Gou is practicing medicine in the clinic

Chapter 236 Diarrhea eight times a day, steatorrhea

Whether you join a regular company or a unit like a hospital, being fired will become a stain on your career.

When I was looking for a new job, I saw that I was fired by the original unit, and I could think of the ending with my toes.

Munro is a nurse, and like a doctor, they belong to a relatively special profession.

There were too many medical accidents, and she had certain responsibilities, which would definitely affect her finding a new job.

"Can you tell me the reason for the accident?"

Li Jingsheng's small clinic has just grown a bit, if he recruits an unreliable nurse, he will have an accident.

Even without a major accident, a small accident is enough to cause the Sunshine Clinic to suffer a huge setback.

When recruiting this female nurse, he must find out clearly.

"Because it is related to the patient's privacy, as well as the reputation of the original hospital and my previous department, can I just say something vaguely?"

When she asked, her eyes and tone were not pleading.

It's the kind of firm eyes that stick to the bottom line.

As long as Li Jingsheng doesn't agree, she will probably give up seeking a job here.

"Row!"

Li Jingsheng nodded.

"There are many reasons for the accident. The patient's constitution was special. Our preoperative examination was not in place. The patient and his family members did not inform the doctor of the truth. After a problem occurred during the operation, the surgeon and anesthesiologist failed to report to the superior according to the procedure in order to save the patient's life. I did not communicate with the family members, but decided to continue the operation privately, expand the operation, and finally tried my best to save the patient's life. Including anesthesia, chief surgeon, tour, and first medical assistant, they were all severely punished. She is a hand-washing nurse, and she is also given a relatively heavy punishment."

Speaking of the accident, she was full of helplessness and fear.

That was probably the most unforgettable thing that happened to her in her life.

"There was an accident during the operation, and there was no time to report it to the superiors, let alone communicate with the family members, and ask the family members to sign. Instead, they should be decisive in saving lives as soon as possible, right?"

Li Jingsheng had been in a big hospital for a few years at least, so he was quite clear about some of the difficulties of doctors.

There were some accidents and changes during the operation, and there was not much time left for the doctor.

It may be just one or two minutes of golden rescue time.

Following the procedure, it is estimated that the patient's vital signs have become a straight line before the family member signs.

I even heard that there are more exaggerated ones, only a second or two of thinking time.

In the event of sudden changes, the chief surgeon must respond in a very short time.

"more or less!"

She bit her lower lip and nodded vigorously.

"Okay, I have already understood your basic situation. You have passed the audit in terms of professional ethics. You can only know how about your professional skills and work attitude after trying it. If you want, you can try it in our clinic today. One day, when the time comes, I will decide whether to hire you according to the situation."

After Li Jingsheng asked about the basic situation, he was willing to give her a chance to try it out.

"Yes, I am very willing!"

When she heard that Li Jingsheng gave her a trial opportunity, she was so happy that she almost jumped up.

The liveliness of a young girl cannot be concealed by her reserve.

When they encounter particularly happy things, they can easily reveal their true colors.

"The last time I applied to Yang 2 Clinic, I actually came for the good reputation of your Sunshine Clinic. It's just that I didn't have enough social experience and was fooled by them. They also told me what is the semicolon of Sunshine Clinic, so I don't want it. Tell outsiders. An accident happened that day, and I was caught and kowtowed to the dead by the family members, and I was about to die of anger."

After she got the trial opportunity, her affection for Li Jingsheng doubled.

He expressed his grievances on the spot.

When young people enter the society, how many of them have never suffered?

There are too many routines in the city. Everyone has stepped on various pitfalls and been beaten by society to grow up.

"Take it as a lesson! It's been a long time for you. I hope you will perform well and strive to pass the probationary inspection and become a full-time employee of the Sunshine Clinic."

Li Jingsheng was not sure whether the female nurse was telling the truth.

After a few words of encouragement, he stood up.

"Sit here for a while, I'll ask Sister Tang to bring you a work uniform."

"OK, thanks!"

She stood up and watched Li Jingsheng leave.

Li Jingsheng returned to the reception hall. It was noon and there were no customers.

There are only two infusion patients in the adjacent infusion room.

Now because of the sufficient space, the renovated infusion room can accommodate [-] people for infusion at the same time.

If necessary, the adjacent room can be converted into a second infusion room.

The problem of restricting development due to the small site has long since ceased to exist since he moved to a new location.

As the Sunshine Clinic became more and more famous, surgical patients also came to seek treatment every few days.

It's a pity that the conditions are too simple, he has all the skills, but he dare not accept it.

I really hope that I can buy the equipment from the People's Hospital soon.

Every time a surgical patient is persuaded to leave, it is pushing money out!

And if you want to open up the surgical business, some basic hardware is essential.

That X-ray machine, I wanted to replace it 800 years earlier.

It is definitely reluctant to buy a new one, and the money has to be saved and used wisely.

He didn't say anything, but he had a big goal in his heart, hoping to buy the yard.

If a hospital really wants to establish a century-old foundation, it must have its own property.

A rented house is never stable.

When the contract expires, if people tell you to leave, you can only leave.

After suffering a loss once, Li Jingsheng was very persistent about the house.

"Is the girl gone?"

Tang Ping asked curiously.

"I roughly asked her about her basic situation. There should be no problem with her professional ethics. She said that she was deceived by someone when she applied to the Yang Er Clinic last time. The other party told her that it was the semicolon of the Sunshine Clinic. This matter Regardless of whether it's true or not, it's good to give her a chance, and our clinic really needs to recruit another nurse. This way you can take a normal vacation if you have something to do."

In the past, the business of the clinic was not good, and Tang Ping could take one day off every week.

Since the business was finished, it was very inconvenient for her to take a vacation.

Because injections, infusions, inspections of female patients' private parts, etc., all require her to operate.

There are also some treatments and medications that require nurses to review and sign to ensure the safety of diagnosis and treatment.

Therefore, it is necessary to recruit another certified nurse.

According to the current business volume of the clinic, recruiting another nurse can fully afford it.

"I didn't expect the Yang Er clinic to be so dark that even the little nurses were cheated."

When Tang Ping heard about Meng Luo's misfortune, she immediately felt sympathy.

"I can finally have a companion, happy!"

When she thought that she could rest normally in the future and have time to spend with her daughter, she couldn't help showing a yearning smile on her face.

"Sister Tang! I'm your companion too!"

Han Siying walked over and hugged Tang Ping's arm, feeling like a sister.

"Hehe, you are everywhere! When you go to the People's Hospital, I won't be with you!"

Tang Ping poked her forehead.

Han Siying is kind, simple, motivated, and has a very good understanding. She is indeed very popular with everyone.

Li Jingsheng looked at the two goblins with a smile on his face.

If the clinic didn't have these two beautiful young women, and there were only three big men left, then the clinic must be stagnant.

Customers and patients will have a much different impression of the clinic.

Especially the shopping and doctor experience.

"He will definitely come back to see you when the time comes! As long as I have a holiday, I will come to accompany you and see my master."

Her mouth is getting sweeter.

"Okay, okay, they say there are three women in one drama, and the chat between you two women is not over yet. Meng Luo is still waiting in the office. Sister Tang, please go get her some work clothes and change into Bring her here to work directly after she's ready. From now on, she will be your soldier, and whether you can take care of her well or not depends entirely on you."

Li Jingsheng hurriedly interrupted the chatting of the two women.

"No problem! We finally have two nurses in our clinic. I've been looking forward to it for a long time!"

The clinic has been very busy these past few months with many things happening.

She is responsible for the work of nurses, as well as the work of explaining to customers and patients.

Really hard work.

It's just that Li Jingsheng didn't say that he wanted to recruit nurses, so it was hard for her to bring it up.

Not long after, she came over with Munro who had changed her clothes.

Xiao Gao looked at Monroe, unable to move his eyes away.

Dr. Wang also took a sneak peek and swallowed his saliva.

"Munro is a bit tall, and the overalls might have been two or three sizes too big, and she was a little tight."

Tang Ping said to Li Jingsheng.

"After she passes the trial, I'll go and buy two work clothes that fit her size."

Li Jingsheng bought nurse work clothes according to Tang Ping's size.

This new set was worn by Munro, and it highlighted her good figure.

She was indeed five or six centimeters taller than Tang Ping.

Tang Ping took her to familiarize herself with the environment of the clinic.

"The toilets over there are for customers and patients, and there is no distinction between men's and women's toilets. Our employees usually go to the toilet on the second floor of the clinic, where the sanitary conditions are better. This is the infusion room, and there is the treatment room and treatment room. , over there is the operating room..."

Not long after, customers and patients came out to buy medicine or see a doctor after eating.

A thin, sallow-faced woman walked in.

He may not even be 1.5 meters tall, and he is at least over 50 years old. The wrinkles at the corners of his eyes, mouth, and forehead are quite obvious.

She came alone, without family members.

Dragging your legs while walking.

"Doctor Li, I've been having diarrhea recently, can you please help me take a look?"

The patient said weakly.

Listening to the accent, it doesn't look like a local.Speaks Mandarin, with a bit of plastic cavity.

"Please sit down, let me check for you first!"

Li Jingsheng gently motioned the patient to sit on the chair beside the consultation table.

Looking at the woman's clothes, it was very clean, but the quality of the clothes was average.Not even a salary brand.

It shows that she is usually very frugal.

But there was a rather large gold bracelet on the left wrist, gold earrings on the ears, and no necklace.

Typical rural middle-aged and elderly women's dress.

Urban women generally don't like to wear this kind of big gold bracelets. Rural women may never have a luxury in their life. If they earn money to buy a gold bracelet and wear it, they feel proud and extravagant.

Li Jingsheng was quite happy in his heart. This woman most likely came from the countryside to work as a nanny in the city, hoping to earn some money.

Belong to a member of the migrant workers.

Even she knew about the Sunshine Clinic, and called out Li Jingsheng's surname immediately, which showed that she was quite well-known in this area in the south of the city.

good thing.

As a doctor, the fame can attract a steady stream of patients to see a doctor.

The diagnosis and treatment business of Sunshine Clinic will be better and better.

There are no patients, let alone clinics, even the top three have to close.

And the bigger the hospital, the faster the death.

Just the salaries of personnel and various expenses are a super terrifying astronomical figure.

Originally, the number of emergency outpatient visits in a month was 100 million, but suddenly dropped to 50, which was directly cut in half. The hospital must not be able to maintain it!

"Monroe, come here!"

Li Jingsheng turned his head to look at Meng Luo who was with Tang Ping.

When she heard the boss calling, she hurriedly walked over, with a trace of nervousness on her face.

"You measure the lady's blood pressure, heart rate, body temperature and other basic signs."

"Ok!"

Like most of the new employees, she was somewhat nervous when taking the patient's physical signs for the first time.

When holding the temperature gun, I almost lost my grip and fell to the ground.

Fortunately, Li Jingsheng had quick eyesight and quick hands, so he quickly caught it.

If it breaks, it will cause pain to his boss.

It's not cheap either.

"Don't worry, take your time!"

Li Jingsheng didn't scold her, but comforted her gently.

If you scold her or stare at her at this time, it will only make her more nervous.

"In order to speed up, she will help you take your temperature and so on. I'm here to ask about your condition."

Li Jingsheng explained to the patient.

"Okay, you can ask!"

"How long have you had diarrhea?"

"It's been almost half a month, maybe a little longer. At the beginning, I only had diarrhea occasionally, but now I have diarrhea seven or eight times a day. The boss thought I was deliberately hiding from the toilet to be lazy. I was really wronged."

She said with a bitter face.

There are many types of diarrhea. Diarrhea occurs once or twice a day. As long as there are no serious problems such as blood in the stool, it is generally fine.

After two or three days, or five or six days, it will return to normal.

She has had diarrhea for more than half a month, and she has diarrhea seven or eight times a day. She must be sick.

It's not like simply eating a bad stomach or catching a cold in the abdomen.

"Have you seen the color and shape of the excreted stool?"

"This... is a bit disgusting, I didn't pay much attention to it."

The patient was obviously a little embarrassed.

Judging by her expression, she must have seen it.

Normal people will watch it.

After all, after having diarrhea for so long, what should I do if the diarrhea comes out with blood?
"There is nothing wrong with being sick. As doctors, we hope to help you find out the cause of your illness and cure your illness as soon as possible. You must also hope to return to normal as soon as possible."

Li Jingsheng said.

"That's right! You're so right. I heard people say that your medical ethics are good and your medical skills are excellent, so I came here on purpose. Two fellow villagers who came here to work together persuaded me to go to a big hospital, so I went straight to the hospital. I'm here for you."

Li Jingsheng felt very comfortable hearing the woman's flattering words.

"Let me ask one by one! Is the color of the stool smeared with blood, or is it black?"

Li Jingsheng must be kind to such loyal fans.

"It seems to be yellow, a little transparent."

She said she hadn't seen it before, but now she said it was yellow.This is the true state of mind of some patients.

This requires patient communication from doctors to dispel their embarrassment.

"Is there a bubble?"

"Have!"

"Is there a lot of defecation? Is there a lot of stool?"

"many!"

"Does it stink?"

"That must stink!"

"I mean, will it be more smelly than when it was normal before? Some patients with diarrhea have a stool that smells like rotten eggs, while others smell like rotten eggs, so you must tell the truth about the situation. I."

"Uh... it stinks, it's much smellier than the stools you passed out before, I can't say it, it just smells really bad."

"Do you have symptoms such as bloated stomach and lack of strength?"

"Oh, Dr. Li, no wonder everyone praises you for your excellent medical skills. You are right about all my symptoms!"

"I'm overwhelmed. Is there any difference in food intake compared to before?"

"There is no difference. It seems that I eat a little more, but I don't gain weight. Both my fellow villagers complained that they gained weight, but I didn't."

She also said a little proudly.

Diarrhea seven or eight times a day, even if I eat fat every day, I still can't gain weight!

Li Jingsheng basically finished asking what he needed to ask, and looked at Mong Luo.

She is not so nervous now, and the physical data has basically been measured.

Watching her do these things, the movements and key points are in place, very professional.

"How's your body temperature? No fever?"

Li Jingsheng asked her.

"The forehead temperature is 36.7 degrees, which is normal. The blood pressure is slightly high, but everything else is normal."

Meng Luo showed the written data to Li Jingsheng for review.

The writing is beautiful and neat.

It is written in Xingkai.

Hospitals now require doctors and nurses to write in regular script.In particular, when doctors prescribe medicines, only insiders can understand them before.

It is illegal to do so now.

At least most of the regular hospitals have all rectified it, expressly stipulating that doctors should not write cursive script when prescribing prescriptions.

"Please lie down on the examination bed over there, and I will examine your abdomen."

Li Jingsheng had already made up his mind, and out of caution, he had to do the last check.

There is a small room specially used for examination at the back to protect the privacy of patients.

Osteopathic treatments are also sometimes performed inside.

Because of some bone-setting reduction, the patient is required to cooperate with the treatment in a lying position.

For example, to reset the hip joint, the doctor needs to press down hard with the weight of the body to help the patient's joint return to its original position.

After this relocation, the clinic has improved in all aspects.

Many diagnostic and treatment operations are indeed simpler.

After examining the patient, no obvious mass was found in the abdomen.But there is a certain degree of tenderness in the lower abdomen.

It doesn't seem to have much to do with diarrhea.

"Your disease belongs to the more serious type of diarrhea. I suspect that it may be steatorrhea. Now arrange for infusion treatment for you, tentatively scheduled for three infusions, once a day, and it is best to come at a fixed time every day."

Li Jingsheng was already thinking about a medication plan in his mind.

Now the clinic can sell medicines by swiping the medical insurance card, and can also buy some prescription drugs by itself, which has greatly improved the clinic's diagnosis and treatment capabilities and patients' willingness to treat.

According to the patient's description, it is basically certain that it is steatorrhea.At the same time, from the analysis of her weight loss, there should be malabsorption syndrome.

Vitamin C, prescribed 40 tablets to the patient, orally.

Vitamin B complex, the same 40 tablets, is still taken orally.

Calcium tablets, also opened a bottle.

Folic acid, still a bottle.

Then he prescribed compound azinamide enteric-coated tablets and took it orally.This is mainly for steatorrhea.

Regardless of the piles of medicines prescribed, they are not expensive.

They are all relatively cheap drugs.

For such poor people, Li Jingsheng prescribes medicines for them, taking into account benefits and curative effects as much as possible.

Unless the patient insists on prescribing a good medicine, there is no way.

If someone is willing to pay the money, what else can he say.

Otherwise, try to prescribe cheaper medicine.Some expensive medicines even find ways to replace them with alternative medicines.

He will prescribe expensive medicines if there is no alternative medicine, or if he feels that patients need to take such good medicines.

(End of this chapter)