Gou is practicing medicine in the clinic

Chapter 358: The heart is too hard, but there is warmth in the world

Han Siying changed the child's right hand and measured it, but the result was still the same.

High pressure is still normal, low pressure is high.

The cuff used to measure children's blood pressure is special. In order to save costs, the clinic currently only has this one.

It is extremely unlikely that there will be a problem with the blood pressure monitor.

"Have you ever measured your child's blood pressure?"

Li Jingsheng asked the child's parents.

"I haven't measured it."

The child's father shook his head.

"My child has never been to the hospital since he was born. We usually learn about child feeding. He has always been in good health. This time, his stomach pain lasted for more than a day and he also had a fever. This is the first time."

The child's mother seemed quite proud when she talked about raising children.

Many mothers will start to learn various parenting knowledge during pregnancy, which is a good thing.Raising children scientifically and rationally can indeed enable them to grow up healthily and robustly.

"When a child is born, when he is three months old, when he is half a year old, or when he is one year old, he should go to a hospital or social health station for a free physical examination, right?"

Li Jingsheng decided to look for the child's previous physical examination records through other channels.

Now every child will have a health record, and physical examinations will be required at different ages.

"That one does exist! But I didn't bring it with me!"

"Does your family live far away from here?"

"If you walk, it's about ten minutes away."

"Well, you go back and get the child's physical examination booklet for me to look at. Or if there is someone at home, you can ask them to take a photo. The child's current blood pressure is high and normal, and low and high. This is early hypertension. I will compare Looking at the child’s file records will be of great help in diagnosis.”

Li Jingsheng insisted that he wanted to know the child's previous blood pressure situation, and he was also responsible for the child.

When such a young child develops high blood pressure, the first thing to consider is congenital heart disease.

But the family members did not respond to this issue.

The best way is to check the child's past physical examination records.

The child's father went home to get the medical examination records.

Li Jingsheng continued to examine the child.

I listened to the child's bowel sounds, which were normal.

There is slight bloating when the abdomen is pressed.

"Kid, which part of your stomach hurts?"

The little boy was still very young and looked at Li Jingsheng with some fear.

"Baby, the doctor uncle asked you where your stomach hurts. Can you point it out?"

"This……"

He pointed timidly at his lower left abdomen.

Li Jingsheng's mind immediately thought of the organs in the left lower abdomen and common abdominal pain diseases.

If you have pain in the right lower abdomen, the probability of appendix inflammation is higher in children.

Now it's the left lower abdomen. Enteritis, intestinal hernia, colic, etc. are all possible.

However, the child is still very young and has limited expressive ability, as well as limited ability to perceive and identify pain.The description may not be clear.

Therefore, Li Jingsheng only used the child's description as a reference.

"Close your eyes, relax, and let me check your belly."

Li Jingsheng began to do tenderness tests on the child.

When the pressure was around the navel, the child showed pain and frowned, but he was silently enduring it.

After Zhou continued to press, the tenderness reaction in the left lower abdomen was similar and relatively mild.

No mass was palpable.

He began to move to the right and when he pressed the right lower abdomen, the child groaned in pain, his nose wrinkled, and his body subconsciously wanted to bow.

It can be seen that the pain in his right lower quadrant is obviously greater than that in the left lower quadrant and around the umbilicus.

Seeing this situation, Li Jingsheng had begun to suspect appendicitis.

Because the pain in the early stages of appendicitis is usually around the umbilicus and is not particularly obvious.It also has a characteristic that it is prone to radiating pain and transfer pain.

However, the possibility of acute gastrosplenitis in the child cannot be ruled out.

Children's gastrointestinal function is not very perfect, so they are particularly prone to stomachaches when eating cold or unclean things.

Clinically, acute gastroenteritis is very common in children.

"Is there any vomiting?"

"Yes! I vomited once this morning."

"Does the stomach pain come in bursts, or is it continuous?"

"It should continue! Because even when he fell asleep last night, he frowned and spoke weakly."

"When you vomit, is it just normal vomiting, or is it very violent projectile vomiting?"

"It's more normal! I retched first and then vomited."

"Is the stool shape of diarrhea watery or thicker?"

"well enough!"

The child's mother thought for a moment and replied.

"Is there any white mucus or blood streaks?"

"No."

"The tenderness test just now showed that the pain in the child's right lower abdomen is more obvious. I am a little worried that it is appendiceal inflammation or something. I want to take a plain abdominal X-ray of the child. Can you take a look?"

Li Jingsheng asked the child's mother.

"Why don't we wait until the child's father comes over!"

The child's mother seemed a bit unable to make the decision.

"Okay, you can hold the child and sit there to rest for a while. If the child wants to drink water, there is hot water over there." Li Jingsheng continued to treat the next patient.

After more than 20 minutes, the child's father came back sweating profusely.

Looking at this situation, he should be running to and from the place.

"Dr. Li, is this the booklet?"

"Correct!"

Li Jingsheng took it and flipped through it. The child's blood pressure had always been normal.

However, the physical examination records stopped at the age of two, and there were no further examinations thereafter.

Congenital heart disease is less likely.

He listened to the child's heart sounds, which were normal.

"The child has high blood pressure! I need to take an abdominal X-ray to check. Can you take a look?"

"How could such a young child develop high blood pressure?"

"We need detailed examination to know. It's best to go to a large hospital to check."

Li Jingsheng told the truth.

"How about this? Let's take the child to a big hospital for examination. I'm causing trouble for you."

The child's father is worried that he will not be found out here because the clinic's conditions are limited.

You will have to go to a big hospital then.

Coupled with the fact that the child has high blood pressure, he feels even more worried.

"You're welcome! When you go to a big hospital, you must check for high blood pressure. The child is still so young. If it is found that high blood pressure is not related to this illness, then you must take it seriously."

Li Jingsheng warned his family members.

This family is also a loyal fan of Sunshine Clinic. They never want this child to continue to develop high blood pressure due to the negligence of his parents and need to take medication for life.

And many doctors will tell patients that high blood pressure is nothing to be afraid of, as long as they take medication to control it.

In fact, once high blood pressure occurs, taking medication is a helpless act.

It is a bit like a double-edged sword. While controlling blood pressure, it also further increases the burden on the heart and damages the heart.

Because from another medical perspective, high blood pressure is a self-protection mechanism of the body.

Because the elasticity of blood vessels is poor, hardening occurs, plaques, calcifications, etc. appear on the inner walls of blood vessels, resulting in narrowing of the lumen of blood vessels.At this time, in order to allow the blood to pass through the narrowed blood vessel segment smoothly and successfully transport the blood to the end of the body, the heart can only increase its horsepower.

But taking antihypertensive drugs is equivalent to reducing its horsepower.

To put it bluntly, fight it.

The principle is the same as taking antipyretics, which are against the body's protective mechanism.

Therefore, taking antihypertensive drugs is essentially harmful to the heart.

Many patients with high blood pressure will find that taking an antihypertensive drug for a long time gradually stops working.

At this time, the doctor will help the patient switch to other types of antihypertensive drugs.

If the effect is still not good, you will eat several kinds at the same time.

Why don’t antihypertensive drugs work?

In fact, it can be understood that the heart is silently resisting.

The main job of the heart is to ensure the recovery of venous blood that has been depleted of oxygen, and then transport fresh, oxygen-rich blood to the tissues and organs of the body.

Artificially lowering blood pressure, hardening and narrowing of blood vessels, and when the heart is operating at normal power, it finds that it can no longer deliver blood to the desired location.So a competent and responsible heart overcomes the problems caused by medication to lower blood pressure and increases its horsepower.

Also, diuresis is the most commonly used method for lowering blood pressure.It helps the body increase the amount of water excreted from the body.

The main component of blood is water.

Drain a large amount of water, which will increase the thickness of the blood.It is equivalent to increasing the burden on the heart in disguise.

If the heart could make a sound, it would definitely cry, Master, it's so difficult for me.

Ordinary people don't know the horror and dangers of high blood pressure. They think that even if they have high blood pressure, they can take antihypertensive drugs to control it. It doesn't matter.Li Jingsheng is a full-time doctor and knows that this is the case.

High blood pressure is as scary as diabetes, kidney failure, liver cirrhosis and other diseases.

These are lesions that are difficult to reverse.

It is equivalent to permanent damage, and it is getting worse and worse.

At least with the current scientific and medical technology of mankind, there is no way to reverse these diseases.

The best way is to find ways to control them in the early stages and let them repair naturally and eventually return to normal.

……

At noon, Li Jingsheng personally took the time to buy Xiang Cangsong a riot-proof steel fork, a stab-proof vest, a riot-proof helmet, a bright flashlight, work clothes and other necessary items.

When he bought the things back, Xiang Cansong was not in the guard room, and the door was closed.

It seems that he went home to take care of his wife.

Li Jingsheng moved them back to the office first, and then asked Xiang Cangsong to sign and receive these things according to the procedures.

It is not easy to build a clinic security guard.

At present, the clinic does not have much demand for security, that is, it only needs a gatekeeper.Therefore, he saves as much cost as possible and hires one person to use first.

"Boss, are these all the equipment purchased for Master Xiang?"

Tang Ping had just finished her meal when she saw that Li Jingsheng had brought back such a large amount of equipment, and curiously stepped forward to check it out.

"That's right! With these equipment, the security of our clinic can look like that. In the future, your safety in the clinic can also be guaranteed. Especially when you work overtime at night, there must be a security guard guarding the door."

Li Jingsheng put the things on the table.

"Have you given a lunch box to Xiang Cangsong at noon?"

"Posted!"

"In the future, our clinic employees can have the couriers leave the packages directly in the guard room. They don't have to go to the office or the reception hall. You can just pick them up after get off work."

Li Jingsheng had long wanted to say something about this matter.

Especially the female employees at the clinic are all experts at online shopping.

I wonder why they have so many express deliveries every day?
The clinic's business was not good in the past. Tang Ping's income was very low and she was rarely seen shopping online.

Recently, after her salary increased, she became very happy with Munro and others.

Li Jingsheng has no objection to online shopping.

They can spend whatever they want with the money they earn.

But when you are at work and the courier delivers several couriers a day, what does that sound like?

The attitude towards work must be correct.

Otherwise, it is not only easy to breed the idea of ​​laziness, but may even develop into dereliction of duty.Besides, the patients and their families feel uncomfortable watching it.

The couriers entering and exiting the office and the reception hall are equally bad.

Li Jingsheng has recently even considered turning the house on Shangma Road into a window for people to buy medicine at night.

It not only makes it convenient for nearby residents to buy medicine at night, but also makes it much more convenient for riders who buy medicine in the same city to pick up medicine directly outside the clinic.

However, this matter cannot be rushed for the time being.

He has to wait until he successfully buys the clinic and the property rights become his, then he will find an opportunity to do this.

Now was the critical period for acquiring this yard, and he did not dare to do anything extra.

The acquisition of this yard itself is a very sensitive matter. If it is exposed, even if it is not pornographic, it will be shelved.

Right now, he had to keep calm and steady.

"Master, I saw that Master Xiang didn't take a few bites of his lunch box and took it home."

Han Siying said.

"Xiang Cansong has a wife who is currently paralyzed in bed and needs his care. He should have kept those meals at home for his wife. You should try to give Xiang Cansong as much care as possible in the future."

Li Jingsheng sighed slightly in his heart.

It is not impossible to give Xiang Cangsong two lunch boxes.But there are some things you can't do.

The clinic has its own rules, and everyone follows them.

Li Jingsheng could only give Xiang Cangsong some care within his ability.It will never become a charity hall.

Now that Xiang Cangsong is given this security job, it is actually the greatest support.

It is better to teach people how to fish than to teach people how to fish.

Even if Xiang Cangsong only earns 3000 yuan a month, he believes that a family of three should have no problem eating.

At least what he said, the hard days of eating a pack of noodles for a family for two days should no longer happen.

I don’t know how his wife’s condition is?
When Xiang Cansong worked longer and stabilized, Li Jingsheng was ready to pay a visit.

At the People's Hospital, he now has some experts he can talk to.

Maybe it can provide some help.

Han Siying, Tang Ping and others fell silent after hearing Xiang Cangsong's family experience.

Fortunately for Tang Ping, she knows how difficult it is to be an adult.

Han Siying was just a newcomer to society. She joined the Sunshine Clinic and received good treatment in all aspects.Li Jingsheng treated her very well.

It's the kind of thing that goes smoothly after work.

We still don’t know much about the cruelty of society.

The only advantage may be that her family background is not very good, and she went through some hardships when she was a child.

"Another day I will buy some things and go visit Master Xiang's wife. Why can't their family even afford food? I will send some grain, oil, rice and noodles."

Han Siying said.

"Don't do this yet. Wait until Xiang Cangsong has been working in the clinic for a while and you have become a little familiar with him. It's not too late to visit him. Visiting now can easily hurt someone's self-esteem. And he should still have enough money for food now. . Maybe he wants to save as much money as possible to help his wife treat her illness."

Li Jingsheng could roughly guess Xiang Cangsong's thoughts.

There is a child who is studying, his wife has to go to the hospital for treatment every week, there is rent, and daily living expenses. All the burdens are on him alone.It’s impossible not to save.

"Sister Tang, that's good. When ordering food in the future, order an extra box of rice for Xiang Cangsong."

"That's no problem. I'll just tell the restaurant owner and ask him to send an extra box of rice."

Tang Ping nodded in agreement.

Sunshine Clinic now has more than a dozen employees, and the clinic pays for lunch.

For restaurants, it is also a considerable business.

Give me an extra box of rice. As long as the boss has a bigger picture, he will definitely agree.

"When giving, you must take care of Xiang Cangsong's dignity, and don't explicitly say that you are giving food to his wife."

"I understand this. When the time comes, I will tell you, Master Xiang, you work hard and eat a lot, so you asked the restaurant to bring an extra box of rice."

Tang Ping is a mature woman, and her way of dealing with others is not comparable to that of a little girl.

"Haha, our sister Tang is becoming more and more like a vice president! The clinic is a big family. Everyone has their own difficulties and hardships. As long as everyone unites, helps each other, and is friendly, I believe everyone's life will be better. The better.”

Li Jingsheng, the boss, has been working hard to maintain the clinic's ideological education in this area.

While chatting, Xiang Cansong came back.

Obviously he wanted to see Li Jingsheng for something, but seeing so many people in the office, Xiang Cangsong, an honest man, seemed a little cautious.

"Lao Xiang, how are you? I haven't been home all morning. Is your wife still getting used to it?"

"It's good. She was overjoyed when she found out that I was hired by Sunshine Clinic. This is the first time I've seen her smile since she got sick." Xiang Cangsong had a simple smile on his face.

A family man works hard outside to give his wife and children a good life.

Seeing his children grow up and his wife happy, the man feels that it is worth it no matter how hard and tiring he is outside.

"Work hard and I believe your family's life will get better and better."

Li Jingsheng encouraged him with a smile.

"These are the equipment purchased for you. There are two pairs of work clothes for you to change and wash. In the future, you will be required to wear work clothes to work. You can learn to use these security equipment. In the morning, you can hold a riot-proof fork or something like that in the clinic. Let’s practice in the courtyard.”

After speaking, Li Jingsheng looked at Tang Ping.

"Sister Tang, please go through the claiming procedures for Lao Xiang. Just ask him to sign."

Currently, the clinic does not have dedicated finance.

Li Jingsheng was in charge of finance, and had to ask for signatures when receiving personal belongings.

When you leave your job, some items need to be handed back, and this is well documented.

At this time, Li Jingsheng's cell phone rang.

It was Xiao Linlin from the Gastroenterology Department of the Second Hospital.

"Dr. Li, I'm sorry, I have another thing to trouble you with today."

"If Director Xiao has any instructions, I will do it for you even if I go through fire and water. Please tell me."

"Garge!"

She should be smiling broadly.

"You are getting better and better at making people happy now! It seems that Dr. Ou has trained you well! I admitted a patient today. His bowel condition is very bad and he is very old. He insists on having a colonoscopy. , I’m not sure, and I’d like to ask you to come over and help, do you think that’s okay?”

(End of this chapter)