Gou is practicing medicine in the clinic

"no!"

The family members shook their heads with certainty.

Having bloody black stools does not necessarily mean you have diarrhea.However, in clinical practice, most patients with bloody stools have diarrhea symptoms.

Unless you have bleeding hemorrhoids, your bowel movements are usually normal.

"Did your dad take any medicine regularly before he got sick?"

"Probably not. He's been very healthy."

Once again, I got a negative answer from my family.

"Uncle, do you usually come into contact with rat poison or the like?"

Li Jingsheng asked the patient directly.

Chronic diarrhea and a history of long-term drug use, especially long-term use of antibiotics, were excluded.All Li Jingsheng could think of was rat poison.

In the past, most of the rat poisons were neurotoxic drugs, which were extremely toxic to the human body. Basically, if you accidentally ingested rat poison, you would die soon.

Basically they all die on the same day.

Later, the production and use of this nerve poison was banned by relevant departments and changed to the current anticoagulant rat poison.

It is a chronic poison. After a rat eats it, it will take several days or even longer to die due to internal bleeding.

The mechanism of action of this rodenticide is to interfere with the liver's action on vitamin K, inhibiting the liver's synthesis of vitamin K-dependent coagulation factors, resulting in prolonged coagulation.

Then the poison can also damage the capillary wall, making the blood vessel wall more permeable and more fragile.

At this time, it is easy to cause extensive subcutaneous bleeding.

There are large subcutaneous ecchymoses on the patient's thighs and other parts of the body, which are signs of subcutaneous bleeding.

This is why Li Jingsheng always believed that the patient might have accidentally ingested rat poison.

The patient himself lives as a farmer and cultivates more than ten acres of land.

Some time ago, it was the autumn season when crops were harvested, and patients inevitably had to deal with rats.

"Um!"

The patient confirmed that he had indeed been exposed to rodenticide.

After Li Jingsheng found out this step, he already felt confident.

Not long ago, he was deeply moved when he saw Director Rong's decisive approach to rescuing patients at the People's Hospital.

Although it seems to be against medical procedures, in that case, if you don't make a prompt decision and really have to wait for the patient's test results to come out before taking medication as prescribed, the patient is likely to die.

This patient has had bloody stools for many days. Although his current condition is not good, he will not be fatal in a short time.

This gave Li Jingsheng a chance to try treatment.

At least he thinks the risks are manageable.

Because vitamin K is a specific drug for treating anticoagulant rodenticide poisoning.

Take the medicine on the same day and you will see some effects the next day.

Within three or four days, the effect will be very obvious.

"Judging from your father's current symptoms and examination results, I personally prefer rodenticide poisoning. Because the disease has been going on for a long time, you can't be admitted to Qiaobang Hospital for the time being. His current condition is quite serious. Every extra day of delay will make the condition worse. If you are willing to treat him here, I can give him special medicine now to try the effect.

If the medication is correct for the symptoms, you will basically be able to see a certain effect tomorrow.

At that time, you can take him to my place to continue taking medicine.

If the effect is not good, it means that there may be other diseases, and your condition will not be delayed if you go to Qiaobang Hospital for treatment. "

After listening to Li Jingsheng's words, the brother and sister exchanged a few words and agreed unanimously.

The main thing is trust.

Li Jingsheng immediately prescribed a prescription for the patient, and gave the patient an intravenous drip of Vitamin K.

After the intravenous drip, the patient's symptoms remained.

The brother and sister felt a little uneasy and took the old man away.

When they left, I saw disappointed expressions on their faces.They came with high expectations and went to Sunshine Clinic to seek treatment from Li Jingsheng. However, the medication did not achieve the desired effect.

Li Jingsheng is confident.

Early the next morning, before eight o'clock, he was sitting in the office having breakfast, and Tang Ping ran over to tell him.

"Boss, the brother and sister pushed the old man over again yesterday."

"Has the old man's condition improved?"

Li Jingsheng asked.

"I didn't even ask. Judging from their faces, the treatment should have had some effect."

Tang Ping was originally an experienced nurse. After training at the Sunshine Clinic, her ability to deal with others has continued to improve.She doesn't understand this kind of special patient either.

Naturally, Li Jingsheng needs to communicate with his family.

After Li Jingsheng finished his breakfast, he went to the reception hall for a consultation.

As soon as he entered the reception hall, the old man's son came up to him quickly.

There was a hint of anxiety in his expression.

"Dr. Li, my dad seems to have improved a little after getting an injection at your place yesterday. Please help me check again."

"Did you have a bowel movement this morning?"

"Have!"

“What color is poop?”

"black."

"Taking shape?"

"Taking shape, just not much."

“What color is pee?”

"Pink, not as dark as yesterday. And his body isn't shaking as much."

replied the patient's son.

Li Jingsheng checked the old man's condition and asked Han Siying to take the old man's blood pressure and temperature.The blood pressure has gone up compared to yesterday.

The patient's complexion also looks much better.

When I went to the clinic yesterday, the patient needed support even when sitting on a chair.Not very stable.

But today I can barely sit alone.

Li Jingsheng observed his words and knew that the medicine had taken effect.

"Has he had breakfast?"

"Not yet. We didn't know if we could feed him, so we came here early in the morning and lined up."

Today, the Sunshine Clinic is flooded with patients seeking treatment.

It's not easy to be first in line.

Especially since Li Jingsheng was in the clinic today, many familiar patients knew this rule.More people come to him specifically for medical treatment.

"Buy some breakfast to feed him first! As long as it's not spicy food, you can buy whatever he likes to eat. Millet porridge, eight-treasure porridge, steamed buns, noodles, etc. are all fine."

"Can you give my dad an injection first? I'll ask my sister to buy breakfast."

The patient's son looked at the long waiting line behind him. He was worried that when he came after breakfast later, the queue would last until the evening.

"It's okay. You can take this number first. Feed him breakfast and then come to me. You don't have to queue up then, just go to the infusion room. I will prescribe the medicine."

Li Jingsheng heard the family members' concerns.

The human body is actually a 'precision machine', and replenishing energy is very important.

As long as you can eat, drink and defecate, there's basically no big problem.

This patient's body tremors may be caused by physical weakness.

Combined with ongoing internal bleeding, this can make the body even more debilitated.

Intravenous drips also have risks.

Li Jingsheng does not think it is more beneficial for patients to take medicine now.

After the patient eats the food, the body is nourished by nutrients and the circulation in the body becomes more normal.If the infusion is given at that time, the effect will be even better.

The two family members took the old man to sit down in the rest area, and the patient's son went to buy food.

My sister stays here to take care of the old man.

It can be seen that both brothers and sisters are very filial.

In your later years, having such a filial son and daughter is definitely a winner in life.

Li Jingsheng began to see other patients.

Looking at the long waiting line, he felt quite stressed.

People are afraid of being famous, but pigs are afraid of being fat.

Recently, it has become famous online and more patients are seeking treatment.

This also means he has heavier responsibilities on his shoulders.

Unlike those specialist doctors, his clinic treats all diseases and is a general practice.

This will inevitably lead to some diseases that he cannot diagnose and treat.

As long as it is an unfamiliar area, he cannot treat it.I don't dare to treat carelessly. Smashing the signboard is a trivial matter. If someone loses his life, it will be a lose-lose situation.

Today's start was pretty good, relatively smooth.

The second patient was a child with a dislocated elbow joint, just over one year old.

Today’s children are really precious, and almost every adult treats them like treasures.

This child, who is over one year old, must have just learned to walk.

His left hand was injured, and now five family members came to accompany him for consultation.

This battle is so enviable.

"When did you get injured?"

Li Jingsheng asked the child's parents.

"It was about eight or nine o'clock last night. He was injured."

"Did you get hurt from the fall?"

Li Jingsheng had already begun to carefully check the condition of the child's arm.

At the same time, he also asked about the injury.

this point is very important.

Some children are injured in falls from heights, car accidents, or other injuries.

Occasionally, you can see in the news that patients who have fallen from a height or been injured in a car accident can still get up and walk on their own after the injury, as if nothing happened.But not long after, the injured man's condition changed and he died soon after.

This kind of thing seems scary and weird to ordinary people, but in the eyes of doctors, it is a normal phenomenon.

Some internal injuries were not visible at the time.

For example, after a craniocerebral injury, the patient may still be able to walk, talk, etc., but as problems such as hematoma and bleeding worsen, the patient's condition will soon take a turn for the worse.

Therefore, during the consultation, it is very important to ask when the injury occurred, how it was injured, and what treatment was done.

Some family members may feel that the doctor is long-winded, a little impatient, or omitted when answering.

This is actually wrong and has many hidden dangers.

"Don't mention it, it was my parents who insisted on taking the children out to play. It was late at night and it was cold, so we said at that time not to go out to play. The parents took the children out, but they came back not long after.

The child was crying so hard that my heart felt like it was being stirred by someone.

When we inquired about the situation, we found out that when the in-laws were playing with their child in the square outside the community, they held the child's hand and spun around in circles, and then the child suddenly burst into tears in pain.Later, we went to the hospital and went to the emergency room. After taking a film, we found out that the in-laws had broken off the child's hand. "

The woman who spoke was in her 50s. Her face was not a face, and her nose was not a nose.

The tone of his speech was even more angry.

She should be the child's grandmother.

Looking at this situation, I am afraid that I am angry with the child's grandfather. (End of chapter)