Gou is practicing medicine in the clinic

Chapter 92 Intractable Skin Diseases
As soon as Dr. Xu left, the atmosphere in the office became obviously relaxed.

A young male doctor came over and took the initiative to talk to Li Jingsheng.

"Brother, yes, if Dr. Xu agrees to teach you, I don't think it will be long before our department head will recruit you to the hospital!"

"I don't dare to have such extravagant ideas. It's not easy to enter this kind of third-level compound. I'm satisfied if I can learn some simple bone-setting techniques from Dr. Xu!"

Li Jingsheng was very humble with the smile.

He has an attribute panel that is against the sky, and the Second Hospital is unwilling to join even if they want to recruit him.

Now I want to learn more bone-setting techniques, so that I can stand alone in the future and form a major means of competition for Sunshine Clinic.

Of course, the mouth must be polite.

"This is nothing to dare to imagine! Not to mention anything else, your monstrous talent alone is enough to make our director look up to you a few times. When I learned the bone-orthopedic reset of the shoulder joint, I learned more than two years. months, and then practiced hard with the props for more than three months before passing the basic assessment. You can learn it directly in less than an hour, and you are so skilled at operating it, it is really scary."

Another young doctor came over.

The doctors sitting in the office are basically bed doctors in the inpatient department.

All are very young.

"Haha, I also learned this by accident. Were you also dismissed by Dr. Xu when you were learning bone-setting techniques?"

Li Jingsheng laughed, but never mentioned the attribute panel.

"Are you kidding? Only you are willing to learn from Dr. Xu Feng.... We all learned from other doctors. If you want to take off my shoulders, I won't agree to it even if you kill me."

When the two young doctors mentioned learning medical skills from Dr. Xu, they both showed fear in their eyes.

"Is Dr. Xu's bone setting skills good?"

Li Jingsheng took the opportunity to inquire.

"It must be amazing. Didn't you see that he took your arm off like a joke? There are so many doctors in our department, and he is the only one who can do this. And there are many fracture patients who originally needed surgery. He was cured. It’s just that his temper is a bit weird and it’s not easy to deal with.”

When it comes to Dr. Xu's orthopedic skills, the doctor is full of praise.

When Li Jingsheng heard that Dr. Xu's bone-setting skills are so powerful, he couldn't help secretly delighting.

In the future, as long as you run this way more diligently, you will probably be able to learn how to do it.

"Dude, it's not that I'm pouring cold water on you. Dr. Xu's skills are great, but he never teaches us some advanced bone-setting techniques. I guess at most he will teach you some basic bone-setting techniques."

The young doctor who was the first to talk to Li Jingsheng seemed to have seen through his thoughts, and persuaded him with a very positive tone.

"It's okay. I have a big face and thick skin. I'm not afraid that he won't teach me, but I'm afraid I won't be able to learn it if I do. I have to go back to work in the clinic, so let's go first! Goodbye, two teachers!"

Li Jingsheng waved to the two, his eyes casually glanced at Ou Qinglan who was not far away, the two looked at each other, Li Jingsheng showed a slightly smug smile.

It made her clenched her fists tightly, and Qiong's nose wrinkled.

From the beginning to the end, she did not take the initiative to greet Li Jingsheng, obviously not wanting others to know her relationship with Li Jingsheng.

understand.

Girls, they cherish fame and festivals very much.

She and Li Jingsheng are just ordinary friends, and she definitely doesn't want to be misunderstood by her colleagues.If we become lovers with Li Jingsheng in the future, that's fine.

If the two of them couldn't make it to that step at all, what would the colleagues think of her?

Thought she was a random girl.

……

When Li Jingsheng returned to the Sunshine Clinic, several customers were buying medicine or waiting for him to come for a diagnosis.

"Boss, there are two patients over there who want to see you for consultation, and have been waiting for a while."

Tang Ping was so busy that her face was flushed with sweat, and her hair was wet and stuck to her smooth forehead.

"Ok!"

Li Jingsheng quickly put on a white coat to greet the two patients, and consulted them one by one.

It's not a serious problem. One is that I have a low-grade fever, headache, and loss of appetite, but I don't sweat.

Li Jingsheng prescribed two boxes of medicine after a detailed diagnosis.

Advise patients to rest more after taking the medicine, and must not participate in strenuous exercise.If you still do not sweat after taking the medicine and the symptoms are not relieved, you need to go to a major hospital in time.

Cold and fever are common ailments, but they kill up to 9 or [-] people every year.

And that's just our country.

If it is a superpower where influenza is rampant, the fatality rate will be even higher.

If you have a cold and a fever but don't sweat, you need to be vigilant.

According to Li Jingsheng's clinical experience, if such patients cannot receive the correct treatment in time, they will soon develop into severe diseases.For example, the most common febrile convulsions, multiple organ failure.

He was never negligent just because the patient was a minor illness.

Because of a negligence, it is likely to be the loss of a life.

After dealing with the cold patient, he invited another patient to sit beside the consultation table.

"Sorry to keep you waiting! You mainly have an itchy rash on your hands, right?"

Li Jingsheng's small clinic occasionally receives skin patients.

He can also deal with the treatment of common common skin diseases, but he can't do anything about stubborn skin diseases.

Don't look at the skin disease as if it is not a serious disease. Its degree of refractory treatment and the degree of pain it brings to patients are far beyond imagination.

The most common, such as psoriasis, wet diagnosis, rare and fatal lupus erythematosus, skin cancer and so on.

"Yes, there is a large area here, which is very itchy. At first, there was only a small red granule, which was very itchy. I scratched it with my hands. After less than a week, it expanded two or three times. .”

The patient pointed to the back of the right thumb, and could see a large area of ​​densely packed red pimple-like blisters, and the skin had cracked in some places.

The skin is the first barrier to protect the human body.

At the same time, the skin is also the most amazing organ of the human body.Its miraculous degree even surpasses the human brain.

So far, human scientists have 713 unsolved mysteries about human skin.

For example, when someone sneaks up behind us, we feel scalp tingling.Even though he hadn't heard any sound yet, his skin could detect someone approaching before his ears.

For another example, when we close our eyes and touch different objects with our hands, we can know the temperature, material, hardness, weight and other information of the object directly through the tactile feedback of the skin.

……

Li Jingsheng has always been afraid of treating patients with skin diseases.

Because most skin diseases are quite contagious.

He did not touch the patient's hand.

Just looked intently.

Based on his experience, this is a typical tinea manuum, a fungal infection.

"Is your left hand itchy too?"

Li Jingsheng found that the patient had scratched the back of the thumb of his left hand twice during the short time he was sitting here.

"This hand also seems to have started to have small red particles, which are very itchy."

While speaking, the patient was still scratching his left hand with his right hand.

His right hand was also itching at this time, but he didn't dare to scratch it hard.Because tinea manuum progresses to blisters and cracks, the skin lesions are already very serious.Scratching at this time can be excruciatingly painful.

"Have you ever used any medicine?"

Li Jingsheng asked.

"At first, the old man at home told me that you can soak your hands in very high temperature water to scald the germs to death. After I tried it, I found that not only did it not work, but it caused its area to become larger. Even the side of the ring finger is also growing. I got some small granules and it started to itch."

Many people have beriberi, and they believe that scalding with hot water can be cured.

This kind of remedies are really harmful.

I don't know who passed it on.

After the infected skin part is scalded by hot water, it will be irritated, which will make tinea manuum more serious.

"Didn't you buy medicine to treat it?"

"I bought Dermatitis King, 15 yuan a piece, and I bought it at the pharmacy. After applying it, it worked, and the skin would ooze transparent liquid. But after a few days, it recurred again. After applying it several times, It seems to be getting worse and worse, and my girlfriend won't let me touch her now."

The man looked 27 or [-] years old.

He can tolerate other troubles caused by tinea manuum.Now that his girlfriend doesn't touch him, he definitely can't stand it.

"Your skin disease should be tinea manuum, which is relatively common. It is contagious."

Li Jingsheng didn't go on, just tell the patient about the danger.

"I also heard that it can be contagious, and the left hand seems to have been infected. Do you think there is any way to do this?"

"There must be a solution, tinea manuum is not difficult to treat."

Li Jingsheng's words immediately made this man see hope, and his originally nervous expression instantly relaxed a lot.

It can be seen that tinea manuum has brought him great mental pressure.

"I heard people say that your medical skills here are excellent, so I came here specially to find you. Doctor Li, please help me find a way."

The man instinctively wanted to grab Li Jingsheng's hand and plead.

Li Jingsheng was so frightened that he ran away quickly.

This young man is too meng lang.

"The main reason for this disease is that the treatment cycle is relatively long. As long as you have confidence and persevere, you will be cured. Dermatitis King is a hormonal drug, and it is easy to relapse when it is used. I will prescribe two naftifine and ketoconazole for you. You only need to apply it once a day before going to bed. Generally, the symptoms will disappear after a week or two. However, you still need to apply it every day.”

Li Jingsheng gave the patient a detailed explanation of the precautions for medication.

"Then how long do you have to keep applying the medicine?"

When the patient heard that he could be cured, he still looked forward to it.

"Generally, it is enough to keep applying the medicine for about a month. The skin renewal cycle is 28 days. If the skin lesions on your hand are more serious, the cycle may be longer."

When the patient heard that the cure could be cured in about a month, he immediately showed a relaxed smile.

"No problem, please prescribe the medicine for me! I thought the disease couldn't be cured, but it seems that I didn't find the right doctor!" The man obviously regarded the pharmacy salesperson as a doctor.

If he could go to a regular hospital for treatment, he believed that the medicine prescribed by Li Jingsheng would be similar to that prescribed by Li Jingsheng.

Li Jingsheng considered that the patient's ringworm had lasted for a long time and was more stubborn, so he prescribed compound medicine.

For mild skin ringworm, ketoconazole can handle it.

"how much is it?"

"This medicine is 23 yuan a piece, you can give 45 yuan."

Give the patient a one-yuan discount, which works very well.

After the profit is made, it is easy to win repeat customers.

"Your service here is really good and professional. Well, I wish I had known about your place earlier. If you are sick, you should go to the clinic."

The man scanned the QR code and paid.

The cost of treatment is unbelievably low.

Li Jingsheng is also very professional in his diagnosis and treatment services, which makes him feel like he has picked up a big bargain.

"It's not too late to know now, please take care of me if you need anything in the future."

After the patient's tinea manuum is cured, he will become a loyal customer of Sunshine Clinic in all likelihood.

"By the way, you must remember not to scald with hot water, which will only aggravate the condition. Also, it's best not to scratch when itches. If the itching is unbearable, you can apply this medicine one more time. In addition, your towel , Personal clothes, gloves, washbasins, etc. all need to be disinfected, it is best to disinfect once a day to avoid repeated infections..."

Li Jingsheng explained some precautions to the man in detail.

Tinea manuum is a fungal infection, and a high temperature of 100 degrees is needed to eliminate the fungus.At such a high temperature, while the fungus is killed, the hands are also scalded.

After sending the patient away, Li Jingsheng checked the properties panel.

The skin diagnostic still doesn't show up on the properties panel, which means it's not yet at entry level.

Treating this man earned a total of 11 health points.

Among them, 10 points were obtained because of the positive comments from men.

not bad.

His health is 184 points again.

When will skin disease diagnosis reach entry level.There are still quite a lot of skin patients, and it is difficult to diagnose and treat. Let alone a clinic, even the dermatology department of a tertiary hospital can only be said to be of an average level.

Glancing at the counter, there was only one customer who was buying health medicine, looking a little hesitant.Tang Ping is doing ideological work for the elderly, but it doesn't seem to be very effective.

Taking advantage of his free time, Li Jingsheng decided to call the tuberculosis old man immediately, hoping to persuade his son to give up making trouble.

After all, Director Mu has already done his best in the matter of Li Jingsheng's apprenticeship.

He must have something in return.

　Thank you Dandan Bandit, book friend 20230607201526686, two readers for their great support.Many thanks.

　　
　
(End of this chapter)