Gou is practicing medicine in the clinic

Chapter 223 One Breakthrough, I Come Over to Learn More
The taxi driver closed his mouth knowingly.

The car was speeding down the street and arrived at the Second Hospital not long after.

After paying eight yuan, Li Jingsheng got out of the car.

The two girls in smoky clothes also breathed a sigh of relief. Seeing Li Jingsheng getting off the car at the gate of the Second Hospital, they believed in Li Jingsheng's identity to some extent.

However, there will be no intersection between the two sides.

Living in a big city, there are too many people passing by every day.

Li Jingsheng walked quickly to the hospital.

At night, the outpatient clinic was dark, and many glass doors were locked.

But still able to get in and out.

After he entered, he took the elevator directly to the fourth floor, and then started walking through the aisles like a maze.

It is often not easy for patients and their family members who come to the Second Hospital for treatment for the first time to find outpatient clinics that need treatment.It's easy to get lost inside.

Despite the signs all over the walls.

When he arrived at the inpatient building where the orthopedic surgery department was located, he took the elevator directly to the sixth floor.

"Doctor Li, why did you come here at night? There is no accident in our department!"

The nurse girls on the night shift asked in surprise when they saw him.

"I don't go to work tomorrow. I heard from Dr. Qin that the patient in bed 53 had a fever at night. I'll come over and have a look. Are you busy tonight?"

"It's okay! It's okay for now, but you must not talk nonsense! Otherwise, we will get busy later, and we will definitely blame you."

"Haha, doctors are all atheists, do you still believe that?"

Li Jingsheng thinks these nurse girls are cute sometimes.

Of course, they are also fierce when they lose their temper.

You probably won't be able to scold Li Jingsheng, but with a little discernment, you can tell that he is now a celebrity in orthopedic surgery and an upstart.

If you really offend him, there will probably be no good fruit to eat.

After chatting with the nurses, Li Jingsheng borrowed a thermometer and went straight to bed 53.

"I heard it started to burn again?"

Li Jingsheng asked his family members.

The patient was lying on the bed, dazed and in a very bad state of mind.

Maybe he didn't eat much, and his spirit was decadent, so he looked even sicker.

"It's you! I almost didn't recognize it!"

The family members looked at Li Jingsheng carefully, and then recognized him as the young doctor who came over at noon.

Li Jingsheng has taken the patient's forehead temperature.

37.5 degrees, low fever.

"I was off work. When I heard that your son had a fever, I came here to take a look, so I didn't wear work clothes."

Li Jingsheng explained with a smile.

"A little fever, indeed. How long has he been this way?"

"I didn't notice it before, it only appeared in the last few days!" The family members were not too sure.

It has been three months since the patient underwent the operation. If the patient has a low-grade fever after the operation, the energy will definitely come out.

It is difficult because there will be a doctor's order for intensive care after the operation.

Some even take half an hour to measure body temperature and blood pressure, and observe drainage.

If there is any abnormality, it needs to be reported to the doctor immediately.

Postoperative bleeding, thrombosis, and various complications are very dangerous.

"I'll check it out for you again!"

After he greeted the patient, he tried to touch the patient's bone again.

Probably because of the fever, the patient's back is sweaty and feels a little sticky.

The bone image still has that kind of wooden feeling, which can't be described, as if touching a frosted surface.But there are certain differences.

And concentrated on the large piece of the injured vertebrae, extending to both ends.

"The patient's condition seems to be progressing!"

After Li Jingsheng felt it carefully, he found that compared with the bone image he felt at noon, the scope of the patient's bone disease seemed to expand a little.Although it was rare, it happened to be at the position of the fifth vertebrae, so he was very impressed.

Since it was not an aseptic inflammation, the X-rays taken were fine, but the vertebral lesions were still progressing.

What could be the reason?

This kind of wooden bone image has never been touched before, and there is no way to refer to it.

So, the doctor is quite experienced.

In some cases, you need to accumulate more, and you can learn more by seeing more.

After he checked the patient carefully, there was no other abnormality.

There is no way to diagnose it.

Not to mention him, all the directors of the Orthopedic Surgery Department have already joined the battle, but the cause of this patient's cause is extremely hidden and cannot be found out at all.

He walked to the nurse's station and returned the thermometer.

The family member chased him and asked him, "I told you yesterday that my son had a fever at night, and you said it was fine without measuring it. How is it now? The doctor has already measured it and confirmed that my son has a fever. I will definitely complain tomorrow. you."

This woman doesn't know whether she received insufficient education or received too little beating in society.

He insisted on the slightest thing and offended the nurse to death.

Really worried for her son.

Nurses are responsible for infusions, dressing changes, etc.

However, there will be some differences in treatment. It is quite normal that the problems reported by family members and patients will not be dealt with.

As for complaints, if a family member complains to multiple patients and doctors, is the medical department really a fool?
In all likelihood, this woman should be defined as crazy.

At that time, it will be mostly bureaucratic, and will not really have any substantive treatment.

The hospital itself is not owned by a single person, but a whole composed of all medical staff, administrative staff, and miscellaneous staff.

"If there is no problem with the measurement yesterday, then it is fine. If you like to complain, there is nothing we can do about it."

The nurse looked cold.

The two young nurses were so angry that their noses were no longer noses, and their mouths were no longer mouths.

Only the older nurse in charge spoke to the female family member.

Just saying what she said might be enough for her to choke.

"You guys are obviously dereliction of duty, bullying no one in my family, right? I'll go to the Health Bureau tomorrow to complain to you..."

This female family member breathed out a fragrance, which made people frown.

"Auntie, calm down first. The most important thing now is to find out the cause of your son. I will report the problem of our nurse teacher to the higher authorities."

Li Jingsheng persuaded the female family member to go back.

It's not the Health Bureau for a long time, and everyone knows that it's a local leopard who doesn't understand anything.

But it is a bit troublesome to really complain.

The impact on the hospital is not good either.

Li Jingsheng persuaded him to go back, and it was regarded as a peace of mind.

It took him a year to open the clinic, and he learned some tact that he should have.

There is really nothing to care about with this kind of family.

In the hospital, which medical staff would be afraid of her threat?In the end, she was the one who suffered the most.

"Doctor Li, why do you still care about this kind of person. Tomorrow we will find a way to persuade him to leave the hospital. It's too much trouble."

"Patients and family members have different qualities, so why do you have to be as knowledgeable as her! I'll order some cups of milk tea for you later, to relieve the fire."

Li Jingsheng comforted them.

"Only Dr. Li tolerates this kind of person. Alright, alright, for your sake, let's not have the same knowledge as this kind of person."

"Women should smile more and be more happy, otherwise they will get old easily! They will also get freckles easily!"

Seeing that he had persuaded both parties, Li Jingsheng breathed a sigh of relief.

If the nurse is not persuaded, the patient may be discharged the next day.

Don't doubt their strength.

"Ah...you are so annoying! Don't you know that we women are most afraid of getting old and ugly?"

The nurses are coquettish.

"Hehe, I'm just reminding you! How many people are there in the evening shift? I can place an order."

"Five nurses are on night shift. Why are you flattering us so much? It's impossible to think about any of us. You already have girlfriends. And it's our Orthopedic Surgery Department, or even the No. Beautiful female doctor."

"It's really useless to please you. If there is anything, I just want to ask you to help take care of Dr. Ou."

"Don't worry, the sisters will definitely treat Dr. Ou as their own. I like coconut-flavored milk tea, can you satisfy me?"

"No problem at all. How about the two of you?"

"I love the smell of milk!"

"I do whatever I want!"

Li Jingsheng placed an order online according to their taste requirements and ordered five glasses.When I came to the doctor's office, the light was on.

Normally, the lights would be on all night and a doctor would be on duty.

"Doctor Qin, are you alone on duty at night?"

Li Jingsheng greeted with a smile.

The tense relationship between the two has improved recently.

Doctor Qin knew that he was no match for Li Jingsheng, so he basically compromised on his own initiative.

"Are you really coming here?"

Qin Fei must have known that he was coming.

After all, the doctor's office is next to the nurse's station.

As long as you are not deaf, you can definitely hear his voice.

"I don't go to work tomorrow, so I just want to come and have a look. You are busy with your work, and I will leave after a while."

Li Jingsheng turned on the computer to log in to his account, and then began to check the patient's information.

Fever at night, body temperature during the day is normal, the spine is good for X-rays, but it feels a little numb to the touch, and it is still expanding. The patient's lower limbs have been paralyzed, and accompanied by lumbar pain...

While checking the patient's information, he sorted out the information he found, and then thought hard about the reasons.

"Will there be a problem with the patient's immune system?"

His immunodiagnosis has been at the introductory stage, and after thinking about it now, he decided to upgrade this diagnostic medical skill.

I was really willing to spend 500 health points to upgrade this medical skill from basic level to small level.One step in place, directly has the diagnosis level of senior senior attending level.

For the diagnosis and analysis of various immune diseases, there has been a leap beyond imagination.

"The tumor can be ruled out!"

"Judging from some of the patient's performance, rheumatic immune lesions may also be ruled out."

"What about the immune system being infected? There seems to be a little bit of a fit."

Li Jingsheng kept thinking in his mind that he was able to clearly understand Renquan's immune disease diagnosis.

Most diseases in the human body are caused by a compromised immune system.

Then the cure, again because of the existence of the immune system, can be cured.

rather than drugs or surgery.

Improving immune diagnosis will have immeasurable benefits to his overall diagnosis and treatment level.

After layers of analysis and diagnosis, he believed that the patient's immune system was probably destroyed by infection.

Infected with what?

bacteria?Virus?Or something else.

Reminiscent of the deep wound on the back and lumbar spine of the patient after the car accident at that time, and the patient was soaked in the smelly ditch on the side of the road, the possibility of infection with bacteria and viruses does exist.

After the human body loses the barrier of the skin, it is very susceptible to various bacterial infections.

There was no particularly obvious abnormality in the blood routine, only a slight increase in white blood cells.

However, considering that the patient's bone lesions are still progressing, and he does not have a fever during the day, but has a fever at night, is it a parasitic infection that is more difficult to deal with than bacteria and viruses?
Some parasites are very scary, such as brain-eating worms, double-slot larvae, etc., which make human beings frightened by the news.

Someone likes to eat snake meat, but ten years later, he went to the hospital for an examination because of unbearable headaches. The doctor took out a [-]-centimeter-long bicephalic larva from his brain.

This kind of parasite needs to be boiled for more than 5 minutes with [-] degrees of boiling water to kill it.

If it hides deep in the meat of snakes or frogs, it can easily escape.

After entering the human body, it will gradually adapt and parasitize down.

Li Jingsheng is not too sure that this patient is caused by parasites, but he thinks it is worth investigating.

Looking at the time, it was already past 20:[-] in the evening.

He sent a message to Director Hua, briefly explaining his diagnostic thinking and some subtle findings.It is recommended that Director Hua do a parasite investigation on the patient tomorrow.

The strangest thing about this patient is that the eosinophilic neutrophils did not increase significantly.

Otherwise, the investigation would have been done long ago.

It was also because of this that Li Jingsheng didn't know what to do.

Unexpectedly, Director Hua replied to him immediately after receiving the message.

"Haven't gone to bed so late? I will arrange for the patient to be checked in this regard tomorrow morning."

"Anyway, I can't sleep. I heard Dr. Qin said that the patient had a fever at night, so I came over to check it out. I'm going to go back to sleep soon."

Li Jingsheng was somewhat restrained when he sent messages to talk with the director of the department.

"have a good rest!"

Followed by a thumbs up praise emoji.

"Okay, good night!"

After Li Jingsheng replied, there was one more thing to be resolved.

I have to go see the female patient with enlarged kidneys in the urology department.It's just a little late now, so he brought his work clothes.

Although the inpatient departments of orthopedic surgery and urology are in the same building, Li Jingsheng is not familiar with them.

When I came to the eighth floor, I smelled the smell of disinfectant and urine as soon as I got out of the elevator.

Many patients here need catheterization or even a urine bag on their waist.

Sometimes it leaks or gets on the quilt or clothes, and it will smell a little bit.

When this floor is full of such patients, even if only a small number of patients have this condition, the smell of ammonia is still a bit strong.

Li Jingsheng's visit was immediately discovered by the nurses at the nurse's station.

They looked at Li Jingsheng warily.

Because they were not doctors from the same department at all, they naturally didn't know this handsome young doctor.

"Excuse me, are you looking for someone?"

A female nurse with brown hair and a slender face stared at him and asked.

"I am Li Jingsheng, an orthopedic surgeon, and this is my work ID."

Li Jingsheng must show his identity and gain their trust.

"Why are you here? Which nurse sister is on duty with us?"

Married female nurses are bolder than those unmarried little girls, and they speak so directly.

It made Li Jingsheng, an old fritter, blush a little.

"I would like to ask if the patient in bed 37 is called Chen Guixiang?"

"Yes! You came to find her?"

"Are you Dr. Tan Shuilin on the night shift tonight?"

"It's just inside. Dr. Tan, Dr. Li from orthopedic surgery is here to chat with you!"

The female nurse smiled and shouted into the doctor's office.

This female nurse is too skinny.

"come in!"

A tall young doctor appeared at the door of the doctor's office, looked at Li Jingsheng twice, and waved to him.

This person wears glasses and looks 32 or [-] years old.

No matter how old you are, you are considered very young in the team of doctors.

"Hello! My name is Li Jingsheng. I came to see you because I want you to take me to see the female patient named Chen Guixiang, who has edema of both kidneys."

Li Jingsheng didn't go in, but directly expressed his intention to the other party.

"You are this?"

"I also saw the patient's information from Director Mu, and I was very interested, so I wanted to come here to broaden my horizons. Is it convenient for Dr. Tan to read it?"

"Convenient, very convenient! I'll take you there!"

After Tan Shuilin heard this, he did not refuse.

Young doctors like to delve into difficult cases, which is a sign of motivation.Any young doctor like this has some skills.

Tan Shuilin had never heard of Li Jingsheng's name.

After all, Li Jingsheng has not been in the Second Hospital for a long time, and he may be more famous in orthopedic surgery.

Then he was well-known by some top chief physicians in internal medicine, emergency department and cardiac surgery.

On the contrary, the doctors at the lower level knew very little.

"This female patient is the strangest case I have ever encountered in my practice. It is clearly a kidney disease, but after symptomatic treatment, it has been ineffective. Are you also engaged in research in this field?"

Tan Shuilin introduced the situation as he walked.

He didn't know Li Jingsheng's name at all, but as long as this case was solved by Li Jingsheng, he might come over to say hello to Li Jingsheng if he saw it from afar.

(End of this chapter)