Gou is practicing medicine in the clinic

"Is he here to hospitalize me now?"

"No! He came here specifically to tell you that his illness was cured at Wei's Bone Clinic across the street."

Ye Hui replied weakly.

"Oh... why is he so disobedient! This idiot!"

After hearing this, Li Jingsheng couldn't help but want to curse.

This patient was obviously a fan of his and had come all the way to see him for treatment. The patient was told that further examinations were needed to rule out bone tuberculosis and tumors before manual bone-setting treatment could be performed.

But the patient didn't listen and went to the other side for treatment.

"He said that he was already preparing to go through the hospitalization procedures, but a fellow villager told him that the Wei's Bone Clinic across the street could treat his disease. He also said that bone-setting surgery there was free, and the doctors there were doctors from abroad. , the technology is better than ours. So the patient followed.

He has now completed the manual bone setting and reduction, and has also taken some imported medicine and is ready to go home.

Before I leave, I came here to say something to you. "

Ye Hui was afraid that Li Jingsheng would be angry, so he always seemed cautious when speaking.

"Oh, let him go!"

Li Jingsheng felt deeply helpless.

When he met such a patient, he was so angry that he didn't even have the strength to speak.

"Dr. Li, can you treat gynecological diseases here?"

A family member waited until Li Jingsheng hung up the phone and asked.

"What's wrong with your wife?"

Li Jingsheng didn't say it could be cured, nor did he say it couldn't be cured.

We can only understand the situation first.

The clinic often receives some gynecological patients, but because Li Jingsheng is a male doctor and is not good at gynecology, unless they have some gynecological diseases with typical symptoms and clear causes, the patients can only be sent to the hospital.

To be honest, as a male doctor, it was not convenient for him to examine the private parts of female patients.

More afraid of being beaten.

"My wife has been feeling stomach pain recently, and she bleeds easily down there. She is very afraid that she has cervical cancer. I heard that you have excellent medical skills, so I wanted to ask you to help."

The man was describing his wife's condition, while his wife was sitting at the examination table with her head down and her face red.

In fact, there are also people who are forty years old.

She seemed to be even more shy than a girl.

This seems to have nothing to do with age. Some female patients are thin-skinned, have strong self-esteem, and are very concerned about face. They are shy when seeing a doctor. Asking her some slightly more sensitive questions will make her appear particularly embarrassed.

On the contrary, some young girls, especially those aged seventeen or eighteen, really dare to say anything.

And it's natural.

"My small clinic has limited facilities. Why don't you go to the hospital to see a professional gynecologist?"

"Isn't it more economical to go to the clinic to see a doctor? Please help us check. If we can't find out, we will go to the hospital."

The man is wearing blue overalls.

The words Yulu Home Appliance Installation Department are embroidered on the chest.

It appears he is an electrical installer.

His wife was also wearing blue overalls, but the name of a supermarket was written on it.

Both of them are ordinary working-class people.

If there are elderly people at home, children to support, and mortgage payments or renting a house, the financial pressure will indeed be greater.

"Okay, let me diagnose her first. If no problem can be found, you can go to a big hospital to check."

Li Jingsheng began to inquire in detail about the woman's condition.

It had been almost three months since she had abdominal pain and irregular bleeding.

At first, I thought it was irregular menstruation. Later, I took some conditioning medicines on my own, but the condition still did not improve. It happened that someone in the supermarket where she worked got uterine cancer and died in less than eleven months.

She was very scared.

Li Jingsheng took her blood pressure, which was a bit high.

Systolic blood pressure of 139mmhg, diastolic blood pressure of 87mmhg.

Even though her low and high blood pressure are both within the normal range, for someone like her who is just shy of breaking through 140mmhg, it can basically be concluded that she has early-stage hypertension.

Or it can be considered that the chance of suffering from high blood pressure is greatly increased.

At this time, active control and intervention are needed. If the blood pressure can be lowered, medication may be avoided.

"When was your last childbirth?"

Li Jingsheng asked the patient.

"It has been more than nine years. I have three children. The youngest is nine years old this year."

"Okay, lie down inside and I'll check your abdomen."

After guiding the patient to lie down inside, Li Jingsheng began to press her abdomen. When he pressed on his lower abdomen, he felt a mass, and the tenderness reaction was extremely obvious.

This part may be the uterus.

Under normal circumstances, it would be impossible to touch such a large mass.

You may feel such a large lump when your uterus contracts, but the feel will be different.

Because this mass feels very solid, the hardness is significantly higher than the feeling of pressing when the uterus contracts.

"Three months ago, were your periods regular?"

"It seems that after giving birth to my third child, my period has stopped coming."

"Have you not been to the hospital for a checkup?"

"Didn't the third child we gave birth to violate family planning? We didn't dare to go to the hospital and gave birth to them at home. At that time, we hired a midwife and gave birth to the child."

In the past, family planning was very strict.

Unlike now, no one wants to give birth.

Because the cost of raising children is very high.

Moreover, most young people are in an important period of hard work in the workplace, and having children will definitely delay their careers.

So no one wants to give birth.

In the early years, you did not need to go to the hospital to give birth to a baby. As long as everything was normal, you basically gave birth at home. Like this woman, invite the midwife to your home to deliver the baby and cut the umbilical cord.

If you are a skilled midwife, you can even use uterine pushing to help the mother correct the position of the fetus.

In that era of backward medical technology, if the baby was in breech position, the risk of vaginal birth would be very high.

There have even been many delivery accidents.

The child's feet came out first, and then his head got stuck and he couldn't come down. In the process of pulling hard, the midwife broke the baby's body and head.

For this reason, the midwife not only lost a lot of money, but also quit the midwifery industry.

There are also accidents in which babies' limbs are broken during delivery.

In that era, if a mother suffered from postpartum hemorrhage, she would almost die.

Not even the simplest method of filling the uterus with gauze to stop bleeding.

This female patient gave birth to her last child nine years ago. At that time, no one was giving birth at home. They all go to the hospital to give birth.

Because it is safer to give birth in the hospital, and the birth certificate can only be obtained in the hospital, it does not cost much after all the reimbursements. Therefore, everyone will take the initiative to run to the hospital when giving birth.

"It feels like the mass at this location is quite big. I'll take an ultrasound for you. Do you think it's okay? The cost of the ultrasound is 100 yuan."

"Okay, check it for me."

When the woman heard Li Jingsheng say that she had a mass in her stomach, she couldn't help but worry that it was cancer.

I agree to have an ultrasound done.

After Li Jingsheng gave her a B-ultrasound, he discovered that the mass in her abdomen was actually in the shape of a fetus.

But there was no heartbeat and no amniotic fluid.

Upon closer inspection, the fetus's skull can be seen stacked together like pieces of paper.

The entire fetus is in a state of malformation.

This is incredible.

Normally, miscarriage occurs after the fetus dies in the womb.

But the fetus in this pregnant woman's belly had long since died.

After it sucked up the amniotic fluid, it slowly changed into what it is now. If it were taken out, it would probably be a dark-brown mummified fetus.

"Doctor Li, is my illness serious?"

"very serious."

Li Jingsheng looked serious.

Let the patient get dressed and leave the medical technology room.

The patient's husband was waiting outside.

The patient himself was pale, with an expression full of fear and despair.

"Hongyue, have you been diagnosed with any illness?"

"Doctor Li said that my illness is very serious. There is a mass in my abdomen, which is probably cancer. The child is only that big, what should I do?"

Her voice was trembling and she was crying. "Who told you it was cancer? Don't think too much. Your disease is serious, but it does not mean it is cancer. And let me tell you, this disease can be cured and the cost should not be too expensive."

Li Jingsheng quickly helped her correct it.

The reason why this disease is said to be serious is that patients are worried that they will not pay attention to it and will not go to the hospital for treatment.

There is currently no way to verify how long the stillborn fetus has been in the womb.

At least more than half a year, maybe even longer.

Because he is not a doctor of obstetrics and gynecology, he does not have rich experience in this area. But after the fetus died, it was not shed. Instead, the amniotic fluid was absorbed and turned into a mummy. It would be difficult to become like this without a year and a half.

The female patient told him that she gave birth to her last child nine years ago.

After giving birth to her last child, she had not had a period for many years.

An idea that made Li Jingsheng even more frightened came up.

The stillborn fetus in her belly was probably over nine years old.

It has once again become a fact that people are poor and their lives are low.

If she wasn't afraid that it would be too expensive, why wouldn't she dare to go to the hospital for a check-up?

I don’t dare go to the hospital to give birth because I’m afraid of being fined because I’m pregnant. After giving birth to a stillborn fetus in the abdomen, it is impossible that there would be no abnormalities at all.

Many doctors often complain that Chinese people are too tolerant.

Although he was clearly suffering from illness, he refused to go to the hospital and just endured it.

In the end, a minor illness turned into a serious illness, and a minor illness turned into a serious illness.

If the stillborn fetus in her belly had not turned into a mummified fetus, it would not have existed in her belly for so many years.

Normally, after a stillbirth, the fetus will start to smell the next day.

If not treated in time, it may be discharged in the form of lochia and other forms. It is more likely to endanger the mother body after decay, causing serious consequences.

"Doctor, what exactly is my wife's disease?"

"It may be a mummified fetus. You will know if you go to a big hospital. The hospital will help you deal with it. Your wife's symptoms are already so serious now, so you must not delay it, otherwise she will easily die."

Li Jingsheng tried to make the problem as serious as possible.

"This is so serious! I'll take her to the hospital right away."

When the man heard that someone might be killed, he was so frightened that he took his wife to a large hospital.

This female patient is very lucky. At least she was able to recover and be discharged soon after treatment. Not surprisingly, she didn't even need to be hospitalized, it was just a simple uterine evacuation and induction of labor.

Almost the same as human flow.

For the male patient whose legs were bent and unable to straighten, the consequences were difficult to predict.

If you have bone tuberculosis, forced manipulation of the bone will only destroy the bone structure, and it is likely to be irreversible damage.

Even if you want to repair it in the later stage, it will be a "big fight". The surgery will become very complicated and expensive.

The effect of the repair may not be very good.

The male patient is likely to be disabled for life and never stand up again.

I really don’t know what Wei Xianxian was thinking. He didn’t do any further examination and just rashly fixed the bone and reset it.

For a doctor, medical ethics is really important.

……

Li Jingsheng was looking after the patient, but the medicine seller got into an argument with the patient.

"Sorry, please wait a moment, I'll go see what's going on over there."

Li Jingsheng said hello to the waiting patients, stood up and walked over.

Although Tang Ping was very busy at work, she went over to help mediate as soon as possible.

"How can a clinic as big as yours sell fake medicines? If you don't return this box of medicines to me today, I will call you to complain and find a TV reporter to expose you."

The patient is young, 23 or 24 years old, male.

When speaking, a pained expression can't help but appear on his face.

"Hello, I am the owner of the clinic. Which medicine you bought is fake? If it is really fake, we will not only refund you, but also compensate you ten times the amount and apologize to you at the same time."

Li Jingsheng has now hired drug quality controllers, and his purchasing channels are also very single.

Either it's an order from centralized purchasing, or it's from Modu Youyao.

After the medicines are brought over, there will be special personnel to check and control the quality. Not to mention that there are definitely no fake medicines. This probability should be comparable to winning the jackpot in lottery tickets.

"This is the watermelon cream spray I bought at your clinic. I used to buy it at other pharmacies. It only takes two or three days for oral ulcers to heal. But the spray has no effect at all. You recommended this to me again. Artificial bezoar metronidazole, after taking it, it still has no effect at all, but it costs a lot of money. If you are not selling fake medicine, what is it?

Originally, I just thought about asking you to refund the money to me.

But your store is bullying customers. Not only does it not refund the money, it is also so tough. I will put it here today. I know an official from the Industrial and Commercial Bureau. If you dare not give me a refund, don’t regret it. "

The young man's social experience seems very immature.

The kind of person who knows everyone as soon as he opens his mouth is basically bluffing.

Even if they really know each other, whether they recognize him or not is another matter.

Also, if you are not strong yourself, it is useless to know anyone.

Li Jingsheng operates legally and is really not afraid of inspections from the Industrial and Commercial Bureau.

Just open for business, if you encounter some difficult customers, you can settle the dispute by paying a small sum of money. A boss with a little bit of wisdom will choose to settle the matter.

"This artificial bezoar metronidazole is exactly the same even if you go to a big hospital to buy it. This bottle of watermelon cream is supplied by a famous domestic pharmaceutical company and has the same quality assurance. As long as there is a problem, I will still say that I can give it to you. I'll pay ten for every fake one and apologize in person.

Can you let me see your mouth?

I'm a doctor and I may be able to figure out why your medication isn't working. "

Li Jingsheng said to this angry young male customer.

"This is what you said, don't deny it when the time comes."

The male customer heard Li Jingsheng mention two times that he would pay ten for a fake one and was waiting to pay for it.

Because he believed that these two boxes of medicine must be fake.

He was not sure whether other medicines were real. He has used this medicine to treat oral ulcers many times, and every time he uses it, the effect is very good.

"Support any agency for identification. You can take the medicine to the Food and Drug Administration or the Industrial and Commercial Office later and let them help you identify the authenticity. Come on, open your mouth and let me take a look at your oral ulcers."

Li Jingsheng asked the patient to open his mouth.

This time, he clearly saw what was going on in the patient's mouth.

A large piece of the oral wall on the side of the two innermost molars on the right side has become rotten.

When the man opened his mouth, there was an obvious rancid smell, the smell of rotten meat.

In addition, proliferative erythema on the oral wall can also be seen.

This is a very bad signal.

"Have you had oral ulcers for a long time?"

"Yes, it has been repeated for almost two months. The watermelon cream I bought at another drugstore last time was effective when I sprayed it. This time I changed to the watermelon cream I bought from your clinic, and it had no effect at all after spraying it. Originally, it only worked What was a small ulcer has now become much more serious.

So I suspect your medicine is fake. "

The man's mood has calmed down a lot.

Not so excited anymore.

“After repeated oral ulcers, does it take longer and longer to heal?”

"Correct!"

"Do you usually chew betel nuts?"

"Eat a little occasionally and eat less."

"Do you like to eat something very hot when eating or drinking?"

"Yes, I like to eat hot food, it tastes better. Don't talk nonsense, please return these two boxes of fake medicine to me immediately."

"I ask you to take these two boxes of medicines to the Industrial and Commercial Bureau for identification. As long as they are found to be fake medicines, I will not only refund your money, but also compensate you ten times. However, I suggest you go to a big hospital to get oral specimens. Get a biopsy.

I'm a little worried that your oral ulcer is not that simple, but a malignant disease. "

Li Jingsheng did not say it was oral cancer.

But through the observation and diagnosis just now, he could basically conclude that this young man's oral ulcer was definitely not a good thing.

It is most likely oral cancer, or in the early stages of cancer.

Chewing betel nut, especially if chewed in large quantities, is particularly susceptible to oral cancer.

When the patient opened his mouth, there was no obvious difficulty in opening his mouth, and no fibrosis of the oral mucosa was seen.

It's not like chewing betel nut.

In the southern coastal areas, some people like to eat hot food and drink hot tea, both of which are piping hot. Simply call it a hot drink habit.

This is very unfriendly to the oral mucosa and esophagus.

It is easy to burn mucous membranes, causing repeated long-term damage.

Then it was damaged again during the restoration process. Under repeated stimulation, it is easy to become cancerous.

The environment of the oral cavity is the most complex. If you are not careful, the risk of oral cancer will increase significantly.

"What do you mean? You're using this excuse to trick me into going to the hospital for a check-up, right?"

"How much do these two boxes of medicine cost?"

"Total thirty-seven dollars and fifty cents."

"Take the medicine, and I will give you thirty-seven yuan and fifty cents back. Just two requests, you take the medicine to the industrial and commercial office for identification, and you go to a big hospital to have your mouth checked." Li Jingsheng decided for the sake of this young man. Refund the other party first. (End of chapter)