Practicing Medical Skills in a Small Clinic

Chapter 673 - 309: Curable? An Illness Caused by Bad Habits?

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He even specifically sent Li Jingsheng the scans from the examination of that old professor.

Thus, the two of them became WeChat friends.

Vice Dean Jin’s WeChat name was quite interesting, named "Old Jin from the Mohist School."

Most scholars prefer Confucian culture, while the Mohist school is less favored. This Vice Dean Jin was so enamored with the Mohist school that he even added it to his online name, indicating a great admiration and some research into it.

Li Jingsheng did not immediately look at the professor’s scans but instead focused on continuing to treat the patients waiting in line.

By the time he finished, it was already half-past twelve in the afternoon.

Basically, whenever he was at the clinic seeing patients, he was busy until about this time every day.

Not only did he have plenty of patients, but even the number of patients that Shao Bing and Wang Zongxiao received had become quite substantial.

Recently, Wang Zongxiao consistently saw about twenty-four to twenty-five patients every day.

The number of patients Shao Bing was seeing had risen from a dozen to over thirty.

If this growth continues, he might become the second doctor in the Sunshine Clinic to start limiting numbers.

Li Jingsheng had already started limiting numbers.

Limiting numbers is necessary; otherwise, it would bring many adverse factors.

If the number of patients he sees exceeds his limit, firstly, it would severely extend the waiting time for some patients. Some even register at eight in the morning, but because they come late, they need to queue until six or seven in the evening.

They almost need to wait a whole day.

If the condition is a bit more serious, wouldn’t it delay the illness?

Secondly, seeing too many patients reduces the time allocated to each, increasing the risk of error in haste.

If misdiagnosis or missed diagnosis occurs, the responsibility would be significant.

Thirdly, Li Jingsheng wouldn’t even have time to eat or go to the toilet. This would impose a huge toll on his body; if he were to fall ill, he wouldn’t be able to treat patients anymore.

Therefore, limiting numbers is necessary to ensure medical quality and achieve sustainability.

Patients they really can’t manage are generally advised to go to local health service centers or the Second Hospital.

Although her relationship with Boss Zhao is now quite good, they never refer patients to the Quick Recovery Clinic.

Instead, some patients who could benefit from traditional Chinese medicine methods are referred to Jinkui Clinic.

The cooperative relationship with Boss Ye is still ongoing.

The bone injury medicine sourced from her works particularly well.

After prescribing it to patients, the feedback on its effectiveness has been positive.

At noon, while having lunch in the office, he took the rare opportunity to rest a bit.

Pulled out his phone to check the examination report of the old professor.

Vice Dean Jin was quite diligent, sending him the blood routine and fasting blood sugar test results, along with the X-ray scans.

The injury to the right wrist joint and the right hip joint was quite severe.

After reviewing it, Li Jingsheng grinned.

He wondered why such a small bone injury warranted inquiries at the Imperial Capital Hospital; truly baffling.

If they didn’t want to come to his Sunshine Clinic for treatment, they could also seek help at the Second Hospital!

At least ask for advice.

How little did they think of bone-setting techniques?

He immediately replied to Vice Dean Jin.

"The injuries are indeed somewhat complex, but it’s worth a try."

He didn’t speak too assuredly.

Moreover, this was an opportunity to offer goodwill, and it was necessary to let the old professor and his family feel that Li Jingsheng had contributed significantly. The treatment process would be extremely arduous.

Only then could his endeavor to become a teaching assistant come to fruition.

"Great, I’ll inform the family right away."

Dean Jin quickly replied.

Li Jingsheng smiled again.

The Mohist school is nothing if not a bit impatient.

Vice Dean Jin’s reply conveyed a lot of information in an instant.

It seems the family sought out Vice Dean Jin through connections to ask for help.

Now that Li Jingsheng said it’s worth a try, Vice Dean Jin earned a big favor from the family instantly.

Within five to six minutes, a phone call came through.

"Xiaoli, can we have this patient admitted to the orthopedics department at our Second Hospital? That’s what I’m thinking; staying in the hospital with medical staff providing around-the-clock care will minimize the risk. If cured, it can also add glory to our hospital and enhance the reputation of our orthopedics department."

This matter could certainly be decided directly, but Vice Dean Jin chose not to give a command.

Instead, he discussed it with Li Jingsheng.

This was a form of respect and the art of leadership.

"No problem, once I’m done here, I’ll go over and treat him."

Li Jingsheng readily agreed.

Even with such severe conditions, treating them at his small clinic wasn’t impossible.

But the risk was a bit high.

And the financial gain would be minimal. It would be better to treat at the Second Hospital.

"This would mean our Dr. Li personally took a cab to the hospital and worked overtime for the treatment; I will convey this special care to the family. You don’t need to hurry; going to the hospital after dinner is not too late."

Vice Dean Jin hinted at him.

Arriving a bit later would enhance the goodwill effect.

But a leader wouldn’t say it directly.

In the afternoon, Li Jingsheng continued his consultations at the clinic.

The clinic was currently quite strong in the internal medicine field.

Li Jingsheng himself had the level of an associate chief physician in pulmonology and gastroenterology, and with assistants like Wang Zongxiao and Shao Bing, it was like adding wings to a tiger.

When encountering difficult cases, the three of them could discuss on-site, equivalent to conducting a consultation.

This was excellent.

It’s not just the Old Street of South City; likely, across the entire South City, there are hardly any medical institutions with internal medicine diagnosis and treatment quality better than Sunshine Clinic.

Except for the giant Second Hospital.

No way around it, even Li Jingsheng himself was recruited by that giant and couldn’t go against it.

However, among the grassroots medical institutions like health stations and clinics, none can really compete with Sunshine Clinic.

"Boss, this patient’s condition seems a bit severe, please take a look."

Wang Zongxiao turned his head to Li Jingsheng and said.

"Come over and sit down! What’s wrong?"

Li Jingsheng looked at the consultation records made by Wang Zongxiao for the patient, which were quite detailed.

Medical history and other information were clearly documented.

"It’s just that breathing in is a bit strenuous! Like someone covering the nose, leaving only a small gap."

The patient was not very old, around thirty years old.

Male.

He appeared somewhat thin.

His clothing resembled that of a worker.

Wang Zongxiao noted that the patient worked as a night snack vendor, mainly selling barbecue.

"This condition has been going on for a dozen years?"

After reading the patient’s information, he raised his head and asked.

"Yes! When I was seventeen or eighteen, one night I found that lying on my side was okay. But whenever I lay on my back, I felt a bit of difficulty breathing. Couldn’t quite describe it, like something was stuck in my throat."

The patient described his early symptoms.

"Do you feel like the mucus is thick and hard to swallow?"

Li Jingsheng asked him.

"Yes, yes, that’s exactly how it feels. Always can’t help but want to swallow saliva, yet it’s a bit difficult to swallow."

The patient nodded repeatedly.

With him at the consultation was a woman around thirty-seven or thirty-eight years old, certainly not the patient’s mother.

Her facial features bore a slight resemblance to the man’s.

Li Jingsheng couldn’t tell if she was the man’s wife or sister.

Sometimes couples living together for long periods develop similar features.

It’s a curious phenomenon.

For instance, if the husband gains weight, the wife does too.

If the husband’s gaze is kind, the wife’s is also.

Very fascinating.

Some experts believe this phenomenon is closely linked to character influencing appearance.

"Have you previously worked in jobs involving dust exposure?"

Li Jingsheng asked the patient.

"No!"

The patient replied and then began to inhale deeply, appearing to have some difficulty breathing.

His face briefly showed a bluish tint.

"Xiaowei, are you okay? Is it serious?"

The woman quickly asked with concern.

The man waved his hand, indicating it was not serious.

"Doctor, if you have any questions, I can answer on my brother’s behalf! If he talks too much now, he tends to get short of breath."

It turns out she was the patient’s sister, not his wife.

Many sisters or younger sisters, after getting married, don’t tend to manage their birth family affairs.

Unless the parents are ill or younger brother or elder brother falls seriously ill, they might visit with some money. Typically, they only accompany the parents for consultations.

Given they already have their own families.

"Did he work in renovation or heavy metal jobs?"

"When he was twenty, he worked on renovations for half a year with someone. Later he felt the paint smell was too strong, worried it would be bad for his health, so my parents didn’t let him continue."

"When did the severe symptoms of breathing difficulty start?"

"Almost five or six years now. He has been to hospitals for check-ups, specialists said there was nothing wrong. But previously it wasn’t this severe."

His sister answered.

"I noticed when he speaks, his nostrils make two sounds, forcefully expelling air through the nose, is this a long-standing habit or developed recently?"

"Seems like it’s always been that way. When he was just a few years old, don’t know who he imitated, but he liked blinking while speaking, and making two sounds from his nostrils. My parents only have one son, perhaps indulged him too much. Told him twice, but he didn’t listen, so they let him be.

Later it became a habit and now can’t be changed."

His sister spoke about this with a look of helplessness.

Li Jingsheng took out a small flashlight, deciding to check the man’s nasal cavity.

First, he wanted to confirm if the man had nasal polyps or similar.

The nose is particularly prone to grow polyps, especially if frequently irritated.

For example, some people love picking their nose with fingers.

When inflammation occurs in the nostrils and they are picked, persistent stimulation might lead to nasal polyps forming.

Other special reasons might also increase the likelihood of nasal polyps appearing.

After examining the patient, no nasal polyps were found.

"Have you recently had any checkups at other hospitals?"

"No."

The patient himself shook his head.

"Are you married?"

"No!"

The patient’s expression turned bitter.

Generally, men who aren’t very successful really don’t like talking about this topic.

Successful men have the privilege to choose beautiful, agreeable girlfriends. The unsuccessful ones face rejection everywhere from women.

Today’s women are especially pragmatic, preferring to cry in a BMW.

"Let me take an X-ray of your chest now, is that okay?"

Li Jingsheng decided to have the patient get an X-ray to examine the situation of the lung patterns.