Practicing Medical Skills in a Small Clinic-Chapter 143 - 114: Finally Reached Attending Level Medication Proficiency_3

Chapter 143: Chapter 114: Finally Reached Attending Level Medication Proficiency_3

Don’t even mention the medication for short bowel syndrome; even the medication for this bronchitis in front of me is challenging.

For ordinary bronchitis patients, Li Jingsheng can handle them with ease.

However, for someone of this age, with a long history of smoking and also suffering from hypertension, the considerations for medication, blood concentration, and the exposure and metabolism time of the drug, as well as the effects on the body post-medication, all need to be taken into account.

This kind of clinical medication with considerable risk really exceeds the capability of a senior resident physician.

At least an attending level of junior experience is required for such a task.

Li Jingsheng checked his life points, balance is 346.

This was thanks to Boss Zhao collapsing at his place a couple of days ago, allowing him to earn an extra 50 life points.

Successfully diagnosing an elderly scavenger with tetanus and investing to send the old man to the hospital for treatment earned him 100 life points.

Otherwise, there is no way he could have accumulated so many.

Though he treats patients daily, and earns some life points while palpating and setting bones at the Second Hospital, the life points gained through routine operations aren’t much. It’s like a salaried job, where your monthly salary is fixed.

A sudden increase by tenfold or twentyfold is impossible.

To earn ’large amounts of life points,’ something more ’exciting’ has to happen.

For example, rescuing a patient or being gifted a pennant.

He also discovered a problem; at the Second Hospital, while assisting in bone setting, patient compliments do not reach him personally but are attributed to the entire bone setting clinic, occasionally to Doctor Xu.

This left him a bit frustrated.

A single compliment can earn 10 life points; even capturing just three or four compliments a day can bring in an extra thirty to forty life points.

He has pondered why, when at the Second Hospital, patient praises didn’t reflect directly on him.

When patient compliments are directed toward the entire clinic’s medical team, it is understandable.

After all, recovering a bone injury isn’t solely Li Jingsheng’s contribution.

However, when it’s evidently Li Jingsheng who set and restored a patient’s bone, leading to the patient’s recovery, and yet the praise is given to Doctor Xu, this reflects the difference between a leader and a subordinate.

It’s like a surgical team successfully completing a highly complex surgery.

The highest honor invariably goes to the head surgeon.

Despite the efforts from surgical nurses, assistants, and anesthesiologists, their contributions are overshadowed by the lead surgeon.

Even if the lead surgeon only completes one-tenth of the procedure, focusing on the hardest critical parts,

the highest honor remains with the lead surgeon.

The hospital’s publicity will also reflect something like this: Leading by Director Whatever, the surgical team successfully completed a highly complex surgery of type Whatever.

When Li Jingsheng set a patient’s bone, firstly, the patients came for Doctor Xu’s reputation.

Secondly, during the bone setting, Doctor Xu guided the whole process.

After the patient’s recovery, their gratitude would, of course, go to Doctor Xu. As for Li Jingsheng, the patient’s thought process might be: Damn, I became a guinea pig for this rookie doctor, luckily Doctor Xu was supervising, so nothing disastrous happened; I was terrified during the bone setting.

Changing this situation requires time.

Once Li Jingsheng learns the bone-setting techniques and can handle cases independently, he will no longer be a ’student’ but a new rising star in the manual reposition clinic room.

The arrival of that day shouldn’t be too far away.

...

Li Jingsheng checked the two medical skills under prescriptions.

Drug Efficacy Proficiency 42.5/100, Pharmacodynamics Proficiency 39/100.

The frequency of using these two medical skills is incredibly high, yet the speed of increasing their proficiency is somewhat unsatisfactory.

In fact, improving all medical skills is exceptionally challenging.

Just look at the ages of those experts to understand.

Why do so few young doctors become medical experts? It’s because the accumulation of experience and enhancement of medical skill proficiency is an extremely slow process.

The young associate chief physicians in the hospitals, and chief physicians, are mostly academic types.

Their real clinical skills aren’t actually that impressive.

He decided resolutely, spent 58 life points to enhance drug efficacy to master level, and spent another 61 life points to raise pharmacodynamics to master level.

At this point, his medication skill has advanced by a significant level.

From resident physician level, he has directly leapt to attending level.

Although it’s just a junior attending physician level, this capability is sufficient enough to sweep through the entire Old Street of South City. Even in terms of medication, he could compete with the several old doctors at the community health service station.

Of course, he upgraded prescription skills to treat patients, not to show off, and naturally wouldn’t idly head to the community health service station to ’challenge’ them.

He felt the brand-new dynamics of drug effects.

True to its master level, even previously at proficient level, there was a vast breakthrough in drug effects, properties, and administration methods.

At this moment, he found he had a brand-new understanding of various drugs’ therapeutic effects and adverse reactions.

He could foresee what effects would be achieved post-medication, what favorable changes could occur in the physiological systems of the patient, even the entire biochemical functions, and pathological processes, were clearer and more comprehensible.

Furthermore, regarding side effects of drugs, toxic reactions, residual effects, secondary reactions, and so on, there was now a clearer and more intuitive comprehensive perception.

After experiencing the master-level drug effect skill, his confidence swelled, feeling as though he could trample Quick Recovery Clinic under one foot, Jinkui Clinic under the other, and stand tall to face the colossal community health service station.

As the patients were waiting for him to prescribe and treat their illnesses, he only briefly experienced the master-level pharmacokinetics.

Besides discovering enhancements in drug clearance half-lives, clearance rates, etc., the most significant gain was in the abilities improvement in blood concentration and drug exposure. 𝒻𝓇𝑒𝘦𝘸𝑒𝒷𝓃ℴ𝑣𝘦𝑙.𝒸ℴ𝘮

The advancement of these two major capabilities preliminarily equipped him with the level of combined drug usage.

This could be achieved safely, efficiently, and with relative precision.

After upgrading drug efficacy and pharmacokinetics, his life points were down to only 227.

He intended to save up to upgrade his doctor level; this is the foundational base of all medical skills, of immense importance.

However, leveling up the doctor’s level still required over three hundred life points.

Moreover, he dared not use them all up at once, just in case of an emergency situation requiring key medical skill enhancement.

Sunshine Clinic’s current situation existed due to his countless efforts and hardships.

But disrupting this setup required just a bit of a larger mistake.

So, he must ensure that there is always sufficient reserve ’grain’ at home to avoid panic in the event of incidents.

Particularly now, with at least seven or eight consultations a day, peaking at over a dozen, who knows when he might ’hit the jackpot’ and encounter a troublesome patient.

Also, he is currently studying the remaining advanced bone-setting techniques.

Once learned, to immediately use them for fame, and to promptly earn at the small clinic, they need to at least reach a master level to barely suffice.

If aiming for a level to establish authority, master level is definitely not enough.

This is also why he wishes to upgrade his doctor level soon.

With all these thoughts, two to three hundred life points seemed severely insufficient, far from enough.

Pennants, oh pennants, bring a few more!

Li Jingsheng silently prayed for more pennants, more good reviews, and his worries would be resolved.

Unfortunately, up to now, only Sister Huan had presented him with a pennant.