Chapter 115 The down-and-out uncle’s vitality, the old lady’s nemesis

Originally, Xie Guiqiu's mother had a chance to receive a banner after saving her life.

However, Xie Guiqiu's identity is too mysterious, and his background should be very high. Such people tend to act extremely cautiously.

He would never show his face easily, let alone write his name on a banner and give it to Sunshine Clinic.

If something happens to Sunshine Clinic, he will be easily implicated.

And he was afraid that after Li Jingsheng knew his identity, he would use it to make fuss and cause trouble.

"Doctor Li, Doctor Li..."

The patient saw Li Jingsheng in a daze and had not written a prescription for a long time, so he couldn't help but remind him.

"I'm sorry, I was too absorbed in thinking just now. Considering that your bronchitis is an old problem and you have high blood pressure, I have to be cautious when taking medication."

Li Jingsheng quickly explained.

Naturally, he would not tell the patient that I just felt that my skills were not good enough and I could not prescribe a prescription.

I just made a last resort and upgraded my medical skills.

Not to mention, with the proficient level of medicinal effects and medicinal metabolism, it is really like having divine help when writing.

It was done in one go and the recipe was given directly.

This was also Li Jingsheng's first formal use of combined medications, and he seemed particularly cautious.

After prescribing the prescription, I carefully reviewed it twice and made sure there was no problem. Then I handed it over to Tang Ping to prepare the medicine according to the prescription and give the patient an injection.

If possible, the patient should have been given aerosol treatment.

“Boss, acetylcysteine ​​is used by aerosol inhalation, right?”

Tang Ping asked while preparing the medicine.

"Yes! Considering that the patient has a lot of phlegm, we gave him atomized medicine to eliminate phlegm."

Li Jingsheng confirmed.

The small clinic only has him as a doctor and nurse, and no pharmacist. The safety of medication requires double checks by him and Tang Ping.

When it comes to medication control, when Li Jingsheng's medication level was only entry-level, Tang Ping helped him correct it many times.

Experienced nurses are actually very good at administering medications.

When young novice doctors write medical orders, they are often troubled by nurses who call them back and ask for revisions.

Why are people so good at nursing?

Because they administer medication to patients more often, and because nurses are originally medical professionals, they have professional knowledge of various medications. With accumulated experience and professionalism, they are naturally capable of correcting doctors' medication errors.

He can be a good doctor for long-term illness.

What's more, it's the nurses who give medicine to patients every day.

The three checks and seven checks they did before taking the medicine were not for nothing.

Of course, the patient's name and age must be confirmed repeatedly before infusion. This usually only occurs during exams and job applications. In actual clinical nursing and medication use in the ward, the name must be checked at most twice.

When the nurse brings the medicine to the bedside, she will ask the patient's name and then check the wristband on the patient's hand.

If everything is correct, start taking the medicine directly.

If it were really like an exam, the nurse would ask the patient's name repeatedly and keep checking. If the patient was in good condition, he would cooperate. If the patient was in a serious condition and was very uncomfortable, he would definitely call the nurse a psycho.

Li Jingsheng finished prescribing the prescription for the old man, and Tang Ping would follow up on the remaining injections and medication.

He waved to the uncle with short bowel syndrome.

"Uncle, it's your turn to consult. Please sit over here!"

The uncle walked over slowly, holding his belly.

His face looked worse than yesterday, not only pale, but even a little gloomy.

This kind of dull facial complexion is called lifeless in the eyes of experienced doctors. It often indicates that the patient's condition is critical. If not treated correctly in time, he will die soon.

"I'm sorry to keep you waiting for so long! I asked you to go to a big hospital for treatment yesterday. Didn't you go?"

Li Jingsheng asked with concern.

"I went there, and the registration fee was 32 yuan, and then I was prescribed a lot of tests. I asked about the cost, and the test fee alone was more than a thousand yuan. And I wouldn't know the results until at least the next day.

, I don’t know how much the treatment will cost. I...ran out secretly."

For examination in a large hospital, it is very likely that an abdominal CT will be performed, and a barium x-ray of the small intestine may be performed, followed by a blood routine, electrolytes, albumin, thrombin and other tests.

The uncle’s answer made people laugh and cry.

Li Jingsheng wanted to laugh, but he held it back.

"Actually, there is no need to sneak out. If you don't want treatment, just leave openly. The doctors and nurses will not make things difficult for you."

In hospital outpatient clinics, as long as inpatients are not treated, the hospital basically doesn't care.

Get treatment wherever you like.

As for the patients who are unwilling to undergo these examinations after the outpatient doctor prescribes examination items, the doctor will never force them.

The doctor's purpose is actually to help the patient find out the cause of the disease and then provide the correct treatment.

Different from Li Jingsheng's small clinic, more formal hospitals have strict diagnosis and treatment procedures.

Medications should be administered without examination, unless in emergency situations.

Otherwise it is basically impossible to happen.

Because if something goes wrong, no one, whether it’s a doctor or a nurse, or a department, or a hospital, can take the responsibility.

"Then what are you going to do now?"

Li Jingsheng asked.

"Didn't you bother to check me out yesterday? You didn't take a penny from me. I feel sorry for you. I just thought, could you prescribe some medicine for me? I can take it when I go home and live one day at a time. It's better than waiting.

You must be strong even if you die. Even if the final result is not as expected, I will never blame you."

The uncle indeed came with this purpose.

Li Jingsheng guessed it at the time.

If you can't afford treatment in a big hospital, you can't just do nothing and go home and wait to die, right?

At this time, it is much better to ask a doctor in the clinic to prescribe some medicine than not to take any medicine at all.

Most terminally ill patients like to put their hope in traditional Chinese medicine after giving up treatment in big hospitals.

No comment on this.

Traditional Chinese medicine can sometimes create medical miracles, allowing some patients who have been sentenced to death by hospitals to survive or even recover in the end.

But that proportion is very low, almost like winning the lottery.

In the minds of doctors in almost all large hospitals, including hospitals with integrated traditional Chinese and Western medicine, the role of traditional Chinese medicine is very limited.

When encountering difficult patients or terminally ill patients who cannot be cured, doctors will advise the patients to see traditional Chinese medicine.

To deal with those difficult patients who complain and make trouble at every turn and refuse to cooperate in any way, they are in conflict with the doctors and nurses. The doctors and nurses persuade them to see a traditional Chinese medicine doctor. This is actually defensive medicine.

As for persuading terminally ill patients to see Chinese medicine, one is that the price of Chinese medicine is determined, and the other is humanistic care.

Knowing that the cancer has advanced to an advanced stage, or even the terminal stage, and then undergoing treatment such as radiotherapy and chemotherapy will only cause the patient to endure more pain and cost the patient's family more money.

It doesn't make much sense in the end.

Find an experienced Chinese medicine practitioner and take some Chinese medicine, which can have a psychological comfort effect to some extent.

"I can prescribe you some medicine. But in order to avoid future disputes, I need your signature before I can prescribe you some medicine."

Li Jingsheng has been thinking about this issue for a long time.

It's okay to do good deeds, but you must protect yourself.

When the time comes, the patient takes the medicine he prescribed, but the effect is not good and eventually dies. What should I do if my family members come to make a claim for compensation?

For a small clinic like his, as long as the family members place two wreaths at the door and the paper money starts to burn, the small clinic will be cool in minutes.

As for going to court, I'm not that scared.

As long as there is nothing wrong with the prescribed medicine, the likelihood of losing the lawsuit is very small.

But the vast majority of family members use force to solve problems, and it is impossible to reason with you.

"No problem signing, but how much do you think it will cost to prescribe the medicine?"

The uncle was obviously very poor and had little money in his pocket, but he refused to lose face.

The poorer a person is, the easier it is to feel inferior.

Afraid of being looked down upon.

Li Jingsheng will naturally not expose it.
To be continued...