Out of the doctor's professional sensitivity, Li Jingsheng realized that it was certainly abnormal for the old man's daughter to cough so frequently.
Moreover, he has now reached a proficient level in intra-respiratory diagnosis, and his level of diagnosis of respiratory diseases is completely different from before.
Even just by listening to the sound of the other person coughing, observing the other person's expression when coughing, the degree of exertion, whether the person is coughing up phlegm and blood, etc., you can basically judge whether the person is sick or not, whether it is a serious illness or a minor illness.
This kind of diagnostic ability is difficult for residents to possess.
Only when you reach the attending level can you get a first glimpse of the door.
He vaguely diagnosed that the female family member's cough was somewhat similar to that of the old man.
After the female family member finished coughing, her face turned slightly red.
"I've been coughing for almost a week, maybe a little longer. Maybe it's because I have to go to work and take care of my dad at the same time, so I can't get a good rest. I usually have this problem when I'm tired. In this case, just take a few days’ rest and you’ll be fine.”
The female family members did not care about this.
When ordinary people face various signs of disease, they often fail to pay enough attention due to lack of vigilance and professional knowledge.
I waited until my condition worsened before going to the hospital. It had already become a serious disease.
After Li Jingsheng heard this, his brows were furrowed and his expression was serious.
"How long have you been taking care of your father?"
"Maybe it's been more than a month!" After saying that, she looked at the old man with some uncertainty. "Dad, on what day last month did I start taking care of you?"
"It should be the 16th."
The old man remembered it very clearly.
Calculated based on time, it lasted 32 days.
"Here, let me take your temperature!"
Li Jingsheng said to the female family member.
"I, I'm very fine. How about taking my temperature? You just need to see my dad."
The female family member quickly waved her hand and refused.
"Don't worry, there's no charge. I'm just taking your temperature. This may be helpful in diagnosing the cause of your father's illness. At least I think it has great reference value."
Li Jingsheng said seriously.
"Sister, let Dr. Li check whether it's okay. The doctor recommended by Sister Ou who lives in my community must be right."
The man's family members advised his sister to cooperate with the doctor for examination.
Li Jingsheng's heart moved slightly, Ms. Ou is really good.
During the infusion here in the morning, I helped him speak up.
Unexpectedly, I recommended Sunshine Clinic to my neighbors after I returned home.
I have to thank her properly next time.
"Okay then, please help me take my temperature."
The female family member agreed.
I took her temperature and it was 37.1 degrees.
Low heat.
Usually, when the patient's body temperature rises to about 37 degrees, the fever is not obvious.
But it has great diagnostic significance for doctors.
Our human body temperature is actually declining.
In the past, 37 degrees was considered a normal body temperature, but now most people's body temperature has dropped to around 36.6 degrees.
This has advantages and disadvantages.
According to research by scientists, for every 1 degree increase in human body temperature, immunity can be doubled.
When we are sick and have a fever, the body's immune mechanism takes effect, burning body fat and energy stored in the body, raising the body temperature to achieve stronger immunity, thereby destroying viruses and bacteria that invade the body.
From this point of view, having a fever is a good thing.
It is the signal for the body's immune mechanism to start a war with invading germs and launch a charge.
Let’s talk about the benefits of lowering body temperature.
The body temperature of the human body drops by about 0.5 degrees. Although the immunity is weakened, the body's metabolism slows down, consumption slows down, and life span will be extended by about 15%.
Although this view has only been confirmed in animals, it should also be applicable to humans.
It is an indisputable fact that the average life span of human beings around the world has been greatly extended.
It is certainly not entirely due to the progress of human medicine and science and technology. It should also have a certain relationship with the drop in human body temperature.
After Li Jingsheng took the temperature of the female family member, he fell into deep thought again.
Disease names that matched the symptoms of cough and fever kept flashing in his mind.
Chronic bronchitis?
However, the lymph nodes in the patient's armpit and neck did not swell, so this disease should be ruled out.
There was no other way. His small clinic had limited conditions and could not perform many tests. He could only use some seemingly old-fashioned but very practical methods to rule out suspected causes.
Finally, the false is eliminated and the true cause is diagnosed.
Intra-respiratory diagnosis has been upgraded to the proficient level, which has brought him richer diagnostic experience. He has now understood all the respiratory system cases he has seen.
The experience was great.
It made him feel like he wanted to see a thousand miles away and reach a higher level.
He knew very well that this was the level of in-breath diagnosis at the attending level.
Systemic lupus erythematosus? There are no blisters in the mouth and can be eliminated.
…
At this time, the name of a disease that was extremely familiar but frightened clinicians suddenly emerged.
"tuberculosis!"
The disease starts slowly and is accompanied by typical symptoms such as low-grade fever, night sweats, weight loss and fatigue, and cough. In severe cases, hemoptysis may even occur.
Moreover, this disease is extremely difficult to distinguish from lung cancer in its early stages.
Even in imaging examinations, cavities caused by tuberculosis are very similar to cancerous cavities. Even experienced doctors with many years of experience may be capsized in the gutter.
If you want to confirm whether it is lung cancer or tuberculosis, the best way is to do a pathological examination.
Li Jingsheng seemed to see a beacon in the darkness. The more he thought about it, the more he felt that the old man's disease was probably not lung cancer, but tuberculosis, which was extremely difficult to diagnose.
In clinical medicine, tuberculosis is notorious.
It is difficult to diagnose, difficult to treat, easy to relapse, and highly harmful.
And this disease is an infectious disease.
"After the old man visited the flower and bird market, he started to cough and have a fever a few days later. Then after taking care of his daughter for a period of time, he also developed symptoms of low fever and cough. There were also B-ultrasound, X-rays of both lungs, and CT scans, all of which showed signs of lung disease. There are multiple nodules in the body, and the vacuole sign is obvious...If it is really lung cancer, it is impossible to transmit it. And when the lung cancer progresses to a certain level, obvious cancer pain will occur."
Li Jingsheng's eyes became extremely bright.
That's right, nine out of ten patients are suffering from tuberculosis, not lung cancer.
"Doctor Li, are there any results?"
The female family member asked with some anxiety.
Li Jingsheng frowned and stopped talking after taking her temperature, which made her feel nervous.
"The old man's disease should be curable. But the treatment period may be longer, and it may take one or two months, or even longer."
Li Jingsheng said seriously.
"real?"
After hearing this, the old man was more excited than anyone else.
He stood up immediately and stared at Li Jingsheng with an expression like a drowning man who suddenly caught a life-saving ring.
This is human survival instinct.
No one wants to die if they can live.
Ants are greedy for life, let alone humans who are the spirit of all things!
The female family members also had a happy smile on their faces.
"I definitely can't guarantee it, but I'm at least 95% sure. The premise is that you must cooperate with the treatment, take your medicine on time, and you must abstain from eating anything you cannot eat."
Li Jingsheng said seriously.
The old man's face instantly showed the first smile of hope after being suppressed in despair for many days.
"95% certainty is already very high. As long as my disease can be cured, I will definitely cooperate."
In order to survive, the old man burst out with a strong desire to survive.
At this moment, he was willing to let the old man spend all his savings and take out the coffin book for medical treatment.
Compared with the old man's excitement, the old man's son seemed much calmer.
"Dad, don't worry about this first." After comforting the old man and letting him sit down again, the old man's son looked at Li Jingsheng and said in a serious tone, "Dr. Li, we were introduced through an acquaintance. What's the matter?" I’ll just say it straight away!”
Li Jingsheng nodded.
"Please say!"
