So elderly people in their 60s who persist in exercising are even stronger than young n in their 30s.
"I’ve had this old problem for almost thirty years. It started as just a cough with a lot of phlegm, and later my breathing beca sowhat labored. I’m an impatient person. When I was teaching, seeing students not listening, not studying seriously, and not completing their assignnts properly, I’d get angry. The angrier I got, the worse the cough beca, cough, cough..."
After speaking, the man began to cough violently again.
Unexpectedly, the man was a teacher, no wonder he had such a distinctive deanor.
He gave off a clean, tidy, serious, and earnest feeling.
"Have you been to a hospital for a check-up?"
"Yes, they said it couldn’t be cured, just managed with so dication."
"Did they ntion what disease it might be?"
"They said my lungs aren’t good. I heard that you have good technology and high dical ethics here, so I wanted to co and try so dicine. Previously, I got my dicine from a dedicated hospital."
The man is a teacher, so he’s definitely covered by dical insurance.
Moreover, he is at least fifty-seven or fifty-eight years old, and his insurance contributions are likely well over 25 years, so he can enjoy lifelong dical insurance.
Now he’s coming to Li Jingsheng’s small clinic for dication, but this place hasn’t qualified for dedicated dical insurance yet!
The patient can only pay out-of-pocket.
"I can prescribe so dication for you, but our clinic’s treatnts are not covered by dical insurance. Can you accept that?"
"If it’s not too expensive, that’s fine. If it is, I’ll just go to the hospital, cough, cough..."
The man couldn’t speak too much.
Speaking too much would trigger a violent cough.
"Do you smoke?"
"I don’t smoke."
"Do you have chest pain, cough blood, chills, or any other symptoms?"
"No, I just feel short of breath and have to inhale forcefully."
From the ti he entered, the man’s breathing was labored.
"Alright, let listen to your heart and lung sounds, and asure your blood pressure and temperature."
Upon asurent, the man’s temperature was normal, with a respiratory rate of 19 breaths per minute.
The lung sounds were rough, but there were no obvious dry or wet rales.
The heart sounds were fairly normal as well.
His blood pressure was slightly elevated, but still acceptable.
The man was slender, with a noticeably barrel-shaped chest and rib spaces wider than usual.
After examining the man, Li Jingsheng initially diagnosed it as chronic bronchitis.
Chronic bronchitis is quite common clinically.
It’s a stubborn disease, difficult to cure and prone to relapses.
His small clinic couldn’t perform blood gas analysis, but through a comprehensive diagnosis, he judged the man’s condition to be not severe and felt capable of treating it himself.
The patient mainly exhibited shortness of breath and respiratory distress.
It should indeed be chronic bronchitis, so treatnt will proceed as such.
At this point, the man coughed and expectorated phlegm.
He was very courteous, wrapping it in a tissue.
Li Jingsheng noticed the phlegm was yellow and viscous.
Strangely, it also contained serous foamy sputum.
It didn’t seem like a typical presentation of chronic bronchitis!
Considering the patient’s normal temperature and that the lungs’ sound, apart from being rough, was fairly normal.
It’s easy for acute bronchitis episodes to present with an elevated temperature.
"Let listen to your lung sounds again!"
Suspecting it wasn’t bronchitis, Li Jingsheng decided to examine more carefully.
This ti, he paid extra attention when listening to the lung sounds.
"The lung sound is peculiar, getting progressively coarser. This is sowhat different from bronchitis lung sounds."
If it’s not bronchitis, then what disease could it be?
Concerned about misdiagnosis, Li Jingsheng beca extrely cautious imdiately.
After all, his small clinic was recently troubled by a patient incident.
His respiratory diagnosis is at the Master Level for now.
Sufficient for diagnosing most Pulmonary dicine diseases.
But when encountering subtle or ambiguous issues, and lacking various auxiliary examination thods, his Master Level in respiratory diagnosis was sowhat lacking.
The life points balance had 402 left, more than enough to upgrade the respiratory diagnosis.
This diagnostic skill is used almost daily, and very frequently.
The sooner the upgrade, the sooner the benefit.
With this mindset, Li Jingsheng decided to splurge.
Directly upgrading the respiratory diagnosis to the Minor Achievent level.
Pulmonary dicine Minor Achievent 500/1000.
Respiratory diagnosis and treatnt have always been Li Jingsheng’s forte.
Various other dical skills have already surpassed him using the attribute panel, leaving it behind.
Even his Gastroenterology diagnosis had long ago reached a level of Minor Achievent.
Finally, it caught up again.
His life points were almost exhausted again, with only 24 remaining.
Feeling the powerful upgrade of respiratory diagnosis, he believed it was worth spending more life points.
He tried using the Minor Achievent level respiratory diagnosis to reassess this patient.
"Wow, so powerful! It can analyze from nasal mucosa, sputum volu, concentration, color, and the degree of roughness and shortness of breath across many aspects."
During the diagnosis, Li Jingsheng experienced how exceptional the Minor Achievent level respiratory diagnosis was, with one symptom erging, multiple diseases matching that symptom imdiately popped into his mind.
Just like a computer, capable of automatic filtering.
Ranking the higher probability, consistent diseases towards the top.
"When did you start feeling shortness of breath?"
"Started suddenly worsening yesterday."
"Was it the sa during previous episodes?"
"Yes, about the sa. It seems a bit more severe this ti."
The patient, being a teacher, cooperated highly with Li Jingsheng’s inquiry.
"The onset should be fairly acute, and the condition is still rapidly worsening. Manifesting mainly with rough, urgent breathing. If not bronchitis, then what disease could it be?"
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