The ergency departnt’s monthly visit volu was initially one million, suddenly dropping to five hundred thousand, effectively halving. The hospital surely cannot sustain this!
"ng Luo, co here for a mont!"
Li Jingsheng turned his head to look at ng Luo, who was with Tang Ping.
Upon hearing her boss calling, she quickly stepped forward, with a trace of nervousness still on her face.
"Please asure this lady’s blood pressure and heart rate, along with basic vital signs like temperature."
"Alright!"
Like most new employees, she felt a bit nervous when asuring a patient’s vital signs for the first ti.
Almost dropped the thermoter gun when picking it up, barely keeping hold of it.
Luckily, Li Jingsheng was quick to react and caught it.
Breaking it would certainly be painful for him, the boss.
It’s not cheap.
"Don’t rush; take your ti!"
Li Jingsheng didn’t scold her but instead reassured her gently.
If he scolded her or glared at her now, it would only make her more nervous.
"To speed up the process, she’ll asure your temperature, while I inquire about your condition."
Li Jingsheng explained to the patient.
"Alright, go ahead!"
"How long have you had diarrhea?"
"Almost half a month now, maybe even longer. It started with occasional diarrhea, but now I have it seven or eight tis a day. My boss thought I was intentionally hiding in the restroom to slack off; feels so wrongly accused."
She said with a bitter expression.
Diarrhea cos in various forms, slight diarrhea once or twice a day, as long as there’s no serious issue like bloody stool, it’s usually nothing serious.
Normalcy returns after two or three days, or five or six days.
Her diarrhea lasts more than half a month, and she experiences it seven or eight tis a day, definitely indicating illness.
It doesn’t seem like just bad food or abdominal chill.
"Have you noticed the color and shape of the stool?"
"It’s... a bit disgusting, so I haven’t paid much attention."
The patient was obviously a bit embarrassed.
Judging by her expression, she obviously has seen it.
Normal people would take a look.
Especially after prolonged diarrhea, what if there’s blood in it?
"Don’t let discomfort hold you back from discussing illness openly. It’s not about being disgusting. We, as doctors, aim to uncover the cause, treating your illness swiftly. You surely wish to regain normalcy soon."
Li Jingsheng said.
"Exactly! You’re absolutely right. I specifically ca here hearing about your profound dical ethics and skills. My fellow workers suggested visiting a large hospital, but I headed straight to you."
Her flattering words brought comfort to Li Jingsheng.
"Let ask question by question! Was there any blood in the stool or was it black?"
Li Jingsheng maintained a pleasant deanor with such loyal fans.
"Seems to be yellow, sort of translucent."
She claid earlier not having looked, yet now described it as yellow. This reflects so patients’ genuine mindset.
This requires doctors to patiently communicate, easing their awkwardness.
"Any foam in it?"
"Yes!"
"Is the stool volu large? Does the amount passed out seem excessive?"
"Yes, it’s a lot!"
"Is there an unpleasant sll?"
"Of course, it’s stinky!"
"Compared to before, would you say it’s sllier? So patients with diarrhea describe it slling like rotten eggs, while others ntion a putrid stench. Therefore, you need to share the most accurate details with ."
"Uh... it’s really slly, far worse than before, simply unbearable."
"Do you experience bloating or weakness in your body?"
"Oh, Dr. Li, no wonder everyone praises your remarkable skills; you nailed all my symptoms!"
"You’re too kind. Any difference in appetite compared to before?"
"Not much difference, seems I eat even more now, but still don’t gain weight. Those two coworkers lant about gaining weight while I don’t."
She said with so pride.
With diarrhea seven or eight tis a day, even eating fatty at won’t cause weight gain!
Having asked all essential questions, Li Jingsheng looked at ng Luo.
She was now less nervous, and the vitals were mostly asured.
Her actions and focus in handling these situations were skillful and professional.
"How about the temperature? No fever?"
Li Jingsheng asked her.
"Forehead temperature is 36.7 degrees, normal. Blood pressure slightly high, but everything else is normal."
ng Luo handed the recorded data to Li Jingsheng.
The handwriting was beautiful and neat.
Written in semi-cursive script.
Hospitals now require doctors and nurses to write in regular script. Especially in prescribing dications, where previously only insiders could understand.
Current operation like this is against regulations.
Most formal hospitals have corrected this, with written regulations forbidding doctors from prescribing in cursive.
"Please lie on the examination bed over there. I will examine your abdon."
Li Jingsheng felt certain but cautiously did the final check.
A small room dedicated to examinations is available nearby, ensuring patient privacy.
Occasionally, bone setting treatnts also take place there.
For so bone-setting adjustnts, patients need to cooperate by lying down.
Such as hip joint realignnt, where the doctor might use body weight to press down for restoring the joint.
After the clinic moved, all services improved.
Many diagnostic operations have indeed beco more convenient.
Post-examination, no apparent lumps were found in the abdon. However, the lower abdon showed so tenderness.
It seed unrelated to diarrhea.
"Your condition falls under severe diarrhea, potentially steatorrhea. We’ll start infusion treatnt, tentatively scheduled for three tis, once a day, preferably visiting daily at a fixed ti."
Li Jingsheng contemplated the dication plan.
The clinic now supports both insurance card purchases and direct prescription drugs, significantly boosting its capabilities and patient willingness for treatnt.
Based on the patient’s narrative, steatorrhea seed certain. Her slender build suggested malabsorption syndro.
Vitamin C, prescribed 40 tablets, orally.
Complex Vitamin B, similarly 40 tablets, orally.
Calcium tablets, prescribed one bottle.
Folic acid, also one bottle.
Additionally, prescribed compound Azithromycin enteric-coated tablets, orally. Mainly for treating steatorrhea.
Despite being prescribed nurous dications, none were costly.
All affordable options.
For underprivileged patients, Li Jingsheng ensures prescriptions balance cost-effectiveness and efficacy.
If patients insist on expensive dications, there’s little choice.
If willing to spend, what more could he say?
Otherwise, he’ll opt for cheaper alternatives where possible. So expensive drugs might be swapped for substitutes.
Only when no alternative exists, or upon identifying a patient’s need for quality dication, will he prescribe expensive ones.
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