"About two or three months ago, I started to feel a little tight in my chest, and I couldn't breathe after walking a few steps. And my body gets tired very easily. I feel tired even when I'm sitting, and I don't want to move when I'm lying in bed."
When the old man said this, he looked at the two family members.
The woman responded with some guilt, "My brother and I didn't really understand my father during that time. We always thought he was lazy. A healthy person will easily get sick if he lies down all the time. I think life lies in exercise." , so I took time to take my dad for a walk every day. He couldn’t walk very far before he complained that he was tired and wanted to go back... Sigh! At that time, I should have thought that my dad might be sick. "
The son didn't say anything, but there was also a hint of guilt in his expression.
"My two children are actually very filial. They told me to exercise more because they were worried about my health when I lay down. At that time, I would sleep until midnight. When I woke up, I would often find that my whole body was soaked with sweat, and my body would feel special. Tired.”
The old man was very protective of his children in front of outsiders. Instead of blaming them for their lack of understanding at that time, he praised them for their filial piety.
Li Jingsheng found that children raised in families with kind parents are actually more filial.
When an old man gets sick, it's not often that his children can accompany him to see a doctor.
Because children have to work when they grow up, they also have various household chores after get off work.
Unless the parents are critically ill or seriously ill, they will accompany them to the doctor.
Otherwise, the elderly are basically left to see a doctor on their own.
If you can help your parents pay for their medical expenses, you are already a filial son or daughter.
Really, when Li Jingsheng was working in the hospital, what he saw most was the various excuses made by the children after the elderly fell ill. They are unwilling to bear the medical expenses.
But when a child gets sick, the parents sell their houses and cars, borrow money from everywhere, and try every means to treat the child.
Does it hurt?
This is the truest humanity.
"You've been sick for three months and you haven't been to the hospital yet?"
When Li Jingsheng looked at this family, they didn't look like a family in need.
There is no problem of not daring to go to the hospital when you are sick.
"Uh... I've seen it, but I'm not optimistic about it. Didn't I hear people say that your medical skills here are excellent? We just wanted to come over and have a look."
The old man's eyes averted.
The children were silent.
Seeing this situation, Li Jingsheng suddenly understood something.
No wonder he said that after auscultating the old man's heart and lung sounds in the infusion room, he said that the old man's condition was a bit serious, and his son and daughter showed very calm expressions.
Then I think back to the time when the old man praised him for his superb medical skills.
Now it is basically certain that the old man has been examined in a large hospital and found to be seriously ill.
Cough, night sweats, fatigue, and low-grade fever have lasted for nearly three months. What serious illness could it be?
Li Jingsheng was shocked. It was most likely lung cancer.
Depend on!
These two family members were not kind. They had already been checked in the hospital, but they deliberately kept it secret.
If Li Jingsheng's diagnostic skills hadn't improved a lot, he might have made a big fool of himself.
People usually don't laugh at him to his face.
After going out, tell your relatives and friends that Dr. Li from the Sunshine Clinic is not good at medical skills and is just trying to gain fame. That’s for sure.
This made Li Jingsheng deeply realize once again that if a clinic wants to develop its business, its core competitiveness is medical skills.
Medicines, software and hardware, those are not core competencies.
At most it can only add color.
The magical attribute panel that can improve medical skills and doctor levels is his strongest trump card.
"What disease did you find out in the big hospital?"
Li Jingsheng asked directly.
"Dr. Li, we really don't want to hide it from you. Could you please diagnose my dad first? Then we will compare your diagnosis results with those of the hospital. We understand the rules. How much does it cost? We I will never bargain with you.”
Faced with this request from his family, Li Jingsheng was speechless for a while.
In fact, there are many such patients.
Sometimes a patient has to visit seven or eight hospitals and then choose the most reliable one.
"Well, let's take an ultrasound here first, and then take an X-ray to check the condition of the lungs. These two examinations cost 100 yuan each. Is that okay with you?"
Since the patient has this request, Li Jingsheng has no reason to let the money go.
Those two inspection equipment can't just sit there and gather dust. We need to quickly find a way to earn back the cost and then buy two pieces of equipment with higher definition.
"Two hundred yuan is not much, can I make a film now?"
"Okay. Our small clinic basically doesn't have to queue."
"Can I scan the code for you?"
"Okay. Just scan one of the codes and pay 200 yuan."
Li Jingsheng pointed to the two numbers on the table.
Alipay and WeChat are the two mobile payment methods most used by ordinary people, and they have indeed brought great convenience to people's lives.
Nowadays, you basically don’t need to carry cash when you go out. You can do everything with a mobile phone.
"Brother, I'll pay for it!"
My sister rushed to pay.
He was rejected by his brother.
The relationship between the brother and sister should be very good.
Two hundred yuan arrived in my account, I was very happy.
He took the old man into the examination room inside for examination. A family member is allowed to accompany you.
Soon, the test results came out.
Through the B-ultrasound film, we can see multiple nodule shadows in the lungs.
X-rays of both lungs showed local small patchy shadows, and diffuse shadows were more obvious.
Seeing this, Li Jingsheng's heart sank to the bottom.
It turned out to be a lung tumor.
Most likely it's lung cancer.
After calming down, he related the patient's symptoms and course of the disease, as well as the results of ultrasound and X-ray examinations, and then considered it again and again.
"Doctor, is my dad's illness serious?"
the female family member asked.
The old man's son stayed outside the examination room and did not come in.
Li Jingsheng glanced at the old man and hesitated to speak.
Generally, if it is suspected to be cancer, the patient will not be told. Because this will increase the patient's psychological burden and risk aggravating the condition.
The benevolence of doctors is really not just words.
He always considers his patients, even if he is abused thousands of times, he still remains true to his original intention.
"Young man, it's okay. Whatever you say, I can bear it. I also told the doctors during the examination at the big hospital."
"This is the B-ultrasound of your lungs just taken. You can see multiple nodular shadows. Then the X-ray of both lungs also showed patchy shadows. At first glance, the boundaries are not clear, and there are multiple nodules and shapes. It’s different. If you can go to a large hospital for a puncture examination, it might be more accurate.”
Li Jingsheng said tactfully.
Having been a doctor for so long, he knows exactly how to avoid risks when talking to patients.
Even if you now know that it is lung cancer, you should not tell the patient and family members, "After my examination, you have lung cancer and you must seize the time for treatment."
Instead, the diagnosis is given vaguely.
I suspect it may be some kind of disease.
If people who have gone to large hospitals for examinations pay attention to the examination form, they will find that there is often a question mark behind the diagnosis results in the diagnostic conclusion column.
Then write in the recommended column and recommend further inspection.
This is a kind of self-protection by doctors.
I was really scared of being sued by those medical troublemakers.
"Is my disease lung cancer?"
The old man's eyes were fixed on Li Jingsheng.
You can feel that there is a glimmer of hope deep in the old man's eyes, hoping that Li Jingsheng will deny this answer.
"Have you ever had a puncture examination of lung lesions in a large hospital?"
"No, I don't agree to do this test."
The old man answered directly.
"Tell me more about your experiences before you got sick! The more details, the better."
Li Jingsheng repeatedly reviewed the old man's examination results and disease symptoms, and always felt that there were some differences with lung cancer.
However, the results of B-ultrasound and X-ray films pointed to lung cancer.
He used to work in the respiratory medicine department of a large hospital. Although his job was only bed management, he also managed many lung cancer patients.
"I remember going to the flower and bird market before I got sick and bought a green parrot. Within two days, I felt that my throat was always itchy and I wanted to cough. It was fine at first, but I cleared my throat and everything went fine. Later, I felt that my throat was itchy and I wanted to cough. The cough got worse. I thought I drank less water, so I deliberately drank two glasses of water more than usual. A 500 ml thermos cup, two full glasses. The result was that I still had a cough, and it got worse and worse, and I had a slight fever later.
I thought it might be an old problem as I got older, so I went to the drugstore to buy some cough medicine.
At that time, the coughing was less severe after taking the medicine, but a few days later, the coughing started to be severe again. I know a little about traditional Chinese medicine and health care. I bought some lung-nourishing herbs and soaked them in water to drink. I thought it would be better after a while.
As a result, it took me a month to get better, and I still suffer from night sweats when I sleep at night. I knew this disease might not be simple.
That's probably it. "
After listening to the old man's story, Li Jingsheng fell into deep thought again.
After a while, he looked up and asked the old man.
"Did you often cough before getting sick?"
"Occasionally I have a scratchy throat and cough, but it's never been this serious."
"I am only a small clinic here, with limited conditions. Some tests cannot be performed. I believe you must have had a lung CT in a big hospital, right?"
"Yes, I've had a CT scan."
"Can I see the film?"
Li Jingsheng received two hundred yuan and did two examinations. He was very careful when he said this.
At that time, the family members thought that he was arguing with him in order to earn examination fees, and the impact would be very bad.
In terms of clarity and accuracy, CT is higher than ultrasound and X-rays.
However, each examination has its own advantages and disadvantages, and the diagnostic reference meaning is also different.
In addition, CT is not a routine examination.
"Okay, my brother should have brought it over."
The female family member said.
They returned to the clinic table. After asking about the situation, the old man's son took out the CT film from his bag and showed it to Li Jingsheng.
"The tumors have various shapes and unclear edges, and the edge spiculation sign, blood vessel clustering sign and vacuole sign can be seen..."
Li Jingsheng's expression became more serious after seeing the CT film taken by a large hospital.
Yes, these are typical imaging features of lung cancer.
He took the CT film and compared it with the B-ultrasound film and X-ray film taken by his small clinic.
The patients and their families were afraid to speak out, waiting for the final judgment.
From Li Jingsheng's serious expression, they could already feel the bad consequences.
When I came to this small clinic to see a doctor, I just heard my friends praise the excellent medical skills and noble medical ethics here, and I wanted to make a final diagnosis.
At this time, the old man's daughter covered her mouth and started coughing.
The old man's daughter has coughed no less than five times since they came in.
And it seems quite laborious.
Li Jingsheng couldn't help but look at the old man's daughter, who was a little embarrassed.
"Did your cough start recently?"
Li Jingsheng asked.
