Gou is practicing medicine in the clinic

Chapter 28 The Real Cause Has Been Found Out

Directly added 28 health points to this medical skill.

"Depend on!"

Li Jingsheng was full of anticipation and thought about upgrading this medical skill, but unexpectedly he was promoted to a proficiency of 99.4/100 in respiratory medicine, and then he got stuck.

A total of only 27 health points were consumed.

There has been one experience with this upgrade being unsuccessful.

He knew that something must be holding back this medical skill.

It took a full 27 points of precious life points to fail to upgrade successfully, which is a heartache!

Even though the life points won't run away after being added, and the proficiency required to advance to the next level of this medical skill has also been reduced from 27.6 to 0.6, but the failure to upgrade still makes him very depressed.

The main reason is that he is not rich now, and every bit of life is worth calculating and using.

It was a waste of 27 points. If it is used to upgrade entry-level medical skills, at least two can be upgraded.

General surgery diagnosis and cardiovascular medicine diagnosis are both entry-level, and he is not willing to spend money to upgrade them.

Depression belongs to depression, now I have to stabilize my mind, first get rid of the patient in front of me.

There is not even time to explore the specific reasons why the upgrade failed.

At this time, the patient was covering his chest and coughing violently, and his face was red from coughing.

When spitting into the trash can, Li Jingsheng took a special look at it.

It is white mucus.

Spitting white sticky sputum and purulent sputum are all manifestations of body cold.

Is it a cold?
Colds are divided into wind-heat and wind-cold. Different types of colds require completely different medications.

Some people take cold medicine after catching a cold and find that it has no effect at all.

It may even worsen symptoms.

This depends on whether the cold medicine you are taking is 'different from the opposite'?

It's obviously a cold with wind-heat, but you insist on taking medicine for cold and cold, isn't that silly?
It is too hasty to directly conclude that it is a cold due to fever, cough, and white sticky phlegm.

When it comes to treating other diseases, Li Jingsheng may have limited experience.

But he has opened the clinic for more than nine months, and the most common disease he encounters is colds.

I always feel that the symptoms of this female patient are slightly different from those of a cold.

Moreover, her complexion and symptoms are different from those of a cold.

This kind of keen diagnostic ability can only be practiced if you often deal with cold patients and accumulate rich experience.

If it's not a cold, what could it be?
It's a pity that his respiratory internal medicine diagnosis upgrade is stuck, otherwise he should be able to easily diagnose the cause and type of disease.

"Let me listen to your lung sounds again!"

Li Jingsheng said to the patient.

"Didn't you hear it just now?"

The patient was a little unhappy this time.

Being listened to by a male doctor with a cold probe on his chest was a bit repulsive.

In order to cure the disease, she endured it for the first time.

Now Li Jingsheng wanted to listen to it a second time, which made her suspect that the male doctor in front of her had impure motives.

"During the auscultation just now, I heard scattered dry and wet rales. After you cough and expel the sputum in the lungs, there may be changes. This is very important for me to diagnose the cause. Therefore, I need to auscultate again or even two or three times."

Li Jingsheng patiently explained to her.

"If you feel offended during the auscultation, you can also hold the probe, and then I will instruct you where to stick the probe, and I will be in charge of the auscultation."

The appearance of this female patient can only be regarded as upper-middle level.

The atmosphere is not bad.

It is still charming!
But if Li Jingsheng had any evil thoughts about her, it would be insulting him as a doctor.

"Is it sticking to the chest as you did just now?"

"Yes! However, the position of the lung sounds may change during auscultation. I will make a new discovery and direct you to move the probe."

"can."

She directly took the auscultation probe and stuck it to her chest.

Then move slowly under the command of Li Jingsheng.

Auscultating lung sounds and heart sounds to adult women is actually a very troublesome thing.Because many women have a thick layer of fat on their breasts, this can seriously hinder auscultation.

"Sure enough, there was a change. After coughing and expectoration, the dry and wet rales in both lungs disappeared."

Li Jingsheng said a little excitedly.

For doctors, when diagnosing patients, they will feel very happy every time there is a new diagnosis.

Because it means that it is one step closer to finding the cause.

The patient could also tell that the young male doctor was really serious about treating her and did not take advantage of her.

His face softened a lot.

"Have you found out what disease it is?"

she asked expectantly.

"Not yet, but great progress has been made. Did you do anything yesterday before you coughed?"

"No, just water the flowers, trim the leaves, and read a book as usual. Because I started coughing during dinner, I didn't go to the square dance after dinner..."

Ten aunts and nine dancers.

I don't know where the charm of square dancing comes from?
Li Jingsheng got an important message from her narration.

"Cough, sputum, and white sticky sputum, accompanied by acute fever, inflammation of the tonsils has been basically ruled out. The possibility of infection in the upper respiratory tract is less likely, the lungs have a good defense system, and they were infected in such a short period of time, and There is almost no possibility of causing pneumonia. Then there are only bronchi and trachea left."

His eyes brightened little by little.

The clues were gradually clarified, and the fog was continuously cleared.

"I had been in contact with flowers and plants before the onset of the disease. It is likely to be allergic bronchi and tracheal inflammation caused by pollen... Yes, it is likely to be like this."

After Li Jingsheng got the preliminary diagnosis result, he decided that it would be safer to do an examination for the patient.

He has no way to check for virus infection here, and he can't check for virus antibodies, mycoplasma antibodies, and chlamydia antibodies.

This is also the helplessness of small clinics.

But he has an X-ray examination equipment that can check the patient's chest X-ray to see the condition of the lungs.

"You need to take a chest X-ray to see if your lungs are infected. Our small clinic is cheaper than the hospital, and the charge is 100 yuan. Do you think it's okay?"

Li Jingsheng asked the patient.

"Is it guaranteed to find out the cause after taking the photo?"

Patients' trust in this small clinic is not high.

100 yuan is not too little.

Women have to haggle for a long time to buy a dish that costs two yuan. If you want to earn their money, beauty products and clothing should be the easiest.

"Even if you go to any hospital for an examination, no doctor will dare to say that you will definitely find out the cause. But I can say responsibly that this examination for you is made after careful consideration after having a certain direction of diagnosis. If you have a lung infection, I will immediately recommend that you go to a large hospital for medical treatment, so as not to delay the condition. But if you exclude lung infection, the cause will basically be found out. I can treat it here, and you will save the need to go to a university. The hospital queues up and back and forth. It can save a lot of time, go home to rest after seeing the disease, and save a lot of treatment fees.”

What Li Jingsheng said was very frank.

And every sentence is considered from the perspective of the interests of patients.

This undoubtedly greatly gained the trust and favor of patients.

"That's all right, take a picture for me and watch it first!"

The patient agreed.

Li Jingsheng led her to the medical laboratory inside, but in fact there was only a second-hand X-ray power frequency machine and a Doppler ultrasound equipment.

It's not a color ultrasound, it's an ordinary B-ultrasound.

Small clinics cannot compare with the conditions of hospitals.

Hospitals have financial allocations from higher authorities and official support, and small clinics can only rely on themselves.

"Sister Tang, is the infusion over there ready? This lady needs to take an X-ray. Come here and help me."

To make this film, in fact, only Li Jingsheng could do it alone.

However, because the patient seemed to be very sensitive to male doctors, it was necessary to ask Tang Ping to come in and help out of safety.

In case the patient said that he was indecent, he would not be able to speak clearly with ten mouths.

When taking chest X-rays, patients do not need to take off their clothes, but they should avoid clothes that are too thick, covered by metal ornaments, etc.

Because the resolution of this X-ray machine is really not high, it took Li Jingsheng a lot of effort to see the lung texture clearly.

Some thickened.

Nothing else is a big problem.

If you have money, you must buy a high-definition X-ray machine.

Every time he uses the device, he gets a toothache.

Since the lungs are only slightly enlarged in the lung lines, it is basically certain that the bronchi and trachea are inflamed.

The gold standard for diagnosing bronchitis is sputum smear and bacterial culture.

Chest imaging can also play a diagnostic role.

In most cases, it is necessary to combine the blood picture for comprehensive diagnosis.

Li Jingsheng didn't have these conditions, and if he wanted to eat this patient, he could only rely on experience and technology, and then he had to gamble on luck.

"When you watered the flowers and plants yesterday, what flowers were there?"

"I plant so many flowers! There are roses, cactus..."

Before she finished speaking, she coughed violently again.

After she finished coughing, Li Jingsheng asked directly, "Are there any of these flowers that have never been planted before?"

"Those two lilies have never been planted before. I planted them for the first time. I didn't expect them to bloom yesterday, and the flowers that bloomed were particularly large."

When the female patient mentioned growing flowers, it was full of topics.

This aspect is what interests her most.

Li Jingsheng already had a diagnosis.

"You have a sudden cough, fever, and white sputum this time. It is likely that you are allergic to lily pollen, which then causes bronchitis and tracheitis. I will give you medicine first, but if you want to watch those two lilies later, I suggest You wear a mask."

The female patient had a disbelieving expression on her face.

"I'm allergic to pollen! I can smell other flowers and it's fine!"

"This has something to do with your physique. You are not allergic to other pollen, but you are allergic to lily pollen. This phenomenon is very common in clinical practice. I see that you like growing flowers and plants, which is actually a very good thing. It can cultivate sentiment, relieve mood, and allow the body to exercise to a certain extent. You don’t need to give up eating because of choking, just try not to touch lilies in the future.”

Li Jingsheng smiled and praised her.

She is very happy that the act of planting flowers and plants has been affirmed by others.

There was also a smile on his face.

"Okay, thank you doctor. What's your name, please?"

"Let your surname be Li!"

"Doctor Li! To be honest, I used to be ill and rarely came to see a doctor in a small clinic. Today, I just heard Miss Hu boast that your treatment is very good. She also said that you are very considerate of patients. After my personal experience today, I am very grateful to your clinic. I am quite satisfied with the service. The next step is to see the effect of the treatment. If the effect is good, I will definitely introduce you to others in the future.”

The female patient initially recognized the service attitude and medical ethics of Sunshine Clinic.

Let's see the curative effect.

The most important thing is the curative effect.

As long as the curative effect is good, the patients will be satisfied.

(End of this chapter)