After examination, the main pain areas were in the left iliac fossa and pelvic area.
Li Jingsheng felt confident at this time, and his expression became solemn.
Maybe, this patient needs to be pushed to a large hospital for treatment.
"You are afraid of intestinal ischemia or even thrombosis. I will give you an X-ray examination and a B-ultrasound examination to check the condition of the abdominal cavity. Do you think it is okay? Because it is a clinic, the fee is not expensive, only 100 yuan each time. , there’s no need to queue up. Just take a picture and see, you and I will feel at ease.”
Dr. Shao is worthy of having opened a clinic and practiced.
The words and skills in communicating with patients are really not comparable to Dr. Wang's.
To hire Dr. Wang, Li Jingsheng offered a basic salary of three thousand.
If you hire a master like Dr. Shao, he can offer you a base salary of 5,000.
"Can!"
The patient readily agreed.
Li Jingsheng personally took a plain abdominal X-ray for the patient.
You can see that the intestines are obviously dilated and aerated.
If possible, it would be safer to check for a barium enema.
It's impossible for him to do this test here.
Then I checked the B-ultrasound.
It was relatively ideal and no obvious blood clots were found.
In fact, when checking for blood clots, CT examination will be more accurate.
After the examination, Li Jingsheng looked at Dr. Shao.
"It should be ischemic enteritis, and the situation is not particularly serious. We can give it a try here. If the effect is not good, you can only go to the hospital for interventional surgery or even resection of necrotic intestinal segments."
Dr. Shao gave his own conclusion.
"Doctor Li, please help me check this!"
The patient has sat up on his own.
"My diagnostic opinion coincides with Dr. Shao's. Judging from the film just taken, no obvious blood clots were found, and no obvious signs of necrosis were found in the intestines. If you are willing to try treatment here, you can give it now You take medicine. Then you need to follow our arrangements for your diet in the past few days. If you can't eat anything, you must not eat it. "
Li Jingsheng said to the patient.
"Since you two doctors have said so, what else can I say? I am willing to try treatment here."
Patients have great trust in Sunshine Clinic.
"Dr. Shao, then you can prescribe medicine to the patient!"
"I'm going to use 5% glucose injection + 10% potassium chloride 10ml, one gram of metronidazole, and infuse it to see the effect."
"It's very good. This prescription is considered a popular formula for treating this disease."
Li Jingsheng readily agreed.
From this prescription, it can be seen that Dr. Shao's prescription level is not inferior to that of senior attending physicians, and he is an attending physician in the third grade of the university.
Li Jingsheng's current prescription level is at this level.
All the health points he earned these days were used to improve his surgical skills.
The level of prescriptions and medicines is at the senior doctor level, which is completely sufficient for the time being.
"If the treatment is effective, I suggest you try intravenous infusion tomorrow with 500ml of low molecular weight dextran and 20ml of compound salvia miltiorrhiza."
Li Jingsheng proposed a combined medication plan.
Ischemic enteritis is actually more dangerous than imagined, and you need to be careful of thrombosis and intestinal necrosis.
Even in large hospital outpatient clinics, special care is taken when treating such patients, and hospitalization is usually required.
Moreover, large hospitals have a great advantage. They can complete all necessary examinations before admission.
After the patient is admitted to the hospital, medical staff will be on duty and monitored 24 hours a day.
As long as there is any abnormality in the patient, it can be discovered immediately.
"Dr. Li's level of medication is very high! It seems that as doctors, we really can't use age to judge the level of a doctor."
"Haha, of course Dr. Li's level is very high. Otherwise, I wouldn't have made a special trip to see him. I asked two doctors to pay more attention to my disease. After I am cured, I will try my best to help you with more publicity."
The patient really came here for Li Jingsheng.
After the patient was prescribed a prescription, Tang Ping gave him the infusion himself.
Munro's level is actually very high, but her skills as a surgical nurse are better.
Dr. Shao began to diagnose and treat patients one by one, showing deep knowledge in many fields of internal medicine.
Li Jingsheng was acting as an assistant to Dr. Shao.
By the way, let’s also learn about Dr. Shao’s true strength.
If Dr. Shao makes any omissions, he will definitely correct them in time.
Perhaps because Dr. Shao is older and has a convincing reputation for treating several patients in succession, the trust of the patients in line behind him has significantly increased.
At this time, a woman in her forties sat next to the consultation table.
Her breasts are extremely big.
It's much better than those anchors who stuffed it with cotton on purpose.
"Doctor, I feel a dull pain in my chest lately, especially before going to bed at night and when I get up in the morning. I feel particularly uncomfortable. Can you check it for me?"
As soon as he heard chest pain, Li Jingsheng immediately became highly vigilant.
But he didn't say anything.
But let's see how Dr. Shao handles it.
"Okay, let me listen to your heart and lung sounds first."
Dr. Shao first measured the patient's forehead temperature and found that the temperature was normal.
Then instruct the patient to press the stethoscope probe to the pericardium.
The operation process was much more prudent than Dr. Wang's reckless behavior when he first went to work.
"Do you have a cough?"
"Occasionally I cough twice."
"It doesn't feel like a big problem. The heart sounds are normal and clear, and there is no murmur. I suggest you go home and observe again." Shaobing did not find out the specific cause of the disease for the patient, so naturally he would not prescribe medicine randomly.
Moreover, for symptoms such as chest pain, doctors with a little more experience would not be able to prescribe carelessly.
"Dr. Li, can you please check me again? He said there is no big problem with me, but I can't believe it. Because when I got up in the morning, I felt really uncomfortable."
The female patient spoke quite politely.
Her figure is not particularly obese, it can only be regarded as slightly fat.
After hearing this, Li Jingsheng immediately took the stethoscope and listened to the patient's heart and lung sounds again.
When I first listened to it, it was indeed normal.
But after listening for a moment, he frowned slightly.
Because he felt that the patient's heart sound seemed a bit deep, but not quite like it.
How to put it, it's like a heartbeat making a sound.
Boom!
Then there was a lighter sound that repeated itself, but it was combined with the previous heart sound, so it sounded a bit heavy.
"Can you raise your hands above your head? It's kind of like stretching."
Li Jingsheng said to the patient.
The female patient glanced at him, a little embarrassed.
If she hadn't seen the serious look on Li Jingsheng's face, she would have suspected that this young male doctor was a little unruly.
She still did as she was told.
Dr. Shao stared at her, couldn't help but look away, then turned back and continued staring.
Li Jingsheng, on the other hand, was more serious. He stared openly, frowning, and listened carefully to the changes in his heartbeat.
"Hey, that's right, just like that, you lift your right hand up and then press it down slightly on the right side."
Equivalent to bending to the right.
She did as she was told.
Li Jingsheng heard it clearly this time, there were really two heartbeats.
This is definitely not normal.
Normally, there may only be one heartbeat sound.
Could it be that this patient has double hearts?
There are no more than three cases of this deformity in the world, and many of them die in childhood. They may even die shortly after birth.
Only a female patient in Austria was born with three hands and a strange tumor on her back.
It was the fourth hand, fused with the flesh on the back.
After a doctor's examination, it was discovered that the baby was an extremely rare twin with an abnormality. It's like two babies crammed into one body.
It was also discovered that most of the organs in the baby's body were twins, and some were shared.
Later, an operation was performed on the child, and the third hand was removed, and the so-called tail was actually the fourth leg.
The other leg grows in the abdominal cavity.
After the scalpel removal, the baby looked like a relatively normal person.
After careful feeding by the child's parents, the baby was lucky to survive.
Since then, many organs have been duplicated in her body.
Until she was 21 years old, she finally died due to pregnancy.
When Li Jingsheng saw this medical case, he felt very unbelievable.
But since then, he has known that it is really possible for some people in this world to have two duplicate organs.
The heartbeats of the female patient in front of me were repeated and combined.
What could be the reason?
Her breasts are large, and her ribcage is also larger than that of a normal woman.
"Is it true that there are two hearts?"
One of them is deformed and much weaker, so it makes two heartbeat sounds, one strong and one weak?
Li Jingsheng thought for a while and couldn't find the answer.
But the problem has been discovered.
"I heard two heartbeats in your body. Can I do a B-ultrasound on you?"
Li Jingsheng found that after the clinic's hardware equipment was upgraded, it was still not enough when it came time to use it.
It is a common problem for all people to have to look forward to Shu.
Opening a clinic is naturally the same.
Some tests can be improved to help diagnose the real cause faster and more accurately.
"Can!"
The patient readily agreed.
Take her to the medical examination room because she is a female patient and the examination area is the chest.
Li Jingsheng specially brought Tang Ping in to help.
Otherwise, if the patient accuses him of molestation, even if he jumps into the Yellow River, he won’t be able to wash away the accusation.
There is no surveillance installed in the medical technology room.
This is also to protect patient privacy.
After examination, Li Jingsheng found that the patient's heart structure was normal and he had only one heart.
There are not two.
Trying to check around a little bit, he soon discovered the clues.
A large cystic shadow appeared.
This should be the ascending aorta.
It can be seen that the echo of the tube wall is obviously thickened.
"Oh my God, such a big tumor is located in the ascending aorta. What is this?"
After some diagnosis, Li Jingsheng determined that this was an extremely large aortic aneurysm.
"Dr. Li, have you found the problem?"
The patient is somewhat shy.
But seeing Li Jingsheng's surprised expression, she couldn't help but ask.
"Okay, put on your clothes! You have to go to a big hospital quickly for further examination and treatment. Surgery is likely to be needed."
Li Jingsheng tried to keep his tone calm when speaking.
The patient's current condition is very dangerous.
An aortic aneurysm of such a large size is equivalent to a time bomb in the body that may be detonated at any time.
After Li Jingsheng printed out the test results, he went out first.
Tang Ping followed the patient out immediately.
"What disease do I have? What was found?"
The patient asked nervously.
She was scared to hear that she was going to a big hospital for surgery.
"I thought you had two hearts, because I heard the sound of two heartbeats, one big and one small. And they were very close together. I just checked the B-ultrasound and found out that it was an aneurysm. It has been It's very big, you must not delay it, you need to go to the hospital now. It's best to call your family to go with you, I will probably hospitalize you."
Li Jingsheng said to the patient.
"What is an aneurysm? It's not cancer, right?"
The patient is very frightened when he hears the word tumor.
"No, no, an aneurysm is the result of blood vessel distortion. It is equivalent to a tube. One part of it expands and becomes a ball. This is an aneurysm. It has nothing to do with cancer. You should need surgery to solve it. .Before surgery, you must be particularly careful. If you are particularly excited or agitated, it will easily rupture."
Li Jingsheng didn't even dare to use the word "explode".
Just afraid of irritating her.
"As long as it's not cancer. From what you say, as long as I'm hospitalized and have surgery, it'll be fine, right?"
"right!"
"Thank God! It's good to find out the cause of the disease. No wonder I've been feeling very uncomfortable recently! It seems that Dr. Li's medical skills are excellent!"
The patient paid the examination fee.
One hundred dollars is really not much.
Then I took a taxi and went directly to the People's Hospital.
Her home should be nearby.
Because when she called her family just now, she said she would go to the hospital first and asked her family to bring her some clothes.
She also said that Dr. Li from the Sunshine Clinic told her that there was a time bomb inside her body that could explode at any time and her life would be in danger.
It was as if Li Jingsheng's words were an imperial edict.
Li Jingsheng was secretly amused after hearing this.
After this patient's diagnosis, everyone couldn't help but have more trust in Li Jingsheng's medical skills.
Dr. Shao said sarcastically, "I thought there was no big problem, but I didn't expect it was an aneurysm. It seems that in the future, Dr. Li will still need to diagnose cardiovascular diseases in person. I am really not good at this aspect."
Fortunately, Li Jingsheng stood nearby and watched.
Otherwise, what if something happens to the patient and the family members come to the clinic to cause trouble?
This is a human life.
Li Jingsheng will definitely not say much in front of the patients and their families now.
Otherwise, Dr. Shao is very old, and I might not be able to bear a few criticisms of him.
Diagnosis continues.
Near noon, a very special patient came.
He is not old, only 27 or 28 years old, a very temperamental young man.
"Doctor, my arm is a little painful and seems to be swollen. Can you help me take a look?"
"How long has this been going on?"
Dr. Shao received this case and looked at it carefully. He seemed to be not very good at it.
"It's been almost two months. Because I was busy with work, I thought it was caused by overexercising, so I didn't take it too seriously. The swelling has been quite severe in the past two days, so I thought about taking the time to see a doctor. I myself I checked on the Internet, and they said it might be due to over-exercising, and others said there might be a hematoma inside, it’s all there.”
The young man spoke very calmly, unhurriedly.
Moreover, he exuded strong self-confidence and was particularly calm, making him feel like he was no ordinary young man.
"Dr. Li, this doesn't feel like a normal hematoma. I'm not very good at it, so I'd better ask you to come in!"
Dr. Shao made a fool of himself once, but he behaved better this time.
Physician, he must be pretty good. But he is still incomparable to a monster like Li Jingsheng.
Li Jingsheng knows too many things.
Moreover, it can be quickly upgraded directly with the help of health points. This kind of achievement is really not something that ordinary people can achieve.
Any of his diagnostic skills may reach a level that others cannot reach in their lifetime.
"What does this handsome guy do for a living? Can you tell me more about it?"
"I'm an e-commerce business, and I've caught up in recent years, so I'm very busy at work."
"No wonder you have an extraordinary temperament. No matter how busy you are at work, if you have a health problem, you can't delay it! A minor illness can easily turn into a serious illness."
Li Jingsheng gave some advice and began to examine the patient.
His examination was pretty good, he just felt the bones directly.
After mastering the art of bone touching and reaching the Dacheng level, you can tell if there are any problems with the bones by touching them.
(End of chapter)
