Picked up the oxiter and took a asurent for the patient; the saturation was only 85%, far below the normal value.
Typically, blood oxygen below 95% feels uncomfortable and suffocating.
No wonder this uncle’s face looks a bit cyanotic with such low blood oxygen.
Li Jingsheng was initially puzzled as to why this uncle seed to have a rosy complexion.
It turns out there’s an issue with his blood oxygen.
"Uncle, you may have a problem with your lungs. I need to take an X-ray of your chest to see what’s going on. This costs an additional hundred yuan. What do you think?"
"Money is not a problem, go ahead!"
Uncle’s attire was nice and he was quite generous.
To him, a hundred yuan might just be small change.
It’s puzzling why soone so wealthy ca to the clinic for treatnt, especially since his condition seems quite serious.
It would have been safer to go to a large hospital for treatnt.
At least, that’s what most people would think.
Li Jingsheng took the uncle to the dical tech room for an examination. It took a long ti to get a clear shot, given the outdated equipnt, but it was bearable.
Fortunately, the equipnt will soon be replaced.
The X-ray showed that the uncle’s lung texture was significantly thickened and sowhat disorganized. The chest cavity diater enlarged, the intercostal spaces widened, the ribs flattened, the diaphragm positioned low, and the lung transparency seed to increase.
However, due to the poor equipnt, it wasn’t very clear.
At this point, Li Jingsheng had basically diagnosed what disease the patient had.
"Uncle, based on your symptoms and the X-ray results, it seems like chronic obstructive pulmonary disease. It’s best for you to go to a large hospital for further tests on lung function, sputum culture, ECG, arterial blood gas analysis to pinpoint the cause."
Li Jingsheng persuaded the patient.
"No, no, large hospitals might not be as good as your little clinic! Once, I fell ill and spent over seventy thousand yuan at Qiaobang Hospital, but dicare only reimbursed over thirty thousand, and I ended up paying about forty thousand out of pocket. I later went to a clinic to see a Chinese dicine doctor, who told that treatnt there would only cost two to three thousand and it could be cured."
The uncle waved his hand continuously, showing distrust in large hospitals.
Li Jingsheng absolutely disagreed after hearing this.
Large hospitals might not regularly be formal, but as long as there are no rogue doctors, what takes seventy thousand to cure in a large hospital would leave uncle lying comfortably at the cetery if treated at a clinic.
Of course, he couldn’t say this.
Chinese dicine treatnt is indeed cheap, but for severe diseases, urgent illnesses, it’s best to go to large hospitals.
"Can you treat it here? If you can, then do it. Money is not a problem."
Uncle sat up and put on his shirt himself.
"Since you don’t want to go to a large hospital, let give it a try then!"
Li Jingsheng can treat this disease.
However, there are certain risks.
Because uncle’s condition is quite severe.
Prescribed dication imdiately on-site, as the condition requires intravenous infusion.
5% glucose sodium chloride injection, azithromycin, continuous drip.
Originally planned to use clindamycin, but eventually chose azithromycin.
And considering the patient’s respiratory difficulties, prescribed a bottle of Ipratropium aerosol. Just inhale it directly.
Before giving uncle the dication, a skin test was done to ensure there was no problem before proceeding with the infusion.
And instructed Tang Ping to keep a close eye.
Azithromycin has many adverse reactions. If sothing serious happens with already poor uncle’s condition, a wreath at the clinic’s door and being forced to kneel by the family mbers awaits Li Jingsheng.
This uncle is truly remarkable.
During the infusion, whenever ng Luo was present, he would stare at her.
Making ng Luo quite embarrassed.
Perhaps the size of her outfit was sowhat tight, as other male custors or patients also sneaked peeks at her.
It can only be said that all n are more or less the sa.
After finishing the drip and using the aerosol, uncle felt much better. His blood oxygen improved significantly, not bad.
Li Jingsheng’s anxious heart was temporarily eased.
Making so money wasn’t easy.
While treating people, always worried about potential issues.
Uncle didn’t hurry to leave, instead specifically went to purchase three boxes of kidney-strengthening and yin-nourishing supplents from ng Luo.
Whether to get to know her more or simply to get familiar.
Obviously caring for her.
"Dr. Li, thank you for treating . I feel much better after the injection. I’ll co back tomorrow."
Uncle left with a big smile and his dication.
Li Jingsheng smiled and shook his head; being so ill and still thinking about such unreliable things.
He continued diagnosing and treating other patients.
Around five in the afternoon, a man was helped in.
"Doctor, doctor, he fell while riding a bike just now, his hand got a cut, and his knee is also injured. Can you treat him here?"
The woman helping the man seed to be twenty-seven or twenty-eight years old.
She was interesting; even though just lovers would be so close, she didn’t call the injured man husband or boyfriend.
Instead, used the word "he" to replace.
Either she’s shy or they’ve just started dating and haven’t confird a relationship yet.
"Did he fall off the electric bike?"
Li Jingsheng got up and checked the injury, and his hand was continuously dripping blood.
Wearing a short sleeve, falling to the ground should be minor abrasions, but with a four or five cm cut, this guy’s luck was indeed unlucky.
"We each rode a shared bike, and when he turned to talk to , sohow fell with his hand possibly hitting the curb, and it started bleeding. I saw it got cut."
The woman was a bit worried and nervous.
Described the incident quickly.
"Looking at this sweetheart fall! Let check."
Li Jingsheng’s words made the woman shy.
The injured man chuckled.
"The cut isn’t particularly deep, a few stitches should resolve it. Can you use your hand forcibly?"
Li Jingsheng was concerned about the man’s elbow joint and bone injury.
As the elbow has almost no fat layer, a hard fall might easily lead to fractures.
"Using force seems possible, but it’s painful, can’t use much force."
The man tried and then said.
Li Jingsheng nodded.
"Sister Tang, get so bandage; I’ll stop the bleeding first."
Tang Ping asked ng Luo to bring the bandage.
Li Jingsheng perford proximal tourniquet hemostasis on the patient.
"For now, stop the bleeding; if you agree, you can have an X-ray here. If there’s no severe fracture and the injury isn’t too complicated, I can clean and stitch the wound for you. If there’s a complicated fracture, you may need to go to the Second Hospital for treatnt."
Being a formal attending physician of the Second Hospital.
Also part of the orthopedics departnt.
Of course, pulling so patients for them is needed.
His hemostasis skills were indeed Master Level and easily managed simple hemostasis.
Once he bandaged the arm, the bleeding quickly stopped.
"Alright!"
The man agreed sensibly.
Li Jingsheng imdiately took the man to get an X-ray.
No clear fractures or joint dislocations were found, just simple cleaning and stitching.
After discussing with the patient and went to the operating room.
The injured man’s girlfriend stayed by his side, even insisted on paying.
It seed him falling was worth it for his relationship most likely got solidified.
"ng Luo, let’s do a minor surgery together in the operating room."
Called out, ng Luo followed him into the operating room.
Tang Ping, considering her apprentice, followed in, managed all necessary tools, and watched ng Luo’s operations.
Unexpectedly, although ng Luo seed a bit clumsy at first finding tools.
But during serious cleaning and stitching, her skills amazed Li Jingsheng.
Tang Ping felt her role as a teacher was overshadowed.
ng Luo’s performance was extraordinarily excellent.
Handing over instrunts was just the basics. Supporting Li Jingsheng in disinfecting, local anesthesia, she was extrely proficient. The composed and skillful vibe was that of soone trained at a major hospital.
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