Directly added 28 points of health to this medical skill.
"Depend on!"
Li Jingsheng was looking forward to upgrading his medical skills. Unexpectedly, he was promoted to respiratory medicine proficiency 99.4/100, and then got stuck.
A total of only 27 health points were consumed.
There has been one unsuccessful experience with this upgrade.
He knew that something must be holding back this medical skill.
I spent a full 27 precious life points, but I couldn't upgrade successfully, which is really heartbreaking!
Although the health points will not run away after the health points are added, and the proficiency required to upgrade this medical skill to the next level has also been reduced from 27.6 to 0.6, the failure to successfully upgrade still makes him very depressed.
The main reason is that we are not rich now, and every bit of life deserves to be used wisely.
27 points were wasted. If you use them to upgrade entry-level medical skills, you can upgrade at least two.
General surgery diagnosis and cardiovascular medicine diagnosis are both entry-level, and he is not willing to spend money to upgrade them.
Depression is nothing but depression. Now I must stabilize my mind and deal with the patient in front of me first.
There's no time even now to explore the specific reasons why the upgrade failed.
At this time, the patient was covering his chest and coughing violently, and his face turned red.
When spitting into the trash can, Li Jingsheng made a special observation.
It's white sticky phlegm.
Vomiting white sticky phlegm and purulent phlegm are all symptoms of body cold.
Could it be a cold?
Colds are divided into wind-heat and wind-cold. Different cold types require completely different medications.
Some people took cold medicine after catching a cold and found that it had no effect at all.
It may even worsen symptoms.
This depends on whether the cold medicine you are taking is "the opposite"?
It's obviously a cold caused by wind-heat, but you insist on taking medicine to treat wind-cold and cold. Isn't that silly?
It would be too hasty to directly conclude that it is a cold based on fever, cough, and white sticky phlegm.
When it comes to treating other diseases, Li Jingsheng may have limited experience.
But he has been running a clinic for more than nine months, and the most common disease he encounters is colds.
I always feel that this female patient’s symptoms are slightly different from those of a cold.
Moreover, her complexion and symptoms were different from those of a cold.
This keen diagnostic ability can only be developed if you often deal with cold patients and accumulate rich experience.
Since it's not a cold, what kind of disease could it be?
It's a pity that his respiratory medicine diagnosis upgrade is stuck, otherwise he should be able to easily diagnose the cause and type of disease.
"Let me listen to the lung sounds for you again!"
Li Jingsheng said to the patient.
"Didn't you hear it just now?"
The patient was a little unhappy this time.
It was a bit repulsive to have a male doctor put a cold probe on the chest and listen to it.
In order to cure her illness, she endured it for the first time.
Now that Li Jingsheng wanted to hear it a second time, she had to suspect that the male doctor in front of her had impure motives.
"During the auscultation just now, I heard scattered dry and wet rales. After you cough and expel the sputum from the lungs, there may be changes. This is very important for me to diagnose the cause. So I need to auscultate again or even two or three times."
Li Jingsheng explained to her patiently.
"If you feel offended during auscultation, you can hold the probe, and then I will direct you where to place the probe, and I will be responsible for auscultation."
The appearance of this female patient can only be regarded as above average.
The temperament is pretty good.
The charm is still there!
But to say that Li Jingsheng has any evil thoughts towards her is simply insulting him as a doctor.
"Just stick it to your chest like you just did, right?"
"Yes! However, the lung sounds may change position during auscultation. When I have new findings, I will instruct you to move the probe."
"Can."
She directly took the auscultation probe and put it to her chest.
Then he moved slowly under the command of Li Jingsheng.
Auscultating lung and heart sounds for adult women is actually a very troublesome matter. Because many women have thick layers of fat on their chests, this can seriously hinder auscultation.
"Sure enough, there was a change. After coughing and sputum discharge, the wet and dry rales in both lungs disappeared."
Li Jingsheng said slightly excitedly.
For doctors, every time they make a new diagnosis when diagnosing a patient, they feel very happy.
Because this means that we are one step closer to finding the cause.
The patient could also tell that the young male doctor was indeed treating her seriously and had no intention of taking advantage of her.
His expression softened a lot.
"Have you found out what the disease is?"
she asked expectantly.
"Not yet, but there's a lot of progress. Did you do anything before you coughed yesterday?"
"No, I just watered the flowers, trimmed the leaves, and read a book as usual. Because I started coughing during dinner, I didn't go to square dance after dinner..."
Ten aunts and nine dances.
I don’t know where the charm of square dancing comes from?
Li Jingsheng got an important message from her story.
"Coughing, sputum, and white sticky sputum, accompanied by acute fever, tonsillitis has been basically ruled out. The possibility of upper respiratory tract infection is small, and the lungs have a good defense system. Being infected in such a short period of time, and There is almost no possibility of causing pneumonia. Then only the bronchi and trachea are left."
His eyes became brighter little by little.
The clues gradually became clearer, and the fog continued to be cleared away.
"I was exposed to flowers and plants before the onset of the disease. It is likely to be allergic bronchial and tracheal inflammation caused by pollen and the like... Yes, that's probably the case."
After Li Jingsheng received the preliminary diagnosis results, he decided that it would be safer to do an examination for the patient.
He has no way to check for viral infection here, and he can't check for viral antibodies, mycoplasma antibodies, or chlamydia antibodies.
This is also the frustration of small clinics.
However, he has an X-ray examination equipment that can perform chest X-rays on patients to see the condition of their lungs.
"You need a chest X-ray to see if your lungs are infected. Our small clinic is cheaper than the hospital. We charge 100 yuan per session. Do you think that's okay?"
Li Jingsheng asked the patient.
"Can I be sure that the cause of the disease will be found after taking a picture?"
Patients do not have high trust in such small clinics.
100 yuan is not too little.
Women have to bargain for a long time to buy a two-dollar dish. If they want to make money from them, beauty products and clothing should be the easiest.
"Even if you go to any hospital for an examination, no doctor can say that the cause will be found. However, I can responsibly say that this examination was made after careful consideration after having a certain direction of diagnosis. decision. If you have a lung infection, I will immediately recommend that you go to a big hospital for medical treatment to avoid delaying your condition. But if you rule out lung infection, the cause will basically be found. I can treat it here, and you will not have to go to a big hospital. Waiting in line at the hospital. Not only can you save a lot of time, you can go home and have a good rest after the treatment, and you can also save a lot of treatment costs."
Li Jingsheng's words were extremely candid.
And everything is done from the perspective of the patient's interests.
This undoubtedly greatly gained the trust and favor of patients.
"Okay, let's take a video and take a look at it first!"
The patient agreed.
Li Jingsheng led her to the medical technology room inside. In fact, there was only a second-hand X-ray power frequency machine and a Doppler ultrasound equipment.
Either a color ultrasound or an ordinary B-ultrasound.
Small clinics cannot compare with the conditions of hospitals.
The hospital has financial allocations from superiors and official support, so small clinics can only rely on themselves for everything.
"Sister Tang, is the infusion over there done? This lady needs to take an X-ray. Come over and help me."
In fact, Li Jingsheng was the only one capable of making this film.
However, because the patient seemed to be very sensitive to male doctors, it was necessary to ask Tang Ping to come in to help out of caution.
If the patient accuses him of molestation, he has ten mouths and cannot explain it clearly.
When taking a chest X-ray, the patient does not need to take off his clothes, but he should avoid wearing clothes that are too thick or covered by metal jewelry.
Because the resolution of this X-ray machine was really low, Li Jingsheng went through a lot of effort to see the lung texture clearly.
Somewhat thickened.
Nothing else is a big problem.
If you have money, you must buy a high-definition X-ray machine.
Every time he uses this device, he gets a toothache.
Since only the lung markings in the lungs are slightly thickened, it is basically certain that the bronchus and trachea are inflamed.
The gold standard for diagnosing bronchitis is sputum smear and bacterial culture.
Chest imaging can also play a certain diagnostic role.
In most cases, a comprehensive diagnosis is required in conjunction with blood pictures.
Li Jingsheng didn't have these conditions, and if he wanted to kill this patient, he could only rely on experience and skills, and then he had to gamble on luck.
"When you watered the flowers and plants yesterday, what flowers were there?"
"I have planted so many flowers! There are roses, cacti..."
Before she finished speaking, she coughed violently again.
After she finished coughing, Li Jingsheng asked directly, "Are any of these flowers that have not been planted before?"
"Those two lilies have never been planted before. It was my first time to plant them. I didn't expect that they bloomed yesterday, and the flowers bloomed very big."
When the female patient mentioned growing flowers, it was a hot topic.
This aspect is what interests her most.
Li Jingsheng already had a diagnosis.
"This time you suddenly developed a cough, fever, and white sticky phlegm. It is probably because you are allergic to lily pollen, which then caused bronchitis and tracheitis. I will give you medication first, but if you want to see those two lilies in the future, I suggest you You wear a mask.”
The female patient had an expression of disbelief on her face after hearing this.
"It turns out that pollen can also cause allergies! I can smell other flowers and it's fine!"
"This has something to do with your constitution. You are not allergic to other pollen, but you are allergic to lily pollen. This phenomenon is very common in clinical practice. I see that you like growing flowers. This is actually a good thing. It can cultivate your sentiments, soothe your mood, and give your body a certain degree of exercise. You don’t need to stop eating because of choking, just try not to touch lilies in the future.”
Li Jingsheng smiled and praised her.
She was very happy that her behavior of planting flowers and plants was recognized by others.
There was also a smile on his face.
"Okay, thank you doctor. What's your last name?"
"No need to give your last name Li!"
"Dr. Li! To be honest, I rarely came to small clinics for medical treatment when I was sick. Today I heard Sister Hu praise your clinic for its good curative effect. She also said that you are very considerate of patients. After today's personal experience, I am very satisfied with your clinic. I am quite satisfied with the service. Now let’s see the effect of the treatment. If the effect is good, I will definitely introduce you to others in the future.”
The female patient has initially recognized the service attitude and medical ethics of Sunshine Clinic.
Let’s look at the efficacy below.
The most important thing is the efficacy.
As long as the results are good, patients will be satisfied.
