Practicing Medical Skills in a Small Clinic-Chapter 144 - 115: The Down-and-Out Uncle’s Vitality, the Nemesis of the Elderly Couple

Chapter 144: Chapter 115: The Down-and-Out Uncle’s Vitality, the Nemesis of the Elderly Couple

Originally, after saving Xie Guiqiu’s mother, there was a chance to receive a banner in gratitude.

However, Xie Guiqiu’s identity is too mysterious, and he seems to have a significant background. Such people are often extremely cautious in their actions.

They are not willing to easily show their faces, let alone write their names on a banner and send it to the Sunshine Clinic.

If anything happens to the Sunshine Clinic, he could easily get implicated.

He is also afraid that once Li Jingsheng finds out his identity, he might exploit it and cause trouble.

"Dr. Li, Dr. Li..."

The patient saw Li Jingsheng was lost in thought, holding the pen without writing a prescription for a long time, and couldn’t help but remind him.

"Sorry, I got too immersed in my thoughts just now. Considering your bronchitis is a chronic condition, and you have high blood pressure, I must be extra cautious with the medication."

Li Jingsheng quickly explained.

Of course, he wouldn’t tell the patient that he felt incompetent earlier and couldn’t write a prescription.

He hurried to improve his medical skills at the last moment.

And indeed, after reaching the Master Level in pharmacology and pharmacokinetics, writing prescriptions felt like having divine assistance.

He completed the prescription in one go.

This was also Li Jingsheng’s first time to officially combine medications, and he seemed particularly cautious.

After finishing the prescription, he carefully reviewed it twice to ensure there were no issues before handing it over to Tang Ping to dispense the medication and administer the injection.

If conditions allowed, the patient ideally should have undergone nebulization treatment as well.

"Boss, acetylcysteine is used for nebulization, right?"

Tang Ping asked while preparing the medication.

"Yes! Considering the patient’s excessive phlegm, we use nebulized medication for expectoration."

Li Jingsheng confirmed.

In the small clinic, only he and the nurse, without a pharmacist, ensured medication safety by both he and Tang Ping double-checking.

Speaking of this medication double-checking, when Li Jingsheng’s medication skills were only at the Entry Level, Tang Ping corrected him multiple times.

An experienced nurse indeed has a sophisticated level of medication knowledge.

Newly graduated doctors giving medical orders often find themselves corrected by nurses, who return them for modification.

Why are those who studied nursing so good at it? 𝗳𝚛𝗲𝕖𝚠𝚎𝚋𝗻𝗼𝕧𝗲𝐥.𝚌𝚘𝐦

Because they’ve administered medication to patients numerous times, and since nursing is a medical profession, they’ve had professional training and experience, enabling them to correct doctors’ medication errors.

A long illness can make a good doctor.

Not to mention nurses who administer medication to patients every day.

Their triple-check and seven-rights procedure before administering medication is not done in vain.

Of course, repeatedly confirming a patient’s name and age before infusion usually happens during exams or interviews. In real clinical nursing, they verify names at most twice.

When nurses take medication to the bedside, they will ask the patient their name and then check the wristband on the patient’s hand.

Once verified, they administer the medication directly.

If it were like an exam where nurses repeatedly question the patient’s name and constantly verify, a patient in good enough condition might cooperate. If the patient is very unwell, they would definitely scold the nurse for being crazy.

After Li Jingsheng completed the prescription for this elderly man, Tang Ping would handle the injections and medications from there.

He then gestured to the man with short bowel syndrome.

"Sir, it’s your turn for the consultation. Please come over!"

The man clutched his abdomen and slowly walked over.

His complexion looked worse than yesterday, not only pale but with a hint of dark hue.

This kind of dusky facial color is termed "deathly hue" by experienced doctors. It often indicates the patient’s condition is critical and, without timely and appropriate treatment, death could occur soon.

"Sorry to keep you waiting! I suggested you go to a major hospital for treatment yesterday. Didn’t you go?"

Li Jingsheng asked with concern.

"I went, the registration fee cost me 32 yuan, and they prescribed a slew of examinations. I asked about the fees, and just the exam fees alone were over a thousand yuan. Plus, I wouldn’t know the results until at least the next day, making the treatment costs unpredictable. I... sneaked out."

In a major hospital, he probably would need an abdominal CT, possibly a small intestine X-ray barium meal, followed by routine blood tests, electrolytes, albumin, prothrombin, and more.

The man’s reply was both amusing and exasperating.

Originally, Li Jingsheng wanted to laugh, but he held back.

"Actually, you don’t need to sneak out. If you don’t want treatment, leaving openly wouldn’t trouble the doctors and nurses."

In outpatient clinics, unless a patient is admitted for hospitalization, the hospital typically doesn’t intervene much.

You can seek treatment anywhere you like.

As for the tests prescribed by outpatient doctors, if patients choose not to undergo them, doctors will never force them.

The physician’s intention is to help determine the patient’s condition and then provide appropriate treatment.

Unlike Li Jingsheng’s small clinic, slightly more formal hospitals have strict diagnostic and treatment procedures.

Administering medication without testing, except in emergency rescue situations, is almost impossible.

Because if something goes wrong, neither the doctor, the nurse, nor the department or hospital can bear the responsibility.

"So what do you plan to do now?"

Li Jingsheng asked.

"Didn’t you take the trouble to examine me yesterday? You didn’t even charge me, I feel bad about it. I was hoping you could prescribe me some medication to take home. I’ll live one more day if I can, so it’s better than waiting to die. Even if things don’t turn out as expected in the end, I won’t blame you."

Just as expected, this was the man’s intention.

Li Jingsheng had guessed it right away.