Practicing Medical Skills in a Small Clinic

Chapter 510 - 237: Godlike Uncle, Hired a Master

"When you go back, make sure to eat more high-protein, low-fat foods. Things like chicken, lamb, shrimp, fish, etc. I’ve written down the dosage of the medication for you; try taking it for a few days. If it works, keep taking it. If you feel any discomfort or notice anything unusual, be sure to come to our clinic or go to the hospital for a check-up."

Li Jingsheng instructed the patient.

"Thank you, Dr. Li! The foods you mentioned are quite expensive, though. As a worker, I can’t afford to eat them every day!"

"You don’t have to eat them every day. There are more economical options, like rice, cornmeal, carrots, bananas, apples, and so on."

Li Jingsheng understood the patient’s difficulties.

Having a feast of fish and meat every meal is indeed a financial challenge for them.

"Are bananas okay? I heard that eating a lot of bananas is good for constipation; I have diarrhea, though, will eating bananas make it worse?" the patient asked.

"No worries, you won’t be treating bananas as your staple food. Besides, bananas won’t worsen your diarrhea."

"Now I feel reassured! Thank you!"

The patient happily paid the bill and left with the medication.

The cost was affordable, and the illness was diagnosed. This made the patient feel very pleased.

If the medication proves effective, she will certainly recommend Sunshine Clinic to everyone around her.

It’s inexpensive, the medical expertise is high, and the results are remarkable.

After sending off this patient, Li Jingsheng proceeded to treat the next patient.

An uncle nearing sixty, looking like he was having difficulty breathing. Every inhalation was the kind that required a lot of effort.

It was like someone had covered his nose.

In medical terms, there are several types of respiratory difficulties, and for a doctor, the first thing is to identify three main types.

The first type: difficulty in inhaling, with exhalation not significantly affected.

This often happens with colds and nasal congestion.

The second type: difficulty in exhaling, which is rarer but does occur often due to lung problems.

The third type is the most common: difficulty in both inhaling and exhaling, typically seen in respiratory failure patients or those with pneumonia, who easily experience breathing difficulties.

"Hey uncle, uncle, where are you feeling unwell?"

Li Jingsheng noticed this uncle was indeed a model among men. Despite being so ill, since entering the clinic, his gaze was fixated on Meng Luo.

He really didn’t even blink.

Now that the earlier patient has left with her medication, he was still staring blankly at Meng Luo.

Oh, men, regardless of age, will only behave when they are hung on the wall.

"Oh, oh, it’s my turn now! I just feel a bit out of breath."

The uncle snapped back to reality, not feeling embarrassed at all.

Men of this age have already developed a thick skin.

"Miss, could you take my measurements too?"

"Just measure his temperature and blood pressure, I’ll listen to his heart and lungs,"

Li Jingsheng said to Meng Luo.

"Okay!"

She responded softly and began measuring the uncle’s blood pressure and temperature.

This uncle was impressively distracted by Meng Luo to the point it’s unclear whether he came to see the doctor or to admire the beauty.

Meng Luo raised the thermometer to his forehead, while he raised his eyes and looked at her.

For patients or customers like this, Li Jingsheng really didn’t like them much. It’s understandable for men to appreciate beauty, but being impolite is unacceptable!

Taking a few glances is enough, staring at Meng Luo directly is quite rude.

"Temperature is normal, blood pressure is also fine."

"Great, you can go inside and assist Sister Tang. Call you if needed later."

Li Jingsheng was effectively protecting her.

He could tell she was uncomfortable being watched so intently by this elderly uncle.

But as she was currently in the probation phase, she didn’t dare to show any little grievances.

Afraid that Li Jingsheng might be dissatisfied with her and not keep her on.

She was a smart girl, naturally seeing the boss was helping her avoid this impolite uncle.

Gratefully, she nodded to Li Jingsheng and went to the pharmacy area to learn how to sell medication with Tang Ping.

To earn a high salary at Sunshine Clinic, selling health supplements is necessary.

If you sell one hundred yuan worth, you can earn five yuan.

As long as her sales tactics weren’t poor, even as a novice, she should have no problem selling around a thousand yuan a day.

Because there were now so many customers coming to Sunshine Clinic to buy medicine.

Moreover, they had a high level of trust in the medicines here.

Some customers even traveled specifically or drove over to make purchases.

"That nurse is really pretty!"

The uncle couldn’t help but praise.

"Let’s focus on finding out what your issue is first!"

Li Jingsheng shook his head with a smile.

When he did the auscultation, he found the patient had issues with both inhaling and exhaling; the exhalation took distinctly longer than normal, and there was dry rales present during exhalation.

The temperature was fine; the likelihood of infections and inflammation in the lungs, bronchi, and trachea was small.

"Come, lie flat on the bed in the back, I’ll check your chest."

Li Jingsheng examined the uncle’s chest, finding it to be round like a barrel.

When he wore clothes earlier, Li Jingsheng noticed his chest looked somewhat plump, yet he wasn’t fat.

Now, upon inspection, it was indeed problematic.

The uncle’s chest anterior-posterior diameter had clearly increased, appearing barrel-shaped.

Upon closer examination, the rib angle was much smaller. Typically, the rib-spine angle should be less than 45 degrees, but this patient’s angle was clearly over 45 degrees.

Additionally, the intercostal spaces were broad and full, with a noticeable increase at the abdomen’s upper angle.

This was the most typical barrel chest.

The occurrence of this condition indicated a severe pulmonary emphysema in the patient.

During the exam, he also noticed the patient exhibited a distinct three indents sign upon inhalation.