Gou is practicing medicine in the clinic

Chapter 136 What the patient is waiting for may not be a medical miracle, the teacher personally takes action
"Shot! The inspection result is similar to yours."

The patient hesitated before answering.

"Did you bring the film?"

"I have to ask my son!"

The patient is clearly evasive.

When Li Jingsheng saw the patient get up, he held the lumbosacral position with difficulty with his left hand, his expression was slightly painful, he secretly gritted his teeth, and his cheeks protruded.

"Slow down, slow down!"

He hurried over to help the patient.

After leaving the medical technical room, the uneasiness in Li Jingsheng's heart became stronger.

He was very happy to receive a bone setting job early in the morning.But you can't be like a fish, seeing the bait but not the hook, seeing the benefit but not the harm.

Talking to this patient, he sensed a hint of malice.

I can't say it, but it is a kind of keen professional judgment after dealing with various patients a lot.

More than 99.9% of patients will have a good impression of the doctor when they go to see a doctor, and it can even be said to be in awe and flattery.

Because they need a doctor to relieve their suffering.

The two parties themselves also have a relationship of cooperation and mutual trust.

There are six kinds of doctors who do not believe in medicine in ancient times, and the first one is that those who do not believe in medicine do not treat doctors.

A patient who does not trust a doctor cannot be healed.

Li Jingsheng looked at the patient subconsciously, his complexion was yellowish and slightly darkened, and the bags under his eyes were so serious that they were half the size of a baby's fist.

Eyes slightly cloudy and yellowish.

His hair was slightly messed up, and his beard was stubbled, and he hadn't shaved for two days.

"Hey, hey, wait, it's hanging on my clothes."

When going out, because Li Jingsheng supported the patient, the width was not enough when passing the door frame.The patient's clothes accidentally hung on the edge of the door lock.

The patient stopped immediately, turned around slightly and used his right hand to get the clothes that were caught.

At this moment, Li Jingsheng suddenly found a small bruise and a red dot on the patient's right wrist.

This is the eye of the needle left after the IV drip.

The small bruise and edema was caused by the penetration of the medicine after the infusion.

His eyes narrowed slightly.

It is difficult to form this phenomenon with only one or two infusions.Usually need to do indwelling needle, infusion will appear after many times.

Of course, it is not ruled out that some little nurses are not good at acupuncture, and the drug liquid is stagnated, and even blood vessels are injured.

In either case, it means that the patient has been transfused in other places, and the time is very recent.

This can be eliminated automatically within two or three days at most, or even more than a day.

Li Jingsheng didn't change his face this time, because the man was about 50 years old, and if a man of this age was cunning, it would be a lie to death.It was too difficult to get something out of his mouth.

Especially things that the other party deliberately wants to hide.

I can't ask anything more.

Li Jingsheng helped the patient back to the consultation table outside, deliberately observing the man's sitting posture secretly.

When sitting down, the man's wife and son supported him on the left and right, and the man's right leg was slightly stiff.Li Jingsheng discovered this phenomenon in the medical laboratory.

A hip joint injury should not cause the knee to be unable to bend!
Reminiscent of the marks left by the infusion on the patient's hands, the flickering words during the questioning, and many doubts, Li Jingsheng has decided to give up this business.

His small clinic has just developed better, so he has a little hope. If he takes on a problematic job, it will be considered good after losing until the liberation.

I am afraid that his small clinic will be closed down directly.

"Please show me the film your father took in the hospital."

Li Jingsheng said directly to the patient's son.

The patient's son looks at his father.

"Dad, didn't you take the film taken at the People's Hospital?"

This son's strength is cheating!

In a word, a lot of information was exposed to Li Jingsheng.

"Oh...look at my memory, I don't know if I forgot it at home or left it in the hospital. Dr. Li, it's the same for the film you took here! I'm in severe pain and it's hard to move. Do you want to Don’t treat me first, come over next time to change the medicine or something, and then show it to you.”

The patient passed a word lightly, urging Li Jingsheng to help him quickly.

Li Jingsheng is really young, so easy to fool.

"Don't worry about the treatment first, at least find out the cause."

"Look, there are quite a few patients waiting in the back! Give me some medicine first, and pain relief is fine too! Besides, I praise you for your excellent medical skills. My minor injury and illness are not for you Isn't the medicine cured by the disease?"

The patient urged.

The more anxious he was, the more vigilant Li Jingsheng became.

When he first transferred to a resident doctor in the First Hospital, a sentence said by an older deputy chief physician in the group still remains fresh in his memory.

The patient had been hospitalized for almost two months, and his lung cancer was at an advanced stage.

Doctors and nurses persuaded him to take some painkillers at home, so there is no need to waste money and money.

Although the family members did not explicitly mention it, they also had that meaning.

After all, living in the hospital, the daily cost is not a small sum.

The patient has always refused to leave the hospital.

The older deputy chief physician explained to the doctors in the group and the nurses in the department that a senior attending physician or nurse in charge must be present to change the patient's medicine and medication.

Once Li Jingsheng entered the ward, the patient waved to him weakly.

He said that it hurts to breathe and he was wheezing a bit, so he asked Li Jingsheng to give him some painkillers and medicines for calming his asthma.

At that time, the attending physician above went to another department for consultation. Li Jingsheng thought it was not a big deal, so he prescribed some painkillers for the patient.However, anti-asthma drugs involve a relatively high level of drug efficacy and pharmacokinetics, and he did not dare to take this risk.

Later, the deputy chief physician found out about this, and called Li Jingsheng to the office and scolded him bloody in front of everyone.

That's really the kind that doesn't spare any sympathy.

After scolding, he looked at Li Jingsheng and said earnestly, "Do you think that the patient has been insisting on hospitalization and waiting for us to create a medical miracle? He may be waiting for an accident."

After hearing this, Li Jingsheng went into that ward later, and every time he saw that patient, his hairs would stand on end.

When the patient asks him to prescribe medicine or something, he pushes it as soon as he can.

If it doesn't work, go to the attending physician to deal with it.

After so many times, the patient stopped looking for him.

Right now, looking at this patient with a dislocated hip gave him a familiar chill.

It's hard to say, this patient respects and trusts him very much. When talking to him, he tries to squeeze a smile on his face, but Li Jingsheng still feels a trace of inexplicable malice.

"That's good, you sit there and rest for a while, I'm not good at treating this kind of hip joint dislocation, and you guys trust me so much, I'll try to ask a doctor from a big hospital to come over and take a look."

Li Jingsheng decided to ask Dr. Xu to come and help.

Dr. Xu should not be at work on Sunday.

The patient did not object this time.

He also saw that it was useless to persist.

Li Jingsheng called Dr. Xu on the spot. To be honest, he didn't know what to do.

Dr. Xu's temper is very strange, so he might not come.

"Xiao Li, what's the matter?"

As soon as the phone was connected, the other side asked.

"I came here with a patient with a hip joint injury. Both the bone palpation and the X-ray examination showed that the joint was slightly misaligned, but I'm not sure. Could you please come over for a consultation?"

There was silence on the other end of the phone for two or three seconds.

"Do you suspect a broken bone or something else?"

Doctor Xu deliberately lowered his voice.

"Others!"

Li Jingsheng couldn't speak clearly in front of patients and their families.

"Okay, I'll be there in half an hour."

After speaking, Dr. Xu hung up the phone directly.

The teacher rushed over to help after a while, and Li Jingsheng immediately felt relieved.

He seized the time to deal with other patients.

Yesterday's one-year anniversary celebration of the clinic was somewhat effective. Seven patients were seen in the morning, and all of them were new patients. This kind of grand occasion did not even happen in the city daily.

A young man with black eye circles and messy hair sat over, yawned and said, "Doctor, I felt dizzy when I woke up this morning, I felt weak all over, and felt a little nauseous. I suspect I have a cold. Please prescribe some medicine for me."

Li Jingsheng took the man's temperature and found that he had a low fever of 37.2 degrees.

In clinical diagnosis, he particularly hates a body temperature of around 37 degrees, because it is very unfriendly to diagnosis.

Say you don't have a fever, but your body temperature is higher than normal.

Let's talk about fever, and it can reach the standard line of low fever.

And if it is just onset, and then a low-grade fever occurs, it often indicates that the condition is not obvious.

Medication is not easy to handle at this time.

What western medicine pays attention to is symptomatic treatment.

If there is any symptom, help the patient relieve the symptom.

Low-grade fever is generally not treated clinically.Letting it burn is itself a manifestation of the immune system starting to fight the disease, so there is no need to suppress it.

But the patient will feel uncomfortable!
If the low-grade fever lasts a little longer, the patient will feel tired and uncomfortable.

Small clinics are highly competitive. If you don’t use medicine to treat low-grade fever, patients feel that the effect is not significant, so they won’t come next time.

Therefore, Li Jingsheng hates low-grade fever.

"How much do you weigh, have you ever weighed it?"

Li Jingsheng found that the patient's face was a little fat, but it didn't look natural.

So I asked casually.

"It looks like 62 kilograms! I just weighed it last month."

"The height should be close to 1.8 meters, right?"

"176 centimeters."

"Let me see your face."

After Li Jingsheng finished speaking, he pressed on the patient's face, and found that after he pressed and let go, the depression took a long time to heal.

He immediately realized that this patient should have facial swelling.

"Did you pee in the morning?"

"It's strange to say that I usually have the habit of urinating in the morning. I have always felt a lot less urine in the past two days, and I didn't relieve my hands this morning." The man looks like two, four, or five years old. Not long into social work.

"Is there a regular life routine?"

Li Jingsheng continued his consultation.

"It's not bad, I just like playing online games. Once I get to the top, I play all night with my teammates."

"Do you usually drink a lot of water?"

"Generally I don't drink much water, I like to drink Sprite and beer. Especially Sprite, I usually drink it as water."

The man's answer made Li Jingsheng feel that the problem was very serious.

"Come on, let me see your calves! Just roll up your pant legs."

Li Jingsheng said to the young man.

The young men did as they were told.

"Doctor, I have a cold, why should I look at my legs?"

His questioning tone and expression made him suspect that what he saw was a quack doctor or a black doctor in a clinic.

Li Jingsheng didn't answer immediately.

Instead, he carefully checked the patient's calf, and there was also edema.

"Your illness may not be a cold. Are you a local or a migrant worker?"

Li Jingsheng already highly suspected that the young man had a serious illness.

"I'm studying at the university in Linjiang City. I have several relatives living here. Just give me some cold medicine. I can't cure other diseases."

The young man just didn't say clearly, don't try to trick me into treating some diseases that don't exist.

Other patients and family members on the waiting list watched it all.

Even a few customers who bought medicine over there looked over.

Many people don't know much about the Sunshine Clinic, and they looked at Li Jingsheng with doubts at the moment.

They wanted to see how Li Jingsheng would fool this young man.

"I can't cure your disease here. Personally, I don't think it's a cold. I suggest you contact your family immediately, and then go to a big hospital for a kidney function test. Also, stop drinking Sprite as water. This behavior is very hurtful. Kidneys. Staying up late also hurts the kidneys. You are still so young, you must not procrastinate, believe me, contact your family and go to a big hospital for an examination."

Li Jingsheng said with a serious face.

It's okay for patients to question him, even attack him.

But as a doctor, you must let the patient understand the seriousness of the condition.

This young man is still so young, it would be a pity if his illness was delayed.

Doctors cannot make any decisions for patients, they can only give advice.

"It's not that serious, is it? Are you trying to scare me?"

The young man obviously didn't quite believe it yet.

"Why am I scaring you? Hurry up and go to a big hospital for an examination, and don't drink carbonated drinks as water in the future."

Li Jingsheng was almost laughed out of anger.

"Young man, you are right to listen to Dr. Li. Dr. Li is not only excellent in medical skills, but also has excellent medical ethics. He will not harm you."

The wife of the old man who treated the pustule helped Li Jingsheng speak.

Some patients misunderstand Li Jingsheng's good intentions because they don't understand Li Jingsheng's personality.

"Doctor Li is doing it for your own good! If you really want to cheat your money, why did you send you to a big hospital?"

"Just listen to the doctor."

Others also persuaded the young man one after another.

Finally, the young man agreed.

"Okay then! I'll go to the hospital for an examination first, and then call my parents if I have any problems."

Like most young people who work hard outside, they report good news to their parents but not bad news.

Nothing big, I don't want to worry my parents.

Li Jingsheng looked at the young man and listened to the persuasion, he was relieved.

However, renal failure is a Pandora's box, once opened, it cannot be stopped.

According to Li Jingsheng's professional knowledge, the kidney failure of this young man has at least progressed to the second stage, and may even be worse.In the late stage, basically you can only do dialysis to save your life.

If you want to transplant a kidney, one is that it is difficult to wait for a kidney source, and the other is that the high cost is enough to discourage many families.

Even if the kidney transplant is successful, it is still necessary to take rejection drugs for life.

It is really a pity that this young man suffered from kidney failure at such a young age.

On the contrary, it was the "glamorous man" who pestered Tang Ping. Although this person might have symptoms of kidney deficiency, it was not a big problem.

Most middle-aged men have the problem of kidney deficiency, but the degree is different.

Kidney deficiency is not the same as kidney failure, the two are completely different diseases.

The two patients in a row were not simple ailments, which made Li Jingsheng 12 very careful.

It is a good thing that the business is improving, but the crisis has also increased.

Among the patients admitted, he may be shocked at any time.

Fortunately, the next few patients were not too difficult. The most serious one was tonsillitis, so they prescribed medicine directly and asked Tang Ping to give her an IV.

After less than half an hour, Dr. Xu arrived in a hurry.

"Teacher! You are here!"

Li Jingsheng was very happy to see Dr. Xu coming, and he felt confident.

"Where is that patient?"

"That's the gentleman."

Li Jingsheng introduced the two parties.

"Show me the film you took!"

Dr. Xu wanted to take a look at the X-ray, and the two muscles on his face twitched, and he returned the X-ray to the family in silence.

This is probably the first time he has seen an X-ray film with such poor clarity.

But he could understand Li Jingsheng's difficulties.

For small clinics, having X-ray detection equipment is considered very good.

Even the most profitable dental clinics, many of them bought X-ray detection equipment only after making money later.Before that, patients who encountered tooth extraction were blindly operated.

"Maybe take off the outer pants and let him check."

Dr. Xu is about to perform the bone touching technique.

Bone touch is practiced to a certain level, and it is even more accurate than CT scanning.

Li Jingsheng was going to explain the situation before the teacher touched the bone.There are many things that are inconvenient to say in front of family members and patients.

Then you can only create your own opportunities.

"There is a female patient in the infusion room who is undergoing infusion. I'm afraid it's inconvenient. Teacher, come with me to see if the bed in the treatment room can be used?"

Li Jingsheng said to Dr. Xu.

Dr. Xu's eccentric temper doesn't mean he's out of his wits.

He understood Li Jingsheng's deep meaning almost instantly.

The two entered the treatment room.

"If you have anything to say, hurry up and say it!"

Doctor Xu took the initiative to speak.

"This patient said that he had a fall, which made it difficult to walk. When I felt his bones, it was true that his hip joint was dislocated to a certain extent, but I wondered if he had any major problems and did not tell the truth. I accidentally saw it before. There are traces left by intravenous infusion on his left hand, and the time should be very close. I am afraid of falling into the pit, but I am also worried that I am supercilious, so I thought of asking you to come and check. If you are not sure, then I would rather Don’t let him kill you, just push him away.”

Li Jingsheng quickly expressed his doubts.

He must be responsible for the entire clinic. The risk is too great and uncontrollable, so he cannot play with fire.

"understood!"

Doctor Xu nodded, walked out of the treatment room and waved to the patient.

"Come here, the bed inside is usable."

The family members helped the patient into the treatment room slowly.

Doctor Xu asked the patient to lie flat on the bed, took off his outer pants, and began to feel the patient's bones.

In terms of strength, Dr. Xu's bone touching skills are definitely much better than Li Jingsheng's.

I saw Dr. Xu touching the patient's bones with a serious expression.

The family members were watching.

Naturally, Li Jingsheng also followed suit.

Don't look at his bone touch technique has reached the proficient level, but there is still a lot of room for improvement.Many of the profound skills still need him to comprehend by himself.

"Lie on your left side."

Dr. Xu seems to have made some discoveries. While directing the patient to lie on the left side, he is assisting at the side.

"You didn't hurt your right knee, did you?"

"No. At that time, I just fell to the ground with my buttocks, and the height was not high, just the height of a step."

The patient spoke honestly in front of Dr. Xu.

The doctor was old, so he didn't expect to have this advantage.It is natural to suppress the patient's thoughts of lying.

(End of this chapter)