Practicing Medical Skills in a Small Clinic
Chapter 869 - 412: As Expected, It’s a Serious Illness—Higher Status Has Arrived
Chapter 869: Chapter 412: As Expected, It’s a Serious Illness—Higher Status Has Arrived
The dining hall is on the basement floor, it’s really hard to find an adjustable bed.
"There’s supposed to be one on the second-floor obstetrics and gynecology outpatient clinic, hurry and bring one over."
Li Jingsheng shouted at the two medical students.
At crucial moments, these young ones tend to panic and lose their heads.
Only someone like Li Jingsheng, who has been through the trials and tribulations, can stay calm and composed.
Everyone has practiced rescuing patients a few times.
But rescuing someone close, especially an important leader or family member, is different.
To be blunt, rescuing strangers, everyone just tries their best. If they can’t be saved, the most you’ll feel is a bit of discomfort, that’s it.
Rescuing important leaders or relatives, that’s different.
Every change in the patient’s condition affects the medical staff involved emotionally.
Their emotions are deeper and more urgent.
"Director Bi, are you feeling any headache right now?"
"Not really."
Director Bi is an experienced doctor himself, and he already sensed something was wrong.
He just didn’t expect the disease to strike so suddenly.
And this firsthand experience is quite different from what he imagined.
"Come on, let me carry you to the CT room."
Li Jingsheng has been around the second hospital for a few months and is well-acquainted with its layout.
Mostly due to his remarkable skills, several department directors rely heavily on him. When they face complex cases, they think of inviting him for consultation.
Pulmonary Medicine, Digestive Medicine, Cardiothoracic Surgery need not be mentioned.
These three departments are already old acquaintances with Li Jingsheng, and he’s a familiar guest there.
This also made him more familiar with the hospital environment.
Just like when he directed the two medical students to find the adjustable bed on the second floor, he immediately remembered seeing such a bed in the corner of the obstetrics and gynecology outpatient clinic above the cafeteria.
Because he had seen it during one of his temporary assistance visits.
Li Jingsheng picked up Director Bi and ran directly toward the CT room.
Every second is especially precious now.
There are usually some signs before a brain stroke, but the time is very short.
Some strokes have no particularly clear signs and can be easily ignored.
Only a professional medical staff like Li Jingsheng, always maintaining high alertness, can be particularly perceptive.
He has no choice; his small clinic cannot afford any accidents, cannot withstand any big storm.
If someone happens to die, his clinic could be shut down.
In terms of risk resistance capacity, a clinic cannot compete with a hospital.
Sometimes a hospital might face a scenario where someone dies unexpectedly; the family is called in, a payment is made to keep them quiet, and the issue is resolved.
A clinic is different.
If Sunshine 2 Clinic causes a patient’s death, regardless of whether it’s their fault, if the family sets up a mourning hall outside, even just burning paper money, it could directly lead to Sunshine 2 Clinic’s closure.
Even the storefront becomes hard to lease afterward.
This is a classic example of weak risk resistance ability.
Sunshine Clinic is much stronger than Sunshine 2 Clinic but still just a clinic.
Its current risk resistance ability is still not very strong.
This constant crisis awareness of a sword hanging over his neck makes Li Jingsheng involuntarily view everyone with the eye of a doctor.
Several doctors with many years of experience have mentioned in interviews that, to them, men and women are the same, just a collection of organs.
Though the statement is exaggerated, it’s essentially true.
Li Jingsheng doesn’t see a heap of organs when viewing patients but notices their complexion, demeanor, and mental state.
He’s more focused on whether the patient is healthy or if there are major disease risks present.
Director Bi had just finished surgery and was leading a team of doctors and the interns to dinner, a perfectly normal thing.
No one expected disaster to strike so suddenly.
Being carried by Li Jingsheng to the CT room, his heart was a mix of gratitude and a touch of fear.
This is the instinctive fear when facing a major illness.
"It might have just been my misjudgment, so please don’t worry."
Li Jingsheng, panting heavily, didn’t forget to reassure Director Bi.
"I’ve been a doctor for a lifetime, saving people for a lifetime, but I didn’t expect today I’d need you to save me. How did you spot my problem earlier? Honestly, I didn’t even notice myself."
Director Bi asked Li Jingsheng.
"Haven’t we interacted a few times before? I have some impression of your voice and smile. Earlier, at the first glance, I felt something was off, like a slight slant in your mouth corner. Then I kept observing you carefully."
Li Jingsheng chatted with Director Bi, diverting his attention.
The two medical students were quick, already pushing an adjustable bed over from the side passage.
"You guys push the bed along, it’s not far, I’ll carry Director Bi straight to the CT room."
Li Jingsheng definitely has a reason for doing this.
Trying to lessen the brain blood pressure of Director Bi as much as possible.
"Better not take the antihypertensive for now! If the blood pressure is high and the situation is urgent, you can directly use vasodilators."
Although this approach doesn’t align with treatment principles.
But it’s the most direct and effective method.
Antihypertensives don’t take effect immediately after consumption; they need to be absorbed by the body for a gradual therapeutic effect.
Vasodilators have an almost immediate effect.
Commonly used in clinical emergency medicine.
As of now, Director Bi is only suspected of illness without any conclusive diagnosis.
Therefore, Li Jingsheng’s suggestion of using vasodilators doesn’t strictly adhere to protocols.
However, they are all doctors, so no extensive explanation is needed.
Just by mentioning it, Director Bi understands his intent and prefers this unconventional treatment approach.
Carrying Director Bi into the CT room.
A medical student had gone ahead to communicate with the CT room physician, explaining the circumstances.
Chest pain, brain stroke, there are emergency pathways in hospitals.
Director Bi holds a significant position in the second hospital, experiencing issues now; with some flexibility, the CT room staff won’t refuse the examination.
"What about the blood pressure? Should we measure it?"
"Let’s not measure it for now! If Director Bi is cleared of issues, that’s a blissful relief. If there’s a problem, every second is the golden time to save lives. Blood pressure measurement can wait until post-examination downtime."
Li Jingsheng took charge on-site.
Director Bi agrees to it, and the others have no objections.
"Old Bi, it’ll be fine, stay calm!"
It must be one of their surgical team nurses, in her thirties, gently comforting Director Bi.
The patient was sent into the CT room, with Li Jingsheng and the others stepping out.
The door closed.
Soon after, the CT room door opened.
His brain has issues—there’s already a blood vessel rupture with bleeding.
Need for further investigation of the cause and more rescue treatment.
Upon getting the results, everyone felt concerned for Director Bi.
Privately, they were relieved that Li Jingsheng timely identified Director Bi’s anomaly.
If they waited till a complete rupture and major bleeding, the consequences would be very severe.
The prognosis for a brain stroke is often particularly poor.
The most optimal rescue time is before it fully occurs.
However, it’s different from coronary heart disease or acute myocardial infarction.
Before a heart attack manifests, there’s usually chest pain, tightness that lasts quite a while.
It can persist even a month or longer.
It develops gradually.
In milder cases, there can be sustained chest pain, tightness, rapid breathing a day or two before the onset.
General surgery staff, particularly Director Bi’s team members, are quite proud, but at this moment, their view of Li Jingsheng has changed significantly.
Respect, and much gratitude.
Many of them were cultivated by Director Bi himself, harboring deep feelings for him.
Now that Li Jingsheng saved Director Bi, it’s like saving one of their own.
They genuinely admire Li Jingsheng’s abilities.
No one else noticed Director Bi’s abnormality, yet Li Jingsheng identified it with a mere glance.
This is real skill!
Li Jingsheng watched as Director Bi was sent for emergency rescue and further examination, then gracefully withdrew to quickly resume his meal.
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