After sending the woman away, I originally wanted to talk about love with Ou Qinglan in the clinic, but now I am not in the mood.
She offered to go home.
Li Jingsheng naturally sent her back in person.
After returning to the clinic, he checked the accounts and the cases he received that day, but he didn't mention them.
The newly hired Dr. Wang officially went to work on his first day, and his performance was not bad. Twenty-six patients were admitted, 11 were effectively treated, and the rest could not be treated due to various reasons.
The only option is to push him away or ask the patient to come back to Li Jingsheng for consultation the next day.
This is how you open a clinic. If you are a very famous doctor, you can directly open a specialty clinic to only treat diseases in that field.
But if a doctor with little reputation only treats diseases in one field, he will probably close down.
Therefore, this requires doctors to be able to diagnose and treat conditions in multiple common disease areas.
The respiratory tract and digestive tract are the two most common areas.
The main diagnosis scope of Kuai Kang Clinic is these two fields, and other diseases are basically not treated.
In the past, Li Jingsheng only treated diseases in the respiratory and digestive tract areas. Occasionally, when faced with suturing ordinary surgical wounds, he could grit his teeth and proceed.
Now he is quite good in the fields of respiratory medicine, gastroenterology, hepatobiliary medicine, general surgery, orthopedics, and cardiovascular medicine.
The scope of treatment is already very broad.
He can even take care of the occasional skin patient.
It's just that there are those young female students who come to him for abortion, but he can't accept them.
When checking the medical records, he found that Han Siying had made great progress. This is a good seedling, with a very good understanding, and it can be seen from the medical records she wrote that she must have been crazily supplementing some clinical knowledge that she is not good at recently.
According to her current progress, as long as she stays at the Sunshine Clinic for a year, it will be no problem to take the People's Hospital training exam next time.
It can even make her stand out and become a unicorn among the next batch of graduate students.
This will be of great help to her future.
…
The next day, Li Jingsheng opened for business as usual.
Now the nearby residents know that he will not work at the clinic on Tuesday, Thursday, and Saturday. If his condition is not urgent, they are willing to wait until Li Jingsheng is at work before coming for treatment.
"Doctor Wang came quite early!"
After Li Jingsheng opened the door, he found that there were not only many patients seeking medical treatment, but also a few customers who wanted to buy health medicines. Wang Xiaozong also came to work early.
"I spent a whole day in the clinic yesterday. I was afraid that something might go wrong, so I came here early. Have you seen the cases I treated?"
When Wang Zongxiao spoke to Li Jingsheng now, he no longer had that arrogant and arrogant tone.
On the contrary, it is a bit like an attitude of respect for superior doctors.
"After looking at it, I found that the treatment was pretty good. It would be better if I could slowly learn more about the diagnosis and treatment of diseases in the digestive tract in the future."
Li Jingsheng would definitely not point out some of Wang Zongxiao's diagnosis and treatment problems in front of so many people.
Employees must save face in front of outsiders.
"I'm already studying. Yesterday, I borrowed clinical books on the digestive tract from my colleagues in the previous hospital."
Wang Zongxiao also knew that out of the twenty-six patients seeking treatment, fifteen were pushed away.
This effective diagnosis and treatment rate is actually quite low.
After all, this is a clinic, not like a big hospital.
There is no shortage of patients in large hospitals, and the classifications are clear. He is in the Department of Respiratory Medicine, and all the patients he receives are respiratory medicine patients.
However, clinics are struggling to survive in the cracks between large hospitals, small hospitals and health stations.
Every patient is precious.
If you push one away, you will earn less income.
If some patients can eat it, a doctor might be able to earn back his salary for the day.
Li Jingsheng asked Wang Zongxiao to issue number plates to patients to prevent queue-jumping and fights.
After all, the number of patients today is quite large.
As Li Jingsheng's reputation grows and his reputation continues to strengthen, more and more people are seeking treatment.
Li Jingsheng and Wang Zongxiao received treatment separately.
Some patients with colds and respiratory diseases can be handled by Wang Zongxiao.
The entire diagnosis and treatment order is pretty good.
Advance in an orderly manner.
Each patient received effective diagnosis and treatment, prescribed medicines when needed, and received injections when needed.
Li Jingsheng now seems to have a touch of the demeanor of a great doctor.
Especially yesterday at the Second Hospital, Dr. Xu asked him to learn to independently treat difficult bone injury cases, which gave him great inspiration. It also made his mentality more correct and mature.
When it was nearly nine o'clock, the news interview vehicle of Metropolis Daily suddenly stopped at the door.
The sudden sound of brakes made everyone turn their attention.
The car door opened, and female reporter Chu Yao rushed out. He rushed directly into the clinic, his face looking quite panicked.
"Doctor Li, Doctor Li, please help me quickly. Brother Qiang, who was driving the car, doesn't know what's wrong. He suddenly said he was flustered and very uncomfortable."
She is considered Li Jingsheng's noble person.
In the early counterattack stage of Sunshine Clinic, it provided huge help.
Li Jingsheng immediately stood up and apologized to the patients who were being treated and those waiting in line, "I'm sorry, the patients outside should be in urgent need of treatment. I have to save them first. Please wait a moment."
"It's okay, it's okay, it's okay if we wait for a while."
"You can save the emergency patients outside first."
Most of the patients and their families are reasonable and have kind hearts.
In fact, most people in this world are kind at heart.
There are only a very small number of people who are truly vicious, cruel, and cold-blooded.
"Is anyone in the car?"
Li Jingsheng asked Chu Yao.
"right!"
She nodded vigorously.
Li Jingsheng strode towards the news interview vehicle outside.
Due to the popularity of self-media, it has become increasingly difficult for newspapers to do business. Many newspaper employees are under tremendous pressure.
After all, money hurts people!
Everyone works hard just to earn a few more dollars so that their families can live a better life.
When I got to the car, I could see Brother Qiang lying on the steering wheel with a pale face through the open door, looking extremely uncomfortable. There was already a large layer of sweat on his forehead.
"What's wrong with you?"
Li Jingsheng asked Brother Qiang.
This man has never had a good impression of Li Jingsheng. Because he felt that Li Jingsheng should not treat Chu Yao and him like that.
After all, they are the benefactors of Sunshine Clinic. They help report the advanced deeds and do a lot of publicity for Sunshine Clinic.
But every time Li Jingsheng warned them against thieves, his attitude was very cold.
This made him very angry.
"I have nothing to do, Chu Yao, you come and drive."
Brother Qiang didn't seem to want Li Jingsheng to help him treat him.
Gritting his teeth, he forced himself to get out of the car. Just holding the door and getting out of the car, I almost fell to the ground.
It was Li Jingsheng who quickly supported him.
This person's temper is quite stubborn.
If you want to get rid of Li Jingsheng, you don't want his support. As a result, the body cannot exert its strength.
And his breathing was very rapid.
Thick, short.
When Li Jingsheng saw this situation, he immediately suspected that Brother Qiang had a heart problem.
"It's about ten minutes' drive from the nearest second hospital. Your situation is so serious, so let Dr. Li take a look at you first! Dr. Li has saved many people, and his medical skills should be very good."
Chu Yao trusted Li Jingsheng very much.
As a reporter, she must dig into Li Jingsheng's specific situation to a certain extent before reporting. Only after she has a detailed and accurate understanding can she dare to write a press release and then have it approved by the editor-in-chief of the newspaper.
Fake news reports can directly destroy her career.
"Your condition is very similar to a cardiovascular disease. If it is serious, it can take away your life in a short period of time. Now I am a doctor. Don't think about anything. Just listen to my instructions and cooperate with the diagnosis and treatment." ”
Li Jingsheng knew what this man was thinking.
What time has it been? Is face so important?
After hearing this, Brother Qiang stopped struggling and was helped by Li Jingsheng to lie down on the bed in the infusion room in the clinic.
This bed has wheels and can be pushed around if necessary.
There were five patients in the infusion room, which was relatively quiet.
His clinic is so large, and with the number of customers and patients, it naturally becomes crowded.
After letting Brother Qiang lie down, Li Jingsheng greeted Tang Ping and said, "Sister Tang, help him measure his blood pressure."
"OK!"
Tang Ping immediately took a sphygmomanometer and measured Brother Qiang's blood pressure, while Li Jingsheng began to use a stethoscope to directly auscultate his heart rate and heart and lung sounds.
"It's atrial fibrillation, and it's sustained rapid atrial fibrillation. The heart rate is already 160."
Li Jingsheng's expression instantly became solemn.
"Then what should I do? Do you want to call 120 emergency number immediately?"
Chu Yao had never encountered such a thing before, and her hands were shaking with anxiety.
"No need to fight yet."
Li Jingsheng said to Xiao Gao, who was busy selling medicine over there, "Doctor Gao, go to the health station and get some medicine. Our clinic doesn't have this medicine."
For the time being, Han Siying can only handle the sales of medicine.
It just so happens that she can also exercise her independence.
After Li Jingsheng wrote the name and dosage of the medicine to Xiao Gao, he asked him to go to the health station.
This kid is familiar with the road, and he should be familiar with the people.
The current health stations, from the station manager to the doctors and nurses, should be extremely friendly towards Sunshine Clinic.
Especially Stationmaster Qiao himself. He and Li Jingsheng are both doctors in the First Hospital. In addition, Li Jingsheng has now become a celebrity in the Second Hospital. Stationmaster Qiao wants to fawn over him.
Naturally, he tried his best to please.
The last time several pharmacies came to her door to force her to have a baby, you can see the attitude of Station Manager Qiao.
Directly wipe out the most ignorant Huimin Pharmacy.
There is no need for Li Jingsheng to do it himself.
In fact, this is exactly the brilliance of Webmaster Qiao. If Li Jingsheng waits until he takes action himself, there will probably be a big earthquake in the old street in the south of the city.
The Second Hospital is the absolute leader in this area in the south of the city. Several pharmacies have joined forces to bully Li Jingsheng. Isn't this giving the Second Hospital eye drops?
When the time comes, Station Master Qiao will have to suffer the same consequences.
Therefore, Stationmaster Qiao took the initiative to clean up the family, which almost meant abandoning the soldiers to protect the commander.
The medicines to be taken are prescription medicines, which are not available in the clinic.
The patient's current condition is not particularly bad. As long as he takes medicine and takes a good rest, he should be able to turn the corner.
Li Jingsheng's current clinic has solved many problems. It has good purchase channels for health care drugs and general medicines, its medical skills have also been improved, there is a new venue, and some funds have been saved.
Now the only thing missing is designated medical insurance.
If Xie Guiqiu could help him get involved in centralized purchasing, the designated medical insurance would be solved as well.
He was looking forward to this more and more.
There's no point in just being anxious, it's already very difficult to qualify for this queue review.
This is because Xie Guiqiu has great energy, and he can be so awesome by showing up in person.
All you can do is wait patiently.
After Li Jingsheng arranged for Xiao Gao to get the medicine, he turned around and entered the infusion room to check on the patient's condition.
My heart rate seems to be getting faster.
The patient's face also becomes increasingly pale.
It had to be lowered as quickly as possible or the patient's heart might collapse.
"Don't think about anything now, relax, take a deep breath as much as possible, and stay calm. I have already asked someone to get the medicine, and I will treat you right away."
Li Jingsheng calmed the patient's emotions.
At this moment, the patient's heart must be full of fear, which will cause blood vessels to constrict and the heart rate to further increase.
Blood pressure can also increase.
It’s almost adding insult to injury, a vicious cycle.
Xiao Gao was very helpful and got the medicine back quickly.
Seeing him running profusely in sweat, Li Jingsheng gained a new understanding of Xiao Gao's character. The photographer of this newspaper was not close to Xiao Gao, and they almost had a quarrel last time.
Now Xiao Gao is willing to run desperately to get medicine in order to save this man, which shows that he puts the safety of the patient first.
There are several kinds of borrowed medicine.
"Sister Tang, give this patient an injection first."
What is the appropriate amount of deacetyllanosin?
Li Jingsheng held the borrowed medicine and frowned. Finally, he decided to use 0.4 mg deacetyllanosin plus 20 ml of 5% glucose solution for intravenous injection.
After prescribing, Tang Ping was given further control.
After all, this is a cardiotonic drug. It is a prescription drug that should be used with caution and has high risks.
Tang Ping has strong professional ability. With her as a checkmate, risks can be reduced.
"The boss's medication level is getting higher and higher now!"
After she saw it, she couldn't help but look at Li Jingsheng with admiration.
"If there's no problem, just take the medicine! I go to the Second Hospital every day for further training. I have to make progress."
Li Jingsheng never dared to use these medicines before.
Now not only can it be used flexibly, but the dosage and administration methods are also very sophisticated.
After Tang Ping injected the patient, Li Jingsheng and she both stood by and watched nervously.
Li Jingsheng has been using a stethoscope to monitor the patient's heart sounds.
After fifteen or six minutes, Li Jingsheng's expression changed from serious at the beginning to much more relaxed.
Brother Qiang, who was lying on the infusion bed, also saw great relief in his symptoms.
His face was no longer so pale, and his breathing was much calmer.
"Doctor Li, how is he now?"
Chu Yao stayed by the side.
It can be seen that this female reporter is very kind. When she saw that Brother Qiang was not doing well just now, she was so anxious that she was at a loss what to do and was about to cry.
After all, I am very young and have never experienced anything like this.
In addition, as a girl, she is generally prone to anxiety when encountering emergencies.
"It should be fine for the time being. I will prescribe him some more oral medicine, once a day, and be sure to take it on time and in the right amount. If you have any problems, you should go to the chest and stroke center of a large hospital for treatment in a timely manner. Like the situation just now , don’t call the regular number. Even the emergency room is not the best way. It’s best to go to the green emergency channel of the chest pain center.”
Nowadays, slightly larger hospitals have established chest pain and stroke centers to create a life channel for patients with this sudden cardiovascular disease.
Sometimes, myocardial infarction or stroke can take away the life of a patient in a very short period of time.
If you still use ordinary medical treatment methods, it is easy to miss the best opportunities for rescue and diagnosis and treatment.
Nowadays, the queues for emergency rooms in large hospitals are sometimes longer than those for specialist hospitals.
Because many patients think they can seek medical treatment earlier if they go to the emergency room, they crowd there.
Li Jingsheng prescribed digoxin for Brother Qiang.
This medicine can be used for acute and chronic cardiac dysfunction such as hypertension, valvular heart disease, and congenital heart disease. and atrial fibrillation, atrial flutter, and supraventricular tachycardia with rapid ventricular rates.
It is a commonly used drug for outpatient treatment of such diseases.
Long-term medication is required.
Many Western medicines have this shortcoming and cannot be discontinued.
For example, for patients with hypertension, many patients feel that their blood pressure is under control and then stop taking medicine.
Tragedy occurred as a result, and eventually cerebral infarction, cerebral hemorrhage, arteriosclerosis, coronary heart disease and other diseases occurred.
Patients with long-term hypertension must control their blood pressure, otherwise the arteries will soon become atherosclerotic, which cannot be reversed. Some popular science says that eating kelp, fungus and other foods can cure arteriosclerosis, which is nonsense.
In all diseases, prevention is better than cure.
Once it happens, it is difficult to reverse it.
"Just take it on time. You can lie down and rest for a while, and then leave until you are fully recovered."
After Li Jingsheng finished speaking, he nodded to Brother Qiang and Chu Yao and walked outside.
"Dr. Li, how much is the treatment fee and medicine fee? I will scan the QR code and give it to you."
Chu Yao caught up two steps.
Just now she was only focused on saving people, and she really didn't think about the medical expenses.
"You have helped my clinic many times, and the treatment fee is free. By the way, I will ask Dr. Gao to give you two boxes of beauty and detoxification health medicines later. They are very good for the skin. I gave them to you."
Li Jingsheng said to her.
I have dealt with this female reporter several times.
Li Jingsheng had a rough idea of what kind of person she was.
"You've changed your attitude very quickly! You must pay the due fees. It's not easy for you to open a clinic."
Chu Yao was very surprised by Li Jingsheng's change in attitude towards her.
At the same time, he subconsciously touched the freckles on his face.
Maybe she had a lot of freckles on her face as a result of staying up late to catch up on the manuscript. My skin tone is probably not good either. I'm wearing makeup now, so I can't tell.
"I used to be a villain. I believe that you are all good people. News that will really harm my clinic will definitely not be published indiscriminately. I still have patients to deal with outside. Please excuse me."
After Li Jingsheng finished speaking, he walked out.
Looking at his back, Chu Yao showed an imperceptible smile.
It was undeniable that Li Jingsheng's attitude change made her somewhat relieved.
After about half an hour, Brother Qiang and Chu Yao walked out.
"Dr. Li, thank you! Let's go!"
Brother Qiang took the initiative to greet Li Jingsheng.
Just talking in a loud voice.
I must be very grateful to Li Jingsheng for saving his life. It's just that I haven't been able to completely change my attitude for a while.
"You don't feel uncomfortable now, do you?"
"much better."
Brother Qiang replied.
"Remember to take your medicine on time. It's best for you with atrial fibrillation to go to a big hospital for a checkup."
Li Jingsheng could only deal with him in this way.
To further find out the cause of atrial fibrillation, you need to go to a large hospital for examinations such as echocardiography.
"Doctor Gao, give Chu Yao three boxes of beauty and detox medicine."
"okay!"
Xiao Gao took three boxes from the counter and gave them to her in gift bags.
(End of chapter)
