Gou is practicing medicine in the clinic

Chapter 399: It turned out to be him who spread the rumor, high-level medication for heart disease
"I am Tian Tian, ​​the legal affairs officer of the Second Hospital. I have two matters that I would like to seek Dr. Li's opinion on."

This legal officer's name is too soft and soft, which makes him feel like he has a weak personality.

"Speaking!"

Li Jingsheng speculated that the patient had assassinated him and there was a preliminary result.

"The patient who stabbed you was found to have severe mental illness after psychiatric evaluation. A week before the incident, he became seriously insane. He was crying and laughing while holding a photo of his daughter. He also ran to the street and killed a little girl. He hugged her as if he were his dead daughter. The little girl’s mother was so frightened that she called the police on the spot.

The next day, he ran into the street and smashed a passing red car.

The family members paid a sum of money and took him to a mental hospital to get medicine.

After treatment, the patient's symptoms improved significantly, but he became somewhat silent and did not like to talk.

Later, I don’t know why I got sick again.

That's when I went to the hospital to stab you.

According to judicial procedures, the patient does not need to bear criminal responsibility.The family members have also approached the hospital many times, wanting to apologize to you and Dr. Liu in person, and are willing to take the initiative to compensate for the losses.

I have just communicated with Dr. Liu.He said it’s your opinion that counts. "

Tian Tian wanted to ask Li Jingsheng for his opinion.

"I believe in judicial justice, the Second Hospital, and your legal team. I require mental patients to be effectively monitored or controlled to avoid committing crimes again. In terms of compensation, just follow the rules."

In fact, Li Jingsheng had already made some mental preparations.

Because Director Hua had already talked to him and told him that the patient was a mental patient.

Thinking about it, Li Jingsheng had never treated this patient at all. No matter how much he hated him, he would not kill him.

"Then we will start the claim process. We are going to negotiate with the family first. If the negotiation fails, we will sue. Do you think it is okay?"

"Just ask you to handle it for me with full authority."

Li Jingsheng readily agreed.

"Yeah, we will seize the time to implement it. One more thing, someone spread rumors online to attack you a few days ago. After police investigation and evidence collection, it was found that the rumor maker is the boss of Limin Clinic, claiming to have had a problem with you. Holding a grudge. I happened to find out that you took in patients to stay overnight in the clinic, so I wanted to use this matter to attack you.

He knew that you had some background connections and was worried that the competent authorities would tolerate and protect you, so he chose to report it online with his real name.

Later, I made up false statements on my own to attack and smear you and Sunshine Clinic.

After sorting out and reviewing our legal affairs, we believe that the other party’s online rumors have caused serious consequences and caused extremely negative negative impacts.

At that time, we will ask the court to impose a severe punishment.

Although he can be sentenced to up to three years in prison, in his case, I estimate that half a year is very likely.For economic losses, mental losses, and reputational losses, we will claim according to the highest compensation standards. No one knows how much we can win for you.

If you are satisfied with this solution, we will do it. "

It turned out that the person who spread rumors to smear him was actually the owner of Limin Clinic.

That man himself had a black heart, lungs and liver, blacker than Africans, yet he had the nerve to smear and attack Li Jingsheng.

It was so hateful.

I made an anonymous phone call to warn Li Jingsheng last time.At that time, Li Jingsheng didn't care.

If the other party is just having fun, forget it.

As for fighting or whatever, I'm always there to accompany you.

Limin Clinic has at most two or three employees, while Sunshine Clinic has more than a dozen employees.There are even security guards now.

I'm really not afraid of the other party playing tricks.

Unexpectedly, the boss of Limin Clinic was despicable and used some dirty tricks.

"I have no objection to this solution. Please worry about it."

Li Jingsheng agreed again.

He is not good at legal matters either.

Having a professional team to help him deal with it is a blessing.

If you hire a lawyer to file a lawsuit yourself, the starting price will be more than 8000 yuan.

The work is sweet, neat and considerate.

"Oh, by the way, the process for handling this matter is to investigate the criminal liability first. Then wait until the sentence is completed before filing a civil claim lawsuit. This can prevent the judge from giving the other party a lighter punishment."

Tian Tian deserves to be a professional lawyer, and he is indeed quite dark.

The compensation cannot be less than a penny, and the prison sentence must be served.

"No problem at all. I'll listen to your arrangements."

Li Jingsheng didn't care much about compensation.I can compensate him [-] yuan.

At most, it would make him feel happy.

"Lawyer Tian, ​​there is one thing I have mentioned to the police. I wonder if this person's punishment can be increased?"

"Are you talking about the other party writing a letter to blackmail you?"

"Yes, that's it. Although he was considered an attempted crime, he must have violated the law."

Li Jingsheng never showed mercy to his enemies.

It is even more impossible to be soft when dealing with a despicable person like the owner of Limin Clinic.

If you can kill him, you will never let him breathe.

"This matter should have been verified and the evidence is conclusive. It may be possible to handle the cases together or separately."

"Okay, then I'm fine."

"Sorry for bothering Dr. Li. Recuperate well and leave the rest to us. Please believe me, I will lead the team to give you justice."

Li Jingsheng responded with a hands-clasped emoji, and then sent a handshake emoji.

When talking to a smart person like Tian Tian, ​​there is no need to say anything at all.

As long as she expresses her meaning clearly, she will naturally follow Li Jingsheng's wishes.

……

In the afternoon, Li Jingsheng and the doctors at Sunshine Clinic were very busy.

The number of patients coming for treatment is significantly higher than before.

After getting to know them, I learned that some patients were affected by the reversal of public opinion online and felt that Sunshine Clinic and Li Jingsheng were trustworthy, so they took a taxi or drove themselves here to seek medical treatment.

There are also people who want to give him some encouragement and comfort in person, so that he can continue to maintain his original intention and do his job well.

Don't worry about other things.

Never underestimate the power of the Internet.In addition to keyboard warriors, there are also many people with real skills online.

They may not be high-ranking officials, but they have a certain influence in society or hold important positions in a certain unit.

The power these people have together is terrifying.

With their support, Sunshine Clinic is invulnerable and stable as a mountain.

I was busy until about seven o'clock in the evening, and finally processed all the patients.

Li Jingsheng stood up and breathed a sigh of relief.

In the past, when the clinic's business was poor, I sincerely looked forward to having more patients.

Now the clinic’s business is booming and it’s impossible to keep busy.

Plus he was injured.

Diagnosis and treatment of these patients is entirely due to the responsibility on the shoulders.

It became purely a job.

These people come all the way to seek medical treatment with their ailments, full of hope for health and life.There was no way he was going to let their trip go in vain.

"Honey, wash your hands and eat quickly! Otherwise the food will get cold."

Ou Qinglan bought meals from the hospital and delivered them to the clinic.Having such a considerate girlfriend who cares about him makes Li Jingsheng feel particularly happy.

God is really fair sometimes.

When he was down and out, his ex-girlfriend left him, leaving him alone and sad.Now, God sent him an angel.

Not only is she beautiful, white and rich, but she is also very kind to him.

After dinner, Li Jingsheng still had a lot of things to do.

He has to check the clinic's accounts, and he also has to check the cases treated that day.If there are problems, they must be corrected and remedied promptly.

At this moment, his phone rang.

It was Lian Tao calling.

If that difficult case is not found, Lian Tao may not be able to stop.

This perseverance spirit is worth learning from Li Jingsheng.

"Jingsheng, in the afternoon I arranged for the patient to do a biochemical test on renal function and liver. The renal function showed mild nephritis, and the alanine aminotransferase was obviously high, more than double that of normal people. You may have been right again. , the patient is very likely to have liver disease."

Lian Tao called him specifically to report the test results.

The patient developed pulmonary embolism this morning, which made Lian Tao admire Li Jingsheng with all his might.

"Mild nephritis may occur after body edema. Judging from the examination results, this patient's first lesion is probably really the liver."

Li Jingsheng actually had this premonition.

Because through deduction and syndrome differentiation, he felt that the possibility of kidney problems was very small.

If it was really the kidneys that caused heart disease, and then caused lung disease and respiratory failure for up to seven years, unless the patient's kidneys were made of iron, would they still be able to function to this day?

Just think about it and you know this is impossible.

It is no exaggeration to say that some cases of chronic nephritis can last for more than ten years, or even longer, before renal failure and uremia finally appear.

But nephritis, which can lead to heart disease, is nothing no matter how mild it is.

Therefore, at that time, it was already suspected that there might be lesions in the liver.

At this point in the diagnosis of the patient's disease, the condition is gradually becoming clearer.

What kind of liver disease can last seven years?

The liver is known as the silent organ and the most tolerant organ, just because it has no pain.

To be more precise, there is no pain inside the liver.

Normal liver tissue does not have pain nerves, and only the liver capsule has pain nerves.

Therefore, when liver disease occurs, we often have no obvious symptoms.

But doctors can make some diagnoses by looking at the patient's skin color and sclera.

If scleral jaundice is present, liver investigations must be carried out.

This is the strangest thing about this patient.

During the physical examination, the doctor found no jaundice on the skin or sclera, and no obvious pathological features such as liver palms.

In addition, the patient's chest X-ray and chest CT examination results failed to detect liver lesions.

Now it is basically possible to lock in a relatively small diagnostic range.

If liver disease lasts for more than seven years, it must be chronic.

and liver disease that can cause heart failure.

The patient's alanine aminotransferase doubled during biochemical examination.

It may seem very serious, but depending on the characteristics of the liver, it may be just a mild liver disease.

The transaminase content in the liver is about 100 times that in the blood.

If all the enzymes it releases remain active, only 1% of liver cells are required to be necrotic to double the enzyme activity in the serum.

This is why doctors will immediately focus on the liver as soon as they find that alanine aminotransferase or aspartate aminotransferase is elevated and determine that it is likely to be pathologically pathological.

"Brother Lian Tao, if this patient's liver is diseased, do you think it could be hepatopulmonary syndrome?"

Hepatopulmonary syndrome usually occurs only when liver disease reaches an advanced stage.

After this disease occurs, problems such as arterial hypoxemia and portal hypertension may occur.

Symptoms of hepatopulmonary syndrome include difficulty breathing, cyanosis, and gastrointestinal bleeding.

This patient has dyspnea and cyanosis, some of which are consistent with the symptoms.

"I personally examined the patient and found no obvious features such as liver palms and jaundice. It should not be hepatopulmonary syndrome."

Lian Tao denied it.

"Why don't you come over here? I have a hunch that as long as you come over, this case will definitely be solved." Lian Tao invited him.

"I'm afraid my leader won't agree! I'll ask her for permission."

Li Jingsheng has reached this stage in diagnosing this case, and is just a little bit away from it, and he also wants to help find out the cause of the disease.

As long as this extremely difficult case is successfully diagnosed, a huge life value reward will definitely be obtained.

You can get a minimum of [-] health points as a reward.

There are several medical skills that he is eager to upgrade. If he wants to advance quickly, earning such a large amount of health is the fastest way.

"Brother, are you suffering from 'tracheitis' before you get married? Just bring her here with you. I'll treat you and your siblings to a supper later, and maybe she won't stop you from running towards me in the future. "

Lian Tao is good at planning.

"She probably won't come. Like me, she is a homebody. By the way, is this patient still taking diuretic treatment?"

"It's useless, what's wrong? Don't tell me, it's dangerous if you don't use it!"

Lian Tao was indeed a little scared.

"Hey, that's not the case. With the patient's current condition, the only thing he has to worry about without diuresis is his heart problem. Haven't you already taken measures such as oxygen therapy and improving alveolar ventilation? What's the effect?"

"It's just so-so! Anyway, his physical condition is relatively stable for the time being."

"Have you used any medicine to dilate blood vessels?"

"I've used it! I've used it a long time ago."

"Anticoagulation therapy must be used to reduce blood viscosity, right?"

"necessary."

Since these treatments have been used, it means that the problem is not big.

"Have you added phentolamine, lanatoside, and isosorbide dinitrate?"

Li Jingsheng originally didn't want to make trouble, but finally decided to ask.

"Brother, your medication level has been greatly improved! The addition of these drugs was proposed by Director Rong of the Department of Critical Care Medicine. I didn't expect that your medication level would catch up with Director Rong."

"You really think highly of me. This medication plan was taught to me by the director of cardiothoracic surgery at our Second Hospital. His medication level is very good. I feel that he should not be worse than Director Rong. I am referring to cardiac medication. ah!"

Director Zhang's surgical ability is okay, but not top-notch.

Medication for the heart is really awesome.

I taught them all to Li Jingsheng.

This also allows him to use extremely high levels of medication when treating patients with heart disease.

"If you're inhaling oxygen, it's low-flow oxygen, right?"

"It wasn't true at first, but Director Rong corrected me later."

It is estimated that the patient had pulmonary embolism and needed rescue. Everyone tried every means to save the patient. Without being an expert in the heart field, it was difficult to use certain treatment plans accurately.

(End of this chapter)