Gou is practicing medicine in the clinic

Chapter 119 A big job is coming, the wicked mother-in-law and the poor daughter-in-law

"Well, just try as you said, and I will engrave a Sunshine Clinic authenticity guarantee stamp later. Do you want to put the clinic's contact number on it?"

Li Jingsheng agreed to this very innovative plan.

As long as it is a suggestion that is beneficial to the development of the clinic, as long as his ability allows, he will support it.

"I don't think you should leave a phone call, otherwise there will be obvious suspicions of advertising, the majesty and sanctity of the official seal will be greatly weakened, and the desired effect will not be achieved instead." Tang Ping said after thinking for a while.

After Li Jingsheng heard it, he felt that what she said made sense.

The authority and sanctity represented by the official seal, leaving a phone number on it, has the opposite effect.

"Sister Tang, I really can't see it. You were still modest yesterday, saying that strategizing is a man's strength. I think it's clear that women don't give way to men." Li Jingsheng felt that group thinking is better than thinking alone many.

If there is anything to do in the future, I still need to discuss it with the two 'generals' under my command.

"Hee hee, I don't want to be a woman! What I want most is a little woman who is loved by others."

Tang Ping was very happy to be praised, and it was also rare to reveal some personal longing for life.

While talking, a guest came in.

It was two old ladies together, seeing the green environmental protection bags with Huangshan Yangshengtang printed on them in their hands, Li Jingsheng was secretly happy that Xiao Gao's business came.

Sure enough, Xiao Gao immediately showed his trademark naive smile, and stepped forward to entertain the two old ladies.

One mouthful and one auntie made two old ladies in their 60s smile all over their faces.

More customers came into the clinic one after another, and both Li Jingsheng and Tang Ping got busy.

In front of the counter where Xiao Gao was, six or seven elderly people soon surrounded him.

Li Jingsheng even seriously suspected that Xiao Gao had sold dog skin plasters on the street before, because it easily attracted a group of old ladies and old men to the front, and when he promoted and introduced the products, they could listen with gusto, except for those who sold dog skin plasters in the market Only the MLM elites have this ability.

Tang Ping entertained young customers with ease.

Whether it is a female client under the age of 40 or a male client, she can achieve a high transaction rate.

But after all, it is a nursing profession, and sales is just a second ability that is forced by life, so it is far from being particularly good.

At most, she has a good image and temperament, a pleasant voice, and a very attractive figure. Many male customers like to be received by her.

At this time, a woman about 50 years old walked into the clinic with a baby in her arms.

Followed by a 25-year-old young woman.

Hands hold milk bottle for baby to drink.

These three must be together.

Li Jingsheng found that the baby looked sallow and thin, without the rosy pink and fair skin that a normal baby should have.

His heart sank slightly.

Small clinics are both happy and afraid of children.

Most of the children's patients have minor illnesses and have strong recovery ability. After entering, the shady doctors give the children water injections and easily earn tens or hundreds of dollars.

I'm afraid of this kind of baby who is less than two years old.

Their bodies are delicate, and doctors are terrified whether they are examining or treating them.

I was afraid that something would happen.

"Excuse me, who is Dr. Li?"

The middle-aged woman holding the child raised her head and asked.

"I am I am! Is there anything you can do?"

Li Jingsheng got up to greet them.

"We live nearby, and we also heard that your medical skills are good here, so we came here to see you. This is my grandson, who is seven months old now. In the past month or so, he has been suffering from fever, diarrhea, and the child's legs It seems to be a little swollen too. I have been treated in the nearby hospital and the Children's Hospital, but it doesn't get better, and the disease keeps coming back and forth. Please take the trouble to help me."

The middle-aged woman sat next to the consultation table with her baby in her arms, and the young mother stood behind and watched silently.

Seeing that Li Jingsheng was so young, they felt a little guilty in their hearts.

It's just about seeking medical treatment. I often hear other people say that there are excellent medical skills. After going through many hospitals with no results, I definitely want to try it.

That's how he came to rush to the doctor in a hurry.

After Li Jingsheng heard this, his heart skipped a beat, this is a big job.

He was treated in several big hospitals but failed to be cured, so he went to his small clinic to seek medical treatment.

The child's grandma really thinks highly of him.

When someone came, he naturally wouldn't easily push the patient away.

At least you can understand the condition first.

Gathering his mind, he began to ask a doctor.

"What kind of disease did the child get checked in the big hospital?"

Judging from the three symptoms described by the child's grandmother, the most feared thing is a serious illness.

Under normal circumstances, babies have a terribly strong immune system from birth to eight months.

That is to say, as long as the baby is breast-fed, within eight months, there is almost no need to take medicine for a cold and fever, and it usually recovers within a day or two.Because breast milk itself contains natural antibodies.

Moreover, every time a baby catches a cold from birth, the immunity is equivalent to an exercise, and it will become stronger and stronger.

By the time they are over a year old, their immune systems will be quite well developed.

It can be regarded as initially possessing the ability to adapt to this world full of bacteria, viruses, and fungi.

"At first, it was suspected to be a cold. Later, the pediatric hospital said it was enteritis. The People's Hospital did not give a diagnosis result, but only said that it might be immunodeficiency. Let us be hospitalized for observation and treatment."

The child's grandmother replied.

The child's mother is like a puppet, not speaking during the whole process, only watching and listening.

When Li Jingsheng heard the diagnosis result from the big hospital, his head felt dizzy.

Colds and enteritis in children can be cured, but the most frightening thing is immune deficiency.

The human body's immune system is the guardian against all viruses and diseases to ensure our human survival.

For example, cancer, which has been talked about for a long time, actually has proto-oncogenes in everyone's body from birth.But with the immune system protecting our body, cells want to undergo genetic mutations, become cancer cells, and take root in the human body, start to divide crazily and replicate infinitely, which needs to be blocked by multiple immune systems.

Eliminated by the immune system in either process is unlikely to develop into cancer.

In addition, all those who study medicine understand that no matter whether it is surgery or medicine, there is no cure for the disease.

99% of diseases are incurable.

Then why can he recover after treatment?
Because of our immune system.

If the child's immune system is defective, no matter how much money is given, Li Jingsheng would never dare to accept the business.

"Did you bring the test results and medical record information from the big hospital?"

"Here! It's all in the bag."

The young mother finally said a word.

At the same time, a large white plastic bag was handed to him.

It also says Imaging Department of Jiangli City People's Hospital.

It should be the bag issued when the CT scan was taken.

Now after the film is taken, the patient prints the film on the self-service machine when the result comes out.There is a barcode on the plastic bag sent out, just let the self-service machine scan it.

After Li Jingsheng took it, he carefully checked all the inspection materials.

Looking at the baby's blood routine, urine routine, stool routine, blood biochemistry, abdominal CT and other examination results, he was envious for a while.

The instruments and equipment in the big hospital are advanced and comprehensive, and the laboratory can even do a number of biochemical tests.

This is of great help in the diagnosis of the cause.

Compared with these big hospitals, his small clinic is really poor.

The clinic can be regarded as living in the cracks between the big hospitals and the official grassroots medical institutions.

For example, in the south of the city, there is a community health service station in the old street in the south of the city, and it is a super awesome one.It is a health service station in name, but its scale and strength are at the level of a health service center.

Then go up to the second hospital, which is a tertiary hospital.

Fortunately, there is no decent private hospital in the south of the city.

To say that the most competitive is definitely the Kamata private hospital.

The means of making money are first-class, and the means of attracting patients are equally powerful.Nowadays, departments of many large hospitals are outsourced and run by Kamata hospitals. This is actually a very bad thing.

In the previous hospitals, the service attitude was a bit poor, but the charges were reasonable, and it really treated people.

The current Kamata family is hard to describe in one word.

If I have to describe it, it is bad money chasing good money.

"Body temperature 37.2 degrees, low fever.

The pulse rate is 121 beats/min, which is considered normal.Newborn babies can even reach 150 beats/min. It is common for children under 6 years old to have a heart rate exceeding 100 beats per minute.

Breathing 30 breaths/min.

The weight is 4.9 kg, the head circumference is 39 cm, the development is still normal, but the weight is light. "

Li Jingsheng checked the baby's actual condition and felt a little malnourished.

The child's mental state is also poor, and he looks very tired.

But not to the point of drowsiness.

"Come on, let me look at the child's mouth."

Li Jingsheng checked the child's mouth when he opened his mouth, and he could see that the oral mucosa was smooth.

Mainly the fear of thrush.

Fortunately, this symptom was not found.

The baby's eyelids were a bit swollen, and the skin on the face was slightly pale, but there were no obvious yellow stains, rashes, or bleeding spots.

Including the neck skin is not bad.

The child's blood routine, red blood cells 3*10 to the 12th power/L, hemoglobin 86g/L...

Urine routine was normal.

Fecal routine, occult blood test weakly positive, parasite eggs negative.

The Children's Hospital even checked the child's liver function and performed three stool cultures. The attending physician was really persistent.

The results are all normal.

It is estimated that the attending physician is also one of the first and two elders, and thinks that the child's fever and diarrhea should be related to the bacterial infection.Facts have proved that experienced chief physicians are also caught blind when encountering such diseases with ineffective treatment and repeated illnesses.

The attending physician at Jiangli People's Hospital also fell into this vicious circle.

I also wanted to find some problems in the child's feces, and did a fecal rotavirus antigen test for the child.

The result was negative.

At this point, you should give up looking for a breakthrough in diagnosis from feces.

Later, a chest X-ray was performed on the child, and no abnormalities were found in the heart and lungs.

B-ultrasound of the liver and kidney was checked, but no abnormalities were found.

It is estimated that the attending physician of the People's Hospital is also a bit magical.I have been practicing for decades, and I have never encountered such a difficult disease to diagnose.

……

After Li Jingsheng read all the examination results and medical records, he found sadly that the diseases that Chengnan Community Health Service Station, Children's Hospital, and People's Hospital failed to deal with were not what doctors in his small clinic could deal with.

After thinking for two big circles, I couldn't find the direction of diagnosis.

The chief physician of a large hospital can at least focus on feces, which shows that he must have a certain direction of diagnosis and a clear diagnosis idea.

Gastrointestinal diagnosis at the proficient level is equivalent to the level of a junior attending physician, after all, there is still a big gap with the director.

Li Jingsheng began to scrutinize the baby's admission information at the Children's Hospital again.

The three hospitals and the community health service station have the simplest record of medical record information.The children's hospital is the most detailed, and the last one is the People's Hospital. It may be a bit lazy considering that the previous hospital has already recorded enough details.

Just pick the important ones and record them.

The baby started to get sick more than a month ago, with low-grade fever, but no symptoms such as runny nose or cough.

Neither of these symptoms are present.

The child had abdominal distension and even vomited, and most of the time, he vomited four or five times a day, revomiting the milk he had eaten.

And there is no stool discharge for several days.

The family then took the child to the community health service station for medical treatment.

The health service station was also timid and did not dare to pick it up. It just checked it symbolically, and then advised the family members to go to the upper-level hospital for diagnosis and treatment.

Li Jingsheng is not alone in seeking stability.

Most grassroots hospitals and clinics are afraid of accidents. When encountering high-risk cases, they would rather work less than have accidents.

If one less patient is seen, the income will be less at most, and the job will still be stable.

If you overestimate your own capabilities, and the patient you receive has an accident, your job will be ruined.

The family members took the baby to the Children's Hospital for treatment and was directly admitted to the hospital.

The Children's Hospital immediately treated the baby with fasting, gastrointestinal decompression, and intravenous infusion of antibiotics.This is also the most commonly used treatment for unexplained fever.

Antibiotics are clinically regarded as 'panacea'.

After six days of treatment, the baby's fever subsided, and the abdominal distension disappeared. After the baby resumed eating, the baby defecated the next day.

So far, everyone is happy, and the hospitalization for nearly a week has achieved a major victory.

It's just that the baby has loose bowel movements.

And it gradually got worse, but there was no mucus or blood in the stool.

The family members were full of joy, thinking that they would be discharged from the hospital after staying for two more days.

Unexpectedly, the baby began to show irritability, frequent crying and other phenomena, and the food intake was also decreasing.However, vomiting did not occur again.

It is equivalent to curing the original symptoms of low fever, vomiting, and no bowel movement.

Now there are new symptoms of diarrhea, frequent crying, and reduced eating.

What I am most afraid of when treating a disease is to encounter this kind of phenomenon, just like whack-a-mole, as soon as one end is beaten down, a new one emerges from the other end.

And the symptoms are different from the original ones.

This made the attending physician particularly mad.

While doctors at Children's Hospital were searching for the cause, the baby started to have a fever again.

The body temperature rose above 37 degrees again.

Always hovering between 37 degrees and 37.3 degrees.

The family members may begin to question the medical skills of the Children's Hospital and were transferred to the People's Hospital.

In terms of comprehensive strength, People's Hospital and Qiaobang Hospital are the two strongest top three hospitals in Linjiang City.

In this city with a population of tens of millions, there are a large number of difficult cases every day, and difficult operations are performed in this hospital.

After receiving the diagnosis, the doctors of the People's Hospital did a detailed examination on the child, and also required admission to the hospital.

Because of the shortage of beds, the family members waited a day to move in.

Doctors from the People's Hospital gave the child oral amoxicillin and treated him with various antibiotics such as cephradine and amikacin.Even hexadecagonal montmorillonite was used for treatment.This should be to help the baby stop diarrhea.

Li Jingsheng couldn't help sighing when he saw the medicines given by the doctors in the People's Hospital.

Really awesome B.

The doctors in his small clinic, even if the efficacy and pharmacokinetics of the prescriptions have been upgraded to the proficient level, they have just touched the threshold of combined medication.

At most, it can be regarded as half a foot in, and it is not even a beginner's approach.

However, he was sure that the person who administered the medicine to the child after the people's hospital received the diagnosis was at least at the level of the deputy chief physician.

It may even be the chief physician.

After all, no matter which department it is, when it receives such a difficult patient, it will go all out and organize the most cutting-edge forces to treat it.

After the combined medication, the child's condition did not improve significantly.

Sometimes light and sometimes heavy, the state of an illness repeats.

The family members must be anxious when they saw that the treatment in two big hospitals did not improve significantly!

The doctor in the Department of Pediatrics of the People's Hospital told the family members that in two days, a chief physician who had studied abroad would be back.At that time, the chief physician will organize another doctor to treat the child.

The family members waited for a day, but the child's grandma was afraid of accidents, so she finally couldn't bear it and left the hospital on her own, and brought the child to Li Jingsheng's place.

After understanding what happened, Li Jingsheng's back felt cold.

The child's grandma is really a fairy, and I don't know who heard that Sunshine Clinic's medical skills are good, but she didn't believe in the strength of the People's Hospital, but believed in Li Jingsheng's small clinic.

This trust is too heavy, Li Jingsheng really can't bear it.

"Doctor Li, I beg you to save my grandson. I am just such a grandson. If something goes wrong, what will our family do?"

Seeing that Li Jingsheng was silent, the child's grandmother couldn't help begging.

The young mother standing behind her was sobbing softly at this moment.

The child's grandmother turned her head and gave her a hard look.

"Cry, cry, cry, the child is not dead yet! My son married a bereaved star like you, and it is really bad luck for eight lifetimes. The child has this strange disease, maybe it is caused by you crying all day long."

It is said that a wicked mother-in-law is fierce to a daughter-in-law, Li Jingsheng saw it today.

This daughter-in-law seemed to be a very honest woman at first glance, and she didn't dare to speak back when her mother-in-law scolded her in public.

Every unhappy family has some problems.

Li Jingsheng only felt that this mother-in-law was too strong.

"Wow……"

At this time, it may be that she scolded her daughter-in-law in such a fierce tone that it frightened the child.

The baby began to cry.

The hands and feet kept kicking and dancing.

His face was flushed.

Only now his face was red, it was very pale before.

"What are you still doing in a daze? Bring the baby bottle here, I think you are too vicious as a mother, you don't care about the child's life." The mother-in-law couldn't help but get even more angry when she saw her grandson crying.

Scolding the daughter-in-law again.

"Mom, how can you say that about me? I have been taking care of the children at home, and you scolded me for not working, so I went out to find a job and asked you to help take care of the children. Unexpectedly, the child fell ill after a short time. It's something no one wants to see. The child is the flesh that fell from my body, how could I not love him?"

The daughter-in-law choked up and defended.

It's okay to be scolded by her mother-in-law, but to be wronged in public like this, one can imagine her mood.

I couldn't bear it, so I explained in such a low voice.

Just to prevent others from misunderstood that she is a vicious mother.

"Hey, what do you mean by that? Blame me for not taking care of the baby?"

The mother-in-law stood up suddenly, startling Li Jingsheng.

This mother-in-law is really fierce.

The daughter-in-law was so frightened that she took two or three steps back, her eyes full of fear and helplessness.

　Thank you book friend 20210301106460054746, Lord Fengyun, for your support, thank you very much.

　　
　
(End of this chapter)