Practicing Medical Skills in a Small Clinic

Chapter 578: Chapter 264: Leading a New Diagnostic Trend, the Archrival Appears? (Part 2)

Zhao Yong earnestly requested.

"Haha, this request can be fully met. The purpose of hosting this skill competition was originally to improve everyone’s diagnostic and treatment levels, allowing new technologies and new knowledge to be exchanged and spread."

Chairman Jin agreed with a smile.

He gestured to the backstage, and the answers of both appeared simultaneously on the big screen.

Including the examinations both applied for were displayed together.

Interestingly, Li Jingsheng and Wang Zhenghai’s examination applications were identical.

Both applied for blood routine tests first, followed by blood gas analysis.

However, their answers slightly differed, the final diagnostic results were quite similar.

Professor Wang Zhenghai’s diagnostic approach considered the patient’s significantly elevated white blood cells, neutrophils, and slightly below-normal platelets, along with symptoms like headache and upper respiratory tract infection, initially ruling out causes like drug inhibition and drug allergy leading to low platelets. Furthermore, the patient exhibited peri-umbilical tenderness without muscle tension or rebound tenderness, which preliminarily ruled out abdominal infection.

Using those data and patient symptoms to directly rule out drug inhibition and allergy causing low platelets required extremely rich experience in such diagnostics.

Li Jingsheng’s experience wasn’t as extensive as Wang Zhenghai’s, thus he took quite some detours.

Ultimately, he had to change his diagnostic approach in order to slowly pinpoint the real cause.

It’s simply put as, mice have their ways, snakes have theirs.

Although there’s a gap in diagnostic experience, Li Jingsheng possesses the advantage of multi-field diagnosis, with flexible thinking.

Ultimately, he too found the path to the truth.

As for the final diagnosis, both were almost identical.

They both believed the onset was sudden, the progression rapid, categorizing it as an acute condition. Moreover, when applying for blood gas analysis, the patient’s platelets dropped more than half within a short period, ultimately concluding a high possibility of meningitis.

Wang Zhenghai’s answer was more precise, with a preliminary diagnosis of fulminant meningococcal meningitis, suggesting emergency treatment followed by cerebrospinal fluid test.

In doing so, he actually found a loophole.

Meaning a lumbar puncture and cerebrospinal fluid test weren’t actually requested, just suggested.

Li Jingsheng’s diagnosis, although somewhat ’unrefined’, was more grounded.

Additionally, the deduced answer was more stable.

According to Li Jingsheng’s thinking, a cerebrospinal fluid extraction wasn’t necessary for a basic diagnosis.

But Professor Wang Zhenghai’s approach was dominated entirely by experience, gaining advantages at every turn.

"Dr. Li’s diagnostic approach truly makes Wang feel ashamed!"

Professor Wang, after reading the answers, noticeably changed his attitude toward Li Jingsheng.

Initially, he thought Li Jingsheng had just happened to read about a similar case in a book, or seen senior doctors treat similar cases. Until he read Li Jingsheng’s answer did he realize this young man completely relied on his vast medical knowledge combined with flexible diagnostic thinking to deduce an answer through analogy and multi-directional comprehensive diagnosis.

Such a diagnostic method was beyond his imagination.

Given his knowledge of other famous experts in the field of blood diseases, he’s confident that, in all of Lijiang City, possibly even the entire country, only Li Jingsheng practiced such a diagnostic approach.

The essence, when written down, becomes style.

This was a diagnostic style exclusive to the young doctor before him, one that perhaps few worldwide could imitate.

"You’re overpraising! It was just a fluke!"

At this moment, Li Jingsheng’s humility was not something Wang Zhenghai would believe.

He was confident that this young man undoubtedly had real skills.

"Isn’t this the first time Professor Wang has said he feels ashamed compared to an unfamiliar doctor? I don’t understand the diagnosis of blood diseases, but I can see that Dr. Li’s diagnosis seems very stable. Is he really as impressive as you say?"

Chairman Jin asked with keen interest.

"Wang never flatters others when speaking, Chairman Jin should be aware of that. Li Jingsheng is indeed something special! It’s more like Wang was ignorant and underestimated the doctors worldwide. If I were to judge his diagnosis, it would just be four words: winding path leading to secluded havens."

Wang Zhenghai lamented.

Dr. Zhao Yong seriously examined both their answers, occasionally showing a thoughtful expression.

Studying requires thought above all.

"Those four words ’winding path leading to secluded havens’ are indeed apt! After seeing Dr. Li’s diagnostic thinking and answer, I can only think of one sentence: the new waves of the Yangtze River push the old waves, leaving the old waves to perish on the beach. It’s us, the older generation, who narrowed the path, being too stubborn, losing innovation. His diagnostic thinking and answer show a completely different, progressive direction in medicine.

In the future, with the widespread application of AI, I believe his diagnostic method will surely shine, competing for half of the domain against our older generations sticking to a singular path strategically advancing.

Even the textbook-style diagnoses of ours might eventually be phased out."

Professor Mo Lanlan offered an even higher evaluation.

Surprisingly, she placed Li Jingsheng in a position of leading new trends and new diagnostic directions.

"Cough... I beg the seniors to bestow mercy, please stop lifting me up! Survival comes first, I’ll slip away now!"

Li Jingsheng’s words drew smiles from the few present.

This young man wasn’t shy at all, humorous and witty, yet remained humble despite taking first place.

"Interesting!"

Chairman Jin looked at Li Jingsheng’s departing figure, smiled.

Below the stage, doctors from People’s Hospital, the First Hospital who knew Li Jingsheng, each came to a new understanding of him.

Only Director Lian Tao found Li Jingsheng’s first-place win to be unsurprising.