Free Web NovelChapter 563: Chapter 258: The Illness That Stumped Dr. Shao—Keshan Disease
The healing of a wound is closely related to the surgeon’s skill.
A clean incision, proper debridement, excellent suturing, followed by infection control, will lead to quick healing.
Otherwise, not even five days, but fifteen days might not be enough for initial healing.
If skin grafting necrosis occurs, a second surgery will certainly be needed.
The wound from this surgery is inside the oral cavity, where the environment is moist, and food debris from eating can adversely affect wound healing.
Therefore, the quality of iodoform gauze packing also plays a decisive role in the success of the surgery.
For Li Jingsheng, this surgery greatly increased his surgical experience and marked a significant personal improvement in his surgical abilities.
For a surgery, skill alone is not sufficient; attention to detail is equally essential.
Just after finishing a major task, as Li Jingsheng was about to sit down for a break, Dr. Shao called him over.
"Dr. Li, there’s a patient with a peculiar condition here. I can’t quite figure it out; could you take a look personally?"
Dr. Shao spoke to him with utmost respect.
"Where is he feeling unwell?"
Li Jingsheng got up and went over to consult with Dr. Shao, which was also a way to show respect to his senior.
Dr. Shao was much older, so sufficient respect was necessary.
This was also a form of courtesy towards talent.
"No other issues, just dizziness and vomiting."
The patient added.
This was a male patient aged around forty-six or forty-seven, appearing pale and listless.
His voice was weak as he spoke.
"Dr. Shao, what’s your initial diagnosis?"
"The patient said he fell ill since last night. At first, he thought it was a cold, but it worsened. He went to a pharmacy to buy cold medicine, but there was no improvement. He started vomiting again this morning and took two more cold capsules, but felt the same by noon, so he came to our clinic. I initially thought it was viral flu, but after hearing his description and considering his symptoms, I felt it wasn’t a cold."
Dr. Shao Bing’s capability is unquestionable.
Diseases that Dr. Shao finds difficult to diagnose are relatively rare.
Some illnesses onset rapidly, with initial symptoms closely resembling those of a cold, yet they are not colds.
Treating them as colds would prove ineffective.
This might even lead to irreparable tragedy.
"Did you measure his blood pressure?"
"No, only took his temperature, mild fever, 37.2 degrees."
Dr. Shao replied.
Upon hearing this, Li Jingsheng decided to personally take charge of this patient.
"Over here, I’ll first measure your blood pressure."
He called the patient over, and coincidentally, Han Siying had just finished tidying up in the operating room.
"Master, is this a difficult case?"
"Dr. Shao suspects this patient’s condition isn’t a cold. I’ll check him. You’re here just in time to measure the patient’s blood pressure."
She measured the patient’s blood pressure, which was 89 mmHg over 70 mmHg.
Normal adult blood pressure, systolic, is between 90 and 139.
This patient’s systolic pressure was only 1 mmHg below normal, so it could be considered normal.
After all, in clinical diagnosis, even slightly experienced doctors would not be dogmatic.
In such cases, flexibility is completely possible.
However, Li Jingsheng frowned slightly.
His physician level is now at the associate chief physician, with Minor Achievement in Cardiovascular Medicine diagnosis, and high sensitivity and precise judgment regarding various cardiovascular conditions.
Looking at this man’s robust build, it was apparent he wasn’t someone who sat at a desk.
He likely did a lot of manual labor.
In theory, such a strong man shouldn’t have such low blood pressure.
Their systolic pressure often exceeds 110.
Because their heart and vessels are well exercised during their manual labor.
"Have you had a health check-up before?"
Li Jingsheng asked.
He wanted to compare it with the patient’s previous health data.
"No."
The patient shook his head.
Manual laborers earn every penny with blood and toil in harsh work environments, with no guaranteed health coverage.
Many of them are satisfied if they can earn their wages.
As for buying social insurance, medical insurance, or arranging an annual health check-up, they wouldn’t dare to hope for it.
Perhaps the shaking of his head intensified the patient’s dizziness, as he hurriedly covered his mouth and got up to find a trash can.
It was clear he was an honest and simple man.
Though unwell, he still worried about vomiting into the trash can instead of dirtying the floor.
Li Jingsheng quickly placed a small trash bin next to the patient.
"Vomiting in this is fine, don’t worry."
As soon as he finished, the patient clutched his chest tightly and started to vomit.
Frightened, other patients and family members frowned and moved away.
Who knows if this is an infectious disease?
Li Jingsheng saw that the patient retched for a while, only producing some yellow fluid.
Some people describe severe vomiting as if they’re throwing up bile.
The sour and bitter fluid might not necessarily be bile.
It could also be stomach acid.
However, during severe vomiting, bile can indeed be expelled.
"Here are some tissues, wipe your mouth!"
Li Jingsheng handed over some tissues.
"Thank you! Sorry about that!"
The man’s vomiting was severe, his voice already hoarse.
"It’s alright, don’t worry. Everyone gets sick. Was the yellow fluid the same in your previous vomiting?"
"Not the first time. The rest seemed like yellow fluid."
"Aside from dizziness, nausea, and vomiting, do you feel unwell anywhere else?"
"I feel slightly short of breath, but it’s bearable."
"Did it suddenly start last night?"
