Practicing Medical Skills in a Small Clinic novel Chapter 68

Chapter 68: Chapter 68: The Dangers of Valvular Insufficiency Combined with Diarrhea

This is a bit like solving a math problem.

When you first start learning, you can only do simple addition.

Later, you learn subtraction, and even multiplication and division, allowing you to tackle comprehensive problems. You think holistically from multiple angles and perform comprehensive calculations.

This is a significant improvement in diagnostic thinking ability.

Attending Level and resident physician—seemingly only one level apart, yet there is a significant gap in clinical ability and diagnostic level.

An attending physician can already handle things independently, whereas a resident physician still has a strong dependency.

Even a senior resident physician needs to constantly consult their superior during clinical diagnosis and treatment, and it’s difficult for them to handle cases with slightly higher risk or complex diseases independently.

In normal circumstances, an attending physician can relieve the chief physician or group leader of their burdens in the wards.

Only some particularly tricky issues need consultation with a chief physician.

Most of the time, even when it comes to patient rescue, the attending physician can lead the resident physicians, training students, and interns independently, completing the rescue task with the cooperation of nurses.

At this moment, Li Jingsheng, in the field of Cardiovascular Medicine, has already preliminarily reached the level and capability of an Attending Level physician.

Of course, merely being good at diagnosis is not enough; he must also improve drug efficacy and pharmacokinetics to truly possess the diagnostic and treatment capabilities of an Attending Level physician.

For now, he only has the diagnostic ability of the Attending Level.

"The patient’s valve insufficiency is certainly not congenital. Because it was asked earlier, the patient had undergone physical examinations and never had heart disease. Hearing cardiac murmurs can basically ascertain it’s due to valve insufficiency, but the specific valve causing it still cannot be diagnosed."

Damn, this medical skill improvement is like a nesting dolls game, it’s so enthralling.

With each level up, there’s significant gain and higher proficiency, but still some helplessness when faced with certain difficult complex cases.

His current doctor level is a senior resident physician, which limits his medical skills to reach only Master Level.

Because medical skills can only be one level higher than the doctor level.

In this regard, the attribute panel imposes strict restrictions.

This restriction is quite reasonable.

Otherwise, if an intern could have chief-level medical skills, it would be terrifying.

It’s like a baby wielding a big knife.

Even if an intern genuinely possesses chief-level medical skills, due to a weak foundation and lack of comprehensive medical knowledge, they cannot fully utilize the level of chief-level medical skills.

The enhancement of a doctor’s level should be a comprehensive improvement in overall ability, not merely in a single technique.

"Unable to determine which valve has insufficiency by heart sound, then leave it aside for now. Anyway, my goal is to pinpoint the cause, the specific treatment, and diagnosis will be the concern of doctors from big hospitals."

Li Jingsheng decided to stop fixating on it.

The heart has four valves: mitral valve, tricuspid valve, pulmonary valve, and aortic valve.

Leave aside which specific valve is insufficient for now.

"There are many causes for valve insufficiency, the more common acquired heart disease cause is cardiac enlargement."

To give an analogy, a valve is akin to a door.

The heart is the house.

Due to certain special reasons, the volume of the house increases, but the door remains the original size, which very likely leads to the door being improperly closed.

Gaps may appear.

The heart’s function is to pump blood, it acts as a kinetic station for all arterial and venous blood.

It sends arterial blood throughout the body to provide oxygen and nutrients, and then recycles venous blood.

This creates a continual cycle, forming the body’s blood circulation.

Considering this patient frequently stays up late working overtime, sitting for long periods, it easily leads to cardiac enlargement.

Because when a person is seated, the load on the heart increases.

As for the belief that standing increases the heart’s load, that’s incorrect.

The calf’s gastrocnemius muscle is the body’s second heart, when walking, it functions. This significantly reduces the burden on the heart.

Therefore, it’s not only when lying flat that the heart’s burden is minimized.

When walking upright, the heart’s burden should be at its lowest.

This is somewhat similar to a horse resting standing; it always has one leg relaxed, frequently rotating among its four legs.

The gastrocnemius muscle of the human calf helps the heart easily complete the recovery of distal venous blood and the delivery of distal arterial blood. This somewhat places the heart in a relaxed semi-resting state.

Doctors often recommend exercising more, which embodies this principle.

Of course, the benefits of exercise are not limited to this.

If office workers, especially those who sit for long periods, need a simple method to prevent lower limb venous thrombosis.

It’s to flex the toes.

Vigorously flex the toes backward.

This might initially pull at ligaments and cause some pain, but if one persists in this action, it greatly benefits the body.

"The patient likely has cardiac enlargement leading to valve insufficiency, hence the abnormal heart sound. But theoretically, valve insufficiency shouldn’t cause diarrhea symptoms..."

Li Jingsheng contemplated, feeling that although the patient has both diarrhea and cardiac valve insufficiency, the two are unlinked.

There shouldn’t be anything dangerous for the time being.

However, the patient mentioned the abdominal pain moving upwards.

VERIFYCAPTCHA_LABELVerify