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Practicing Medical Skills in a Small Clinic-Chapter 278 - 159: Elite Hunter, Could It Be Hemolysis? (Part 3)
Li Jingsheng said seriously.
"Then... is my illness serious?"
The patient wasn’t very old, and hearing it might be a serious illness, they were instantly panicked.
Their face turned pale with fright.
"As long as we find out the cause soon, it shouldn’t be a big problem. But you mustn’t delay, and don’t seek treatment at other clinics or pharmacies anymore. You need to go to a big hospital now."
"Okay, I’ll immediately request leave from work and go to the hospital for an examination. Thank you."
The patient was very well-mannered.
Following Li Jingsheng’s advice, they prepared to go to a big hospital for treatment.
They didn’t blame him for buying medicine here that wasn’t effective.
"I estimate you might need to be hospitalized, so it’s best to inform your family to go together."
"Okay."
She nodded again.
Watching the patient leave, Li Jingsheng still felt worried for her.
Subcutaneous pinpoint bleeding is usually a precursor to purpura.
Jaundice could indicate issues with organs like the liver or gallbladder.
His current gastroenterology and hepatology diagnosis skill was at the Master Level. Whether it was yesterday’s diagnosis or today’s review, he felt the likelihood of liver or gallbladder issues was rather small.
Then what was causing the jaundice?
He thought of the patient’s skin showing subcutaneous bleeding.
He couldn’t help but shiver slightly. If liver and gallbladder issues were indeed ruled out, only one possibility remained: hemolysis.
No matter what causes the hemolysis, it’s an extremely terrifying condition.
What specific illness it is can only be examined further by a large hospital through blood tests, urinalysis, and other results to gradually find the true cause.
He continued diagnosing other patients.
He treated every case with particular caution, afraid of any potential issues.
Busy until a little after 11:40 a.m., he finally finished treating all the patients.
Xiaogao was still selling enthusiastically over there.
Some of the older ladies and gentlemen were probably called over by him on the phone.
When the salary was paid this month, Li Jingsheng considered giving Xiaogao a bonus. The 5% commission for customers he called over was definitely a bit low.
But he couldn’t simply increase the commission rate.
Otherwise, Tang Ping and Han Siying might feel it’s unfair.
If Li Jingsheng didn’t express anything, Xiaogao’s enthusiasm might decrease, and he could even start doing private deals on the side.
This was a phenomenon he absolutely didn’t want to see.
Taking advantage of having no patients at hand, Li Jingsheng ordered a boxed lunch, then prepared to write patient reports.
A woman pushed a little girl inside.
The little girl was sitting in a wheelchair, looking somewhat familiar.
But her face looked a little ’puffy.’
As a professional, it’s easy to tell at a glance that this was caused by the extensive use of steroids.
It’s somewhat different from edema.
Extensive steroid use can cause symptoms of facial puffiness.
After stopping the medication for a period, it will naturally return to normal.
"Dr. Li, my daughter had her surgery, and she said she wanted to come and see you."
The woman pushed the wheelchair to the front of the consultation desk.
Seeing Li Jingsheng’s somewhat startled expression, she quickly reacted.
"Don’t you remember? It was late one evening a while ago, I came here wanting to buy some calcium tablets for my daughter. She kept complaining about leg pain. Later, after you listened, you told me it was best to bring my daughter in for a checkup. After your examination, you found that my daughter’s growth pains weren’t due to a calcium deficiency."
The woman was explaining the situation.
"Oh, I remember now! Look at my memory; no wonder you both looked familiar, yet I couldn’t recall."
Li Jingsheng indeed couldn’t remember some customers.
Especially those who only came once or twice, bought some medicine, and left.
The contact time was short; he genuinely couldn’t remember.
He stood up, walked out from behind the consultation desk, and squatted in front of the little girl’s wheelchair.
"Is the leg removed?"
Looking at the little girl’s empty pant leg, he felt very uncomfortable.
Such a young child, to save her life, had to undergo an amputation.
The little girl’s mother quietly wiped away her tears.
"After we went to a big hospital for examination, it was diagnosed as a malignant bone tumor. The doctors recommended amputation to save her life. I cried and disagreed at the time, but the child, after knowing the situation, voluntarily asked the doctors to cut off her legs."
While saying these words, the mother choked with emotion several times.
Listening to this, Li Jingsheng couldn’t help but feel a pang of sorrow, what a wonderful child.







