Gou is practicing medicine in the clinic

Chapter 17 The Weird Patient

Kind of like a broken bellows pulling.

Li Jingsheng is good at diagnosing respiratory internal medicine, and he knew that the old lady's lungs were diseased as soon as he heard the voice.

"Xiaosheng, I feel a little stuffy in my chest, and I'm tired of breathing, can you help me hang a bottle of water?"

Many people go to the clinic to see a doctor after catching a cold, and they will be fine after two infusions.

Infusions are also indispensable after patients are admitted to hospitals, including large and small hospitals.

So people who don't understand medicine think that infusion can cure all diseases

As long as they feel a little uncomfortable, they want to get an injection.

"Auntie, are you catching a cold?"

Li Jingsheng never gave patients random infusions. The abuse of antibiotics is very harmful, and he resolutely resisted.

At least have to find out the cause and then determine whether infusion therapy.

"I don't know, it's just that my chest is tight, as if I'm pressing a big stone slab, I'm struggling to breathe, and I'm a little dizzy."

The old man took advantage of the opportunity and sat down on the chair in front of the counter.

Seeing that the old man's face was a little pale.

In the middle of the night, this old lady should be over 65 years old. She has a fierce appearance, her eyes are more white than black, and she just stares at Li Jingsheng so quietly, which is really a bit creepy.

And when he spoke with a strange accent, Li Jingsheng felt the hairs on his back stand on end.

"Chest tightness, dizziness, breathlessness! Do you have any other symptoms? Such as chest pain, headache and so on."

Li Jingsheng regained his composure and began to diagnose the old man carefully.

The hearts of doctors and parents.

When encountering patients, it is the most basic professional ethics to find ways to help them relieve their pain.

"There is some pain in the chest from time to time, but there are no other symptoms."

The old lady pointed to the position of her right chest.

Li Jingsheng was slightly relieved when he heard the old man said that his right chest hurts.

If it is chest tightness, left chest pain or abdominal pain, it is enough to make the doctor's nerves tense.

The left chest cavity is mainly the heart and left lung.

Older people are prone to heart disease.For a small clinic like his, heart disease is a serious illness at the level of Wang Zha, and he absolutely dare not touch it.

Inside the right chest cavity is mainly the right lung.

The old man had dyspnea, chest tightness, and irregular pains in the right chest, probably due to lung disease.

Such as the most common pneumonia.

To be honest, with his entry-level respiratory internal medicine diagnosis and medical skills, he feels somewhat unconfident when he diagnoses such an elderly person.

Elderly people generally have many underlying diseases, and it is difficult to recover. The probability of misdiagnosis and the probability of accidents are relatively high.

It's just that I finally came to a business at night. If I can eat it, I can earn at least 40 yuan.

He reckoned that the old man's right lung might be infected and inflamed, so he would definitely need an infusion.

And at least three days of infusion, plus some other medicines, the profit is quite considerable.

After weighing quickly in his mind, he decided to measure the four basic signs of the old man first.

"Let me take your temperature first and auscultate your heart and lung sounds."

Li Jingsheng walked up to the old man with a special ear thermometer and took a light on her ear.

The body temperature is 36.7 degrees, which is normal.

It must be explained here that it is most accurate to measure the temperature of the armpit or rectum clinically.Mercury thermometers have not been completely eliminated with the advent of electronic thermometers.

It's just that electronic thermometers are more convenient to use, more hygienic, and more time-saving, so they can be widely used in hospitals and clinics of all sizes.

Li Jingsheng was stunned when he saw the body temperature data.

Inflammation of the lungs will definitely cause a rise in body temperature, and now the body temperature is normal, indicating that the patient probably does not have inflammation.

According to his semi-diagnostic experience, acute pneumonia and bronchitis are usually accompanied by fever, at least a significant increase in body temperature.Chronic bronchitis and pneumonia, on the contrary, have less fever, and many patients have normal body temperature data.

Or stay in a low fever state for a long time.

He wholeheartedly hoped to make a fortune treating the old man, and he didn't give up just because his body temperature was normal.

"Listen to your heart and lung sounds! You need to untie two buttons."

At this moment, how much Li Jingsheng longed to have a nurse by his side!
In case the old lady framed him as a hooligan, even if he had ten mouths, he wouldn't be able to tell.

He subconsciously looked up at the surveillance system installed in the clinic, emboldening himself.

Fortunately, the old man is very cooperative.

He first auscultated the old man's heart sounds.

Because the body temperature is normal, it is still important to check whether there is any problem with the heart?
"Why is there no heart sound? There are only a few moist rales in the lungs."

Li Jingsheng tried to move the probe of the stethoscope, and the old man had already started to look at him warily.

All he can do is to look serious and eliminate the patient's doubts to the greatest extent.

"Strange, why is there no heart sound?"

There is a rhythmic thumping sound as the heart beats, like a drum beating.If the patient has heart problems, various murmurs may be present.

For example, pericardial friction sound, tricuspid valve insufficiency will have regurgitation sound, and ventriculodiaphragmatic defect will also have murmur...

In the diagnosis of cardiovascular diseases, Li Jingsheng only knows superficially, and his experience is even more pitiful.

It was the first time he encountered such a thing, and he felt a chill on his back, and his scalp was numb.

It's late at night, so it's impossible to really encounter supernatural beings, right?
For such a small clinic with a deserted business, it is better not to open the door at night.

Normally, he would close the door and go back to the rental room at this late hour.

Now, in order to save money and break up with my girlfriend, there is no need to rent a house. I choose to live directly in the attic in the clinic, which can save 1000 yuan/month in rent.

Thinking about staying in the clinic anyway, and opening a few more hours at night, maybe I can sell some medicine or something.

Unexpectedly, this strange old lady with a bit fierce appearance came.

Li Jingsheng subconsciously looked at the street outside, it was quiet and there was not a single pedestrian.

It made him even more frightened.

"Auntie, where do you live?"

"I live in the dormitory of the textile factory not far away."

The former textile mills and steel mills were all state-owned enterprises, and employees enjoyed housing allocation policies.

Judging by the age of this aunt, she may be an employee of a textile factory.

However, the textile factory has been relocated long ago, and the old factory building has now been converted into a school.The dormitories of the unit are allocated to the old employees. Some old employees continue to live after retirement, and some are left vacant or rented out after moving out.

Hearing that this aunt was an employee of the old textile factory, Li Jingsheng was not so afraid.

"I saw that you came from that direction, why didn't you see a doctor at Kuaikang Clinic?"

Such words, under normal circumstances, would not be asked.

Now this old lady is very weird, Li Jingsheng has to find out first, to see which 'fairy' is coming?
The old textile factory dormitory is at the end of the old street in the south of the city.

Coming from there, you must pass through Kuaikang Clinic, and then you can reach Li Jingsheng's Sunshine Clinic.

Kuaikang Clinic has a huge front door, with four stores, and it is an old clinic of more than 20 years. Why does she look far away?
This is so out of line.

Because she now has symptoms such as dizziness, shortness of breath, and chest tightness, it is difficult to take an extra step.

Not to mention that Kuaikang Clinic is at least tens of meters away.

There must be a demon in the abnormal situation.

(End of this chapter)