Gou is practicing medicine in the clinic
Chapter 343: A minor illness, is this a slap in the face?
Chapter 343: Is this a minor illness?
"Dr. Li, I have something to explain to you. The reason I didn't come for the infusion yesterday was because my brother was caught fighting and I was busy saving my brother."
After hesitating for a moment, he finally took the initiative to explain to Li Jingsheng.
Most people have a grateful heart.
The same is true for this young man named Xie Junjie.
He looked very shy, but he didn't come for the infusion yesterday, which was equivalent to wasting the doctor's work.
He knew that Li Jingsheng would be unhappy, so he mustered up the courage to explain.
"Has your brother been rescued?"
"No. He injured people and smashed a lot of items in the clinic. Now the boss wants to hold him legally responsible." Xie Junjie shook his head, feeling a little depressed.
"Which clinic did you smash?"
"It was the Limin Clinic where I was treated. My brother was so angry that he argued with the boss and ended up beating him."
Sure enough, it was his brother who destroyed Limin Clinic.
It is really infuriating to encounter such a black clinic.
Now it depends on how the police determine the situation.
If it is classified as a crime of picking quarrels and provoking trouble, then his brother may really need to go to jail.
But there are reasons, and even if the sentence is really given, it should be a lighter punishment.
It depends on how it is resolved in the end.
He generally does not interfere in other people's private affairs.
After comforting Xie Junjie for a few words, he directly prescribed medicine and handed it over to the nurse for infusion.
Li Jingsheng continued to diagnose other patients.
A middle-aged male patient sat next to his consultation table.
This man looked a little thin and his face was slightly pale.
"Doctor Li, I came here specifically to see you."
"Thank you for your trust. What's wrong with you?"
Li Jingsheng is very happy every time he hears that patients come to him specifically for treatment.
"I've been having diarrhea lately, and there's blood in my stool. I'm afraid it's a serious illness. My child will graduate from high school next year, and my wife works as an accountant. She has to take care of the elderly at home, so she can only take on odd jobs. There are elderly parents in need. I'm going to fulfill my filial piety. I have underage children to take care of. Please take care of me. If it's really cancer, try to prescribe cheap medicine for me so that I can live for two more days and try to make more money. give them."
In order to let Li Jingsheng help him diagnose carefully, the patient first complained to him.
Li Jingsheng looked at the medical record information registered by the man. He was 41 years old.
It is the age when there are old people at the top and young people at the bottom.
Men of this age are indeed suffering.
If you have a successful career, it is easy to support your family, but the work pressure is often very high.
"Brother, don't think like that. Even a serious illness can be cured. You have to believe in current medical technology. And you are still so young. Your whole family needs you very much."
Li Jingsheng began to consult the 41-year-old brother carefully.
After detailed questioning, the patient's diarrhea was not very serious, the abdominal tenderness test was not obvious, and no obvious mass was palpable.
Considering that the patient has blood in his stool and the color is relatively bright, it indicates that there is probably bleeding in the rectum or colon.
The patient was given a digital examination.
No abnormality was found.
Problems such as hemorrhoids and anal fissures can basically be ruled out.
"Brother, I suggest you go to the hospital for a colonoscopy. According to my experience, your illness should not be a serious disease. You may have problems such as intestinal polyps and ulcers. However, this disease cannot be postponed because it has already appeared. Bleeding symptoms, if not treated in time, can easily lead to serious problems or even cancer.
It may take five or six years, or even longer, for an intestinal polyp to turn into cancer.
But when it ruptures and bleeds, the wound will heal very slowly due to the special environment in the intestine.The constant peristalsis of the intestines is equivalent to repeatedly stimulating it, and it may only take a few months for it to turn into a malignant tumor. "
Li Jingsheng made a comprehensive diagnosis based on the symptoms described by the patient, as well as the shape of the stool, the frequency of diarrhea, the time when blood in the stool appeared, etc., and he believed that the possibility of a serious illness was very small.
The patient's blood pressure and body temperature were normal.
If it is bowel cancer, it is likely to be accompanied by symptoms such as low-grade fever.
Clinically, patients with long-term low-grade fever are most likely to win the lottery.
Because a fever is actually the body's immune system working overtime.It can be understood as working overtime.
It needs to mobilize the energy stored in the cells in the body to heat the body.
Having a low-grade fever for a long time is equivalent to the immune system being overdrawn for a long time.
This in itself can easily cause the immune system to collapse.
Just like when people work too hard, they will suffer from fatigue, lack of energy, sleepiness, hunger and other problems.
The human immune system is extremely complex.
It is in a long-term overdraft state and can easily overload part of the immune mechanism or go on strike.At this time, immune holes will appear, and diseases will take advantage of them.
All kinds of diseases come to your doorstep.
Therefore, when a person has a low fever that persists for a long time, one must be vigilant at this time.It may be a sign that a serious illness is coming.
The elder brother's body temperature is normal and his diet is normal. He only has diarrhea and blood in his stool. It may seem scary, but in fact it may be just a minor problem.
Li Jingsheng personally believes that it is most likely to be a polyp.
The colon is already in the proximal part of the lower digestive tract.The probability of ulcers is relatively small, but polyps are most likely to occur.
The stomach, duodenum, and ileum are more prone to ulcers.
This is determined by the nature of their work.
Food enters the stomach through the esophagus and begins to be polished and digested.
Gastric juice contains strong acid, which has a strong ability to break down and digest food.Excessive gastric juice enters the duodenum and other parts, coupled with the possible damage caused by food residues. After the mucosal layer is destroyed, it is prone to inflammation and then ulcers.
According to Li Jingsheng's clinical diagnosis experience, ulcers are more likely to occur in the upper gastrointestinal tract and ileum.
Polyps are more likely to appear in the rectum, colon and other parts of the body.
The color of blood in the stool can roughly determine the location of the bleeding.If it is black stool, it is most likely in the upper gastrointestinal tract or upper ileum.If the bleeding is bright in color, it is more likely to be from the anus, rectum, or colon.
Because after the blood flows out, the longer it is in contact with the air, the darker the color will be.
After hearing that it was not a serious illness, the elder brother left happily.
He said he would go to the hospital for a colonoscopy the next day.
Li Jingsheng told him that he needed to make an appointment in advance for a colonoscopy, and he needed to fast the first night.
Otherwise, even if you go to the hospital, you won’t be able to do it.
At this time, Li Jingsheng's cell phone rang.He picked up his phone and looked at the caller's number. It was an unfamiliar number.
"Hello there!"
After Li Jingsheng got through, he took the initiative to say hello.
But there was no sound from there.
"Hello, can you hear the sound?"
He raised the volume.
Because I was worried that this was a distress call from a patient.
In the early days of Sunshine Clinic, due to poor business and unable to make ends meet, his phone number was the only one that was promoted externally.
There are still a group of early loyal fans of Sunshine Clinic who still have his number.
When receiving general inquiries such as purchasing medicine, he would often ask them to call the clinic's hotline.
Because he is the earliest customer group, if you have inquiries about your condition or the like, he will enthusiastically answer the questions.
It can be regarded as some special treatment for these people.
There is still no sound on the other end of the phone.
This made Li Jingsheng feel a little worried. If the person who made the call suddenly became ill, fell to the ground, and could no longer make a sound, then he must find a way to find out the specific location of the other party, and then quickly notify the police and 120 to deal with it.
Just when he wanted to ask again, the phone suddenly hung up.
Tried calling back and was hung up on again.
He frowned.
"Master, what's the matter?"
Han Siying asked from the side.
"This person is very strange. He didn't speak when he called me. I'm a little worried that this person suddenly got seriously ill and can no longer speak."
Li Jingsheng replied.
"It may also be a phishing call, or the other party accidentally put it in his pocket and touched it, and just dialed your number."
"Probably not. I called back twice and was hung up on by the other party."
"Give me your number and I'll try to call you back on my mobile phone."
Han Siying has little social experience, but is smart and full of ideas.
Li Jingsheng reported the number to her, and then she dialed it using her mobile phone.
This time it was connected.
"Hey!"
The voice of a middle-aged man came, sounding a little hoarse.
"Are you Huang Qiushui?" Han Siying made up a name casually.
"No, you made a mistake."
After speaking, the other party hung up the phone.
Han Siying looked at Li Jingsheng and said, "Master, don't worry. This man's voice sounds normal. There is nothing wrong with him at all."
Li Jingsheng didn't care anymore.
I just feel like this guy is a bit strange.
At around six o'clock in the evening, Li Jingsheng's cell phone rang again, and it was still the same number.
He answered again.
"Hello, who are you looking for?"
"Little brat, listen to me, you cross your single-plank bridge, and others take other people's Yangguan Road. You'd better keep your mouth shut, otherwise you won't even know how to die."
It was still the middle-aged man's voice, which sounded particularly fierce.
"Did I offend you?"
Li Jingsheng is a little confused. He has been working hard in the clinic or the Second Hospital recently, making money in a low-key manner, and has not had any grudges with anyone.
Hearing the vicious tone of the other party, it was as if he had robbed his wife.
"I know what good things I have done. If you dare to meddle in your own business next time, I will definitely burn paper for you, damn it!"
After speaking, the other party hung up the phone.
Li Jingsheng received a scolding in vain, and now Monk Zhang Er is confused.
After carefully reviewing the other party's words, I could tell from what he meant that he had offended him somewhere.
Try copying this number, then open WeChat and add new friends.
After searching, a WeChat name popped up.
"The ferryman!"
This is the other party’s online name.
The personalized signature reads "Limin Clinic will help you regain your health."
Grass!
It turned out to be a call from Limin Clinic.
Li Jingsheng was still wondering, who did he offend?
Limin Clinic had no intersection with him. The only intersection was with the young man named Xie Junjie.
Xie Junjie's brother smashed up Limin Clinic and beat up the boss. Li Jingsheng can't be blamed for this, right?
(End of this chapter)
"Dr. Li, I have something to explain to you. The reason I didn't come for the infusion yesterday was because my brother was caught fighting and I was busy saving my brother."
After hesitating for a moment, he finally took the initiative to explain to Li Jingsheng.
Most people have a grateful heart.
The same is true for this young man named Xie Junjie.
He looked very shy, but he didn't come for the infusion yesterday, which was equivalent to wasting the doctor's work.
He knew that Li Jingsheng would be unhappy, so he mustered up the courage to explain.
"Has your brother been rescued?"
"No. He injured people and smashed a lot of items in the clinic. Now the boss wants to hold him legally responsible." Xie Junjie shook his head, feeling a little depressed.
"Which clinic did you smash?"
"It was the Limin Clinic where I was treated. My brother was so angry that he argued with the boss and ended up beating him."
Sure enough, it was his brother who destroyed Limin Clinic.
It is really infuriating to encounter such a black clinic.
Now it depends on how the police determine the situation.
If it is classified as a crime of picking quarrels and provoking trouble, then his brother may really need to go to jail.
But there are reasons, and even if the sentence is really given, it should be a lighter punishment.
It depends on how it is resolved in the end.
He generally does not interfere in other people's private affairs.
After comforting Xie Junjie for a few words, he directly prescribed medicine and handed it over to the nurse for infusion.
Li Jingsheng continued to diagnose other patients.
A middle-aged male patient sat next to his consultation table.
This man looked a little thin and his face was slightly pale.
"Doctor Li, I came here specifically to see you."
"Thank you for your trust. What's wrong with you?"
Li Jingsheng is very happy every time he hears that patients come to him specifically for treatment.
"I've been having diarrhea lately, and there's blood in my stool. I'm afraid it's a serious illness. My child will graduate from high school next year, and my wife works as an accountant. She has to take care of the elderly at home, so she can only take on odd jobs. There are elderly parents in need. I'm going to fulfill my filial piety. I have underage children to take care of. Please take care of me. If it's really cancer, try to prescribe cheap medicine for me so that I can live for two more days and try to make more money. give them."
In order to let Li Jingsheng help him diagnose carefully, the patient first complained to him.
Li Jingsheng looked at the medical record information registered by the man. He was 41 years old.
It is the age when there are old people at the top and young people at the bottom.
Men of this age are indeed suffering.
If you have a successful career, it is easy to support your family, but the work pressure is often very high.
"Brother, don't think like that. Even a serious illness can be cured. You have to believe in current medical technology. And you are still so young. Your whole family needs you very much."
Li Jingsheng began to consult the 41-year-old brother carefully.
After detailed questioning, the patient's diarrhea was not very serious, the abdominal tenderness test was not obvious, and no obvious mass was palpable.
Considering that the patient has blood in his stool and the color is relatively bright, it indicates that there is probably bleeding in the rectum or colon.
The patient was given a digital examination.
No abnormality was found.
Problems such as hemorrhoids and anal fissures can basically be ruled out.
"Brother, I suggest you go to the hospital for a colonoscopy. According to my experience, your illness should not be a serious disease. You may have problems such as intestinal polyps and ulcers. However, this disease cannot be postponed because it has already appeared. Bleeding symptoms, if not treated in time, can easily lead to serious problems or even cancer.
It may take five or six years, or even longer, for an intestinal polyp to turn into cancer.
But when it ruptures and bleeds, the wound will heal very slowly due to the special environment in the intestine.The constant peristalsis of the intestines is equivalent to repeatedly stimulating it, and it may only take a few months for it to turn into a malignant tumor. "
Li Jingsheng made a comprehensive diagnosis based on the symptoms described by the patient, as well as the shape of the stool, the frequency of diarrhea, the time when blood in the stool appeared, etc., and he believed that the possibility of a serious illness was very small.
The patient's blood pressure and body temperature were normal.
If it is bowel cancer, it is likely to be accompanied by symptoms such as low-grade fever.
Clinically, patients with long-term low-grade fever are most likely to win the lottery.
Because a fever is actually the body's immune system working overtime.It can be understood as working overtime.
It needs to mobilize the energy stored in the cells in the body to heat the body.
Having a low-grade fever for a long time is equivalent to the immune system being overdrawn for a long time.
This in itself can easily cause the immune system to collapse.
Just like when people work too hard, they will suffer from fatigue, lack of energy, sleepiness, hunger and other problems.
The human immune system is extremely complex.
It is in a long-term overdraft state and can easily overload part of the immune mechanism or go on strike.At this time, immune holes will appear, and diseases will take advantage of them.
All kinds of diseases come to your doorstep.
Therefore, when a person has a low fever that persists for a long time, one must be vigilant at this time.It may be a sign that a serious illness is coming.
The elder brother's body temperature is normal and his diet is normal. He only has diarrhea and blood in his stool. It may seem scary, but in fact it may be just a minor problem.
Li Jingsheng personally believes that it is most likely to be a polyp.
The colon is already in the proximal part of the lower digestive tract.The probability of ulcers is relatively small, but polyps are most likely to occur.
The stomach, duodenum, and ileum are more prone to ulcers.
This is determined by the nature of their work.
Food enters the stomach through the esophagus and begins to be polished and digested.
Gastric juice contains strong acid, which has a strong ability to break down and digest food.Excessive gastric juice enters the duodenum and other parts, coupled with the possible damage caused by food residues. After the mucosal layer is destroyed, it is prone to inflammation and then ulcers.
According to Li Jingsheng's clinical diagnosis experience, ulcers are more likely to occur in the upper gastrointestinal tract and ileum.
Polyps are more likely to appear in the rectum, colon and other parts of the body.
The color of blood in the stool can roughly determine the location of the bleeding.If it is black stool, it is most likely in the upper gastrointestinal tract or upper ileum.If the bleeding is bright in color, it is more likely to be from the anus, rectum, or colon.
Because after the blood flows out, the longer it is in contact with the air, the darker the color will be.
After hearing that it was not a serious illness, the elder brother left happily.
He said he would go to the hospital for a colonoscopy the next day.
Li Jingsheng told him that he needed to make an appointment in advance for a colonoscopy, and he needed to fast the first night.
Otherwise, even if you go to the hospital, you won’t be able to do it.
At this time, Li Jingsheng's cell phone rang.He picked up his phone and looked at the caller's number. It was an unfamiliar number.
"Hello there!"
After Li Jingsheng got through, he took the initiative to say hello.
But there was no sound from there.
"Hello, can you hear the sound?"
He raised the volume.
Because I was worried that this was a distress call from a patient.
In the early days of Sunshine Clinic, due to poor business and unable to make ends meet, his phone number was the only one that was promoted externally.
There are still a group of early loyal fans of Sunshine Clinic who still have his number.
When receiving general inquiries such as purchasing medicine, he would often ask them to call the clinic's hotline.
Because he is the earliest customer group, if you have inquiries about your condition or the like, he will enthusiastically answer the questions.
It can be regarded as some special treatment for these people.
There is still no sound on the other end of the phone.
This made Li Jingsheng feel a little worried. If the person who made the call suddenly became ill, fell to the ground, and could no longer make a sound, then he must find a way to find out the specific location of the other party, and then quickly notify the police and 120 to deal with it.
Just when he wanted to ask again, the phone suddenly hung up.
Tried calling back and was hung up on again.
He frowned.
"Master, what's the matter?"
Han Siying asked from the side.
"This person is very strange. He didn't speak when he called me. I'm a little worried that this person suddenly got seriously ill and can no longer speak."
Li Jingsheng replied.
"It may also be a phishing call, or the other party accidentally put it in his pocket and touched it, and just dialed your number."
"Probably not. I called back twice and was hung up on by the other party."
"Give me your number and I'll try to call you back on my mobile phone."
Han Siying has little social experience, but is smart and full of ideas.
Li Jingsheng reported the number to her, and then she dialed it using her mobile phone.
This time it was connected.
"Hey!"
The voice of a middle-aged man came, sounding a little hoarse.
"Are you Huang Qiushui?" Han Siying made up a name casually.
"No, you made a mistake."
After speaking, the other party hung up the phone.
Han Siying looked at Li Jingsheng and said, "Master, don't worry. This man's voice sounds normal. There is nothing wrong with him at all."
Li Jingsheng didn't care anymore.
I just feel like this guy is a bit strange.
At around six o'clock in the evening, Li Jingsheng's cell phone rang again, and it was still the same number.
He answered again.
"Hello, who are you looking for?"
"Little brat, listen to me, you cross your single-plank bridge, and others take other people's Yangguan Road. You'd better keep your mouth shut, otherwise you won't even know how to die."
It was still the middle-aged man's voice, which sounded particularly fierce.
"Did I offend you?"
Li Jingsheng is a little confused. He has been working hard in the clinic or the Second Hospital recently, making money in a low-key manner, and has not had any grudges with anyone.
Hearing the vicious tone of the other party, it was as if he had robbed his wife.
"I know what good things I have done. If you dare to meddle in your own business next time, I will definitely burn paper for you, damn it!"
After speaking, the other party hung up the phone.
Li Jingsheng received a scolding in vain, and now Monk Zhang Er is confused.
After carefully reviewing the other party's words, I could tell from what he meant that he had offended him somewhere.
Try copying this number, then open WeChat and add new friends.
After searching, a WeChat name popped up.
"The ferryman!"
This is the other party’s online name.
The personalized signature reads "Limin Clinic will help you regain your health."
Grass!
It turned out to be a call from Limin Clinic.
Li Jingsheng was still wondering, who did he offend?
Limin Clinic had no intersection with him. The only intersection was with the young man named Xie Junjie.
Xie Junjie's brother smashed up Limin Clinic and beat up the boss. Li Jingsheng can't be blamed for this, right?
(End of this chapter)
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