Practicing Medical Skills in a Small Clinic novel Chapter 2

Chapter 2: Chapter 2: Proficient-Level Pharmacodynamics and Pharmacokinetics

After reading all the information, Li Jingsheng couldn’t help but feel a wave of shame.

When he left the hospital to open the clinic, he was full of ambition, thinking he could achieve great things. However, nine months had passed and his medical skills had hardly improved.

The number of patients he received was pitifully small, mostly cases of colds, fevers, and small injuries.

To improve his medical skills, he needed to follow attending physicians and department heads in large hospitals to treat challenging cases. Slightly more serious illnesses would prompt patients to go to big hospitals, leaving no chance for a clinic doctor like him to practice.

The lack of senior doctors guiding him further slowed his medical skill progress.

Almost all medical students want to enter big hospitals, and there’s a reason for that.

Even though he had worked in a big hospital for over five years as a senior resident, his level was still displayed as a junior resident, indicating that his medical skills were much worse than he imagined.

In his youth, he indeed had some inexplicable self-confidence.

Prescription drugs were always his weak spot. Efficacy mainly refers to the effect and mechanism of drugs on the body, whereas pharmacokinetics refers to the process of drug absorption, distribution, biotransformation, and excretion in the body, as well as the pattern of change in drug effect and blood concentration over time.

He understood basic pharmacology, but advanced efficacy and pharmacokinetics were beyond his grasp.

As for combined medication, he didn’t even dare to think about it.

Causing a fatality could mean the clinic would shut down in an instant, and the rest of his life would be far from peaceful.

Running his own clinic, the frequency of using medication was very high, and he dreamed of improving his prescription skills.

Even just improving from novice to proficient could significantly enhance his treatment level.

This could greatly increase returning patients and the clinic’s reputation, and the safety of medication would also be greatly improved.

The benefits were numerous.

Unfortunately, it’s not something that can be improved just by wanting to.

He almost spent part of each day studying, but the results were not satisfactory.

The gap between theory and practice was huge.

Patients don’t fall ill according to textbook descriptions.

Diagnosis and medication must be applied flexibly, with comprehensive consideration, and thoroughly deliberated.

Now, with the sudden emergence of such an information panel, he realized that he might have struck a stroke of luck, opening a system or something like a cheat. Once he grasped the knack, improving his prescription skills in the future would be much easier.

He continued to study other information below.

Skills mainly referred to surgery, which was the weak point for most doctors. Many chief physicians couldn’t even perform simple sutures well, let alone high-risk open abdominal or thoracic surgeries.

The training cycle for surgical doctors usually takes ten years.

A talented medical student needs to follow a teacher in the operating room for more than ten years to achieve a minor achievement. Only then can they independently perform second-level or below surgeries.

Surgical doctors in major hospitals have always been in short supply because the training cycle is too long.

Talented individuals are even rarer than hen’s teeth.

Li Jingsheng had worked in a hospital for six years but never dared to operate on patients, not even daring to remove a small tumor. At most, he would help patients suture minor wounds.

The key was that he didn’t suture well.

The wounds he sutured would almost always leave unsightly, hideous scars after healing.

The only advantage was that it was cheap.

Nine out of ten people who came to the clinic for treatment were looking for affordability.

What is the purpose of life value?

Does he only have 13 years of life left? His nerves were tense, at not even thirty years old, this would mean he wouldn’t live past fifty?

After some exploration, he quickly discovered it was just a false alarm.

Life value could be allocated to any item of level, diagnosis, prescriptions, or skills.

With this discovery, Li Jingsheng was elated.

He wanted to improve every skill, but with only 13 life points, after careful consideration, he decided to first enhance the efficacy and pharmacokinetics abilities of prescriptions.

The current efficacy was entry-level at 6.4/10; it only required 4 points to advance to proficient level.

Without hesitation, he decisively added 4 points to it.

In an instant, his life value dropped from 13 points to 9, but his efficacy advanced from entry-level to proficient at 10.4/100.

No matter how many times he burned the midnight oil reading, he couldn’t advance it, but now it advanced to proficient in an instant, and he experienced an unprecedented thrill.

The moment his efficacy advanced to proficient, it was as if his mind suddenly became enlightened.

He gained a completely new understanding and comprehension of the clinical effects, side effects, and toxic reactions of many common drugs.

For example, the most commonly used penicillin is known as penicillin, and its function is bactericidal.

For most clinics, a single accident could be the end.

Improving pharmacokinetics is essential.

It can further improve his medication level and safety factor.

In many small clinics, doctors only have entry-level efficacy and pharmacokinetics. Now Li Jingsheng had advanced these two medical skills to proficient level, which was a major competitive advantage.

He dared to use drugs others wouldn’t.

For the same illness, while other clinics’ medication might take a week to cure, his might allow patients to recover in three days.

Moreover, the doses would be more precise, and costs would be lower.

Medication would be more accurate.

Life value was indeed a good thing; in the blink of an eye, he had used it up, leaving only 1 point.

He needed to find ways to earn more.

Because there were still many medical skills to enhance, especially surgical skills; even tying knots was problematic, which severely affected suture quality.

"Miss, miss, don’t leave! We can do infusions here; we can start right now."

The voice of nurse Tang Ping trying to retain a patient brought Li Jingsheng back to reality.

Administering an infusion for a patient could earn at least eighty yuan; doing it twice would be one hundred sixty yuan.

She was obviously unwilling to let them go easily.

Sometimes Tang Ping even felt anxious for the boss; salaries couldn’t be paid, yet he always thought of patients. In the end, patients even mocked the clinic’s medical skills as inferior to others.

Being too honest in business was a disadvantage.

"Really?"

The patient turned, looking at Tang Ping with half-belief.

"Of course, it’s true. This is my practice certificate, issued by the health supervisory department, nationally certified." Tang Ping was already very skilled at persuading this type of patient.

With such an honest boss, if she wasn’t a bit slick, she’d be left out in the cold.

"How much does an infusion cost here? The results won’t be worse than Quick Recovery Clinic, will they?"

The patient apparently believed somewhat, hesitating by holding the doorknob.