Practicing Medical Skills in a Small Clinic
Chapter 763 - 354: Muddy Medicine, Shameless Cryptococcus (Part 3)
Chapter 763: Chapter 354: Muddy Medicine, Shameless Cryptococcus (Part 3)
Almost ended up treating it as acute viral encephalitis.
Who would have thought that this shameless cryptococcus would disguise itself as a virus and deliberately confuse those doctors.
Viruses are often jokingly referred to by doctors as the traitors of the pathogen world.
Because they are fragments of pathogens that have mutated to gain the ability to replicate themselves.
Pathogens have the ability to survive on their own, but viruses purely plunder nutrients from their hosts.
When the human body is infected with pathogens, it might not show significant symptoms.
There are even large amounts of bacteria in the human oral cavity and intestines. Even human digestion requires the help of these bacteria.
Sometimes they are even called probiotics.
Li Jingsheng still remembers in his medical lab class when he saw his saliva full of bacteria and couldn’t eat for several days.
Just thinking about that scene makes him feel nauseous.
There is a difference between fungus and bacteria.
The biggest characteristic is that it is difficult to eliminate.
Almost all patients infected with fungi undergo at least fourteen days of continuous medication treatment.
But for ordinary bacteria or viruses, it might be resolved with medication in one or two days.
Cryptococcus is notoriously infamous among fungi, hard to detect, highly destructive, and spreads everywhere.
Like this child patient, it went straight to the brain, causing acute encephalitis.
"Even though this is just a preliminary result from the examination, I think we can already start using medication. Consider it experimental treatment! If it’s effective, we’ll see the results soon."
Director Rong said excitedly.
"Let’s not discuss dealing with cryptococcus then? All the directors are busy people, thank you everyone for the trouble today. If the child pulls through, let Secretary Bei treat you to a big meal."
Director Rong, being an older person, is indifferent to promotions and pay raises.
While other doctors tried their best to flatter and be cautious in speaking to the child’s mother, he appeared straightforward and casual.
"No problem, it’s entirely appropriate. Even if Director Rong didn’t mention it, I had planned to treat everyone to a meal as a token of gratitude after my son is discharged. You are all my son’s lifesavers."
Bei Yan readily agreed.
"Dr. Li, thank you for taking the time out of your busy schedule to come and save this child, and for helping us with the consultation here. You’ve shown me the strength of the Second Hospital. Let’s keep in touch and stay in contact often. If I encounter critically ill patients, in cases of respiratory or cardiac failure, I might reach out to you. However, as I usually work in the ICU guiding resuscitation and medication, I might not always be able to answer calls or reply to messages promptly, so I hope you understand."
Director Rong walked up to Li Jingsheng, firmly shaking his hand.
"You’re too kind, saving lives is my duty. I’ll save your number so I can consult you about things I’m unsure of in the future."
Li Jingsheng seized the opportunity to ask for contact information.
People of this caliber are usually very prudent in their words and actions.
Since Director Rong has already expressed wanting to stay in touch frequently, there’s no reason for him to stand on ceremony and not ask for his number.
"Why don’t you give me your number? I’ll dial it; as I get older, I find it hard to remember numbers."
Rong Xuekai said with a smile.
This kind of person is truly a model, unable to remember his phone number but able to remember all kinds of diagnostic experiences and medication.
Another crazy doctor just like Lian Tao.
Devoted to medicine, only interested in the diagnosis and treatment of diseases.
A senior in medicine truly worth learning from.
Both sides exchanged phone numbers, and Li Jingsheng said his farewells and left.
As he left, Bei Yan and his wife both shook his hand tightly, while Lian Tao, not one for formalities, joked with him a bit and left quickly.
Their friendship is so deep that they really disdain superficial pleasantries.
Li Jingsheng checked the time; it had taken a total of 86 minutes and would take about another half hour to get back to the hospital.
What a tough life, this consultation almost took him two hours.
But if the child can actually be saved, it would be worth it.
After all, a life was saved.
Back at the Second Hospital, he still appeared calm and composed, the same low-key outpatient doctor as always.
The students’ skills were limited and they only managed to treat eight simple joint dislocation patients; they were still not capable of handling fractures.
Moreover, they couldn’t handle complex wrist, elbow, ankle, knee joint dislocations, and displacements either.
Manual bone setting is not easy to learn.
Even if you learn it, doing it well is also not an easy task.
It requires countless practice and accumulation to improve.
Li Jingsheng hopes these students will grow up soon, and even Dr. Chen, who lacks talent, isn’t given up on.
Instead, he made sure Dr. Chen remembers the phrase: diligence makes up for clumsiness, and the slow bird flies early.
Obviously the senior among the five, yet he has been surpassed one after another by Ye Hui, Yang Luqing, and others, which must have been a big blow to Dr. Chen’s heart.
Back then, Doctor Xu’s refusal to teach him was actually well-intentioned, for his own good.
Because his talent was too poor, very hard to achieve success.
Rather than wasting time and energy on manual bone setting, it would be better to develop in other medical fields.
Unfortunately, Dr. Chen himself never thought so, stubbornly wanting to learn manual bone setting well.
From his operation to realign a patient’s shoulder joint, it’s clear he must practice diligently at home.
It’s just that his understanding is poor, causing slow progress.
The patients waiting outside, seeing Li Jingsheng hurriedly return, all showed happy expressions.
Many fracture injuries, if not treated here, would require surgery at another hospital.
Drilling N holes in the bone, applying steel plates, fixing with screws into the bone, how does that compare to manual bone setting and realignment?
It’s not just about higher costs; undergoing surgery is inherently harmful to the body.
After realigning the bones, inserting pins or plates for internal fixation is yet another harm.
Once healed, removing the cast would harm the body again.
Surely no patient is foolish enough to be swayed by the nurses into thinking surgeries are harmless and will eventually recover. They only choose surgery when there’s no other option.
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