Gou is practicing medicine in the clinic

Chapter 237 God-like uncle recruited a master
"After you go back, you should eat more high-protein, low-fat foods. Such as chicken, mutton, shrimp, fish, etc. The dosage of the medicine is written on it for you. Try it for a few days and continue to eat if it works. If you feel uncomfortable or abnormal, you must come to our clinic or go to the hospital for examination in time."

Li Jingsheng told the patient.

"Thank you, Dr. Li! It's just that the food you mentioned is very expensive. How can I eat it every day as a part-time worker!"

"You don't have to eat it every day. You can also order ordinary items, such as rice, cornmeal, carrots, bananas, and apples."

Li Jingsheng can understand the difficulties of patients.

It's true that people don't have that much money to buy a lot of fish and meat.

"Can bananas be okay? I heard that I need to eat more bananas for constipation. I have diarrhea, will eating bananas make it worse?" the patient asked.

"It's okay, you can't eat bananas as a staple food. And bananas won't aggravate your diarrhea."

"This time I have a bottom line in my heart! Thank you!"

The patient happily paid and left with the medicine.

The cost is not expensive, and the disease has been detected, which makes the patient very happy.

As long as there is a real effect after taking the medicine, she will definitely recommend Sunshine Clinic to people around her.

It is cheap to see a doctor, with excellent medical skills and remarkable curative effect.

After sending this patient away, Li Jingsheng went on to diagnose and treat the next patient.

He is an uncle who is nearly 60 years old, and he looks like he is struggling to breathe.Every time I inhale, it is almost the kind of desperate inhalation.

It was as if someone had covered his nose.

There are many types of dyspnea. In the eyes of doctors, there are three types that are first distinguished.

The first type is difficult to inhale, but the exhalation is not affected much.

Such as a cold and stuffy nose, it is easy to have this situation.

The second type is difficulty in exhaling. This type is a little less common, but it does happen.Most of them are lung problems.

The third type is the most common, difficulty exhaling and inhaling.For example, patients with respiratory failure or pneumonia are prone to dyspnea.

"Uncle, uncle, what's wrong with you?"

Li Jingsheng found that this uncle was really a model among men, and he was already sick like this. Ever since he came in, he had been staring at Mengluo.

It's really the kind that doesn't even bat an eye.

Now the patients in front have already left with their medicines, and he is still staring at Munro in a daze.

Men, no matter their age, they will be honest only when they hang on the wall.

"Oh, oh, it's my turn! I'm just a little out of breath."

After the uncle came back to his senses, he didn't feel embarrassed at all.

When a man reaches this age, his skin has long been worn and thickened.

"Girl, can you measure it for me too?"

"Just take his body temperature and blood pressure. Let me listen to the heart and lung sounds!"

Li Jingsheng said to Meng Luo.

"Ok!"

She responded lightly and began to measure the uncle's blood pressure and temperature.

I'm really convinced by this uncle, is he here to see beautiful women, or to treat illnesses?
Monroe took his forehead temperature, and he just looked up at others.

Faced with such patients or customers, Li Jingsheng must not like it very much.Men love to see beautiful women and can understand, and they are not so impolite!
Just take a few glances, it's very impolite to stare at Munro.

"The body temperature is normal, and the blood pressure is also normal."

"Okay, go inside and help Miss Tang! I'll call you later when something happens."

Li Jingsheng was a kind of protection for her.

It can be sensed that she must be very upset to be stared at by this old man.

It's just that it's in the trial stage now, and she doesn't dare to play any small emotions.

Fearing that Li Jingsheng would not be satisfied with her, she would not be hired.

She is also a smart girl, so she naturally knows that the boss is helping her avoid this impolite uncle.

Nodding gratefully to Li Jingsheng, he went to the drug sales area to learn how to sell drugs with Tang Ping.

If you want to get a high salary in the Sunshine Clinic, you still have to sell health medicines.

If you sell 100 yuan, you can get five yuan.

As long as her sales skills are not too bad, even if she is a novice, she should have no problem selling around [-] yuan a day.

Because now there are so many customers who come to Sunshine Clinic to buy medicines.

And they have a high degree of trust in the medicines here.

Many customers even come here by car or drive to buy.

"This nurse is so pretty!"

The uncle couldn't help boasting.

"Let's show you what the problem is first!"

Li Jingsheng shook his head with a smile.

When he auscultated the patient, he found that the patient not only had difficulty breathing, but also had problems when exhaling, which was obviously longer than normal exhalation time.And there are dry rales when exhaling.

There is no problem with the body temperature, and the possibility of infection and inflammation of the lungs, bronchi, and trachea is very small.

"Come on, lie down on the back bed and let me check your chest."

Li Jingsheng checked the uncle's chest and found that his chest was as round as a bucket.

When I was wearing clothes just now, I found that the uncle's chest looked a little fat, but he was not fat.

Looking at it now, there is indeed a problem.

His chest was markedly increased in anterior-posterior diameter and was barrel-shaped.

If you look closely at the ribs, the slope becomes significantly smaller.Under normal circumstances, the angle between the ribs and the spine is less than 45 degrees, but the angle between the ribs and the spine in this patient is significantly greater than 45 degrees.

Moreover, the intercostal space is widened and looks very full, and the upper corner of the abdomen is obviously enlarged.

This is the most typical barrel chest.

The occurrence of this situation indicates that the patient has severe pulmonary emphysema.

During the examination, he also found that the patient had obvious three concave signs when he inhaled.

I took a finger oxygen clip and came over to measure the patient's finger oxygen. The saturation was only 85%, which was far below the normal value.

Generally, if the blood oxygen is lower than 95%, you will feel a little uncomfortable, stuffy and so on.

This uncle's blood oxygen is so low, no wonder his face looks a little cyanotic.

Li Jingsheng was wondering at first why this uncle looked so red-faced.

Now I understand that there is a problem with blood oxygen.

"Uncle, there may be a problem with your lungs. I need to take a chest X-ray to check the situation. This is a separate charge of [-] yuan. Can you see it?"

"Money is not a problem, let's shoot!"

The uncle's clothes are not bad, and he is very bold.

To him, 100 yuan may really be just a small amount of money.

I don't know how to go to the clinic to see a doctor with so much money.And his condition is quite serious.

It should be safer to go to a big hospital for treatment.

At least ordinary people should think so.

Li Jingsheng took his uncle to the medical laboratory for an examination.It took a long time to take a clear picture. There was no other way. The equipment was old, so we had to make do with it.

Fortunately, it will be replaced soon.

The X-ray showed that the texture of the uncle's lungs was obviously thickened and a little messy.The anteroposterior diameter of the chest becomes enlarged, the intercostal spaces widen, the ribs become flat, the diaphragm is in a low and flat position, and the lung translucency seems to have increased.

But because the inspection equipment is not very good, it is not so clear.

After checking this step, Li Jingsheng had basically diagnosed what disease the patient had.

"Uncle, judging from the symptoms you described and the results of the X-ray examination, it looks a bit like chronic obstructive pulmonary disease. You'd better go to a big hospital for further examination of lung function, sputum culture, electrocardiogram, arterial blood gas analysis, so that Determine the cause."

Li Jingsheng persuaded the patient.

"If you don't go, the big hospital may not be as good as your small clinic! I was ill once and spent more than 7 yuan in Qiaobang Hospital. The medical insurance only reimbursed more than 3 yuan, and I personally paid about [-] yuan. Later, I went to the clinic to seek medical treatment from Chinese medicine practitioners, but I was told that it only cost two or three thousand yuan to cure me.”

The uncle waved his hands again and again, full of distrust towards the big hospital.

When Li Jingsheng heard this, he absolutely could not agree.

Big hospitals don’t necessarily have to be formal, as long as there are no random doctors, big hospitals will cost [-] yuan to cure a disease, and if treated in a clinic, the uncle may have already been lying in the cemetery to rest.

Of course, this must not be said.

Chinese medicine treatment is indeed cheap, but for some serious illnesses and emergencies, it is best to go to a big hospital.

"Can you treat it here? If you can, treat it for me. Money is not a problem."

The uncle sat up and put on his coat by himself.

"Since you don't want to go to a big hospital, I'll give you a try!"

Li Jingsheng can cure this disease.

But there are certain risks.

Because the uncle's situation is very serious.

Medicine was prescribed on the spot, because the condition was serious and infusion was needed.

5% glucose sodium chloride injection, azithromycin, intravenous infusion.

I was planning to use clindamycin, but finally chose to use azithromycin.

Then, considering the patient's difficulty in breathing, he prescribed a bottle of ipratropium aerosol, sprayed on it, and inhaled it.

When giving the uncle medicine, he did a skin test first, and then gave the infusion if there was no problem.

And tell Tang Ping to keep an eye on her.

There are many adverse reactions of azithromycin. Uncle’s condition is not very good. If there are some serious adverse reactions.Then the person who placed a wreath at the entrance of the clinic and was grabbed by the family members to kowtow to the patient was Li Jingsheng.

This uncle is really a god-man.

As long as Munro was there during the infusion, he must stare at her.

This made Munro very embarrassed.

Maybe the size of the clothes she was wearing was indeed a bit small, because other male customers, male patients, also peeked at her openly or secretly.

It can only be said that crows are generally black in the world, and everyone is similar.

After the uncle took the drip and used the spray, he felt much more comfortable.Finger oxygen has also been significantly improved, not bad.

Li Jingsheng's heart was suspended temporarily.

It's not easy to make some money.

When treating people, I'm afraid that something will happen to me.

The uncle didn't leave in a hurry, but bought three boxes of health medicine for strengthening kidney and nourishing yin from Mengluo.

I don't know if I want to get in touch with her more, or if I want to get acquainted with her.

Taking special care of her is for sure.

"Dr. Li, thank you for seeing me. I feel much better after the injection. I'll come back tomorrow."

The uncle took the medicine and left with a smile on his face.

Li Jingsheng shook his head with a smile, he was so seriously ill, and he was still thinking about some unreliable things.

He continued to treat other patients.

Around five o'clock in the afternoon, a man was helped into the room.

"Doctor, doctor, just now he was injured when he was riding a bicycle. There was a cut in his hand and a broken knee. Can you treat it here?"

The woman supporting the man is 27 years old.

She is very interesting, obviously only couples can be so close, she doesn't call the injured man her husband or boyfriend.

Instead, a word other was used instead.

Either you are thin-skinned, or you have just been dating for a short time, and you have not yet confirmed your relationship.

"Did you fall on an electric bike?"

Li Jingsheng got up and went to check the patient's injury. His hand was bleeding all the time.

He was wearing short sleeves, and when he fell to the ground, it was normally just a scratch, and a [-]-[-] cm long hole was broken. This buddy's luck is really a bit back.

"He and I rode a shared bicycle alone. When he turned his head to talk to me, he fell down for some reason. His hand may have hit the curb, and he bled on the spot. I saw a wound."

The woman was a little worried and a little nervous.

He described what happened very quickly.

"It was caused by my sweetheart! Let me check."

Li Jingsheng's words made the woman shy.

The man who fell was laughing.

"The cut isn't particularly deep, and a few stitches should be able to fix it. Can you use your hand now?"

Li Jingsheng was worried that the man's elbow bone was broken.

Because there is almost no fat layer on the elbow, it is easy to fracture after falling so hard.

"It seems that I can still use force, but it hurts, so I can't use too much force."

The man tried it, then said.

Li Jingsheng nodded.

"Sister Tang, bring some gauze over here, I'll help him stop the bleeding first."

Tang Ping asked Meng Luo to come over with a gauze belt.

What Li Jingsheng performed on the patient was to bind the proximal end to stop bleeding.

"Stop the bleeding for now. If you agree, we can take an X-ray first. As long as the bones are not severely fractured, I can clean the wound for you and then suture it. If there is a fracture, no If it is particularly serious, I can also treat it here, but if the injury is complicated, then you can only go to the second hospital for treatment."

After all, Li Jingsheng is the official attending doctor of the Second Hospital.

Now also a part of orthopedic surgery.

Definitely help it attract people.

His bandaging hemostasis is already at the proficient level, it is too easy to deal with such a simple hemostasis.

As he tightened the patient's arm, the bleeding quickly stopped.

"Row!"

The man readily agreed.

Li Jingsheng immediately took the man in and took a film.

No obvious fractures and joint dislocations were found, and only simple debridement and sutures were required.

After communicating with the patient, take it to the operating room for treatment.

The injured person's girlfriend stayed with her all the time, and rushed to pay the money.

It seems that if this buddy stumbles, his girlfriend will probably become a girlfriend, and it's worth it.

"Munro, follow me to the surgery for a minor operation."

After a greeting, Monroe followed into the operating room.

After all, Tang Ping still took care of her apprentice, so she also came in and helped her get all the necessary tools.This is still a little uneasy, and he still stands by and watches Monroe operate.

Just surprisingly, Munro looked a little clumsy at first looking for tools.

However, Li Jingsheng was amazed by the ability displayed during debridement and suturing in real surgery.

Tang Ping felt like she was being abused as a teacher.

Because Munro's performance is really good.

Needless to say, passing equipment, assisting Li Jingsheng to disinfect patients, local anesthesia, etc., she is very proficient.Moreover, the calm and masterful aura makes people know at a glance that they have practiced in the compound.

(End of this chapter)