Gou is practicing medicine in the clinic

Chapter 340: Pai Shi, the Black Death’s Benefit Clinic
Don’t think the patient is stupid.

Li Jingsheng and Luo Cheng compared each other slightly and made judgments.

"Thank you for your trust. Please follow me."

After taking her into the medical technology room, Li Jingsheng specially called Meng Luo because she was a female patient.

According to hospital regulations, male doctors are required to have a female medical staff present when examining female patients.It can be a female doctor or a female nurse.

This is done to prevent male doctors from engaging in irregular behavior during the examination.

If a female patient is called molested, a third person can explain clearly if there is a third person present.

After an ultrasound examination of the patient, it was found to be hyperechoic with acoustic shadowing, and hydronephrosis was also present.

After checking this step, Li Jingsheng became more confident in his diagnosis.

"It seems that the urolithiasis has not gone away. Because of the presence of hydronephrosis, I am a little worried that not only urinary tract stones may exist, but also kidney stones. But judging from the pain symptoms you described, the stones should be small. You can give priority to them For conservative treatment, I will prescribe you some medicine to remove stones, and then guide you to drink a lot of water to remove stones and exercise to remove stones."

Li Jingsheng said to the patient.

The diameter of the stone is less than 0.6cm and the surface is smooth. In theory, the stone can be discharged through conservative treatment.

If there are one or two disobedient stones that are not smooth and have weird shapes and cannot be discharged, it doesn't matter. You can also consider extracorporeal impact of small gravels.

Urolithiasis is not a serious disease. As long as it is discovered in time, diagnosed correctly, and then treated scientifically and rationally, it can be cured quickly.

"Well, I listen to you."

The patient nodded in agreement.

"You heard before that I was in severe pain, but you said it was a good thing, because the more painful it is, the smaller the stones will be?"

She was curious about this question.

"Nothing is absolute. According to my clinical experience, if the stone is large, the pain will be lighter because it has less space for movement in the urethra and kidneys. Small stones have greater mobility and roll around, which is more likely to cause severe pain. Colic, radiating pain. And it often manifests as sudden, severe labor pains, and may even be accompanied by symptoms such as nausea and vomiting.

Your nausea and vomiting are actually caused by the pain being too severe. "

Li Jingsheng explained the pathological mechanism to her in detail.

"I understand. Thank you for teaching me this knowledge. Next time such a problem occurs, I will know what is going on." She looked like she had been taught.

A long illness becomes a good doctor.

She has suffered from this disease once, and if she has similar symptoms next time, she is indeed capable of self-diagnosis.

"Are you still thinking about getting urolithiasis next time? You have to check your usual eating habits and get rid of bad habits. For example, some people like to eat persimmons, especially if they are eaten on an empty stomach. They contain tannic acid. Stones are easily formed when alkaline substances are encountered in the digestive tract. However, eating persimmons is generally prone to the formation of stones in the digestive tract, such as stomach stones. In addition, eating animal offal, seafood, beets, spinach and other foods can also easily cause stones.

Most patients with urinary stones do not like to drink water and are caused by sitting for long periods of time. "

Li Jingsheng laughed and teased her, and by the way, he taught her some foods that are prone to stone disease.

"I'm usually very busy at work and sit for hours. In order to avoid going to the toilet, I try to drink as little water as possible. It seems I can't do this again in the future."

She quickly put her knowledge to use and found the problem.

"It's a good thing to find out the problem! Sitting for a long time can easily cause many problems, such as deep vein thrombosis, constipation, lumbar disc herniation and other problems. Work is important, health is more important. Drink more water in the future and go to the toilet when it is time. Toilet. Holding in urine is also very harmful. If the urine is not discharged from the body in time, it will be reabsorbed by your body. The toxins that were originally intended to be excreted will be absorbed by your body.

Problems such as dull skin, spots, liver and kidney damage, etc. all arise. "

I really wasn’t trying to scare her, holding in her urine was really very harmful.

The kidney is a super filter.

It finally filters the harmful substances in the body into the urine.

As a result, the owner of the body did not cherish the fruits of its labor, gritted his teeth and held in his urine, but refused to expel it.

It is then reabsorbed by the body.

Kidney, the 'worker', doesn't even have the strength to cry.He could only be silently abused by his master, and his kidney function became worse and worse.

"You told me this, and I will change it. I will stop holding my urine next time, and I will drink more water." She subconsciously touched her face, and she could see a lot of stains.

Her skin tone wasn't very good either, it looked dull.

If it weren't for the makeup on his face, he would look very old.

"Don't just drink too much water. It's most appropriate to drink about two to three thousand milliliters a day. And it's best to drink water evenly, which will help expel urinary stones from your body as soon as possible."

Li Jingsheng told her some precautions when drinking water.

Immediately, she was prescribed some more medicine.

Considering that she currently had urinary tract stones and her symptoms were severe, she was prescribed diclofenac sodium suppositories for anal insertion.

Why should anus be inserted into the anus to treat urinary stones?

This medicine mainly helps her reduce ureteral edema, reduce pain, and promote the discharge of ureteral stones.

Just like antipyretics, there are also drugs that can be inserted into the anus, and the antipyretic effect is particularly good.

There are actually many ways of administering drugs, and oral administration is not the only way that ordinary people think.

Intramuscular injection, intravenous injection, intravenous infusion, external application, anal administration, rubbing and other methods are all given.

There is only one purpose, to allow the patient's body to absorb the medicine and then successfully fight the disease.

For example, some drugs require sustained release. If used too quickly, it will cause a series of problems. At this time, intravenous infusion is more appropriate.

In addition, he also prescribed A receptor blockers to the patient. Based on the patient's comprehensive condition, he finally chose tamsulosin.

It is mainly used to relax the smooth muscle of the lower ureter so that stones can be excreted more smoothly.

The use of stone-dissolving drugs has not been considered for the time being.

Because based on his experience, he diagnosed that the stones in the patient's body were relatively small and there was no need to use stone-dissolving drugs.

Just prescribe the medicine, write the medical order, and ask the patient to pay the fee and collect the medicine at the window.

Now that the clinic has hired a dedicated warehouse manager, it has become more formal and is gradually approaching the standard model of the hospital.

This is a good thing.

The more formal it is, the smaller the probability of errors and the higher the work efficiency.

After dealing with this female patient, Li Jingsheng continued to diagnose and treat other patients.

One after another, calm and calm.

Every patient enjoys a meticulous diagnosis.

The demeanor of a great doctor displayed on his body was obviously stronger than before.

The improvement of strength comes step by step.

At this time, a young man in his early 20s sat next to the consultation table.It's his turn.

"What's wrong with you?"

Han Siying asked him.

"Well... my butt just hurts a little."

The young man looked particularly shy, like a big girl.

When Li Jingsheng saw this situation, he realized that the patient might have an unspeakable disease.

"Go to the examination room at the back and let me check it for you!"

Take the young man into the examination room at the back and close the door.

"Is it a skin infection?"

Li Jingsheng's first reaction was that this young man might not be deeply involved in the world, or he was seeking excitement, had unclean behavior, or was infected with some infectious disease.Unclean behavior, mainly skin lesions.

It will start with rashes or blisters, and then slowly invade internal organs, causing multiple system diseases in the body.

The most serious thing is that the immune system is destroyed.

For example, AIDS is something that makes people uncomfortable.

This disease will crazily destroy the body's immune system, causing patients great pain and endless fear.

"I don't know either. Just recently, I feel it's very painful when I go to the big size, and I can also smell a strange odor. When I wipe my butt, there will be yellow liquid on the toilet paper, and it seems to be a little blood."

The young man explained his situation.

When speaking, the voice is very low.

Han Siying looked impatient when she looked at the young man.

She doesn't seem to like men who are too shy and timid.

"Take off your pants, then lie on the bed, and I'll check you out."

Li Jingsheng said to the young man.

The young man glanced at Han Siying, blushing and hesitating.

"A grown man, what are you afraid of? Take it off quickly, don't waste my teacher's time."

Han Siying could only give a try to the honest man.

When she meets those glib or social oilheads, she usually hides behind Li Jingsheng.

This is also a growth process for female doctors.

Slowly, as they became more courageous, they could face all kinds of patients calmly.

The young man blushed, lowered his head, took off his pants a little, and then lay down on the examination bed.

Li Jingsheng took the gloves from Han Siying and put them on.

Put a little lubricant on your fingers.

In fact, one can tell at a glance that the young man's anus is red and swollen, and there is a smell of pus.

"How long has it been? You've already become suppurated!"

Li Jingsheng frowned after reading it.

"It's been a few days. I was initially treated at Limin Clinic. They said that just infusion would be effective. Infusion for a week still has no effect. I heard that your technology is good, so I came to you to take a look."

The young man seemed very helpless when he talked about these situations.

"There's no Limin Clinic nearby, right?"

Li Jingsheng asked doubtfully.

There are only three clinics on this street, Kuai Kang, Jin Gui, and Sunshine.

"I came from Yanjiang Avenue. There is a Limin Clinic there."

"That's pretty much it. Let me just say that I've never heard of Limin Clinic here. Have you always been given infusion treatment there?"

"Yes! It costs 210 yuan for a week's worth of injections for the first time and 80 yuan for each subsequent injection."

This guy is really honest.

Just ask a few questions and I'll get you covered.

The first time I charged more than 200 yuan, it should be that he was given other examinations.But the cost is really not cheap.

Li Jingsheng originally thought that Kuai Kang Clinic was already dark enough, but he didn't expect that it could only be darker, not the darkest.

This Limin Clinic has seen people with perianal suppuration. Instead of treating the pus, they gave them intravenous fluids.Antibiotics are antibacterial and anti-inflammatory, but they are by no means a panacea.

In the case of an abscess, the pus must be drained first and cleaned before medication can be effective.

Even if there are sinus tracts and the like, even if you draw pus, it may not work.

The big pustule on the back that Li Jingsheng treated that time was a sinus tract.

If the doctor at Limin Clinic just starts giving the patient infusion, it is considered normal.

After all, it was possible that it was only red and swollen at the time and had not yet suppurated.

However, after two or three days of infusion, suppuration must have occurred. In this case, the patient should be given infusion for a week.This is done only if you want to squeeze out the patients completely.

Completely disregarding the development of the patient's condition and possible consequences.

That is to say, the patient is honest and alone, so he dares to be so shady.

"I'm going to check your rectum. It might hurt a little, so bear with it."

Li Jingsheng had just done a finger examination on the patient when he saw pus coming out.

It's so serious, it's really scary.

"You need an operation to drain the pus. The problem is serious! Why don't you go to a big hospital for treatment as soon as possible?"

Seeing how serious the patient's abscess was, Li Jingsheng felt quite uncomfortable and a little bit angry.

Boss Zhao usually gives patients infusions or other treatments, but there is a limit to how much.

This Limin Clinic is really useless. It delayed the young man's treatment.

It made a lot of money, but when the patient's condition became so serious, not only did he suffer a lot more, he might even develop sepsis, which would be life-threatening.And the cost of subsequent treatment will be many times higher.

"I am studying here alone. I just started working this year. I don't have much savings and I don't dare to go to a big hospital. I thought it was just a minor illness."

He explained in a low voice.

"You need a signature from your family members for the operation. How do you do that?"

Li Jingsheng can understand this young man, because he has also been whipped by society from that ignorant age and slowly grown up.

Nine out of ten fresh graduates are very honest.

Facing the exploitation and oppression of the boss, or facing the tricks of various unscrupulous businessmen, it is really like falling into one pit after another.

"How about I call my brother! My brother works as a security guard at the Blue Star Hotel. Can I ask him to come over and sign for me?"

"Well, that's fine too!"

Li Jingsheng agreed.

In fact, if there is no family member to sign, since it is not a particularly major surgery, it is okay to sign in person.

However, this patient's situation is more complicated and it is easy for some disputes to arise.

Therefore, the family must sign and explain the situation.

Otherwise, if something goes wrong and the blame is placed on Li Jingsheng, and the Limin Clinic, which cheated people to death without repaying their lives, is allowed to go free, then he would be really unjust.

"How much does this surgery cost?"

"The cost of drainage and debridement is hard to say at the moment. You need to prepare at least two to 3000 yuan for treatment here. If you go to a big hospital for treatment, I estimate it will cost more than [-] yuan. A big hospital will probably admit you. Because you The disease has been delayed for so long and has become very serious. If the abscess cannot be effectively controlled, it is very easy to develop systemic symptoms and transform into sepsis, which is fatal."

Li Jingsheng really didn't scare him.

This young man doesn't know the depths and can easily get into trouble.

　The second update will be a little later. Please bear with me. I am working hard on coding.
　　
　
(End of this chapter)