"The elderly doctor personally helped me clean the inside of the pustule, then applied medicine, and gave me intravenous injections for three days. But after I returned home for only five days, the pustule began to become red and swollen again, and two days later, It started to ooze again.”
The old man replied.
There are many causes of abscesses, and some stubborn abscesses or abscesses with unknown causes are extremely difficult to cure.
From a physiological and pathological analysis, the formation of many abscesses can be seen as the accumulation of toxins in the body that cannot be discharged, and then a superficial pathway must be found to discharge the toxins.
At first, it is often red, swollen, inflamed, painful, and hard to touch.
After a period of time, the pustule will liquefy and become soft, and the surface skin will turn white. At this time, the pustule is mature.
After picking, the pus can be drawn out.
In most cases, the swelling will subside quickly and heal on its own.
"What about the third time? How did you do it?"
Li Jingsheng felt that the third treatment would definitely be a bit new, otherwise he would really have to wonder if the surgeons at the community health service station were all in the same mind?
"The third time was still debridement, but liquid was used during cleaning and I was given two pills to take orally."
"It was just done yesterday, how do you know it's still not healed? It will definitely take some time to recover from treating such a big pustule."
In ancient times, plaster was most commonly used to remove pus.
With the rapid development of medical technology, surgical procedures are widely used, and methods such as incision and drainage, debridement, and pus removal are available.
"Based on experience! After the first two treatments, when I was about to relapse, I would feel pain in this area, and then redness and swelling would appear around the pustule. Look, it should be swollen again now. If I wait until tomorrow, the swelling will be even worse. .”
The old man's answer reminded people of the saying that a long illness makes a good doctor.
He now has experience in diagnosing recurrences.
The third time, it is estimated that the surgeons at the health service station have exhausted their skills and have run out of recruits.
That’s why I thought of treating the inside of the abscess with anti-inflammatory and bactericidal liquids, and asking the patient to take long-acting anti-inflammatory and bactericidal drugs.
"Dr. Li, everyone says that your medical skills here are excellent. Please take the trouble to help me. As long as it can be cured, money is not a problem. I have one month's retirement salary..."
Before the old man finished speaking, the old lady next to him secretly pushed him and winked at him.
The old man stopped talking immediately.
Li Jingsheng couldn't help but smile to himself, this old lady was quite wary.
This is to keep in mind the lesson of keeping wealth secret. I am worried that if Li Jingsheng knows that the old man’s retirement salary is very high, I will ask for a lot of money.
"Don't worry, our Sunshine Clinic is a regular clinic. Our fees are in accordance with the strict regulations of the superior department. We will never charge you a penny more. After listening to your story just now, this pustule is extremely stubborn and extremely difficult to eliminate. I am now I don’t dare to say that I can definitely cure it. I can only say that if you trust me, I will try my best to give it a try.”
Li Jingsheng said very sincerely.
My conversational skills with patients were developed when I was a bedside doctor in a hospital.
For example, if there are any major new developments such as surgery, referral, or condition, bedside doctors need to communicate with family members and patients in a timely manner.
When encountering difficult patients or family members, it is really a matter of complaining whenever you disagree.
After Li Jingsheng suffered many losses, he obediently learned conversation skills from other doctors, and finally mastered them through experience.
This will be of great help to him in his work after opening a clinic.
So far, there has been no adverse incident such as a patient smashing the glass door or banging the table due to poor communication.
"I must trust you to come here to see a doctor! Please take the trouble to help me take a good look at it. It's so uncomfortable. It hurts all night long. I can't lie down on my back to sleep. It's hard to even put on clothes. I'm always suffering. .”
It seemed like there was just an abscess on the back, but it caused great trouble and pain to the patient.
Li Jingsheng understands the pain of patients very well.
Nodding sincerely, "I will do my best. What was your body temperature before your first treatment? Do you have a fever?"
The patient is now taking anti-inflammatory and antibacterial drugs, and the body temperature just measured was 36.7 degrees, which is normal.
Normally, a pustule of this size would definitely cause a rise in body temperature.
"Yes, I have a fever! I remember it was...how high is it?" The old man looked at his wife next to him.
"38.9 degrees, look at your memory."
The old lady scolded the old man.
The old man just smiled and said, "Yes, yes, it's 38.9 degrees."
As expected, it was similar to what Li Jingsheng had guessed. Before treatment, the patient had inflammation and fever caused by the pustule.
The fever was quite severe, almost a high fever.
It is not unusual for a pustule of this size to cause a high fever.
"The failure to heal after three consecutive debridements shows that the debridement is not adequate at all. Antibiotics can only play an anti-inflammatory and antibacterial role, but they cannot directly cure the pustules. At most, they can greatly reduce the risk of postoperative infection and at the same time inhibit The pustule continues to spread. What is the real cause?"
Li Jingsheng’s general surgical diagnosis is only at the entry level.
At this moment, I deeply feel that it is not enough.
His health points had reached 61 points again. He originally planned to upgrade his level to a senior resident doctor after saving enough.
Now we can only prioritize spending 10 points to upgrade general surgical diagnosis to proficiency level first.
At this time, the glass door of the clinic was pushed open, and an old lady in her sixties who was dressed in a fashionable style stuck her head in and took a look.
Then he walked straight to Li Jingsheng.
No, there was more than one old lady, four in total. Some are fat, some are thin, and they are all different heights. Without exception, they all dress in a very fashionable way.
At first glance, you can tell that these old ladies love to play.
"Xiang Ying, how is your husband's treatment?"
"Doctor Li is here to look after him! Why don't you go ahead and I'll come find you when I'm done. I don't feel safe leaving my old man here alone."
The old lady's care and love for the old man are reflected at this moment.
The couple comes when they are young and keeps company when they are old.
The relationship between the two should be very good.
"Okay, let's go to the underground clothing city first. I heard that there are more than a dozen stores that are almost out of business and are clearing out their goods. If you are done here, hurry up and go!"
"Yeah, I'll give you a call when I'm done."
Xiang Ying said to the four people.
"When you see that you are sick, come to us as soon as possible!"
As he spoke, he also made a phone call gesture to the old lady named Xiang Ying. Four old ladies came in like a gust of wind and left quickly.
They don't even look at the supplements on the clinic counter.
These old ladies like to pick up bargains.
All of them are very shrewd.
Which store is doing promotions or closing for clearance and washing, they will be sure to get there as soon as they get the news.
However, these cheap old ladies must have been tricked by a trick.
There was a rumor that a street was going to be demolished, and then almost all the shops posted "In the last three days, no one will be left. The price will be reduced, and the whole store will only sell for 19.9. Countdown to the last day of clearance sale."
Then, a year passed, and the shops on this street still advertised that they would clear out and wash goods in the last three days.
After Li Jingsheng watched the four old ladies leave, his determination to upgrade his diagnostic skills in general surgery became even stronger.
why?
Because these old ladies come in groups and love to play, they are a group of free living advertisements.
As long as Li Jingsheng cures the old man's pustule, they will all spontaneously help Li Jingsheng to promote it. For a small clinic like his, advertising on TV or in newspapers would not be very effective.
It is impossible for patients to travel all the way to a small clinic for treatment.
These old ladies are all locals, and their publicity target is also the residents of this area. The conversion efficiency will be particularly high.
Without any further hesitation, he decisively spent 10 health points to upgrade his general surgical diagnosis and medical skills to the proficiency level.
