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Now reading: Chapter 18: Trouble After All from Practicing Medical Skills in a Small Clinic, a Fantasy novel by Fisherman by the River.

"I’m not going to lie to you, I did see the doctor at Quick Recovery Clinic. Dr. Zhao told that there were several people still waiting for IVs there, and since I’m an old patron, they didn’t want waiting until the middle of the night. They recomnded I co to Sunshine Clinic for an IV. They said I wouldn’t have to wait here. They weren’t lying, I really didn’t have to wait here. Young man, Dr. Zhao has already checked out and said I only need two bottles of IV fluid, so please hurry up!"

The old lady urged to start the IV as soon as possible.

Almost all patients are eager to receive the fastest treatnt.

Upon hearing it was Boss Zhao who sent the patient over, Li Jingsheng beca extrely cautious.

Boss Zhao had long wanted to eliminate Li Jingsheng as a competitor.

He’d played countless dirty tricks.

Just this evening, he had a direct conflict with Li Jingsheng because of entanglents with Tang Ping.

The two of them had practically torn into each other.

Would he really be so kind as to send an old patron to Li Jingsheng’s clinic?

Boss Zhao has run his clinic for many years without any major incident, so he must have so extraordinary skills.

Even chief physicians in big hospitals can’t promise a lifeti without dical accidents.

Misdiagnosis and missed diagnosis are almost unavoidable.

Operating a clinic for over twenty years without issues isn’t rely a matter of being cautious.

Boss Zhao’s diagnostic skills must be much stronger than imagined.

It’s already close to 8:30 PM; even if business is booming at Quick Recovery Clinic, the patients needing IVs should have already been treated.

So why did Quick Recovery Clinic treat this old lady?

Giving an IV isn’t a big deal.

Mixing the dicine takes so ti, but the injection itself is quick. As for hanging the bottle, it takes one or two hours, during which dical staff barely need to do anything. They just need to remove the needle after the IV is done.

Why pass up money and send it to Li Jingsheng, a nearly starved rival?

It’s a no-brainer that no one would do this.

This old lady can walk and talk, but her heart sounds can’t be detected.

Could it be she has an artificial heart?

Upon closer inspection, there’s no sign of one!

Patients with artificial hearts carry a battery pack. Because it pumps blood continuously like a water pump, circulating it through the body without a heartbeat or pulse.

But through a stethoscope, you can still hear the humming of the machine.

"Aunty! Have you had heart surgery? Like getting an artificial heart?"

"No, my heart has always been fine."

If there’s no artificial heart, why is she alive without a heartbeat?

Li Jingsheng racked his brains to find the reason.

The world is full of wonders.

All sorts of strange diseases and unique physiques, many not even seen by doctors.

A flash of inspiration struck Li Jingsheng’s mind.

In a dical journal, he once read about a case of ectopic heart.

The probability of newborns with ectopic heart is about one in five million.

This old lady didn’t have a heart transplant, is still alive, and her left chest cavity isn’t registering heart sounds. That leaves only two possibilities.

Either he encountered a supernatural event tonight.

Or this lady is a patient with an ectopic heart.

"Let listen to the right side of your chest,"

Li Jingsheng said, pressing the stethoscope’s probe to the right side of the old lady’s chest.

"Thump thump thump..."

The familiar sound of a heartbeat greeted his ears, and a look of joyful realization spread across Li Jingsheng’s face.

It was just as he suspected.

The patient has an ectopic heart.

Her heart is positioned in the right chest cavity.

After listening carefully for a while, Li Jingsheng’s face gradually turned serious.

The heart sounds had an obvious murmur, a regular swishing sound. It definitely wasn’t normal.

However, in terms of cardiovascular dicine diagnosis or cardiothoracic surgery diagnosis, Li Jingsheng was at an entry-level at best.

He didn’t know what illness this old lady had.

But it was certain that the elderly lady’s heart had problems.

Chest tightness, irregular pain in the right chest, labored breathing, dizziness, with the heart located in the right chest cavity... taking these symptoms together, Li Jingsheng’s heart trembled. Isn’t this the precursor of a heart attack?

Good heavens, Boss Zhao, what a scoundrel you are.

Sending a heart disease patient over here and urging the old lady to have Li Jingsheng give her an IV.

This is basically murder by proxy.

Boss Zhao knows that Li Jingsheng is so poor he needs to sell his motorcycle to keep the clinic running, so he’s definitely desperate for money. On top of that, being young and inexperienced, once faced with a chance to earn money, he might impulsively administer the IV.

By then, if the patient suffers a heart attack during the IV and dies at Sunshine Clinic,

Li Jingsheng would most likely face a lawsuit.

And Sunshine Clinic would be thoroughly ruined.

Uncovering Boss Zhao’s plot, he took a deep breath to calm his anger.

Even though Boss Zhao’s plan to use a human life to destroy Li Jingsheng’s Sunshine Clinic was despicable,

the patient was innocent.

Li Jingsheng couldn’t bear to see a life wither away.

"Ma’am, where is your family?"

The old lady didn’t understand his good intentions and instead beca a bit impatient, "Young man, Dr. Zhao said my illness only needs an IV. Can you treat it or not?"

It wasn’t the first ti he faced harsh words from a patient.

Being a doctor with a fragile heart is truly not suitable.

"Your condition is not as simple as you think. I suggest you contact your family now and go to a major hospital for treatnt. If delayed, it may be too late."

Li Jingsheng said earnestly to her.

"No treatnt, no treatnt. Young doctors are unreliable. Dr. Zhao is more dependable."

Upon hearing this, the old lady exploded.

She thought Li Jingsheng kept asking questions, checking this and that, clearly, it was just a minor illness that could be cured with two IV drips. Yet he was here making alarming statents about needing to rush to a big hospital for treatnt.

Wasn’t this sheer nonsense?

It was already a common belief that young doctors could not treat illnesses well and lacked experience.

With a temper, the old lady banged her cane on the floor, then stood up and walked out.

Li Jingsheng suspected the elderly woman had a heart condition, so he dared not aggravate her further.

Letting this old lady return to Boss Zhao was not a bad idea.

Boss Zhao probably already knew the old lady’s condition was tricky and would definitely find a way to handle it properly, surely not giving her an injection.

As soon as the old lady took a few steps, her body swayed. She tried to hold onto the cane and squat down, but just halfway down, she lost control of her body. She fell to the ground, facing up.

The cane dropped to the side, making a banging noise.

"Ma’am, Ma’am!"

Seeing this situation, Li Jingsheng quickly rushed forward to help.

The old woman’s face and lips were pale, her eyes were unfocused and vacant, and her body trembled and twitched slightly.

She could no longer move.

Li Jingsheng’s heart sank suddenly, and he silently cursed Boss Zhao’s ancestors for eighteen generations.

If sothing happened to a patient at his clinic, even if it was not his responsibility, it would still cause a lot of trouble.

At the mont, there was no ti to dwell on it; saving the person was crucial.

He checked the old woman’s breathing and heartbeat.

Her heart rate was frighteningly fast, reaching 198 beats per minute.

No matter how he called, patting her shoulder, there was no response. The old woman had lost consciousness.

Li Jingsheng didn’t have a lot of rescue experience, and facing a patient suddenly collapsing with a severe condition, his forehead was drenched in sweat.

He tried to asure the patient’s pulse.

"Oh no, it seems like the pulse is gradually disappearing."

While pondering what disease exactly afflicted the patient, her breathing also weakened.

The person was on the brink of death.

It was like she had one foot stepping into the gates of hell.

The golden rescue ti for respiratory and cardiac arrest is only about three minutes. The longer it takes, the more irreversible damage the patient will gradually suffer, such as brain cell death, myocardial necrosis, etc.

"Oh heavens, are you joking with ? What exactly is the illness!"

He racked his brains to quickly go through diseases with similar symptoms in his mind.

Theoretical knowledge is ultimately just theoretical.

In practice, experience is most important.

Li Jingsheng exhausted his mind thinking about the patient’s condition: pale lips and face, whole body twitching, heart rate up to 198 beats per minute, pulse gradually disappearing, breathing also stopping slowly... Could it be ventricular fibrillation?

Yes, it could likely be ventricular fibrillation.

After successfully diagnosing the condition, he excitedly rushed to get the AED.

This device had never been used since it was purchased.

It was bought just in case.

Now, it was finally going to be useful.

After grabbing the automated external defibrillator, he hurriedly and awkwardly followed the operation steps, turning on the AED, sticking the electrodes on, conducting heart rate analysis on the patient, stepping away to charge, and then shocking to administer the discharge.

"Ouch!"

The patient let out a scream.

This automatic defibrillator was considered very user-friendly; if it were the hospital’s defibrillator, it would be much more powerful.

During the shock, the patient’s body could directly bounce up.

After successfully defibrillating, the patient’s condition improved sowhat.

Li Jingsheng quickly dialed 120 for ergency assistance.

Soon, an ambulance, with its lights flashing, parked with sirens blaring at his clinic door.

"What happened to her?"

The doctor who got off the ambulance was a young man in his thirties, and the nurse appeared to be in her twenties.

You could sense that this young doctor looked at Li Jingsheng through tinted glasses.

He certainly misunderstood that it was Li Jingsheng’s clinic that treated the patient into this state, and inwardly, he was full of contempt.

"It seed like a heart attack. I defibrillated her once just now, and her condition improved sowhat."

Li Jingsheng briefed the ergency doctor on the basic situation.

"Let’s lift the patient onto the ambulance first! You small clinics dare to accept any type of patient. In the future, you should be cautious when encountering patients with severe illnesses!" He advised Li Jingsheng in a senior tone.

The nurse also looked at Li Jingsheng with an unfriendly gaze.

Doctors and nurses from reputable hospitals usually look down on clinic doctors.

Not far away, Boss Zhao stood under the street lamp with a face full of schadenfreude, looking this way.

You are reading Practicing Medical Skills in a Small Clinic Chapter 18: Trouble After All on WuxiaFull. Use Previous, Chapter List, or Next to continue.
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