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252. Chapter 251 Double Heart? Confident young man(1/3)

 Chapter 251 Double Heart? Confident Young Man

After examination, the main pain areas were in the left iliac fossa and pelvic area.

At this time, Li Jingsheng felt confident and his expression became solemn.

Maybe, this patient needs to be transferred to a large hospital for treatment.

"You are afraid that you may have intestinal ischemia or even thrombosis. I will give you an X-ray examination and a B-ultrasound examination to check the condition of your abdominal cavity. Do you think it is okay? Because it is a clinic, the fee is not expensive, only one hundred yuan each time.

, there’s no need to queue up yet. Just take a picture and see, you and I will feel at ease.”

Dr. Shao is worthy of having opened a clinic and practiced.

Dr. Wang's speech and skills in communicating with patients are really not comparable to Dr. Wang's.

To hire Dr. Wang, Li Jingsheng offered a basic salary of three thousand.

If you hire a master like Dr. Shao, he can offer you a base salary of 5,000.

"Can!"

The patient readily agreed.

Li Jingsheng personally took a plain abdominal X-ray for the patient.

You can see that the intestines are obviously dilated and inflated.

If possible, it would be safer to undergo a barium enema.

It is impossible for him to do this test here.

Then I checked the B-ultrasound.

It was relatively ideal and no obvious blood clots were found.

In fact, when checking for blood clots, CT examination will be more accurate.

After the examination, Li Jingsheng looked at Dr. Shao.

"It should be ischemic enteritis, and the situation is not particularly serious. We can give it a try here. If the effect is not good, you can only go to the hospital for interventional surgery or even resection of the necrotic intestinal segment."

Dr. Shao gave his own conclusion.

"Dr. Li, please help me check this!"

The patient has sat up on his own.

"My diagnostic opinion coincides with Dr. Shao's. Judging from the X-ray taken just now, no obvious blood clots were found, and no obvious signs of necrosis were found in the intestines. If you are willing to try treatment here, you can give it now

You take medicine. Then you need to follow our arrangements for your diet in the past few days. You must not eat anything you can't eat."

Li Jingsheng said to the patient.

"Since you two doctors have said so, what else can I say? I am willing to try treatment here."

Patients have great trust in Sunshine Clinic.

"Dr. Shao, then you can prescribe medicine to the patient!"

"I am going to use 5% glucose injection + 10% potassium chloride 10ml, and one gram of metronidazole, and infuse it to see the effect."

"It's very good. This prescription can be regarded as a popular formula for treating this disease."

Li Jingsheng readily agreed.

From this prescription, it can be seen that Dr. Shao's prescription level is not inferior to that of senior attending physicians, and he is the attending physician in the third grade of the university.

Li Jingsheng's current prescription level is at this level.

All the health points he earned these days have been used to improve his surgical skills.

The level of prescriptions and medicines is at the senior doctor level, which is completely sufficient for the time being.

"If the treatment is effective, I suggest you try intravenous infusion tomorrow with 500ml of low molecular weight dextran and 20ml of compound salvia miltiorrhiza."

Li Jingsheng proposed a combined medication plan.

Ischemic enteritis is actually more dangerous than imagined, and you need to be careful of thrombosis and intestinal necrosis.

Even in large hospital outpatient clinics, special care is taken when treating such patients, and hospitalization is usually required.

Moreover, large hospitals have a great advantage: they can complete all necessary examinations before admission.

After the patient is admitted to the hospital, medical staff will be on duty and monitored 24 hours a day.

As long as there is any abnormality in the patient, it can be discovered immediately.

"Dr. Li's level of medication is very high! It seems that as doctors, we really can't use age to judge the level of a doctor."

"Haha, Dr. Li's level is certainly very high. Otherwise, I wouldn't have made a special trip to see him. I asked two doctors to pay more attention to my disease. After I am cured, I will try my best to help you with more publicity."

The patient really came here for Li Jingsheng.

After the patient was prescribed a prescription, Tang Ping gave him the infusion himself.

Munro's level is actually very high, but her skills as a surgical nurse are stronger.

Dr. Shao began to diagnose and treat patients one by one, showing deep knowledge in many fields of internal medicine.

Li Jingsheng was acting as an assistant to Dr. Shao.

By the way, let’s also learn about Dr. Shao’s true strength.

If Dr. Shao makes any omissions, he will definitely correct them in time.

Perhaps because Dr. Shao is older and has a convincing reputation for treating several patients in succession, the trust of the patients in line behind him has obviously increased significantly.

At this time, a woman in her forties sat next to the consultation table.

Her breasts are extremely big.

It's much better than those anchors who stuffed it with cotton on purpose.

"Doctor, I feel that I have been feeling a dull pain in my chest recently. I feel particularly uncomfortable especially before going to bed at night and when I get up in the morning. Can you help me take a look?"

As soon as he heard chest pain, Li Jingsheng immediately became highly vigilant.

But he didn't make a sound.

But let's see how Dr. Shao handles it.

"Okay, let me listen to your heart and lung sounds first."

Dr. Shao first measured the patient's forehead temperature and found that the temperature was normal.

Then instruct the patient to press the stethoscope probe to the pericardium.

The operation process was much more prudent than Dr. Wang's reckless behavior when he first went to work.

"Do you have a cough?"

"Occasionally I cough twice."

"It doesn't feel like a big problem. The heart sounds are normal and clear, and there is no murmur. I suggest you go home and observe again." Shaobing did not find out the specific cause of the disease for the patient, so naturally he would not prescribe medicine randomly.

Moreover, for symptoms such as chest pain, doctors with a little more experience would not be able to prescribe carelessly.

"Dr. Li, can you please check me again? He said there is no big problem with me, but I can't believe it because I feel really uncomfortable when I get up in the morning."

The female patient spoke very politely.

Her figure is not particularly obese, she can only be considered slightly obese.

After Li Jingsheng listened, he immediately took the stethoscope and listened to the patient's heart and lung sounds again.

When I first listened to it, it was indeed normal.

But after listening for a while, he frowned slightly.

Because he felt that the patient's heart sounds seemed a bit deep, but not quite like it.

How should I put it? It's like a heartbeat making a sound.

Boom!

Then there was a softer sound that repeated itself, but it was combined with the previous heart sound, so it sounded a bit heavy.

"Can you raise your hands above your head? It's kind of like stretching."

Li Jingsheng said to the patient.

The female patient glanced at him, a little embarrassed.

If she hadn't seen the serious look on Li Jingsheng's face, she would have suspected that this young male doctor was a little unruly.

She still did as she was told.

Dr. Shao stared at her, couldn't help but look away, then turned back and continued staring.

Li Jingsheng, on the other hand, was more serious. He stared openly, frowning, and listened carefully to the changes in his heartbeat.

"Hey, that's right, just like that, you lift your right hand up and then press it down slightly on the right side."

This is equivalent to bending to the right.
To be continued...
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