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Now reading: Chapter 78: The Dangers of Excessive Calcium Supplementation from Practicing Medical Skills in a Small Clinic, a Fantasy novel by Fisherman by the River.

Xie Guiqiu had just left not long ago, and the afternoon rush for buying dication and seeing a doctor at the small clinic started once again.

However, there were still no patients with external injuries. Forget about cutting tumors or draining abscesses, there wasn’t even anyone with cuts or bruises requiring basic suturing.

Headaches, minor fevers, indigestion, diarrhea, high blood pressure, skin rashes... all just minor ailnts.

Patients with high blood pressure typically just get their blood pressure checked and then buy two bottles of hypertension dication.

So simply co to have their blood pressure checked without buying dication because they have insurance and can’t get reimbursed for dications bought at Sunshine Clinic.

Going to designated pharmacies or health service stations to get dicine can be reimbursed, so they hardly have to spend any money.

If only Sunshine Clinic could get the collective procurent qualifications, that would be great.

Because once you’re on the collective procurent platform, you essentially get the insurance fixed-point qualification too.

By then, when Boss Zhao cos back from treating his heart disease, he probably wouldn’t dare to co within 200 ters of Sunshine Clinic. There’s no other reason, mainly because he fears seeing that dazzling insurance fixed-point tal plaque, which might trigger his heart disease to relapse.

He has been running his clinic for over twenty years and still hasn’t obtained this qualification.

Even the reportedly well-connected Jinkui Clinic hasn’t gotten the insurance fixed-point qualification. The difficulty of this can be imagined.

Busy until five thirty in the afternoon, custors still kept coming in an endless stream.

They weren’t all rushing in at once.

They just ca in one or two at a ti.

So ca to see the doctor, so ca to buy dicine.

Seeing the health supplents and tonics behind the counter gradually decrease, Li Jingsheng couldn’t be happier.

The constant flow of cash would make any business owner feel happy.

"Sister Tang, why don’t you go pick up the kids first? You might have to co back for extra work later."

Li Jingsheng couldn’t handle it all by himself.

"Alright!"

Tang Ping grabbed a thin jacket without changing clothes and hurried out.

Li Jingsheng was left alone to diagnose patients while also managing and attending to those who wanted to buy health supplents and tonics, busy to the point of sweating profusely.

After all, this is all money, so of course, he wouldn’t want to miss serving any custor, allowing them to leave without a purchase.

"Doctor, do you have any calcium supplents for children here?"

A middle-aged woman carrying a handbag asked.

"Yes, just wait a mont. Let finish prescribing this gentleman’s cold dicine, and then we can discuss your needs in detail. Calcium supplents for children need to be taken seriously and scientifically. Otherwise, it may cause their bone lines to close prematurely, making it difficult for them to grow taller."

Li Jingsheng wasn’t rely trying to scare the woman.

It’s true that excessive calcium supplentation can have adverse effects.

Normally, boys can grow beyond the age of 18, while for girls, their growth typically stabilizes after reaching puberty. That is, after experiencing first nstruation around 13, they usually stop growing around 16 or 17.

"You’re indeed professional! When I went to a big hospital to buy calcium tablets for my child, the doctor said the sa thing. Other pharmacies never ntion this."

The woman’s thumbs shot up in praise of Li Jingsheng. She found a chair and sat down in front of the counter.

It seed that Li Jingsheng’s professional response imdiately earned her trust and favor.

The man buying cold dicine also gained a few more layers of trust in this small clinic upon hearing this.

There’s a reason crowds gather.

Upon hearing others praise a certain shop, one’s subconscious naturally develops a better impression of the place.

Praising oneself ten tis isn’t as effective as soone else praising once.

Li Jingsheng prepared two boxes of cold dicine for the man. In fact, dispensing loose dicine could yield better results and more profit, but the regulations are currently very strict.

Along with so patients who play smart and take dicine indiscriminately.

Although prescribed to be taken twice daily, once in the morning and once in the evening, a patient might not feel the expected effects after one dose, and impatiently take another around midday instead of waiting until the night.

Each dicine’s tabolism rate is different.

Taking doses close together can easily lead to problems.

Li Jingsheng, being a cautious person, used to sell so loose dicine, packaged strictly according to requirents, with the nas and doses written clearly on the bag. However, after realizing the significant risk, he preferred to earn less by selling only boxed dicine.

After finishing with the cold dicine and sending off the male patient, Li Jingsheng ca over.

With an apologetic smile, he said, "Sorry for keeping you waiting!"

"No problem, I’m already off work! Just recomnd a good calcium tablet for , please."

The woman said.

"How old is your child?"

"Eleven."

"Is it a little boy or a little girl?"

"A little girl!"

She replied with a smile.

When parents co to buy dicine for their children without bringing them along, Li Jingsheng usually doesn’t ask directly if the child is a boy or girl.

Due to societal biases, so people might feel embarrassed having daughters.

Asking directly might upset them.

If a custor gets upset, they likely won’t visit again.

"What’s the reason for wanting to supplent calcium? Is it to help her grow taller, to address calcium deficiency, or just for overall health?"

In Li Jingsheng’s experience, parents who rely want to supplent calcium for their children are quite rare.

Either they want the child to grow taller, or it’s because the child is showing symptoms of calcium deficiency.

Such as osteoporosis.

This parent previously ntioned taking the child to the hospital to see a doctor, presumably there’s so issues why they’re here to buy calcium tablets.

And most likely, they’ve already taken so calcium tablets.

Doctors in big hospitals love prescribing calcium tablets for children, especially pediatricians.

Everyone knows, taking calcium tablets doesn’t harm, plus doctors earn a little commission from prescribing dication.

Everyone’s happy.

"About three or four months ago, the child kept complaining about leg pain. I was worried there might be an issue, so I took her to the children’s hospital. After the doctor asked about the situation, they said it might be because the child is growing. The doctor said the age of 11 is a rapid growth stage for children, and due to the fast growth of bones, knee joint and shin pain is common. They prescribed us two boxes of calcium tablets to take at ho."

Indeed, it’s almost what Li Jingsheng guessed.

The lady’s daughter went to see the doctor because of leg pain.

Pain in the knee joints and shins during a child’s growth is indeed very common.

Li Jingsheng asked up to this point, and there were hardly any issues.

Just prescribing two boxes of children’s calcium tablets would be fine.

However, considering the child has already taken at least two bottles, this dosage should be sufficient.

If they continue, there’s a risk of over-supplentation.

"How big were the two bottles of calcium tablets prescribed at the hospital? How long did she take them in total?"

"The hospital prescribed two bottles of calcium tablets, and the doctor told us that children’s calcium needs are much higher than adults, recomnding two tablets a day. She took them for about two months. Later the child still complained about so leg pain, so I bought two more boxes of calcium supplents at the pharmacy for her, heard that calcium supplents are more effective. I saw the report about you and Sunshine Clinic in the newspaper, and out of trust, since I was passing by after work, I decided to co in."

The lady explained the situation thoroughly.

"Do you have calcium supplents here? A bit more expensive is fine, preferably imported ones."

"Yes, we have calcium supplents! These are all oral calcium supplents, imported ones need to be ordered, and take about half a month to arrive, they’re quite expensive. But since your daughter’s leg pain persists, I think you should bring her over for a check-up before deciding on calcium supplentation. Over-supplenting calcium can be very harmful, it can inhibit the absorption of iron, zinc, and magnesium, cause hypercalcemia, leading to hypertension, arrhythmia, and other diseases, it might even damage the kidneys.

Your daughter has taken so many calcium tablets and supplents in a short period, I advise you to be cautious about continuing to supplent her with calcium."

Li Jingsheng would love to sell two boxes of calcium supplents, the profit is quite considerable.

But this might lead to the little girl’s over-supplentation, posing health risks, he never earns money against his conscience.

Better to be a bit poorer than to earn such unethical money.

Otherwise, he could never have peace of mind for life.

"I didn’t know supplenting with calcium could be so harmful, it’s scary. Oh my, I had no idea before!" The woman was a bit panicked hearing this. "My daughter took two bottles of calcium tablets, and three boxes of supplents, is it not a problem?"

"As long as she doesn’t continue taking tablets and supplents, there shouldn’t be major issues. Children’s tabolism is fast, their calcium needs are high, and even if you give her a calcium tablet, she can’t absorb it all, most will be excreted through bowel movents and other ways."

Li Jingsheng comforted the thirty-six or thirty-seven-year-old mom as much as he could.

"What ti do you get off work here? I’ll bring my daughter over soon, can you help check her?"

"No problem, as long as it’s not too late, I can wait for you at the clinic. If I’ve already closed, you can call . Also, dietary supplentation is actually better than direct calcium tablets for children. Unless the calcium deficiency is serious, then you can combine dietary supplentation with tablets or supplents."

Li Jingsheng offered guidance on calcium supplentation for children with what he knows.

"Thank you, thank you! I can bring my daughter in about twenty minutes. Please wait for a bit."

After speaking, she hurriedly left.

Li Jingsheng instinctively felt the little girl’s leg pain might not be due to calcium deficiency.

Because with all those calcium tablets and supplents, it should have been supplented by now.

He must carefully examine the child later.

It’s just that, in pediatrics, he’s not very skilled, and he’s sowhat of an amateur in orthopedics too; if he really can’t diagnose it, he’ll have to ask the parent to take the child to a big hospital for a check-up.

After a dozen or so minutes, a woman holding a crying child walked in.

Li Jingsheng was preparing dicine for a custor, hearing the child’s cries, he thought the lady brought her child.

He looked up and realized it was another unfamiliar woman.

She was robust, carrying a girl more than three years old.

"Doctor, Doctor, my daughter just fell off the couch, seems like her right hand got hurt, please have a look."

Judging by this situation, she should be a local resident.

After his little clinic gained so reputation, business certainly picked up.

Local residents willing to co in, that’s the best evidence.

"Please have a seat for a mont, I’ll be done soon."

Li Jingsheng saw the girl was crying miserably, but her voice was loud and clear, the situation wasn’t imdiately life-threatening.

The reception had to go in order.

"Can’t you treat my daughter first? She’s crying so hard. Aren’t doctors supposed to have empathy?"

The woman’s words were quite sharp.

Understandable.

If any family’s child got hurt, parents would be anxious.

"Sorry, this gentleman has been waiting for a while, I have to finish preparing his dicine first. Your daughter can wait a few minutes, it should be okay."

Li Jingsheng patiently explained.

"What do you an my daughter can wait a few minutes? Are you blind? Can’t you see her right hand is hurt, she’s in so much pain? With your attitude, I must be out of my mind to co to your clinic."

The woman cursed and left.

So won, either because their family has so money or a bit of power, can be really arrogant and unreasonable.

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