Chapter 237 The god-like uncle recruited a master

"After you go back, you should eat more high-protein, low-fat foods. For example, chicken, mutton, shrimp, fish, etc. The dosage of the medicine is written on it. Try it for a few days and see if it works. If it works, continue taking it.

If you feel any discomfort or abnormality, you must come to our clinic or go to the hospital for examination in time."

Li Jingsheng warned the patient.

"Thank you Dr. Li! It's just that the foods you mentioned are very expensive. How can I, a working man, eat them every day?"

"It's not necessary to eat it every day. There are also ordinary things, such as rice, corn flour, carrots, bananas, apples, etc."

Li Jingsheng can understand the difficulties faced by patients.

People really don’t have that much money to buy a big meal of fish and meat.

"Is a banana okay? I heard that you should eat more bananas if you have constipation. I have diarrhea. Will eating bananas make it worse?" the patient asked.

"It's okay, you can't eat bananas as your staple food. And bananas won't aggravate your diarrhea."

"This time I feel confident! Thank you!"

The patient happily paid and left with the medicine.

The cost is not expensive and the disease has been detected, which makes the patient very happy.

As long as the medicine really works, she will definitely recommend Sunshine Clinic to people around her.

Medical treatment is cheap, the medical skills are superb, and the curative effect is remarkable.

After sending this patient away, Li Jingsheng went on to diagnose and treat the next patient.

He was an uncle who was nearly sixty years old. He looked like he was struggling to breathe. Every time he inhaled, he almost always inhaled with all his might.

It was as if someone had covered his nose.

There are many types of dyspnea. In the eyes of doctors, the first three types are distinguished.

The first type is that it is difficult to inhale, but exhalation is not affected much.

This can easily happen if you have a cold or a stuffy nose, for example.

The second type is difficulty breathing. This is rarer, but it does occur. It is usually caused by lung problems.

The third type is the most common, and it is difficult to exhale and inhale. For example, patients with respiratory failure or pneumonia are prone to difficulty breathing.

"Uncle, uncle, what's wrong with you?"

Li Jingsheng found that this uncle was really a role model among men, and he was already so ill. Since he came in, he had been staring at Munro.

It's really the kind that doesn't even blink.

Now that all the patients in front have left with their medicines, he is still staring at Munro in a daze.

Men, no matter their age, they will only be honest if they are hung on the wall.

"Oh, oh, it's my turn! I'm just out of breath."

After the uncle came to his senses, he didn't feel embarrassed at all.

When a man reaches this age, his skin has already become thickened.

"Girl, can you help me measure it too?"

"Just take his temperature and blood pressure. I'll listen to the heart and lung sounds!"

Li Jingsheng said to Meng Luo.

"Um!"

She responded softly and began to take the uncle's blood pressure and temperature.

I am really impressed by this uncle. Is he here to see beautiful women, or is he here to treat illnesses?

Munro took his forehead temperature, and he just looked up at him.

Facing such patients or customers, Li Jingsheng definitely doesn't like it. It's understandable that men like to look at beautiful women, and they won't be so rude!

Just look at him a few times, it's very impolite to stare straight at him.

"The body temperature is normal and the blood pressure is pretty normal."

"Okay, you go inside and help Sister Tang! I'll call you when something happens."

Li Jingsheng was a kind of protection for her.

It could be felt that she was being stared at closely by this elderly man, and she must be very unhappy.

It's just that it's in the trial stage now, so she doesn't dare to show any emotions.

She was afraid that Li Jingsheng would not be satisfied with her and would not hire her.

She is also a smart girl and naturally knows that her boss is helping her avoid this impolite uncle.

He nodded gratefully to Li Jingsheng and went to the medicine sales area to learn how to sell medicine with Tang Ping.

If you want to get a high salary at Sunshine Clinic, you still have to sell health medicines.

If you sell it for one hundred yuan, you can get five yuan.

As long as her sales skills are not too bad, even if she is a novice, she should have no problem selling around a thousand yuan a day.

Because there are so many customers coming to Sunshine Clinic to buy medicine now.

And they have a high level of trust in the medicines here.

Many customers even come here by car or drive to buy.

"This nurse is so good-looking!"

The uncle couldn't help but praise.

"Let me show you what the problem is first!"

Li Jingsheng smiled and shook his head.

When he auscultated the patient, he found that the patient not only had difficulty in inhaling, but also had problems when exhaling. The exhalation time was significantly longer than normal. There were also dry rales when exhaling.

There is no problem with body temperature, but the possibility of infection and inflammation of the lungs, bronchi, and trachea is very small.

"Come, lie down on the bed in the back, and I'll check your chest."

Li Jingsheng checked the uncle's chest and found that his chest was as round as a bucket.

When I was wearing clothes just now, I noticed that my uncle's chest looked a little fat, but he was not fat.

Looking at it now, there is indeed a problem.

The anteroposterior diameter of his thorax increased significantly and became barrel-shaped.

Looking at the ribs carefully, the slope is obviously smaller. Under normal circumstances, the angle between the ribs and the spine is less than 45 degrees, but in this patient, the angle between the ribs and the spine is significantly greater than 45 degrees.

Moreover, the intercostal space is widened and appears full, and the upper corner of the abdomen is significantly enlarged.

This is the most typical barrel chest.

The occurrence of this situation indicates that the patient has severe emphysema.

During the examination, he also found that the patient had an obvious three-concave sign when inhaling.

I took a finger oxygen clip and measured the patient's finger oxygen. The saturation was only 85%, which was far lower than the normal value.

Generally, when the blood oxygen is lower than 95%, you will feel a little uncomfortable, suffocated and so on.

This uncle's blood oxygen is so low, no wonder his face looks a little cyanotic.

Li Jingsheng was still wondering at first why this uncle looked so red.

Only now did I realize that there was a problem with my blood oxygen.

"Uncle, there may be a problem with your lungs. I need to take a chest X-ray to check the condition. This costs a hundred yuan separately. Can you think of it?"

"Money is not an issue, just shoot!"

The uncle is well dressed and very bold.

One hundred yuan may really be just a small amount of money to him.

I don’t know how he came to the clinic to see a doctor if he was so rich. And his condition seemed quite serious.

It would be safer to go to a big hospital for treatment.

At least that's what ordinary people should think.

Li Jingsheng took his uncle to the medical technology room to check it out. It took a long time to take a clear picture. There was no way, the equipment was old, so we had to make do with it.

Fortunately, it can be replaced soon.

The X-ray showed that the texture of the uncle's lungs was obviously thickened and a little messy. The front and back diameter of the chest became larger, the intercostal space widened, the ribs became flat, the diaphragm was low and flat, and the lung transparency seemed to have increased.

But because the inspection equipment is not very good, it is not so clear.

After checking this step, Li Jingsheng has basically diagnosed what disease the patient has.

"Uncle, judging from the symptoms you described and the X-ray examination results, it looks a bit like chronic obstructive pulmonary disease. You'd better go to a large hospital for further checks on lung function, sputum culture, electrocardiogram, and arterial blood gas analysis.
To be continued...