Gou is practicing medicine in the clinic

Chapter 357 No job is easy, low pressure and high pressure are warning signs
"I will definitely do a good job! As for taking care of my wife, I can just go back at noon. But if she gets a cold or something, I won't worry. I may have to ask you for leave and go back several times a day."

When he heard that there was still a year-end bonus to be won, Xiang Cangsong's eyes began to shine.

The most glorious moment in his life was working as a migrant worker on a construction site.

The income is 7000 yuan a month.

But not stable.

Only when you have enough things to do can you have this income.In fact, many migrant workers often encounter problems such as work stoppages, inability to start work due to rain, and for contractors unable to find work throughout the year.

Living on construction sites is generally free, but the conditions are simple.

In terms of food, the boss pays for it when there is work to do, and you pay for it yourself when there is no work to do.

Moreover, most of the work is hard, dirty, tiring, and potentially dangerous.

Not only that, it is common to not get paid during the New Year.

As for social security, medical insurance, and year-end bonuses, they are basically non-existent.

Now I work as a security guard at Sunshine Clinic. First of all, the job is very easy, and secondly, my salary is stable and my account is paid on time every month.

Li Jingsheng will also pay him social security.

If you do a good job, you will receive a year-end bonus at the end of the year.

It can be said that there are many benefits.

"Well, these can be discussed at that time. If you take vacation, you can take one day off a week. On statutory holidays, such as Labor Day and National Day, if you are on duty, you will be given three times your salary."

As soon as Li Jingsheng finished speaking, Xiang Cangsong's eyes shone again.

Triple salary is something he never dared to dream of.

"Come on, I'll take you over now to familiarize yourself with the environment and work tasks. Can you write?"

"Yes! I am a junior high school graduate. My family was poor and I stopped reading because of my poor grades. Simple writing is no problem."

"That's fine!"

Li Jingsheng could also guess that Xiang Cangsong's education was not high.

Otherwise, you won’t be reduced to a motorbike racer.

"The toilet is there. If you want to drink water, you can go to the water dispenser in the office. You can prepare a larger kettle yourself. This is the guard room, which will be where you work from now on. During the day, patients do not need to register when they come in and out, but there are vehicles coming in and out. Registration is required in the yard. You must register before you can enter at night. If someone makes trouble, you are obliged to assist our clinic's doctors, nurses, customer service and other staff to deal with it.

The main thing is to protect the safety of clinic employees.

When gangsters break into the clinic and commit murder, you need to stop them in time and protect the safety of patients, family members, clinic staff and others.

There is also the property safety of the clinic, which also needs you to protect it.

Someone enters the clinic and steals something. If you find out, you can control the person and call the police in time.

Our clinic does not have high security requirements during the day, mainly at night.

Because the clinic is still in its infancy, in order to save costs, we hope you can stay in the guard room 24 hours a day.You can sleep in there at night and I'll make a bed for you. "

Li Jingsheng explained the general job requirements.

This job is not tiring, but it requires you to stay at your post all day long.

"It's okay for me to stay here 24 hours a day, but what about my wife?"

"You can take time to go back and take care of her in the morning, noon and evening. Anyway, the job content is probably like this. You can also think about it again. If you are qualified, you can take the job. If you feel that you can't take care of your wife well, then you can still do it. Go back to ride motorcycles.”

Li Jingsheng believes that he can overcome these difficulties.

"Then let me try!"

After a brief thought, Xiang Cangsong made a decision.

It’s not easy to find such a good job, and it’s also close to where I live.

Many problems can be overcome if you think of solutions.

In the long run, working as a security guard at Sunshine Clinic is definitely a very good job for him.

"Okay, I'll give you a ledger to register in and out. You tell me your clothes size, and I'll buy you two pairs of work clothes."

Li Jingsheng was really worried that Xiang Cangsong was stubborn and refused to agree.

Fortunately, Xiang Cangsong seized this opportunity.

After arrangements were made for Xiang Cangsong and Li Jingsheng, they went to the reception hall to start the consultation.

The clinic feels significantly different now that it has a security guard.

The impression given to outsiders will also be significantly improved.

In fact, with the presence of security guards, many people with bad intentions can be stopped without having to do anything.

For example, a thief wants to break into the clinic and steal.

When you see a security guard at the door, you will immediately feel a little timid.

With the addition of security guards, clinic employees will also feel more secure.

"Siying, let's start calling!"

Li Jingsheng sat down on his clinic seat, looked at the time, and said to Han Siying.

"Isn't it already eight o'clock?"

"Why do you have to wait until eight o'clock? You must not be dogmatic."

Li Jingsheng criticized her.

The first patient came quickly.

It was a three-year-old boy, being held by his father, with his mother following him.

Both husband and wife looked anxious.

"Dr. Li, I don't know what's wrong with my child. He has a fever, stomachache, and a little diarrhea."

The child's father anxiously described the child's condition.

It can be seen that this is probably a nanny who is not very experienced.

"How long has this been going on?"

Li Jingsheng looked at the child.The little boy huddled in his father's arms, with a pained expression on his face and a frown, but the child didn't cry or make a fuss.It's just that my mental state doesn't look good.

"Last night at seven or eight o'clock, he complained that he had a stomachache. This happens usually, and it usually gets better after a while. But this time it still didn't get better after a night, so we came here as soon as possible. I came to your clinic. My gastritis was cured in your clinic last time."

The child's father added.

"My husband always praises your clinic for its good medical skills when he meets everyone. He doesn't have stomach problems once or twice. In the past, taking medicine from other clinics always only relieved it. After a while, it would relapse after eating something cold. Last time I was prescribed medicine at your clinic and it was cured in just one visit. It has not relapsed until now.”

The child's mother also answered next to him.

"Some gastritis is just a minor problem. The main thing is that you need to take care of your body. Come, put the child on the examination bed inside, and I will check the child's abdomen first."

Li Jingsheng receives a large number of patients every day, and he really can't remember ordinary patients.

He is now quite good at treating digestive tract diseases.

He is currently accumulating health points and is preparing to upgrade the two medical skills of Fang Yao to another level. By then, the level of medicine use will be higher, and he will be able to treat patients with various stubborn diseases more easily.

"Siying, take the child's blood pressure and temperature."

Li Jingsheng himself auscultated the child's heart and lung sounds, and checked breathing, heart rate, and pulse.

For patients like this, it is necessary to measure these signs.

"I feel that the child's pulse is a little twitchy, please check the blood pressure."

Li Jingsheng now has more and more diagnostic experience and can find many problems when checking the patient's pulse.

For example, patients with heart failure often have weak pulses.

The child's pulse was a little strange, and his first instinct was that his blood pressure might be high.

Blood pressure is divided into two parts. The blood pressure when the heart contracts is called systolic blood pressure, which is high pressure.Under normal circumstances, adults generally have a normal range of no more than 139mmhg.

Sometimes after strenuous exercise or emotional excitement, blood pressure will rise significantly.

This measured result does not have much reference value.

Only when you are calm can your blood pressure measurement be more accurate.

Children's blood pressure is actually somewhat different from that of adults.

To save trouble, some doctors may classify children and adults into the same standard value.

Li Jingsheng’s personal experience is that the child’s age × 2 + 100mmHg is a relatively standard systolic blood pressure value.

This child is three years old, that is about 106mmhg.

Of course, this is just an estimate.

In fact, children's blood vessels are very new and very elastic, so they generally rarely develop high blood pressure.

As long as high blood pressure occurs, you must be vigilant. Sometimes there are often big problems.

He listened to the child's heart rate and breathing, and they were both normal.

Looking at the child's face, he was pale, his eyes were lively, his mind was awake, but he was listless.

He showed the appearance of an acute illness.

"Kid, let uncle see your mouth! Open it wider!"

Li Jingsheng said to the child gently.

The child was not very cooperative and opened his mouth under the guidance of his mother.

He took a photo with a small flashlight and found that there were no blisters in the mouth, but there was congestion in the pharynx.

The tonsils are significantly enlarged.

This shows that tonsil inflammation is very likely and should be the main cause of fever in children.

"The body temperature is 38.7 degrees."

The fever is quite obvious.

Under normal circumstances, if the clinical temperature is below 38.2 degrees, experienced doctors will advise that there is no need to rush to reduce the fever.

Because fever is beneficial to eliminating viruses.

Every time the human body temperature rises by about 1 degree, the immune system is equivalent to about doubling in strength.

It may be a bit exaggerated, but there is no doubt that a fever is the body's response to the disease and its efforts to eliminate it.

I believe almost everyone has experienced the cold. If you don’t have a fever, it will be troublesome.

After having a fever, the disease will be cured quickly.

That is the principle.

"What about blood pressure?"

Li Jingsheng asked.

"Systolic blood pressure 107mmhg, diastolic blood pressure 93mmhg."

Han Siying replied.

Li Jingsheng frowned. How could such a young child have low pressure and high pressure?

"Measure him again and try with another hand."

He knew very well that all hypertension has a progression.

When the blood vessel wall is damaged, the blood vessel will automatically repair itself.But after repeated use, the elasticity of blood vessels becomes worse, and symptoms of high blood pressure appear.

The first symptoms of high blood pressure are easily ignored by many people.

Its high pressure is normal and low pressure is high.

If you are still in this situation after multiple measurements, you must be vigilant.You have to find a way to identify the problem and then improve your blood pressure.

Because systolic blood pressure is normal and diastolic blood pressure is high, this is often the early stage of hypertension.

Many people think that once you have high blood pressure, you need to take antihypertensive drugs for a lifetime. This is really a misunderstanding.

Hypertension can be completely reversed in its early stages by controlling blood pressure and protecting blood vessels.

(End of this chapter)