"Okay, little girl, please sit down!"
Li Jingsheng asked the little girl to sit down.
The little girl wears anti-myopia glasses, her brows are slightly wrinkled, and her height is estimated to be about 145cm, which is not too tall or short.
"How old are you?"
"11 years old!"
She looked a little resigned to the situation and lowered her head when answering questions.
You can see that her teeth have been straightened and the wires are still on them.
The cost of orthodontic treatment with ceramic self-locking brackets is not cheap, at least 10,000 yuan, and usually costs 20,000 to 30,000 yuan.
It shows that the parents of this little girl are willing to spend money on their children.
"Which leg usually hurts?"
"Both legs hurt. The right one hurts a little more."
"How long does it usually take for the pain to stop hurting? For example, the pain lasts for a night, or an hour or two, and then the pain gradually goes away."
"The pain used to be short-lived and healed in a day or two. Now the pain lasts for more than a week."
What a crime.
The child is still so young, but he has to endure leg pain for a long time.
After hearing this, Li Jingsheng's expression became much more solemn.
This pain lasts longer and becomes more severe, which means the disease is progressing.
Pain is a self-protection mechanism of the body. When our body is injured, that part of the body will send out a pain signal to remind the body owner that there is something wrong with that part.
For example, the most common one is burns.
If you don't feel pain in your hand, you can put it into boiling water and you won't feel the soup is cooked.
"Besides your legs, does it hurt anywhere else?"
"Recently, I feel a little pain in this part of my shoulder, but it's not serious. Sometimes it hurts slightly for a while, and it doesn't last long. It may only be fine in a few hours."
Although the little girl is shy and introverted, her expressions are clear and her language is well organized.
"Your daughter's academic performance must be very good, right?"
Li Jingsheng said to his mother standing next to him.
"This child is quite up to date and has always been among the top two in the class." The mother was quite pleased and proud when talking about her daughter's results.
"You are so outstanding! Amazing!"
Li Jingsheng gave the little girl a thumbs up.
In fact, the condom is close, and the next step is to give her a physical examination.
After being praised, she smiled shyly.
"Can you pull up your trouser legs? I'll check the bones in your legs."
Li Jingsheng asked the little girl.
The mother standing next to her had already started to help her daughter roll up her trouser legs.
You can see her legs are very thin.
Today's children's staple food basically consists of various snacks. Coupled with the lack of exercise, their bodies are generally thin.
This is actually not a good sign.
"You're so thin, you need to eat more!"
Li Jingsheng said with concern.
"This child usually likes to eat snacks such as jelly, spicy, and QQ candy. When it's time to eat, he says he's not hungry, which makes me sad." After the mother finished speaking, she lectured her daughter. "Did you hear what the doctor uncle said? Let you eat more meals and eat less snacks."
The little girl just nodded, probably not speaking what she meant.
Li Jingsheng sighed secretly in his heart, the children's problems were all caused by their parents' pampering.
If parents do not buy snacks for their children and strictly control their pocket money, their children will not be able to eat even if they want to!
Li Jingsheng tried to palpate the child's legs.
It seems that the child's calf tibia is obviously thicker than that of ordinary children, and there is a sense of asymmetry, and the size seems to be different.
With just a little bit of force, the little girl cried out in pain.
He tried to palpate the child's left leg again, and he could also feel the rise and fall on the tibia of the calf.
Take a closer look at the child's legs. The knees are thicker than those of other children of the same age.
I don’t know if it’s because her legs are too thin that her knees look thick?
Li Jingsheng is not good at diagnosing orthopedics, nor is he good at pediatrics. He only knows a little bit about it. In fact, every clinical medical student has the potential to become a general practitioner.
However, in the end, due to limited time and energy, as well as different interests and hobbies, most people will choose a niche medical field that they like.
For example, Li Jingsheng originally focused on the field of respiratory medicine.
Staring at the little girl's knees and leg bones, Li Jingsheng tried hard to think about the diseases related to these symptoms.
In the end, he realized that he was too good at it.
I can't find any useful diagnostic directions.
This situation occurs because the level is low, the knowledge is shallow, and the knowledge cannot be applied.
Lack of diagnostic experience in related fields is also a reason.
"It seems we can only improvise!"
With no clue about the diagnosis, he could only think of ways to improve his medical level and diagnostic capabilities.
The attribute panel is his biggest Buddha.
The girl's mother stood by and waited patiently for Li Jingsheng's diagnosis results without rushing her.
The little girl showed pain expressions from time to time.
The pain in her legs was killing her.
Li Jingsheng was meditating on the surface, but in fact he quietly opened the attribute panel with his consciousness.
Grade: Senior resident physician 657.2\/1000
Diagnosis: Proficient in Respiratory Medicine 118.9\/500, Proficient in Gastroenterology 22.7\/100, Proficient in General Surgery 24.1\/100, Proficient in Cardiovascular Medicine 110.1\/500, and Introduction to Hepatobiliary Medicine 0\/10.
He was surprised to find that the level experience value had increased by 54.2.
Level experience is the hardest thing to increase. Why does it increase so much at once?
When he discovered that there was an additional diagnostic skill in hepatobiliary medicine, he immediately understood what was going on.
It must have been a major breakthrough in diagnosing the cause of the disease for the man in the black jacket, which allowed him to reach entry-level diagnosis in hepatobiliary medicine.
In the nine months since he opened the clinic, he has read the most medical books on gastrointestinal internal medicine.
The Department of Gastroenterology had some basic knowledge before. After opening the clinic, we often had to prescribe antiseptics, digestive medicines, and gastritis medicines to patients, so it reached the entry level.
Now hepatobiliary medicine diagnosis has reached entry-level, which is a great benefit and a great improvement to gastroenterology diagnosis.
I have been studying hard in the past few months, but there has been no big progress in the diagnosis of hepatobiliary medicine.
Unexpectedly, if you plant flowers intentionally, they will fail, but if you plant willows unintentionally, they will become cute.
Because of today's diagnosis, hepatobiliary medicine diagnosis has unexpectedly reached entry-level.
Sometimes it's just so amazing.
No one knows how exciting tomorrow will be.
He was pleasantly surprised to find that not only did he have an additional diagnostic skill, but his diagnostic proficiency in gastroenterology had increased by a full 10 points.
Under normal circumstances, if the level experience is increased so much, the health value will definitely increase a lot.
HP: 328.
A total of 101 points of health were added.
It seems that earning life points is not that difficult as long as you find the right way!
When you learn a new medical skill, you can gain at least 10 health points.
This time it increased by 100 points, there should be other reasons.
For example, helping a patient diagnose the cause of the disease is equivalent to indirectly saving the patient's life.
The man treated a doctor as if he were working underground, and he didn't mention the consultation fee at all when he left. Not even a symbolic mention.
There is a kind of person called Iron Rooster.
Although the economic conditions are good, he is very stingy.
As long as there are no major health problems, he will not go to the hospital.
Why? Afraid of spending money.
There have been people like this since ancient times. When they die, they will look for the cheapest coffin.
The liver and kidneys are very special organs. Once they become diseased and progress to a certain extent, they cannot be reversed.
For example, the most common hepatitis and nephritis.
When nephritis progresses to the later stages, it will turn into uremia. I believe many people know this.
Apart from dialysis and kidney transplantation, there is no other option.
It is also difficult to reverse hepatitis when it progresses to the middle and late stages. Liver function will gradually lose, and the terrible liver cancer will follow.
Don't think that if you cut off half of your liver, it will still grow back. It's very durable.
In fact, the liver is much more fragile than imagined. If fatty liver is not treated in time, it may cause irreparable consequences. For patients with liver cirrhosis, it is considered good to take medication for life.
Li Jingsheng helped the man diagnose a liver problem and advised him to seek medical treatment in time. Isn't this equivalent to saving a life?
Looking at the health value of more than 300, he felt that he could squander it again.
