Gou is practicing medicine in the clinic

Chapter 63 This disease can be cured

Out of the doctor's professional sensitivity, Li Jingsheng realized that it must be abnormal for the old man's daughter to cough so frequently.

Moreover, his internal respiratory diagnosis has reached the proficient level, and the diagnosis level of respiratory diseases is completely two grades from before.

Even just by listening to the sound of the other person coughing, observing the expression on the other person’s cough, the degree of exertion, whether they are coughing up phlegm and blood, and other symptoms, you can basically judge whether the person is sick or not, whether it is a serious illness or a minor illness.

This kind of diagnostic ability is very difficult for residents to have.

That is to say, only when you reach the level of attending, can you get a glimpse of the door.

He faintly diagnosed that the female family member's cough was somewhat similar to that of the old man.

After the female family member finished coughing, her face flushed slightly.

"I have been coughing for almost a week, maybe a little longer. It may be that I have to go to work and take care of my dad during the recent period. I have to run at both ends, and I haven't been able to rest well. I usually have this phenomenon when I am tired. In this case, just rest for a few days."

The female family members did not care about this.

Ordinary people often fail to pay enough attention to the symptoms of various diseases because they lack vigilance and professional knowledge.

Wait until the condition worsens before going to the hospital, it has become a serious illness.

After Li Jingsheng listened, his brows were furrowed and his expression was serious.

"How long have you taken care of your father?"

"It may have been more than a month!" After she finished speaking, she looked at the old man with some uncertainty. "Dad, did I start taking care of you last month?"

"It should be the 16th."

The old man remembered it clearly.

Calculated according to time, it will last for 32 days.

"Come on, let me take your temperature!"

Li Jingsheng said to the female family members.

"I, I'm fine. How about taking your temperature? You just need to see a doctor for my dad."

The female family members quickly waved their hands and refused.

"Don't worry, there's no charge. It's just a simple temperature measurement for you. This may be helpful in diagnosing your father's cause. At least I think it has great reference value."

Li Jingsheng said seriously.

"Sister, it's fine to ask Dr. Li to measure it. The doctor recommended by Sister Ou who lives in my community must not be bad."

The male family member was nearby to persuade his sister to cooperate with the doctor's examination.

Li Jingsheng's heart moved slightly, Ms. Ou is really nice.

During the infusion here in the morning, I also helped him speak out.

Unexpectedly, after going back, I would recommend Sunshine Clinic to my neighbors.

I'll have to thank her better next time.

"Okay then, please take my temperature."

The female family members agreed.

I took her temperature, 37.1 degrees.

low fever.

Usually, when the patient's body temperature rises to about 37 degrees, the fever is not obvious.

But it is of great significance to the doctor's diagnosis.

Our human body temperature is actually dropping.

In the past, 37 degrees was a normal body temperature, but now most people's body temperature has dropped to about 36.6 degrees.

There are pros and cons to this.

According to the research of scientists, every time the human body temperature rises by 1 degree, the immunity can be doubled.

When we are sick, the body has a fever because the body's immune mechanism works, burning body fat and energy stored in the body, raising the body temperature to achieve stronger immunity, thereby eliminating the viruses and bacteria that invade the body.

From this point of view, fever is a good thing.

It is the signal for the body's immune mechanism to fight the invading germs and launch a charge.

Let's talk about the benefits of lowering body temperature.

The body temperature drops by about 0.5 degrees, although the immunity is weakened, but the body's metabolism slows down, consumption slows down, and life expectancy will be extended by about 15%.

Although this point of view has only been proved in animals, it should also be applicable to humans.

It is an indisputable fact that the average life expectancy of human beings in the world is now greatly extended.

Certainly not entirely human medicine, scientific and technological progress, and it should also have something to do with the drop in human body temperature.

After Li Jingsheng took the female family member's temperature, he fell into deep thought again.

The names of diseases that matched the symptoms of cough and fever kept flashing in his mind.

Chronic bronchitis?
However, the lymph nodes in the patient's armpit and neck were not enlarged, and the disease should be ruled out.

There is no way, his small clinic has limited conditions, and many tests cannot be done, so he can only use some seemingly old-fashioned but very practical methods to rule out suspected causes.

Ultimately, the true cause was diagnosed.

He has been upgraded to the proficient level in respiratory diagnosis, which has brought him richer diagnostic experience. The respiratory system cases he has seen before can now be mastered one by one.

It's a great experience.

Let him have a feeling of wanting to travel far and wide, to reach a higher level.

He is very clear that this is the level of internal call diagnosis at the attending level.

Systemic lupus erythematosus?There are no blisters in the oral cavity, which can be ruled out.

……

At this time, the name of a disease that is very familiar but frightens clinicians pops up.

"tuberculosis!"

The onset of the disease is slow, accompanied by typical symptoms such as low-grade fever, night sweats, weight loss and fatigue, coughing, and even hemoptysis in severe cases.

And the disease is extremely difficult to distinguish from lung cancer in the early stage.

Even in imaging examinations, the cavities produced by tuberculosis are very similar to cancerous cavities, even old doctors with many years of experience may capsize in the gutter.

If you want to diagnose lung cancer or tuberculosis, the best way is to do a pathological examination.

Li Jingsheng seemed to see a lighthouse in the dark. The more he thought about it, the more he felt that the old man's disease was probably not lung cancer, but tuberculosis, which was extremely difficult to diagnose.

In clinical medicine, tuberculosis is notorious.

Difficult to diagnose, difficult to treat, easy to relapse, and harmful.

And it's an infectious disease.

"After visiting the flower and bird market, the old man started to cough and have a fever a few days later. After taking care of his daughter for a period of time, he also developed low-grade fever and cough symptoms. There are also B-ultrasound, X-rays of both lungs, and CT, all of which indicated that the lung There are multiple nodules in the chest, and the vacuoles are obvious... If it is really lung cancer, it is impossible to infect it. And after the lung cancer has progressed to a certain extent, there will be obvious cancer pain."

Li Jingsheng's eyes became extremely bright.

That's right, nine out of ten patients suffer from tuberculosis, not lung cancer.

"Doctor Li, is there any result?"

The female family member asked with some trepidation.

After Li Jingsheng took her temperature, he frowned and stopped talking, which made her feel nervous.

"The old man's disease should be cured. It's just that the treatment cycle may be longer, and it may take a month or two, or even longer."

Li Jingsheng said seriously.

"Really?"

After listening to the old man, he was more excited than anyone else.

Standing up with a kick, he stared at Li Jingsheng with an expression like a drowning person suddenly grabbing a life-saving heart circle.

This is human survival instinct.

No one wants to die if they can live.

Ants are greedy for life, let alone human beings who are the spirit of all things!

A happy smile appeared on the face of the female family member.

"It's definitely not a guarantee, but at least 95% sure. The premise is that you must cooperate with the treatment, take the medicine on time, and you must refrain from eating what you can't eat."

Li Jingsheng said seriously.

The old man's face instantly showed the first smile of hope after being suppressed in despair for many days.

"With 95% certainty, this is already very high. As long as it can really cure my disease, I will definitely cooperate with how to treat it."

In order to survive, the old man burst out with a strong desire to survive.

At this moment, he is willing to let the old man spend all his savings and take out the coffin for medical treatment.

Compared with the excitement of the old man, the old man's son seemed much calmer.

"Dad, don't worry about this." After comforting the old man and letting him sit down again, the old man's son looked at Li Jingsheng and said in a serious tone, "Doctor Li, we were introduced by an acquaintance, what's the matter?" I'll say it straight!"

Li Jingsheng nodded.

"Please say!"

(End of this chapter)