the fire on both sides.

"I'm Tian Yuxiang, the director of Xinxiang Maternity and Children's Hospital. If you have any dissatisfaction, you can tell me directly, and I will find a way to solve it for you."

Dean Tian once again cooled down the violent family members.

"Dean Tian, ​​you come to judge. This Dr. Du asked us to do a one-day examination. Not to mention the failure to diagnose the cause, he also had a very bad attitude. He said that he didn't want to wait and we could find another doctor. You Are you angry or not?"

The family members were outraged.

(End of this chapter)