Gou is practicing medicine in the clinic
Chapter 48 The wolf is coming again, the lady Huan arrives
Chapter 48 The wolf is coming again, the lady Huan arrives
Although before coming to Sunshine Clinic, I heard friends say that this clinic has good medical skills and noble medical ethics, but as a 40-year-old man, he is already in his forties.
For a man of this age, his thoughts are already very mature, with the precipitation of years.
Deal with things calmly, know how to distinguish between true and false, and have a strong sense of vigilance against all kinds of temptations and routines.Generally, they will not be deceived as easily as a young man with a hairy head.
He has always been very wary of Li Jingsheng's zealous inspections.
"Wait a minute. Under normal circumstances, the skin pinch marks on the calf will rebound back to the original in 30 seconds. I can observe for about 1 minute."
After 30 seconds passed, the pinch mark on the man's leg rebounded very slowly, and it was still deeply sunken.
Li Jingsheng observed patiently for about a minute, and the pinching marks recovered a little, but to a limited extent.It is completely incomparable with the skin pressure marks of normal people.
This also confirmed his idea.
This person does have calf edema.
In clinical examination, the most common method to verify edema is to check the rebound speed of pinch marks.
This is not a gold standard for diagnosing edema, but it is simple and easy to do.
Especially some patients are in the stage of mild edema, and the naked eye cannot tell whether it is fat or edema. It is very effective to use this method to check.
Under normal circumstances, after the kidneys of the human body go wrong, the two most prone to edema are around the eyes and the lower legs.
If you pinch someone's calf, you will be scolded at most, is there something wrong with you?
Pinching customers' eyes, Li Jingsheng was afraid of being labeled as panda eyes by customers.
Some male customers are quite violent, waving their old fists and beating people if they disagree with each other.When he was an intern in the hospital, Li Jingsheng was beaten by his family members once, and he even reported to the police.
Since then, he has been extremely careful when speaking with patients or their families.
"Okay, you can put your trouser legs down."
Li Jingsheng motioned to the man.
"I checked your calf just now, and initially suspected that there is edema. I suggest you go to the hospital to check your urination routine and kidney function. If it's just a common kidney deficiency, you can come to me to buy tonics. I don't recommend you the quick-acting western medicine. Take it again, at least not now."
The doctor in his clinic is definitely a doctor of conscience.
It is a blessing for patients to meet him.
Unexpectedly, after the man heard this, he asked calmly, "How much is a box of quick-acting medicine? How much is a long-lasting tonic?"
"A quick-acting medicine, such as this aldenafil, has a box of 12 tablets, and the price outside is about 60. I sell it here for 58 yuan a box. It depends on which kind of tonic you choose. The better one is 600 to 800 a piece. treatment."
In Li Jingsheng's view, Viagra is more like tiger wolf medicine.
Normal people eat one or two slices once in a while to their heart’s content, that’s fine.
Eating it every day, even a hardened body can't stand it.
Viagra is a western medicine, never a tonic.
It is actually a phosphodiesterase type 5 inhibitor, which can prevent the production of PDE5 enzyme and the combination of PDE5 enzyme and cGMP to achieve the effect of treating impotence.
"Okay, thank you, I'll look at it after thinking about it."
The man was polite on the surface, but in fact he took Li Jingsheng's series of behaviors as tricking him into buying expensive tonics.
"You're welcome, you go slowly. If possible, I suggest that you take time to go to the hospital to check your urination routine."
Li Jingsheng is really a doctor and a parent.
Knowing that the patient did not listen to the persuasion, he still emphasized it again earnestly.
The man left without looking back.
When he went out, he could see a sneer on the man's face.
Li Jingsheng shook his head and sighed.
He subconsciously checked the properties panel.
Because relying on experience, this golden finger was obtained by refusing excessive medical treatment.
Just now he lost a business because he insisted on his principles and cared about the patients.
It would be a big relief if the stats panel compensated for that.
Not long ago, when she was well received by Ms. Ou, the health value was 103.
Later, I gave Ms. Ou a follow-up visit and prescribed an infusion, which should be able to gain 1 point of life.
Selling health medicines and medical equipment does not increase health, but only makes money.
After checking, he found that the life value had risen to 114.
So cool.
Rejecting an excessive medical treatment can actually increase life by 10 points.
His current level of experience is 369.7, and he is still short of 130.3 experience to be promoted to a senior resident doctor.
I have already saved 114 health points, and if I work harder, maybe with a little luck, I can raise my level today.
At that time, you can continue to upgrade various medical skills.
The diagnosis of respiratory medicine has been stuck at 99.9 for two days.
He dreamed of taking this medical skill to another level.
I really look forward to how powerful the diagnostic medical skills that are higher than the proficiency level will be.
After Li Jingsheng got 10 health points, he was happy, but he couldn't help but feel worried for that man.
I'm afraid that good words can't persuade the damn ghost.
Looking at the man's expression, he probably didn't listen to Li Jingsheng's persuasion.
If you go to another pharmacy to buy Viagra, it will be bad.
When the kidneys cause mild swelling around the eyes and calves, it means that there are serious problems with the kidneys.At least chronic nephritis.
If you let it go, and continue to enjoy yourself without restraint, it will dramatically accelerate kidney disease.
When the body is obviously unwell, go to the hospital to check the kidney function. It is often already in the middle and late stage of uremia, and there is almost no other way except dialysis and kidney transplantation.
The clinic has customers coming in one after another.
Although not a particularly popular kind, the popularity of small clinics is quite good.
There is only one doctor and one nurse in the whole clinic, and there are too many customers and patients to entertain them.
It's better to have customers coming in so sparsely.
"Hahaha...Good morning, Doctor Li! Miss Tang, you look beautiful again today! Tsk tsk, this nurse uniform looks good on you."
Boss Zhao walked into Li Jingsheng's clinic with his hands behind his back.
Seeing a family member come to the door yesterday looking for trouble, Boss Zhao slipped away faster than anyone else.
I thought that Li Jingsheng's Sunshine Clinic would be cold, but it turned out to be the opposite. Not only was the Sunshine Clinic not cool, but its popularity skyrocketed.
Uninvited again today.
Looking at most of the health care products and tonics sold out at the counter, Boss Zhao's eyes twitched uncontrollably.
The unconcealable jealousy barely escaped from Mung Dou's small eyes.
I didn't expect to be self-defeating, and I did such a big favor to Li Jingsheng.
"Award!"
Tang Ping just responded indifferently and continued to greet customers.
She has always kept a respectful distance from Boss Zhao, an old Jianghu who wants to eat tender grass.
Especially that evening when Boss Zhao stopped her halfway through drinking and pretending to be crazy, and after she kept pestering her, she was very afraid of Boss Zhao.
"Xiao Gao, return the gift that Dr. Li gave you yesterday."
Boss Zhao said to the follower behind him.
Xiao Gao handed the plastic bag to Li Jingsheng.
"Doctor Li, all of his subordinates are ignorant and receive gifts indiscriminately. I scolded him severely yesterday. This kid doesn't understand any rules. Is my old Zhao such a person who can't stand the storm?"
Boss Zhao was scolding Xiao Gao on the surface, but in fact he was telling Li Jingsheng that my old Zhao has traveled more bridges than your kid.
Even if you made a counterattack yesterday, I can stand it.
If you give me two heart-saving pills, you are underestimating people.
"No, no, this gift I gave is sincere and sincere. Boss Zhao is best to carry it with you. It may save lives at a critical moment."
Li Jingsheng also responded with a pun.
"Boss, Dr. Li also has good intentions, why don't we just take it!"
Xiao Gao's brain is too dull.
The two bosses exchanged secret words here, and he actually asked Boss Zhao to accept the gift.
What kind of gift is this?
Two heart-saving pills!Can it be accepted?
Boss Zhao has never suffered a loss. Yesterday he lost a round to Li Jingsheng, but he was humiliated by Li Jingsheng giving him Jiuxin Pills. You want him to take the Jiuxin Pills?
"Idiot, shut your mouth and stand back and don't talk."
Boss Zhao gave Xiao Gao a dark look.
If it weren't for the child's low labor cost, he would have fired Xiao Gao a long time ago.
Now Xiao Gao is completely used as a handyman, which is more cost-effective than hiring a cleaner.
"Doctor Li, you should keep this generous gift for yourself! I heard that your small clinic has been filled with patients from yesterday to today, so I came here to take a look. Congratulations!"
Boss Zhao, this is the weasel's New Year greetings to the chicken.
"Oh, by the way, just now a customer said that he came to you to buy tonics. You tried to trick him into buying more expensive medicines, but he saw through. As a result, the customer bought a box of Viagra at my Kuaikang clinic. It cost 59 yuan, and he kept praising our Kuaikang clinic as being conscientious and not cheating. I explained to him that Dr. Li may have been misunderstood somewhere, but he refused to listen. He also called you a black-hearted doctor for fame. "
Openly saying such things in front of so many customers not only disgusted Li Jingsheng, but also ruined the reputation of Sunshine Clinic, killing two birds with one stone.
Boss Zhao had no good intentions when he came.
"Hehe, the mouth grows on people, let him talk! Who is the black-hearted doctor, time will tell everything. The truth cannot be fake, and the fake cannot be true."
Li Jingsheng smiled indifferently.
However, the few customers who were about to buy medicine were obviously hesitant after hearing Boss Zhao's words.
One customer was ready to pay, and then said no.
A sly smile appeared on the corner of Boss Zhao's mouth.
How to kill the opponent, he is definitely the king level.
A few words and a few words ruined a business that was about to be closed at the Sunshine Clinic.
That box of qi invigorating medicine was priced at 350 yuan, and the profit was at least more than 150 yuan.The sales commission that Tang Ping can get is about 7.5 yuan.
Being disturbed by Boss Zhao, she was so angry that she almost bit her white teeth.
She just scolded but didn't dare to scold, and she couldn't say anything, she was so angry that she clenched her fists hard.This guy surnamed Zhao has a bad stomach.
Li Jingsheng also held back his anger.
We must give this old thing a little color, otherwise it will be a big trouble to destroy people every day, disgusting people.
Just as he was thinking about how to deal with Boss Zhao, an extremely flamboyant red Ferrari stopped abruptly and stopped on the road in front of the clinic.
Parking is usually not allowed on this road, and traffic police often come to copy signs.
Occasionally, the city management will also play a cameo job as a traffic policeman.
Every time I come here, I get a lot of rewards, and I can post more than a dozen fines at least.
People who drive Ferraris are generally very rich.
There are some traffic rules that people really just ignore.If you pay a fine, you will be fined, it doesn't matter.
The car door opened, and a fat middle-aged woman stepped out from above.
The driver of the car was a handsome young man.
After getting out of the car, he quickly helped the fat lady.
Li Jingsheng recognized these two people at a glance. It was the 'lady' Huan who came to the clinic yesterday to buy Xiaoshi tablets, and a little fresh meat she kept.
Looking at the situation, he should have gone to the hospital for an examination.
I don't know what to do here today?
Thank you book friend Zhangjia Town for your reward and support, thank you very much.I have begun to fill in the pits I dug before. If you like it, please support it. If you have valuable opinions, please feel free to put them forward.Bow and thank you all.
(End of this chapter)
Although before coming to Sunshine Clinic, I heard friends say that this clinic has good medical skills and noble medical ethics, but as a 40-year-old man, he is already in his forties.
For a man of this age, his thoughts are already very mature, with the precipitation of years.
Deal with things calmly, know how to distinguish between true and false, and have a strong sense of vigilance against all kinds of temptations and routines.Generally, they will not be deceived as easily as a young man with a hairy head.
He has always been very wary of Li Jingsheng's zealous inspections.
"Wait a minute. Under normal circumstances, the skin pinch marks on the calf will rebound back to the original in 30 seconds. I can observe for about 1 minute."
After 30 seconds passed, the pinch mark on the man's leg rebounded very slowly, and it was still deeply sunken.
Li Jingsheng observed patiently for about a minute, and the pinching marks recovered a little, but to a limited extent.It is completely incomparable with the skin pressure marks of normal people.
This also confirmed his idea.
This person does have calf edema.
In clinical examination, the most common method to verify edema is to check the rebound speed of pinch marks.
This is not a gold standard for diagnosing edema, but it is simple and easy to do.
Especially some patients are in the stage of mild edema, and the naked eye cannot tell whether it is fat or edema. It is very effective to use this method to check.
Under normal circumstances, after the kidneys of the human body go wrong, the two most prone to edema are around the eyes and the lower legs.
If you pinch someone's calf, you will be scolded at most, is there something wrong with you?
Pinching customers' eyes, Li Jingsheng was afraid of being labeled as panda eyes by customers.
Some male customers are quite violent, waving their old fists and beating people if they disagree with each other.When he was an intern in the hospital, Li Jingsheng was beaten by his family members once, and he even reported to the police.
Since then, he has been extremely careful when speaking with patients or their families.
"Okay, you can put your trouser legs down."
Li Jingsheng motioned to the man.
"I checked your calf just now, and initially suspected that there is edema. I suggest you go to the hospital to check your urination routine and kidney function. If it's just a common kidney deficiency, you can come to me to buy tonics. I don't recommend you the quick-acting western medicine. Take it again, at least not now."
The doctor in his clinic is definitely a doctor of conscience.
It is a blessing for patients to meet him.
Unexpectedly, after the man heard this, he asked calmly, "How much is a box of quick-acting medicine? How much is a long-lasting tonic?"
"A quick-acting medicine, such as this aldenafil, has a box of 12 tablets, and the price outside is about 60. I sell it here for 58 yuan a box. It depends on which kind of tonic you choose. The better one is 600 to 800 a piece. treatment."
In Li Jingsheng's view, Viagra is more like tiger wolf medicine.
Normal people eat one or two slices once in a while to their heart’s content, that’s fine.
Eating it every day, even a hardened body can't stand it.
Viagra is a western medicine, never a tonic.
It is actually a phosphodiesterase type 5 inhibitor, which can prevent the production of PDE5 enzyme and the combination of PDE5 enzyme and cGMP to achieve the effect of treating impotence.
"Okay, thank you, I'll look at it after thinking about it."
The man was polite on the surface, but in fact he took Li Jingsheng's series of behaviors as tricking him into buying expensive tonics.
"You're welcome, you go slowly. If possible, I suggest that you take time to go to the hospital to check your urination routine."
Li Jingsheng is really a doctor and a parent.
Knowing that the patient did not listen to the persuasion, he still emphasized it again earnestly.
The man left without looking back.
When he went out, he could see a sneer on the man's face.
Li Jingsheng shook his head and sighed.
He subconsciously checked the properties panel.
Because relying on experience, this golden finger was obtained by refusing excessive medical treatment.
Just now he lost a business because he insisted on his principles and cared about the patients.
It would be a big relief if the stats panel compensated for that.
Not long ago, when she was well received by Ms. Ou, the health value was 103.
Later, I gave Ms. Ou a follow-up visit and prescribed an infusion, which should be able to gain 1 point of life.
Selling health medicines and medical equipment does not increase health, but only makes money.
After checking, he found that the life value had risen to 114.
So cool.
Rejecting an excessive medical treatment can actually increase life by 10 points.
His current level of experience is 369.7, and he is still short of 130.3 experience to be promoted to a senior resident doctor.
I have already saved 114 health points, and if I work harder, maybe with a little luck, I can raise my level today.
At that time, you can continue to upgrade various medical skills.
The diagnosis of respiratory medicine has been stuck at 99.9 for two days.
He dreamed of taking this medical skill to another level.
I really look forward to how powerful the diagnostic medical skills that are higher than the proficiency level will be.
After Li Jingsheng got 10 health points, he was happy, but he couldn't help but feel worried for that man.
I'm afraid that good words can't persuade the damn ghost.
Looking at the man's expression, he probably didn't listen to Li Jingsheng's persuasion.
If you go to another pharmacy to buy Viagra, it will be bad.
When the kidneys cause mild swelling around the eyes and calves, it means that there are serious problems with the kidneys.At least chronic nephritis.
If you let it go, and continue to enjoy yourself without restraint, it will dramatically accelerate kidney disease.
When the body is obviously unwell, go to the hospital to check the kidney function. It is often already in the middle and late stage of uremia, and there is almost no other way except dialysis and kidney transplantation.
The clinic has customers coming in one after another.
Although not a particularly popular kind, the popularity of small clinics is quite good.
There is only one doctor and one nurse in the whole clinic, and there are too many customers and patients to entertain them.
It's better to have customers coming in so sparsely.
"Hahaha...Good morning, Doctor Li! Miss Tang, you look beautiful again today! Tsk tsk, this nurse uniform looks good on you."
Boss Zhao walked into Li Jingsheng's clinic with his hands behind his back.
Seeing a family member come to the door yesterday looking for trouble, Boss Zhao slipped away faster than anyone else.
I thought that Li Jingsheng's Sunshine Clinic would be cold, but it turned out to be the opposite. Not only was the Sunshine Clinic not cool, but its popularity skyrocketed.
Uninvited again today.
Looking at most of the health care products and tonics sold out at the counter, Boss Zhao's eyes twitched uncontrollably.
The unconcealable jealousy barely escaped from Mung Dou's small eyes.
I didn't expect to be self-defeating, and I did such a big favor to Li Jingsheng.
"Award!"
Tang Ping just responded indifferently and continued to greet customers.
She has always kept a respectful distance from Boss Zhao, an old Jianghu who wants to eat tender grass.
Especially that evening when Boss Zhao stopped her halfway through drinking and pretending to be crazy, and after she kept pestering her, she was very afraid of Boss Zhao.
"Xiao Gao, return the gift that Dr. Li gave you yesterday."
Boss Zhao said to the follower behind him.
Xiao Gao handed the plastic bag to Li Jingsheng.
"Doctor Li, all of his subordinates are ignorant and receive gifts indiscriminately. I scolded him severely yesterday. This kid doesn't understand any rules. Is my old Zhao such a person who can't stand the storm?"
Boss Zhao was scolding Xiao Gao on the surface, but in fact he was telling Li Jingsheng that my old Zhao has traveled more bridges than your kid.
Even if you made a counterattack yesterday, I can stand it.
If you give me two heart-saving pills, you are underestimating people.
"No, no, this gift I gave is sincere and sincere. Boss Zhao is best to carry it with you. It may save lives at a critical moment."
Li Jingsheng also responded with a pun.
"Boss, Dr. Li also has good intentions, why don't we just take it!"
Xiao Gao's brain is too dull.
The two bosses exchanged secret words here, and he actually asked Boss Zhao to accept the gift.
What kind of gift is this?
Two heart-saving pills!Can it be accepted?
Boss Zhao has never suffered a loss. Yesterday he lost a round to Li Jingsheng, but he was humiliated by Li Jingsheng giving him Jiuxin Pills. You want him to take the Jiuxin Pills?
"Idiot, shut your mouth and stand back and don't talk."
Boss Zhao gave Xiao Gao a dark look.
If it weren't for the child's low labor cost, he would have fired Xiao Gao a long time ago.
Now Xiao Gao is completely used as a handyman, which is more cost-effective than hiring a cleaner.
"Doctor Li, you should keep this generous gift for yourself! I heard that your small clinic has been filled with patients from yesterday to today, so I came here to take a look. Congratulations!"
Boss Zhao, this is the weasel's New Year greetings to the chicken.
"Oh, by the way, just now a customer said that he came to you to buy tonics. You tried to trick him into buying more expensive medicines, but he saw through. As a result, the customer bought a box of Viagra at my Kuaikang clinic. It cost 59 yuan, and he kept praising our Kuaikang clinic as being conscientious and not cheating. I explained to him that Dr. Li may have been misunderstood somewhere, but he refused to listen. He also called you a black-hearted doctor for fame. "
Openly saying such things in front of so many customers not only disgusted Li Jingsheng, but also ruined the reputation of Sunshine Clinic, killing two birds with one stone.
Boss Zhao had no good intentions when he came.
"Hehe, the mouth grows on people, let him talk! Who is the black-hearted doctor, time will tell everything. The truth cannot be fake, and the fake cannot be true."
Li Jingsheng smiled indifferently.
However, the few customers who were about to buy medicine were obviously hesitant after hearing Boss Zhao's words.
One customer was ready to pay, and then said no.
A sly smile appeared on the corner of Boss Zhao's mouth.
How to kill the opponent, he is definitely the king level.
A few words and a few words ruined a business that was about to be closed at the Sunshine Clinic.
That box of qi invigorating medicine was priced at 350 yuan, and the profit was at least more than 150 yuan.The sales commission that Tang Ping can get is about 7.5 yuan.
Being disturbed by Boss Zhao, she was so angry that she almost bit her white teeth.
She just scolded but didn't dare to scold, and she couldn't say anything, she was so angry that she clenched her fists hard.This guy surnamed Zhao has a bad stomach.
Li Jingsheng also held back his anger.
We must give this old thing a little color, otherwise it will be a big trouble to destroy people every day, disgusting people.
Just as he was thinking about how to deal with Boss Zhao, an extremely flamboyant red Ferrari stopped abruptly and stopped on the road in front of the clinic.
Parking is usually not allowed on this road, and traffic police often come to copy signs.
Occasionally, the city management will also play a cameo job as a traffic policeman.
Every time I come here, I get a lot of rewards, and I can post more than a dozen fines at least.
People who drive Ferraris are generally very rich.
There are some traffic rules that people really just ignore.If you pay a fine, you will be fined, it doesn't matter.
The car door opened, and a fat middle-aged woman stepped out from above.
The driver of the car was a handsome young man.
After getting out of the car, he quickly helped the fat lady.
Li Jingsheng recognized these two people at a glance. It was the 'lady' Huan who came to the clinic yesterday to buy Xiaoshi tablets, and a little fresh meat she kept.
Looking at the situation, he should have gone to the hospital for an examination.
I don't know what to do here today?
Thank you book friend Zhangjia Town for your reward and support, thank you very much.I have begun to fill in the pits I dug before. If you like it, please support it. If you have valuable opinions, please feel free to put them forward.Bow and thank you all.
(End of this chapter)
You'll Also Like
-
End of the World: Infinite Legion System Start
Chapter 1845 2 hours ago -
Entertainment: While Yang Mi is still young, I tricked her into investing in me
Chapter 205 7 hours ago -
Pirate: 9 to 5? But I'm a pirate!
Chapter 81 7 hours ago -
Mount and Blade: Summon five outlaws at the start
Chapter 272 7 hours ago -
Flowers, Swords and France
Chapter 1013 1 days ago -
Immortal Cultivation Family: Immortality Begins from Binding to the Family
Chapter 742 1 days ago -
The extraordinary life of a certain American comic
Chapter 200 2 days ago -
American comics: Starting from a copycat arms dealer
Chapter 231 2 days ago -
From the waste of spiritual roots to the practice of asking the devil
Chapter 380 2 days ago -
Trickster Hunter
Chapter 363 2 days ago