Gou is practicing medicine in the clinic

Chapter 27 It's Not a Cold

Li Jingsheng stared at his aunt first, his face looked much better than yesterday, and his mental state was also much better.

The drug efficacy and pharmacokinetics of the proficient level are really awesome.

To be honest, the treatment of cold patients has not had such a good effect before.What's more, this aunt also has wheezing and coughing, which can be regarded as more serious colds.

Without the use of antibiotics, such a satisfactory curative effect can be achieved in one day and one night, which is something that Li Jingsheng never dared to imagine before.

He also gained a little more confidence in his medication level.

"Thank you, thank you! Please come in!"

Li Jingsheng expressed his thanks to the aunt again and again.

"Sister Tang, please greet them first, I'll come out after washing up. A heart patient came last night, without the company of his family members. I sent him to the hospital for emergency treatment and came back very late."

Li Jingsheng still had lingering fears when he mentioned what happened last night.

When this kind of thing happened to his small clinic, it was like a cultivator going through a catastrophe.If there is a slight difference, it will be smashed to pieces.

"Oh my God... that patient is really good. He went to the doctor with a heart attack in the middle of the night and didn't let his family members accompany him. If something goes wrong, a life will be lost. Fortunately, I met you!"

Tang Ping's face turned pale after hearing this.

The two patients listened with their ears upright.

This kind of 60-year-old aunt loves to gossip, and she can't wait to get to the bottom of it.

Li Jingsheng didn't give them a chance to ask questions, and went directly inside to wash up.

He was very happy to open the door for business.

After washing up, Tang Ping had registered the symptoms, medical history and other information of the two patients.

The basic physical data such as blood pressure, body temperature, and heart rate have been measured.

She is just a nurse, unable to prescribe medicine, all she can do is to do the preparatory work well, and wait for Li Jingsheng to come to prescribe prescriptions according to the disease.

"I'll come one by one!"

Li Jingsheng went to the aunt for a follow-up visit first. His body temperature had already dropped, and his heart rate was a little too fast, which was still normal.

The current symptom is still a headache, but it is much better than yesterday.

This is normal.

Illness comes like a mountain down, sickness goes like a thread.

Even if it is a miracle medicine, it is impossible to recover immediately after taking it.

From illness to recovery, the human body is a process in which the immune system is attacked, and then the virus or disease is defeated, and the immune system is repaired and strengthened.

So recovery takes time.

I took anti-asthma medicine yesterday, and my aunt felt much more comfortable after the infusion.

When she breathed today, she almost didn't have asthma anymore, but Li Jingsheng auscultated her lung sounds, and thought that anti-asthma medicine should be used to consolidate the curative effect of the infusion today.

Aunt's main symptoms are fatigue, mild headache, and loss of appetite.

Loss of appetite after a cold is a common symptom.

There is usually a gradual recovery around the fourth day.

If it is a mild cold, it is also possible to regain your appetite the next day.

Glucose solution, anti-asthma medicine, and oral cold medicine, Li Jingsheng still prescribed these three medicines to the aunt, but the dosage was adjusted.

After the medicine was prepared, Tang Ping took the medicine and took the aunt into the infusion room inside for infusion.

no way.

The concept that infusion can cure all diseases has been deeply rooted in the hearts of the people. If you don't give infusion to the patient, the patient will not agree.

After Li Jingsheng dealt with the aunt, he asked the middle-aged woman brought by the aunt to sit in front of the consultation table.

"Your complaints are cough, phlegm, and a little fever, right?"

"Correct!"

The patient nodded slightly.

Li Jingsheng looked at the patient secretly. He was about 50 years old, with fair skin and slender fingers. He was wearing a ruby ​​ring and a watch with a brown leather strap on his left wrist.

Dress appropriately.

The clothes on his body are by no means street stalls costing 30 to [-] yuan, but mid-range priced clothes.

Regardless of workmanship, materials, and styles, there are certain details.

The aunt who was infusion was working as a nanny for someone else's family. This patient had shrewd eyes, a calm demeanor, and a relaxed atmosphere on his face.

He secretly thought in his heart that this patient may be a local resident, and his living standard should not be too bad.

Such patients generally have higher requirements for quality of life.

I seldom go to a small clinic to see a doctor when I am sick.

Now that I come to Li Jingsheng's clinic early in the morning, I can deduce two pieces of information.

First, she came here to see a doctor because the aunt praised the Sunshine Clinic's good medical skills. After taking the medicine, the aunt's asthma was relieved immediately, and it returned to a near-normal level this morning.

This kind of tangible curative effect is the easiest to gain the trust of others.

Second, her illness may be an emergency.

That is, sudden onset in a short period of time.

Judging from her symptoms, Li Jingsheng can already be preliminarily diagnosed with possible lesions in the three parts of the trachea, bronchi, and lungs.

Where the specific lesion is, further consultation is required.

If it is a hospital, the patient will be required to do a series of laboratory tests and related examinations.For example, take a film to see, do a blood test to see if there is any abnormality in the blood picture, etc.

Li Jingsheng's conditions here are simple, and he can only make up for it with medical skills.

"Ms. Ou, when did you develop cough and other symptoms?"

"I had a little cough last night, and it's getting worse."

"Did you cough before this?"

"No cough."

"Have you ever had a similar illness before?"

"I have never had a sudden cough like this for no reason. At most, I have a cough for a few days when I am recovering from a cold."

"Do you have a sore throat?"

"It hurts a little."

Li Jingsheng's medical consultation came to an end, and the basic information that should be understood was almost covered.

Similar to his inference, the patient received an emergency department.

It started suddenly last night.

In such a short period of time, the patient's body temperature reached 38.7, indicating that it must be acute inflammation.

"Open your mouth, let me check your tonsils."

The patient opened his mouth wide and raised his neck slightly.

It can be clearly seen that her teeth are well protected, well brushed, and as white as porcelain.

At this age, many middle-aged women not only have dental caries and rotten bad teeth, but also many of them have yellow teeth, bad breath, and extremely serious dental calculus.

"The tonsils are normal and not inflamed. Let me auscultate your lung sounds."

When Li Jingsheng took the stethoscope to listen to her lung sounds, he could see her frowning slightly.

This is an expression of reluctance.

Some female patients will feel this kind of repulsion when they accept the heart and lung sound auscultation examination by a male doctor.

What the doctor has to do is to look serious and try to resolve the patient's worries.

Let them understand that this is treating a disease, and it can completely throw away the thoughts of men and women.

"The breath sounds in both lungs are rough...don't move, don't cough yet."

Li Jingsheng's expression became extremely focused, preventing the patient from coughing.

"Scattered dry and wet rales can be heard in both lower lungs. It's only one night, so it shouldn't affect the lungs!"

His frown deepened.

The proficient level of respiratory internal medicine diagnosis always feels that it is not enough.

It would be ideal to be able to upgrade to another level.

He currently has 60 health points left.

Diagnosis: Proficiency in Respiratory Medicine 72.4/100.

To upgrade this diagnostic medical skill to the next level, 28 health points are required.

This female patient is undoubtedly a local resident, and her living conditions are better. The people she knows will basically be of this level.The advertising effect that can be obtained by curing her disease will be very attractive.

Li Jingsheng's clinic treats all poor people, those who barely reach the food and clothing line, or struggle below the food and clothing line.

This kind of patients can't wait to spend a dollar in half.

Seeing a doctor is also reluctant to spend money.

It is impossible to make much money from them.

If you recommend a medicine with better curative effect, which costs a few dollars more, they will scream and shake their heads.

Those who can really bring high benefits to the clinic must be small wealthy families with a decent life.

Not particularly rich, but life is fairly comfortable.

If the curative effect can satisfy the female patient in front of him, Li Jingsheng has successfully opened a hole in the wealthy class.There will be opportunities to see more such patients in the future.

Gritting his teeth, he decided to upgrade the diagnosis of respiratory medicine to another level.

(End of this chapter)