Chapter 128 A more difficult combination of medicine, it is difficult to raise ‘Jiaolong’ in shallow water

Li Li just covered her mouth and smiled secretly.

Li Jingsheng didn't care. He felt that Dr. Xu was simply over-concerned. When he first taught him the bone-touching technique, he made it clear that he would not pass it on to others indiscriminately.

It is impossible to learn advanced bone-setting medical techniques from just a few words from a random person.

But then again, medical skills are used to treat diseases and save people, and it is not Li Jingsheng's style to be self-conscious.

When he meets someone with good character, he is happy to take on a few apprentices.

If everyone keeps it secret and doesn't spread it, some secret skills will be easily lost.

"Teacher, I'm leaving first!"

"Um!"

Doctor Xu nodded.

He was nearly half an hour late for work today. This has never happened before, and he doesn't know what happened?

When Dr. Xu arrived, Li Jingsheng found that there was mud on Dr. Xu's pants and a little blood on his sleeves.

Based on visual inspection at that time, Dr. Xu was not injured.

Li Jingsheng didn't ask any more questions.

Dr. Xu has a somewhat eccentric personality. Even if you ask him some things that you shouldn't ask, he won't answer.

He will also give you a cold face.

…

When he returned to the clinic, Li Jingsheng found that the baby with diarrhea treated yesterday had been brought over by his family.

Mother holding child.

Grandma was sitting next to her holding the child's clothes and hand-cranked cartoon toys.

It looks much more harmonious and natural now.

"Doctor Li, after my grandson was treated by you yesterday, he has indeed improved a bit. The child seems to be more energetic this morning."

The child's grandmother saw Li Jingsheng coming in and immediately stood up to greet him.

and report the latest status of the child.

"As long as the cause of the disease is found, the treatment will definitely be effective. However, because the child's disease course is very long, you must also be prepared for long-term treatment. My personal conservative estimate is that the treatment time is about two weeks. If you want to fully recover, I'm afraid

It will take at least twenty-eight days."

The treatment cycle is usually three days, one week, half a month, twenty-one days...it works like this.

There can be some flexibility, such as four or five days.

In short, a treatment cycle must be completed only after professional evaluation by doctors and nurses, and if they feel that the discharge standards have been met.

Li Jingsheng's small clinic does not have the conditions for hospitalization, so it can only send patients home to take medicine, come in for check-ups every day, and then make treatment adjustments according to the situation.

"Anyway, we listen to you. We will treat it how you want it to be treated."

The child's grandmother now has a frightening level of trust in him.

It's almost like following your advice.

"Did the child have a bowel movement today?"

Li Jingsheng put on the clinic uniform and began to consult.

"Today was pretty good. I only had diarrhea once."

"Well, yesterday I asked you to take two photos after the child defecated. Did you take them?"

Because his small clinic does not have biochemical testing capabilities.

It makes little sense to ask family members to collect the patient's feces.

Take a few photos and let him see the color, shape, and contents. This is the most "gentle" way.

Almost all doctors who open clinics have some of their own "local" methods to achieve diagnosis and treatment purposes.

"It's taken! Can you please see if it goes well?"

The child's mother swiped open the phone screen, found the photo album, opened it and asked Li Jingsheng to check it out.

Li Jingsheng looked at each one carefully.

"This was taken last night. This was taken around six o'clock this morning."

The child's mother explained beside her.

Yesterday's stool was obviously more watery, completely watery.

Considering that the fecal occult blood test of this baby at the Children's Hospital was weakly positive, that is to say, there was slight intestinal bleeding. He was treated with anti-allergic drugs yesterday and had initial results, so he decided to add some more drugs today.

.

It is actually normal for this child to have blood in his stool.

Let alone a seven-month-old baby, even an adult can't bear the intestinal tract after having diarrhea for more than a month!

The child's intestinal mucosa is fragile and tender, and the diarrhea is severe and lasts for more than a month. In addition, photos of the child's stool last night and this morning showed that there is still jelly-like mucus.

This is the apparent discharge of intestinal tissue.

Certain medications must be given to prevent secondary infection after intestinal mucosal damage.

If an infection has already occurred, it can be treated promptly.

He was already thinking about what medicine to use.

Antimicrobial treatment is very necessary.

This child was "voluntarily discharged" from a large hospital yesterday and should have been given antibiotics at the People's Hospital yesterday.

Now that Li Jingsheng has taken over the entire process, it is worth thinking about what antibacterial drugs should be used.

Even though neither the Children's Hospital nor the People's Hospital could find out the real cause, they have very rich treatment experience and extremely high level of medication. The combined use of a large number of antibiotics can at least ensure that the baby is in a relatively safe state during hospitalization.

Li Jingsheng has a headache, and the baby must be treated with caution.

Which antibacterial drugs are safe, reliable and effective? What is the dosage? Which method of administration is required?

These must be considered.

The baby's tolerance, physical condition, etc. must also be taken into consideration.

"Metronidazole should be a good choice to deal with anaerobic bacteria!"

Bacterial infections in the intestines are mainly caused by anaerobic bacteria.

Metronidazole can prevent systemic or local infections caused by sensitive anaerobic bacteria, such as infections in the abdominal cavity, digestive tract, female reproductive system, lower respiratory tract, skin and soft tissues, bones and joints.

Often used to treat intestinal and extraintestinal amoebiasis.

This drug is often administered intravenously.

Li Jingsheng himself felt that this medicine alone was a little weak.

It's just that his combined medication has just begun to touch the threshold, and he is not yet as good as the attending doctor in a big hospital.

After careful consideration, he added another dose of gentamicin.

However, the way of administration of this medicine is to allow the baby to take it orally.

This medicine is very effective in treating bacillary dysentery or other bacterial intestinal infections. It is also often used as a preparation medicine before colon surgery.

Considering that the child's diarrhea still exists, although the symptoms have been alleviated, they are still serious.

After Li Jingsheng checked the child's condition again, he boldly proposed a temporary fast.

After fasting, the child's life needs can be maintained through intravenous rehydration.

Mainly the supply of water, electrolytes and nutrients.

The family now has great trust in him and agreed to the diagnosis and treatment plan he gave.

The purpose of this is to repair the intestinal mucosa as quickly as possible.

After most patients with intestinal diseases are admitted to the hospital, their doctors give them an order to fast.

Sometimes patients don't understand very well.

There are actually multiple considerations in making this medical order.

Especially when there is unexplained abdominal pain or bloody or jelly-like stool, the doctor requires the patient to fast and cooperate with diagnosis and treatment.

After all, through the belly, no one knows what is going on inside the intestines.

Fasting can detect food allergies, poisoning, etc., and can also slow down intestinal peristalsis...

The benefits are many.

Li Jingsheng prescribed medicine for Tang Ping to give to the child.
To be continued...