Practicing Medical Skills in a Small Clinic

Chapter 768 - 357: No Job Is Easy, Elevated Diastolic Pressure Is a Warning Sign

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Chapter 768: Chapter 357: No Job Is Easy, Elevated Diastolic Pressure Is a Warning Sign

"I will definitely do a good job! As for taking care of my wife, going back home once during lunch should be enough. But if she catches a cold or gets sick, I won’t be at ease, and might need to ask for leave to go back several times a day."

Upon hearing there’s a year-end bonus, Xiang Cangsong’s eyes started to sparkle.

The highlight of his life was being a migrant worker, working on construction sites.

Earning six to seven thousand yuan a month.

However, it was unstable.

You could earn that when there was work. In fact, many migrant workers frequently face issues like work stoppages, inability to work due to rain, or struggling to find jobs as subcontractors throughout the year.

Usually living at the construction site is free, but the conditions are basic.

Regarding food, the boss pays when there’s work, but workers pay when there’s no work.

Furthermore, most of the work is very laborious, dirty, tiring, and has certain risks.

Furthermore, not getting paid during the New Year is common.

Things like social security, medical insurance, year-end bonuses are basically nonexistent.

Now working as a security guard at Sunshine Clinic, firstly, the job is easy, and the salary is stable, paid on time every month.

Li Jingsheng will also handle his social security payments.

If he performs well, a year-end bonus will be given.

Benefits have been numerous.

"Hmm, we can discuss these when the time comes. As for leave, you can take one day off a week. On statutory holidays, like Labor Day, National Day, if you’re on duty, you’ll get triple pay."

As soon as Li Jingsheng finished speaking, Xiang Cangsong’s eyes sparkled again.

Getting triple pay was something he wouldn’t dare to dream of.

"Come, let me take you to familiarize yourself with the environment and your work tasks now. Can you write?"

"Yes! I have a junior high school education, but later my family was too poor, and my grades weren’t good so I didn’t continue. Simple writing is fine."

"That’s good!"

Li Jingsheng could also guess that Xiang Cangsong’s education wasn’t high.

Otherwise, he wouldn’t have ended up running a motorcycle taxi.

"The bathroom is over there, if you want to drink water, you can get it from the drinking machine in the office. You can prepare a bigger water bottle for yourself. This is the guard room, and it will be your workplace from now on. During the day, patients don’t need to register when they come and go, but vehicles entering and leaving the courtyard need to be registered. At night, registration is required to enter. If someone causes trouble, you are obliged to assist our clinic’s doctors, nurses, and customer service staff in handling it.

Mainly to ensure the safety of clinic employees.

If a criminal breaks into the clinic to cause harm, you need to immediately stop them and protect patients, family members, clinic staff, etc.

Also, the clinic’s property safety needs to be safeguarded by you.

If someone enters the clinic to steal, you can detain them on discovery, and then promptly call the police.

During the day, our clinic doesn’t have high security requirements, mainly at night.

Because the clinic is still in its early stages, to save costs we hope you can stay in the guard room 24 hours a day. You can sleep in there at night; I’ll get you a bed."

Li Jingsheng briefly explained the work requirements.

This job wasn’t tiring, but it required staying at the post around the clock.

"It’s not a problem for me to stay here 24 hours a day, but what about my wife?"

"You can take time to visit her in the morning, noon, and evening. Anyway, that’s roughly what the job entails; you can think it over, and if you’re up for it, take the job. If you think you can’t take care of your wife, then you might as well continue with the motorcycle taxi service."

Li Jingsheng believes he can completely overcome these difficulties.

"Then I’ll give it a try!"

After a brief thought, Xiang Cangsong made a decision.

Finding such a good job isn’t easy, and it’s close to home.

Many problems can be solved by thinking of ways to overcome them.

In the long run, being a security guard at the Sunshine Clinic is definitely a very good job.

"Alright, I’ll give you a logbook for registering entries and exits. Give me your clothing size, and we’ll get you two sets of uniforms."

Li Jingsheng was actually a bit worried about Xiang Cangsong being stubborn and refusing to agree.

Fortunately, Xiang Cangsong seized this opportunity.

Having arranged for Xiang Cangsong, Li Jingsheng went to the reception hall to start his consultations, without further mention.

Having a security guard at the clinic felt distinctly different.

The impression it gave outsiders could noticeably improve.

With a security guard present, even if nothing is done, it could deter many ill-intentioned individuals.

For example, a thief wanting to enter the clinic to steal.

Seeing a security guard at the entrance immediately instills a sense of fear.

With an added security guard, clinic staff also feel more secure.

"Siying, start calling the numbers!"

Li Jingsheng sat at his consultation desk, checked the time, and spoke to Han Siying.

"But isn’t it not eight o’clock yet?"

"Why wait until eight? Don’t be dogmatic."

Li Jingsheng criticized her.

The first patient quickly arrived.

A three-year-old boy was brought by his father, with his mother following closely behind.

Both parents were visibly anxious.

"Dr. Li, I don’t know what’s wrong with my child. He’s got a fever, tummy aches, and a bit of diarrhea."

The child’s father described his child’s condition anxiously.

It seemed clear that this father was probably quite inexperienced.

"How long has this situation been occurring?"

Li Jingsheng looked at the child.

The little boy shrank in his father’s arms, with a pained expression on his face, his brows furrowed, but he neither cried nor made a fuss. He just looked like he was in poor spirits.

"Around seven or eight o’clock last night, he started complaining of stomach pain. He has experienced similar situations before, and it usually gets better after a while. But this time, it didn’t get better after a whole night, so we rushed here. We especially came to your clinic; my last gastritis was cured here."

The child’s father added another sentence.

"My husband praises your clinic’s medical expertise to everyone. His stomach issues have occurred not just once or twice. Previously, when we got medicine from other clinics, it always only provided relief. After a short time, or after eating something cold, it would flare up again. Last time, the medicine from your clinic cured it in one go. It hasn’t recurred since."

The child’s mother chimed in from the side.

"Some gastritis is just a minor issue; it’s mainly about taking care of oneself. Come, put the child on the examination bed inside, and I’ll first check the child’s abdomen."

Li Jingsheng sees a large number of patients daily; he genuinely doesn’t remember ordinary patients.

He’s now quite skilled in treating digestive tract diseases.

He’s currently accumulating experience, preparing to level up the medical techniques of Fang Yao, which will make his pharmacy skills better and allow him to handle resistant illnesses more smoothly.

"Siying, measure the child’s blood pressure and temperature."

Li Jingsheng himself listened to the child’s cardiopulmonary sounds, checking respiration, heart rate, and pulse.

For such patients, measuring these vital signs is essential.

"The child’s pulse feels a bit irregular; focus on measuring the blood pressure."

Li Jingsheng’s diagnostic experience is increasingly rich, allowing him to discover many issues when examining a patient’s pulse.

For example, heart failure patients often have weak pulses.

This child’s pulse seemed strange; his first instinct was that the blood pressure might be high.

Blood pressure is composed of two parts; the pressure when the heart contracts, known as systolic pressure, is considered high pressure. Normally, if an adult’s pressure does not exceed 139mmHg, it is within the normal range.

Sometimes after vigorous exercise or emotional excitement, blood pressure can significantly rise.

The results measured during these times are not very reliable.

Blood pressure measurement becomes more accurate only when calm.

Children’s blood pressure does differ somewhat from adults’.

Some doctors, for convenience, may use the same standard for both children and adults.

Li Jingsheng’s personal experience suggests using the formula: child’s age × 2 + 100mmHg as a fairly standard systolic pressure value.

This child is three years old, so it would be around 106mmHg.

Of course, this is just an estimate.

In reality, children’s blood vessels are very new and elastic, generally not prone to high blood pressure.

Any instance of high blood pressure calls for vigilance, as sometimes it indicates a significant issue.

He listened to the child’s heart rate and breathing, both relatively normal.

Examining the child’s face, it was pale; his eyes were lively, his consciousness clear, but his spirit was listless.

He presented an acute illness image.

"Little friend, let uncle see your mouth! Open wide!"

Li Jingsheng gently said to the child.

The child was not very cooperative, but under his mother’s guidance, he opened his mouth.

Li Jingsheng used a small flashlight to check; there were no blisters inside the mouth, but the throat appeared congested.

The tonsils were noticeably swollen.

This likely indicates tonsillitis, which should be the main reason for the child’s fever.

"Body temperature is 38.7 degrees."

The fever was quite apparent.

Under normal circumstances, clinically, doctors with experience suggest not rushing to reduce fever below 38.2 degrees.

Because fever helps eliminate viruses.

Each rise in body temperature by about 1 degree potentially strengthens the immune system almost double.

It may sound exaggerated, but fever is undoubtedly the body fighting disease, striving to eradicate it.

Everyone has likely experienced a cold; if it doesn’t cause a fever, it’s more troublesome.

Once fever occurs, the illness usually resolves quickly.

That’s the principle behind it.

"What’s the blood pressure?"

Li Jingsheng asked.

"Systolic pressure 107mmHg, diastolic pressure 93mmHg."

Han Siying replied.

Li Jingsheng furrowed his brow; how could such a young child exhibit high diastolic pressure?

"Measure it again, trying the other arm."

He knows very well that all cases of high blood pressure have a progression.

When the blood vessel wall is damaged, vessels automatically repair themselves. But after recurrent damage, their elasticity worsens, leading to high blood pressure symptoms.

Early symptoms of hypertension often go unnoticed.

It often displays a normal systolic but high diastolic pressure.

If it repeats through multiple measurements, it must be given attention. Finding and resolving the issue is necessary to improve blood pressure.

Because normal systolic and high diastolic pressure often indicate early-stage hypertension.

Many think having hypertension means lifelong medication, but that’s actually a misconception.

During the early stages of hypertension, blood pressure control and vascular protection can completely reverse the condition.

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