"No, no, his attitude has improved a lot after you spoke to him. Now he doesn't follow me when I go to the toilet or do other things. And he has been more cooperative in the diagnosis and treatment of his daughter."
When Dr. Shaobing talked about this, he was full of admiration and gratitude for Li Jingsheng.
"Not long after you left, the patient's mother took the initiative to find me and agreed to do a cerebrospinal fluid test. Then I found an acquaintance from Qiaobang Hospital. Because it was already off work, I waited for a long time before sending someone to do a lumbar puncture. I sent it for testing overnight. The results just came out, and it turned out to be as important as you imagined."
Li Jingsheng was relieved when he heard that the family agreed to undergo CSF testing.
It seems that this difficult case can be found out without waiting until tomorrow.
"What's the result? Send it to me."
"Okay! I have sent it. The eosinophils are greater than 5%, cryptococcus, acid-fast bacilli, and CSF bacterial smear culture are all negative. The possibility of acute meningitis is very high."
Shaobing said excitedly.
"I'll take a look at the test results first, and let's chat on WeChat."
"Okay, okay! Thank you so much for today, I will remember it forever."
Shaobing's voice was choked as he spoke.
I guess my emotions are a bit out of control.
He quickly hung up the phone.
In the past few days, the clinic was first violently smashed by family members, and then they were forced to take their children around for medical treatment.
I went to Qiaobang Hospital, where I worked before, and saw the harshness of the world.
There has been no progress in the child's diagnosis.
He provided money and effort, but his family did not appreciate it, and they threatened him with all kinds of threats and were followed and monitored around the clock. No one will understand the grievance and sadness involved.
When Dr. Shaobing was at his most desperate, Li Jingsheng, a doctor he had never met before, took a taxi late at night to help with the consultation, and made major breakthroughs and progress. He even helped him change his family's attitude before leaving.
Shao Bing had long regarded Li Jingsheng as his benefactor.
At this moment, the test results came out, and there were new breakthroughs and discoveries. While he was happy and excited, it was inevitable that he would lose control of his emotions.
It can make a man nearly sixty years old choke and lose his voice. You can imagine how wronged and frightened he has been in these days.
The family members are very outrageous.
Li Jingsheng carefully checked the CSF test results.
The laboratory tests in large hospitals are really detailed, and some laboratory results may even be obtained after being done more than twice.
Judging from the laboratory results, the diagnosis of acute meningitis is supported.
Bacterial meningitis, he thought to himself. This can be ruled out directly.
Because bacterial smears are negative and bacterial meningitis has an acute onset, the disease often progresses very rapidly. Generally, severe meningeal irritation and lesions will occur within twenty-four hours, leading to immediate mental disorder.
In the past, when medicine was not very developed, some people would go crazy in one day, and it turned out that they were possessed by evil spirits.
I can only say that people’s lives were really worthless at that time.
As long as these difficult diseases are not diagnosed, they will basically get worse with treatment and eventually die.
Viral meningitis? The protein was slightly elevated, the sugar and chloride levels were normal, and the cerebrospinal fluid was negative for bacteria, which seemed to be consistent with this disease. It was just an increase in eosinophils, coupled with erythema transfer, and the patient had a history of being bitten a month ago.
Li Jingsheng thought it could not be this disease.
Tuberculous meningitis is similar to this disease in many places, but with increased eosinophils, it can still be ruled out.
Moreover, no purulent changes were detected in the cerebrospinal fluid.
Tuberculous meningitis can even be ruled out.
The remaining cryptococcal meningitis was not supported by laboratory results.
That leaves only the last one, neurological Lyme disease.
This is a rare infectious disease that usually occurs after a tick bite.
The disease was once prevalent in some remote areas.
For example, in the area where Ou Qinglan's hometown is located, Borderland experienced this disease once in the 1950s and 1960s. At that time, medical technology was still very backward and it was impossible to detect it.
It wasn't until the 1980s, around 1975, that a foreign superpower was the first to discover this disease.
Later, the technology slowly spread, and everyone learned that this disease was highly similar to meningitis, and it was called Lyme disease.
With the current level of medical technology, it is easy to diagnose this disease, and the diagnosis can be confirmed by checking serum and cerebrospinal fluid.
“I think it could be Lyme disease!”
Li Jingsheng sent a message.
"ah……"
Shao Bing seemed surprised. He was probably trying to diagnose the disease and wanted to find out what kind of meningitis it was.
Unexpectedly, Li Jingsheng came to a diagnosis so quickly.
And it is a very rare infectious disease.
"Let me talk about my diagnostic ideas and basis. The patient has wandering erythema on his body. He was bitten by a mosquito-like creature a month ago and developed a red envelope. Then he developed nausea, vomiting, cervical stiffness, facial paralysis, delirium, and lymphadenopathy. , moderate fever, these symptoms are highly consistent with this disease. The slow onset time is also consistent with this disease."
Li Jingsheng explained the basis of his diagnosis one by one.
In fact, it is very sufficient.
"It seems that this is really the disease you diagnosed, but it can be treated with ceftriaxone. Why can't I see any effect after using it?"
Shaobing's reaction was quick.
It can also be seen that his medical skills are very solid.
As soon as I heard about this disease, I immediately thought about the relevant medication plan in my mind.
"There are three possibilities. First, you are using fake or expired medicine."
Li Jingsheng began to analyze the reasons for him.
If you are not familiar with this, you generally don’t dare to say this. Afraid of being scolded.
We all run clinics, so we naturally understand that when getting medicines, the pharmaceutical companies we choose are unreliable and we may get fake medicines.
For example, Litong Pharmaceutical, which Li Jingsheng worked with before, sells many medicines that are imitated by small factories and imitated by large ones.
There are also some medicines that are about to expire.
After all, Litong Pharmaceutical is still a legitimate pharmaceutical company, and it has never happened to blatantly sell counterfeit drugs.
It’s unclear whether the medicine Dr. Shaobing got was fake.
"Second, the medication time is short. I just used it once and changed the medication immediately the next day. Theoretically, if you use ceftriaxone to treat this disease, you can see a certain effect the next day. But you may have been confused at that time. Fang Cun didn’t notice the patient’s changes at all.”
Li Jingsheng analyzed the second reason for him.
This is indeed possible.
"Third, the patient's constitution is special and the drug is poorly absorbed."
This happens, but it's rare.
When large hospitals encounter this kind of patient, they usually try changing the medicine or using a combination of medicines.
When a small clinic meets a small hospital, whoever encounters them will be unlucky.
Doctors can easily confuse themselves.
After Li Jingsheng analyzed the three reasons for him, Dr. Shaobing didn't reply. He was probably already thinking about it.
After about twenty minutes, he had already fallen asleep.
A message came from the other end. Doctor Shao suddenly fainted while chatting with you. I am a former student of Dr. Shao, and I have already told the superior doctor about your diagnostic ideas.
In a daze, Li Jingsheng received a reply like this.
The whole person was a little confused.
"Okay, I will go visit Dr. Shao tomorrow. Thank you! If you really want to help Dr. Shao, you should promote the diagnosis and treatment of the little girl's disease as soon as possible!"
After Li Jingsheng replied to the message, he didn't care anymore.
Must go to bed quickly.
I have to go to the hospital for a consultation tomorrow, which will be an extremely busy day.
At noon, I also agreed to do the osteoblastoma removal surgery with Professor Wu.
When the time comes, he will be the one doing the surgery.
You must keep your spirits up.
…
The next day, Li Jingsheng went to work at the Second Hospital as usual, not mentioning it.
Monday was coming soon, and he had to go over to the People's Hospital to sort out the operating room equipment.
I've been really busy lately.
But he likes this kind of fulfilling life.
He is making rapid progress every day, and his strength is improving extremely quickly.
With this busy schedule, the day really flies by in the blink of an eye. He didn't have much time to date Ou Qinglan at noon, but he brought her into the operating room and made progress together.
She showed great talent in such delicate operations as suturing and knotting.
Li Jingsheng felt that if she could master the basic skills well, she could develop in the direction of minimally invasive surgery and endoscopic surgery in the future.
Now microsurgery has gradually become the mainstream trend in future surgical directions.
The couple both work in orthopedic surgery, which is no big deal.
On the contrary, it's pretty good.
Able to take care of each other.
When it was almost time to get off work, Ruan Xiaoqin waited for him in the clinic with a smile on his face.
"Dr. Li, the patient with the swollen thumb no longer shouted to hit me, and even apologized to me."
"Isn't that great! You have also fulfilled your responsibilities."
Li Jingsheng responded with a smile.
"Can you treat me to a casual dinner? I'm at work, I always ask you for help, and I feel really bad about it. I've wanted to treat you to a casual dinner for a long time, and I've toasted you a few glasses."
Ruan Xiaoqin sincerely invited him.
"It's not that I'm rejecting you. I'm very happy that someone invited me to dinner for free. But I really have something to do today. Let's wait for another day! I accept your offer."
Li Jingsheng is going to Qiaobang Hospital to see Dr. Shaobing after get off work today.
This Dr. Shao is very pitiful and indeed a bit unlucky.
The clinic was vandalized. You can ask him about his future plans.
Li Jingsheng's clinic now wants to recruit talented people, but he doesn't like ordinary doctors.
He has already recruited two very satisfied nurses, with good looks, excellent professional skills, and their own strengths.
All he needs now is a smart doctor who can help him in the clinic.
The requirements of this brilliant doctor are quite high, and he needs to be in the field of internal medicine.
Because any operation in the clinic carries high risks, the surgery field is not even getting started now.
So he must be in charge personally.
It is impossible to fake it.
In the field of internal medicine, if Shao Bing can be recruited, it will be very beneficial to the development of the clinic. He frees up his hands and can do more.
If you want to make more and greater breakthroughs in medical skills, you must not be squeezed out by a large number of ordinary patients.
Also, he now has to work at the Second Hospital three days a week.
In the past three days of absence, the clinic's diagnosis and treatment business has dropped significantly, which is actually not good.
It's best to maintain a balance.
And the patient’s illness cannot afford to wait.
Another consideration was that he wanted to continue to observe Dr. Wang's performance.
If there is a moral problem, Dr. Wang will probably be fired.
The last incident left a very bad impression on Li Jingsheng.
As long as Dr. Wang can sincerely correct himself, Li Jingsheng can forgive him tolerantly. But if you can't change it, then you can only resign.
He knows very well that the Sunshine Clinic is what it is today, thanks to its superb medical skills, good luck, and good popularity. These are all fake. The real core thing is just one word, and that is the word benevolence.
As a boss, he always maintained the benevolence and kindness of a doctor, which was why he rose rapidly after news reports.
And it is supported and recognized by more and more people.
Those who have attained the truth will receive much help, while those who have lost the truth will receive little help.
This is the law of heaven, the most profound rule in the world.
After politely declining Ruan Xiaoqin's dinner invitation, Li Jingsheng took the time to treat the remaining patients.
Then the phone rang.
At first glance, it was Director Hua calling.
Director Hua is the boss of the department, so there must be something to do with him.
"Hello, Director Hua, please give me any instructions!"
Li Jingsheng said respectfully.
"After work, come to my office and talk to you about anything."
After Director Hua finished speaking, he hung up the phone.
Listening to the voice, there should be someone else there with Director Hua.
After Li Jingsheng treated the last patient, he left the remaining cleaning work to Dr. Chen, who hurried to Director Hua's office.
As soon as I walked in, good guys, several chief physicians from the orthopedic surgery department were there.
The sense of oppression is also very strong.
(End of chapter)
