Practicing Medical Skills in a Small Clinic

Li Jingsheng carefully examined the scan, noting it didn’t resemble a typical nodule.

He also noticed a detail: the uncle’s eyes seemed unusual, slightly red, and the patient kept reaching up to rub them.

At first, he thought the patient was rubbing his eyes due to the pain of his condition.

Later, he suspected it might be trachoma.

Seeing the patient’s chest X-ray, Li Jingsheng suddenly thought of a rare respiratory disease: granuloma.

"Uncle, how long have you been feeling unwell?"

"It’s been quite a while! It’s likely been seven or eight months."

As the uncle spoke, he again reached to rub his eyes.

"Has your vision deteriorated? Do you also experience eye pain?"

Li Jingsheng asked him.

"Oh, you’re quite something, young doctor. Every time, you diagnose my ailment accurately."

The uncle had tremendous trust in Li Jingsheng.

For most patients, as long as a doctor can describe their symptoms, they believe the doctor has treated similar conditions before. How else could he describe them so accurately?

"Director Mu, Director Yu, I suspect this patient has nodular granuloma."

After Li Jingsheng finished speaking, he explained his diagnostic reasoning and thought process.

The patient initially only had a cough, which later developed into severe chest pain, even causing eye pain and vision deterioration.

These all indicate the worsening of the condition.

To confirm the diagnosis, the best method would be a pathological examination.

After discussions, the patient agreed to undergo a pathological examination.

As per procedure, he was referred to Qiaobang Hospital’s doctors for follow-up. The pathology results wouldn’t be immediate, but the probability of this disease being the correct diagnosis was very high.

Li Jingsheng was initially prepared to proactively seek out patients again, but unexpectedly, those observing saw patients being diagnosed and came forward for consultations themselves. Two patients actively approached for diagnosis.

As each table only had five slots, with only two left, four or five patients quickly stepped forward to grab the last two spots.

The five free consultation slots quickly filled up, and those who couldn’t secure a spot were left frustrated, needing to go to other desks to register.

Or they had to pay to register with a Qiaobang Hospital doctor inside.

...

Nearly two hours later, the respiratory medicine competition concluded.

Li Jingsheng returned to the Second Hospital’s resting area with Director Mu and others.

During this time, the venue’s other competitions were also proceeding rapidly.

According to the organizers’ schedule, all competitions would conclude by the third morning, and there would be an unprecedented medical exchange and discussion in the afternoon.

Essentially, it was a chance for everyone to network, facilitating the exchange and advancement of medical technology for clients.

After waiting for about half an hour, the results for the respiratory medicine competition were announced.

The Second Hospital performed quite well, once again securing a bronze award.

However, after winning multiple bronze awards, the initial excitement and enthusiasm were evidently lacking.

Director Mu, on the other hand, was overjoyed.

He even used a tissue to dab at his tears.

Li Jingsheng couldn’t understand why Director Mu was so emotional.

Wasn’t it just a bronze medal?

"Director Mu, our pulmonary department has managed to rise again! I understand your feelings. The last time we won, I was just a junior resident in the department. You had just taken over as Chief of Pulmonary Medicine."

Yu Xiaoyu was a long-time member of the Second Hospital’s pulmonary department.

Without realizing it, he had worked at the Second Hospital for many years.

"Indeed, fifteen years have passed. I’m older now, and my greatest wish has always been to see the pulmonary department win a prize again. I remember when Director Huai handed the department over to me, he invited me to a meal and earnestly advised me to do everything possible to strengthen the department. Unfortunately, things didn’t go as planned. The department was like a patient with chronic illness, never recovering, and it didn’t win any awards in skills competitions.

Fifteen years have passed in the blink of an eye. As I approach retirement, I’ve finally fulfilled my long-awaited wish.

It’s an explanation I can give to Director Huai."

Some things can only be understood through personal experience and effort, revealing the difficulties and obstacles.

Before Li Jingsheng had an attribute panel, his days weren’t easy either.

This reflects the reality for the vast majority of doctors.

Working in a hospital for over twenty years, being able to earn forty thousand yuan a month is considered highly successful.

Many might only manage to get by and barely cover their living expenses for a lifetime.

Although it’s much better compared to ordinary workers or farmers, when compared to successful individuals in other professions, it can be quite disheartening.

As time slips by and age catches up, many doctors reflect on their past ambitions in medical school, slowly accepting reality and becoming one of the common people.

Disheartening feelings are inevitable.

Director Mu might not be exceptionally outstanding, but he’s definitely not bad either.

This is greatly influenced by talent, insight, and the environment one grows in.

Entering Qiaobang Hospital, a top-tier institution, ensures intensive nurturing by the hospital, accelerating growth far more than being in smaller tier-3 hospitals like the Second Hospital.

Moreover, the gap widens over time.

Because as people age, their learning ability gradually declines.

Becoming well-known early is crucial, it’s true.

Many renowned doctors were already very impressive by their forties.

"Dr. Li, thank you! Without you, I might’ve gone through life with regrets."