Gou is practicing medicine in the clinic

Chapter 44 Who did you provoke?Harvest the most precious medical skills

"Probably this piece!"

She pointed to a large area on the left side of her upper abdomen.

The location indicated is exactly where the stomach is.

The stomach is about one palm above the navel of the human body, on the front midline.The stomach of most people is located a little to the left of the upper abdominal cavity.

Food enters from the mouth, is swallowed through the pharynx after being chewed, and goes down the esophagus into the stomach for storage.

So feeling bloated after a meal, in fact, many of them are full of food, and the stomach is too full.

Only then will there be mild discomfort in the body.

"How long after eating did you feel bloated?"

"Sometimes I feel a little bloated halfway through eating, and most of the time I feel bloated for a few minutes after eating."

"Is there any reflux phenomenon? It means that the pantothenic acid liquid flows back from the stomach to the mouth or pharynx."

"Occasionally. Especially at night when you're going to bed, and when you wake up in the morning it's worst."

Hearing what she said, Li Jingsheng's face became serious a little bit.

"Will there be hiccups and belching after meals?"

"rare."

She thought for a moment before answering.

"Doctor, is there anything wrong with me?"

This woman is quite good at observing words and expressions. From Li Jingsheng's slightly serious expression, she seems to feel that her problem is more serious.

It made her feel very scared.

Rich people are more afraid of death than poor people.

Because rich people usually lead a very comfortable life, and they hold considerable wealth in their hands, and they can be cured when they are sick.

Poor people are sick and dare not go to the hospital at all.

It is true in ancient times that people are poor and cheap, and it is also true in modern times.

"Have you been checked in a big hospital?"

"No."

"Then I suggest you go to the hospital to have your stomach checked, and it's best to take a film."

"What's wrong with me?"

The woman's face turned slightly pale, maybe she never thought that it would be a serious illness just because she was full of food.

What do rich people fear most?
cancer.

This disease does not distinguish between the poor and the rich. Many kinds of cancer are in the middle and late stages once they are discovered, and no amount of money can cure them.

So rich people are most afraid of cancer.

A rather handsome young man with his hair parted in the middle pushed open the glass door of the clinic and leaned halfway in.

"Sister Huan, have you bought any digestion tablets?"

The 'lady' looked back at the man.

"The doctor suspected that my illness was serious, and suggested that I go to a big hospital for a checkup."

It can be seen that when she said this, she was eager to be comforted by this young man.

The man was wearing a crimson suit and gold tie, and his shoes were so polished they could be seen in a mirror.

As he walked, he wiped his pockets with his hands, and his body shook slightly.

Gives a sense of vanity.

Relying on his social experience, Li Jingsheng's first impression when he saw this man was the word 'cowboy'.

The 'lady' is at least 47 or 50 years old. It is likely that because of proper maintenance and no worries about food and clothing, she looks much younger than her actual age.Maybe it's possible to be over [-] years old.

A woman's age and number of boyfriends are the hardest to guess.

Older rich women, some in their 60s, look like young women in their 30s.Her skin is fair and firm, and her figure is maintained very well. Coupled with makeup and dressing up, it is difficult for outsiders to see her real age.

"Sister Huan's health has always been good, and there will be nothing wrong. Many doctors in the small clinic deliberately scare people. The purpose is to deceive people into buying medicines and make money. Let's not buy them here."

After the young man came in, he naturally put his arms around the shoulders of the 'lady'.

He didn't ask indiscriminately, and directly labeled Li Jingsheng a fraudulent doctor.

And he didn't shy away from saying this directly in front of Li Jingsheng.

"Oh, young man, you can't talk nonsense! Dr. Li is not only excellent in medical skills, but also very noble in medical ethics. I don't even want to give him a red envelope!" The old lady who accompanied the old man in the infusion room heard someone slander Li like this. Jingsheng, come out immediately to help Li Jingsheng fight the injustice.

Those who gain the way help more, those who lose the way help few.

Li Jingsheng's noble medical ethics has conquered both the old man and the old lady. She heard someone slandering Li Jingsheng and trying to cheat money, so she spontaneously stood up to speak for Li Jingsheng.

"Current doctors in small clinics are very cunning. They will use various means to deceive customers' trust, and then kill you without asking. You old people are the most likely to be deceived, so be careful. Don't buy health care products when you are told to buy them."

The young men did not listen to the persuasion at all.

After preconceived that Li Jingsheng is a black doctor in the clinic, no one would listen to what he said.

Li Jingsheng was speechless for a while.

This is provoking someone, this guy sprays him as soon as he comes in.

To make this young man hate the doctor in the clinic so much, the young man himself or his relatives are likely to be cheated by the doctor in the clinic.

Industry scum, every industry has it.

The reputation of doctors in the clinic is indeed not very good. It is synonymous with poor medical skills, black heart, cunning, and cheating money.

"Xiao Gao, this Dr. Li really doesn't look like a bad person. He didn't say that he would sell me medicine just now, but suggested that I go to a big hospital for a checkup."

The noble lady didn't wear this outfit in vain.

Still able to tell right from wrong.

"Sister Huan, you don't understand these people's routines, first win your trust, and then slowly reap it. My mother was killed by a doctor in a black clinic. Let's go. If you want to go to a big hospital for an examination , I will go with you."

Young men obviously do not have the right to decide.

All aspects are dominated by ladies.

"Doctor Li, I'm sorry! I'll go to the big hospital for an examination first, and I'll come to you later if I need it."

The lady stood up and greeted Li Jingsheng apologetically.

Then he walked out of the clinic arm in arm with the young man.

It can be seen that her heart is a little heavy.

"You must go to a big hospital for a check-up. Don't delay. It's best that nothing happens, and you can rest assured." Li Jingsheng was worried that the 'cowboy' would continue to listen to him, which would cause the woman to give up the idea of ​​going to the hospital for a check-up.

It would be a pity if there was any serious illness at that time.

Stomach cancer often starts with bloating and stomach pain.

"Okay, thank you, I'll go now."

As the lady spoke, she took out the car keys from her bag and threw them to the young man.

"Drive to the nearest second hospital."

"Do you really believe the nonsense of the doctor in this small clinic?"

"Stop talking nonsense. Dr. Li said that it's best not to be sick. You can buy it with peace of mind. Go and drive the car over."

The lady reprimanded with some dissatisfaction.

"Hehe, why are you still angry! Women can't be angry, they get old easily. I just like you to be happy every day. I will accompany you, and I will accompany you right away!"

The young man courted the lady in every possible way.

He seemed very natural when he said the nasty words in front of everyone.

What people eat is this bowl of rice, so it is naturally professional enough.

After being coaxed by him, the noble lady was no longer angry.

"The examination will be over in a while. If my body is fine, I will take you to buy two good clothes." She also gave some sweetness in a timely manner.

Li Jingsheng shook his head, the world is so big, there are all kinds of beings, there are all kinds of people.

Everyone has a different way of living.

It is also a skill to rely on face to eat.

……

After the infusion, the old man stayed for another half an hour for observation. There was nothing serious about his body and everything was normal.

Only then did Li Jingsheng give some advice on diet and other matters, and let the loving elderly couple leave the clinic.

The small clinic temporarily returned to deserted.

He sat behind the counter and couldn't wait to count the gains from the operation on the old man.

Level experience has risen to 368.5/500 for junior residents.

The last time I saw it was still 317.5, and now it has risen by 51 points.

If you guessed right, the diagnosis and surgery for the old man added a total of 50 points of level experience.The remaining 1 point should be obtained by diagnosing that noble lady just now.

Because of this period of time, he only received these two patients.

Proficiency in gastroenterology 12.7/100.

Increased 0.5 proficiency.

This is earned by helping the lady diagnose.

Proficiency in general surgery 20.1/100.

Good guy, this diagnostic medical skill has increased by 10 points of proficiency, what a surprise.

The diagnosis of the cause of pustule formation in the old man is very difficult and extremely hidden. So many surgeons in the community health service station failed to diagnose it.Li Jingsheng found out the cause of the disease, and it is not too much to increase the proficiency by 10 points.

For Li Jingsheng himself, the growth brought about by this diagnosis is not just a diagnosis experience.

What to do next time you encounter a difficult case in general surgery, the multi-directionality of diagnostic thinking, and what invisible factors should be taken into account in comprehensive analysis, etc.

The progress obtained in these actual combats cannot be learned by reading books, watching teaching videos, or listening to lectures.

There is a huge difference between someone who has successfully swam once and someone who has never swum.

19.3/100 for proficiency in drug efficacy and 16.9/100 for proficiency in pharmacokinetics.

The two medical skills of prescriptions have increased by 1.1 and 1 point proficiency respectively.

After selling so many medicines, and prescribing medicines for the old man, he racked his brains to increase the proficiency of such prescription medicines and medical skills. It seems a little little, but in fact it is considered a good increase.

Because the improvement of these two medical skills is extremely difficult and extremely slow.

If the prescribing skills were so easy to improve, the chief physicians of the hospital would not be gray-haired or even bald at the age of 50.

Sometimes when administering drugs to patients, all aspects need to be considered.

After use, if the effect is not good, it will take more brain cells.

Li Jingsheng then checked the most anticipated surgical skills.

The proficiency of horizontal mattress suture medicine increased by 1 point, surgical knot and square knot increased by 0.2, compression hemostasis increased by 0.1, body surface debridement increased by 1 point, and skin incision method increased by 1 point.

He was very satisfied with the great harvest.

In the end, there was a new medical skill, which he was looking forward to the most.

Introduction to sharp traditional scalpel dissection 2/10.

Looking at this newly added surgical skill, he felt a sense of accomplishment in his heart.

Finally, there is the first separation method, and it is a sharp traditional scalpel separation method.It is said that after learning this medical skill, one has mastered the 'Roman Avenue' of obtaining sensory feedback.

Moreover, he will be able to calmly deal with all kinds of minor operations in the future when encountering lesions that need to be separated.

Taking some risks, I bravely tried to separate the patient's sinus tract at that time, and I got a super value return.

As for the proficiency of the introduction of the separation method, it directly increased from 0 to 2. Compared with this medical skill, this surprise is already insignificant.

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(End of this chapter)