Gou is practicing medicine in the clinic

Chapter 128 Highly Difficult Combination Drugs, Difficult to Raise 'Jiaolong' in Shallow Water

Li Li just covered her mouth and smiled secretly.

Li Jingsheng didn't care, he felt that Dr. Xu was just worrying too much.When he was first taught the bone touching technique, he made it clear that he would not pass it on to others indiscriminately.

It's impossible for a random person to learn advanced bone-setting skills from him just by saying a few words.

But then again, medical skills are used to cure diseases and save lives, and it is not Li Jingsheng's style to cherish oneself with a broom.

When he meets someone with excellent character, he is happy to take a few apprentices.

If everyone keeps silent, some secret skills will be easily lost.

"Teacher, I'll go now!"

"Ok!"

Doctor Xu nodded.

He was nearly half an hour late for work today. This has never happened before, and he doesn't know what happened?
When Dr. Xu came, Li Jingsheng found that Dr. Xu's trousers were stained with mud, and there were spots of blood on his sleeves.

According to the naked eye observation at that time, Dr. Xu was not injured.

Li Jingsheng didn't ask any more questions.

Doctor Xu, he has a somewhat weird personality.Some things that shouldn't be asked, even if you ask, he won't answer.

And give you a cold face.

……

When he returned to the clinic, Li Jingsheng found that the baby with diarrhea treated yesterday had been brought by his family members.

mother holding child.

Grandma sat next to her and held the child's clothes and hand-operated cartoon toys.

It looks more harmonious and natural now.

"Doctor Li, after my grandson was treated by you yesterday, he really got better. The child looks much more energetic this morning."

When the child's grandma saw Li Jingsheng coming in, she immediately stood up to greet him.

And report the latest situation of the child.

"As long as you find the right cause, the treatment will definitely be effective. However, because the child's disease course is very long, you should also be prepared for long-term treatment. My personal conservative estimate is that the treatment time is about two weeks. If you want to fully recover, I'm afraid It will take at least 28 days."

The treatment cycle is generally three days, one week, half a month, 21 days... count like this.

It can be flexible, such as four days or five days.

In short, after the professional evaluation of doctors and nurses, it is considered that a treatment cycle is completed if the discharge standard is met.

Li Jingsheng's small clinic does not have the conditions for hospitalization, so patients can only go home to take medicine, come for check-ups every day, and then make treatment adjustments according to the situation.

"Anyway, we listen to you, and we will treat it as you say."

The child's grandma now has an alarmingly high level of trust in him.

Almost obedient.

"Did the child have a bowel movement today?"

Li Jingsheng put on the overalls of the clinic and began to consult.

"It's not bad today, I only had diarrhea once for the time being."

"Well, I asked you to take two pictures yesterday after the baby defecated, did you take them?"

Because his small clinic does not have biochemical testing capabilities.

It doesn't make much sense to ask family members to collect the patient's feces.

It's the most 'gentle' way to take a few pictures and let him see the color and shape, the contents.

Almost all doctors who open clinics have some "earth" methods of their own to achieve the purpose of diagnosis and treatment.

"It's filmed! Can you please see if it works?"

The child's mother swiped open the phone screen, found the photo album, and asked Li Jingsheng to check it.

Li Jingsheng looked carefully at each one.

"This was taken last night. This was taken this morning around six o'clock."

The child's mother explained nearby.

Yesterday's stool was obviously thinner, and it was completely watery stool.

Consider that this baby had a weakly positive fecal occult blood test at Children's Hospital, that is, there was mild intestinal bleeding.Based on the anti-allergic drug treatment he used yesterday and the initial results, he decided to add some more drugs today.

This child's blood in the stool is actually quite normal.

Not to mention a seven-month-old baby, even an adult has diarrhea for more than a month, and the intestines can't stand it!
The child's intestinal mucosa is crisp and tender, and the diarrhea is severe, and the course of the disease lasted for more than one month. In addition, looking at the pictures of the child's stool last night and this morning, it shows that there is still jelly-like mucus.

This is a clear expulsion of intestinal tissue.

Certain drugs must be given to prevent secondary infection after intestinal mucosal injury.

If an infection has already occurred, it can also be treated in time.

His mind has already begun to think about what medicine to use.

Antibacterial treatment is very necessary.

The child was 'automatically discharged' from a major hospital yesterday, and should have been given antibiotics in the People's Hospital yesterday.

Now that Li Jingsheng has taken over the whole process, it is worth thinking about what kind of antibacterial drugs should be used.

Regardless of whether the Children's Hospital or the People's Hospital failed to find out the real cause, their treatment experience is very rich, and the level of medication is extremely high.The combination of a large number of antibiotics can at least ensure that the baby is in a relatively safe state during hospitalization.

Li Jingsheng had some headaches, and the baby's medication must be more cautious.

What antibacterial drugs are safe, reliable and effective?What is the dosage?Which method of administration?
These have to be considered.

There are also the baby's tolerance, physical condition, etc., which must also be taken into consideration.

"Metronidazole should be a good choice for anaerobic bacteria!"

Bacterial infections in the intestinal tract are mainly considered anaerobic bacteria.

Metronidazole can prevent systemic or local infections caused by sensitive anaerobic bacteria, such as infections in the abdominal cavity, digestive tract, female reproductive system, lower respiratory tract, skin and soft tissues, bones and joints.

Often used in the treatment of intestinal and parenteral amoebiasis.

This drug is usually given intravenously.

For this medicine alone, Li Jingsheng himself felt a little weak.

It's just that his combined medication has just touched the threshold, and he still can't be as awesome as the attending doctor in a big hospital.

After much deliberation, he added another dose of gentamicin.

However, the method of administration of this drug is to let the baby take it orally.

This drug has a good effect on the treatment of bacillary dysentery or other bacterial intestinal infections.It is also commonly used as a preparation for colon surgery.

Considering that the child's diarrhea still exists, although the symptoms have been alleviated, it is still serious.

After checking the child's condition again, Li Jingsheng boldly suggested a temporary fast.

After fasting, the child may be kept alive with intravenous fluids.

Mainly the supply of water, electrolytes and nutrients.

The family now trusts him very much and agrees to the diagnosis and treatment plan he gave.

The purpose of doing this is to repair the intestinal mucosa as soon as possible.

After most intestinal disease patients are admitted to the hospital, the doctor gives a fasting order.

Patients are sometimes very incomprehensible.

In fact, there are many considerations in making this doctor's order.

Especially when there is unexplained abdominal pain, blood in the stool, or jelly-like stool, the doctor needs the patient to fast and cooperate with diagnosis and treatment.

After all, across the belly, no one knows what's going on inside the intestine.

Fasting can check for food allergies, poisoning, etc., and slow down intestinal peristalsis...

The benefits are many.

Li Jingsheng prescribed Tang Ping to give the child medicine.

The business of the small clinic seems to be not very good today, usually there are at least one or two new patients waiting for Li Jingsheng to come back for treatment.Today there is only this old patient.

It seems that Xiao Gao's drug sales situation is a bit sluggish. After so long, Li Jingsheng saw him sell a single drug.

Usually, there are always a few old ladies and old men around him in front of the counter.

Where have all these people gone?

Li Jingsheng was very afraid of being beaten back to his original shape and returning to the previous state of serious losses.

Unlike Boss Zhao, who is rich and powerful, he only has a small deposit in his hand. After paying Xiao Gao and Tang Ping's salary, there is only a little food left.

As long as he saw the clinic's business decline, he worried.

This is the importance of a deep foundation.

Kuaikang Clinic will not be able to go bankrupt if it loses money for two or three years, let alone a day or two.

Because they have already completed a certain amount of wealth accumulation.

It was past twelve o'clock at noon, and the clinic was still deserted, with only a few customers and patients entering.

Li Jingsheng only saw three patients in the morning, including the baby who was allergic to milk protein.

It was cool to say that it was cold, which made him feel very uneasy.

This thing is very weird.

The three of them were sitting in the rest area eating some fast food, and Li Jingsheng asked, "It's strange, how come there are so few people entering our clinic today that you can count them with two hands?"

"You don't know yet, the Kangnuo Drugstore at the east end of the old street seems to have changed its owner, and today the new store opens with big rewards, and it's holding an event! Everyone is attracted to it."

"Recently, I've been so busy that I've been dizzy. I really haven't paid attention to these things. No wonder our clinic is suddenly so deserted."

Recently, Li Jingsheng is either busy with 'recognition' of manual osteopathy, or he is busy with seeing patients in the clinic, and preparing for the store celebration on Saturday.

There is indeed a lot less attention paid to changes in the outside world.

In the past, when I was free, I would often take a stroll and go to Kuaikang Clinic to "steal a teacher" and learn other people's business skills.

There are seven pharmacies on this street, big and small.

They basically all know Li Jingsheng.

After all, we are all colleagues.

Although Li Jingsheng pulled his hips a little before, it still doesn't prevent his colleagues from remembering his face.

He has only been to other people's pharmacies twice.

As a result, they were treated coldly both times.

The owner or clerk of the pharmacy saw him go in, recognized his identity, and immediately looked at him with very unfriendly cold eyes.

In this case, no matter how big his face is, he wouldn't dare to do it next time.

As for the Golden Chamber Clinic, he only took a few glances inside when he passed by, and never went in once.

One is that people's threshold is 'too high', and the other is that he is not the kind of person who begs for money.

As for Boss Zhao's Kuaikang clinic, he goes a lot.

Anyway, Boss Zhao rushed to his clinic if he had something to do, and he was not indecent when he came and went, so he naturally had to pay back.

"Kangnuo Drugstore's facade is quite large, and the depth inside is also very good, and guarding the intersection leading to the scenic riverside belt, it can be regarded as taking advantage of the geographical advantage. You two know the background of the new boss this time. ?"

He must be extremely sensitive about such things.

So far, health care medicine is still the biggest profit of his clinic, at least accounting for more than 9%.

Any troubles in the pharmacies and clinics in this area affect his nerves.

"I don't know. I only know that it was being renovated last week. At that time, I thought the owner of the pharmacy felt that the business was not good and wanted to redecorate it!"

Tang Ping shook her head and said she didn't know.

Xiao Gao also shook his head, "When I passed by the day before yesterday, I saw a well-dressed young man passing cigarettes to a decoration worker. He looked only 24 or [-] years old, and I felt that the silver Bentley parked at the door should belong to him. .”

Hearing this, Li Jingsheng felt a little heavy.

Even if someone drives a second-hand Bentley, the value must be astonishing.

And still so young.

Nine times out of ten, he is a rich second generation or something.

Ordinary rich second generations are not afraid.

I'm afraid that the parents of this young man also run a pharmacy.

The old street in the south of the small town is just over 200 meters away, and now such a big "dragon" suddenly appears, which is really worrying.

This piece was originally Shui Qian Wang Ba Duo.

Now comes the 'Jiaolong', how do you guys play?
Li Jingsheng is very clear about how terrifying the power of capital is.

"I'll go take a look after dinner! Take care of the clinic."

Li Jingsheng speeded up his meal.

Both Xiao Gao and Tang Ping could feel that the boss was preoccupied, so they didn't dare to speak carelessly.

The atmosphere was a little dull for a while.

After eating, Li Jingsheng hurried out of the clinic.

Quickly ran back.

I was in such a hurry that I forgot to take off my overalls.

Wearing a white coat and running to the scene to inquire about intelligence?People thought he was running to smash the scene.

Even at 50:[-] noon, you can still hear the louder music coming from the other end.

The Golden Chamber Clinic next to the church is still the same, like a rock, despite the wind and waves outside, it will not move.

Boss Zhao should be the most anxious to get angry.

In the past, Kangnuo Pharmacy was operating diagonally across from him with a half-dead breath, and it did not affect the business of Kuaikang Clinic at all.

Now that such a powerful opponent is coming, Boss Zhao is probably more anxious than anyone else.

The street was not long in the first place, but Li Jingsheng walked swiftly and arrived at the scene quickly.

With the stage, it directly occupied half of the road.

There are also staff wearing reflective vests and uniforms maintaining traffic order at the scene.

At first, he thought it was an urban management or traffic police assistant, but Li Jingsheng thought to himself, what a big show.

As a result, after carefully observing the clothes of those people, it was discovered that they were wearing security uniforms.

Even so, it also demonstrates the strong strength of the pharmacy owner.

Li Jingsheng wanted to hold an event, so he had to beg his grandpa and tell his grandma to send good cigarettes to set up an air arch outside the clinic, so that the procedures could be approved.

Look at people again.

Lifting such a big stage, the air arches are directly across the road, and there are four hot girls in colorful skirts dancing vigorously on the stage.

The host kept introducing the promotional activities to the audience.

Large numbers of spectators were ushered into the pharmacy.

"This is really awesome!"

Li Jingsheng has seen how terrifying the power of capitalists is.

If so many customers come to his Sunshine Clinic, it is possible to sell 10,000+ health care medicines a day.

But if we really want to sell so many medicines in a day, we must not have enough manpower.

Watching the hot girls dancing wildly on the stage, the audience in the audience kept applauding, and some young men even whistled at the stage.

"Passing by, don't miss it. Our Fredo Pharmacy held its opening ceremony today. In order to thank all the parents, brothers and sisters for their support, all customers who enter the store, whether they shop or not, can go there to receive the herbal essence with the coupon A box of Chinese medicine formula toothpaste. In addition, there are many great gifts waiting for customers who patronize, and every customer who makes a purchase can get at least one lucky draw..."

The host worked hard to guide the audience into the pharmacy.

Li Jingsheng has been here since he was born, so he must go to see the situation in the store.

Just to learn from other people's experience.

I have to say that giving free toothpaste is indeed a little different than giving free eggs.

Sending eggs, grain and oil, washing powder and other items has a strong sense of life.Sending Chinese medicine toothpaste is more like a professional drug seller.

Fortunately, Li Jingsheng hasn't bought any gifts yet, so he will go back and discuss with Xiao Gao and the others.

Or simply learn from others.

Speaking of the procedures for applying for an air arch outside the clinic, there is no news yet, and he has no idea whether it can be approved or not.

After all, it is still too weak.

When he improves his medical skills in the future, he will definitely have the opportunity to meet more powerful people like Xie Guiqiu.

At that time, if I have to go through the formalities again, with the help of acquaintances, the situation will definitely be much better.

Li Jingsheng was about to follow the crowd into the store when someone patted him on the shoulder behind him.

Turning his head, he saw a greasy and fat face with shrewd and cunning mung bean eyes.

"Old Zhao!"

"Brother Li is also here to step on the plate, right?"

Boss Zhao asked with a smile.

It's just that the smile looks forced.

"No, no, no, I don't dare to step on it. I'm here to visit the pier!" Li Jingsheng saw the strength of this new pharmacy, and he never dared to provoke him.

It is estimated that one finger can crush him to death.

"It's just right, let's go in and say goodbye together! Grandma is a hammer, and I only came in for seven doctors in the morning. What's the matter with such a big fish in such a big place? How can we live?"

Boss Zhao's tone was cold, and the resentment barely burst out from the top of his head.

Stealing someone's job is like killing one's parents.

The newly opened Freedot Pharmacy was too active and robbed all the patients and customers of the clinic. Boss Zhao must have panicked.

The sky fell, and the tall man held it up.

There was a leader, but Li Jingsheng was not in a hurry.

If you really want to fight for survival, the current Sunshine Clinic is much better than Kuaikang Clinic.

Potential is definitely useful.

The longer the Sunshine Clinic develops, the better it will be. If the Kuaikang Clinic cannot become stronger along with it, it will eventually be squeezed into a small role.

"It's really difficult to raise dragons in shallow water. I don't know who this new boss is?"

Li Jingsheng took up the conversation with an expression and tone of sympathy.

In turn, inquire about news from Boss Zhao.

"I heard that he is an Internet celebrity, made money, and then had a sudden idea to open an influential pharmacy to make a contribution to the health of all mankind. The contribution of bullshit, the intention is not good."

Boss Zhao said angrily.

Just talking about these things on other people's territory, he is not afraid of being heard.

The scene was very noisy, and the conversation between the two was directly drowned out.

Really no one will come to eavesdrop.

Li Jingsheng thought he was a rich second generation, but he didn't expect to be a rich generation, and he was only 24 or five years old.These days, the Internet has really made a lot of people rich.

Since the other party was not a rich second generation, nor did his parents run a pharmacy, Li Jingsheng breathed a sigh of relief.

If you have money alone, without rich experience in related industries, no amount of money will be enough to burn.

This Internet celebrity has been losing money for a while, and I'm afraid it will stop soon.

Besides, with Boss Zhao as a ruthless person, he still fights against Freddo Pharmacy. If Boss Zhao did not play tricks, he would not believe it if he killed Li Jingsheng.

"There are a lot of internet celebrities who are quite kind. Maybe they really want to make some contributions to the medical cause of mankind? I heard that the owner of Kangnuo Pharmacy lost all his pants. I'm afraid he wants to sell it in his dreams. Is there such a thing? If a rich boss takes over, I guess Kang Nuo's boss can wake up with a smile when he falls asleep."

Li Jingsheng said with a smile.

(End of this chapter)