Practicing Medical Skills in a Small Clinic-Chapter 160 - 120: Attending Level Strength, Powerful Diagnostic Ability_2

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Li Jingsheng was well aware that since both the Children's Hospital and the People's Hospital couldn't cure this child's illness, the difficulty must be at the ceiling level. Even if he upgraded his doctor level and gastroenterological diagnosis by one level, there was still a chance he wouldn't be able to diagnose it.

After all, the chief physicians at those big hospitals are at least at the deputy director level.

If they couldn't diagnose it, how could a small clinic doctor like Li Jingsheng accomplish it? Are they just doing nothing?

Competition at big hospitals is fiercer; doctors without real skills, even if they obtain senior titles, don't engage in clinical work.

Instead, they focus on research and teaching.

Otherwise, if something goes wrong and tarnishes the hospital's reputation, who would be responsible?

Only the chief physicians qualified to see patients in the clinic or lead a team in the inpatient department have genuine expertise, and they excel in at least one field.

Opportunities are hard to come by, and Li Jingsheng hesitated only briefly before spending 308 life points to advance his doctor level.

Level: Low-Seniority Attending Physician 1000.5/2000.

Rising to the next level requires 1000 experience points, which is intimidating.

If he were to diligently work in the hospital to accumulate experience points with his mediocre medical talent, the thought wouldn't even cross his mind in less than a decade.

Now, Li Jingsheng finally understood why some attending physicians work for thirty or forty years and still retire at the attending level.

It's lonely at the top.

Only upon reaching the attending level does one truly comprehend how difficult it is to advance to the next tier.

Now as a low-seniority attending physician, moving to the next level should be high-seniority attending physician, and that already requires 1000 experience points.

After reaching high-seniority attending physician, the next upgrade would be to deputy chief physician.

The estimated required experience points would be an even more daunting number.

Let alone advancing through hard work; even with cheats, accumulating several thousand life points makes him feel weak at the knees.

So much that he'd like to kneel!

Having successfully advanced to the attending level, the first reaction he had was to see his past self as trash.

That's truly the feeling.

It's not arrogance.

The gap between attending physician and resident physician may seem only a level apart, but the comprehension and application of medical knowledge, the height and breadth of diagnostic thinking, the medication approach, surgical thinking, and understanding of surgery are worlds apart.

Even in big hospitals, it's only after reaching attending that one can start seeing patients, supervising interns, independently hosting certain diagnostic and treatment work, etc.

The number of attending physicians in big hospitals is enormous, and the discrepancies are vast.

For example, a medical student who has completed eight years of continuous undergraduate and postgraduate education graduates and works for a year before directly advancing to attending.

His thesis level and theoretical knowledge might be high, but his clinical practice level and diagnostic experience might only be slightly better than a regular resident trainer.

This is not an insult; it's the truth.

For example, when Li Jingsheng was previously in a big hospital, based on years of service, he had already reached high-seniority resident physician level.

Yet his actual diagnostic skills were still at low-seniority resident physician.

"Being promoted to attending level is fantastic!"

Spending 308 life points was well worth it.

Advancing his doctor level to attending made him realize how beautiful the 'view' at attending is.

His life points were now only 233.

Not enough to support upgrading his gastroenterological diagnostic skills.

Life points are perpetually insufficient!

Once his medical skills improve, he'll have opportunities to receive accolades and positive reviews from patients, and even daily chances to save critically ill patients, at which point the speed of accumulating life points will be astonishingly fast.

For now, he can only continue slowly.

He once more reviewed the child's medical records in an attempt to diagnose.

The doctor level is equivalent to 'power'; various medical skills are 'techniques.'

With greater power, even the simplest techniques exhibit phenomenal strength.

Previously, his level was only at a resident physician, but his gastroenterological diagnosis reached low-seniority attending level, akin to a calf pulling a heavy load, unable to unleash its full power.

Now, it's different; the level and skills are aligned, and he can fully exert the gastroenterological diagnosis at attending level.

His diagnostic thinking also opened up.

Since the child's persistent diarrhea has no identified cause, could he start from other symptoms?

For example, swollen legs.

Li Jingsheng considered this a very good breakthrough point.

Since the People's Hospital had already conducted tests, showing normal liver, kidney, and cardiac function.

The most common clinical cause of lower limb edema is kidney issues.

Since the kidneys have been ruled out, what is causing the lower limb edema?

The child's complexion was pale, and his weight was below the standard value.

Furthermore, according to family reports, in more than a month, the child not only failed to grow but actually lost about 0.7 kg.

A whole 1.4 pounds, which is alarming for a seven-month-old infant.

Since his total weight is barely over 10 pounds.

Normally, infants are in a rapid growth phase from birth to one year.

Many male infants are only around 3 kg at birth, reaching over 10 kg by one year.

This child's weight at hospital admission was 4.9 kg; now it might even be lighter.

Weight loss is undoubtedly related to nutrition.

Persistent diarrhea in the child would lead to poor nutrient absorption, resulting in malnutrition.

Could his lower limb edema be related to malnutrition?

Li Jingsheng discovered that after advancing to attending physician, he could synthesize and comprehend many theoretical knowledge, conducting in-depth analysis of the causes systematically.

This ability was something he lacked before.

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