Gou is practicing medicine in the clinic

Chapter 251 Double Hearts?confident lad
After examination, the main pain area was in the left iliac fossa and pelvic cavity.

At this time, Li Jingsheng already had a bottom line in his heart, and his expression became serious.

Maybe, this patient needs to be pushed to a big hospital for treatment.

"You are afraid of intestinal ischemia or even thrombosis. Let me do an X-ray examination and B-ultrasound examination to see the condition of the abdominal cavity. Can you see it? Because it is a clinic, the fee is not expensive, only 100 yuan per visit. There’s no need to queue up yet. Just take a picture and see, you and I will feel at ease.”

Dr. Shao is worthy of having opened a clinic and practiced.

The words and skills of communicating with patients are really not comparable to Dr. Wang.

To hire Dr. Wang, Li Jingsheng offered a basic salary of three thousand.

To hire a master like Dr. Shao, he can offer a basic salary of [-].

"can!"

The patient readily agreed.

Li Jingsheng personally took a plain abdominal X-ray for the patient.

You can see that the intestines are obviously dilated and aerated.

If possible, it would be safer to check for a barium enema.

It is impossible for him to do this inspection here.

Then I checked the B-ultrasound.

It was relatively ideal and no obvious blood clots were found.

In fact, to check for thrombus, CT examination will be more accurate.

After the examination, Li Jingsheng looked at Dr. Shao.

"It should be ischemic enteritis, and the situation is not particularly serious. We can try medicine here. If the effect is not good, we can only go to the hospital for interventional surgery, or even resection of necrotic intestinal segments for treatment."

Dr. Shao gave his own conclusion.

"Doctor Li, I have to ask you to help check it out!"

The patient has sat up on his own.

"My diagnostic opinion coincides with Dr. Shao's. Judging from the film just taken, no obvious thrombus was found, and no obvious signs of necrosis were found in the intestinal tract. If you are willing to try treatment with us, you can give it now. You take medicine. Then you need to follow our arrangements for your diet in the past few days. If you can't eat anything, you must not eat it. "

Li Jingsheng said to the patient.

"Since you two doctors have said so, what else can I say? I am willing to try treatment here."

Patients have great trust in Sunshine Clinic.

"Doctor Shao, then you can prescribe medicine to the patient!"

"I'm going to use 5% glucose injection + 10% potassium chloride 10ml, metronidazole [-] gram, infusion to see the effect."

"Very good, this prescription can be regarded as a popular formula for treating this disease."

Li Jingsheng readily agreed.

From this prescription, it can be seen that Dr. Shao's prescription level is not inferior to that of senior attending physicians, and he is an attending physician in the third grade of the university.

Li Jingsheng's current level of prescriptions and medicines is also at this level.

All the life points he earned these days were used to improve his surgical skills.

The level of prescriptions and medicines is at the senior doctor level, which is completely sufficient for the time being.

"If the treatment is effective, I suggest switching to 500ml of low-molecular dextran and 20ml of compound salvia miltiorrhiza tomorrow, and try intravenous infusion."

Li Jingsheng proposed a combined medication plan.

Ischemic enteritis is actually more dangerous than imagined, and it is necessary to beware of thrombosis and intestinal necrosis.

Special care is taken in the treatment of such patients, even in large outpatient clinics, often requiring hospitalization.

Moreover, large hospitals have a great advantage. Before admission, they can complete the inspections that should be done.

After the patient is admitted to the hospital, medical staff will be on duty and monitored 24 hours a day.

As long as there is any abnormality in the patient, it can be discovered immediately.

"Dr. Li's level of medication is very high! It seems that as doctors, we really can't use age to judge the level of a doctor."

"Hehe, Dr. Li's level is of course high. Otherwise, I wouldn't have made a special trip to see him. I also ask the two doctors to take care of my illness. After I'm cured, I will try my best to help you do more publicity."

The patient really came here for Li Jingsheng.

After the patient prescribed the prescription, Tang Ping gave him the infusion herself.

Munro's level is actually very high, but her skills as a surgical nurse are stronger.

Dr. Shao began to diagnose and treat patients one by one, showing deep knowledge in many fields of internal medicine.

Li Jingsheng was acting as an assistant to Dr. Shao.

By the way, let's learn about Dr. Shao's true strength.

In case Dr. Shao made any omissions, he would definitely correct them in time.

Perhaps because Dr. Shao is relatively old, and he is convincing because he treats several patients in a row, the trust of the patients in the queue behind him has increased significantly.

At this time, a woman in her 40s sat beside the consultation table.

Her boobs are huge.

It's much bigger than the ones stuffed with cotton by those anchors.

"Doctor, I feel a dull pain in my chest recently, especially before going to bed at night and during the time when I wake up in the morning. I feel very uncomfortable. Can you help me take a look?"

As soon as he heard chest pain, Li Jingsheng immediately became highly vigilant.

But he didn't make a sound.

Instead, let's see how Dr. Shao handles it.

"Okay, let me listen to the heart and lung sounds for you first."

Dr. Shao first measured the patient's forehead temperature and found that the temperature was normal.

Then instruct the patient to press the probe of the stethoscope to the pericardium.

The operation process is much more prudent than that of Dr. Wang who was rash at work for the first time.

"Do you have a cough?"

"Occasionally I cough twice."

"It doesn't feel like a major problem. The heart sound sounds normal and clear, without any noise. I suggest you go home and observe again." Shao Bing didn't find out the specific cause of the patient, so naturally he wouldn't prescribe medicine randomly.

Moreover, for symptoms such as chest pain, doctors with a little more experience would not be able to prescribe carelessly.

"Dr. Li, can you please check me again? He said there is no big problem with me, but I can't believe it. Because when I got up in the morning, I felt really uncomfortable."

The female patient spoke quite politely.

Her figure is not the particularly obese type, she can only be regarded as slightly fat.

After hearing this, Li Jingsheng immediately took the stethoscope and listened to the patient's heart and lung sounds again.

It was really normal when I first listened to it.

But after he listened for a while, his brows frowned slightly.

Because he felt that the patient's heart sound seemed a bit deep, but not quite like it.

How should I put it, it sounds like a heartbeat.

Boom!
Then there is another lighter sound followed by repeating, but it is combined with the previous heart sound, so it sounds a bit dull.

"Is it okay to raise your hands above your head? It's kind of like stretching."

Li Jingsheng said to the patient.

The female patient glanced at him, a little embarrassed.

If she hadn't seen Li Jingsheng's serious face, she would have suspected that this young male doctor was not serious.

She still did as she was told.

Dr. Shao stared at her, couldn't help but look away, then turned back and continued staring.

Li Jingsheng, on the other hand, was more serious. He stared openly, frowning, and listened carefully to the changes in his heartbeat.

"Hey, that's right, just like that, you lift your right hand up and then press it down slightly on the right side."

Equivalent to bending to the right.

She did as she was told.

Li Jingsheng heard it clearly this time, there were really two heartbeats.

This is definitely not normal.

Normally, there may only be one heartbeat sound.

Could it be that this patient has a double heart?
There are no more than three cases of this deformity in the world, and many of them die in childhood.They may even die shortly after birth.

Only Aozhou has a female patient who was born with three hands and a strange tumor on her back.

It was the fourth hand, fused with the flesh on the back.

After a doctor's examination, it was discovered that the baby was an extremely rare twin with an abnormality.It's like two babies crammed into one body.

It was also found that most of the baby's internal organs were twins, and some were shared.

Later, an operation was performed on the child, and the third hand was removed, and the so-called tail was actually the fourth leg.

The other leg grows in the abdominal cavity.

After the scalpel removal, the baby looked like a relatively normal person.

The baby was lucky to survive after being carefully fed by the child's parents.

Since then, many organs in her body have been duplicated.

Until she was 21 years old, she died because of pregnancy.

When Li Jingsheng saw this medical case, he felt very unbelievable.

But since then, he has known that it is really possible for some people in this world to have two duplicate organs.

The heartbeats of the female patient in front of me were repeated and merged together.

What could be the reason?

Her breasts are large, and her ribcage is also larger than normal women.

"Is it true that there are two hearts?"

One of them is deformed and much weaker, so it makes two heartbeat sounds, one strong and one weak?

Li Jingsheng thought for a while and couldn't find the answer.

But the problem has been discovered.

"I heard two heartbeats in your body, I'll give you a B-ultrasound examination, do you think it's okay?"

Li Jingsheng found that after the clinic's hardware equipment was upgraded, it still felt that it was not enough when it was time to use it.

Desire to look forward to Shu, this is a common problem for all people.

Opening a clinic is naturally the same.

Some examinations can be perfected to help diagnose the real cause faster and more accurately.

"can!"

The patient readily agreed.

Take her to the medical technical examination room, because she is a female patient, and the examination part is the chest.

Li Jingsheng specially brought Tang Ping in to help.

Otherwise, if the patient accuses him of molestation, even if he jumps into the Yellow River, he won’t be able to wash away the accusation.

There is no surveillance installed in the medical technology room.

This is also to protect patient privacy.

After examination, Li Jingsheng found that the patient's heart structure was normal and there was only one heart.

There are not two.

Trying to check around a little bit, he soon discovered the clues.

A large sac-like shadow appears.

This should be the ascending aorta.

It can be seen that the echogenicity of the tube wall is obviously thickened.

"Oh my God, such a big tumor is located in the ascending aorta. What is this?"

After some diagnosis, Li Jingsheng determined that it was a super large aortic aneurysm.

"Dr. Li, have you found the problem?"

The patient is somewhat ashamed.

But seeing Li Jingsheng's surprised expression, she couldn't help but ask.

"Okay, put on your clothes! You have to go to a big hospital for further examination and treatment. Surgery is likely to be required."

Li Jingsheng tried to keep his tone calm when speaking.

The patient's current condition is very dangerous.

Such a large aortic aneurysm is equivalent to having an indeterminate time bomb in the body, which may be detonated at any time.

After Li Jingsheng printed out the test results, he went out first.

Tang Ping followed the patient out immediately.

"What disease am I suffering from? What has been found?"

The patient asked nervously.

She was terrified when she heard that she was going to a big hospital for surgery.

"I thought you had two hearts, because I heard the sound of two heartbeats, one big and one small. And they were very close together. I just checked the B-ultrasound and found out that it turned out to be an aneurysm. It has been It’s very big, you must not delay, you have to go to the hospital now. It’s best to call your family to go with you, and I’ll probably send you to the hospital.”

Li Jingsheng said to the patient.

"What is an aneurysm? It's not cancer, is it?"

Hearing the word tumor, patients are very scared.

"No, no, aneurysm is the result of blood vessel distortion. It is equivalent to a tube. One part of it swells and becomes a spherical shape. This is an aneurysm. It has nothing to do with cancer. You should need surgery to solve it .Before surgery, you must be particularly careful. If you are particularly excited or agitated, it will easily rupture."

Li Jingsheng didn't even dare to use the word "explode".

For fear of irritating her.

"It's fine if it's not cancer. According to you, as long as you're hospitalized for surgery, you'll be fine, right?"

"Correct!"

"Thank God! It's good to find out the cause of the disease. No wonder I've been feeling very uncomfortable recently! It seems that Dr. Li's medical skills are excellent!"

The patient paid for the examination.

100 yuan, really not much.

Then I took a taxi and went directly to the People's Hospital.

Her house should be nearby.

Because when she called her family just now, she said that she would go to the hospital first and asked her family to help her bring some clothes or something.

She also said that Dr. Li from the Sunshine Clinic told her that there was a time bomb inside her body that could explode at any time and her life would be in danger.

It was as if Li Jingsheng's words were an imperial edict.

Li Jingsheng was also secretly funny when he heard this.

After this patient's diagnosis, everyone couldn't help but trust Li Jingsheng's medical skills even more.

Dr. Shao said sarcastically, "I thought there was no big problem, but I didn't expect it was an aneurysm. It seems that in the future, Dr. Li will still need to diagnose cardiovascular diseases in person. I am really not good at this aspect."

Fortunately, Li Jingsheng stood by and watched.

Otherwise, what if the patient has an accident and the family members go to the clinic to make trouble?
This is a life.

Li Jingsheng will definitely not say much in front of the patients and their families now.

Otherwise, Dr. Shao is very old, and I might not be able to bear a few criticisms of him.

Diagnosis continues.

Near noon, a very special patient came.

He is not very old, only 27 or [-] years old, a very temperamental young man.

"Doctor, my arm is a little painful and seems to be swollen. Can you help me take a look?"

"How long has this been going on?"

Dr. Shao received this case and looked at it carefully. He seemed to be not very good at it.

"It's been almost two months. Because I was busy with work, I thought it was caused by over-exercise, so I didn't take it too seriously. The swelling has been severe these two days, so I just wanted to take the time to see a doctor. My own I checked on the Internet, and they said it might be due to over-exercising, and others said there might be a hematoma inside, it’s all there.”

The young man spoke very calmly, unhurriedly.

Moreover, the strong self-confidence he exudes is very calm, and he feels that he is not an ordinary guy.

"Doctor Li, this doesn't feel like a normal hematoma. I'm not very good at it, so please come here!"

Dr. Shao made a fool of himself once, but he behaved better this time.

Physician, he must be pretty good.But he is still incomparable to a monster like Li Jingsheng.

Li Jingsheng knows too many things.

And it can be quickly upgraded directly with the help of health points, this kind of achievement is really beyond the reach of ordinary people.

Any of his diagnostic and medical skills may really be a height that others will never reach in their lifetime.

"What kind of job does this handsome guy do? Can you tell me more about it?"

"I'm an e-commerce business, and I've caught up in recent years, so I'm very busy at work."

"No wonder you have an extraordinary temperament. No matter how busy you are at work, if you have a health problem, you can't delay it! A minor illness can easily turn into a serious illness."

Li Jingsheng persuaded and began to examine the patient.

His examination was pretty good, he just felt the bones directly.

Mastered the bone touch technique, and reached the Dacheng level, you can know if there is any problem with the bone by touching it.

(End of this chapter)