Although before coming to Sunshine Clinic, I heard from friends that this clinic has good medical skills and noble medical ethics, but as a forty-year-old man, he is already in his forties.
A man of this age has very mature thoughts and has accumulated over the years.
Deal with things calmly, know how to distinguish between right and wrong, and be very wary of all kinds of temptations and routines. Generally, they will not be deceived as easily as young men.
He has always been deeply wary of Li Jingsheng's enthusiastic inspection actions.
"Wait a minute. Under normal circumstances, the skin pinch mark on the calf will rebound back to its original state in 20 to 30 seconds. I will just observe it for about a minute."
Thirty seconds passed, and the pinch mark on the man's leg rebounded very slowly and was still deeply stuck.
Li Jingsheng observed patiently for about a minute, and the pinch traces recovered slightly, but to a limited extent. It is completely incomparable to the pressure marks on the skin of normal people.
This also confirmed his thoughts.
This person does have calf edema.
In clinical examination, the most commonly used method to verify edema is to check the rebound speed of pinch marks.
This is not a gold standard for diagnosing edema, but it is simple and easy to do.
In particular, some patients are in the mild edema stage and cannot tell whether they are slightly fat or edema with the naked eye. This method of examination is very effective.
Normally, when there is a problem with the human kidneys, the two areas most likely to suffer from edema are around the eyes and the calves.
If you pinch someone's calf, the most you'll get is scolding, "There's something wrong with you, right?"
Li Jingsheng is afraid of being slapped into panda eyes by pinching customers' eyes.
Some male customers are quite violent and will hit them with their fists if they disagree with them. When he was an intern in the hospital, Li Jingsheng was beaten once by his family members, who even called the police.
Since then, he has been extremely careful when talking to patients or family members.
"Okay, you can put your pants down."
Li Jingsheng gestured to the man.
"I just checked your calf, and I initially suspect that there is edema. I suggest you go to the hospital to check your urinary routine and kidney function. If you just have ordinary kidney deficiency, you can come to me to buy tonics. I don't recommend you Western medicine that has quick effects. Take it again, at least not now."
The doctor in his clinic is definitely a conscientious doctor.
It is a blessing for patients to meet him.
Unexpectedly, after the man heard this, he asked calmly, "How much does a box of medicine with quick effects cost? How much does a tonic with long-lasting effects cost?"
"Quick-acting medicines, such as this Aildenafil, 12 tablets in a box, sell for about 60 outside, but I sell it here for 58 yuan a box. The long-lasting tonic depends on which one you choose, a better one costs 600 to 800. Treatment.”
In Li Jingsheng's opinion, Viagra is more like tiger and wolf medicine.
Normal people can enjoy one or two slices occasionally, and that's fine.
Eat it every day, even a strong body can't stand it.
Viagra is a Western medicine, not a tonic.
It is actually a type 5 phosphodiesterase inhibitor, which can prevent the production of pdE5 enzyme and the binding of pdE5 enzyme to cGmp to achieve the effect of treating impotence.
"Okay, thank you, I'll think about it and look at it again."
Although the man was polite on the surface, he actually took Li Jingsheng's series of actions as a trick to trick him into buying expensive tonics.
"You're welcome, please walk slowly. If possible, I suggest you take the time to go to the hospital to check your urination routine."
Li Jingsheng is really a doctor and a parent.
Even though he knew that the patient had not listened to the advice, he still emphasized it again with all his sincerity.
The man left without looking back.
When he went out, he could see a sneer on the man's face.
Li Jingsheng shook his head and sighed.
He subconsciously checked the properties panel.
Because based on experience, this golden finger is obtained by refusing excessive medical treatment.
Just now, he lost a business because he insisted on principles and considered patients.
It would be a big relief if the properties panel could compensate for that.
Not long ago, when I received favorable comments from Ms. Ou, I checked that the health value was 103.
Later, I gave Ms. Ou a follow-up consultation and prescribed an infusion, which should give me 1 point of health.
Selling health medicines and medical equipment does not increase your health, but only makes money.
After checking, he found that the health value had increased to 114.
So cool.
Refusing excessive medical treatment can actually increase your health by 10 points.
His current level of experience is 369.7, and he still has 130.3 experience to be promoted to a senior resident.
I have already accumulated 114 health points. If I work harder, I might be lucky and I can level up today.
At that time, you can continue to upgrade various medical skills.
The respiratory medicine diagnosis card has been stuck at 99.9 for two days.
He dreams of taking this medical skill to another level.
I really look forward to how powerful diagnostic medical skills that are higher than the proficient level will be.
After Li Jingsheng got 10 health points, he was happy but couldn't help but feel worried for the man.
I'm afraid that good words can't persuade the devil to die.
Looking at the man's expression, he probably didn't listen to Li Jingsheng's advice.
It would be bad if you go to another pharmacy to buy Viagra and take it.
When the kidneys cause mild swelling around the eyes and calves, it means that there is a serious problem with the kidneys. At least it's chronic nephritis.
If left unchecked and continued to enjoy life without restraint, it will rapidly accelerate kidney disease.
When obvious physical discomfort occurs and you go to the hospital to check your kidney function, you will often have uremia in the middle and late stages. Apart from dialysis and kidney transplantation, there is almost no other way.
Customers came in to the clinic one after another.
Although it is not a particularly popular one, the popularity of the small clinic is quite good.
There is only one doctor and one nurse in the entire clinic, and there are too many customers and patients to accommodate them.
It's actually better if customers come in sparsely like this.
"Hahaha... Good morning, Dr. Li! Miss Tang, you have become more beautiful today! Tsk tsk, this nurse uniform looks great on you."
Boss Zhao walked into Li Jingsheng's clinic with his hands behind his back and a follower.
Yesterday, I saw a family member coming to the door looking for trouble. Boss Zhao ran away faster than anyone else.
I thought Li Jingsheng’s Sunshine Clinic was going to be popular, but it turned out to be the opposite. Instead of being popular, Sunshine Clinic’s popularity skyrocketed.
Uninvited again today.
Seeing that most of the health products and tonics were sold out at the counter, Boss Zhao's eyes twitched uncontrollably.
The jealousy that could not be concealed barely escaped from Mung Bean's small eyes.
Unexpectedly, he was so self-defeating that he helped Li Jingsheng such a big favor.
"Excellent!"
Tang Ping just responded coldly and continued to greet customers.
She has always kept away from Boss Zhao, an old man who wants to nibble on young grass.
Especially that evening, Boss Zhao pretended to be crazy and stopped her in the middle of the night. After constant pestering, she became very afraid of Boss Zhao.
"Xiao Gao, return the gift that Dr. Li gave yesterday."
Boss Zhao said to the follower behind him.
Xiao Gao handed the plastic bag to Li Jingsheng.
"Dr. Li, all his subordinates are ignorant and accept gifts indiscriminately. I scolded him severely yesterday. This kid doesn't understand any rules. Am I, Old Zhao, such a person who can't stand the storm?"
Boss Zhao was scolding Xiao Gao on the surface, but he was actually telling Li Jingsheng that I, Old Zhao, have walked on more bridges than your kid.
Even if you made a comeback yesterday, I can still stand it.
If you give me two life-saving pills, you are looking down on me.
"No, no, no. This gift I give is sincere. It's best for Boss Zhao to keep it with you. Maybe it can save lives at a critical moment."
Li Jingsheng also responded with a pun.
"Boss, Dr. Li also has good intentions. How about we just take it?"
Xiao Gao, this kid's brain is too dim.
The two bosses had a secret exchange of words here, and he actually asked Boss Zhao to accept the gift.
What gift is this?
Two life-saving pills! Can that be collected?
Boss Zhao is a boss who has never suffered a loss. Yesterday, he lost a game to Li Jingsheng, but was humiliated by Li Jingsheng giving him Jiuxin Pills. Do you want him to take the Jiuxin Pills?
"Idiot, shut your mouth and stand back and don't talk."
Boss Zhao glared at Xiao Gao with a dark face.
If it weren't for the child's low labor costs, he would have fired Xiao Gao long ago.
Now I just use Xiao Gao as a handyman, which is more cost-effective than hiring a cleaner.
"Dr. Li, you should keep this generous gift for yourself! I heard that your small clinic has received a lot of patients from yesterday to today, so I came here specially to take a look. Congratulations!"
Boss Zhao, this is the weasel giving New Year greetings to the chicken.
"Oh, by the way, there was a customer just now who said he came to buy tonics from you. You tried to trick him into buying more expensive medicines, but he found out. As a result, the customer bought a box of Viagra at my Kuaikang Clinic. After spending 59 yuan, he kept praising our Kuaikang Clinic for being conscientious and not cheating people. I explained to him that maybe I had misunderstood Dr. Li somewhere, but he refused to listen. He also scolded you for being a shady doctor because you were trying to gain fame. "
Saying such words openly in front of so many customers not only disgusted Li Jingsheng, but also ruined the reputation of Sunshine Clinic, killing two birds with one stone.
Boss Zhao was not at ease when he arrived.
"Haha, people have their mouths, so let him have his say! Time will prove who the black-hearted doctor is. What is true cannot be fake, and what is false cannot be true."
Li Jingsheng smiled indifferently.
However, the customers who were about to buy medicine were obviously hesitant after hearing what Boss Zhao said.
One customer was ready to pay, but then said no.
A cunning smile appeared on the corner of Boss Zhao's mouth.
No matter how he kills his opponent, he is definitely at the level of a king.
With just a few words, a deal that was about to be concluded at Sunshine Clinic was ruined.
The box of Qi-tonifying medicine sold for 358 yuan, and the profit was at least more than 150 yuan. The sales commission Tang Ping can get is about 7.5 yuan.
Being upset by Boss Zhao, she was so angry that she almost broke a mouthful of white teeth.
She just wanted to scold but she didn't dare to scold, and she couldn't say anything. She was so angry that her pink fists were clenched hard. This guy named Zhao is full of evil.
Li Jingsheng also held back his anger.
You must give this old guy some color, otherwise he will come and cause destruction every day, which is disgusting and a big trouble.
Just as he was thinking about how to deal with Boss Zhao, a very cool red Ferrari suddenly stopped on the road in front of the clinic.
Parking is usually not allowed on this road, and traffic police often come to check the signs.
Occasionally, urban management officials will also play a guest role as traffic police.
Every time I come here, I get a lot of rewards, at least I can issue more than a dozen tickets.
People who drive Ferraris are generally very wealthy.
There are some traffic rules that people really just ignore. It doesn't matter if there's a fine, it's fine.
The car door opened, and a middle-aged woman with a fat body and aristocratic air stepped out.
The driver was a handsome young man.
After getting off the car, he quickly supported the fat lady.
Li Jingsheng recognized these two people at a glance. They were Sister Huan, the 'noble lady' who came to the clinic yesterday to buy digestive tablets, and the little girl she kept.
Looking at this situation, he should have gone to the hospital for a checkup.
I don’t know what you are going to do when you come today?
