Practicing Medical Skills in a Small Clinic
Chapter 775 - 360: Buying a Car, Putting in a Word (Part 3)
Chapter 775: Chapter 360: Buying a Car, Putting in a Word (Part 3)
Li Jingsheng sped up his breakfast.
Siying lives close to the clinic now, so she arrives early for work every day.
She’s a diligent young lady.
Perhaps because Li Jingsheng treats her well, they have a mentor-apprentice relationship, and she never fusses over little things at work.
After finishing breakfast, Li Jingsheng hurried to the consultation hall.
Some patients and family members waiting in line recognized him and greeted him.
Li Jingsheng responded to each of them, his attitude warm and friendly.
The young boy’s parents were telling Siying about the treatment at the big hospital yesterday.
"Dr. Li, we took our child to the big hospital yesterday; just the examination took up half the day. They diagnosed him with acute gastroenteritis, but after the injection, my son still had a fever. His stomach pain seemed a bit better, but he was still complaining of stomach pain while sleeping last night. I thought about it and still felt more at ease having you treat him."
Listening to the child’s father, Li Jingsheng felt a bit embarrassed.
Yesterday, he had asked them to do a check-up at the clinic, but they went straight to the hospital.
Today, they were back.
Going back and forth.
The key is that you can’t criticize such family members, otherwise they might directly confront the doctor.
"Which hospital did you visit?"
"Second Hospital."
"Which department?"
"Gastroenterology."
That should be Xiao Linlin’s department. Not sure which doctor attended the case?
"The child is experiencing abdominal pain, vomiting, fever, high blood pressure, and a mild anomaly in the stool routine test." Li Jingsheng looked at the medical records Siying had inquired about and confirmed with the family.
"Yes! These are exactly the symptoms. Yesterday, you mentioned that the child had high blood pressure; we checked at the hospital as well, and they noted that the low pressure was a bit high and suggested we get an appointment in Cardiovascular Medicine to check it out."
Gastroenterology only manages diseases related to the digestive system.
They indeed can’t treat high blood pressure.
The child’s parents might not understand this, possibly resulting in dissatisfaction. Not every doctor can be like Li Jingsheng, who can diagnose any ailment.
Many doctors, when encountering diseases outside their expertise, can only suggest that patients get an appointment in the corresponding department.
Some patients may need to get five or six appointments in one day.
They might then think the doctors are just passing the buck.
Li Jingsheng reviewed the child’s examination results from the Second Hospital.
Hemoglobin was 1112 g/l, red blood cells 5 to the power of nine per liter, white blood cells 15 to the power of nine per liter...
The abdominal X-ray showed no signs of fluid accumulation or liquid level.
"It shouldn’t be acute gastroenteritis."
After reviewing the examination results, Li Jingsheng checked the child’s abdomen again; the pressure pain response was similar to yesterday.
However, the left lower abdominal pressure pain of the child was not very pronounced, and the periumbilical abdominal pain seemed to have eased somewhat.
Conversely, the right lower abdominal pain still existed, but it wasn’t very obvious.
Yesterday, pressing the child’s right lower abdomen would cause the child to frown, scrunching his nose, gritting his teeth, his body slightly curling. Today, pressing it caused almost no reaction.
"Acute mesenteric inflammation? Or allergic purpura?"
Considering the child’s high blood pressure symptoms, it was hard to determine whether it appeared before this illness or accompanied by the illness.
Medical diagnosis and treatment are extremely serious matters.
The gastroenterologist advised the child’s parents to consult Cardiovascular Medicine, also for safety reasons.
High blood pressure in such a young child is inherently abnormal.
Allergic purpura, especially in children, can cause bleeding in the peritoneum and sub-serosa of the intestines, resulting in obvious abdominal pain and tenderness. Sometimes joint pain and swelling may accompany it.
But this child didn’t show these symptoms, so Li Jingsheng preliminarily ruled it out.
Appendicitis commonly exhibits shifting abdominal pain.
Eventually appearing in the right lower abdomen.
"Given the child’s high blood pressure, based on the existing examination, we can’t determine if the high blood pressure is related to the child’s abdominal pain, fever, and other symptoms. His current condition is actually quite dangerous. I recommend you take him back to the Second Hospital for treatment, allowing them to clarify the cause. Some diseases may have inconspicuous early lesions, making them hard to identify; patience is necessary, giving the doctors some time."
Li Jingsheng did not intend to admit this child.
On one hand, the child’s parents were indecisive and lacked sufficient trust in doctors.
On the other hand, the cause of the child’s high blood pressure was unknown, representing a significant hidden risk.
"We still prefer treatment at your clinic."
The family might have been exhausted by yesterday’s experience at the hospital and felt the clinic’s treatment would be simpler.
"Firstly, I sincerely appreciate your trust in the Sunshine Clinic. However, the cause of the child’s illness has yet to be identified. Treating him in our clinic would essentially be following the hospital’s standard—anti-infective therapy, anti-inflammatory, analgesic, antipyretic treatments. Moreover, from the child’s various symptoms and progression of illness, I suspect it might be an acute appendicitis-related disease.
This condition usually requires surgery for resolution.
Our clinic can only handle simple surgical procedures. If the child is indeed diagnosed with appendicitis, hospital treatment would be necessary.
Take my advice, promptly take the child to the hospital for treatment!
I also work at the Second Hospital. If you’re opting for treatment there, I can help by notifying the chief physician to personally attend to the child."
Li Jingsheng said to the family.
The child’s parents, worn out by sleepless nights, looked at each other, exchanged a few words, and ultimately accepted Li Jingsheng’s advice.
"Alright, we will follow Dr. Li’s advice and take the child back to the Second Hospital for treatment. Please help us notify them, Dr. Li."
The family knew that Li Jingsheng worked at the Second Hospital.
This was no longer a secret; many people were aware.
The child’s father fished out two red notes from his pocket.
"A small token, please enjoy some tea, Dr. Li."
"No, no, no, it’s simply because you are acquaintances that I am willing to help with this request. The child is still so young, looking quite pitiful, quickly take him to the hospital. Be prepared for hospitalization, and bring the insurance card, ID card, clothes, and other items."
Li Jingsheng said to the family.
For such a small favor, he certainly couldn’t accept money from the family.
If he did want to take money, two hundred yuan wouldn’t be worth putting in a word.
The family’s attitude this time was very different from last time, expressing deep gratitude as they left.
Li Jingsheng then rode his bicycle to work at the hospital.
Honestly speaking, it’s much more convenient than taking a taxi.
As long as it’s not rainy, riding a bicycle is very convenient.
His mind was still contemplating the cause of the child’s illness.
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