Practicing Medical Skills in a Small Clinic-Chapter 99 - 98: Master Level Gastrointestinal Diagnosis
He knew very well that the main reason for this situation was the lack of various examination data, and his own limited ability in gastrointestinal diagnosis was also a significant factor.
His current level of gastrointestinal diagnosis was at a proficient level, equivalent to that of a senior resident physician.
Placed in the hospital’s inpatient department, he was considered a backbone physician in charge of the ward.
But it was not enough to handle things independently.
At least a level of attending physician was required to begin having the ability to manage things independently.
Li Jingsheng gritted his teeth and decided to spend a large sum of life value points to upgrade his gastroenterology diagnosis to the Master Level before thinking about anything else.
This medical art was used very frequently, and the small clinic was doing well now, with a considerable number of gastrointestinal patients every day.
Gastroenterology Proficiency 22.7/100.
It required 78 life value points to upgrade it.
He remembered his life value balance was 184 points yesterday.
After seeing patients all day today, he should have seen a dozen or so, but none were difficult cases,
all of them were ordinary patients.
He didn’t receive any enthusiastic patient praises either, just polite thanks.
He estimated his life value wouldn’t increase much.
Because, based on experience, diagnosing an ordinary patient could only increase his life value by 1 point, and after curing them, he could gain another 1 point.
From prescribing to curing, it would take at least three to five days.
Diseases come like a mountain falling, but go like silk being unraveled!
So he estimated his life value balance would be at most around 196 points.
But when he checked the attribute panel, he was surprised to find unexpected gains.
His life value balance reached 297 points.
That’s a whole 101 points more than anticipated.
How did this come about?
Thinking hard, it certainly wasn’t from diagnosing patients. Because all the patients today were just regular cases.
So there were only two possibilities left.
The first was learning the advanced Bone Setting technique Bone Touching Skill with Doctor Xu. However, he had only learned part of the Bone Touching Skill and hadn’t even reached the Entry Level, so this couldn’t have increased his life value.
The second was saving that beggar.
After some thought, rescuing the beggar seemed the most likely way he gained 101 life value points.
He diagnosed the beggar, earning 1 life value point, and saved the beggar from a road-raging driver, gaining 100 life value points.
That must be how it happened.
If he had known he had so much life value, he wouldn’t have hesitated at all!
He lavishly spent life value points to upgrade his gastroenterology diagnosis by 78 points.
"Awesome! Even after upgrading this skill to the Master Level, I still have 219 life value points left."
Successfully upgrading his gastroenterology diagnosis to the Master Level, his diagnostic ability in this area was now unparalleled.
Firstly, his understanding of gastrointestinal medical knowledge deepened significantly.
Previously, his understanding of gastric and intestinal mechanisms and related functions only went a little deeper than textbook knowledge, allowing him to diagnose some simple or slightly complex gastrointestinal diseases and analyze the pathology.
Now it was different; he had a systematic and comprehensive understanding of the stomach and even the esophagus, cardia, and duodenum connected to it.
Moreover, this understanding was quite deep.
He knew the interrelated mechanisms between them.
The knowledge of intestinal medicine was even more advanced, including the duodenum, jejunum, ileum, cecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and so on. He had a clearer and deeper understanding of their mechanisms and diagnostic capabilities for diseases.
For each segment of the intestine, he could make a relatively accurate initial judgment on possible symptoms and adverse reactions.
Besides, he also had a comprehensive diagnostic ability for common gastrointestinal inflammations, ulcers, bacterial infections, viral infections, and even tumors.
Don’t underestimate the difference between a junior attending level and a senior resident level; it’s like the difference between soldiers and generals.
Even the most capable senior resident physicians could only lead a small team; their diagnostic ability and knowledge were relatively narrow. At the junior attending level, however, he had elevated to a ’general’ status, having a comprehensive and in-depth understanding of the entire field of gastrointestinal diseases.
With his current level of gastrointestinal diagnosis, he could fully stand out in a large hospital like the Second Hospital, gradually developing the ability to handle things independently.
He could assist the chief physician in easing their burdens.
While the proficient level of gastrointestinal diagnosis provided foundational comprehensive diagnostic capabilities, this advancement to the Master Level granted him comprehensive and systematic diagnostic abilities.
Diagnosing patients now, he was noticeably more composed and confident.
"The patient’s temperature is normal now; have they already recovered from the fever?"
With improved diagnostic abilities, he quickly thought of a possibility.
Heat caused by gastrointestinal colds usually appears quickly and also subsides quickly.
"Did you experience fever, headache, or similar symptoms after catching cold the day before yesterday?" he asked the patient.
"You even knew that! No wonder everyone praises your remarkable medical skills here!"
The patient’s words basically confirmed it.
"I caught a cold the day before yesterday and started having a fever and a severe headache the next morning. However, I had some cold medicine at home, and after taking two tablets, I quickly recovered."
After listening to the patient’s story, Li Jingsheng felt a bit flustered.
Questioning patients was indeed a technical skill!
Some things, if you don’t ask, the patient would never tell you.
These were already critically important pieces of medical history information.
At this point, he could basically confirm that the patient’s fever, headache, and diarrhea were caused by a gastrointestinal cold.
After some thought, Li Jingsheng prescribed Smectite for the patient.
With proficient-level knowledge of pharmacodynamics and pharmacokinetics, dealing with such common minor ailments was more than sufficient.
He secretly planned that, once his life value balance increased a bit more, he would upgrade his pharmacodynamics and pharmacokinetics to Master Level for perfection.
Smectite is clinically used for frequent diarrhea, inhibiting digestive tract microorganisms while covering and protecting the digestive tract mucosa. The most common side effect of this drug is mild constipation.
For patients with severe diarrhea, it is a very appropriate medication.
However, patients allergic to this drug should not take it.
The dosage also needs to be strictly controlled, and medication must be under the guidance of a professional physician.
Li Jingsheng thoroughly informed the patient of relevant precautions and daily dosage; the patient paid and left happily.
Watching the patient’s departing figure, he fell into contemplation.
This patient probably had more than just diarrhea as a digestive condition.
It was just that doctors in small clinics weren’t trusted much by many patients. If he checked more than what was explained, it could easily be misinterpreted as a money-scamming black doctor.
He naturally had to be cautious about this.
"The patient is visibly thin, and from the phone they use, their attire, and their nonchalant payment manner, it’s apparent their financial situation is quite good. This person probably has a digestive disease, lasting at least more than six months."
After Li Jingsheng upgraded his gastrointestinal diagnostic skills to Master Level, he gained more insight into this man’s condition.
Unfortunately, due to limited information, he couldn’t determine if it was a problem with the upper digestive tract or a chronic lower digestive disorder.
He hoped to see this man again next time; he could ask a bit more or suggest visiting a hospital for a check-up.
However, watching the patient’s obvious distaste for the hospital process, he suspected they were mostly unwilling to go for a hospital examination.
Unless they fell seriously ill and had no choice.
...
After work, Li Jingsheng had dinner and returned to the clinic to start practicing the Bone Touching Skill he had just learned.
Currently, he was still in the initial stage of moving from theory to practice.
Many theoretical concepts were still only half-understood.
He first practiced on his leg bone, for convenience.
There were some gains, but it wasn’t as effective as practicing on someone else’s bones.
When touching his own bones, because the sensory nerves and feedback information from his hands overlapped, it wasn’t conducive to accumulating experience.
Finding someone to let him practice Bone Touching Skill would be ideal.
There were only two people at the small clinic. Practice on Tang Ping? As soon as this thought arose, he quickly suppressed it.
Even though she and Li Jingsheng got along well and had a great relationship,
she hadn’t jumped ship despite being owed three months of salary.
However, she always maintained her dignity, and Li Jingsheng respected her highly without daring to offend in the slightest.
He could practice Bone Touching Skill while examining patients in the future.
He could also follow Doctor Xu at the orthopedic outpatient clinic in the Second Hospital for some opportunities to practice Bone Touching.
For him, the hardest part of any medical art was breaking into the field.
To reach the Entry Level, he needed to first master all the theoretical knowledge, then gradually practice and improve to a certain level to achieve Entry Level status.
Once he entered the field, everything became much easier.
Using the attribute panel, he could easily increase proficiency in any medical skill. Normally, moving from Entry Level to proficient would require one to two years, or even several years of clinical practice.
He needed only 10 life value points to easily achieve this.
Such an advantage allowed him to boldly expand his medical skill range in multiple areas.
Diagnosis, prescription, skills—his medical expertise was vast enough to make other doctors envious. The key was not only the breadth of his skills, but also their refinement.
This was truly remarkable.
