There was a minor problem, which was the most common cold. After the examination showed no serious symptoms, the patient was given some medicine to take home.
The patient is a woman in her mid-thirties. After getting the medicine, she was still a little hesitant.
"Do you have anything else to do?"
Li Jingsheng asked with concern.
Some patients have diseases that are difficult to talk about, and they will have concerns.
Especially since there were two patients present at the scene, and she was a young female patient, she was even more embarrassed to speak.
"I... usually choose to go to Kuaikang Clinic for treatment when I get sick. They have quick results, and you can recover the next day after the injection. Later I went to Jingui Clinic once, but after taking three days of Chinese medicine prescribed there, I... God, it won’t be better until the fifth day. This is my first time here, and I recently heard from my friends that your medical skills and medical ethics are very good, so I came here to give it a try."
The meaning of the woman's words was already obvious.
She is most satisfied with Kuaikang Clinic.
Because patients don't understand medicine, they don't know how valuable the human immune system is. Injections and antibiotics do heal quickly.
Especially the combined use of multiple antibiotics.
Of course, Li Jingsheng's current drug efficacy and pharmacokinetics are only at the proficiency level and cannot reach the level of combined medication.
At least he didn't think he had the strength.
Kuai Kang Clinic has been operating for many years. Li Jingsheng doesn't know what Boss Zhao's true medical skills are.
Usually, boss Zhao basically hires a few doctors and nurses to do the work.
Boss Zhao is only responsible for signing and giving instructions.
What Li Jingsheng has seen the most is Boss Zhao teasing his little nurse.
If Boss Zhao had done some work, he wouldn't have become so fat.
Kuai Kang Clinic has been focusing on infusion for more than 20 years, and it should have accumulated rich experience in the use of various antibiotics. It is not surprising that the level of medication in this area reaches the level of deputy director.
Even if Boss Zhao and the doctors at the clinic don't understand, they can still pay the chief doctor of a large hospital for advice.
Under normal circumstances, every disease has its own cure, and each patient’s medication will be different.
Even if it is the same disease, a comprehensive consideration must be made based on symptoms, age, whether there are underlying diseases, whether you are pregnant or lactating, etc., and then the medication should be used accurately.
However, one of the biggest advantages of Western medicine is that it is model-based.
What does it mean?
As long as it's a common cold, one medicine can almost cure it.
At most, the dosage may be increased or decreased based on age and weight.
Even the dosage of medicine does not need to be too precise, just use it roughly.
For example, adults take one pill at a time, while children take half the dose. Basically, as long as there is no problem with intelligence, everyone will take medicine.
Kuaikang Clinic can treat various common headaches and brain fevers, and can achieve results in one day. The level of medication should be much stronger than imagined.
The same patient can use the same antibiotic for two colds, but the more times it is used, the worse the effect will be.
Kuai Kang Clinic is able to retain so many old customers and always guarantee the curative effect, which is very technical.
Li Jingsheng seriously suspected that Boss Zhao was looking for someone to buy the medicine formula.
It is even possible to directly find a Hunei chief physician with a high level of medication expertise to cooperate behind the scenes. After all, this is what many clinics do.
This is the core secret of the clinic, and outsiders can only make guesses.
"Doctor Li, don't mind if you say something!"
After the female patient made the preliminary preparations, she started to go straight to the topic.
Speak politely.
"It doesn't matter if you just say it!"
Li Jingsheng vaguely knew what the other party wanted to say.
"You didn't give me an injection, but only prescribed these two boxes of oral medicine. Is the effect guaranteed? I am a shop owner and have to work every day. If I recover too slowly after taking medicine, then I still want to take the injection. I know, It's for my own good that you don't give me injections. I heard that injections involve the abuse of antibiotics and can cause some harm to the body. However, I have had so many injections at Kuaikang Clinic and I haven't seen any problems."
Women's communication is very direct.
Say whatever you have to say.
This is good, as it allows Li Jingsheng to understand the real thoughts and needs of different patients.
"First of all, I have to thank you for your trust in me and your candor. I will be responsible for every patient who enters my clinic and try to choose the treatment that is most beneficial to the patient. Based on your previous description of the condition and past medical history. Analysis, I must tell you that the frequent use of antibiotics has actually caused a certain degree of damage to your body's immune system and body balance.
Why do you say that?
Because the frequency of your colds is increasing year by year, I can tell you clearly that this is not due to increasing age. It is a sign that the body's immune system has been destroyed and is weakening.
In addition, your cold symptoms are increasing and your risk of severe illness is rising, which are huge safety risks.
If you think about it carefully, after catching a cold in the past two years, has it always been a severe cold? "
Li Jingsheng faced the patient's doubts and patiently helped her with ideological work.
Just like eating vegetables with excessive pesticide residues or ham processed from dead pork, you don’t feel anything at all. Even after eating it ten or eight times, I still feel nothing.
By the time I feel it, malignant diseases such as kidney disease, cancer, and arteriosclerosis have appeared.
At this time, you can spend hundreds of thousands. A few hundred thousand to save a life is considered good, but many of them cannot be cured even if you have money.
The same is true for the misuse of antibiotics.
If you use it ten or eight times, nothing may happen, but when the immune system is destroyed, it can easily lead to disastrous consequences.
"When you say that, it seems like that's really the case! So, what should I do in this situation?"
After the woman recalled it for a moment, she realized that it was exactly what Li Jingsheng said.
She suddenly felt a little scared.
After all, she is still at this age, so if something happens to her, it will definitely be a disaster for her family.
"The two boxes of medicine prescribed for you are not as effective as injections, but after taking the medicine, you can take a rest for two days at most and then you can do lighter work. I don't think you are a person who does heavy physical work, just a boss lady. Those jobs are totally fine.”
After listening to Li Jingsheng's words, a knowing smile appeared on the female patient's face.
Being a boss lady is a matter of great pride for most people.
Working boy and boss, working girl and boss lady, it is definitely the latter titles that make people feel more honorable and face-saving.
Even though some bosses are heavily in debt and their annual income is negative, and some workers earn millions or tens of millions a year, everyone still thinks that the title boss sounds better.
"Haha, then I will take the medicine and try it first! I can feel that you are a professional and responsible doctor. Goodbye!"
"It takes a long time for the immune system to recover. If you can insist on a certain amount of exercise every day, coupled with scientific and healthy nutritional intake, I believe that your body will have major changes in up to half a year. Infusion itself is not a bad thing, but If you have minor illnesses, try not to use it as much as possible. This is my personal advice to you."
Li Jingsheng added another sentence.
"OK."
She nodded and left.
Judging from her expression and tone, she trusts Li Jingsheng.
This is very important. Patients trust the doctor and the curative effect will often be very ideal.
As long as you don't meet a shady doctor, the ending will probably be happy.
If you encounter a shady doctor who deceives patients into doing various treatments and taking expensive nutritional medicines for the sake of performance, you should be particularly cautious.
After sending the female patient away, Li Jingsheng dealt with another patient.
The patient is older, 63 years old, and has a severe cough.
Based on the experience of seeing a tuberculosis patient last time, Li Jingsheng is now particularly wary of patients with severe coughs.
There are many infectious diseases of the respiratory tract.
Protection must be done.
In the future, when his small clinic develops, he may even consider taking some better measures to try his best to protect other patients from cross-infection.
After measuring body temperature, blood pressure, heart rate, auscultating heart and lung sounds and other examination methods, Li Jingsheng then combined the patient's self-reported symptoms and medical history to make a preliminary diagnosis using proficient intra-respiratory diagnosis.
Out of multiple considerations, he suggested that the patient get a chest X-ray in a small clinic.
Check the condition of your lungs.
When given the opportunity to use this 'grandpa' machine, Li Jingsheng would always try his best to use it.
The sooner you earn back your capital, the more you can exchange for new high-definition equipment.
Not to mention small clinics, even large hospitals also need to find ways to 'recover costs'.
Unnecessary inspection is excessive inspection.
Normal examination can provide a basis for diagnosis and avoid misdiagnosis and missed diagnosis, which is very necessary.
In larger hospitals, the respiratory medicine department will basically have bronchoscopes, invasive ventilators, non-invasive ventilators, ECG monitors and other equipment. When Li Jingsheng worked in a large hospital, these equipment were the 'property' of the department.
It can be used to save patients’ lives at critical moments.
If his small clinic makes money and has a stable patient base, it can slowly add these equipment.
By that time, the small clinic will have begun to take shape, leaving other clinics behind. We can even start a challenge with the Chengnan Community Health Service Station.
Although the Chengnan Community Health Service Station is just a station, its scale has already reached the level of a community health service center.
However, due to various reasons, it has not been able to be upgraded to a community health service center.
This is actually a good thing for the three clinics on this street.
The weaker the official medical institutions are, the greater the opportunities for private clinics to develop.
After Li Jingsheng conducted a comprehensive examination of the patient, he diagnosed and confirmed that there was no pneumonia. It was likely that bronchitis was induced by long-term smoking and cold.
In the words of the patients themselves, this is an old problem.
Once the disease is diagnosed, the next step is to prescribe treatment.
Considering that the patient was older, Li Jingsheng was particularly cautious when taking medication.
To achieve good curative effect, it is necessary to use a variety of drugs such as antitussive, phlegm-reducing, asthma-relieving, and anti-infective drugs.
The proficiency-level medicinal effect is somewhat insufficient.
I can prescribe prescriptions, but barely.
Considering that the patient also has a history of hypertension, although the blood pressure is basically stable now, this important factor must be taken into consideration when taking medication.
He started pulling at his hair.
Sometimes it is much more difficult for doctors to give medicine to patients than to do math word problems.
Because all aspects of medication safety and effectiveness must be considered.
"The efficacy and pharmacodynamics of the medicine should have been upgraded a long time ago, so let's just squander it this time."
Li Jingsheng's eyes casually glanced at the uncle who was still sitting in the rest area waiting.
This man is very poor. I persuaded him to go to a big hospital for treatment yesterday afternoon. Now he is here again. There is only one result. The uncle may give up because he thinks the big hospital is too expensive.
As for coming to Li Jingsheng's clinic again, I definitely still want to live.
Li Jingsheng examined him for so long yesterday for free. The patient is not stupid, so he naturally has a comparison in his mind.
He didn't go to the pharmacy or other clinics. He made a special trip here to wait for Li Jingsheng to come back, probably because he wanted to prescribe some medicine for him to take home.
Not to mention the medication for short bowel syndrome, even the medication for bronchitis in front of me is difficult.
For ordinary bronchitis patients, Li Jingsheng basically has it at his fingertips.
For someone who is old, has a history of smoking for many years, and has high blood pressure, the consideration of medication, blood drug concentration, exposure and metabolism time of the drug, and what effects the medication will have on the body are all worthy of consideration.
The level of senior residents is really not good enough for this kind of clinical medication that carries considerable risks.
At least someone with a low-level seniority is required to be able to handle this important task.
Li Jingsheng checked the health value, and the balance was 346.
This is because Boss Zhao failed again at his place two days ago, allowing him to earn an extra 50 points of health.
Successfully diagnosed the tetanus disease of the old man scavenging, and paid for the old man to be sent to the hospital for treatment, where he earned 100 health points.
Otherwise there would be no way there would be so many.
Regardless of the fact that he treats patients every day, he can also earn some money by touching and setting the bones of patients in the Second Hospital, but the health points gained from routine operations are not much. Just like a part-time job, the monthly salary is only so much.
It’s impossible to surge ten or twenty times at once.
If you want to earn a "large amount of life points", you need to do something "exciting".
For example, rescuing a patient, someone giving him a banner, etc.
He also discovered a problem. When he helped with bone setting at the Second Hospital, the praise from the patients could not be given to him personally, but to the entire bone setting clinic and occasionally to Dr. Xu.
This made him somewhat depressed.
One positive review can earn you 10 health points. Even if you only receive three or four positive reviews every day, you can gain thirty or forty additional health points.
He also concluded that when he was at the Second Hospital, why were the patients' praise not enough for him?
It is understandable that patients give high praise to the medical care in the entire clinic.
After all, curing the patient's bone injury is not the result of Li Jingsheng alone.
As for the fact that it was Li Jingsheng who set and reset the patient's bones and cured the patient's bone injury, but the patient praised Dr. Xu, this is the difference between the leader and the younger brother.
Just like a certain surgical team successfully completed a very difficult surgical operation.
The winner of the highest honor must be the chief surgeon.
As for the operating nurses, medical assistants, and anesthesiologists, although they also put in great efforts, they were all overshadowed by the chief surgeon.
Even if the surgeon only completes one-tenth of the operation, it is the most difficult and critical part.
The highest honor still belongs to the chief surgeon.
When promoting the hospital, it will also be written like this: a certain chief physician led the surgical team to successfully complete a very difficult such-and-such operation.
When Li Jingsheng sets the patient's bones, first of all, the patient comes because of Dr. Xu's reputation.
Secondly, when he was setting bones, Dr. Xu guided him throughout the process.
After the patient is cured, the person to thank must be Dr. Xu. As for Li Jingsheng, patients will think like this: Damn, this novice doctor is using him as a guinea pig to practice his skills. Fortunately, Dr. Xu was watching over him and there were no major problems. I was scared to death when he was setting the bones just now.
It will take time to change this situation.
When Li Jingsheng mastered the bone-setting techniques and was able to stand alone, he was no longer a 'student' but a new famous doctor in the bone-setting clinic.
This day should not come too long.
…
Li Jingsheng checked the two medical skills under the prescription.
Proficiency in medicinal efficacy is 42.5\/100, and proficiency in pharmacology is 39\/100.
These two medical skills are used very frequently, but unfortunately their proficiency improvement speed is somewhat unsatisfactory.
In fact, it is very difficult to improve the proficiency of all medical skills.
Just look at the age of those experts.
Why do so few young doctors become medical experts? Just because of the accumulation of experience, improving medical proficiency is an extremely slow process.
Most of the hospital's young deputy chief physicians and chief physicians are academic. m
The actual level of clinical medical skills is actually not good.
After making up his mind, he didn't hesitate much. He spent 58 health points to upgrade the medicine's efficacy to the proficiency level, and spent another 61 health points to upgrade the medicine's efficacy to the proficiency level.
At this point, his medication level has improved dramatically.
From the resident physician level, he jumped directly to the attending level.
Although he is only a junior attending physician, his strength is enough to sweep through the entire old street in the south of the city. Even in terms of medication, I can compete with several veteran doctors at the community health service station.
Of course, he upgraded his prescription medicine skills to treat patients, not to show off his strength. Naturally, he would not be so idle that he would go to the community health service station to "kick in".
He was experiencing completely new dynamics of drug effects.
It is indeed a proficient level. When I was at the proficient level before, I made great breakthroughs in the effects, properties, and methods of medication.
At this moment, he discovered that he had a completely new understanding of the therapeutic effects and adverse reactions of various drugs.
We will have a clearer and more comprehensive understanding of what kind of effects can be achieved after taking the medicine, what beneficial changes it can have on the patient's physiology, and even the entire biochemical function and pathological process.
Then we have a clearer and more intuitive comprehensive understanding of the side effects, toxic reactions, sequelae, secondary reactions, etc. of drugs.
After experiencing the effects of proficient medical treatment, his self-confidence even increased. He felt that he had trampled Kuaikang Clinic under his left foot and Jingui Clinic under his right foot. He could already straighten his back and face the behemoth community health service. stood.
Because the patient was still waiting for him to prescribe a cure, he only had a rough taste of the master-level medicine.
He found that in addition to improvements in drug elimination half-life and clearance rate, the biggest gain should be the improvement in blood drug concentration and drug exposure.
The improvement of these two major abilities has also given him the initial level of combined medication.
It can be safe, efficient and more accurate.
After upgrading the medicine's efficacy and generation, he only had 227 health points left.
He wanted to save money to upgrade his doctor level. This was the foundation of all medical skills and was extremely important.
However, if you want to upgrade your doctor level, you still need more than 300 health points.
And he didn't dare to use it all at once, lest he encounter an emergency and be unable to improve key medical skills.
He has put in countless efforts and hardships to make Sunshine Clinic what it is today.
But all it takes to ruin this situation is one big mistake.
Therefore, he must ensure that there is always enough food left at home so that he will not panic when something happens.
Especially now, he receives at least seven or eight patients every day, and sometimes as many as a dozen. God knows when he will get lucky and pick up a bad patient.
Also, I am currently learning the remaining advanced bone-setting techniques.
After learning it, if you want to use it to make a name for yourself immediately and make money in a small clinic, you have to at least upgrade it to the proficient level.
If you want to reach the level of a town player, the proficiency level is definitely not enough.
This is also the reason why he wants to upgrade his doctor level by one level as soon as possible.
When I thought about this, I suddenly felt that two to three hundred health points were too little and far from enough.
Pennants, pennants, please have more!
Li Jingsheng prayed silently that if he could get a few more banners and dozens more praises, his troubles would be solved.
Unfortunately, so far, only Sister Huan has given him a banner.
