"After you go back, you should eat more high-protein, low-fat foods. For example, chicken, mutton, shrimp, fish, etc. The dosage of the medicine is written on it. Try it for a few days and see if it works. If it works, continue taking it. If you feel uncomfortable or abnormal, you must come to our clinic or go to the hospital for examination in time."
Li Jingsheng warned the patient.
"Thank you Dr. Li! It's just that the food you mentioned is very expensive. How can I, a working man, eat it every day?"
"You don't need to eat it every day. There are also ordinary things, such as rice, corn flour, carrots, bananas, apples, etc."
Li Jingsheng can understand the difficulties faced by patients.
People really don’t have that much money to buy a big meal of fish and meat.
"Are bananas okay? I heard that you should eat more bananas if you have constipation. I have diarrhea. Will eating bananas make it worse?" the patient asked.
"It's okay, you can't eat bananas as a staple food. And bananas won't aggravate your diarrhea."
"This time I feel confident! Thank you!"
The patient happily paid and left with the medicine.
The cost is not expensive and the disease has been detected, which makes the patient very happy.
As long as the medicine really works, she will definitely recommend Sunshine Clinic to people around her.
Medical treatment is cheap, the medical skills are superb, and the curative effect is remarkable.
After sending this patient away, Li Jingsheng went on to diagnose and treat the next patient.
It was an uncle who was nearly sixty years old. He looked like he was having trouble breathing. Every time you inhale, you almost always inhale hard.
It was as if someone had covered his nose.
There are many types of dyspnea. In the eyes of doctors, the first three types are distinguished.
The first type is that it is difficult to inhale, but exhalation is not affected much.
For example, a cold and stuffy nose can easily cause this situation.
The second type, difficulty breathing, is a bit rarer, but it does happen. It is often caused by lung problems.
The third type is the most common and makes it difficult to exhale and inhale. For example, patients with respiratory failure or pneumonia are prone to difficulty breathing.
"Uncle, uncle, what's wrong with you?"
Li Jingsheng found that this uncle was really a role model among men, and he was already so ill. Since he came in, his eyes had been staring at Meng Luo.
It's really the kind that doesn't even blink.
Now that all the patients in front have left with their medicines, he is still staring at Munro in a daze.
Men, no matter their age, they will only be honest if they are hung on the wall.
"Oh, oh, it's my turn! I'm just out of breath."
After the uncle came to his senses, he didn't feel embarrassed at all.
When a man reaches this age, his skin has already become thicker.
"Girl, can you help me measure it too?"
"Just take his temperature and blood pressure. Let me listen to the heart and lung sounds!"
Li Jingsheng said to Meng Luo.
"Um!"
She responded softly and began to take the uncle's blood pressure and temperature.
I am really impressed by this uncle. Is he here to see beautiful women or to treat illnesses?
Munro took his forehead temperature, and he just looked up at him.
Facing such patients or customers, Li Jingsheng definitely didn't like it. It’s understandable that men like to look at beautiful women, and they won’t be so rude!
Just look at him a few times, it's very impolite to stare straight at him.
"The temperature is normal and the blood pressure is pretty normal."
"Okay, you go inside and help Sister Tang! I'll call you when something happens."
Li Jingsheng was a kind of protection for her.
It could be felt that she was being stared at closely by this old man, and she must be very unhappy.
It's just that it's in the trial stage now, so she doesn't dare to show any emotions.
She was afraid that Li Jingsheng would be dissatisfied with her and would not hire her.
She is also a smart girl and naturally knows that her boss is helping her avoid this impolite uncle.
He nodded gratefully to Li Jingsheng and went to the medicine sales area to learn how to sell medicine with Tang Ping.
If you want to get a high salary at Sunshine Clinic, you still have to sell health medicines.
If you sell it for one hundred yuan, you can get five yuan.
As long as her sales skills are not too bad, even if she is a novice, she should have no problem selling around a thousand yuan a day.
Because now there are so many customers coming to Sunshine Clinic to buy medicines.
And they have a high level of trust in the medicines here.
Many customers even come by car or drive to buy.
"This nurse is so good-looking!"
The uncle couldn't help but praise.
"Let me show you what the problem is first!"
Li Jingsheng smiled and shook his head.
When he auscultated the patient, he found that the patient not only had difficulty in inhaling, but also had problems when exhaling, and the exhalation time was significantly longer than normal. There are also dry crackles when exhaling.
There is no problem with body temperature, and the possibility of infection and inflammation of the lungs, bronchi, and trachea is very small.
"Come, lie down on the bed in the back, and I'll check your chest."
Li Jingsheng checked the uncle's chest and found that his chest was as round as a bucket.
When I was wearing clothes just now, I noticed that my uncle's chest looked a little fat, but he was not fat.
Looking at it now, there is indeed a problem.
The anteroposterior diameter of his thorax increased significantly and became barrel-shaped.
Looking closely at the ribs, the slope is obviously smaller. Under normal circumstances, the angle between the ribs and the spine is less than 45 degrees, but in this patient's case, the angle between the ribs and the spine was significantly greater than 45 degrees.
Moreover, the intercostal space is widened and appears full, and the upper corner of the abdomen is significantly enlarged.
This is the most typical barrel chest.
The occurrence of this situation indicates that the patient has severe emphysema.
During the examination, he also found that the patient had an obvious three-concave sign when inhaling.
I took a finger oxygen clip and measured the patient's finger oxygen. The saturation was only 85%, which was far lower than the normal value.
Generally, when the blood oxygen is lower than 95%, you will feel a little uncomfortable and depressed.
This uncle's blood oxygen is so low, no wonder his face looks a little cyanotic.
Li Jingsheng was still wondering at first why this uncle looked so red.
Only now did I realize that there was a problem with my blood oxygen.
"Uncle, there may be a problem with your lungs. I need to take a chest X-ray to check the condition. This costs a separate fee of 100 yuan. Can you think of it?"
"Money is not an issue, just shoot!"
The uncle is well dressed and very bold.
One hundred yuan may really be just a small amount of money to him.
I don’t know why I go to the clinic to see a doctor if I am so rich. And his condition looks quite serious.
It would be safer to go to a big hospital for treatment.
At least that's what ordinary people should think.
Li Jingsheng took his uncle to the medical technology room for a checkup. It took a long time to take a clear picture, but there was no other way, the equipment was old, so I had to make do with it.
Fortunately, it can be replaced quickly.
The X-ray showed that the texture of the uncle's lungs was obviously thickened and a little messy. The anteroposterior diameter of the chest becomes enlarged, the intercostal spaces widen, the ribs become flat, the diaphragm is in a low and flat position, and the lung translucency seems to have increased.
But because the inspection equipment is not very good, it is not so clear.
After checking this step, Li Jingsheng has basically diagnosed what disease the patient has.
"Uncle, judging from the symptoms you described and the X-ray examination results, it looks a bit like chronic obstructive pulmonary disease. You'd better go to a large hospital for further checks on lung function, sputum culture, electrocardiogram, and arterial blood gas analysis. Identify the cause.”
Li Jingsheng persuaded the patient.
"If you don't go, a big hospital might not be as good as your small clinic! I got sick once and spent more than 70,000 yuan at Qiaobang Hospital. The medical insurance only reimbursed more than 30,000 yuan, and I personally paid about 40,000 yuan. I later went to a clinic to seek treatment from a traditional Chinese medicine doctor, and was told that I could be cured with treatment from him for only two to three thousand yuan."
The uncle waved his hands repeatedly, full of distrust of big hospitals.
After hearing this, Li Jingsheng absolutely disagreed.
A big hospital doesn't necessarily have to be a regular one. As long as there are no random doctors, a big hospital will cost 70,000 yuan to cure a disease. If treated in a clinic, the uncle would probably be lying in the cemetery to rest.
Of course, this cannot be said.
Traditional Chinese medicine treatment is indeed cheap, but for some serious or urgent diseases, it is best to go to a large hospital.
"Can you treat it here? If you can, let me treat it. Money is not an issue."
The uncle sat up and put on his coat by himself.
"Since you don't want to go to a big hospital, then I'll give you a try!"
Li Jingsheng can cure this disease.
However, there are certain risks.
Because the uncle's condition is quite serious.
He was prescribed medicine on the spot because his condition was serious and he needed infusion.
5% glucose sodium chloride injection, azithromycin, intravenous infusion.
I was originally going to use clindamycin, but finally chose azithromycin.
Then, considering that the patient had difficulty breathing, he prescribed a bottle of ipratropine aerosol, spray it on the patient, and inhale it.
When giving medicine to my uncle, I first did a skin test and then gave him an infusion if there was no problem.
And he told Tang Ping to keep an eye on her more.
Azithromycin has many side effects, and my uncle was not in good condition to begin with. If there were more serious side effects, he would take it. Then the person who placed a wreath at the entrance of the clinic and was caught by the family kowtowing to the patient was Li Jingsheng.
This uncle is really a god.
As long as Munro was there during the infusion, he would definitely stare at her.
This made Munro very embarrassed.
Maybe the size of the clothes she was wearing was indeed a bit small, because other male customers and patients were also peeking at her, either openly or covertly.
All I can say is that all crows in the world are as black as everyone else.
After the uncle finished the intravenous drip and spray, he felt much better. Finger oxygen has also been significantly improved, which is not bad.
Li Jingsheng's mental arithmetic was temporarily put to rest.
It's not easy to make a few bucks.
I am very nervous when I treat people, because I am afraid that something will happen.
The uncle did not leave in a hurry, but went to Meng Luo to buy three boxes of health-care medicine that strengthens the kidneys and nourishes yin.
I don’t know if I want to have more contact with her, or if I want to become familiar with her.
Take special care of her for sure.
"Dr. Li, thank you for seeing me. I feel much better after the injection. I'll come back tomorrow."
The uncle took the medicine and left with a smile on his face.
Li Jingsheng smiled and shook his head. Even though he was so seriously ill, he still thought about unreliable things.
He continued to treat other patients.
It was close to five o'clock in the afternoon when a man was helped in.
"Doctor, doctor, he was injured while riding a bicycle just now. He had a cut on his hand and a broken knee. Can you treat him here?"
The woman supporting the man was in her mid-twenties.
She is very interesting. Obviously only lovers can be so close. She does not call the injured man husband or boyfriend.
Instead, the word "he" was used instead.
Either she is thin-skinned, or she has just been dating for a short time and has not yet confirmed the relationship.
"Did you fall while riding a motorcycle?"
Li Jingsheng got up and went over to check the patient's injury. His hand was dripping with blood.
He was wearing short sleeves. If he fell to the ground, it would normally only be bruised, with a four to five centimeter long gash. This guy was really unlucky.
"I was riding a shared bicycle with him. When he turned to talk to me, he fell down for some reason. His hand may have hit the curb, and he bled on the spot. I saw a wound."
The woman was a little worried and a little nervous.
He described what happened very quickly.
"This is because my sweetheart fell! Let me check."
Li Jingsheng's words made the woman shy.
The man who was injured in the fall was laughing.
"The wound is not particularly deep. A few stitches should be enough to fix it. Can you use your hand now?"
Li Jingsheng was worried that the man's elbow bone had been injured in the fall.
Because there is almost no fat layer in the elbow, it is easy to fracture after such a heavy fall.
"It seems I can still use force, but it hurts so I can't use too much force."
The man tried it and then said.
Li Jingsheng nodded.
"Sister Tang, bring some gauze. I'll help him stop the bleeding first."
Tang Ping asked Meng Luo to come over with the gauze belt.
Li Jingsheng performed proximal banding on the patient to stop bleeding.
"Stop the bleeding for now. If you agree, you can take an X-ray here first. As long as the bones are not seriously fractured, I can clean your wound and then suture it. If there is a fracture, it's not If it's particularly serious, I can also treat it here. If the injury is very complicated, then you can only go to the second hospital for treatment."
After all, Li Jingsheng is the official attending doctor of the Second Hospital.
Now he is also part of the Orthopedic Surgery Department.
Definitely have to help it pull people.
He is already proficient in bandaging and hemostasis. It is too easy to handle such simple hemostasis.
As he tied the patient's arm tightly, the bleeding quickly stopped.
"OK!"
The man readily agreed.
Li Jingsheng immediately took the man in and took the film.
No obvious fractures or joint dislocations were found, and only simple debridement and suturing were required.
After communicating with the patient, take it to the operating room for processing.
The injured man’s girlfriend stayed with him and rushed to pay.
It seems that this guy will probably have a girlfriend after this fall, which is quite worth it.
"Munro, come with me to the surgery for a minor operation."
After saying hello, Munro followed him into the operating room.
After all, Tang Ping still took care of her apprentice and followed her in to help her get all the necessary tools. This was still a bit uneasy, and he still stood aside and watched Munro operate.
What was unexpected was that Munro looked a little clumsy when he first started looking for tools.
But Li Jingsheng was amazed by the ability revealed during the actual surgical debridement and suturing.
Tang Ping felt that as a teacher, she was being abused.
Because Munro's performance was so outstanding.
Needless to say, she was very skilled in passing instruments, assisting Li Jingsheng in disinfecting patients, and performing local anesthesia. Moreover, the aura of a master who is calm and calm makes people know at a glance that he has been trained in the compound.
(End of chapter)
