Practicing Medical Skills in a Small Clinic

Chapter 547: Chapter 251: Double Hearts? A Confident Young Man

After examination, the main area of pain is in the left iliac fossa and pelvic region.

Li Jingsheng already had an idea in his mind, and his expression became grave.

If things go wrong, this patient may need to be referred to a major hospital for treatment.

"I’m worried that your intestines might be ischemic or even have thrombosis. I’ll perform an X-ray and B-ultrasound examination to check the abdominal situation. Does that sound alright to you? Since this is a clinic, the fee isn’t expensive, only a hundred dollars per session, and you won’t need to wait in line. We’ll take an image so both of us can be at ease."

Dr. Shao truly has the experience of running a clinic.

His communication skills and techniques with patients are incomparable to Dr. Wang’s.

When hiring Dr. Wang, Li Jingsheng offered a base salary of three thousand.

For hiring a skilled doctor like Dr. Shao, he could offer a base salary of five thousand.

"Alright!"

The patient readily agreed.

Li Jingsheng personally took the abdominal X-ray for the patient.

The intestine was noticeably dilated and filled with air.

If possible, a barium enema examination would be more prudent.

This check was impossible here.

Then, he conducted a B-ultrasound.

Fortunately, no obvious thrombosis was found.

Actually, for checking thrombosis, a CT scan would be more precise.

Examination completed, Li Jingsheng looked at Dr. Shao.

"This should be ischemic colitis, and the situation is not particularly severe. We can try medication here. If there is no good effect, you may have to go to the hospital for interventional surgery or even a necrotic bowel segment resection."

Dr. Shao gave his own conclusion.

"Dr. Li, I need your help to oversee this!"

The patient had already sat up on his own.

"My diagnostic opinion coincides with Dr. Shao’s. Looking at the image just now, no obvious thrombosis was found, and no significant signs of bowel necrosis have been detected. If you wish to try treatment here, we can medicate you now. And for the next few days, you will need to follow our dietary recommendations. Things, you are forbidden to eat, must not be eaten."

Li Jingsheng said to the patient.

"Since both doctors have said so, what more can I say? I’m willing to try treatment here."

The patient had considerable trust in Sunshine Clinic.

"Dr. Shao, please prescribe medication for the patient!"

"I plan to use 5% glucose injection + 10 ml of 10% potassium chloride, one gram of metronidazole, and see the effect through infusion."

"Very good, this prescription is a common formula for treating this disease."

Li Jingsheng agreed happily.

From this prescription, one could see that Dr. Shao’s prescription level is no less than that of a senior attending physician, and he’s equivalent to an attending physician at a large tertiary hospital.

Li Jingsheng’s current prescription level is only at this level.

The life points he earned recently were all used to improve his surgical skills.

The prescription level is at a senior attending level, which is completely sufficient for now.

"If the treatment proves effective, I suggest switching to 500 ml of low-molecular-weight dextran, and 20 ml of Compound Danshen intravenous infusion tomorrow."

Li Jingsheng proposed a combined medication plan.

Ischemic colitis is actually more dangerous than imagined, and one needs to beware of thrombosis and bowel necrosis.

Even at large hospital clinics, treating such patients is done with great caution, usually requiring inpatient treatment.

Moreover, large hospitals have a big advantage; before admission, all necessary checks can be done comprehensively.

Then, once admitted, there is 24-hour medical care and monitoring.

As soon as the patient shows any abnormalities, they can be immediately detected.

"Dr. Li’s medication level is remarkable! It seems we doctors really can’t use age to judge a doctor’s skill level."

"Haha, of course, Dr. Li’s level is high. Otherwise, I couldn’t possibly have come here seeking his treatment. After recovering from my condition, I will surely strive to help you with more promotion."

The patient truly came here for Li Jingsheng.

After the prescription for this patient was made, Tang Ping personally performed the infusion for him.

Actually, Meng Luo’s skill level is also high, but her surgical nurse abilities are stronger.

Dr. Shao began diagnosing and treating patients one by one, showcasing his deep expertise in multiple internal medicine fields.

Li Jingsheng was assisting Dr. Shao nearby.

In the meantime, he also assessed Dr. Shao’s actual competence.

In case Dr. Shao overlooked something, he would certainly correct it promptly.

Perhaps due to Dr. Shao’s relatively older age, combined with his treatment of several patients consecutively, earning people’s trust and convincing them, the patients lining up behind showed significantly increased trust in him.

At this moment, a woman in her forties sat next to the examination table.

Her chest was especially large.

Larger than those anchored who deliberately stuffed cotton to appear fuller.

"Doctor, recently I’ve been feeling a dull ache in my chest, especially before going to sleep at night and early in the morning upon waking. It feels particularly uncomfortable. Can you take a look?"

As soon as he heard chest pain, Li Jingsheng immediately became highly alert.

However, he did not speak.

Instead, he observed how Dr. Shao would handle it.

"Alright, I’ll start by listening to the heart and lung sounds."

Dr. Shao first measured the patient’s forehead temperature, looked, and found the temperature was normal.

Then he guided the patient to press the stethoscope probe to the pericardial location.

The operation process was much steadier than Dr. Wang’s first day at work, where he was rash.

"Are you coughing?"

"Occasionally, I’ll cough a couple of times."

"I don’t think it’s anything serious. The heart sounds are normal, clear, and free of murmurs. I recommend you observe it further at home." Shao Bing did not diagnose a specific cause for the patient and naturally did not prescribe medication rashly.

Moreover, for symptoms like chest pain, any doctor with even slightly extensive experience would never prescribe rashly.