Practicing Medical Skills in a Small Clinic
Chapter 476 - 225: The Mysteriously Emaciated Patient, Good News Keeps Coming_3
The patient is not experiencing any bloody stool.
By focusing on the symptom of weight loss, we can thoroughly investigate to find the true cause.
But in actual diagnosis, it’s not that easy, is it?
The diagnosis of this patient is already at a standstill, and basically, everything that can be checked has been checked. Everything is normal.
There is just unexplained, continuous weight loss.
At the same time, there are also skin rashes on the lower limbs, and oral ulcers.
Li Jingsheng had no clue for a moment; his Gastroenterology diagnostic skills are currently at the Minor Achievement level, just over two hundred short of Major Achievement.
Fortunately, he had saved up quite a bit of life points.
And now, whether at the clinic or in the hospital, he earns a lot of life points every day. So he no longer uses them as sparingly as before.
He directly upgraded his Gastroenterology diagnostic skills to Major Achievement.
Thinking to himself, "This time, I should be able to diagnose it, right?"
In the end, he still had no clue.
It seems that when faced with such top-level difficult cases, merely improving diagnostic proficiency doesn’t have much effect.
Perhaps some other assistance is needed.
For example, doctor level, surgical diagnostic experience, and so on.
When diagnosing such difficult cases, it’s easiest to find that the focus isn’t in the targeted area.
For example, this patient seems to have a disease in the digestive system. Li Jingsheng just upgraded the Gastroenterology diagnostic skills.
But the actual focus of the disease might be in other areas, like the liver, gallbladder, kidneys, etc., all are possible.
He is only skilled in the gastrointestinal field; if the disease is in other areas, naturally he has no clue.
"This is a bit tricky; I’ll let you know once I have a discovery."
Li Jingsheng sent a message back to Lian Tao and then went to the reception hall to start his shift.
Compared to the morning, there were still some patients visiting in the afternoon.
The number seems to be quite a lot.
Li Jingsheng was a bit suspicious of whether he had taken patients from the health station?
Because the patient base on the Old Street of South City is only so large, it isn’t that more patients became ill just because Sunshine Clinic moved to a new, bigger location.
If that were the case, Li Jingsheng’s clinic would have been smashed by others.
The most likely reason is that the reputation of Sunshine Clinic has continually increased, attracting a portion of the patients from the Old Street of South City.
Patients who were originally going to Quick Recovery Clinic or the health station felt that Sunshine Clinic had superior medical skills, so they all ran to Sunshine Clinic for treatment.
He was constantly busy, continually dealing with patients he could manage.
Some illnesses were too severe, or beyond his treatment range, so he could only decisively give up and advise patients to visit a larger hospital.
Around five in the afternoon, it seemed that Li Jingsheng’s phone received two messages.
But he was too busy to check them.
After a little while, the phone call came through.
"Dr. Li, you must be busy!"
It was Director Hua’s gentle voice.
"Director Hua, do you have any instructions?"
Li Jingsheng’s tone became respectful.
"Haha, no need to be so serious; you are one of us in the Orthopedics Department, so feel free to relax! According to your diagnostic approach, the patient with lower limb paralysis underwent a bone marrow fluid test, which preliminarily confirmed the presence of a parasitic infection. They are currently conducting further testing and confirmation, so the cause has basically been identified. You’ve earned another achievement for our Orthopedics Department."
Director Hua praised him with a smile.
It was worth it for Li Jingsheng to pay for a taxi to the Second Hospital last night and to work until past one in the morning before returning to the clinic to sleep.
Both difficult cases have been solved, truly a constant stream of good news.
The meaning of studying medicine has been very well demonstrated.
These difficult cases might have been solved by other doctors without Li Jingsheng’s involvement, but personally, the meaning is definitely different for him.
Breaking through these cases himself filled him with a sense of achievement.
It was also a very significant personal growth.
"I didn’t expect it to really be a parasitic infection, no wonder that patient’s bones felt so strange. No wonder the vertebrae had clearly healed, and the nerves were normal, yet the patient kept complaining of lumbar pain and couldn’t stand with the lower limbs."
All the doubts were greatly explained at this moment.
It’s like solving a math problem; there are many solution paths, but only one correct answer.
"If you’re coming to pick up Xiaou after work, drop by my office. Let’s have a chat. If you don’t have time today, it’s okay, you’ll come to work tomorrow anyway. You can find me in my office after work or at lunchtime."
Director Hua seemed to have something to discuss with him.
From the tone, it must be good news.
The promotion to attending physician has been solved, so what good news could it be?
Li Jingsheng couldn’t guess.