Gou is practicing medicine in the clinic

Chapter 124 This person is going to be unlucky, solve the problem of infant diarrhea
On the first day when doctors and nurses enter the hospital for internship, the teachers or leaders in charge of the internship will tell everyone explicitly or secretly that they must learn to protect themselves.

Because the medical environment is very bad, many young doctors and nurses have done good deeds out of kindness, but there are endless incidents of being beaten back in the end.

Most doctors who work longer hours seem hard-hearted and ruthless.

In fact, they just matured.

The vast majority of doctors have always had kindness in their hearts, and they have always preserved the benevolence that doctors should have.

The indifference is because of being beaten badly and learning how to protect oneself.

As for the doctor's second ability - flickering, this is also an essential skill for survival.

Li Jingsheng's character is extremely upright, but when it comes to fooling patients and their families, he never holds back.

Needless to say, Boss Zhao is such a cruel and cunning veteran.

So many patients lined up to give him money, but also to be grateful to him, and to praise his good medical skills everywhere.

At this moment, this glamorous man has been initially brainwashed by him.

"My body is not bad, there should be nothing wrong!"

Although the bright man has been brainwashed, he still has the vigilance he should have.He was obviously skeptical of Boss Zhao's words.

At this age, it is already very difficult to be deceived.

"Based on my more than 40 years of medical experience, if you say something that is simple and profound, Boss Chen, please don't take offense!"

Boss Zhao had a hesitant expression on his face.

In terms of acting skills, many movie kings are probably inferior to Boss Zhao.

Boss Zhao can make it difficult to tell the truth from the fake in terms of tone, eyes, facial expressions, and body movements.

When Li Jingsheng first came here to open a clinic, he was tightly controlled by Boss Zhao.

The losses I have suffered and the tricks I have suffered are innumerable.

Now it's the turn of this handsome man to be 'beaten'.

"It's okay, Boss Zhao has anything to say, just say it!"

"Many diseases, especially kidney disease, have reached the point of being incurable by the time the problem is found. Dr. Li, is that the case?"

Boss Zhao hired Li Jingsheng to be the endorser.

In this situation, Li Jingsheng really couldn't avoid it.

"How should I put it? Kidney disease is divided into three stages. Many people think that only the end stage of renal disease is uremia. In fact, from the first stage, the compensation period of renal function reserve has already begun. At this time, patients often have no obvious symptoms. Symptoms. Going to the hospital for an examination will only show that the patient's kidney function is not very good, but the compensatory ability of the kidney can meet the basic water and electrolyte balance.

At this time, people look good. If it is not treated in time, it will soon develop into the second stage, the uremia decompensation period.At the second stage, all kinds of symptoms will start to appear. At this time, the person is basically useless, and taking medicine for life cannot suppress the progress of the disease, at most it can only slow it down. "

Li Jingsheng also cooperated with Boss Zhao on a rare occasion.

Give this "Boss Chen" a popular science on the medical knowledge of kidney disease.

To be honest, if this person was really a boss, he wouldn't have to sit in the Sunshine Clinic for two or three hours every day.

The boss who is a little bit better has no shortage of women at all.

Their time is the most expensive cost.

It's really contemptible for this 'Boss Chen' to be ashamed to such an extent.

"Is kidney disease so terrible? Today is a good day."

'Boss Chen' still seemed relatively calm.

Almost the vast majority of patients have this kind of luck, thinking that they will not be so unlucky to get a serious illness.

"I also fell in love with Boss Chen, so I would like to remind you. If it were someone else, I wouldn't bother to open my mouth. Otherwise, if I remind you kindly, they will think you are fooling him into spending money on medical treatment!"

Boss Zhao answered the words very sincerely.

"Thank you, thank you! Boss Zhao mentioned before that you can tell if you have kidney disease by touching the acupoints, or...help me see how it is? I will treat you to dinner then."

'Boss Chen' was still scared after all.

When he bought the medicine for invigorating the kidney, he must already have some knowledge about kidney disease.And only when some symptoms appear, will I buy medicine to supplement it.

Now I heard two doctors say that kidney disease cannot be cured.

How can he not be afraid!

"It's okay to touch and see. I usually pay for inspections."

Boss Zhao has become more reserved now.

"The fee is charged, help me check how much rest assured."

'Boss Chen' hesitated for two seconds, and finally decided to ask Boss Zhao to take a look.

"To be honest, I have practiced medicine for more than 40 years, worked in hospitals for nearly 20 years, and opened clinics for more than 20 years. I dare not say anything else, and I have never missed a doctor."

While Boss Zhao was boasting, he began to check on 'Boss Chen'.

Boss Zhao is only in his 50s. Where does he have more than 40 years of medical experience?Have you been a doctor since you were a teenager?
It's okay to deceive laymen with this kind of words, but insiders can see through it as soon as they hear it.

Unless Lao Zhao graduated from a health school back then, that's another story.

Today's medical students, even if they only study for an undergraduate degree, are basically 23 or [-] years old when they graduate from internship.

If you stay in your 50s, you will have more than 30 years of work experience.

"Ah, it hurts, it hurts!"

Boss Zhao pressed down on the acupoints on the waist of 'Boss Chen', and 'Boss Chen' immediately screamed.

"Oh, I'm afraid this problem is very serious! The stronger the pain, the more serious the kidney problem."

Boss Zhao looked serious.

Li Jingsheng almost couldn't help laughing, pressing the waist-shu point can indeed test whether there is a problem with the kidneys.

Even if the kidney shrinks to the size of a sesame seed, it won't hurt like this!
It is too simple for a doctor to want to create pain for a patient.

What's more, Boss Zhao is an old Jianghu who has opened a clinic for more than 20 years. To put it a bit exaggerated, Boss Zhao will let the "patient" feel pain wherever he hurts.

In the past, those who sold plasters in the rivers and lakes, and those who used qigong to treat diseases also had this method.

"How serious is it?"

'Boss Chen' is still baring his teeth and gasping for breath in pain.

The expression is somewhat tense.

"Don't worry, I'll look at the other acupoints."

Boss Zhao checked several other acupoints for him with a serious face.

His face became more and more serious.

'Boss Chen' screams at every inspection.

He should never, absolutely never, have taken Tang Ping's idea.

Boss Zhao became jealous, so how can he live a good life?
"Let's go, let's go, don't give me the consultation fee, just treat me as a friend and help you get a free checkup."

Boss Zhao finished the inspection, with a pitiful and dignified expression, shook his head and sighed, got up and left.

'Boss Chen' put on his shoes and quickly chased him out.

"Hey, hey, Dr. Zhao, Dr. Zhao, how is the condition of my kidneys? If you don't tell me after the examination, I'm worried."

"You'd better go to the big hospital and take a quick look! I may not be accurate."

Boss Zhao played hard to get this trick.

Watching the two leave, Li Jingsheng wondered what Boss Zhao would do with that 'Boss Chen' next?He is just a spectator.

If the real old Zhao can really keep that man from coming to the Sunshine Clinic, it will be a good thing for him and Tang Ping.

The clinic is a place to treat diseases and sell medicines, and such people who have nothing to do and come in for a few hours are not welcome.

After Li Jingsheng put the baby in a plaster cast, he stayed in the clinic to observe for about half an hour, confirming that the blood flow in the hand was smooth, and then let the family members leave with the baby.

When the family members left, there were smiles on their faces.

They were very satisfied with the result that they were able to successfully reset directly without surgery.

And the cost is not much, and there is no need to be hospitalized, so the benefits are really not a little bit.

The only thing they worry about now is the later recovery situation.

It is estimated that when the plaster cast is removed next time, as long as the child's right hand returns to normal, at least he can get a good review.

At that time, 10 health points will be available again.

"Boss, you were so handsome just now! If you have a chance in the future, teach me too!"

Xiao Gao was envious when he saw that the boss had easily earned [-] into the bag.

And the moment the child was successfully reset, all eyes were on him, and he received countless admiring eyes. That kind of glory was what Xiao Gao dreamed of.

"This requires a certain talent. After you pass the probationary period, I will teach you some medical skills according to the situation. Do it well."

Li Jingsheng didn't refuse, nor did he immediately agree.

Only after confirming that Xiao Gao's conduct is correct, will he consider teaching art.

And I'm afraid I have to ask Dr. Xu about this matter first.

Besides, Li Jingsheng himself has not yet become a teacher, so he is afraid of making mistakes by asking him to take on apprentices.

Xiao Gao went back to the counter to sell medicine honestly.

After witnessing the powerful medicine displayed by the new boss, Xiao Gao only feels that the future is brighter.

The drive is naturally more sufficient.

Taking advantage of the fact that there are no customers for the time being, Xiao Gao diligently organizes the medicines in the counter, replenishing those that need to be replenished.

Tang Ping felt much more relaxed now.

However, she attaches great importance to the sanitation and disinfection of the clinic, cleaning what should be cleaned, and what should be disinfected.

With the joint efforts of the two, the Sunshine Clinic has become more tidy and clean.

Li Jingsheng, the boss, sat in front of the consultation table and took the opportunity to check the changes in the attribute panel.

Doctor level experience plus 50 points.

Grade: junior attending physician 1051.5/2000.

Li Jingsheng was very surprised that seeing a baby with dislocated wrist joints actually increased his experience points so much.

It is the first time to touch the baby's bones, diagnose, reset the manipulation, and practice medicine independently.

It seems simple, but it actually improves the diagnosis and treatment capabilities in many aspects.

Including mentality improvement when facing special patients.

When he first saw a baby who was only half a year old, he was actually very scared, afraid of accidents, and instinctively wanted to push the patient out.

In the end, he went from being afraid to diagnosing and treating babies. The improvement of xinxing in this process is a huge growth.

It was the first time to feel the baby's bone and reset it by manipulation, which is also an important step in medical technology.

Therefore, it is very reasonable to increase the experience value of the doctor level by 50 points.

The next time I see a baby with wrist dislocation, the level experience value will only increase normally.

The proficiency of the bone touch technique actually increased by 10 points.

The proficiency of stretching and stretching technique and common bone setting technique also increased by 10 points respectively.

Taking this business can be regarded as a profit.

When Li Jingsheng checked the column of life value, he was dumbfounded.

In order to upgrade the drawing and stretching technique, a full 63 health points were consumed, and there were only 277 health points left.

Now that number has become 378.

This made him sigh, worrying about gains and losses, and gaining only when there are losses.

Originally, he wanted to save up his life points to upgrade his gastrointestinal diagnosis, but when he spent those 63 points of life points, he was somewhat reluctant.

I didn't expect to earn a full 101 points of health for this baby's bone setting and reset.

100 of them are definitely rewarded.

"Do good every day, do good every day!"

He meditated in his heart.

Life points must be spent when they should be spent, and cannot be calculated too much.

After the promotion of medical treatment, it is meaningful to use it to save talents.

Li Jingsheng has a new understanding of the value of life.

If you calculate too much, you will easily become a 'miser'.

Now with a balance of up to 378 health points, upgrading the gastrointestinal diagnosis is no longer a problem.

It can be regarded as a mistake, and he was fulfilled.

Without too much hesitation, he directly increased his proficiency in gastroenterology diagnosis to 500 points.

Proficient in gastroenterology 136.7/500, instantly rose to 500.7/1000 in gastroenterology.

This diagnostic medical skill has finally reached the level of senior attending physicians.

He was delighted to feel the brand-new diagnosis and treatment capabilities of gastroenterology.

If it is said that when the junior seniority was at the attending level, he already had a little bit of independent analysis of the problem, and began to learn to stand alone.Now that his medical skills have reached the level of a senior attending physician, he already has the ability to diagnose and treat alone.

In the face of many difficult diseases and emergencies in the field of gastroenterology, he has the real ability to deal with them independently.

A low-ranking doctor is at best a lieutenant general, and he has to consult a superior physician for many things.

Senior attending physicians already have all the abilities of a general.

"Finally, I have the first diagnostic medical skill at the level of a senior attending physician, let's do it!"

Li Jingsheng looked forward to the stars, to the moon, and was waiting for this moment.

The grandma and mother of the baby with diarrhea must have been distraught when they got home.

After all, the child's illness has not been cured, and he is losing weight day by day. How can parents be in a hurry.

They had not left Li Jingsheng's clinic for a long time.

If the cause is diagnosed now, maybe there is still a chance.

After a little longer, they must have taken the child to another hospital for medical treatment.

No matter how big your heart is, it is impossible to take your child at home and wait for news from a doctor in a small clinic.

Li Jingsheng seized the time to analyze the cause of the baby's diarrhea again.

This time, with the diagnostic ability of gastroenterology at the senior attending level, it has obviously improved to a higher level.

"The child's stool culture was negative, no fungus was found on the smear, and the pH value of the stool was 7.5..."

Some details of the inspection results that Li Jingsheng had ignored resurfaced in his mind again, and this time he got his attention.

The normal value of stool pH is generally between 6.9 and 7.2.

The child's pH is a little higher than normal.

Generally, the pH value of a baby's stool will be around 7, and it can even be kept between 5 and 6 if it is exclusively breastfed.

After supplementary food is added, the pH value of stool will gradually increase.

Therefore, the child's stool pH value of 7.5 cannot be said to be abnormal.At most, it means that children basically eat complementary foods.

Li Jingsheng continued to sort out the baby's test results.

Fortunately, he saved a hand at that time and took some photos and saved some materials.

Now it is convenient to browse directly with a mobile phone.

Otherwise, it would be impossible to memorize all the inspection data with the brain alone.

The baby had had severe abdominal distension, which resolved after the first treatment.

But today when he came for an examination, Li Jingsheng found that the baby had abdominal distension again.

Not particularly serious, but worthy of vigilance.

Reminiscent of the baby's decreasing food intake, Li Jingsheng suspected the possibility of intussusception.

Only quickly ruled out again.

Because the attending physician of the People's Hospital may also have doubts in this regard, he had already given the child an emergency air enema, and found that the intestinal tube was unobstructed.

It shows that the possibility of intestinal obstruction and intussusception does not exist.

"If you want to find out the real cause, I'm afraid you have to think from a certain height. Since intussusception and obstruction can be ruled out, the child has no other symptoms except diarrhea, reduced food intake, low-grade fever, and abdominal distension. Isn't that true? Can we start with infectious diseases and non-infectious diseases?"

After Li Jingsheng's gastrointestinal diagnosis level has been improved, the benefits are great.

He felt that when he was diagnosing the cause of the disease, he had a little general style.

"If it is an infectious disease, bacillary dysentery and intestinal amoebiasis are the primary suspects."

Because of the stool smear and stool culture, the results were normal.

Intestinal amoebiasis can be ruled out first.

The stool discharged by this disease is jam-colored or directly bloody stool, but the color of the baby's stool is not these two colors, so the disease can be further ruled out.

What about dysentery?

In the early years, many young children were infected with dysentery.

Even took the lives of some children.

The disease is notorious.

But now antibiotics and anti-infective drugs are quite advanced, with a complete range, and this disease is no longer a serious illness.

The child's stool culture is negative, which can basically rule out the disease.

The Children's Hospital, especially the People's Hospital, gave the baby a lot of anti-infective drugs, but the treatment results were very poor.

Almost nothing works.

This can further rule out the possibility of dysentery.

"The possibility of infectious diseases can basically be ruled out. Then there is only the last possibility, non-infectious diseases."

Li Jingsheng enjoys the current powerful diagnostic capabilities very much.

It may not be as good as the deputy chief physician and chief physician, but compared with my past self, the current gastrointestinal diagnosis ability is no worse than that of the attending physicians in large hospitals.

"Noninfectious disease, Crohn's disease? Ulcerative colitis? Food allergy?"

He racked his brains to think about the symptoms, age, condition, and non-infectious diseases that were suitable for this baby.

Crohn's disease is very scary, its course is extremely long, and there is no cure so far.

And its symptoms are also strange, especially the long-lasting low-grade fever, coupled with diarrhea, it is very easy to associate with this disease.

After contemplation, Li Jingsheng ruled out the disease.

One is that the course of the baby's disease lasts for about a month, compared with the onset period of Crohn's disease of one or two years, it can only be regarded as a younger brother.

Also, the child did not have blood in the stool.

There was no obvious mass on abdominal palpation.

Therefore, Li Jingsheng directly ruled out Crohn's disease.

Of the remaining two diseases, abdominal pain, diarrhea, and blood in the stool are most common in ulcerative colitis.The baby did not have blood in the stool, and there was no obvious abdominal pain.

And the disease is sudden.

High fever, mucus and bloody stools and abdominal distension, abdominal tenderness often appear, and the age of onset is rarely infants.

Mostly the disease occurs in young adults.

Clinically, ulcerative colitis occasionally occurs in children, who are also over five or six years old.

This child is only over seven months old, no matter the age or some symptoms do not match.

Basically can also be ruled out.

Then there is only one last possibility left, food allergy.

This child eats a big brand of milk, and the quality must be guaranteed.But milk protein allergy is not uncommon for infants.

Babies' intestinal function is not perfect yet.

Allergic symptoms are prone to appear after repeated consumption of some allergic foods.

(End of this chapter)