Gou is practicing medicine in the clinic
Chapter 18 Something Happened
Chapter 18 Something Happened
"I won't hide it from you, I did see it at the Kuaikang Clinic. Dr. Zhao told me that there are still several people waiting for the infusion in the Kuaikang Clinic. I am a regular customer there, and I can't be made to wait until midnight. The one who recommended me here Infusion at the Sunshine Clinic. They said you don’t have to wait here. Sure enough, they didn’t lie to me, there is really no need to wait here. After all, Dr. Zhao has checked and said that it’s enough to hang two bottles of water, so hurry up and get it for me!”
The old lady urged her to give her an infusion.
Almost all patients are eager to get the fastest treatment.
When Li Jingsheng heard that Boss Zhao had pushed him over, he immediately became 12 cautious.
Boss Zhao has long wanted to eliminate Li Jingsheng, a competitor.
There are a lot of insidious tricks.
This evening, there was a direct conflict with Li Jing because of pestering Tang Ping.
The two basically tore their faces apart.
He would be so kind to push an old customer to Li Jingsheng's clinic?
Boss Zhao has been running the clinic for so many years without any major incidents, so he must have some extraordinary skills.
That is to say, even the chief physician of a large hospital dare not say that there will be no medical accidents in his life.
Misdiagnosis and missed diagnosis are almost inevitable.
If there are no accidents in the clinic for more than 20 years, it is impossible to just be cautious.
Boss Zhao's diagnostic ability should be much stronger than imagined.
It is now close to 08:30 in the evening, and the business of the Kuaikang Clinic is so hot that all the patients who need to be infused should have been infused.
So why did Kuaikang Clinic treat this old lady?
Infusion is not troublesome ah.
It takes time to dispense the medicine, but the injection is actually very fast.As for hanging a bottle of water, it takes one or two hours, and the medical staff basically don't care about it during this period.Just wait until the infusion is finished and the needle is pulled out for the patient.
If you have money but don't make money, give it to Li Jingsheng, a competitor who is about to die of poverty, to earn this money?
You can think of such a good thing with your toes.
The old lady could walk and talk, but she couldn't find her heart sound.
Could it be that an artificial heart was installed?
I stared at the old lady and took a closer look, and there was nothing!
Patients with artificial hearts will carry a battery pack on their backs.Since the artificial heart pumps blood stably, it continuously transports blood to major blood vessels like a water pump, and then recycles it to form blood circulation.
Therefore, patients with artificial hearts have no heartbeat and pulse.
But through a stethoscope, the hum of the machine can still be heard.
"Auntie! Have you ever had heart surgery? Like installing an artificial heart."
"No, my heart has been fine."
Since there is no artificial heart, why is there no heartbeat when people are alive?
Li Jingsheng racked his brains to think about the reason.
The world's great wonders.
All kinds of strange diseases and special constitutions, many of which even doctors have never seen.
A flash of light flashed through Li Jingsheng's mind.
In a medical journal, he once saw a case of heterocentric position.
The probability of a newborn suffering from heterotopic heart is about 500 in [-] million.
The old lady had not undergone a heart transplant, she was still alive, but the heart sound could not be heard in the left chest cavity, so there were only two possibilities.
Either he had a supernatural event tonight.
Either this old man is a patient with heterocentric position.
"Let me listen to the lung sound on the right."
After Li Jingsheng finished speaking, he pressed the probe of the stethoscope on the right chest of the old lady.
"Dong dong dong..."
The familiar heartbeat sounded in his ears, and Li Jingsheng's face showed a joyful expression of sudden realization.
Sure enough, it was the same as he inferred.
The patient is a heart ectopic person.
Her heart is on the right side of her chest.
After listening carefully for a while, Li Jingsheng's expression became serious little by little.
The patient's heart sounds are obviously murmurs, and they can't be said, there are very regular rustling sounds.This is definitely not normal.
However, Li Jingsheng is not at the entry level, whether it is a diagnosis of cardiovascular medicine or cardiothoracic surgery.
He didn't know what disease the old lady had.
But it is certain that the old man has a heart problem.
Chest tightness, irregular pains in the right chest, difficulty breathing, dizziness, heart growing in the right chest cavity... These symptoms combined, Li Jingsheng's heart trembled violently, isn't this a precursor to a heart attack?
Well, Boss Zhao, you are so fucking wicked.
Actually, an old man with heart disease sent her here, and even instigated the old man to ask Li Jingsheng to give her an infusion.
This is simply killing with a knife, committing murder.
Boss Zhao knew that Li Jingsheng was so poor that he needed to sell motorcycles to keep the clinic running, so he must be very eager to make money.In addition, Li Jingsheng is very young and inexperienced, and when he encounters an opportunity to make money, he is afraid that he will immediately get mad and give this patient an infusion.
At that time, the patient suffered a heart attack during the infusion and died in the Sunshine Clinic.
In all likelihood, Li Jingsheng will face a lawsuit.
The Sunshine Clinic is completely over.
After seeing through Boss Zhao's plot, he took a deep breath to suppress the anger in his heart.
Boss Zhao wants to use one life to completely destroy Li Jingsheng's Sunshine Clinic, which is certainly hateful.
The patient is innocent.
Li Jingsheng couldn't bear to watch a life wither away.
"Auntie, where's your family?"
The old lady didn't understand his good intentions, but said a little impatiently, "Young student, Dr. Zhao has said that my disease can be cured by infusion. Can you cure it?"
It is definitely not the first time to be verbally abused by patients.
It's really not suitable to be a doctor if you have a weak heart.
"Your illness is not as simple as you imagined. I suggest you contact your family members now and send you to a big hospital for diagnosis and treatment. If you delay, it will be too late."
Li Jingsheng said to her seriously.
"It's dead, it's dead, young doctors are unreliable, but Dr. Zhao is reliable."
When the old lady heard this, she immediately exploded.
She felt that Li Jingsheng kept asking questions, checking this and that. It was obviously just a minor illness, and it would be cured by drinking two bottles of water.But he is here to make alarmist remarks, saying that he should be rushed to a big hospital for treatment.
Isn't this nonsense?
Young doctors are not good at seeing patients and have no experience, which has long been the consensus of everyone.
The old lady had a bad temper, she thumped her cane on the floor, stood up and left.
Li Jingsheng suspected that the old man had a heart attack, so he didn't dare to provoke her anymore.
It would be good to let this old lady go back to Boss Zhao.
Boss Zhao probably knew that the old lady's illness was very troublesome, and he would definitely find a way to deal with it properly, and it was absolutely impossible to really give the old lady an injection.
I saw that the old lady had just walked a few steps, her body swayed, and she tried to hold on to the crutches to squat down, but she lost control of her body as soon as she squatted halfway.Sitting on the ground with one buttocks, he fell to the ground on his back.
The crutch also fell to the side, and it fell with a bang.
"Auntie, auntie!"
When Li Jingsheng saw the situation, he hurried forward to save him.
The old man's face and lips were pale, his eyes were wandering and lifeless, and his body was trembling and twitching constantly.
People can no longer move.
Li Jingsheng's heart sank suddenly, and he greeted Boss Zhao's eighteen generations of ancestors over and over again.
What happened to a patient in his clinic would have caused a lot of trouble, if not his fault.
Right now, I can't manage so much, so it's important to save people quickly.
Checked the old man's breathing and heartbeat.
The heart rate is frighteningly fast, with a heart rate as high as 198 beats per minute.
No matter how he called or patted the old man's shoulder, there was no response.The old man has lost consciousness.
Li Jingsheng didn't have a lot of experience in first aid, when faced with a patient who suddenly fell ill and was in a critical condition, his forehead was covered with sweat.
Try to measure the patient's pulse.
"Oops, the pulse seems to be fading away."
Just as he was thinking about the patient's illness, the patient's breathing sound was also weakening.
People are dying.
It's definitely the kind that half-footed into the gate of hell.
The golden rescue time for breathing and cardiac arrest is only about 3 minutes.Over time, patients will gradually experience irreversible damage.Such as brain cell death, myocardial necrosis and so on.
"God, are you kidding me? What kind of disease is it!"
He did his best to flash through his mind diseases similar to these symptoms.
Theoretical knowledge is only theory after all.
In practice, experience is what counts.
Li Jingsheng racked his brains to think about the cause of the patient. His lips and face were pale, his whole body twitched, his heart rate was as high as 198 beats per minute, his pulse gradually disappeared, and his breathing gradually stopped... Could it be ventricular fibrillation?
Yes, most likely ventricular fibrillation.
After successfully diagnosing the cause, he hurried to get the AED excitedly.
It hasn't been used since I bought it.
It was also for emergencies at the beginning.
Now it comes in handy.
After bringing the automatic defibrillator, he hurriedly followed the operation method, turned on the power of the AED, pasted the electrode pads, analyzed the patient's heart rate, left the patient for charging, and then discharged the electric shock.
"Ah yo!"
The patient screamed.
This kind of automatic defibrillator is very friendly. If it is a hospital defibrillator, it is much more powerful than this one.
During the electric shock, the patient's body can directly bounce up.
After successful defibrillation, the patient's condition improved.
Li Jingsheng hurriedly dialed 120 for emergency services.
Not long after, the ambulance stopped at the door of his clinic with flashing lights and siren all the way.
"What's the matter with her?"
The doctor who got out of the car was a young doctor in his 30s. The nurse couldn't tell the exact age, but he should be in his 20s.
It can be felt that when this young doctor looked at Li Jingsheng, he was wearing colored glasses.
He must have mistakenly thought that Li Jingsheng's clinic treated the patients like this, so he was full of contempt.
"It seems to be a heart attack. I just defibrillated her once, and her condition has improved."
Li Jingsheng told the emergency doctor about the basic situation.
"Put the patient into the ambulance first! You small clinics dare to pick up any patient. In the future, when you encounter such a serious patient, take it easy!" He taught Li Jingsheng a few words in the tone of an elder.
The nurse girl also looked at Li Jingsheng with unfriendly eyes.
Doctors and nurses in regular hospitals usually look down on clinic doctors.
Not far away, Boss Zhao stood under the lamp post with a gloating expression on his face, looking over here.
(End of this chapter)
"I won't hide it from you, I did see it at the Kuaikang Clinic. Dr. Zhao told me that there are still several people waiting for the infusion in the Kuaikang Clinic. I am a regular customer there, and I can't be made to wait until midnight. The one who recommended me here Infusion at the Sunshine Clinic. They said you don’t have to wait here. Sure enough, they didn’t lie to me, there is really no need to wait here. After all, Dr. Zhao has checked and said that it’s enough to hang two bottles of water, so hurry up and get it for me!”
The old lady urged her to give her an infusion.
Almost all patients are eager to get the fastest treatment.
When Li Jingsheng heard that Boss Zhao had pushed him over, he immediately became 12 cautious.
Boss Zhao has long wanted to eliminate Li Jingsheng, a competitor.
There are a lot of insidious tricks.
This evening, there was a direct conflict with Li Jing because of pestering Tang Ping.
The two basically tore their faces apart.
He would be so kind to push an old customer to Li Jingsheng's clinic?
Boss Zhao has been running the clinic for so many years without any major incidents, so he must have some extraordinary skills.
That is to say, even the chief physician of a large hospital dare not say that there will be no medical accidents in his life.
Misdiagnosis and missed diagnosis are almost inevitable.
If there are no accidents in the clinic for more than 20 years, it is impossible to just be cautious.
Boss Zhao's diagnostic ability should be much stronger than imagined.
It is now close to 08:30 in the evening, and the business of the Kuaikang Clinic is so hot that all the patients who need to be infused should have been infused.
So why did Kuaikang Clinic treat this old lady?
Infusion is not troublesome ah.
It takes time to dispense the medicine, but the injection is actually very fast.As for hanging a bottle of water, it takes one or two hours, and the medical staff basically don't care about it during this period.Just wait until the infusion is finished and the needle is pulled out for the patient.
If you have money but don't make money, give it to Li Jingsheng, a competitor who is about to die of poverty, to earn this money?
You can think of such a good thing with your toes.
The old lady could walk and talk, but she couldn't find her heart sound.
Could it be that an artificial heart was installed?
I stared at the old lady and took a closer look, and there was nothing!
Patients with artificial hearts will carry a battery pack on their backs.Since the artificial heart pumps blood stably, it continuously transports blood to major blood vessels like a water pump, and then recycles it to form blood circulation.
Therefore, patients with artificial hearts have no heartbeat and pulse.
But through a stethoscope, the hum of the machine can still be heard.
"Auntie! Have you ever had heart surgery? Like installing an artificial heart."
"No, my heart has been fine."
Since there is no artificial heart, why is there no heartbeat when people are alive?
Li Jingsheng racked his brains to think about the reason.
The world's great wonders.
All kinds of strange diseases and special constitutions, many of which even doctors have never seen.
A flash of light flashed through Li Jingsheng's mind.
In a medical journal, he once saw a case of heterocentric position.
The probability of a newborn suffering from heterotopic heart is about 500 in [-] million.
The old lady had not undergone a heart transplant, she was still alive, but the heart sound could not be heard in the left chest cavity, so there were only two possibilities.
Either he had a supernatural event tonight.
Either this old man is a patient with heterocentric position.
"Let me listen to the lung sound on the right."
After Li Jingsheng finished speaking, he pressed the probe of the stethoscope on the right chest of the old lady.
"Dong dong dong..."
The familiar heartbeat sounded in his ears, and Li Jingsheng's face showed a joyful expression of sudden realization.
Sure enough, it was the same as he inferred.
The patient is a heart ectopic person.
Her heart is on the right side of her chest.
After listening carefully for a while, Li Jingsheng's expression became serious little by little.
The patient's heart sounds are obviously murmurs, and they can't be said, there are very regular rustling sounds.This is definitely not normal.
However, Li Jingsheng is not at the entry level, whether it is a diagnosis of cardiovascular medicine or cardiothoracic surgery.
He didn't know what disease the old lady had.
But it is certain that the old man has a heart problem.
Chest tightness, irregular pains in the right chest, difficulty breathing, dizziness, heart growing in the right chest cavity... These symptoms combined, Li Jingsheng's heart trembled violently, isn't this a precursor to a heart attack?
Well, Boss Zhao, you are so fucking wicked.
Actually, an old man with heart disease sent her here, and even instigated the old man to ask Li Jingsheng to give her an infusion.
This is simply killing with a knife, committing murder.
Boss Zhao knew that Li Jingsheng was so poor that he needed to sell motorcycles to keep the clinic running, so he must be very eager to make money.In addition, Li Jingsheng is very young and inexperienced, and when he encounters an opportunity to make money, he is afraid that he will immediately get mad and give this patient an infusion.
At that time, the patient suffered a heart attack during the infusion and died in the Sunshine Clinic.
In all likelihood, Li Jingsheng will face a lawsuit.
The Sunshine Clinic is completely over.
After seeing through Boss Zhao's plot, he took a deep breath to suppress the anger in his heart.
Boss Zhao wants to use one life to completely destroy Li Jingsheng's Sunshine Clinic, which is certainly hateful.
The patient is innocent.
Li Jingsheng couldn't bear to watch a life wither away.
"Auntie, where's your family?"
The old lady didn't understand his good intentions, but said a little impatiently, "Young student, Dr. Zhao has said that my disease can be cured by infusion. Can you cure it?"
It is definitely not the first time to be verbally abused by patients.
It's really not suitable to be a doctor if you have a weak heart.
"Your illness is not as simple as you imagined. I suggest you contact your family members now and send you to a big hospital for diagnosis and treatment. If you delay, it will be too late."
Li Jingsheng said to her seriously.
"It's dead, it's dead, young doctors are unreliable, but Dr. Zhao is reliable."
When the old lady heard this, she immediately exploded.
She felt that Li Jingsheng kept asking questions, checking this and that. It was obviously just a minor illness, and it would be cured by drinking two bottles of water.But he is here to make alarmist remarks, saying that he should be rushed to a big hospital for treatment.
Isn't this nonsense?
Young doctors are not good at seeing patients and have no experience, which has long been the consensus of everyone.
The old lady had a bad temper, she thumped her cane on the floor, stood up and left.
Li Jingsheng suspected that the old man had a heart attack, so he didn't dare to provoke her anymore.
It would be good to let this old lady go back to Boss Zhao.
Boss Zhao probably knew that the old lady's illness was very troublesome, and he would definitely find a way to deal with it properly, and it was absolutely impossible to really give the old lady an injection.
I saw that the old lady had just walked a few steps, her body swayed, and she tried to hold on to the crutches to squat down, but she lost control of her body as soon as she squatted halfway.Sitting on the ground with one buttocks, he fell to the ground on his back.
The crutch also fell to the side, and it fell with a bang.
"Auntie, auntie!"
When Li Jingsheng saw the situation, he hurried forward to save him.
The old man's face and lips were pale, his eyes were wandering and lifeless, and his body was trembling and twitching constantly.
People can no longer move.
Li Jingsheng's heart sank suddenly, and he greeted Boss Zhao's eighteen generations of ancestors over and over again.
What happened to a patient in his clinic would have caused a lot of trouble, if not his fault.
Right now, I can't manage so much, so it's important to save people quickly.
Checked the old man's breathing and heartbeat.
The heart rate is frighteningly fast, with a heart rate as high as 198 beats per minute.
No matter how he called or patted the old man's shoulder, there was no response.The old man has lost consciousness.
Li Jingsheng didn't have a lot of experience in first aid, when faced with a patient who suddenly fell ill and was in a critical condition, his forehead was covered with sweat.
Try to measure the patient's pulse.
"Oops, the pulse seems to be fading away."
Just as he was thinking about the patient's illness, the patient's breathing sound was also weakening.
People are dying.
It's definitely the kind that half-footed into the gate of hell.
The golden rescue time for breathing and cardiac arrest is only about 3 minutes.Over time, patients will gradually experience irreversible damage.Such as brain cell death, myocardial necrosis and so on.
"God, are you kidding me? What kind of disease is it!"
He did his best to flash through his mind diseases similar to these symptoms.
Theoretical knowledge is only theory after all.
In practice, experience is what counts.
Li Jingsheng racked his brains to think about the cause of the patient. His lips and face were pale, his whole body twitched, his heart rate was as high as 198 beats per minute, his pulse gradually disappeared, and his breathing gradually stopped... Could it be ventricular fibrillation?
Yes, most likely ventricular fibrillation.
After successfully diagnosing the cause, he hurried to get the AED excitedly.
It hasn't been used since I bought it.
It was also for emergencies at the beginning.
Now it comes in handy.
After bringing the automatic defibrillator, he hurriedly followed the operation method, turned on the power of the AED, pasted the electrode pads, analyzed the patient's heart rate, left the patient for charging, and then discharged the electric shock.
"Ah yo!"
The patient screamed.
This kind of automatic defibrillator is very friendly. If it is a hospital defibrillator, it is much more powerful than this one.
During the electric shock, the patient's body can directly bounce up.
After successful defibrillation, the patient's condition improved.
Li Jingsheng hurriedly dialed 120 for emergency services.
Not long after, the ambulance stopped at the door of his clinic with flashing lights and siren all the way.
"What's the matter with her?"
The doctor who got out of the car was a young doctor in his 30s. The nurse couldn't tell the exact age, but he should be in his 20s.
It can be felt that when this young doctor looked at Li Jingsheng, he was wearing colored glasses.
He must have mistakenly thought that Li Jingsheng's clinic treated the patients like this, so he was full of contempt.
"It seems to be a heart attack. I just defibrillated her once, and her condition has improved."
Li Jingsheng told the emergency doctor about the basic situation.
"Put the patient into the ambulance first! You small clinics dare to pick up any patient. In the future, when you encounter such a serious patient, take it easy!" He taught Li Jingsheng a few words in the tone of an elder.
The nurse girl also looked at Li Jingsheng with unfriendly eyes.
Doctors and nurses in regular hospitals usually look down on clinic doctors.
Not far away, Boss Zhao stood under the lamp post with a gloating expression on his face, looking over here.
(End of this chapter)
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