Practicing Medical Skills in a Small Clinic-Chapter 142 - 114: Finally Reached Attending Level Prescription Skills_2

Chapter 142: Chapter 114: Finally Reached Attending Level Prescription Skills_2

"When you put it like that, it really seems to be the case! So, what should I do about this situation?"

After a slight recollection, the woman realized that it was indeed as Li Jingsheng had said.

She instantly felt a bit scared.

After all, at her age, if anything serious were to happen, it would definitely be a disaster for her family.

"The two boxes of medicine I’ve prescribed for you aren’t as fast-acting as injections, but after taking them, you can rest for at most two days and then engage in lighter work. I see you don’t appear to do heavy physical labor, so doing the work of a boss lady should be perfectly fine."

Upon hearing Li Jingsheng’s words, the female patient showed a knowing smile.

Being the boss lady is something that most people find very prideful.

A laborer versus a boss, a working girl versus a boss lady, the latter titles definitely make people feel more honored and dignified.

Even if some bosses are deeply in debt, with a negative annual income, and some laborers earn millions annually, people still feel that the title of boss sounds better.

"Hehe, then I’ll try taking the medicine first! I can tell you’re a skilled and responsible good doctor. Goodbye!"

"The recovery of the immune system takes a long time. If you can maintain regular exercise daily, along with scientifically healthy nutrition intake, I believe within six months, your body will undergo a significant transformation. Infusions aren’t inherently bad, but if a minor illness can be treated without them, it’s better to avoid them, and that’s my personal advice to you."

Li Jingsheng added a remark.

"Alright."

She nodded and left.

From her expression and tone, it was clear she trusted Li Jingsheng.

This is crucial; when patients trust their doctors, the therapeutic outcomes are usually very promising.

As long as you don’t encounter a dishonest doctor, the results are likely to be positive.

If you do meet a dishonest doctor, trying to scam patients into various treatments and taking expensive nutritional medications for the sake of performance, then special caution is needed.

After sending off the female patient, Li Jingsheng attended to another patient.

This patient was older, 63 years old, with a severe cough.

Having previously treated a tuberculosis patient, Li Jingsheng was now particularly vigilant with such severely coughing patients.

There are numerous infectious diseases in the respiratory tract.

Proper precautions must be taken.

Once his small clinic develops well, he can even consider implementing better measures to ensure other patients aren’t cross-infected.

After measuring temperature, blood pressure, heart rate, and performing auscultation of heart and lung sounds among other examination methods, Li Jingsheng made a preliminary diagnosis utilizing Master Level internal medicine diagnostics, based on the patient’s self-reported symptoms and medical history.

For multiple considerations, he suggested the patient undergo an X-ray chest film at the small clinic.

To check the condition of the lungs.

Whenever he had the opportunity to use this ’old grandfather’ machine, Li Jingsheng would try to utilize it.

To quickly earn back the investment to replace it with new high-definition equipment.

Not only small clinics, but even big hospitals need to find ways to ’break even’. 𝐟𝚛𝕖𝚎𝕨𝗲𝐛𝚗𝐨𝐯𝐞𝕝.𝐜𝗼𝗺

Unnecessary examinations are considered excessive examinations.

Regular examinations can provide a foundation for diagnosis, preventing misdiagnosis and missed diagnosis, which is very necessary.

In hospitals slightly larger, the pulmonology department generally has bronchoscopes, invasive and non-invasive ventilators, ECG monitors, etc. Li Jingsheng worked in a large hospital before, and these devices were all considered ’assets’ of the department.

Serving critically to save patients’ lives.

If his small clinic makes money and has a stable patient base, he can also gradually acquire these devices.

By then, the small clinic will show initial signs of success, leaving other clinics behind directly. It could even contend with the South City Community Health Service Station.

Despite appearing as merely a station, the South City Community Health Service Station, due to numerous reasons, has not been upgraded to a community health service center, though its scale has reached that level.

For the three clinics on this street, this is actually a good thing.

The weaker the official medical institutions are, the greater the development opportunities for private clinics.

After thoroughly examining this patient, through diagnosis, Li Jingsheng confirmed that pneumonia hasn’t occurred, and it’s likely bronchitis induced by long-term smoking and exposure to cold.

In the words of the patient, this is an old problem.

With the diagnosis complete, the next step was prescribing treatment.

Considering the older age of the patient, Li Jingsheng was particularly cautious in medication prescription.

To achieve good therapeutic results, certainly requires symptomatic use of cough suppressants, expectorants, asthma relief medications, anti-infective drugs, etc.

The proficiency level of drug efficacy seemed somewhat insufficient.

The prescription could be issued, but it was forced.

Considering the patient’s history of hypertension, even though the current blood pressure is relatively stable, this crucial factor must be considered in medication prescription.

He began to pull at his hair.

Sometimes prescribing medication to patients is far more difficult than solving math application problems.

Because every aspect of medication safety and effectiveness must be considered.

"Drug efficacy and pharmacokinetics should’ve upgraded a level already, might as well splurge this time."

Li Jingsheng’s gaze inadvertently swept across the uncle still waiting in the rest area.

This man was destitute; persuaded to seek treatment at the big hospital yesterday afternoon, yet has returned today, indicating a single result, the uncle probably found the big hospital too expensive and gave up.

As for returning to Li Jingsheng’s clinic, it’s surely because he still wants to live.

Yesterday, Li Jingsheng spent so much time examining him without charging a fee; the patient isn’t foolish, naturally having a comparison in mind.

Having gone neither to the pharmacy nor other clinics, returning specifically here to wait for Li Jingsheng indicates most likely he wants Li Jingsheng to prescribe him some medicine to take home.