Practicing Medical Skills in a Small Clinic

When the patient developed such a severe problem, Ou Qinglan immediately reported to the doctor on duty.

Then she called Professor Wu to report the situation.

"Dear, what should we do about that patient?"

After making the call, Ou Qinglan turned to Li Jingsheng for help.

"Intravenous rehydration and sodium supplementation! The patient’s serum sodium is below the normal value of 135mmol/l, which can basically be diagnosed as hypotonic dehydration. You just need to give him an IV drip of 5% glucose saline and 4.5g of sodium today."

On the first day of sodium supplementation, you usually replenish half of the daily requirement.

The remainder can be observed and supplemented the next day.

This patient hasn’t developed severe sodium deficiency yet, so the treatment is relatively simple.

If it were a case of severe sodium deficiency, blood volume would need to be restored first.

The body’s fluids can transform into each other.

More than 70% of the human body is water, and severe dehydration can lead to decreased blood volume.

At this point, you need to first restore blood volume, improve the patient’s microcirculation and tissue perfusion, and then proceed with other treatments.

Severe dehydration can lead to shock or even death.

Therefore, never underestimate the harm of dehydration.

Some people traveling may be too confident or lack crisis awareness, making them most susceptible to dehydration. If they can’t rehydrate in time, coupled with physical exertion, hot weather, and sweating, further water loss will soon lead to danger.

It’s like carbon monoxide poisoning; by the time you realize the danger, you may have no strength to open a window or crawl outside.

"The doctor on duty has already taught me to administer these treatments to the patient. I’m asking what to do next?"

Ou Qinglan wanted more than just solving the patient’s immediate problem.

She also wanted to find out the cause and solve the root problem.

"Isn’t this something Professor Wu should handle? There are various reasons for hypotonic dehydration; you can diagnose and think about it privately. Why take on such a burden?"

Li Jingsheng was not a novice doctor without office experience.

It’s good for young doctors to be adventurous and hardworking, but they should avoid doing things beyond their job scope and personal ability and experience.

Otherwise, if trouble happens, the senior doctor will not only not be grateful for easing their worries but will also scold you thoroughly.

And they won’t have a good time for a long period.

They might even be sidelined directly.

It’s a typical case of thankless hard work.

"He said he can’t come to the hospital now as he has an important academic conference tomorrow morning and asked me to find a solution."

Ou Qinglan honestly said.

"Did you tell him I was in the office with you?"

Li Jingsheng immediately sensed something unusual.

Under normal circumstances, with such a major problem, Professor Wu, as the attending physician, couldn’t possibly ignore it.

When they adjusted the frame for the patient, he guessed a few things.

Because a more skilled doctor couldn’t possibly fail to grasp even the tightness of a frame.

Professor Wu, because of his limited skills, was afraid of the patient moving around causing issues, so he would rather make the patient a bit uncomfortable and tightened the frame a little more. This was at least safer.

In fact, it’s not necessarily better to compress fractures too tightly during repositioning.

Moderate force is best.

If it’s too tight, constantly putting strong pressure on the fracture surfaces is not always good.

It might even be detrimental to the formation of callus.

At the same time, it causes significant pain to the patient.

The Second Hospital implements a first-diagnosis responsibility system.

The patient was admitted by Professor Wu, and since he performed the surgery, now that the patient has a problem, he would undoubtedly be more anxious than anyone else.

Yet, throwing such a tricky issue to Ou Qinglan, a novice resident physician, is too illogical.

Li Jingsheng could only think of one reason, that Professor Wu was spending some intimate time with a young beauty, and upon hearing that Li Jingsheng was in the hospital with Ou Qinglan, he cleverly tossed the problem to be handled by Ou Qinglan.

He knew that Li Jingsheng couldn’t possibly ignore his girlfriend.

"I didn’t say it intentionally. When I reported the problem to him, he felt puzzled and praised me, saying, ’Xiaou, not bad! You’ve made such progress suddenly, managing to keenly identify the patient’s hypokalemia and apply for an examination decisively, which is excellent.’ I didn’t dare to take credit for your work, so I said that Dr. Li happened to come over, and it was Dr. Li who discovered it.

Then Professor Wu praised me a few times, saying that this patient is a very good exercise opportunity and told me to handle it well.

I was too slow at the time and didn’t get the hint.

Now with your reminder, I realized... Professor Wu is too..."

Before Ou Qinglan could finish, Li Jingsheng directly interrupted her.

"Professor Wu actually sees you as promising and intends to cultivate you. It’s okay, let me help you analyze the real cause of the patient’s condition and try to figure out the reason. If it doesn’t work, asking Professor Wu for guidance tomorrow will still be timely."

Li Jingsheng also made the same mistake as Ou Qinglan, speaking without restraint and blurting out whatever was on his mind.

Speaking ill of leaders or superiors is a taboo.

Especially in an office environment where other colleagues are present, you need to control your mouth.

There are also three other on-duty doctors in the office right now, including Qin Fei.

She spoke about Professor Wu being cunning without malicious intent, but if it reaches Professor Wu’s ears, it may immediately cause dissatisfaction.

Even if considering Li Jingsheng’s presence, he might not give Ou Qinglan a hard time.

At the very least, the effort put into nurturing her will surely decrease.

With exercise opportunities, she would be prioritized. But in the future, others would surely be prioritized.