Gou is practicing medicine in the clinic

Chapter 38 The chance to make a name for yourself is here

"The old doctor personally helped me clean up the inside of the pustule, then gave me medicine, and gave three days of hanging injections. But after I got home and lived for five days, the pustule began to red and swell again, and then two days later The sky started to pus again."

The old man replied.

There are many reasons for abscesses, and some intractable abscesses, or abscesses of unknown etiology, are extremely difficult to cure.

Physiologically and pathologically, the formation of many abscesses can be regarded as accumulation of toxins in the body that cannot be discharged, and then a superficial pathway must be found to discharge the toxins.

At first, it is often red, swollen, inflamed, painful, and hard to touch.

After a period of time, the pustules liquefy and become soft, and the surface skin turns white. At this time, the pustules are mature.

After pricking, pus can be drawn out.

In most cases, the swelling subsides and heals quickly.

"What about the third time? How did you do it?"

Li Jingsheng felt that the third treatment would definitely be something new, otherwise he would really wonder if the surgeons at the community health service station have a single mind?

"The third time was still debridement, but I used liquid medicine for cleaning, and I was asked to take two pills orally."

"I just finished it yesterday. How do you know it's still not healed? It will take a while to recover from the treatment of such a large abscess."

The most commonly used plaster for pus extraction in ancient times.

With the rapid development of medical technology and the widespread use of surgical operations, there are methods such as incision and drainage, debridement, and removal of pustules.

"It's just based on experience! After the first two treatments, when I was about to relapse, I would feel pain in this area, and then there would be redness and swelling around the pustules. Look, it should be swollen again now. If you wait until tomorrow, it will swell even more. .”

The old man's answer made people think of the saying that a long illness makes a good doctor.

He has now all had experience with the diagnosis of relapse.

For the third time, it was estimated that the surgeons at the health service station were at their wits end and had no choice.

That's why I thought about treating the inside of the abscess with anti-inflammatory and bactericidal potions, and let the patients take long-acting anti-inflammatory and bactericidal drugs.

"Doctor Li, everyone says that your medical skills here are excellent. Please take the trouble to help me. As long as it can be cured, money is not a problem. I have a month's retirement salary..."

Before the old man finished speaking, the old lady next to him secretly pushed him and winked at him.

The old man immediately stopped talking.

Li Jingsheng couldn't help laughing secretly, this old lady is quite wary.

This is the lesson of remembering that money is not revealed, and I am worried that Li Jingsheng will know that the old man's retirement salary is very high, and I will ask for a lot of money.

"Don't worry, our Sunshine Clinic is a regular clinic. The charges are all in accordance with the strict regulations of the higher authorities, and you will never be charged a penny more. After listening to your story just now, this pustule is extremely stubborn and it is extremely difficult to eliminate. Now I I don’t dare to say that it is certain to be cured, I can only say that if you trust me, I am willing to try my best.”

Li Jingsheng said very sincerely.

The conversation skill with the patient was exercised when I was a bed doctor in the hospital.

For example, with surgery, referral or new major progress of the disease, the bed doctor needs to communicate with family members and patients in a timely manner.

When encountering a difficult patient or family member, it is really a complaint if there is a disagreement.

After Li Jingsheng suffered many losses, he obediently learned conversation skills from other doctors, and finally he was able to practice it.

This is of great help to his work after opening the clinic.

So far, there have been no adverse events such as being smashed by a patient on a glass door or hitting a table due to poor communication.

"I must trust you to come here to see a doctor! Please help me take a good look at it. It's too uncomfortable. It hurts all night and night, and I can't sleep on my back. It's hard to even put on clothes. I'm always suffering. .”

It seemed that there was just an abscess on the back, but it brought great trouble and pain to the patient.

Li Jingsheng understands the pain of patients very well.

Nodding sincerely, "I will do my best. Before your first treatment, what was your body temperature? Do you have a fever?"

The patient is now using anti-inflammatory and antibacterial drugs, and the body temperature measured just now is 36.7 degrees, which is normal.

Normally, a pustule this large would definitely cause a rise in body temperature.

"Yes, I have a fever! I remember...how many degrees?" The old man looked at his wife next to him.

"38.9 degrees, look at your memory."

The old lady scolded the old man.

The old man just smiled hey, "Yes, yes, it's 38.9 degrees."

Sure enough, it was similar to Li Jingsheng's guess. Before the patient was treated, the pustules caused inflammation and fever.

The fever was quite severe, almost to a high fever.

It is not uncommon for a pustule of this size to cause a high fever.

"The debridement failed to heal three times in a row, which means that the debridement is not in place at all. Antibiotics can only play an anti-inflammatory and antibacterial role, but they cannot directly cure the pustule. At most, it can greatly reduce the risk of postoperative infection and at the same time inhibit The abscess continues to spread. What is the real cause?"

Li Jingsheng's general surgery diagnosis is only an entry level.

At this moment, I deeply feel that it is not enough.

His life points have accumulated to 61 points, and he originally thought that after saving enough, he would be promoted to a senior resident doctor.

Now we can only spend 10 points first to upgrade the general surgery diagnosis to the proficient level.

At this time, the glass door of the clinic was pushed open, and an old lady in her 60s dressed in a western style stuck her head in and took a look.

Then he went straight to Li Jingsheng.

No, not just one old lady, there were four of them.There are fat and thin, different heights, and without exception, they are all dressed in a foreign style.

You can tell at a glance that these old ladies love to play.

"Xiang Ying, how is your husband doing?"

"Doctor Li is here to help him look! Why don't you go first, I'll go find you after I'm done. I don't feel safe leaving my old man alone."

The old lady's care and love for the old man are reflected at this moment.

Husbands and wives come less frequently and accompany each other when they are old.

The relationship between the two should be very good.

"Okay, then let's go to the underground clothing city first. I heard that there are more than a dozen stores that are almost out of business and are cleaning their warehouses. You are done with your work here, so hurry over there!"

"Yeah, I'll call you when the meeting is over."

Xiang Ying said to the four of them.

"Come and find us as soon as you're sick!"

As he spoke, he made a phone call gesture to the old lady named Xiang Ying.Four old ladies came in like a gust of wind, and left quickly.

They don't even look at the supplements in the clinic counter.

These old ladies like to pick up cheap.

One by one is very shrewd.

Which store is doing promotional activities, or closing the store to clear the warehouse and wash the goods, they will guarantee to kill them as soon as they get the news.

But these old ladies who are greedy for cheap should have been tricked by a routine.

There was a street rumor that it was going to be demolished, and then almost all the shops posted "In the last three days, no one will be left. The price of the jump, the whole site is only 19.9. Countdown, the last day of the clearance sale."

Then, a year has passed, and the shops on this street are still advertising the last three days, clearing warehouses and washing goods.

After watching the four old ladies leave, Li Jingsheng became more determined to upgrade his diagnostic skills in general surgery.

why?
Because of this kind of old ladies who are in groups and love to play, they are a group of free live advertisements.

As long as Li Jingsheng cured the old man's pustules, they would all spontaneously help Li Jingsheng to promote him.For a small clinic like his, the effect of advertising on TV and newspapers would not be very good.

It is impossible for patients to travel all the way to a small clinic to see a doctor.

These old ladies are all locals, and their publicity targets are also residents of this area.The conversion efficiency will be particularly high.

Without any further hesitation, he decisively consumed 10 health points to upgrade his general surgery diagnostic skills to the proficient level.

　Thank you

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(End of this chapter)