Gou is practicing medicine in the clinic

Chapter 213 Rescue of Atrial Fibrillation, Brother Qiang's Gratitude
After sending the woman away, I originally wanted to have a romantic relationship with Ou Qinglan in the clinic, but now I'm not in the mood anymore.

She offered to go home.

Li Jingsheng naturally sent her back in person.

After returning to the clinic, he checked the accounts and the cases he received that day, but he didn't mention it.

The newly hired Dr. Wang officially went to work on the first day, and his performance was not bad.He received 26 patients and treated eleven of them effectively, but he could not deal with the rest due to various reasons.

They can only push away or ask the patient to come to Li Jingsheng for consultation the next day.

Opening a clinic is like this. If you are a very famous doctor, you can directly open a special clinic to treat diseases in that field.

But if a doctor with little reputation only treats diseases in one field, most of them will close their doors.

Therefore, this requires doctors to be able to diagnose and treat conditions in multiple common disease areas.

Inner respiratory and digestive tract, these are the two most common areas.

Kuaikang Clinic mainly focuses on these two fields, and basically does not take care of other diseases.

In the past, Li Jingsheng only treated diseases in the field of internal organs and digestive tract.Occasionally, when encountering ordinary surgical wound suturing, he can grit his teeth and continue.

Now it is more advanced, such as internal medicine, gastroenterology, hepatobiliary medicine, general surgery, orthopedics, and cardiovascular fields.

The range of available consultations is already very broad.

Even the occasional skin patient, he can handle it.

It's just that when those young female students came to him for an abortion, he couldn't take it.

When checking the medical records, he found that Han Siying had made great progress.This is a good seed, she has a very good understanding, and from the medical records she wrote, it can be seen that she must be frantically trying to catch up on some clinical knowledge that she is not good at.

According to her current progress, as long as she stays at the Sunshine Clinic for a year, it will be no problem to take the regular training at the People's Hospital next time.

It can even make her stand out and become the unicorn in the next batch of Gui Peisheng.

This will be of great help to her future.

……

The next day, Li Jingsheng opened for business as usual.

Now the nearby residents know that he does not work at the clinic on February, Thursday, and Saturday. If the condition is not urgent, they are willing to wait until Li Jingsheng goes to work before coming to see a doctor.

"Doctor Wang came quite early!"

After Li Jingsheng opened the door, he found that there were not only a lot of patients standing outside, but also a few customers who wanted to buy health medicines. Wang Xiaozong also came to work early.

"I went to the clinic yesterday for a whole day. I was afraid that something might go wrong, so I came here early. Have you read the cases I received?"

When Wang Zongxiao talks to Li Jingsheng now, he is no longer in that haughty and conceited tone.

On the contrary, it is a bit like a respectful attitude towards the superior doctor.

"Looked at it, and the treatment is not bad. It would be even better if I can learn more about the diagnosis and treatment of diseases in the field of digestive tract in the future."

In front of so many people, Li Jingsheng would definitely not point out some of Wang Zongxiao's problems in diagnosis and treatment.

In front of outsiders, employees must save face.

"I'm already studying, and yesterday I borrowed clinical books on the digestive tract from colleagues in the former hospital to read."

Wang Zongxiao also knew that 26 of the [-] patients were pushed away.

The effective diagnosis and treatment rate is actually quite low.

After all, this is a clinic, not like a big hospital.

There is no shortage of patients in large hospitals, and the classification is clear.He is in the department of respiratory medicine, and all the patients he sees are respiratory medicine patients.

Clinics are struggling to survive in the cracks between large hospitals, small hospitals, and health stations.

Every patient is precious.

If you push one away, you will earn less income.

Some patients, if they can eat it, maybe a doctor's salary for the day will be earned back.

Li Jingsheng asked Wang Zongxiao to issue a number plate to the patient to prevent them from jumping in line and fighting.

After all, the number of patients today is a bit too much.

As Li Jingsheng became more and more famous and his word of mouth continued to strengthen, there were indeed more and more patients seeking treatment.

Li Jingsheng and Wang Zongxiao were treated separately.

Some patients with colds and respiratory diseases can be handled by Wang Zongxiao.

The whole order of diagnosis and treatment is not bad.

advance in an orderly manner.

Every patient has been effectively diagnosed and treated, and those who should be prescribed the medicine should be prescribed the medicine, and those who should have the injection should be given the injection.

Li Jingsheng now seems to have the demeanor of a great doctor.

Especially in the Second Hospital yesterday, Dr. Xu taught him to independently treat difficult orthopedic cases, which inspired him a lot.It also made his mentality more correct and more mature.

When it was close to nine o'clock, the news gathering car of the Metropolitan Daily suddenly stopped at the door.

The sudden sound of brakes caught everyone's attention.

The car door opened, and female reporter Chu Yao rushed out from inside.He rushed directly into the clinic with a panicked expression on his face.

"Doctor Li, Doctor Li, help me quickly. Brother Qiang, who is driving, doesn't know what's wrong. He suddenly said he was flustered and felt very uncomfortable."

She is Li Jingsheng's noble person.

In the early counterattack stage of the Sunshine Clinic, it provided great help.

Li Jingsheng stood up immediately, and apologized to the patients who were being diagnosed and treated and those waiting in line, "I'm sorry, the patients outside must be urgently ill, and I have to save them first. Please wait for a while."

"It's okay, it's okay, it's okay if we wait a while."

"It's okay to save the emergency patients outside first."

Most of the patients and family members are reasonable and have a kind heart.

In fact, the vast majority of people in this world are kind in their hearts.

The truly vicious, cruel, and cold-blooded people are only a small minority.

"Is anyone in the car?"

Li Jingsheng asked Chu Yao.

"Correct!"

She nodded vigorously.

Li Jingsheng strode towards the news gathering vehicle outside.

Due to the popularity of self-media, newspapers have become increasingly difficult to do.Many newspaper employees are under tremendous pressure.

After all, money hurts people!

Everyone worked hard just to earn a few more dollars so that the family could live a better life.

Coming to the front of the car, through the opened door, you can see Brother Qiang lying on the steering wheel with a pale face, looking extremely uncomfortable.A thick layer of sweat had already oozed from his forehead.

"What's wrong with you?"

Li Jingsheng asked Brother Qiang.

This person has never had a good impression of Li Jingsheng.Because he felt that Li Jingsheng shouldn't treat Chu Yao and him like that.

After all, they are benefactors of Sunshine Clinic, helping to report advanced deeds and doing a lot of publicity for Sunshine Clinic.

But every time Li Jingsheng treats them as thieves, his attitude is very cold.

This made him very angry.

"I'm fine, Chu Yao, you can drive."

Brother Qiang didn't seem to want Li Jingsheng to treat him.

Gritting his teeth, he forced himself out of the car.Just holding on to the door to get out of the car, he almost fell to the ground.

It was Li Jingsheng who quickly supported him.

This person's temper is quite stubborn.

I want to get rid of Li Jingsheng, but don't want him to help me.As a result, the body cannot exert strength.

And his breathing was very rapid.

Thick, short.

When Li Jingsheng saw the situation, he immediately suspected that Brother Qiang had a heart problem.

"It's a ten-minute drive from the nearest Second Hospital. Your condition is so serious, let Dr. Li show you first! Dr. Li has saved many people, and his medical skills should be very good."

Chu Yao trusted Li Jingsheng very much.

As a reporter, she must dig deep into Li Jingsheng's specific situation to a certain extent before reporting. Only after she has a detailed and accurate understanding can she dare to write a press release, and then ask the editor-in-chief of the newspaper for approval.

Fake news reports can directly destroy her career.

"Your condition is very similar to a cardiovascular disease. If it is serious, it can take your life in a short time. Now that I am a doctor, you don't have to think about anything. Just follow my instructions and cooperate with the diagnosis and treatment. gone."

Li Jingsheng knew what this man was thinking.

When is it, is face so important?
After hearing this, Brother Qiang didn't struggle anymore, and was supported by Li Jingsheng to lie down on the bed in the infusion room in the clinic.

This bed has wheels, so it can be pushed and run if necessary.

There are five patients in the infusion room, which is relatively quiet.

The venue of his clinic is only so big, with more customers and patients, it will naturally appear crowded.

After telling Brother Qiang to lie down, Li Jingsheng greeted Tang Ping, "Miss Tang, help him measure his blood pressure."

"Ok!"

Tang Ping immediately took a sphygmomanometer and came over to measure Brother Qiang's blood pressure, while Li Jingsheng began to directly auscultate his heart rate and heart and lung sounds with a stethoscope.

"It's atrial fibrillation, and it's continuous rapid atrial fibrillation, with a heart rate of 160."

Li Jingsheng's expression became serious in an instant.

"Then what should we do? Do you want to call 120 immediately?"

Chu Yao had never encountered such a thing before, and her hands were shaking with anxiety.

"Don't fight yet."

Li Jingsheng said to Xiao Gao who was busy selling medicine over there, "Doctor Gao, go to the health station and get some medicine. Our clinic doesn't have this medicine."

For the part of selling medicine, Han Siying can only take the top for the time being.

It just happened to be able to exercise her independence.

After Li Jingsheng wrote down the drug name and dosage to Xiao Gao, he asked him to go to the health station.

This kid is familiar with the road, and he should be familiar with people.

The current health station, from the head of the station to the doctors and nurses, should all have a very friendly attitude towards the Sunshine Clinic.

Especially the stationmaster Qiao himself. He and Li Jingsheng are both doctors in the First Hospital, and Li Jingsheng is now a celebrity in the Second Hospital.

Naturally, they are desperately trying to please.

The last time several pharmacies came to 'force the palace', you can see the attitude of the station master Qiao.

Just wipe out the most ignorant Huimin Pharmacy.

There is no need for Li Jingsheng to do it himself.

In fact, this is exactly the cleverness of Joe Stationmaster.If Li Jingsheng did it himself, I'm afraid it will be a big earthquake in the old street in the south of the city.

The Second Hospital is the absolute leader in the southern part of the city. Several pharmacies have teamed up to bully Li Jingsheng. Isn't this giving the Second Hospital eye drops?
At that time, the stationmaster Qiao will have to follow suit.

Therefore, the stationmaster Qiao took the initiative to clean up the door, which almost meant abandoning the pawns to protect the handsome.

The medicines to be taken are all prescription medicines, which are not available in the clinic.

The patient's current condition is not particularly bad. As long as he takes the medicine and takes a good rest, he should be able to turn the crisis into safety.

Li Jingsheng's current clinic has solved many problems. Health care medicines and general medicines have good purchase channels, medical skills have been improved, new venues have been established, and some funds have been saved.

Now it's just a matter of medical insurance.

If Xie Guiqiu can help him settle the matter of entering the collection, the fixed point of medical insurance will be solved accordingly.

He is looking forward to it more and more.

It's useless to just be anxious, it's already not easy to get the qualification for this queuing review.

This is due to Xie Guiqiu's great energy, and he can be so awesome when he comes out in person.

All you can do is wait patiently.

After Li Jingsheng arranged for Xiao Gao to get the medicine, he turned around and entered the infusion room to check the patient's condition.

Heart rate seems to be increasing.

The patient's complexion is also getting paler.

It must be lowered as soon as possible, or the patient's heart may collapse.

"Don't think about anything now, relax, take a deep breath as much as you can, and keep calm. I've asked someone to get the medicine, and I can treat you right away."

Li Jingsheng comforted the patient's emotions.

At this moment, the patient's heart must be full of fear, which will cause the blood vessels to constrict and the heart rate to further increase.

Blood pressure can also increase.

It is almost worse, a vicious circle.

Xiao Gao was very helpful, and the medicine was brought back soon.

Seeing him running profusely, Li Jingsheng had a new understanding of Xiao Gao's character.The photographer of this newspaper office is not close to Xiao Gao, and there was almost a quarrel last time.

Now Xiao Gao is willing to go all out to get the medicine in order to save this person, which shows that he puts the patient's safety first.

There are several types of borrowed medicine.

"Sister Tang, give this patient an injection first."

How much is the appropriate amount of deacetyllanatoside?

Li Jingsheng frowned while holding the borrowed medicine.Finally, he decided to use 0.4mg deacetyllanatoside plus 5ml of 20% glucose solution for intravenous injection.

After prescribing the prescription, give Tang Ping further checks.

After all, this is a cardiotonic drug, and it is a drug that should be used with caution in prescription drugs, and the risk is very high.

Tang Ping has strong professional ability, and having her check in can reduce the risk.

"Boss' level of medication is getting higher and higher now!"

After reading it, she couldn't help looking at Li Jingsheng with admiration.

"Just take medicine if there is no problem! I go to the Second Hospital every day for further study, and I have to make progress."

Li Jingsheng never dared to use these medicines before.

Now not only can it be used flexibly, but it also has a very high level of mastery of dosage and administration methods.

After Tang Ping gave the patient an injection, Li Jingsheng and she both stood by and watched nervously.

Li Jingsheng has been listening to the patient's heart sounds with a stethoscope.

Fifteen and six minutes later, Li Jingsheng's face became more relaxed than serious at the beginning.

Brother Qiang, who was lying on the infusion bed, also had a great improvement in his symptoms.

His face was not so pale, and his breathing became much calmer.

"Doctor Li, how is he doing now?"

Chu Yao stayed by the side all the time.

It can be seen that this female reporter is very kind.When she saw that brother Qiang was not well just now, she was so anxious that she was at a loss and was about to cry.

After all, he is very young, so he has never experienced such a thing.

In addition, girls are generally anxious when encountering emergencies.

"It should be fine for the time being. I will prescribe some oral medicine for him once a day, and you must remember to take it on time and in the right amount. If you have any problems, you should go to the chest stroke center of a large hospital in time. Like the situation just now , don’t go to the ordinary number. Even the emergency room is not the best way, it’s better to go to the green emergency channel of the chest pain center.”

Now slightly larger hospitals have established chest pain stroke centers, which are dedicated to opening up a life channel for patients with sudden cardiovascular diseases.

Sometimes, myocardial infarction and stroke can take the patient's life in a short period of time.

If you still follow the ordinary way of seeing a doctor, it is easy to miss the best chance for rescue and diagnosis.

Now in the emergency department of large hospitals, sometimes the queue is longer than that of the specialist department.

Because many patients think that going to the emergency department can see a doctor earlier, so they all go there.

Li Jingsheng prescribed oral digoxin to Brother Qiang.

This drug can be used for acute and chronic heart insufficiency such as high blood pressure, valvular heart disease, and congenital heart disease.and atrial fibrillation, atrial flutter, and supraventricular tachycardia with rapid ventricular rate.

It is a commonly used drug for outpatient treatment of such diseases.

Long-term medication is required.

Many western medicines have this shortcoming, and they cannot be discontinued.

For example, in hypertensive patients, many patients feel that their blood pressure is under control, and then stop the medicine.

As a result, tragedies occurred, and eventually cerebral infarction, cerebral hemorrhage, arteriosclerosis, coronary heart disease and other diseases occurred.

For long-term hypertensive patients, blood pressure must be controlled, otherwise the arteries will soon become atherosclerotic, which cannot be reversed.Some popular science claims that eating kelp, fungus and other foods can treat arteriosclerosis, nonsense.

For all diseases, prevention is better than cure.

Once it happens, it's hard to reverse it.

"Just take it on time. You can lie down and rest for a while, and wait until you fully recover before leaving."

After Li Jingsheng finished speaking, he nodded to Brother Qiang and Chu Yao, and walked outside.

"Doctor Li, how much is the treatment fee and medicine fee? I'll scan the QR code for you."

Chu Yao caught up with her two steps.

She was only focused on saving people just now, but she really didn't think about medical expenses.

"You have helped my clinic many times, and the treatment fee is free. By the way, I will ask Dr. Gao to bring you two boxes of health care medicine for beauty and detoxification. It is very good for the skin. I will give it to you."

Li Jingsheng said to her.

I have dealt with this female reporter several times.

Li Jingsheng had a general understanding of what kind of person she was.

"Your attitude has changed quite quickly! You must pay the fees that should be paid, and it is not easy for you to open a clinic."

Chu Yao was very surprised by the change of Li Jingsheng's attitude towards her.

At the same time, subconsciously touched the freckles on his face.

Maybe staying up late to catch up on manuscripts caused her to have a lot of freckles on her face.The skin tone is probably not too good.With makeup on now, I can't tell.

"It used to be my villainous heart. I believe that you are all good people. The news that will really harm my clinic will definitely not be published indiscriminately. I still have patients to deal with outside, so excuse me."

Li Jingsheng walked out after speaking.

Looking at his back, Chu Yao revealed an imperceptible smile.

It is undeniable that Li Jingsheng's change of attitude made her somewhat relieved.

After about half an hour, Brother Qiang and Chu Yao came out from inside.

"Thank you, Doctor Li! Let's go!"

Brother Qiang took the initiative to say hello to Li Jingsheng.

Just talking in a low voice.

I must be grateful to Li Jingsheng for saving his life.It's just that there is no way to completely change the attitude for a while.

"Is there anything wrong now?"

"much better."

Brother Qiang replied.

"Remember to take your medicine on time. You'd better go to a big hospital for a checkup with your atrial fibrillation."

Li Jingsheng can only deal with him in this way.

To further find out the cause of atrial fibrillation, it is necessary to go to a large hospital for echocardiography and other examinations.

"Doctor Gao, give Chu Yao three boxes of beauty and detoxification medicines."

"okay!"

Xiao Gao took three boxes from the counter and gave them to her in gift bags.

(End of this chapter)