A very healthy adult can easily be tortured by the disease to the point of becoming extremely thin, stooped, and gaunt in just one or two months.
Seeing stationmaster Qiao leading the doctor into the ward, the young man's girlfriend quickly stood up to show respect.
When she saw Li Jingsheng, she couldn't help but be slightly shocked.
"This is Dr. Li from Sunshine Clinic. He is very good at internal medicine. He has worked in the First Hospital for many years. I specially invited him to come for consultation."
When webmaster Qiao introduced Li Jingsheng's identity, he was very flattering.
No matter which hospital invites people to come for consultation, this is the approach.
The level of doctors who can be invited for consultation will definitely not be too bad. Otherwise, it would be impossible to be invited to save the day.
"Hello Dr. Li! I was so sorry last time!"
The young woman apologized again for her boyfriend's disrespectful behavior at the clinic.
"What are the main symptoms he has now?"
Li Jingsheng does not know the same as the patient.
If he really cared about it, he wouldn't come.
"It hurts, my whole body hurts!"
The young man half-opened his eyes, looking as if he was weak and dying.
"Is it soreness or severe pain?"
"My whole body ached, and my whole stomach hurt so sharply, it felt like someone was stabbing me in the stomach with a knife."
The young man naturally recognized Li Jingsheng. In the face of life and death, he didn't care about embarrassment at all.
It's like grasping at straws.
"Let me check your abdomen!"
Li Jingsheng secretly judged that the patient's body aches were probably caused by a high fever.
The body temperature of the human body cannot be raised out of thin air. The energy stored in the cells needs to be burned to achieve the purpose of raising the body temperature. Not to mention high fever, even low fever is enough to make the patient feel very uncomfortable.
Pulling up the hospital gown on the man's body, you can see the shriveled state of his abdomen.
Slightly concave downward.
It may be related to not eating for a long time.
"Ouch...it hurts, it hurts..."
The man screamed.
Li Jingsheng found that the patient's abdominal muscles were rigid and there were symptoms of peritoneal irritation.
"Do you feel cold under such a thick quilt?"
The patient's hands and feet were hidden under the quilt.
"right!"
"Is the torso of the body cold, or do the hands and feet feel a little cold?"
"My hands and feet are cold, and my body seems a little cold too."
Patients are obviously not clear about the distinction between these highly professional symptoms.
Li Jingsheng nodded slightly after hearing this.
Boss Zhao, who was standing nearby, saw Li Jingsheng's talents for the first time, and a strange light flashed in his eyes.
Experts will know if there is one as soon as they take action.
After Li Jingsheng entered the ward, he didn't say any unnecessary nonsense. Every examination movement was extremely professional, and the purpose of diagnosis was also very clear.
The details reveal a lot of extraordinary things.
Not to mention anything else, neither the doctors at the health station nor Lao Zhao could do such a detailed job in distinguishing patients with chills.
I saw Li Jingsheng borrowing an ear thermometer from the nurse behind stationmaster Qiao to take the patient's temperature.
"39.4 degrees, high fever. The patient is afraid of cold, his limbs are cold, his abdominal muscles are stiff, and his tenderness reaction is obvious. The skin is spotty, and although he is conscious, he is very close to a state of shock. Come on, let's go out and talk!"
At this point, Li Jingsheng didn't say any more.
"Dr. Li deserves to be from the First Hospital. His level is very high!"
Stationmaster Qiao originally had doubts about Li Jingsheng's level.
After all, Li Jingsheng was very young and his performance in the First Hospital was average.
According to his experience, Li Jingsheng is actually equivalent to the bottom doctor eliminated from the first hospital.
Hospitals generally will not take the initiative to fire doctors unless they make mistakes.
But doctors who are incompetent will definitely be marginalized.
It's basically a soft dismissal.
After seeing Li Jingsheng's clinical diagnosis with his own eyes, he gave an eight-word evaluation that was clean and to the point.
With such a high level and such proficient clinical performance, he doesn’t look like a washed-up product!
Based on Li Jingsheng's current performance, he felt that he even had a chance to stay in the First Hospital and try to become the deputy high-ranking officer.
"It made Station Master Qiao and Boss Zhao laugh."
Li Jingsheng smiled modestly and shook his head.
"How about it? Can you tell what the patient's disease is?"
Boss Zhao is more concerned about this matter.
Lao Zhao never hides his interests.
If this matter is not handled well, it will bring disastrous consequences to Lao Zhao.
"Have you noticed the ends of his limbs? If the cause is not found quickly and effective treatment is given, I estimate that the patient's limbs will soon develop fat necrosis."
Li Jingsheng said seriously.
"Brother Li, please don't scare me, okay? It's not that serious, right?"
Boss Zhao took out a pack of tissues, took out one, and began to wipe away the sweat.
It was really not a mistake, but the patient's condition was more serious than imagined, which made Boss Zhao feel nervous.
"The process of necrosis is about to happen now, and I believe Boss Zhao can definitely see some of it." Through this case, it was the first time that Li Jingsheng had a certain understanding of his true level.
In the past, he needed to look up to the medical skills of health stations and fast health clinics.
Looking back now, it seems that their level is no longer as good as Li Jingsheng.
While talking, the three of them had returned to the consultation room on the first floor.
"Did Dr. Li find out anything?"
A young doctor in his twenties asked.
"A little discovery."
Li Jingsheng heard a hint of sarcasm in this man's tone.
Although it is very subtle, it can still be felt.
When it comes to stepping on newbies, it’s the same everywhere.
Asking stationmaster Qiao to pick up the patient in person, and asking stationmaster Qiao to accompany him to the ward to check on the patient, has made these doctors unhappy.
I think Li Jingsheng is too showy.
A clinic doctor should have the same attitude towards health stations as Boss Zhao, just make a pilgrimage.
"Dr. Li is an 'expert' that our stationmaster came to pick up in person. He must have made more than a few discoveries. Tell us your opinions and let us open our eyes together."
A female doctor in her fifties spoke with a stronger sense of ridicule.
They say you should never mess with menopausal women.
Fifty years old is almost the menopause for women.
"Don't dare to be an expert! Who is responsible for that patient?"
Li Jingsheng deliberately avoided this female doctor with hair waxed and fleshless cheeks.
It looks like her eyebrows have been plucked and only a single line is left as a tattoo, making her look like she's dying. She looks unattractive.
"I'm the attending doctor."
The female doctor answered directly.
"So you are Dr. Cha. I'm sorry. I'm disrespectful." Li Jingsheng didn't expect that Dr. Cha was a woman. He always thought he was a male doctor. "Has the patient's blood calcium been checked?"
"No!"
The female doctor shook her head.
"Have you checked your blood oxygen?"
"I haven't checked it. The patient had abdominal pain caused by drinking too much. It's reasonable to check the blood calcium. Why check the blood oxygen? It would be good to check the blood routine. Do you think this is correct?"
She was clearly annoyed.
"Yes, yes, we usually do routine blood tests. There is no need to check additional irrelevant items and increase the financial burden on patients."
The young male doctor was there to help.
The other doctors also nodded.
It is human nature to stick together and treat others as one.
The doctors at the health station must be working together to protect Dr. Cha's face.
"What about blood sugar? This should have been tested, right?"
"The blood sugar was checked when the patient was admitted to hospital, and it was normal. It was about 6.5mmol/L."
Doctor Cha answered simply this time.
"Then I suggest checking the patient's blood sugar, and then checking the blood oxygen and blood calcium. If possible, check the methemoglobin."
Li Jingsheng gave his own suggestions.
"Let's talk about your diagnostic ideas first! If everyone thinks it's correct, they will naturally adopt your suggestion. What the young man doesn't like to hear is that our health station is a regular hospital and is very different from your clinic. What we do Every diagnosis and treatment item must strictly abide by the relevant regulations, and we cannot be as casual as the doctors at your clinic."
Dr. Cha emphasized his authority.
This kind of doctor can be found everywhere. The smaller the hospital, the more doctors who emphasize that they are 'high', regular and authoritative.
Especially older doctors who are in their fifties or sixties, with decades of clinical experience, always feel that their level is no worse than that of the chief physician of the hospital.
Boss Zhao's expression remained unchanged, this guy is really a bad guy.
Boss Ye's face turned cold after hearing this, but he didn't get angry.
"The patient's white blood cell count is more than double the normal value. In addition, the patient has multiple symptoms and medical history such as high fever, abdominal rigidity, severe abdominal tenderness, cold limbs, and abdominal pain after drinking. I think based on these symptoms alone, Any two of them are completely in line with the inspection indicators of blood calcium, blood sugar, and blood oxygen."
When Li Jingsheng said these words, there was no smile on his face.
The sound is loud and clear.
If it weren't for the other party's age, he would have wanted to curse.
The patient's condition was significantly worse than two days ago. The female doctor also emphasized that the health station was the authority and a formal medical institution.
I really want to save face and suffer.
Why don't you invite doctors from three clinics to help?
"Are you... are you teaching us how to do things?"
Doctor Zha's face turned pale with anger.
"No, I'm just giving suggestions. You are treating the patient. Whether you adopt it or not is entirely up to you."
If Li Jingsheng hadn't looked at Station Master Qiao's face, he would have rolled up his sleeves and left on the spot.
I hate this kind of bureaucracy and seniority.
"Han Qing, check the patient's blood oxygen immediately."
Stationmaster Qiao said directly to the young doctor who was dancing more happily.
Measuring blood oxygen is not difficult.
It doesn’t need to be long either.
"Okay, I'll go right away!"
The young doctor named Han Qing should have a close relationship with Dr. Cha.
I have been helping Dr. Cha talk just now.
Everyone continued to discuss the patient's condition in the consultation room. There were seven or eight physicians at the health station, and there were only three senior ones.
Dr. Cha is quite old.
Their discussion opinions were more inclined to gastrointestinal diseases, and they even suspected the possibility of gallbladder stones.
Boss Zhao didn't offend anyone, he just agreed blindly.
Boss Ye did not participate in the discussion at all.
Traditional Chinese medicine is actually quite marginalized.
For example, consultations are mostly done by Western doctors, including chief physicians and experts. Those with high status are basically purely Western doctors.
Neither side is a theoretical system, and the discussion is a bit confusing.
After she came, she probably just told a patient that there was a problem with the central nervous system, and then acted as her female Bodhisattva and sat there as a pure listener.
"Webmaster, the patient's blood oxygen level is only 91%."
Han Qing jogged all the way back.
The inpatient ward is on the second floor and the consultation room is on the first floor.
The distance is not far, but if you run fast, you will inevitably be out of breath.
"Is the measurement accurate?"
Stationmaster Qiao's face turned serious.
"After measuring it twice, the blood oxygen seems to be on a downward trend."
Han Qing almost swore to heaven.
The webmaster doesn’t trust his ability to do things!
It is indeed difficult for young doctors to gain the trust of superior doctors if they are impatient in their work.
"Check the patient's blood calcium and recheck his blood sugar immediately."
Stationmaster Qiao didn't even give Dr. Cha a chance to discuss.
Being able to be the boss of a health station, he must be ruthless when faced with such a major matter related to the safety of patients.
In fact, it doesn't matter which hospital you are in, whoever can treat the disease will be reused.
"Why is the blood oxygen only 91%? Han Qing usually does things carelessly. Could it be that he made a mistake?"
Dr. Cha muttered to himself.
Han Qing almost fell down when he heard this.
He tried every means to flatter Dr. Cha, but at the critical moment, he was criticized for being careless. It was so sad.
He walked out of the consultation room quickly, fearing that he would hear Dr. Cha say bad things about him again.
Otherwise it would be too heartbreaking.
"Dr. Li, don't sit so far away! You have to sit here, and the diagnosis and treatment of this patient will depend on your efforts! Our health station is really not very good at this kind of digestive tract disease."
Webmaster Qiao can only depreciate himself.
More than a dozen doctors couldn't even detect a blood oxygen problem, which made him really worried.
"As to the patient's low blood oxygen, I actually noticed something about it. His face was extremely pale, and his fingertips were slightly cyanotic, but it was not obvious. I originally wanted to observe it again."
A male doctor with a pancake face in his fifties started to think things over in hindsight.
The only older doctors at the health station are Dr. Cha, Ding Shouwang, and this pie-faced doctor.
"When Dr. Tang said this, I seemed to notice something was wrong with the patient's face. I just didn't think about the blood oxygen. At that time, I thought he was in excessive pain, and that's why his face turned pale."
Another thirty-seven-year-old male doctor then put money on his face.
It would be a huge misfortune for any department or hospital to have a few doctors who are like this afterthought.
Because this kind of doctor is not good at anything, and I am the first to brag.
When something goes wrong, everyone is pushed away. If they want to take credit for any good deeds, then they are more powerful than anyone else.
The health station looked at the "strong soldiers and strong horses", and looked at this situation, he was probably a fat man!
It's right to think about it. Any doctor with some ability would be willing to stay in a place like this? Even entering a second-grade hospital is much better than staying here.
It is not difficult to understand that when stationmaster Qiao learned that Ding Shouwang had resigned, he immediately visited the thatched cottage and invited people to the health station.
Just imagine, if a health station is full of rubbish doctors, how can it be upgraded to a community health service center?
At least you have to have some ability in internal medicine and surgery before you can apply, right?
Or it’s okay to be relatively strong in a certain field.
Li Jingsheng saw a community health service center that was not very good, but it was very good at treating thyroid and rheumatism. That service center can see a certain number of patients every day.
It is a relatively strong community health service center in Jiangli City.
Li Jingsheng couldn't offend Station Master Qiao, so he had to sit over.
Stationmaster Qiao thought highly of him and directly let him sit in the position of deputy stationmaster.
"Dr. Li, I wonder what disease you think the patient has?"
The hindsight doctor Tang asked him with a smile.
"This is really unclear. I'm afraid we can only wait until the test results come out before further diagnosis can be made."
Li Jingsheng has very little interest in talking to such people.
That is, a polite answer of two sentences.
"Haha, that's it. There is no basis for examination. The experts from the People's Hospital could only stare blankly when they came. Dr. Li..."
This person took advantage of the situation and wanted to have a good 'chat' with Li Jingsheng.
"Um... I'm sorry, my stomach feels a little uncomfortable and I need to go to the toilet." Li Jingsheng immediately ran away.
"Peng Jing, hurry up and get a roll of toilet paper for Dr. Li."
Stationmaster Qiao now completely regarded Li Jingsheng as a distinguished guest, and his hospitality was very considerate.
Only Boss Ye watched Li Jingsheng cover her abdomen and quickly walk out of the consultation room, the corners of her pretty lips raised slightly.
As a Chinese medicine practitioner, observing the appearance and color is the basic skill of diagnosis.
Li Jingsheng lied about feeling sick in his stomach. He could deceive others, but he couldn't deceive her eyes.
…
After more than thirty minutes, Li Jingsheng slowly returned to the consultation room.
There was already a commotion inside.
Because the patient's blood sugar and blood calcium results were measured.
The blood calcium value was significantly lower than the normal value, and the blood sugar was as high as 12MMOL/L.
This is a scary blood sugar figure.
Dr. Cha was like an eggplant beaten by frost, sitting there taking the test results and checking them over and over again.
"Dr. Li, the test results of blood sugar and blood calcium have come out. As expected, there are problems with both data as you predicted. The result of our discussion just now is that acute pancreatitis is the most likely. What do you think?"
Stationmaster Qiao asked for his diagnostic opinion.
"I respect the outcome of everyone's discussion and support the diagnosis of acute pancreatitis."
Li Jingsheng said calmly.
"Then what do you think is the next step of treatment?"
Stationmaster Qiao thinks highly of him.
"How to treat acute pancreatitis? The doctors at the health center are much better than the doctors at my small clinic, so I won't do anything here. Now that the cause of the disease has been found, if nothing happens, I will go back first."
Li Jingsheng made the timely choice to retire after success.
"You haven't had dinner yet? If you don't mind, I'll be the host and ask the cafeteria master to add extra food. You see, today is all thanks to you." Stationmaster Qiao held his hand tightly.
"My clinic has a lot of work to do, so I don't eat. In fact, I didn't do anything. Being able to diagnose the cause of the patient's disease is the result of the joint efforts of all the doctors and nurses. Goodbye."
Li Jingsheng waved goodbye.
There are many capable young people these days, but there are very few who are not arrogant or arrogant.
"I'll drive you back! If you need anything in the future, you can call me. This is my business card." Stationmaster Qiao took out a business card.
Last time I invited Li Jingsheng to dinner without giving him a business card.
Now it's made up.
As expected, people who are leaders always ignore the rabbits and the hawks.
After this time, webmaster Qiao felt that Li Jingsheng was of value, so he handed out business cards.
"Thank you, thank you! It's only a few steps away. I'll just walk back. I just need to buy something on the way, so please stay."
Li Jingsheng took the business card with both hands.
(End of chapter)
