"My dad doesn't have any other serious problems, he just has a cough."
This is a disease in the inner realm.
Dr. Shao is very good at respiratory diseases, why does he say he can't cure them?
Li Jingsheng thought to himself, and there was only one possibility he could think of.
This patient is either particularly difficult to diagnose or has a major problem.
He glanced at the old man's two children.
She was not badly dressed. The woman was about thirty-four or five years old and wore relatively heavy makeup.
The man is probably in his late 40s and looks like a carefree social guy.
"Siying, come over and check the old man's blood pressure."
Li Jingsheng called Han Siying over.
I feel that this patient should allow her to learn some knowledge that cannot be learned in textbooks.
"The blood pressure is very high. The high pressure is close to 180mmhg. The low pressure is also relatively high, almost 120."
After measuring it, she said with a somewhat surprised tone.
The old man's son kept staring at Han Siying's chest when she knelt down to measure the old man's blood pressure.
"Okay, you just stand back and study!"
In order to protect his apprentice, Li Jingsheng did not let her do other examinations on the old man.
"Let me listen to your heart and lung sounds!"
He put on a stethoscope and auscultated the old man's heart and lung sounds.
Obvious dry and wet rales can be heard, as well as a high-pitched sound like a harp.
The old man's condition is far more serious than imagined.
This kind of patient will be treated with caution even in the hospital.
Li Jingsheng's small clinic cannot withstand this kind of storm. Injecting fluids for a week only earns patients a few hundred yuan. But something happens to the patient, and the clinic immediately loses everything.
"Have you been to the hospital?"
He tentatively asked the family members.
"No. It's an old problem that happens every now and then. My dad is usually in good health."
The son rushed to answer.
The daughter swallowed the words that came to her mouth and glanced at her brother.
The two exchanged a look.
The woman didn't say anything.
"The old man's condition still feels quite serious. He is so old. It is safer for you to take him to a big hospital for a checkup."
"No, no, no, we just believe in the medical skills of your Sunshine Clinic. They all say that your place is good, so I brought my dad here. Just feel free to treat my dad."
The man's attitude was firm.
If Li Jingsheng didn't have some Taoism, he wouldn't be able to survive in the old streets in the south of the city.
How could he accept such a case?
In terms of diagnostic level, I am afraid that even Boss Zhao, who has been practicing for more than 20 years, would have to call him a teacher.
"Go to a big hospital and have a look! I really can't be cured."
Li Jingsheng shook his head with regret on his face.
"Thank you very much for your trust in Sunshine Clinic, but we are just a small clinic here, and there are many diseases that cannot be cured. Sometimes there is really nothing we can do, so you should take the elderly to a big hospital as soon as possible!"
Even if he knew that the family members wanted to come here to 'make a fortune', Li Jingsheng could not expose them, but could persuade them with good words.
It must be like this.
"Can't it really be cured?"
"I'm a doctor. As long as I can treat patients, I can't help but treat patients. Besides, have you ever seen any clinic where the owner makes no money even though he's doing nothing? I can't really cure him, I'm sorry!"
Li Jingsheng refused again.
"Okay, sister, let's take dad to see other places!"
The two took the old man away.
The old man had been coughing very violently, and his hands were shaking slightly.
After the patient was pushed away, Li Jingsheng dealt with the second patient.
This patient suffered from a bone injury and had sprained his shoulder for several days. He has been unable to use it and is a little swollen.
After Li Jingsheng examined him, he found that the joint was not dislocated.
Mainly sprained soft tissue.
However, in order to prevent missed diagnosis or misdiagnosis, he still consulted the patient's opinion and did an X-ray examination.
Sure enough, it was consistent with the results of his bone touching.
"After checking, there is no big problem. If you want to get better quickly, you can buy a bottle of safflower oil from us and rub it in, and then massage the injured area yourself. It will help it quickly reduce swelling and blood stasis."
After Li Jingsheng saw it, he gave the patient treatment suggestions.
The patient's clothes were ordinary and his hands were rough. He should be someone doing hard work.
All you earn is hard-earned money, and your economic conditions should not be very good.
Therefore, he did not recommend more expensive treatment options.
In fact, if you give him a massage himself, you can get better faster.
But the price is not cheap, two hundred yuan a time.
It is estimated that it will take two to three massages to recover.
The patient finally bought a bottle of safflower oil for 11 yuan and left.
The blood-activating and blood-stasis-removing medicine prepared by Boss Ye is much more effective than safflower oil and bone-setting water.
The disadvantage is that it cannot be stored for a long time.
Generally, Li Jingsheng would only recommend it to patients with serious injuries.
Moreover, he bought it and gave it to patients himself.
After dealing with these two patients, it was already time for dinner.
"Let's go to the office for dinner first! Just keep Sister Tang and Dr. Gao here."
Li Jingsheng asked a few people to take the time to eat.
Because there are so many patients in the clinic now, the clinic will become busy again after one o'clock in the afternoon.
"Boss, why can't that old man with a cough be cured? I think his condition is not as serious as imagined!"
Wang Zongxiao asked with some confusion.
When I asked this question, I also felt that I was not convinced by Dr. Shao.
Because Dr. Wang is good at respiratory medicine.
"What would you do if it were you who came to see the doctor instead?"
Li Jingsheng asked the question without answering.
"Aren't you digging a hole for me?" Wang Zongxiao answered the question honestly like this last time. Then he was scolded by Li Jingsheng and asked to write a review.
Once bitten, twice shy.
He was afraid that Li Jingsheng would dig another hole for him.
"Don't think so much! What resistance should I give you? Just answer according to your true thoughts. The last time I asked you to write a self-review, it was actually for your own good. We are doctors in a clinic. If we don't correct some of our thoughts, it will be very easy for us to go down the wrong path. detour."
Li Jingsheng said seriously.
"Okay! Then I will answer honestly. As promised, you can't dig a hole for me."
Doctor Wang's words made several people cover their mouths and chuckle.
"If it were me who was here to treat the patient, I would examine the patient carefully, diagnose the cause of the disease, and prescribe a prescription according to the disease. It is estimated that infusion can control the condition."
He said confidently.
"After Dr. Shao received the diagnosis, he only asked a few casual questions and did not perform any examination on the patient. He just said that the disease could not be cured. I felt very irresponsible to ask the patient to go to a larger hospital."
He saw that Dr. Shao was treated like a guest by Li Jingsheng as soon as he arrived.
All kinds of preferential treatment made him jealous.
When he found that Dr. Shao couldn't even cure an old man with a cough, he immediately felt very unconvinced.
"You can't accept patients like that! As doctors, we must not show off. I am a person who has suffered a lot. You must remember this experience I summed up."
Shao Bing was not angry at all.
Instead, he kindly reminded Dr. Wang not to follow his old path.
In terms of magnanimity and magnanimity, Dr. Shao is obviously much higher than Dr. Wang.
"Why can't you accept it? Aren't you just older? The patients who come to the clinic for treatment are basically older patients."
Dr. Wang asked disapprovingly.
"I think the comprehensive risk should be assessed when accepting patients. First, is this disease something you are good at, and what is the prognosis? Second, does the patient have other underlying diseases. Third, the patient's age and physical condition. Weak tolerance, If the probability of something happening is high, then you must give up decisively. Fourth, whether the family members and the patient have malicious intentions. The old man with the cough basically has extremely high risk in these four aspects of risk assessment. It would be wiser not to accept it."
Dr. Shao analyzed the risks in a calm tone.
Doctors who run clinics have their own risk assessment methods.
The attitude of family members and patients is an extremely important part.
If the family members reveal faults and find faults, then there is no need to receive treatment.
Because as long as family members want to find fault, there will always be many ways to find fault. Even causing trouble and extorting a sum of money.
As long as the clinic is troubled by such a person once, no matter whether it is wrong or not, it will be stained.
Not worth it.
If you have to ask a patient or family member who has many things like this, what should I do if there is no doctor to treat him when he is sick?
Then I'm afraid we can only quote Darwin's theory of biological evolution, survival of the fittest, and survival of the fittest.
Even Buddha only saves those who are destined to him.
Not to mention doctors.
"Doctor Wang, these are the golden words of wisdom learned from the blood lessons of our predecessors. You must study hard!"
Li Jingsheng reminded from the side.
Dr. Wang's level in the field of intrapsychiatry is pretty good.
Be practical in doing things.
The disadvantage is that some of the ideas and work concepts of doctors in large hospitals have not yet changed.
Clinics and hospitals are actually different, and their business models are very different.
"Then the old man with the cough today will definitely get into trouble if he is admitted to the hospital?"
Dr. Wang's head is really strong.
No wonder that although his medical skills were pretty good, he couldn't survive in a big hospital and was forced to resign.
"I don't say something will definitely happen, but at least 99% of the time something will happen. You have been working here for a while, and you still have a lot to learn. What did the patient's son say when he left?"
Li Jingsheng asked Dr. Wang.
"Sister, let's take dad to see other places. Is there any problem with this?"
"Why didn't you say go to the hospital?"
Li Jingsheng asked with a smile.
Wang Jianzong is not stupid, and he will eventually come to terms with it.
"I seem to understand. It seems that this matter is indeed too simple."
"It's not necessary to think that everyone is so bad. Anyway, it is necessary to be on guard against others. Small clinics cannot withstand any storms. You must bear in mind. Just now, you had the mentality of competing with Dr. Shao and just wanted to In order to prove yourself, it is extremely undesirable to blindly accept that patient. Write a reflection on this matter and leave it to me tomorrow."
Li Jingsheng said to Dr. Wang.
"Ah...we agreed not to dig holes, so why do we need to write a review again?"
Wang Zongxiao instantly turned into a bitter face.
"It's not a review, it's a reflection. Through this incident, I want to see your growth. Next time you encounter a similar situation, you can have a deep impression and avoid making mistakes."
Li Jingsheng corrected.
To put it bluntly, isn’t it still a review?
Doctor Wang whispered.
(End of chapter)
