Gou is practicing medicine in the clinic

Chapter 80 The Silent Organ

Clinics, hospitals, and pharmacies are all relatively special places of business. There is nothing to do, and few people go in to hang out.

Unlike supermarkets and clothing stores, there are always a lot of customers all day long.

"So you are an acquaintance of Miss Ou, and Miss Ou is a regular customer of our clinic. She is very enthusiastic and often helps our small clinic to promote for free,"

Li Jingsheng got up and poured a glass of water for the man.

Then he poured three glasses of water for the family of three who bought health medicine. The little boy wanted to drink, but his mother refused to let him drink.

It is estimated that there are many patients received in the clinic, which is easy to be infected with viruses and bacteria.

It's one thing for people not to drink, but Li Jingsheng has to pour water for them.

Otherwise, it will cause customers to form a psychological gap and feel that they are treated differently.

Maybe not next time.

"Doctor Li, you said that my stomach is always bloated recently, and I feel a little weak all over. Do you want to take some Xiaoshi tablets or something?" The man finally expressed his intention after taking two sips of water.

"How long has this been the case?"

Li Jingsheng's current gastroenterology diagnosis is proficient level, which is equivalent to the level of a senior resident physician.

Diagnosis of general gastrointestinal diseases is basically enough.

Currently, his HP has accumulated from 204 yesterday to 227 points.

Diagnosing and treating ordinary patients, his life value increases relatively slowly.

With so much 'surplus food' in the family, he was not panicked at all.

The big deal is to spend dozens of health points to upgrade the gastroenterology diagnosis to another level.

He also discovered a very interesting phenomenon.

For example, if you prescribe medicine to a cold patient, you will only increase your health by 1 point on the spot.Then wait until the patient is cured, but also get at least 1 point of life.

If you can get a good review, it will be even better, and you will directly get an extra 10 points of health reward.

The coolest thing was that the patient gave him a pennant, and a pennant was a reward of 100 health points.

It's just that this kind of thing can't be met.

"I can't remember exactly when it started. I guess it should have happened in half a year. At the beginning, it took a long time after eating, and I occasionally felt a little bloated in my stomach. Recently, this phenomenon seems to be getting worse and worse. It's getting worse. I don't know if it's caused by gaining weight, so I came here to ask you for advice."

As the man said, he took out a pack of blue Furongwang cigarettes, and handed one to Li Jingsheng.

"Thank you, I don't smoke. Smoking is not allowed in the clinic, please bear with me."

Li Jingsheng waved his hand and declined.

At the same time, men are advised not to smoke in the clinic.

The watch on the man's hand is actually a Rolex, and the cigarettes he smokes are of a certain quality, which means that his family background should be good.

"Is it after eating every time you feel bloated? Or is there no pattern?"

Watching the man put the cigarette back, Li Jingsheng continued to ask the doctor.

"Well...sometimes after meals, sometimes it seems to appear three or four hours after meals, there is no regularity. Recently, as long as I sit down, I feel a little uncomfortable here."

The man pointed to his belly.

Closer to the upper abdomen.

Li Jingsheng had already started to secretly observe this man, his complexion was a little yellowish, closer to waxy yellow.The sclera is also yellowish.

In Li Jingsheng's view, this is somewhat abnormal.

The figure does look a bit fat, with a height of about 1.7 meters and a weight of more than 70 kilograms.

"Did you measure your weight last year?"

Li Jingsheng's clinic does not have a weighing scale. Later, he wanted to buy one after opening, but he was short of money and it was not a necessity, so he never bought one.

Mr. Qiu from Shanghai Modu Youyao said that he will give him a weighing scale when he buys next time.

Then you won't buy it.

Who doesn't love free?

"Last year my weight was 67kg, but this year it's 71kg, and I gained a lot of weight."

The man replied directly.

"In this way, you lie on the bed inside, and I will touch your abdomen for you."

"Okay! Please take care of me."

The man went to lie down on the bed in the infusion room. Li Jingsheng asked him to unzip his jacket, then lift up his top to expose his entire abdomen.

Slightly raised, not particularly fat.

He touched it around, and there was no tenderness or mass, basically ruling out the possibility of a larger tumor.

"How about it?"

"I didn't feel a mass, which means there is no tumor growing in my stomach. This is a good thing. The abdominal distension like yours has lasted for half a year, and the time is irregular. The most fearful thing is a tumor."

Li Jingsheng signaled the man to get up.

The two returned to the consultation table, and Li Jingsheng helped the man measure his blood pressure, heart rate and other basic signs.

The body temperature is 36.7 degrees, which is a normal body temperature.

The heart rate is 79 beats/min, and the heart sound is also very positive.

Breathing 18 times/min, lung sounds are also normal.

Blood pressure is not high, systolic blood pressure 130, diastolic blood pressure 80mmhg.

After checking here, except for the slightly yellowish complexion and sclera, this person is normal.

"Come on, let me see your palm!"

According to the experience of internal medicine diagnosis, the skin color and sclera yellowing inevitably make people the first to suspect that something is wrong with the liver.

No obvious spider nevus or subcutaneous hemorrhages were seen on the patient.

If the liver disease is more serious, some patients will appear liver palms.

Skin color, sclera yellowing, plus liver palms, it can basically be concluded that it is liver disease.

But after checking the man's hands, there was no liver palm phenomenon.

Li Jingsheng's diagnosis at this time was in trouble.

Small clinics have limited conditions and lack the necessary laboratory test data and imaging examination data, making it difficult to make a diagnosis.

If you can check the transaminase in the liver function, and then do a liver color ultrasound, it will be easier to diagnose.

"Physical fatigue should last more than half a year?"

Li Jingsheng asked.

"Excellent!" The man gave him a thumbs up. "I've been feeling a little tired about a year ago, but it's gotten a lot worse recently."

"What about the appetite? Has it also decreased?"

Li Jingsheng asked again.

"Why do you know everything? No wonder Miss Ou praised your medical skills. This year, every time I sit at the dinner table, I feel no appetite. Recently, I don't like eating anything. My wife didn't understand, and said I'm making excuses on purpose, I'm afraid I want to find wild foxes outside. Conscience, I'm already at this age and have a formal job, how can that be possible!"

The man complained rather aggrieved.

This person really works in state-owned enterprises and public institutions, and only in these units can he be said to be working formally.

Especially people over the age of 40 basically have such a consensus.

In their eyes, an iron rice bowl can be called a formal job.

"Hehe, I don't think big brother looks like the kind of man who abandons his wife and children and only cares about being happy."

Li Jingsheng smiled and praised the man.

"Do you usually have stomach pain, nausea, vomiting, acid reflux and other symptoms?"

"No, if I had these problems, I would have gone to the hospital to see a doctor. I just felt a little bloated in my stomach, I didn't have any energy, and I didn't feel any pain. I was thinking, but the living conditions are too good, and I can't digest if I eat too much."

said the man.

"With all due respect, you don't feel like indigestion, it's probably a problem with the liver. The liver is different from other organs. It is called the most silent organ in the body. It has some early lesions, and we don't feel it at all. No pain. I suggest you take the time to go to the hospital tomorrow to check your liver function. If there is no problem, I have a lot of digestion tablets and stomach medicines for you to choose from. If there is any problem, it will not delay the illness .”

Li Jingsheng gave suggestions very sincerely out of responsibility for patients.

The man thought for a few seconds after listening.

"I'll listen to you. I believe you won't harm me. Tomorrow, I will ask for leave from my unit and go to the hospital for an examination. Tell me, this isn't cancer, right?" The man accepted his suggestion.

Before leaving, I was somewhat worried.

"Probably not. You will know the result when you go to the hospital for an examination tomorrow, and you don't need to have any psychological pressure. At least I didn't feel any big lumps in your abdomen."

That's all Li Jingsheng could say.

"Ok, thanks."

The man shook hands with Li Jingsheng to say goodbye and left.

Just left here, the woman who wanted to buy calcium tablets to supplement her daughter's calcium had already waited with her daughter for a while.

get together.

"Doctor Li, I brought my daughter here, please help me check it."

She asked Li Jingsheng.

　Thank you book friend 20210301106460054746 for your reward and support, thank you very much.

　　
　
(End of this chapter)