Gou is practicing medicine in the clinic

Chapter 374: It’s a good thing that the white-collar woman’s arm is broken when her blood sinks quickly.

Patients have better waiting conditions, which can buy Li Jingsheng sufficient time for diagnosis.

This disease is obviously complex and cannot be diagnosed in a short time.

There was no problem with the bone quality, and no obvious abnormalities were found in multiple biochemical, imaging, and electromyographic tests at a large hospital.

Although there are certain signs before the patient becomes ill, the change from normal state to case occurs suddenly.

This shows that the onset is very urgent.

It can be classified as an emergency clinically.

Excluding the fact that the child has been mentally stimulated or has a history of mental illness, what kind of disease could it be?

His first thought was epilepsy.

This disease occurs without any warning signs. A person may suddenly fall to the ground, convulse, foam at the mouth, and become unconscious.

However, this female patient's symptoms were obviously inconsistent with epilepsy.

In addition to her body being weak and unable to move, she was conscious and able to eat, drink and sleep.

A hemiplegia test was done in the hospital, and the pathological signs on both sides were positive.

In Li Jingsheng's opinion, this is somewhat irresponsible.

The patient's symptoms are very similar to paralysis, but there are obvious abnormalities.

Paralyzed patients often experience abnormal myoelectric signals, interrupted or poor nerve conduction, etc.She had none of these problems.

"Has she had any incontinence since she became ill?"

Li Jingsheng decided to start with other details.

"I had urinary incontinence twice, but no fecal incontinence. But I did have more serious constipation, and sometimes I needed to put on gloves to help her remove it."

Lying down for a long time is prone to constipation.

Her body was weak, and it was difficult for her abdominal cavity to form strong contractions to cooperate with her sphincter muscles to expel stool during defecation.

It's normal to have difficulty defecating.

I feel that there are many aspects of this female patient’s situation that deserve further investigation.

“Where are you parking your RV now?”

"Parked in the public parking lot next to Daifuku Temple. My husband and I went there yesterday to burn incense and found that parking was free and there was running water, so we parked there."

The old lady, her husband and their daughter traveled all over the country to seek medical treatment, but there was no cure.

So I prayed to God and prayed to Buddha, hoping to bless my daughter to recover as soon as possible.

This is also a kind of belief.

Because they have been seeking medical treatment for their daughter for so many years, they may have already felt hopeless.

Although gods and Buddhas are more metaphysical, they can give people some power of faith in the darkest moments.

"Daifuku Temple is quite far away from here, at least two or three kilometers. How did you bring your daughter here?"

"First park the car outside your clinic, take the person out of the car, and take him to the clinic. Then my husband will drive the car over there and park it."

It turns out that this is how it works. Li Jingsheng nodded.

"I have a general understanding of your daughter's condition, but I'm afraid it won't be possible to find out the specific cause in a day or two. If you are willing to give me more time, please stay in Jiangli City for a few more days. I am here We will also try our best to find experts from other hospitals for joint consultation, so as to prevent you from traveling in vain and find out the cause of the disease."

Li Jingsheng did not dare to take over everything.

It can only be said that we try our best.

Moreover, many neurological diseases may not be cured even if the cause is identified.

"Thank you, thank you!"

The old lady clapped her hands excitedly and thanked him repeatedly.

"If it will cost a lot of money, please tell us in advance. As long as it can cure my daughter's disease, we are willing to spend any amount of money."

"Well, when it comes time to have major surgery or use imported drugs, I will tell you in advance. Now it is just diagnosis. Apart from the normal cost of examination, our Sunshine Clinic does not charge for other aspects. Basically, it is given to the patient Free clinic.”

When Li Jingsheng couldn't make any money, he still insisted on giving free clinics.

Never charge patient fees.

Now that he is making a lot of money every day, he will not charge consultation fees from these patients.

Many of the people who come to the clinic for medical treatment are poor people. He will try his best to provide them with some benefits within his ability.

"By the way, if it's inconvenient for you to park your car at Daofukuji Temple, you can park it directly in the courtyard of my clinic. You can use the tap water for free. There are public toilets in the clinic. You can take care of things like eating by yourself. . If you want to live there, you’d better live in the car.”

Li Jingsheng's clinic has some empty rooms, but patients will never be admitted to the clinic.

There must be a limit to good deeds.

If a patient is admitted to a clinic with good intentions and something happens to the patient, his clinic will basically be doomed.

"Thank you! Before coming here, we still had a lot of worries. Now after contacting you, although you are very young, your concern for us is really touching. I will go and tell my husband now."

The conversation between the two ended, and Li Jingsheng returned to the clinic to continue receiving patients.

The two old men took their daughters to the side to communicate.

Among the many examination items of this female patient, the only obvious abnormality was rapid erythrocyte sedimentation rate.

There are many causes of rapid erythrocyte sedimentation rate, such as inflammatory diseases, viral or bacterial infections, or collagen diseases.

For example, severe anemia, blood diseases, chronic hepatitis, cirrhosis, multiple myeloma, hyperthyroidism, heavy metal poisoning, malignant lymphoma, etc., these diseases can cause excessive erythrocyte sedimentation rate.

There are also various types of tissue damage or necrosis, which can also lead to rapid erythrocyte sedimentation rate.

This alone makes it impossible to diagnose the specific cause.

Clinical diagnosis often combines multiple aspects of symptoms, examination results, medical history and other information.Rather than relying solely on abnormal data detected by a certain item.

"Old sir, didn't you say you took your daughter to a neurological hospital in Shanghai for treatment? Do you still retain the treatment receipt and medication information?"

"Yes! I'll put it in the car. I can go get it for you right away."

"Go get it! Your car is parked quite far over there, and it's inconvenient for your daughter to move around. It's okay to park it directly outside my clinic. Park it against the wall so it doesn't affect the passage of others."

Li Jingsheng said to the old man.

Although he told his wife once, saying it again now can dispel the old man's concerns.

Some family members have strong self-esteem and thin skin.

Afraid of bothering others.

Li Jingsheng could dispel his worries by telling him personally.

"Okay, thank you! Allow us to park the car into the clinic. This is indeed much more convenient."

The old man happily accepted Li Jingsheng's kindness.

Other patients and family members waiting for treatment watched silently.There was a smile on someone's face, and someone's eyes were shining.

Kindness is the most beautiful thing in this world.

It is very natural to infect other people.

"Dr. Li, please help me take a look. I slipped in the bathroom this morning and my arm hit the edge of the door frame. The arm is in severe pain and I can no longer use my strength."

Patient No. 2 is another young woman.

He looked about 23 or [-] years old, wearing pajamas underneath and a long windbreaker jacket.

She kept holding her right arm with her left hand, with a pained expression on her face from time to time.

Judging from her exquisite makeup and good temperament, she must be at least a white-collar woman.

"Have you gone to another hospital for a checkup?"

"I didn't go anywhere! I live in the scenic Linjiang Community No. [-], and I've heard of your reputation for treating bone injuries. I didn't even think about it, so I came directly to you."

She is not alone.

Nowadays, there are very few residents in the south of the city who don't know about Li Jingsheng.

He treats bone injuries and has gained a high reputation throughout Jiangli City.

As the health medicines sold by Sunshine Clinic were accepted by more and more customers, Li Jingsheng achieved both fame and fortune.

The clinic's medicines are selling more and more, and his reputation in the field of medical skills is also growing.

In particular, his reputation for treating bone injuries has probably surpassed that of Dr. Xu.

"I see you have a very good temperament. What do you do?"

Li Jingsheng asked her.

"Haha, thank you for your compliment! I co-opened an advertising planning company, and I am also engaged in foreclosure work."

Women love to be complimented.

Li Jingsheng praised her for her good temperament, which made her very happy.

Even the pain has eased a lot.

"No wonder you have such an outstanding temperament. You are so motivated. Let me take a picture of you first to see the situation. Judging from the condition of your arm, I suspect it may have been fractured. So you should try not to let your right arm swing too much. , so as not to aggravate the fracture.”

"Understood! I can't move even if I want to. As long as I move slightly, it will hurt terribly. I feel so unlucky. Just a bump like that, and I broke a bone."

After she heard that her right arm might be broken, her expression changed a little, but not much.After all, people who are bosses, after tempering, have much stronger psychological quality than ordinary people.

"When it hit the door frame, wasn't it very forceful?"

"Yes, I just tilted my body and hit it. Anyway, I didn't feel the impact was very strong."

"It's possible that your body is thin and lacks fat protection. It happened to hit the sharp angle of the door frame, which caused the fracture. Let's take a picture first to see the results. What I said may not be accurate."

Li Jingsheng took her to make a film.

The result was as expected, his right arm was broken.

Quite serious.

What she thought was a minor fracture turned out to be a serious fracture at the deltoid tuberosity of her right arm.

"How's it going? Are you broken?"

"Well, the fracture is quite serious. You can take a look at the film for yourself. It's already cracked very wide, almost forming a septal injury." Li Jingsheng frowned slightly.If it was true as she said, the force of the impact was not strong, and it was impossible to cause such serious injuries.

To be honest, the humerus itself is a very hard bone.

Because it needs to support the person's hand and arm.

When lifting heavy objects, doing push-ups, or pulling heavy objects, the humerus will bear strong gravity.

Even if you don't exercise much, you can still see a 'little mouse' on your arm if you clench your fist hard and contract your upper arm.

The upper arm has dense muscles such as the deltoid, triceps, biceps, and brachialis muscles.

Some men who love fitness can really make women's eyes shine when they expose their upper arms.

From the moment we are born, the muscles in our hands and arms are used and exercised in various situations.

It must be unusual for her humerus to be so badly injured.

"Oh, why am I so unlucky! I felt very painful at that time."

She couldn't help but sigh when she saw the image of the humerus shown on the film.

"I just carefully observed your right upper arm. The trauma is not obvious. It's really strange that the bones are so badly injured. Let's go outside and I'll feel the bones for you and see how it goes."

"Then can you help me cure it here? I'm really afraid of surgery."

She looked at Li Jingsheng with hopeful eyes.

"It should be possible to undergo manual reduction and treatment. But I suspect there may be a problem with your bones. Let's check the situation later!"

Li Jingsheng took her back to the reception desk and asked her to lie down on the examination bed at the back.

She seemed to have a mysophobia, and when Han Siying helped her lie down, she must have been a little reluctant.

Many women who lead exquisite lives are more particular.

There are very high quality requirements for food and clothing.

Men with low incomes sometimes may not be able to support a girlfriend who lives a sophisticated life.

Some beautiful and exquisite women are particular about the food they eat and the houses they live in. The clothes they wear often choose mid-range or above brands, and cosmetics are a huge expense item.

Based on Li Jingsheng's experience, this female patient with a fracture may not be able to be supported by ordinary men.

Of course, for a woman of her level, ordinary men would never be able to catch her eye.

Moreover, she has strong working ability, and her income is estimated to be more than ten times that of ordinary men.

"I'm going to touch your bones to check. This process may be a little painful. Can you bear it?"

"Try it! Do you allow me to yell here?"

"Uh... when it hurts, it's definitely okay to scream. If the pain is really unbearable, I can give you arm numbness here."

"Then why don't you give me an anesthetic? I've been afraid of pain since I was a child, and I never dared to look at the syringe in the nurse's hand during an injection."

"Okay, I guess the manual reduction will be useful after a while. Arm anesthesia will actually be a bit painful, and it needs to be injected at multiple points. Also, before we perform brachial plexus anesthesia on you, we need to do a skin test. It looks like you need to wait for ten minutes. Do you usually have any drug allergies?"

"I haven't found any drug allergies. You can test it for me before injecting anesthesia. Now that I'm injured like this, I've been delayed even if I don't have to work. I'll treat it with peace of mind before thinking about anything else."

She could think about it.

"Okay, then you lie here first. After the anesthesia takes effect for a while, I will come in to help you feel the bones and check and restore the position. One thing must be made clear in advance. Although from the film, your fracture injury I have the ability to perform manual reduction, but if I find that there are some serious diseases in the bones after touching the bones, I think it is not suitable for manual reduction treatment, then you can only go to a large hospital to consider other treatment options."

Li Jingsheng must make it clear to her.

Otherwise, after the film is taken and anesthesia is administered, and then she is told that treatment is not possible, she will probably be very disappointed.

It is easy for conflicts to arise at that time.

If you make it clear beforehand, she can accept it.

"No problem. I hope it can be restored manually. I'm too afraid of surgery."

She happily accepted what Li Jingsheng said.

Sometimes, it is indeed more worry-free to communicate with patients like her who are open-minded and highly educated.

……

More than 20 minutes later, Munro told Li Jingsheng that the numbness in the female white-collar's arm had taken effect.

Li Jingsheng walked in to check her bones.

As soon as he touched the radius bone of her forearm, he noticed something strange.

After further bone examination, he finally understood why the woman suffered such severe fractures just by hitting the door frame.

"Your bone quality is not very good, and your osteoporosis is quite serious. Do you usually eat a relatively simple diet?"

A busy white-collar worker like her is often so busy that she doesn't even think about eating.

After missing a meal, I usually eat instant noodles in a hurry.

It doesn't matter if you have one or two meals. If you eat too much, your body's nutrition will not be guaranteed at all.

"No way. I know that the body is the capital of revolution. Although I seldom cook my own meals, I always pay attention to the nutrition. I also eat some meats such as shrimps and fish regularly. But I eat less pork. Usually they eat chicken, mutton, beef, etc.”

What women fear most is gaining weight.

She is only 24 years old and her body metabolism is at a very good level, so she doesn't need to worry about this.

Just control it appropriately.

Women really start to gain weight, usually after giving birth, starting from the age of 28 or [-], when their body functions begin to decline, and it is very easy to develop a belly at this time.

Nowadays, many women pursue late marriage, which is actually a very disadvantageous choice for them.

After a woman reaches the age of 30, unless she takes good care of herself, her health will almost [-]% decline.

The best age to have children is generally in your 20s.

The older you get, the various risks after pregnancy will increase exponentially.

Such as pregnancy-induced hypertension syndrome.

There is also a significant increase in the risk of fetal malformations.

This female patient’s diet is very healthy, so what exactly caused her osteoporosis?
The first thing Li Jingsheng thought of was drinking coffee. White-collar women like her often work overtime and stay up late.Drinking coffee to refresh yourself is definitely indispensable.

Long-term excessive drinking of coffee can lead to calcium loss.

"Do you usually drink coffee?"

"Occasionally I have a drink when I get together with friends, but it's very little."

Nor the pot of coffee.

What caused the problem?

I received two very difficult female patients early this morning.

This made Li Jingsheng quite annoyed. He held his breath in his heart and still didn't believe in this evil.

We have to find a way to find out the real cause.

"So do you usually work overtime or stay up late?"

"Absolutely! It's not that easy to make money. It's all in exchange for health."

"What should you do if you feel sleepy when you work overtime and stay up late?"

“I like to drink Coke and occasionally drinks like Red Bull to keep me energetic.”

Hearing this, Li Jingsheng showed a smile on his face.

The problem should be found.

Drinking too much carbonated drinks can be very harmful.It not only causes cardiovascular and cerebrovascular diseases, but also damages the kidneys and liver, and can also lead to the occurrence of osteoporosis.

"I can manually reduce your bone injury, but I have to tell you some bad news. Your bone condition may be equivalent to that of a 90-year-old man. You have severe osteoporosis. If you don't trust the results of my bone touching , you can take the time to go to a large hospital for testing, and you will definitely get accurate data."

Li Jingsheng said to her.

"For the sake of your health, I suggest that you quit carbonated drinks. If you drink them for too long, I even suggest that you go to a large hospital immediately to check the function of your liver and kidneys. If chronic renal failure develops, that's A very serious disease. If I say uremia, I'm afraid it will scare you. Kidney failure is the opening of Pandora's box of uremia.

Early kidney damage can be treated.

When the kidney failure reaches the decompensated stage, the only option is kidney transplantation. "

(End of this chapter)