Gou is practicing medicine in the clinic

Chapter 62 Super Difficult Diagnosis
"About two or three months ago, I felt a little stuffy in my chest, and I couldn't breathe after walking a few more steps. And my body was particularly prone to fatigue and fatigue. I felt tired even sitting, and I didn't want to move when I was lying on the bed."

When the old man said this, he looked at the two family members.

The woman answered with some guilt, "During that time, my brother and I really didn't understand Dad, and always thought he was lazy. A healthy person is always lying down, and it is easy to lie down and get sick. I think life lies in exercise." , I took time to take my dad for a walk every day. He complained that he was tired after walking too far, and wanted to go back... Sigh! At that time, he should have thought that Dad might be sick."

The son didn't speak, but there was also a hint of guilt in his expression.

"My two sons and daughters are actually very filial. They told me to exercise more, and they were also worried about my body lying down. At that time, I slept until midnight, and when I woke up, I often found that my whole body was soaked in sweat, and my body would be abnormal. tired."

The old man is very protective of his children in front of outsiders, not only did not blame them for not understanding during that time, but praised them for their filial piety.

Li Jingsheng discovered that a family with loving parents would produce more filial children.

After the elderly are sick, it is really rare for their children to accompany them to see a doctor.

Because children have to work when they grow up, they also have various family chores after get off work.

Unless the parents are critically ill or in serious condition, they will accompany them to see a doctor.

Otherwise, basically let the elderly see a doctor by themselves.

If you can help your parents pay for medical expenses, you are already a filial son and a filial daughter.

Indeed, when Li Jingsheng was working in the hospital, what he saw the most was the old man's children's excuses and arguments after the old man got sick.They are not willing to pay for medical expenses.

But when the child was sick, the parents sold houses and cars, raised debts everywhere, and tried every means to treat the child.

Are you worried?
This is the truest human nature.

"I've been sick for three months, haven't you been to the hospital?"

Li Jingsheng looked at this family, and it didn't look like a difficult family.

There is no such thing as being afraid to go to the hospital when you are sick.

"Uh... I've seen it, but I didn't like it. Didn't I hear that your medical skills are excellent? We just wanted to come and have a look."

The old man's eyes dodged.

The children are silent.

Seeing this situation, Li Jingsheng suddenly understood a little bit.

No wonder he auscultated the old man's heart and lung sounds in the infusion room, and said that the old man's condition was a bit serious, and the pair of sons and daughters would show very calm expressions.

Reminiscent of the old man praising his medical skills at that time.

Now it is basically certain that the old man has been checked in a big hospital and found out that he is seriously ill.

Cough, night sweats, general fatigue, and low-grade fever for nearly three months, what serious illness could it be?
Li Jingsheng was startled suddenly, nine out of ten it was lung cancer.

Depend on!
These two family members are not kind, they have already been checked in the hospital, but they deliberately kept it secret.

If Li Jingsheng's internal diagnosis level had not been improved a lot, I'm afraid he would have made a fool of himself.

People usually don't laugh at him face to face.

After I went out, I told my relatives and friends that Dr. Li in the Sunshine Clinic was not good at medical skills, and he was trying to gain fame, that's for sure.

This made Li Jingsheng deeply realize once again that the core competitiveness of a clinic in order to start a business is medical skills.

Medicines, software and hardware, those are not core competitiveness.

Can only add color at most.

The magical attribute panel that can improve medical skills and doctor level is his strongest trump card.

"What disease did you find out in the big hospital?"

Li Jingsheng asked directly.

"Doctor Li, it's really not that we intend to hide it from you. Can you please give my dad a diagnosis first, and then we will compare your diagnosis result with the hospital's result. We understand the rules. How much is the diagnosis fee? I will never bargain with you."

Faced with such a request from his family, Li Jingsheng was speechless for a while.

In fact, there are many such patients.

Sometimes you have to go to seven or eight hospitals for a disease, and then choose the most reliable one from them.

"Let's do this. Let me take a B-ultrasound first, and then take an X-ray to see the condition of the lungs. These two tests cost 100 yuan each. Do you think it's okay?"

Since the patient has this request, Li Jingsheng has no reason to let the money go.

Those two inspection equipment can't just sit there and eat ashes, I have to find a way to earn back the cost, and then buy two higher-definition equipment.

"200 yuan is not much, can I make a film now?"

"Yes. Our small clinic basically doesn't need to queue up."

"Can I scan the code for you?"

"Yes. Just scan one of the codes and pay 200 yuan."

Li Jingsheng pointed to the two yards on the table.

Alipay and WeChat are the two most used mobile payment methods by ordinary people, and they have indeed brought great convenience to people's lives.

Now you basically don’t need to bring cash when you go out, and you can get everything done with a mobile phone.

"Brother, let me pay the money!"

My sister rushed to pay.

Rejected by my brother.

The relationship between the siblings should be pretty good.

200 yuan arrived in the account, I am very happy.

He took the old man into the examination room inside for examination.A family member is allowed to accompany.

Soon, the test results came out.

Through the B-ultrasound film, it can be seen that there are multiple nodular shadows in the lungs.

The X-ray films of both lungs showed local small patchy shadows, and diffuse shadows were more obvious.

Seeing this, Li Jingsheng's heart sank directly to the bottom of the valley.

Sure enough, it was a lung tumor.

Mostly lung cancer.

After calming down, he connected the patient's symptoms with the course of the disease, as well as the results of ultrasound and X-ray examinations, and then repeatedly deliberated.

"Doctor, is my dad seriously ill?"

asked the female family member.

The old man's son stayed outside the examination room and did not come in.

Li Jingsheng glanced at the old man, hesitant to speak.

Generally, if it is suspected to be cancer, the patient will not be told.Because this will increase the psychological burden of the patient, and there is a risk of aggravating the condition.

The benevolence of doctors is really not just lip service.

He always thinks of patients, even if he is abused thousands of times, he still does not change his original intention.

"Young man, it's all right. I can bear what you have to say. I also said the same to those doctors during the examination in the big hospital."

"This is the B-ultrasound ultrasound of your lungs just now. You can see multiple nodular shadows. Then the X-rays of your lungs also show patchy shadows. At first glance, the borders are not clear, and there are multiple nodules. It's not the same. If you can go to a big hospital for a puncture test, it may be more accurate."

Li Jingsheng said tactfully.

Having been a doctor for so long, he knows how to avoid risks when talking with patients.

Even if you know it is lung cancer now, you should not tell the patient and family members, "After my examination, you have lung cancer, and you need to hurry up and treat it."

Instead, vague diagnostic conclusions are given.

I suspect it may be some kind of disease.

If people who have been checked in a large hospital pay attention to the checklist, they will find the column of the diagnosis conclusion, and there will often be a question mark behind the diagnosis result.

Then it is recommended to write in that column, and it is recommended to check further.

This is a kind of self-protection for doctors.

I was really scared by those medical rioters.

"Is my disease lung cancer?"

The old man's gaze was fixed on Li Jingsheng.

I can feel that there is a glimmer of hope deep in the eyes of the old man, hoping that Li Jingsheng will deny this answer.

"Have you done a lung puncture examination in a large hospital?"

"No, I don't agree to this test."

The old man replied directly.

"Tell me about your experience before the onset! The more detailed the better."

Li Jingsheng repeatedly scrutinized the old man's examination results and symptoms, and always felt that there were some differences with lung cancer.

However, the results of B-ultrasound and X-ray films all pointed to lung cancer.

He used to work in the Department of Respiratory Medicine of a large hospital. Although he only managed bed work, he also managed many lung cancer patients.

"I remember going to the flower and bird market before the onset of the disease and bought a green parrot. Within two days, I felt my throat was itchy and wanted to cough. It was okay at first, and I cleared my throat. Then it was fine. Later The cough got worse. I thought I was drinking less water, so I deliberately drank two more glasses of water than usual. A [-]ml thermos cup, two full cups. The result was still a cough, and the more the cough became worse, the later I had a little fever.

Thinking that it might be an old problem as I got older, I went to the pharmacy to buy some cough medicine.

At that time, the cough was not so bad after taking the medicine, but after a few days, it started to cough badly again.I know a little about Chinese medicine for health preservation. I bought some lung-nourishing herbs and soaked them in water to drink, thinking that it will be better after a while.

As a result, it dragged on for a month and still didn't get better, and I still had night sweats when I slept at night.I knew this disease might not be simple.

That's about it. "

After listening to the old man's narration, Li Jingsheng fell into deep thought again.

After a while, he raised his head and asked the old man.

"Did you often cough before the onset?"

"Occasionally I have a itchy throat and cough twice, but it has never been so serious."

"My clinic here is just a small clinic with limited conditions, and some tests cannot be done. I believe you must have done a lung CT in a big hospital, right?"

"Yes, CT scan."

"Can I watch the movie?"

Li Jingsheng received 200 yuan from others and did two inspections. He was very careful when he said this.

At that time, the family members thought that he was arguing with him in order to earn inspection fees, and the impact would be very bad.

In terms of clarity and accuracy, CT is higher than ultrasonography and X-rays.

However, each inspection has its own advantages and disadvantages, and the diagnostic reference significance is also different.

In addition, CT is not a routine examination.

"Okay, my brother should bring it here."

The female family member said.

They returned to the consultation table, and after the old man's son asked about the situation, he took out a CT film from his bag and showed it to Li Jingsheng.

"The mass has various shapes, the edges are not clear, and the edge burr sign, vascular bundle sign and vacuolar sign can be seen..."

Li Jingsheng's expression became more serious after seeing the CT film taken by the big hospital.

Yes, this is a typical imaging feature of lung cancer.

He took the CT film and compared it with the B-ultrasound film and X-ray film taken by his small clinic.

The patient and his family members dare not vent their anger, waiting for the final trial.

From Li Jingsheng's serious expression, they already felt the bad result.

When I came to see a doctor in this small clinic, I only heard friends praise the excellent medical skills and noble medical ethics here, and I wanted to make the last diagnosis.

At this time, the old man's daughter covered her mouth and coughed.

Since they came in, the old man's daughter has coughed no less than five times.

And it looks like a lot of work.

Li Jingsheng couldn't help looking at the old man's daughter, who was a little embarrassed.

"Did your cough start recently?"

Li Jingsheng asked.

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(End of this chapter)