Chapter 706 - 326: Strange Misdiagnosis, Boss Zhao’s Downfall
After listening to the patient’s heart sounds, he did not find any problems.
The heart sounds were clear, without any murmurs, and the heart rate and strength were normal.
"Extend your hand, let me feel it."
He also felt the superficial veins on the back of the patient’s hand; they were soft in texture with normal elasticity. There was no thickening of the vascular walls as seen in temporal veins.
Under normal circumstances, to check for vascular hyperplasia, a CT or even an X-ray might reveal some abnormalities.
A routine blood test would also show a significant increase in white blood cells.
However, the CT scan of this patient’s head did not show any vascular abnormalities.
Li Jingsheng also felt the temporal veins of the patient.
No mistake, the elasticity was quite strong, indicative of thickened vascular walls and increased internal pressure.
"I’ll try massage therapy for you. It might not help."
He performed massage therapy on the patient’s head on the spot.
"It works, it really works! It doesn’t seem as painful now," Wen Tianqi said happily.
Li Jingsheng’s massage skills were highly advanced, very effective in promoting local blood circulation and clearing blood stasis. After his massage, immediate effects were no surprise.
After a brief massage, Wen Tianqi showed an unprecedented relaxed expression.
"I can sum up my current feeling with eight words: clear mind, complete comfort."
After saying this, he gratefully said to Li Jingsheng, "It was worth coming this time; I’ve found a solution for my work issues, and the headache problem too. Thank you, Dr. Li, for treating me. How much is the treatment fee? I will scan and pay you."
"Forget it, you’re likely to be a future employee; it’s on the house!"
Li Jingsheng waved his hand.
It’s not like he cared about a few dozen bucks.
"I saw the fee schedule in your reception area: massage therapy within ten minutes costs 50 yuan per session, and within half an hour, it’s 100 yuan per session. You just gave me a massage that should be within ten minutes; I’ll pay you 50 yuan. Even between brothers, accounts should be clear. If you don’t accept the money, it’ll be awkward for me to ask for treatment next time."
Wen Tianqi insisted on paying.
It was also a form of respect for Li Jingsheng.
Doctors earn money through their skills, and for Li Jingsheng’s level of massage therapy, charging 50 yuan within 10 minutes was not high.
For many serious hematomas, emphysemas, and joint pain, even the examination fees at the hospital would exceed this amount.
And the therapeutic effects would be significantly inferior.
Hematoma treatment is usually conservative.
At most, some painkillers are given, which address only the symptoms but not the root cause.
After Li Jingsheng’s massage therapy, he could help reduce swelling quickly with excellent therapeutic effect.
"Does your head still hurt now?"
"No more pain! I feel very comfortable and relaxed."
The patient said with a smile.
"Let me check your temporal veins again."
Li Jingsheng found that the veins on both sides of the patient’s head were no longer bulging and had subsided.
He tried to press and feel them.
He was surprised to find that the temporal veins had undergone significant changes.
Upon pressing, the veins felt much softer, almost indistinguishable from normal veins.
If he hadn’t repeatedly touched them before, he might have thought he was hallucinating.
"It’s really strange; these veins seem like chameleons, changing like that."
He couldn’t figure it out.
He would have to look up related medical literature later; this was the first time he encountered such a situation.
One thing is certain: when he initially felt the patient’s veins, thinking they were very elastic with thickened vascular walls, it might have been a misdiagnosis.
Because the patient’s head CT did not reveal any vascular abnormalities.
The routine blood test showed elevated white blood cells, but still within the normal range.
Moreover, the patient’s body temperature, heart rate, and lung sounds were all normal.
The blood pressure was slightly elevated, but barely reaching the borderline of mild hypertension.
For adults, a systolic blood pressure of up to 139 mmHg is considered normal, at least according to textbooks. Actual clinical diagnosis needs to be flexible according to the patient’s situation.
Wen Tianqi’s systolic blood pressure fluctuated between 141 mmHg and 130.
In Li Jingsheng’s opinion, it should be considered normal blood pressure.
Categorizing it as mild hypertension doesn’t have much significance.
At the same time, the patient is not very old, so the probability of vascular lesions is low.
He was somewhat puzzled as to why both temporal veins of this patient felt like the vascular walls were thickened when pressed before.
He could only wait for the patient to experience headaches again to examine more carefully.
One thing is certain: when the patient experiences headache symptoms, the venous pressure in the head should be relatively high.
Vein bulging could either mean the patient was emotionally agitated, causing blood to rush into the head, or it could indicate compression on a certain section of the blood vessel.
The exact reason was still indeterminate.
At this moment, Li Jingsheng’s phone rang.
He took out his phone and saw that it was Boss Zhao calling.
If it wasn’t something important, Boss Zhao wouldn’t call him.
Their statuses and positions were completely different now.
Half a year ago, Boss Zhao could manipulate Li Jingsheng at will, visiting his clinic to flirt with Tang Ping or hinder him, undermining the Sunshine Clinic.
Today, Li Jingsheng could crush him with one hand.
In terms of income, Li Jingsheng could now easily outmatch Boss Zhao.
Never mind Boss Zhao driving luxury cars and living in mansions, Li Jingsheng’s monthly income now matched Boss Zhao’s annual income.
Such are the shifts in fortune.
The rise of Sunshine Clinic’s pharmaceutical and medical services heavily impacted Quick Recovery Clinic, which was on the same street.
The sales and medical divisions of Quick Recovery Clinic both experienced shrinkage.