Gou is practicing medicine in the clinic

Chapter 156
A very strong adult can be easily tortured by the disease to a few sticks in just one or two months, with a stooped figure and a haggard appearance.

Seeing the stationmaster Qiao leading the doctor into the ward, the young man's girlfriend quickly stood up to show respect.

When she saw Li Jingsheng, she couldn't help being slightly taken aback.

"This is Dr. Li from the Sunshine Clinic. He is very good at internal medicine. He has worked in the First Hospital for many years. We specially invite him to come over for consultation."

Stationmaster Qiao praised Li Jingsheng's identity very highly when he introduced him.

No matter which hospital invites people to come for consultation, this is the way.

The level of doctors who can be invited for consultation is definitely not too bad.Otherwise, it is impossible to be invited to save the situation.

"Hello, Doctor Li! I'm so sorry last time!"

The young woman apologized again for her boyfriend's disrespect at the clinic.

"What are his main symptoms now?"

Li Jingsheng doesn't know the same as patients.

If he really cares about it, he won't come.

"It hurts, the whole body hurts!"

The young man's eyes were half-opened, and he was in a weak state of dying.

"Is it a soreness or a sharp pain?"

"My whole body was sore, and my whole stomach was in severe pain, as if someone was stabbing me in the stomach with a knife."

The young man naturally recognized Li Jingsheng, and in the face of life and death, he didn't care about embarrassment at all.

It's like grabbing at straws.

"Let me help you check your abdomen!"

Li Jingsheng secretly judged that the patient's body ache might be caused by high fever.

The body temperature of the human body cannot be raised out of thin air, it needs to burn the energy stored in the cells to achieve the purpose of raising the body temperature.Not to mention a high fever, even a low fever is enough to make the patient feel very uncomfortable.

Rolling up the hospital gown on the man, you can see the shriveled state of the abdomen.

Slightly concave downwards.

It may be related to not eating for a long time.

"Aw... it hurts, it hurts..."

The man screamed.

Li Jingsheng found that the patient's abdominal muscles were stiff and there were symptoms of peritoneal irritation.

"Do you feel cold under such a thick quilt?"

The patient's hands and feet are hidden in the quilt.

"Correct!"

"Is it the torso of the body that is cold, or the hands and feet that feel a little cold?"

"Hands and feet are cold, and my body seems to be a little cold."

It is obviously unclear for patients to distinguish between these highly specialized symptoms.

Li Jingsheng nodded slightly after hearing this.

It was the first time for Boss Zhao standing beside him to see Li Jingsheng's bright skills, and a strange light flashed in his eyes.

Experts will know if there is any.

After Li Jingsheng entered the ward, he didn't waste a single word of unnecessary nonsense, every inspection action was extremely professional, and the purpose of diagnosis was also very clear.

There are many extraordinary things in the details.

Not to mention anything else, just the distinction between patients with chills, neither the doctors at the health station nor Lao Zhao could do it so meticulously.

Li Jingsheng borrowed an ear thermometer from the nurse behind Qiao stationmaster to take the temperature of the patient.

"39.4 degrees, high fever. The patient is chilly, his limbs are extremely cold, his abdominal muscles are stiff, and his tenderness is obvious. His skin is blotchy. Although he is conscious, he is very close to a state of shock. Let's go out and talk!"

Having said that, Li Jingsheng didn't say anything more.

"Doctor Li deserves to be from the No. [-] Hospital. His level is very high!"

Stationmaster Qiao had doubts about Li Jingsheng's level.

After all, Li Jingsheng is very young, and his performance in the First Hospital is also very average.

According to his experience, Li Jingsheng is actually equivalent to the bottom doctor eliminated by the First Hospital.

Hospitals generally do not voluntarily dismiss doctors unless they make mistakes.

But for doctors who are not capable, they will definitely be marginalized.

Basically tantamount to soft dismissal.

After witnessing Li Jingsheng's clinical diagnosis with his own eyes, his evaluation was only eight words, clean and targeted.

Such a high level, such proficient clinical performance, no matter how you look at it, it doesn't look like an obsolete product!
With Li Jingsheng's current performance, he felt that he even had a chance to stay in the First Hospital and try to hit the sub-high school.

"Let the stationmaster Qiao and Boss Zhao laugh."

Li Jingsheng smiled modestly and shook his head.

"How about it, have you figured out what kind of disease that patient is?"

Boss Zhao is more concerned about this matter.

Old Zhao never hides his interests.

If this matter is not handled properly, it will bring disastrous consequences to Lao Zhao.

"Have you noticed the extremities of his limbs? If the cause is not found quickly and effective treatment is given, I estimate that the patient's limbs will soon suffer from fat necrosis."

Li Jingsheng said seriously.

"Brother Li, can you stop scaring me? It's not that serious, is it?"

Boss Zhao took out a pack of tissues, pulled out one, and began to wipe his sweat.

It's really not a crime, but the patient's condition is beyond imagination, which makes Boss Zhao feel nervous.

"The process of necrosis is about to happen now, and Boss Zhao is sure to be able to see some of it." Through this case, it is the first time that Li Jingsheng has a certain understanding of his true level.

In the past, the medical skills of health stations and Kuaikang clinics were existences that he needed to look up to.

Looking at it now, their level seems to be inferior to that of Li Jingsheng.

While speaking, the three of them had already returned to the consulting room on the first floor.

"Did Dr. Li find out something?"

A young doctor in his 20s asked aloud.

"A little discovery."

Li Jingsheng heard a hint of sarcasm in this man's tone.

Although it is subtle, it can still be felt.

Stepping on newcomers is almost the same everywhere.

Asking the stationmaster Qiao to pick up the patients himself, and letting the stationmaster Qiao accompany him to the ward to check on the patients has already made these doctors unhappy.

I think Li Jingsheng is too ostentatious.

A doctor in a clinic should have the same attitude towards the health station as Boss Zhao, and "worship" is the right thing to do.

"Dr. Li is an 'expert' that our station master came to pick up in person. There must be more than a small discovery. Tell me your opinion, and let us open our eyes together."

A female doctor in her 50s spoke with a stronger sense of sarcasm.

It is said that menopausal women should not be provoked.

50 years old is almost exactly the menopause of women.

"Don't dare to be an expert! May I ask who is responsible for that patient?"

Li Jingsheng deliberately avoided this female doctor with pomade on her hair and fleshless cheeks.

Seeing that her eyebrows have been plucked, and there is only a single line of tattoo left, she looks like an extinct one, and she is not easy to mess with.

"I'm the attending doctor."

The female doctor replied directly.

"So you are Dr. Cha, sorry for your disrespect." Li Jingsheng didn't expect Dr. Cha to be a woman, and he always thought it was a male doctor. "Has the patient's blood calcium been checked?"

"no!"

The female doctor shook her head.

"Have you checked your blood oxygen?"

"I haven't checked it. The patient's abdominal pain was caused by excessive drinking. It's reasonable to check the blood calcium. What's the purpose of checking the blood oxygen? It's good to check the blood routine. Don't you think so?"

She was obviously annoyed already.

"Yes, yes, we usually check the blood routine. There is no need to check some irrelevant items and increase the financial burden on patients."

The young male doctor was there to help.

The other doctors also nodded.

It is human nature to hold together and unanimously speak out.

The doctors at the health station must be working together to protect Dr. Cha's face.

"What about blood sugar? This should be tested, right?"

"Blood sugar was checked this time when the patient was admitted to the hospital, and it was normal. It was about 6.5mmol/L."

Dr. Cha answered very simply this time.

"Then I suggest to check the patient's blood sugar again, and then check the blood oxygen and blood calcium. If possible, you can check the methaemoglobin again."

Li Jingsheng gave his own suggestion.

"Let's talk about your diagnostic thinking first! Everyone thinks it is correct, and they will naturally adopt your suggestion. To tell you something that young people don't like to hear, our health station is a regular hospital, which is very different from your clinic. Every diagnosis and treatment item we do must strictly abide by the relevant regulations, and we cannot be as random as your clinic doctor."

Dr. Cha emphasizes authority.

There are doctors of this kind everywhere, and the more they are in small hospitals, the more doctors they emphasize on being 'high', regular and authoritative.

Especially this kind of older doctors who are 60 or [-] years old, relying on decades of clinical experience, always feel that their level is no worse than that of the chief physician of the compound.

Boss Zhao's expression didn't change, this guy is a real dog.

Boss Ye's expression turned cold after hearing this, but he didn't lose his temper.

"The patient's white blood cell count more than doubled the normal value. In addition, the patient had multiple symptoms and medical history such as high fever, abdominal stiffness, severe abdominal tenderness, cold limbs, and abdominal pain after drinking. I think any two of these symptoms are completely in line with the blood calcium, blood sugar, and blood oxygen inspection indicators."

When Li Jingsheng said these words, there was no smile on his face.

Loud and loud.

If it weren't for the age of the other party, he would have wanted to scold him.

The patient's condition was significantly worse than two days ago, and the female doctor was still emphasizing that the health station is an authority and a regular medical institution.

It's really a shame to suffer.

Don't invite doctors from three clinics to help!

"Are you...are you teaching us how to do things?"

Doctor Cha turned pale with anger.

"No, I'm just giving advice. You are the one who treats the patient. Whether you accept it or not is entirely up to you."

If Li Jingsheng hadn't looked at Stationmaster Qiao's face, he would have flung his sleeves and left on the spot.

I hate this kind of bureaucracy and old-fashioned style the most.

"Han Qing, check the patient's blood oxygen immediately."

Stationmaster Qiao said directly to the young doctor who danced more happily.

Measuring blood oxygen is not difficult.

It doesn't need to be long either.

"Okay, I'll go right away!"

The young doctor named Han Qing should be relatively close to Dr. Cha.

Just now I have been helping Dr. Cha to speak.

Everyone continued to discuss the patient's condition in the consultation room. There were seven or eight physicians at the health station, and only three with senior qualifications.

Dr. Cha is considered too old.

Their discussion opinions are more inclined to gastrointestinal diseases, and they even suspect that there may be gallstones.

Boss Zhao didn't want to offend anyone, he just agreed blindly.

Boss Ye didn't participate in the discussion at all.

Chinese medicine is actually quite excluded.

For example, consultations are mostly Western medicine, including chief physicians and experts, and those with high status are basically pure Western medicine.

Both sides are not a theoretical system, and the discussion is a bit like playing the piano with cattle.

After she came, she probably only said that a patient had a problem with the central focus, and then acted as her female Bodhisattva, sitting there as a pure audience.

"Station Master, the patient's blood oxygen is only 91%."

Han Qing trotted all the way back.

The inpatient ward is on the second floor and the consultation room is on the first floor.

The distance is not far, but running in a hurry, it is inevitable to be out of breath.

"Is the measurement accurate?"

Joe Station Master's face became serious.

"Twice measured, the blood oxygen seems to have a downward trend."

Han Qing almost swore to the sky.

The webmaster doesn't trust his ability to handle affairs!

It is really not easy for a young doctor to gain the trust of a superior doctor because of his impetuous behavior.

"Immediately check the patient's blood calcium and recheck the blood sugar."

Stationmaster Qiao didn't even give Dr. Cha a chance to discuss.

Being able to be the boss of the health station, he must be ruthless in the face of such a major matter that concerns the safety of patients.

In fact, it doesn't matter which hospital you are in. Whoever can cure a disease can be reused.

"Why is the blood oxygen only 91%? Han Qing is usually sloppy in his work, could he have made a mistake?"

Doctor Cha muttered to himself.

Hearing that, Han Qing almost fell over.

He tried every means to flatter Dr. Cha, and at the critical moment, he got a sloppy evaluation, which was so sad.

He stepped out of the consultation room at a faster pace, afraid that he would hear Dr. Cha speak ill of him again.

Otherwise it would be too worrying.

"Doctor Li, don't sit so far away! You have to sit here. The diagnosis and treatment of this patient depends on your efforts! Our health station is indeed not very good at this kind of digestive tract disease."

Joe Stationmaster can only demean himself.

More than a dozen doctors couldn't even detect a problem with blood oxygen, which made him really uncomfortable.

"If you say that the patient's blood oxygen is low, I can actually see some of it. His face is extremely pale, and his fingertips are slightly cyanotic, but it's not obvious. I wanted to observe it again."

A 50-year-old pancake-faced male doctor started talking about it after the fact.

The older doctors in the health station are only Dr. Cha, Ding Shouwang, and this pancake-faced doctor.

"When Dr. Tang said this, I seemed to find that the patient's complexion was wrong. I just didn't think about the blood oxygen. At that time, I thought he was in excessive pain, so his face turned pale."

Another 37-year-old male doctor continued to put gold on his face.

It would be a great misfortune for any department or hospital to have more than a few such afterthought doctors.

Because this kind of doctor can't do anything, bragging that I am the first.

When something goes wrong, push it clean one by one.If there is something good, if they want to take credit, they will be fiercer than anyone else.

The health station looked at 'the soldiers are strong and the horses are strong', looking at this situation, I am afraid that he is a puffy man!
It's right to think about it, but whoever is a doctor with some ability would be willing to nest in such a place?Even entering a second-tier hospital is much better than staying here.

This is not difficult to understand. When the station manager learned that Ding Shouwang had resigned, he immediately visited the thatched cottage and invited him to the health station.

Just imagine, if a health station is full of rubbish doctors, how can it be upgraded to a community health service center?
At least one must have some strength in internal medicine and surgery to apply, right?
Or be stronger in a certain field.

The community health service center that Li Jingsheng saw was nothing good, but it was good at treating thyroid and rheumatism.That service center can see a certain number of patients every day.

It is considered a relatively strong community health service center in Jiangli City.

Li Jingsheng couldn't disgrace the stationmaster Qiao, so he had to sit down.

Stationmaster Qiao thought highly of him and let him sit in the position of deputy stationmaster.

"Doctor Li, I don't know what disease you think the patient has?"

That hindsight doctor Tang asked him with a smile.

"This is really unclear. I'm afraid we can only wait for the test results to make a further diagnosis."

Li Jingsheng's interest in talking with this kind of person is very low.

That is, a polite answer.

"Hehe, that's it, that's it. There is no evidence for the examination, and the experts from the People's Hospital can only stare blankly when they come. Dr. Li..."

This person took advantage of the situation and wanted to have a good 'chat' with Li Jingsheng.

"Um... sorry, my stomach feels a little uncomfortable, I have to go to the bathroom." Li Jingsheng just shrugged.

"Peng Jing, hurry up and get a roll of toilet paper for Dr. Li."

Stationmaster Qiao now completely regards Li Jingsheng as a distinguished guest, and the hospitality is very considerate.

Only Boss Ye watched Li Jingsheng walking out of the consulting room with his hands on his stomach, the corners of her pretty lips slightly raised.

As a Chinese medicine doctor, observing form and form is the basic skill of inspection.

Li Jingsheng lied about having an upset stomach, which can fool others, but not her eyes.

……

After more than 30 minutes, Li Jingsheng slowly returned to the consultation room.

It was noisy inside.

Because the patient's blood sugar and blood calcium results were measured.

The blood calcium value was significantly lower than the normal value, and the blood sugar was as high as 12MMOL/L.

This is a very scary blood sugar data.

Dr. Cha was like a frost-beaten eggplant, sitting there with the test results and checking it over and over again.

"Doctor Li, the results of the blood sugar and blood calcium tests have come out. They are exactly as you predicted. There are problems with both data. The result of our discussion just now is that acute pancreatitis is the most likely. What do you think?"

Stationmaster Joe asks for his diagnostic opinion.

"I respect the results of everyone's discussions and support the diagnosis of acute pancreatitis."

Li Jingsheng said lightly.

"Then what do you think about the next step?"

Joe stationmaster thinks highly of him very much.

"How to treat acute pancreatitis? The doctors in the health station are much better than the doctors in my small clinic, so I won't be here to fight. Now that the cause has been found out, if there is nothing wrong, I will go back first."

Li Jingsheng chose to retire at the right time.

"Haven't you had dinner yet? If you don't mind, I'll be the host and let the chef in the cafeteria add more meals. You see, today is really thanks to you." The stationmaster Qiao held his hand tightly.

"My clinic still has a lot of work, so I don't eat. In fact, I didn't do anything. It is the result of the joint efforts of all doctors and nurses to diagnose the patient's cause. Goodbye."

Li Jingsheng waved his hand and said goodbye.

These days there are many capable young people, but there are very few young people who are not arrogant.

"I'll drive you back! If you need anything in the future, you can call me. This is my business card." The stationmaster Qiao took out a business card.

The last time I invited Li Jingsheng to dinner, I didn't give out a business card.

Now it's added.

Those who are leaders really don't see rabbits and don't scatter eagles.

After this time, the stationmaster Qiao felt that Li Jingsheng was worth contacting, so he issued a business card.

"Thank you, thank you! It's only a few steps away, I'll just walk back. I just need to buy something on the way, please stay."

Li Jingsheng took the business card with both hands.

(End of this chapter)