Gou is practicing medicine in the clinic

Chapter 398: The heart is the key protection object of the body. I am afraid that I will get rich again.

"And a third diseased organ? The heart and lungs alone bother me enough."

When Lian Tao heard that there was a third lesion, his head suddenly got big.

But Li Jingsheng always makes predictions like a god.

It works almost every time.

"As long as the third lesion can be found, I don't think it is a bad thing. Some symptoms and conditions may seem complicated, but in fact the real source of the lesion has not been found."

Those difficult-to-diagnose cases almost all have one characteristic in common.

It was obvious that there were many abnormalities in the test results, but the diagnosis of the cause was still unclear.The most frightening thing is that the location of the disease is clearly found, and then the symptomatic treatment is given. The medication and treatment plan are all correct.

The result is getting worse with treatment.

In this situation, novice doctors must definitely wonder whether there is an error in the textbook.

Old doctors will also doubt life.

However, most experienced doctors will quickly call in someone for consultation when they encounter this kind of problem.Or find a way to transfer the patient to another hospital for treatment.

Lian Tao sent him the patient's arteriogram.

After viewing it, no new diagnostic clues were found.

He couldn't help but ponder that the patient's long-term hypoxia and increased blood viscosity would definitely increase the burden on the left ventricular ejection.

This is equivalent to a person who originally only had to work eight hours a day and transport two tons of goods.Now, because other workers have problems, work tasks are imposed on him.And it's not just one or two days, it's been like this every day for more than seven years.

How can the left ventricle bear it?
Except for a narrowing of the pulmonary artery, no other problems were found.

Moreover, the narrowed section is not that the blood vessel is originally narrow, but that the blood vessel becomes narrow due to the increase in plaque caused by long-term pulmonary hypertension and the continued hardening of the blood vessel.

In other words, the pulmonary arteries were originally healthy.

It's because of long-term exposure that it becomes like this.

So is the patient's heart disease also caused by being overwhelmed for a long time?
Li Jingsheng jumped out of the tangled circle of strange forces in his heart and lungs.

It has now been established that the lungs are not the first organ to become affected.

Then only the heart remains.

In fact, it can cause pulmonary artery and pulmonary venous hypertension, and the patient has problems with both the left and right ventricles, which means that the heart is probably not the first organ to become diseased.

The two most important organs of the human body for maintaining life are the heart and lungs.

Extracorporeal membrane oxygenation, the ultimate rescue tool in the ICU, replaces the work of the heart and lungs and achieves extracorporeal circulation.

Compared with the lungs, the heart plays a more important role in the body and is better protected.

Pneumonia and lung lesions are more common caused by colds.

But it is rare to hear that someone has a heart attack caused by a cold.Unless it's a disease like fulminant myocarditis.

Even if myocarditis occurs, there is a loophole in the heart that allows the virus to take advantage of it.

The heart of a normal person is heavily protected, and it is really equivalent to the capital of a country.It is impossible for the enemy to break in easily.

Based on Li Jingsheng's diagnostic experience in cardiothoracic surgery, he boldly inferred that before the patient's heart developed lesions, there must have been lesions in some organ or tissue.Eventually leading to heart problems.

There are many organs that can cause heart problems, but there are only two or three organs that fit this patient's condition.

The liver and kidneys are the key suspects.

Nothing else, just because in clinical practice, these two organs are most likely to cause heart problems.

They are the number one 'suspects'.

Li Jingsheng looked through the patient's urine routine examination results and found no abnormal data that could prove kidney disease.

However, the patient's body was edematous, which seemed to be consistent with the inference that the kidneys had lesions.

This case is really difficult to handle.

There are many questions and doubts everywhere.

"Doctor Li, can you see a doctor now? I have to go to work later!"

The patient was already impatient with waiting.

After answering the call, I saw Li Jingsheng holding the phone and frowning, thinking, God knows how long.

"Sorry to keep you waiting. I'll see a doctor right away."

Li Jingsheng could only put aside the difficult case for the time being.

It is better to be the chief physician, as he has more time to think about and diagnose difficult cases.

He does not yet have this condition.

Perhaps when the clinic grows further, he can be completely withdrawn and specialize in handling difficult cases and surgical cases.

……

I was busy until about 30:37 noon and diagnosed and treated [-] patients.Two of them couldn't handle it and were sent to big hospitals.

There was also a wrist joint displacement, which he pinched with one hand for the patient.

Both hands are usually healthy and I don’t think there is anything wrong with them.Now my left hand is injured and I can't use too much strength.It makes him feel that life and work are inconvenient.

After having this experience, he sympathized with the patients' suffering, and the love for them in his heart deepened unknowingly.

Sitting in the office for lunch at noon, Xiao Gao came over.

"Boss, our medicine inventory is about to be replenished! The replenishment list has been sent to your work email."

"Okay, I'll take a look at it later. Don't you usually submit the replenishment list to me at night? Why do you want to submit the purchase order at noon today?"

Li Jingsheng asked curiously.

Submit the replenishment list after get off work in the evening to estimate inventory more accurately.

Because a lot of medicines will definitely be sold in the afternoon.

Nowadays, Sunshine Clinic is considered a big business, with good online and offline drug sales.Sometimes replenishment even requires Modu Youyao to send a special vehicle for transportation.

Replenishing a cart full of goods is now almost a common thing.

When I signed the contract with Sunshine Clinic, Manager Hu did it entirely for Xie Guiqiu's sake.

Who would have thought that that shabby and small clinic would now become one of the strongest clients signed by Manager Hu.

The sales performance is several blocks higher than that of the largest local pharmacy chain.

The same medicines at the same price, everyone is rushing to buy from Sunshine Clinic.This makes dealers and drugstore owners jealous.

"Didn't our clinic have some rumors exposed on the Internet a few days ago? Now the public opinion has reversed, praising you and praising our clinic for its conscience, superb medical skills, and reliable medicines. They also say that we have a golden reputation. You can say anything. have.

Then starting yesterday afternoon, online drug sales seem to be increasing.

It just exploded today.

So far, online drug sales have exceeded [-]% the day before.

Do you know what netizens said? "

Xiao Gao sold it out to him.

"What did you say?"

Li Jingsheng wants to hear comments from netizens.

"They said that if they don't buy up the Sunshine Clinic's medicines this year, they would be sorry for Dr. Li's kindness. They also said that they would not make the Sunshine Clinic rich. Everyone here is responsible."

Xiao Gao was filled with pride when talking about the supportive comments from these netizens.

Being able to operate a clinic to this extent is rare in the country.

"It seems that people's support is still against me! I treated the paralyzed woman and allowed her family to stay overnight in the clinic. In my opinion, it was just a very ordinary and trivial matter. Being made trouble by that rumormonger is like using a super magnifying glass. It magnified a good deed we did countless times. I don’t know what the rumormonger will think after knowing the result?"

Li Jingsheng is very short of money now.

But a lot of money is missing.

The online drug sales business has reached a higher peak, which makes him feel particularly excited.

He struggled to climb ashore from the quagmire. It was hard-won to be where he is today.So he always maintained a mindset of being prepared for danger in times of peace.

The last time the clinic's facade expired, the experience of being choked was still vivid in my mind.Now, after the Sunshine Clinic has moved to a new location, its business has reached several levels and is in full swing.

But it also gave him a stronger sense of crisis.

Only by buying the courtyard of the clinic can we sit back and relax.

And since it will be your own business, you can do whatever you want with the decoration.

"I think you are the right person to help. To be honest, when I first changed my job to Sunshine Clinic, all I was thinking about was how to make more money and how to avoid being fired by you. I was regular at that time. Being a decent person is completely out of fear of losing this job, which is tantamount to being intimidated by you, so I will consciously restrain those bad thoughts.

Later, when I worked with you, listened to your words, and followed your actions, I found that my thoughts became more and more decent.

Now I no longer have to worry about being fired by you. Even if you are not around when I do something, I know what to do without giving me any deterrent.

I feel that I am becoming more and more decent, and my heart has become upright and strong. "

Xiao Gao rarely talked about his inner progress.

These changes in his thoughts would be difficult for outsiders to feel unless he said it himself.

Those who are close to ink are black, and those who are close to vermilion are red.

Li Jingsheng acted upright and had benevolence in his heart, and Xiao Gao was also greatly affected.

"Progress is a good thing. Work hard and I believe you will develop better and better." Li Jingsheng affirmed Xiaogao's progress.

During this period, he himself has actually made great progress.

After experiencing many things and people, he matured quickly, became more like a boss, and had everyone's style.

In the past, if someone made trouble in the clinic, he would definitely panic.

Now when things happen, I can basically do everything without being surprised.

"Online public opinion has reversed, which is a good thing. You must do a good job in online drug sales services. In addition, I am currently considering adding a new position and recruiting a quality controller to strictly inspect every drug in the clinic. . Both entry and exit need to be checked.”

I have long thought about adding such a position.

It’s just that there was no rice in his pocket at that time, and the clinic required money everywhere, so he had to save costs as much as possible.

Now that he has some financial resources, all he has to do is to seek success in a stable manner.

Adding a quality control position will cost an additional 8000 to [-] yuan a month, but the money is well spent.

It is equivalent to adding a bumper to the medicines in the clinic.

You can avoid having your brand damaged due to problems with the medicine to the greatest extent.

Li Jingsheng checked the medicine list and found that there were no problems, so he submitted it directly to Qiu Shaofeng.

Now he makes a big deal every time he buys medicine, and he is definitely a big customer of Modu Youyao.

If you have any needs, they will be dealt with immediately.

A quotation was quickly sent over.

Nowadays, because the quantity of goods taken has increased, the purchase price is always the lowest.

Lower purchase costs also mean greater profits for him.

Only a small part of this profit goes into his personal pocket.The rest has become the wages and commissions of packaging workers, customer service officers, operations officers, and offline drug sales personnel.

At that time, I guess I will have to use part of it as a year-end bonus.

He did this very well and never thought of keeping all the wealth for himself.

If you have money, let’s make it together and share it together.

Only in this way can so many people be willing to sacrifice their lives for him and gather around him.

After replenishing the goods, Li Jingsheng diagnosed the difficult case again.

He was unwilling to have it diagnosed.

"Brother Lian Tao, can you give the patient a renal function test and a biochemical test for alanine aminotransferase and aspartate aminotransferase?"

Make bricks without straw.

If we want to make a major breakthrough in the diagnosis of this case, we must find ways to do more tests.

The biggest difference between Western medicine and traditional Chinese medicine is that traditional Chinese medicine is more abstract and the doctor has greater decision-making power.

Chinese medicine doctors take the patient's pulse, look at the color and listen to the sound, and then prescribe medicine directly.

Because Chinese medicine is relatively mild, two doses of medicine are often taken first to test the effect.If it works, then continue to treat according to this idea.

Poor curative effect means that the diagnosis is wrong, so you need to change your thinking, change your medicine, or even change your doctor.

Western medicine pays more attention to the basis of diagnosis.

To put it bluntly, the inspection results serve as an important basis.

For example, based on experience, a doctor found that a female patient's breast nodules had malignant properties and were likely to be breast cancer.

But based on this alone, the doctor cannot prescribe medicine or perform surgery.

Relevant examinations must be completed to obtain surgical indications.

You can't just perform an operation based on a word from the doctor.

This is the difference between the two.

"Are you suspecting that there may be a problem with the patient's liver or kidneys?"

After a long time, Lian Tao sent him a message back.

He must be very busy too.

"After much thought, only these two organs are the most suspect. I think we can rule them out first. Now after inference, the possibility of kidney problems is greater, but my intuition thinks that the possibility of kidney problems is very small. So it is necessary Do a kidney function test to rule it out."

When conducting examinations on patients, it is not just a matter of doing whatever examinations you want.

There must be evidence and corresponding diagnostic ideas.

Otherwise it becomes over-inspection.

"Okay, we'll make arrangements right away. I've also wanted to do a kidney function test on the patient for a long time, and this time it just happened."

Lian Tao agreed to both inspection requirements.

The price is not expensive, and it is a non-invasive examination, and it is easier to communicate with patients and their families.

"Let's not talk about it for now. I received two seriously ill patients in the morning, and I almost vomited blood. If I continue like this, if the patient doesn't die, I will die first."

Lian Tao could only complain to his good friend Li Jingsheng.

Who told him to be alone at such an old age?
I'm almost going to run away from school, but I'm still thinking about my little girl.The key point is that the little girl is still a patient with serious intestinal problems.

It sounds legendary for a doctor to marry a patient.

But it happens less often.

After chatting with Lian Tao here, a person who claimed to be a legal officer of the Second Hospital applied to add him as a friend.

There are a lot of scammers these days, so Li Jingsheng added them first with hesitation.

If you ask him to transfer money or something, you won't do it even if you kill him.

"Hi Doctor Li!"

The legal officer is a woman.

As far as he knew, the Second Hospital had not just one legal department, but a team.

After all, you often have to litigate, so it’s not cost-effective to hire a lawyer all the time.

They are not considerate either.

It is better to pay for a few lawyers yourself and not be afraid of lawsuits.They are also more considerate when safeguarding the interests of the second hospital.

Many larger companies have dedicated legal departments.

"Hello there!"

Li Jingsheng sent a handshake emoticon.

I don’t know what this person wants to do by adding him as a friend?
(End of this chapter)