Gou is practicing medicine in the clinic

Chapter 66 Dangerous Diarrhea

Doctor grade: senior resident physician 553/1000.

Comfortable, a direct increase of 52.1 level experience points.

Under normal circumstances, the experience value of the level increased by receiving common cases is very small, and receiving a common cold patient only increases 0.1 experience value.

If it is a little more difficult, it can increase more than 1 experience point.

The increase of so much at one time, as expected, must be because he successfully diagnosed tuberculosis cases that even major hospitals misdiagnosed.

Tuberculosis and early lung cancer are highly similar in symptoms and imaging findings.

Even sometimes the results of sputum smears are negative.

more likely to lead to misdiagnosis.

It is really not easy for a doctor in his small clinic to successfully correct this misdiagnosed case under simple conditions.

The gains from it are also great.

In particular, the comprehensive application of medical knowledge in clinical practice, and the connection of family members with similar symptoms for diagnosis is the first time.

It is also the first time to overthrow the diagnostic results of a large hospital.

Dare to challenge the authority and deny the diagnosis results of the authoritative doctor, which requires great courage and courage for a doctor in his small clinic.

This kind of leap-like growth, adding 50 points of level experience to him, is really not much at all.

Respiratory medicine is proficient in 111.9/500.

The diagnostic proficiency of Hu Nei has increased by 11 points.

If you guessed right, 1 point comes from multiple patients with cold and cough, and the other 10 proficiency points come from the successful diagnosis of two tuberculosis patients.

Health: 257.

Increased 107 points of health, of which 7 points came from ordinary patients.

The soaring 100 points came from the elderly with tuberculosis.

Seeing that the life points are getting more and more used, he can't help but feel that spending the life points to improve the doctor's level and medical skills is the kingly way.

If he is still at the level of a quack doctor before, no matter the old lady with a different position, the old man with pustules on his back, or Ms. Ou who has acute bronchitis caused by pollen allergy, or the father and daughter with tuberculosis, none of them can be diagnosed and treated.

Therefore, he realized that only by continuously spending his life points and improving his medical skills would it be possible to earn more life points.

Spending out is not the same as spending indiscriminately.

Instead, save it at the critical moment and spend your life on the 'blade'.

Surgical skills, orthopedics and traumatology skills, many of them need to go to the operating room or outpatient clinic of a large hospital to learn.

It is difficult to get started by reading books, watching teaching videos, and buying tools to practice.

"I have a clinic here, and I don't have the opportunity to work in a big hospital! Let's get rid of the rent first, and when I have some money in hand, it may be a good way to find an orthopedic doctor to study privately."

But the best way is to follow the old doctor to the outpatient clinic and study in the operating room.

For example, the manual reset of the shoulder joint.

It is possible to get started quickly only by watching the operation of the superior doctor, explaining the essentials of the reset technique in detail, and getting started with it.

It is difficult to just listen to the teacher's explanation and want to get started.

Precepts and deeds, this is the most ideal.

At this time, a young man with a handbag in his left hand and a newspaper in his right poked his head in.

After taking a look, I found that Li Jingsheng was the only one in the clinic.

Maybe he felt a little deserted, and he was about to leave.

"Excuse me, who are you looking for? What's the matter?"

Li Jingsheng found him.

The man was wearing dark gray trousers on his lower body, his leather shoes were stained with dust, a striped shirt on his upper body, and a dark red tie.

Wearing glasses, the figure is slightly thin.

Judging from this attire, he should be a programmer, salesman or something.

"I saw a report about your clinic in the Metropolitan Daily, and it happened that I had diarrhea recently, so I wanted to ask if there is any antidiarrheal medicine here?"

The man walked in.

As soon as he got close, Li Jingsheng smelled a rotten smell.

It may be caused by a day of sweating.

However, this rancid smell is quite strong, and it may also be due to not taking a bath for two days after sweating.

You can often smell this pungent smell in Internet cafes.

In order to play games, some "big masters" spend days and nights fighting in Internet cafes. They don't go home or take a shower, and eventually their bodies stink.

"I have antidiarrheal medicine here, but it needs to be prepared according to your symptoms. How long has the diarrhea been?"

"It's been three or four days! Recently, the project in hand is so urgent that I can only go home once every two days. I stayed up late on Monday to write the program all night, and I had a little diarrhea the next day. I thought I would be fine, but I didn't Thinking about it made it worse. Now I feel a little pain in my stomach, and I always want to go to the toilet."

The man was indeed a programmer.

There is a high-tech development zone in Jiangli City, which is about half an hour's drive away.

Many young people who work in the high-tech development zone will rent houses in Chengnan Old Street in order to save rent.The rent here is cheap, the prices are also cheap, and all kinds of special snacks are everywhere.

The most important thing is the good atmosphere.

It has attracted a large number of young migrant workers to rent houses here.

They go their separate ways during the day and come back to live at night.

Through hard work, some lucky people finally saved enough down payment and bought a house in the high-tech development zone.

After the lucky ones who have successfully bought a house move out, there will be young people in their 20s who have just graduated from school to live in, and the cycle continues in batches.

Those who can successfully buy a house through hard work will finally take root in this city and integrate into this city.

Young people who have not been able to make money, after their 30s, see no hope, and either return to their hometowns to develop or go to other cities.

Programmers earn a lot of money.

The lowest is seven or eight thousand per month.

This young man is 28 and nine years old, and he probably wants to rewrite his destiny through hard work and own a house of his own in this city.

The reality is very cruel, without a house, it is difficult to get married.

All men work hard to marry their wives.

"Come here, I'll take your temperature and blood pressure."

Li Jingsheng could understand the difficulty of this young man.

What can help him is to eliminate hidden dangers as much as possible and prescribe the most suitable antidiarrheal medicine.

"You need to measure your blood pressure and body temperature when you buy an antidiarrheal medicine?"

"Don't worry, this is a free clinic project and there is no charge."

Li Jingsheng knew what the young man was worried about.

Don't look at programmers earning [-] to [-] a month, or even more, but they are basically taking their lives to make money.

Earning is hard-earned money.

Many programmers laugh at themselves as 'moving bricks', code farmers.

They are also pretty cheap to spend.

Because I want to keep my money for big things.

Buying a house, buying a car, getting married, everything costs a lot of money.

"No wonder even the Metropolitan Daily praises the noble medical ethics here! The experience is really good."

The man did not refuse this time, and sat down beside the consultation table cooperatively.

Li Jingsheng took his temperature and it was normal, 36.7 degrees.

Blood pressure was measured and it was normal.

Out of caution, he took the patient's pulse.Faster.

120 times/min.

This means that the patient's heart rate is likely to be 120 beats per minute as well.

Li Jingsheng's relaxed face suddenly became tense.

Your heart rate doesn't get faster for no reason.

Diarrhea, not a serious problem in itself, is very common.

It usually resolves on its own without medication.

The duration is generally not too long, and some can heal on their own in two to three days.If it is stubborn, it can heal itself in about half a month.

If the diarrhea is severe, you need to seek medical treatment after more than three days. It will cause dehydration, imbalance of water, electrolyte and acid-base balance, poor nutrient absorption and other problems.

There is also chronic diarrhea, which is not serious but recurs repeatedly.

This kind of more than three weeks, you should go to the hospital for examination.

"Is the diarrhea serious?"

"It's a bit serious, especially this afternoon, I feel like my whole body is going to collapse."

The young man replied.

"Do you have pain in your chest?"

"It seems to hurt a little, and I can't tell if it's a stomachache or a chest pain. Because when the stomach hurts, the chest also feels a little pain."

Some pain can radiate to other parts.

For example, upper abdominal pain may radiate to the back or even shoulders.

This requires careful screening by doctors with professional knowledge.

"Let me listen to your heart sounds, your heart rate seems to be a little too fast."

Li Jingsheng signaled the man to undo two buttons of his shirt.

"Is this serious?"

the man asked nervously.

"I can't answer you yet. I'll give you a more accurate suggestion after my diagnosis is over."

After Li Jingsheng finished speaking, he began to listen to the man's heart sound seriously.

"Boom... 味! Boom... 呵!"

He heard a distinct murmur in the patient's heart.

This is definitely problematic.

As for whether it is serious, to be honest, his diagnosis level of cardiovascular medicine is a bit lame.

It is still only an entry level and cannot be diagnosed.

Heart disease, he certainly cannot be cured here.

Li Jingsheng was thinking, should he improve his diagnostic skills in cardiovascular medicine for this young man?
He has been unwilling to spend precious life points to upgrade this medical skill, because of cardiovascular disease, even if it is diagnosed, his small clinic can't afford it.

At that time, the patient can only be advised to go to a large hospital for treatment.

Now there are only two more months left to pay the rent, and he still owes Tang Ping's salary. He dare not waste his life on medical skills that cannot create benefits.

If he was asked to improve his surgical suturing skills, he wouldn't even bat an eyelid.

"Excuse me, are you the Dr. Li mentioned in the newspaper?"

Seeing Li Jingsheng bowing his head in silence, the young man couldn't help asking.

"Yes, my surname is Li."

"Doctor Li, I don't think it's a serious illness. It may be that I stayed up late that night and worked overtime, and the supper was unhygienic, which caused the diarrhea. You can prescribe some antidiarrheal medicine for me, and I will take it at home to see the effect. If it is still the same tomorrow If it doesn’t work, I’ll go to the hospital for a checkup.”

The young man said.

If it was a minor ailment like a headache, Li Jingsheng would definitely agree.

Diarrhea, accompanied by rapid heart rate and heart murmur, made him very worried.

Some heart diseases progress rapidly, and if the treatment time is missed, then a fresh life is lost!
The patient was only 28 and nine years old, and his parents finally supported him to finish college. If something happened, how could his family live?

"Don't worry, I'll make a diagnosis. I'm not afraid of just having diarrhea, but I'm afraid that you have heart problems and live alone. This is very dangerous. Give me a little more time and let me review your medical history and medical history. Symptoms."

Li Jingsheng couldn't even do blood routine checks here, so he had to rely on experience and knowledge he had learned.

10 points of health may save a young life, and it is spent.

After a little hesitation, Li Jingsheng spent 10 health points on the spot to upgrade the diagnosis of cardiovascular medicine to the proficient level.

　Thank you two book friends:
　　Book friend 2021030110646005474, Maxim Xiaonianqiu once again rewarded and supported, thank you very much.

　　
　
(End of this chapter)