Excellent hand and heart doctor

Chapter 421 Taishan is not a base (for subscription)

Lin Jie looked into He Yimin's eyes, although he could clearly see her two black eyes staring at him.

However, he could clearly sense that this guy didn't see himself.

He Yimin's eyes were a little confused, without the slightest focus, as if he had entered a kind of empty state.

She said in an unusually slow tone: "The cardiac factors of the patient's symptoms...mainly include cardiac hypertrophy, arrhythmia, myocarditis, cardiomyopathy...pericarditis, Kawasaki disease...infective endocarditis, etc."

"The diagnosis can be confirmed by electrocardiogram, cardiac X-ray film, echocardiography, myocardial enzymes, etc.!"

"Noncardiogenic factors include several aspects..."

Huo Guangheng, who was standing aside, had already stated his answer silently in his heart.

When He Yimin answered this point, he realized that his answer had missed a "Kawasaki disease".

However, he didn't think he was inferior to He Yimin.

The speed of answering questions is so fast. If she is asked to treat emergency patients, with her efficiency, once she diagnoses the cause, the patient's condition may develop to a more serious level, or even die.

Huo Guangheng turned his gaze to Lin Jie again, with deep admiration in his heart.

This is Lin Jie's eighth case question for He Yimin.

These eight case questions are all semi-open questions, the difficulty is from shallow to deep, but the span is extremely wide.

Basically, every question and every symptom and sign of a patient can be extended to cover the main types of diseases in a department.

However, these signs of the patient are mixed together, but they are not mechanically copied, they are very natural and reasonable, just like a living patient, standing in front of his eyes, asking himself for help with a painful expression.

The disease signs of these patients were finally analyzed, screened layer by layer, and excluded in detail, finally pointing to several clear diseases.

If these few case questions were carefully designed by Lin Jie earlier, then it would be fine; if they were thought up on the spur of the moment to assess himself and the others, then the meaning it represented would be astonishing!

Huo Guangheng's rationality believes that this is impossible, but his intuition tells himself that this guess is likely to be true.

Or if I insist on staying this time, I can really give myself a big reward and surprise.

He couldn't help but stand up straighter.

Lin Jie noticed that He Yimin's eyes had recovered, and he knew that she had finished answering the question. He said with a blank expression, "The answer is not bad, basically there are no omissions."

"However..."

With a straight face, he said solemnly: "5 minutes ago, the patient died of acute heart failure."

He Yimin's cheeks were flushed anxiously, the tip of his nose was sweating, and he said with an expression on the verge of tears, "Mr. Lin, I...I..."

Lin Jie asked in a deep voice: "Are you particularly good in every theoretical test, but your practical results are terrible?"

He Yimin nodded heavily, and said, "I'm No. 1 in every theoretical class! In practice, I...my brain is slow, and my hands are a little clumsy..."

She asked anxiously: "Ms. Lin, please don't drive me back... I will work hard and improve, really..."

Seeing that He Yimin's tears started to roll in his eyes, Lin Jie raised his hand to stop her, and said, "I am basically satisfied with your answers to these few case questions!"

"It can be seen from this that your theoretical knowledge is very solid, and your associative memory is also very good."

"It's just that your thinking speed is too slow..."

With a crying sound, He Yimin said, "Mr. Lin..."

"I won't drive you away!"

Lin Jie gave her a reassurance first, and said, "Because, I thought of a position, a position that suits you..."

"Diagnostic expert!"

What?Diagnostic Expert!

When Lin Jie uttered this term, not only He Yimin was in disbelief, but Gao Yanhong, Huo Guangheng, and Guo Peng's eyes widened.

Because they all understood what kind of position the diagnostician Lin Jie was talking about was.

Due to the complexity of the human body and the increase of various environmental factors, various strange diseases appear every year.

Some patients, due to the complexity of the external signs, have not been diagnosed for a long time and cannot receive targeted treatment.

In this case, the hospital has two solutions.

The first is expert consultation, which gathers experts from various departments to conduct consultations on patients with new diseases or complex signs, and finally get an answer for experimental treatment.

One is to be diagnosed by a diagnostician.

Some well-known hospitals usually have such a department, which specializes in treating various difficult and miscellaneous diseases.

The number of doctors in this department is small but excellent, and they are the most experienced and knowledgeable medical experts in the hospital. They specialize in diagnosing newly discovered diseases and patients with complicated conditions.

Doctors in this department are called diagnostic experts.

"Ms. Lin, can I really...really become...a diagnostic expert?" He Yimin said excitedly, feeling a little uncomfortable.

Lin Jie snorted, and said in a blow: "With the speed of your thinking, emergency treatment is definitely not enough. Performing surgery on patients? If something unexpected happens during the operation, you probably won't be able to deal with it in a timely and effective manner."

"Only the department that specializes in treating intractable diseases can take you in!"

"In this department, there is relatively plenty of time, which allows you to think slowly and leisurely, so as not to rush the patient to death."

He Yimin's face collapsed, and he said in despair: "So what Teacher Lin said was irony, I really thought..."

"What I said is not irony!"

Lin Jie showed a slight smile on his face, and said: "In my opinion, you can be said to be naturally suitable for the position of diagnostician. However, you are not qualified now, and you need further study!"

"Mr. Lin, what you said is true?" In He Yimin's eyes, a dazzling brilliance suddenly burst out.

Lin Jie's expression turned serious, and he said, "Do I have to tease you?"

"Wait a minute, I'll give you a book list! You will have a hard life in the future, not ordinary hard work!"

"Doctor Lin, I am not afraid of hard work, I really am not afraid of hard work..."

Lin Jie waved his hand directly, making He Yimin shut up, then pointed at Guo Peng, and said, "It's your turn!"

Guo Peng straightened his body and said loudly: "Mr. Lin, my long-cherished wish is to become a first aid expert. As a military doctor, if I do a good job in first aid, I can save the lives of my comrades as much as possible."

Lin Jie snorted and said, "First aid expert? This shows that you have a very detailed understanding of human body structure. Let me test you!"

He pointed at Gao Yanhong, and jokingly said, "Guo Peng, I'll give you a chance to take advantage of her in an open and honest manner. I'll talk about an injured part, and you should point out the hemostasis part as soon as possible!"

Hearing this, Gao Yanhong didn't feel any embarrassment, but stepped forward generously, standing between Lin Jie and Guo Peng!

Medical students have all had this experience. I don’t know how many times they took off their clothes, studied the body structure with their roommates or classmates, and did some medical practical exercises.

But Lin Jie said again: "After all, men and women are different, we must pay attention to the influence! Huo Guangheng, find a whiteboard marker!"

"Yes!" Huo Guangheng replied and ran out!

A few minutes later, he ran over with two whiteboard markers in his hand.

"Penetrating injury at the end of the duodenum!"

Following Lin Jie's words, Guo Peng quickly used a whiteboard marker to make a dot on the clothes of Gao Yanhong's abdomen!

"Left rectus femoris!"

"Rectus abdominis!"

Lin Jie spoke faster and faster. At the beginning, he talked about some common parts of the human body, and then slowly turned to some uncommon parts of the human body that are not easy to be injured.

Gradually, Guo Peng couldn't keep up, and sweat broke out on his forehead.

Every time Lin Jie talked about an injured part, he still needed to turn a corner in his mind, thinking about the main blood vessels nearby, and then find the best hemostasis node.

When Lin Jie mentioned the No. 12 injured parts, he stopped, looked at Guo Peng, and asked, "Evaluate yourself!"

Guo Peng stood at attention and said: "Report to Mr. Lin, the accuracy rate of hemostasis in the twelve injured parts is [-]%, and the timely rate is [-]%. The first nine parts are excellent. The last three parts are good!"

Lin Jie smiled, and said softly, "I feel very good about myself!"

He looked at Gao Yanhong and asked, "What do you think of his self-evaluation?"

Gao Yanhong pondered for a while, and said, "Report to Mr. Lin, it is basically in line with the facts!"

"Fart is in line with the facts!"

Lin Jie's expression was serious, and he asked coldly, "Gao Yanhong, what is your real height?"

Gao Yanhong's face changed slightly, and he said, "Height is 1.6 meters 1.7 naked, and [-] meters [-] with shoes on!"

Seeing that He Yimin and Guo Peng were a little confused, Gao Yanhong explained, "My feet are relatively small, and I put a few extra pairs of insoles in the military boots. In this case, the heels are one or two centimeters higher than normal military boots!" "

With this explanation, even if Guo Peng's expression sank, he didn't have to wait for Lin Jie's order, and began to check the hemostasis he left on Gao Yanhong's clothes...

After the inspection, Guo Peng stood at attention again and said, "Report to Mr. Lin, there is a difference of about one centimeter between the hemostasis point I left and the actual best hemostasis point!"

Lin Jie said in a deep voice, "Are you a little unconvinced?"

"The error is only one centimeter? In the actual process of hemostasis, when the thumb is pressed and the hemostatic bandage is applied, the centimeter will pass, and the rescue will not be delayed at all!"

Lin Jie said indifferently: "First aid is to compete with the god of death for time, every minute and every second, every minute and every second is extremely precious."

"Guo Peng, if you press one centimeter off, it is likely that the wounded will lose dozens of grams of blood, which may make the wounded lose a few seconds, or even tens of seconds!"

"If a step is reduced by a few seconds and accumulated layer by layer, the patient's survival time may be reduced by tens of minutes or even hours."

"As a doctor, you must demand yourself with the highest standards. Accuracy, speed, and stability are the most basic requirements."

Lin Jie glanced over Gao Yanhong, Huo Guangheng, Guo Peng, He Yimin and other four people, seeing their eyes full of admiration, he was convinced, he was satisfied in his heart!
This meeting, the seemingly random assessment, Lin Jie just wanted to shock them, let them know that cowhide is not for blowing, Taishan is not for building, and he has a lot of brushes.

So far, the effect is good!
Lin Jie warned again in a heavy tone: "Perhaps you won't believe it, more than 80.00% of the patients who died during or after the operation were due to sequelae or infection caused by carelessness or negligence during the operation. "

"Guo Peng, when will you be able to scan through it at a glance, like an X-ray, and you can see through the patient's clothes, and you will be truly proficient in the structure of the human body."

"Yes!" Guo Peng responded very loudly!

"Mr. Lin, Mr. Lin!"

At this time, Ma Hongmin's loud voice came from a tent: "We found a mirror man here!"

　Thanks to the book friend "Everything has an image" for the reward of 1000, and the book friend "Sun, 灬" for the reward of 500, thank you for your support! !
　　On the first day of March, ask for guaranteed monthly pass support! !

　　
　
(End of this chapter)