Gou is practicing medicine in the clinic

Chapter 253 Senior’s kind words, promised not to dig holes

"My dad doesn't have any other major problems, just a cough."

This is a disease in the inner realm.

Dr. Shao is very good at respiratory diseases, why does he say he can't cure them?
Li Jingsheng pondered secretly in his heart, and there was only one possibility that he could think of.

This patient is either extremely difficult to diagnose or has a major problem.

He glanced at the old man's two sons and daughters.

She was not badly dressed. The woman was about 34 years old and wore relatively heavy makeup.

The man is probably in his late [-]s and looks like a carefree social guy.

"Siying, come here and measure the old man's blood pressure."

Li Jingsheng called Han Siying over.

I feel that this patient should allow her to learn some knowledge that cannot be learned in textbooks.

"The blood pressure is very high, the high pressure is close to 180mmhg, and the low pressure is also relatively high, almost 120."

After she measured it, she said in a slightly surprised tone.

The old man's son kept staring at Han Siying's chest when he knelt down to measure the old man's blood pressure.

"Okay, you just stand back and study!"

Li Jingsheng did not ask her to do other examinations for the old man out of protecting his apprentice.

"Let me listen to your heart and lung sounds!"

He put on a stethoscope and auscultated the old man's heart and lung sounds.

Obvious dry and wet rales can be heard, as well as a high-pitched sound like a harp.

The serious condition of the old man is far beyond imagination.

This kind of patient will be treated with caution even in the hospital.

Li Jingsheng's small clinic can't stand this kind of turmoil, and the patient only earns a few hundred yuan after infusion for a week.But the patient had an accident, and the clinic immediately lost everything.

"Have you been to the hospital?"

He tentatively asked the family members.

"No. It's an old problem, and it happens once in a while. My dad is usually in good health."

The son rushed to answer.

The daughter swallowed back the words that came to her mouth, and glanced at her brother.

The two exchanged a look.

The woman didn't say anything.

"The old man's condition is still quite serious, and he is so old. You should take him to a big hospital to have a look."

"No, no, no, we believe in your Sunshine Clinic's medical skills. Everyone said that your place is good, so I brought my dad here. You can rest assured and treat my dad."

The man's attitude is firm.

If Li Jingsheng didn't have any knowledge, he wouldn't be able to get along in the old street in the south of the city.

How could he take such a case?
In terms of diagnosis level, I am afraid that even Boss Zhao, who has been driving for more than 20 years, has to call him a teacher.

"Go to a big hospital! I really can't be cured."

Li Jingsheng shook his head with regret.

"I really appreciate your trust in the Sunshine Clinic, but we are just a small clinic here, and there are many diseases that cannot be cured. Sometimes there is really nothing you can do, so hurry up and take the elderly to a big hospital!"

Even if he knew that the family members wanted to come to 'make a fortune', Li Jingsheng could not expose it, but persuaded him with good words.

It must be so.

"Can't it really be cured?"

"I'm a doctor. As long as I can treat patients, I can't help but treat patients. Besides, have you ever seen a clinic where the owner makes no money even though he's doing nothing? I can't really cure him, I'm sorry!"

Li Jingsheng refused again.

"Okay, sister, let's take dad to see other places!"

The two took the old man away.

The old man had been coughing very violently, and his hands were shaking slightly.

After the patient was pushed away, Li Jingsheng took care of the second patient.

This patient has a bone injury. His shoulder has been sprained for several days, and he has been unable to exert strength and is a little swollen.

After Li Jingsheng checked him, he found that the joint was not dislocated.

Mainly sprained soft tissue.

However, in order to prevent missed diagnosis or misdiagnosis, he still consulted the patient's opinion and did an X-ray examination.

Sure enough, it was consistent with his bone touching results.

"I checked it, and there is no major problem. If you want to heal faster, you can buy a bottle of safflower oil from us and rub it back, and then massage the wound yourself. It can help it quickly reduce swelling and blood stasis."

After seeing it, Li Jingsheng gave treatment advice to the patient.

The patient's clothes are very ordinary, and his hands are very rough. He should be a person doing hard work.

All you earn is hard-earned money, and your economic conditions should not be very good.

So he did not recommend a more expensive treatment plan.

In fact, if you give him a massage himself, you can get better faster.

But the price is not cheap, only 200 yuan per session.

It is estimated that it will take two to three massages to recover.

The patient finally bought a bottle of safflower oil for 11 yuan and left.

The medicine for promoting blood circulation and removing stasis, prepared by Boss Ye, is much more effective than safflower oil and bone-setting water.

The disadvantage is that it cannot be stored for a long time.

Generally, Li Jingsheng would only recommend it to patients with serious injuries.

Moreover, he bought it and gave it to patients himself.

After dealing with these two patients, it was time for dinner.

"Let's go to the office for dinner first! Just keep Sister Tang and Dr. Gao here." Li Jingsheng told them to hurry up and eat.

Because there are so many patients in the clinic now, after one o'clock in the afternoon, the clinic will become busy again.

"Boss, why can't the old man with cough be cured? I don't think his condition is as serious as imagined!"

Wang Zongxiao asked with some confusion.

Asking this way, there is also the idea of ​​being dissatisfied with Dr. Shao.

Because Dr. Wang is good at respiratory medicine.

"What would you do if it were you who came to see the doctor instead?"

Li Jingsheng didn't answer the question instead.

"This...isn't digging a hole for me?" Wang Zongxiao answered the question honestly like this last time, and then he was scolded by Li Jingsheng and asked him to write a self-criticism.

Once bitten, twice shy.

He was afraid that Li Jingsheng would dig another hole for him.

"Don't think so much! What am I going to do for you? You can answer according to your true thoughts. The last time I asked you to write a review, it was actually for your own good. We are doctors in clinics. If some thoughts are not corrected, it will be very easy to go wrong." detour."

Li Jingsheng said earnestly.

"Okay! Then I'll answer honestly, and I've agreed that you can't dig holes for me."

Dr. Wang's words made several people cover their mouths and laugh.

"If it were me who came to see the doctor, I would examine the patient carefully, then diagnose the cause, and prescribe a prescription according to the disease. It is estimated that the infusion can control the condition."

He said confidently.

"After Dr. Shao received the diagnosis, he only asked a few casual questions and did not perform any examination on the patient. He just said that the disease could not be cured. I felt very irresponsible to ask the patient to go to a larger hospital."

When he saw that Dr. Shao had just arrived, Li Jingsheng treated him like a guest of honor.

All kinds of preferential treatment made him jealous.

When he found that Dr. Shao couldn't even cure an old man with a cough, he immediately felt very unconvinced.

"You can't take patients like that! Let's be doctors, don't try to be brave. I'm a person who has suffered a lot. You must remember this experience I have summed up."

Shao Bing was not angry at all.

Instead, he kindly reminded Dr. Wang not to follow his old path.

In terms of magnanimity, Dr. Shao is obviously more than one step above Dr. Wang.

"Why can't I pick it up? Isn't it just older? The patients who come to the clinic are basically older patients."

Doctor Wang asked disapprovingly.

"I think it is necessary to assess the comprehensive risk when receiving patients. First, is the disease one you are good at, and what is the prognosis? Second, whether the patient has other underlying diseases. Third, what is the patient's age and physical condition? The probability of an accident is high, so you must give up decisively. Fourth, whether the family members and patients have malicious intentions. The old man coughing, basically the risk assessment of these four aspects is extremely high risk. It is wise not to accept it. "

Doctor Shao calmly analyzed the risks involved.

Doctors who open clinics have their own set of risk assessment methods.

The attitude of family members and patients is an extremely important part.

If the family members reveal faults and find faults, then there is no need to receive treatment.

Because as long as family members want to find fault, there will always be many ways to find fault.Even causing trouble and extorting a sum of money.

As long as the clinic is troubled by this kind of person once, no matter whether it is wrong or not, it will be stained.

Can't make it.

If you have to ask patients or their family members who have many such things, what should they do if they are sick and there is no doctor to treat them?
Then I'm afraid we can only quote Darwin's theory of biological evolution, survival of the fittest, survival of the fittest.

Even the Buddha only crosses predestined people.

Not to mention doctors.

"Doctor Wang, these are good words summed up by the predecessors with blood lessons, you have to study hard!"

Li Jingsheng reminded from the side.

Dr. Wang's level in the field of internal medicine is not bad.

Do things down-to-earth.

The disadvantage is that some of the ideas and work concepts of doctors in large hospitals have not changed.

Clinics and hospitals are actually different, and their business models are quite different.

"Then the old man who coughed today, will something happen if he receives a doctor?"

Dr. Wang's head is really strong.

It's no wonder that although his medical skills are not bad, he couldn't get along in a big hospital and was forced to resign.

"I don't say something will definitely happen, but at least [-]% of the time something will happen. You have been working here for a while, and you still have a lot to learn. What did the patient's son say when he left?"

Li Jingsheng asked Dr. Wang.

"Sister, let's take Dad to another place to see. Is there any problem?"

"Why didn't you say go to the hospital?"

Li Jingsheng asked with a smile.

Wang Jianzong is not stupid, and he will gradually feel better.

"I seem to understand. It seems that this matter is indeed too simple for me."

"You don't have to think everyone is so bad. Anyway, it is necessary to be on guard against others. Small clinics cannot withstand any storms. You must keep in mind. Just now you had the mentality of competing with Dr. Shao and just wanted to It is very undesirable to try to prove yourself and try to pick up that patient blindly. Write a reflection on this matter and leave it to me tomorrow."

Li Jingsheng said to Dr. Wang.

"Ah...you agreed not to dig a hole, why do you have to write a review?"

Wang Zongxiao instantly turned into a bitter face.

"It's not a review, it's a reflection. Through this incident, I want to see your growth. Next time you encounter a similar situation, you can have a deep impression and you won't make mistakes."

Li Jingsheng corrected.

To put it bluntly, isn’t it still a review?

Doctor Wang muttered softly.

(End of this chapter)