Practicing Medical Skills in a Small Clinic
Chapter 878 - 420: Deadly Acute Epiglottitis—Trouble at the Baozi Shop Owner
Chapter 878: Chapter 420: Deadly Acute Epiglottitis—Trouble at the Baozi Shop Owner
"Are you a host at the TV station?"
Li Jingsheng thought she didn’t quite resemble one.
Because TV hosts are often particularly beautiful with outstanding temperament.
Although this woman’s Mandarin was clear and precise, her appearance and demeanor differed from that of a TV host.
"Hehe... It would be nice to be a TV host! I’m just a freelance host, ready to take any gigs for weddings, funerals, ceremonies, or store openings."
So she turned out to be a freelance host.
After speaking a few words, her breathing became labored.
There was noticeable wheezing.
This indicated she was struggling to breathe.
"Do you find it difficult to breathe out?"
"Breathing out feels fine, just takes a bit more effort than usual. It’s mainly inhaling, like my nose is blocked. It’s hard to describe, just feels a bit suffocated."
She tried hard to describe her feelings.
Li Jingsheng had casually checked her tonsils earlier, still thinking her problem probably lay in the throat area.
"I’ll check your throat for you again!"
"Okay! Thanks!"
She nodded in agreement.
The pharynx and larynx actually belong to two different parts.
The pharynx is located above, the larynx below.
Fish bones most easily get stuck in the pharynx because there’s a pressing motion during swallowing here.
The larynx is prone to inflammation or infection.
Sometimes you need a tongue depressor to see the larynx clearly.
Even need a laryngoscope at times.
Li Jingsheng took out the tongue depressor, rest assured, it was sterilized.
He extended it into the patient’s mouth, pressing her tongue root.
"Ugh..."
She had a gagging reaction.
"Relax, bear with it a little, I’ll check your larynx. Since the location is relatively deep, I need to press the tongue to see clearly."
Li Jingsheng comforted the patient.
By now, he had already noticed the condition, the patient’s epiglottis showed obvious redness and swelling.
Under normal circumstances, the space of the epiglottis is very spacious, in an inverted V shape.
Like a door.
At present, due to the redness and swelling of the patient’s epiglottis, the gap has become very narrow. The whole is deformed, leaving only a round hole at the bottom.
This should be the real reason for the patient’s breathing difficulties and throat pain.
"Your epiglottis is congested and swollen, blocking the glottis."
Li Jingsheng informed the patient of her condition.
Diphtheria, acute laryngotrachitis, foreign object impaction, etc., can all cause this condition.
The patient’s symptoms and throat presentation didn’t seem like diphtheria.
Li Jingsheng wasn’t particularly proficient in otorhinolaryngology, just knew a bit.
Could it be an epiglottic cyst?
Clearly it didn’t seem like it either.
"Dr. Li, is the swelling of my epiglottis serious? Please prescribe me some medicine! I have a hosting gig this afternoon and three more tomorrow."
She was more concerned about whether her work would be affected.
"It’s serious, if left untreated, this condition can be life-threatening."
Li Jingsheng said earnestly.
"Ah... Is it really that serious? Don’t scare me, okay!"
She clearly hadn’t realized the seriousness of the issue.
"You have epiglottitis, from your description, it should be acute epiglottitis. It’s very dangerous and can’t be delayed, it must be treated with medication immediately. Now the glottis is almost completely blocked, there’s a noticeable abnormality in your voice.
If the swelling doesn’t subside today, it could completely obstruct the airway at any time. At that point, you could become asphyxiated in just a few minutes.
Rescue might not even be possible.
I recommend you go to the hospital for emergency treatment immediately, then receive inpatient care."
Li Jingsheng’s tone was very serious.
Some illnesses seem serious but aren’t a big deal, you can get through them.
Others appear ordinary but can easily be fatal.
In Li Jingsheng’s eyes, with rich clinical experience, diseases of the throat area are extremely dangerous.
"Ah! That’s so frightening! What should I do?"
Seeing Li Jingsheng speak so seriously, she couldn’t help but feel a bit panicked.
"Immediately go to the hospital for inpatient care, this is the safest and most effective way. In your situation, there should even be a tracheotomy set prepared bedside, ready to establish an artificial airway."
Li Jingsheng’s clinic couldn’t provide inpatient services.
He could only advise the patient to seek hospital care.
"Can you prescribe me some medication? I was referred by Sister Chu Yao. She said your medical skills are superb and your ethics are good, and told me to come to you."
"Urban Daily’s reporter Chu Yao?"
Li Jingsheng felt a bit surprised.
When patients come to see him if referred by an acquaintance, they often mention that person’s name as soon as they see him.
This female host only mentioned she was referred by Chu Yao at this point.
Li Jingsheng and Chu Yao were pretty much good friends.
The development of Sunshine Clinic to this day owes a lot to Chu Yao.
"Yes, that’s her."
"Since she referred you, I should all the more urge you to seek treatment at a major hospital. Here, go to the Second Hospital for treatment, I’m not only a doctor here but also a doctor at the Second Hospital. Your condition is very dangerous, I’ll write a note for you, take it to the emergency department, the doctors will arrange inpatient treatment for you."
When it came to a patient referred by a friend, naturally Li Jingsheng needed to provide some care.
The note he wrote was very effective at the Second Hospital.
Director Yan in the emergency department had a pretty good relationship with him.
The doctors and nurses there also knew Li Jingsheng’s status at the Second Hospital. They’d gladly comply.
"Okay, I’ll follow your arrangements! Do I need surgery to have the trachea cut open? That sounds terrifying! Plus, after surgery, there’ll definitely be an ugly scar on my neck, how can I host in the future?"
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