A bit like a broken bellows pulling.
Li Jingsheng was good at diagnosing respiratory medicine. He knew the old lady had a disease in her lungs as soon as she heard the sound.
"Hunting, I feel a little tight in my chest and I'm tired of breathing. Can you help me get a bottle of water?"
Many people go to the clinic to see a doctor after catching a cold and are cured after two infusions.
Infusions are indispensable for patients admitted to hospitals, including large and small hospitals.
So people who don’t understand medicine think that infusion can cure all diseases.
As long as they feel a little uncomfortable, they will think about taking a diaphragm injection.
"Auntie, did you catch a cold?"
Li Jingsheng never gave random infusions to patients. The abuse of antibiotics was very harmful, and he firmly resisted it.
At the very least, the cause of the disease must be identified before determining whether to undergo infusion treatment.
"I don't know, it's just that my chest is tight, as if I'm pressing on a big stone slab, I'm having trouble breathing, and I'm a little dizzy."
The old man took advantage of the situation and sat down on the chair in front of the counter.
The old man's face looked a little pale.
It was late at night. This old lady must be over 65 years old. She had a rather fierce appearance, and her eyes were more white than black. She was staring at Li Jingsheng so faintly, which was really a bit scary.
Moreover, he spoke with a strange accent, which made Li Jingsheng feel the hairs on his back stand up.
"Chest tightness, dizziness, difficulty breathing! Are there any other symptoms? For example, chest pain, headache, etc."
Li Jingsheng calmed down and began to diagnose the old man carefully.
Doctors are like parents.
When meeting patients, finding ways to help them relieve their pain is the most basic professional ethics.
"My chest hurts from time to time, but there are no other symptoms."
The old lady pointed to the right side of her chest.
Li Jingsheng breathed a sigh of relief when the old man said that the right side of his chest hurt.
Chest tightness, left side chest pain, or abdominal pain are enough to make doctors nervous.
The left chest contains mainly the heart and left lung.
Older people are prone to heart disease. For a small clinic like his, heart disease is a major serious illness and one should never get involved.
The right chest contains mainly the right lung.
The old man has difficulty breathing, chest tightness, and irregular right chest pain, which is likely to be a lung disease.
For example, the most common pneumonia.
To be honest, with his entry-level respiratory medicine diagnostic skills, he felt a little unsure when diagnosing such an elderly person.
The elderly generally have many underlying diseases, which make recovery difficult, and the probability of misdiagnosis and accidents are relatively high.
It's just that I finally got a deal in the middle of the night. If I can eat it, I can earn at least thirty or forty yuan.
He estimated that the old man's right lung was more likely to be infected and inflamed, and he would definitely need an infusion.
And if the infusion is given for at least three days, plus some other medicines are prescribed, the profit is quite considerable.
After a quick weighing in his mind, he decided to measure the old man's four basic physical signs first.
"I'll take your temperature first and auscultate your heart and lung sounds."
Li Jingsheng walked up to the old man with a special electronic ear thermometer and took a photo of her ear.
The body temperature is 36.7 degrees, which is normal.
It must be explained here that clinically measuring axillary or rectal body temperature is the most accurate. Mercury thermometers have not been completely eliminated due to the emergence of electronic thermometers.
It's just that electronic thermometers are more convenient, more hygienic and more time-saving to use, so they are widely used in hospitals and clinics of all sizes.
Li Jingsheng couldn't help but be stunned when he saw this body temperature data.
Inflammation of the lungs will definitely cause the body temperature to rise. Now the body temperature is normal, indicating that the patient is probably not inflamed.
According to his half-baked diagnosis experience, acute pneumonia and bronchitis are usually accompanied by fever, at least with a significant increase in body temperature. Chronic bronchitis and pneumonia have less fever, and many patients have normal body temperature data.
Or being in a low fever state for a long time.
He wholeheartedly hoped to make a fortune by treating this old man, but he did not give up just because his body temperature was normal.
"Let me listen to your heart and lung sounds! You need to undo two buttons."
At this moment, how Li Jingsheng longed to have a nurse by his side!
If the old lady falsely accused him of being a hooligan, she wouldn't be able to explain it clearly even if she had ten mouths.
He subconsciously looked up at the surveillance equipment installed in the clinic to embolden himself.
Fortunately, the old man was very cooperative.
He first auscultated the old man's heart sounds.
Because the body temperature is normal, do we still need to focus on checking whether there is any heart problem?
"Why are there no heart sounds? There are only a few crackles in the lungs."
Li Jingsheng tried to move the stethoscope probe, but the old man had already started to look at him with wary eyes.
All he can do is to look serious and eliminate the patient's doubts to the greatest extent.
"It's strange, why are there no heart sounds?"
When the heart beats, there will be a rhythmic thumping sound, like the beating of a bass drum. If the patient has heart problems, various murmurs may be present.
For example, pericardial friction sound, tricuspid valve insufficiency will cause regurgitation sound, and ventricular diaphragmatic defect will also cause murmur...
Li Jingsheng only has a superficial understanding of disease diagnosis in the cardiovascular department and has very little experience.
This was the first time he encountered something like this. He felt a chill on his back and a numbness on his scalp.
It's so late at night, you can't really encounter something supernatural, right?
For a small clinic like this that has a deserted business, it's better to keep its doors open less often at night.
Normally, at this late hour, he would have already closed the door and gone back to the rental house.
Now, in order to increase revenue and reduce expenditure, and because I broke up with my girlfriend, there is no need to rent a house anymore. I choose to live directly in the attic in the clinic, which can save 1,000 yuan/month in rent.
I thought that I would stay in the clinic anyway and open it for a few more hours in the evening, maybe I could sell some medicine or something.
Unexpectedly, this weird old lady with a bit of a fierce look was waiting for me.
Li Jingsheng subconsciously looked at the street outside. It was quiet and there was not a single pedestrian.
It made him even more frightened.
"Auntie, where do you live?"
"I live in the dormitory of the textile factory not far away."
In the past, textile factories and steel plants were all state-owned enterprises, and their employees enjoyed housing allocation policies.
Judging from this aunt's age, she might be an employee of a textile factory.
However, the textile factory has been relocated long ago, and the old factory building has now been converted into a school. The houses in the unit dormitories are all allocated to old employees. Some old employees continue to live in them after retirement, and some are left vacant or used for rent after they move out.
Hearing that this aunt was an employee of the old textile factory, Li Jingsheng was no longer so scared.
"I saw you were coming from that direction, why didn't you go to the Kuai Kang Clinic for treatment?"
In this case, I would not ask the question under normal circumstances.
Now this old lady is very strange. Li Jingsheng must first find out what kind of 'immortal' this person is.
The old textile factory dormitory is at the end of the old street in the south of the city.
Coming from there, you must pass by Kuai Kang Clinic and then go to Li Jingsheng's Sunshine Clinic.
Kuai Kang Clinic is a large establishment, with four stores, and it is an old clinic for more than 20 years. Why did she choose something far away?
This is so unreasonable.
Because she now has dizziness, asthma, chest tightness and other symptoms, it is difficult to take even one step.
Not to mention that Kuai Kang Clinic is at least dozens of meters away from here.
When something goes wrong, there must be a monster.
