Practicing Medical Skills in a Small Clinic-Chapter 251 - 150: Gaining Two Medical Skills in a Row, Definitely Not a Minor Illness (Part 3)

Chapter 251: Chapter 150: Gaining Two Medical Skills in a Row, Definitely Not a Minor Illness (Part 3)

Having a caring girlfriend is really good.

When you’re sick, someone is there to care and ask if you’re warm, someone to look after you.

"After I finished cleaning, he still said his stomach hurt. I quickly went to the pharmacy to buy painkillers and gave them to him at home. It seemed to have some effect, and he fell asleep afterward. This morning, when he woke up, he still said his stomach hurt. We initially planned to go to the health station for treatment. When we got here, we really didn’t want to go any further, and seeing that your clinic had quite a few people, we assumed the medical skills were good, so we came in."

The girl didn’t have much guile.

Someone with a little scheming wouldn’t say the last sentence to a doctor.

"What painkiller did you take at the pharmacy?"

"I think it’s called A... aspirin!"

After thinking for a while, the girl remembered the name of the drug.

Li Jingsheng’s forehead was lined with frustration; the pharmacist’s skill level at the pharmacy was indeed varied, from high to low.

Common painkillers include ibuprofen, aspirin, acetaminophen, and so on.

As long as the patient has a headache, leg pain, or stomach pain, they use a universal formula for medication. Apart from being particularly cautious about contraindications, they generally don’t care about anything else.

In short, it’s best if the medicine works for the patient. If it doesn’t work, they quickly go to the hospital.

The biggest advantage of this pharmacy’s business model is almost no risk.

Unless the medication given to the patient is expired or problematic, and something happens, then there’s no way out. Just compensate as needed.

"Blood pressure is slightly high; body temperature is feverish at 38.6 degrees; heart rate is slightly fast."

After measuring the three basic vital signs, Li Jingsheng realized that the patient’s problem wasn’t a minor one.

"You vomited once after coming home last night, right?"

"No, I threw up today as well. Just probably from not eating anything, he retched twice, and what came out was yellow-green bitter liquid."

After vomiting most of the gastric contents, there’s only stomach acid left to expel.

If it has a green tint, it’s mostly bile.

The color of the expelled bile isn’t fixed.

It could be yellow, white, grass green, or even red.

This patient vomiting stomach acid and bile further indicates that Li Jingsheng’s judgment is correct.

It’s by no means a simple illness.

What could it be?

He couldn’t help but ponder deeply, making a preliminary diagnosis based on the patient’s causes, symptoms, and disease course.

Currently, his gastroenterology diagnosis has reached the Minor Achievement level, which is quite advantageous.

Attending level in gastroenterology diagnosis can basically handle most diseases in this field.

Acute gastroenteritis? Gastrointestinal perforation?

"Lie down on the examination bed inside; let me check your stomach," he said to the patient.

"Can it be treated?"

The patient glared and asked.

"Only by identifying the cause can we prescribe the right medicine. Right now, I can’t answer you."

Li Jingsheng understood why the young man was a bit abrupt in his dialogue.

Enduring the pain, naturally, leads to impatience.

Clinically, some patients with neurological problems exhibit significant personality changes and don’t cooperate with doctors for examination and treatment. This is common.

It often requires the use of sedatives and even binding the person for treatment.

"After this long examination, you can’t even find out what’s wrong? What is this shabby clinic? Forget it; we’re not getting treated."

The young man suddenly erupted, making Li Jingsheng feel somewhat baffled.

"If you don’t trust the skills of this small clinic, you can go to a big hospital for a check-up. But certainly, don’t play doctor yourself and take some medicine at home. His illness doesn’t seem minor; now the fever is quite severe, delaying any longer might lead to trouble."

Li Jingsheng didn’t get angry because of the patient’s bad attitude.

Instead, he advised them to hurry to a big hospital for treatment.

The girl mentioned that she had planned to get treated at the health station, indicating that they are very familiar with the local environment.

The health station’s capability is strong, but based on intuition, it may not be able to treat this patient.

Earlier, when measuring the patient’s body, Li Jingsheng listened to the patient’s bowel sounds, about 8 times per minute.

This indicates that the intestinal motility is still fairly good.

The patient was clutching the belly area slightly toward the left.

Li Jingsheng judged that the real source of pain might not be in the abdomen.

The most reliable and common method for doctors to diagnose abdominal pain is by letting the patient lie flat on the bed.

Sometimes, it requires the patient to raise their legs or turn sideways, lift their arms, and other actions to cooperate with the examination.

"I’m sorry, Doctor; my boyfriend is probably in a bad mood. How much should we pay you here?"

The girl was very accommodating to her boyfriend.

However, her attitude was polite enough.

"Our clinic offers free consultations, no charge. Quickly take him to the hospital, don’t delay the condition."

Acute cholecystitis, intestinal perforation, etc., can lead to death.

The young man is still so young, with a pretty and caring girlfriend; if he loses his life, that would be too unfortunate.

"Thank you!"

She clasped her hands to her chest, repeatedly thanking and apologizing to Li Jingsheng.

"Why talk so much with him; let’s go!"

The young man had already stood up and walked to the door.

From a glance, one could see his entire demeanor was exceedingly irritable.

Li Jingsheng secretly deduced that either this young man’s temperament is inherently bad, or the pain during the examination increased significantly, leading the young man to lose patience.

Watching the patient leave, he wasn’t disappointed.

Because if this patient isn’t suffering from a minor illness, even if the cause was diagnosed, it wouldn’t necessarily be manageable.

Ultimately, the patient would still need treatment at a large hospital.

Now that they’re gone, it avoids all subsequent risks.

For a small clinic, stability is paramount, not ’greediness’ for cases.

Outside the clinic, Boss Zhao happened to have some business with Li Jingsheng.

Boss Zhao noticed a new sign was hung at Li Jingsheng’s clinic, and ogled it for a while.

Upon seeing the young couple exit, his eyes subtly surveyed over the girl. 𝒻𝘳𝘦𝘦𝘸ℯ𝒷𝘯𝘰𝑣ℯ𝑙.𝘤𝑜𝘮

"Oh, is this young brother ill?"

"Hello, Boss Zhao!"

Surprisingly, the young man knew Boss Zhao.

Inside the clinic, Li Jingsheng just observed the three of them quietly.

Boss Zhao had said he wouldn’t play any tricks on him anymore; who could know if that was true?

Besides, refusing the health station’s incorporation yesterday, could Station Chief Qiao have told Old Zhao to teach Li Jingsheng a lesson? It’s not impossible.

Li Jingsheng would rather suspect the gentleman with a petty mind.

Because he’s suffered too many losses.

"Where does it hurt?"

"Drank a bit yesterday, got some stomach pain. This shabby clinic examined me for ages, didn’t even know what the illness was. Going to your Quick Recovery Clinic is far more reliable."

The young man seemed familiar with Boss Zhao.

"Are you feverish?"

"The doctor said the fever was quite bad. Even scared us, claiming my condition is very serious and suggesting a quick hospital visit. I don’t buy into his scare tactics."

Seems this young man spoke somewhat restrainedly inside earlier.

He had been tolerating Li Jingsheng for a while.

Just couldn’t think, how can severe illnesses be diagnosed quickly?

Even at big hospitals, where expert numbers are sought, various tests are conducted first and then diagnosis is made based on the test data combined with symptoms and medical history.

From reception to the young man leaving in frustration, it was merely around fifteen or sixteen minutes.