Chapter 145 This is not bronchitis, my identity seems to have come up

There are even many 60-year-olds who insist on exercising and have better physical fitness than 30-year-old boys.

"I have an old problem. I have been coughing for almost 30 years. At first, I just coughed with a lot of phlegm, and then I became short of breath. I am a rather impatient person. When I teach students, I see them being disobedient and disobeying me.

I study hard and get angry if I don’t finish my homework well. When I get angry, my cough becomes more serious, cough cough..."

After the man finished speaking, he started coughing violently again.

Unexpectedly, this man is also a teacher, no wonder he has a unique temperament.

It gives people a clean, tidy and serious feeling.

"Have you been to the hospital for a checkup?"

"I've seen it and it says it can't be cured. I can only take some medicine to control it."

"Is there any illness?"

"My lungs are said to be not very good. I also heard people say that you have good technology and high medical ethics here, so I wanted to come over and get some medicine to try. In the past, I used to go to designated hospitals to get medicine."

The man is a teacher, so he must have medical insurance.

Moreover, he is at least fifty-seven or eighteen years old, and his medical insurance payments have probably exceeded 25 years, so he can already enjoy lifelong medical insurance.

Now I go to Li Jingsheng’s small clinic to buy medicine. I haven’t yet qualified for designated medical insurance here!

Patients can only pay for themselves.

"It's okay if I prescribe some medicine for you, but the medical treatment in our clinic is not reimbursed by medical insurance. Can you accept that?"

"If it's not a lot of money, it'll be fine. If it's too expensive, I'll just go to the hospital to get it, ahem..."

Men can't talk too much.

He would cough violently if he talked too much.

"Do you usually smoke?"

“No smoking.”

"Do you have chest pain, coughing up blood, chills or other symptoms?"

"No, I just feel out of breath and have to inhale very hard."

The man's breathing had been rapid since he came in.

"Okay, let me listen to your heart and lung sounds first, and then take your blood pressure and temperature."

After measurement, the man's body temperature was normal and his respiratory rate was 19 times/minute.

The breath sounds in the lungs are thick, but there are no obvious wet and dry rales.

Heart sounds are also fairly normal.

My blood pressure is a little high, but it's not bad.

The man himself is thin, with an obvious barrel chest, and the gap between his ribs is wider than normal.

After Li Jingsheng measured the man, he was initially diagnosed with chronic bronchitis.

Old chronic bronchitis is very common clinically.

This is a stubborn disease that is difficult to cure and can easily relapse.

His small clinic was unable to perform blood gas analysis on the patient. After comprehensive diagnosis, he believed that the man's condition was not serious and he was capable of treating it.

The patient's main symptoms are shortness of breath and shortness of breath.

It should be chronic bronchitis, so treat it accordingly.

The man was coughing and spitting.

Very knowledgeable, wrap it in a tissue.

Li Jingsheng saw that the phlegm was yellow in color and thick.

Strangely, it was also mixed with serous foamy sputum.

It doesn’t seem to be an ordinary old slow-brained symptom!

Thinking of it, the patient's body temperature is normal, and the lung sounds in both lungs are quite normal except for heavy breathing.

An increase in body temperature is likely to occur during an acute episode of bronchitis.

"Let me listen to the lung sounds for you again!"

After feeling that it didn't look like bronchitis, Li Jingsheng decided to check it out more carefully.

This time, he listened especially carefully to the lung sounds.

"The lung sounds are very peculiar. They are gradually getting thicker. This is somewhat different from the lung sounds of bronchitis."

If it's not bronchitis, what disease is it?

Li Jingsheng was worried about misdiagnosis, so he immediately became extremely cautious.

After all, his small clinic had just been troubled by patients.

His in-breath diagnosis is currently at the proficient level.

It is sufficient to diagnose most respiratory diseases.

However, when encountering some cases that are difficult to detect or obscure, and the clinic itself lacks various auxiliary examination methods, his proficiency in in-hospital diagnosis is obviously insufficient.

There are still 402 health points left, which is more than enough to upgrade the in-call diagnosis.

This diagnostic technique is used almost every day, and is used very frequently.

Upgrade early and benefit early.

Based on this idea, Li Jingsheng began to spend money.

Directly upgrade the in-call diagnosis to Xiaocheng level.

Respiratory Medicine Xiaocheng 500/1000.

Diagnosis and treatment of internal organs has always been Li Jingsheng's specialty and the medical skill he is best at.

Many other medical skills have overtaken it with the help of the attribute panel, leaving it behind.

Even the diagnosis of gastroenterology has already reached the level of minor success.

At this moment, it finally caught up again.

His health points have been almost wiped out again, with only 24 points left.

Feeling that the upgraded Hu Nei Diagnosis was extremely powerful, he felt that it was worth spending more health points.

Try to re-diagnose this patient using low-level intra-breath diagnosis.

"Wow, it's so powerful! It can actually measure the nasal mucosa, the amount, concentration, and color of phlegm, as well as the roughness and shortness of breath sounds, etc."

During the diagnosis, Li Jingsheng felt how good the in-breath diagnosis was at Xiaocheng level. Once a symptom appeared, multiple diseases consistent with the symptom would immediately pop up in his mind.

It can even automatically filter like a computer.

Rank those diseases that have a higher probability and are compatible with each other at the top.

"When did you start feeling short of breath?"

"It started to get worse suddenly yesterday."

"Was it like this when you got sick before?"

"Yes, almost. This time it seems to be a little more serious."

After all, the patient is a teacher and is highly cooperative with Li Jingsheng’s consultation.

"The onset should be relatively acute, and the condition is still getting worse rapidly. The main symptoms are heavy breathing and shortness of breath. If it's not bronchitis, what kind of disease could it be?"

He racked his brains to diagnose the cause of the patient's illness.

A disease name that closely matched these symptoms and course of disease appeared in his mind.

COPD.

This is a name for a disease that makes many patients feel extremely miserable.

It is not a terminal disease in itself, but once it is acquired, it is difficult to reverse.

Just like liver cirrhosis and kidney failure, once started, it cannot be reversed.

There is no cure for this disease.

Only drugs and other treatments can be used to alleviate the condition, such as oxygen inhalation.

If the disease is not treated in time, the condition will worsen rapidly, and the patient may even die in his sleep.

Also, people with COPD cannot do strenuous exercise.

Cannot engage in heavy physical labor.

It will have a great impact on life.
To be continued...