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Practicing Medical Skills in a Small Clinic-Chapter 207 - 136: What Patients Wait For May Not Be a Medical Miracle—The Teacher Takes Action Personally
"Taken! The examination results are similar to yours."
The patient hesitated for a moment before responding.
"Did you bring the scans?"
"I have to ask my son!"
The patient was obviously making excuses.
Li Jingsheng noticed when the patient got up, using his left hand to awkwardly support his lower back, showing a slightly pained expression, clenching his teeth secretly, with his cheeks bulging.
"Take it easy, take it easy!"
He quickly ran over to support the patient. 𝒇𝓻𝓮𝓮𝙬𝙚𝒃𝒏𝓸𝙫𝒆𝙡.𝓬𝓸𝒎
Upon leaving the medical room, the unease in Li Jingsheng’s heart grew stronger.
Getting a bone setting case early in the morning made him quite pleased. But he couldn’t be like a fish, seeing only the bait and not the hook, seeing the profit and not the harm.
While talking with this patient, he felt a hint of malice.
It’s hard to pinpoint, just that after dealing with various patients over time, a kind of keen professional judgment develops.
Over 99.9% of patients hold a favorable view of doctors when seeking medical attention, sometimes even with reverence or ingratiation.
Because they need doctors to relieve their ailments.
Both parties inherently have a cooperative and trusting relationship.
In ancient times, doctors had six categories for not treating patients, and the first on the list was those who do not trust doctors are not to be treated.
Patients who don’t trust doctors cannot be treated.
Li Jingsheng instinctively scrutinized this patient, whose complexion was sallow and slightly dark, with very pronounced eye bags that could be half the size of a baby’s fist.
His eyes appeared slightly dull and yellowish.
His hair was slightly disheveled, with stubble from not shaving for about two days.
"Hey, hey, wait, it’s caught on my clothes."
When exiting, because Li Jingsheng was supporting the patient, the width was a bit inadequate through the doorframe. The patient’s clothing accidentally caught on the edge of the door lock.
The patient immediately stopped, slightly turned, and used his right hand to handle his caught clothing.
At that instant, Li Jingsheng unexpectedly noticed a small bruise on the patient’s right wrist, along with a small red dot.
This was a needle mark from intravenous infusion.
The small bruised swelling was caused by the medication seeping in after the infusion.
His eyes narrowed slightly.
It’s hard to exhibit such a phenomenon with one or two infusions. It usually requires an indwelling needle with multiple infusions to occur.
Of course, it could also be due to a young nurse’s poor needle insertion skills, resulting in drug fluid congestion, or even injuring a blood vessel.
In any case, it indicated the patient had undergone infusions elsewhere, and very recently.
This could disappear on its own in as little as two or three days, or even a bit more than a day quickly.
This time, Li Jingsheng maintained his composure because this man was about fifty years old. Men of this age can be so cunning they could deceive you without a trace. It was too difficult to get anything out of him.
Especially something the other party deliberately wanted to conceal.
Even harder to ascertain anything.
Li Jingsheng supported the patient back to the outside consultation desk, deliberately observing this man’s sitting posture.
Sitting down, the man’s wife and son supported him on either side, with the man’s right leg appearing slightly stiff. Li Jingsheng had noticed this phenomenon in the medical room.
A hip injury shouldn’t cause such an inability to bend the knee!
Given the infusion marks on the patient’s hand, his evasive answers during inquiry, and numerous other doubts, Li Jingsheng had already decided to abandon this case.
His small clinic had just started to do well, offering a glimmer of hope. Taking on a problematic case could set him back to square one, which would be the best case scenario.
He feared it might even lead to his small clinic going bankrupt directly.
"Could you please show me the scans your father had taken at the hospital?"
Li Jingsheng directly said to the patient’s son.
The patient’s son looked at his father.
"Dad, aren’t the scans from People’s Hospital with you?"
This son was indeed putting his father in a tough spot!
With one sentence, he exposed a lot of information to Li Jingsheng.
"Oh... look at my memory, I don’t know if I left it at home or in the hospital. Dr. Li, the scans taken here should be the same! I’m in such pain, it’s inconvenient to move. Could you perhaps treat me first, and next time when I come to change the dressing or something, I’ll bring them for you to take a look?"
The patient tried to brush it off lightly, urging Li Jingsheng to treat him quickly.
Did he really think Li Jingsheng was young and easy to fool?
"There’s no rush for treatment, we need to understand the cause of the condition first."
"You see, there are several other patients waiting! Could you perhaps administer some medicine for the pain first, at least? Moreover, everyone praises your excellent medical skills here, aren’t minor ailments like mine instantly curable by you?"
The patient urged repeatedly.
The more he urged, the more vigilant Li Jingsheng became.
Back when he had just transitioned to a resident doctor at the First Hospital, an older associate chief physician in the group had said something that he still remembered vividly.
That patient had been hospitalized for almost two months, in the late stages of lung cancer.
Doctors and nurses advised him to take some painkillers home; there was no need to end up both financially and physically exhausted.
The family didn’t clearly state it, but they had hinted at the idea.
After all, staying in the hospital was quite a financial burden daily.
The patient refused to be discharged.
That older associate chief physician instructed the group’s doctors and nurses that when changing medication or administering drugs to this patient, a senior attending physician or nurse in charge had to be present.
Once, when Li Jingsheng entered the ward, the weak patient beckoned him over.
Saying that breathing was painful and a bit labored, requesting Li Jingsheng to administer some pain relief and anti-asthma drugs.
At that moment, the attending physician was consulting in another department, and Li Jingsheng thought it wasn’t a big deal, so he prescribed a bit of pain medication for that patient. However, the anti-asthma medication involved deeper pharmacodynamics and pharmacokinetics, and he dared not take that risk.







