Practicing Medical Skills in a Small Clinic

Chapter 735 - 340: Stone Expulsion, the Ruthless Limin Clinic (Part 2)

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Chapter 735: Chapter 340: Stone Expulsion, the Ruthless Limin Clinic (Part 2)

The only purpose is to allow the patient’s body to absorb the medication, thereby successfully fighting the disease.

For instance, some medications need to be time-released; using them too quickly can cause a series of problems. In such cases, intravenous drip is more appropriate.

In addition, he prescribed an alpha-blocker for the patient, and based on the patient’s overall condition, he finally chose the medication Tamsulosin.

Mainly used to relax the smooth muscle of the lower ureter, so that stones can be more easily expelled from the body.

At the moment, he did not consider using lithotripsy drugs.

Because, based on his experience, the patient’s stones were relatively small, and there was no need to use lithotripsy drugs.

Once the prescription was written and the medical advice noted, the patient just needed to pay the fee at the window to receive the medication.

Now that the clinic has hired a dedicated inventory manager, it has become more standardized, gradually approaching the standard model of a hospital.

This is a good thing.

The more standardized it is, the lower the probability of errors, and the higher the work efficiency.

After dealing with this female patient, Li Jingsheng continued to diagnose other patients.

One after another, calmly and steadily.

Every patient received a detailed diagnosis.

The great physician demeanor he displayed was noticeably more substantial than before.

The enhancement of skills is indeed a gradual process.

At this moment, a young man in his early twenties sat next to the consultation table. It was his turn.

"Where is it uncomfortable?"

Han Siying asked him.

"Um...it’s just that my butt hurts a bit."

The young man appeared particularly shy and bashful, like a young girl.

Li Jingsheng, seeing this situation, realized the patient might be suffering from a condition that is difficult to talk about.

"Come to the examination room in the back, and I’ll perform a check-up for you!"

He took the young man into the examination room at the back and closed the door.

"Is it a skin infection?"

Li Jingsheng’s first reaction was that this young man might be inexperienced or seeking thrills, engaged in unclean behavior, and contracted some infectious disease.

Unclean behavior mainly leads to skin lesions.

Initially, there may be red rashes or blisters, which gradually invade internal organs, causing multi-system diseases.

The most severe case is when the immune system is compromised.

For example, AIDS, which is notorious for its harm.

This disease can severely damage the human immune system, bringing great pain and endless fear to the patients.

"I also don’t know. Lately, when I go number two, it has been especially painful, and I can smell a strange stench. When wiping my butt, there’s yellow fluid on the toilet paper, sometimes mixed with blood."

The young man explained his situation.

His voice was very low as he spoke.

Han Siying looked at the young man with a face full of impatience.

She didn’t seem to like men who were too shy and timid.

"Take off your pants and lie down on the bed; I’ll examine you."

Li Jingsheng said to the young man.

The young man glanced at Han Siying, blushing and a bit hesitant.

"You’re a grown man, what’s there to fear? Hurry up and take them off, don’t waste my mentor’s time."

Han Siying could only reprimand the honest lad a bit.

When encountering those with glib tongues or seasoned individuals, she often hid behind Li Jingsheng.

This is also part of a female doctor’s growth process.

As their courage grows, they can calmly face all kinds of patients.

The young man blushed, lowered his head, pulled down his pants a bit, and then lay on the examination bed.

Li Jingsheng took the gloves handed over by Han Siying and put them on.

Applied a bit of lubricant to his finger.

Actually, with just one look, he could see that the area around the young man’s anus was red and swollen, with a pungent smell of pus.

"How long has this been going on? It’s already suppurated!"

After checking, Li Jingsheng frowned deeply.

"It’s been some days. I initially went to Limin Clinic for treatment; they said that intravenous fluids would work. After a week of IV, it still didn’t help, so I came here to Quick Recovery Clinic after hearing about your good skills."

The young man appeared very helpless when speaking of his situation.

"Isn’t there a Limin Clinic nearby?"

Li Jingsheng asked, puzzled.

There are only three clinics on this street: Quick Recovery Clinic, Jinkui, and Sunshine.

"I came from the Yanjiang Avenue side; there’s a Limin Clinic there."

"That makes more sense. I thought I’d never heard of a Limin Clinic here. Over there, they continuously provided you with IV treatment?"

"Yes! Had shots for a week, the first time costing two hundred ten yuan, then eighty yuan each subsequent time."

The young man was quite honest.

After a few casual questions, he confessed everything.

The first charge of over two hundred yuan was likely for additional examinations, but that cost isn’t cheap.

Li Jingsheng thought Quick Recovery Clinic was already overpriced, but it turns out there are even more unscrupulous practices.

This Limin Clinic, even when seeing perianal suppuration, didn’t treat the pus but instead continued IV treatments. While antibiotics can fight bacteria and inflammation, they aren’t a cure-all.

In the case of an abscess, the pus must be first drained and cleaned for the medication to be effective.

Even if a sinus tract is present, even draining might not be effective.

The time he treated the old man’s large back abscess, there was a sinus tract present.

If the Limin Clinic’s doctors initially provided IV treatment, it was reasonable.

After all, there could have been only redness and swelling then, without suppuration.

But after two or three days of IV, it would have certainly suppurated. In this case, to persist with IV for a week is to exploit the patient to the fullest.

Totally disregarding the progress of the patient’s condition and potential consequences.

They targeted the fact that the patient was honest and alone, daring to be so exploitative.

"I’ll examine your rectum; it might be a bit painful, bear with it."

As soon as Li Jingsheng started a digital rectal examination, pus discharged immediately.

It was serious, quite frightening.

"You require surgical drainage; the issue is severe! Why didn’t you seek treatment at a big hospital sooner?"

Seeing the patient’s severe abscess, Li Jingsheng felt quite uncomfortable, with a trace of anger.

Boss Zhao usually has some moral limit when treating patients with IV or other treatments.

This Limin Clinic is utterly unscrupulous, causing the young man’s condition to deteriorate.

They made a big profit, but the patient’s condition is now so severe, suffering much more, and possibly transitioning to septicemia, endangering life. Subsequent treatment costs might multiply many times over.

"I’m studying here alone this year, just started working, with no savings, afraid to go to a big hospital. I thought it was just a small issue."

He explained quietly.

"A family member’s signature is required for the surgery; how will that be arranged?"

Li Jingsheng could understand the young guy; he, too, had been through that clueless age, bearing society’s scourges, gradually maturing.

Among freshly graduated students, nine out of ten are honest.

Facing exploitation, oppression from employers, or manipulation from unscrupulous merchants, they indeed fall into pitfalls one after another.

"Should I call my brother? He’s a security guard at Blue Star Hotel; can he come and sign for me?"

"Alright, that should work!"

Li Jingsheng agreed.

Technically, without a family member’s signature, since it’s not a major surgery, the patient’s signature could suffice.

However, due to the complexity of the patient’s situation, there could easily be disputes.

So, a family member’s signature is required, along with an explanation of the circumstances.

Otherwise, if any issue arises, with Limin Clinic escaping responsibility while implicating Li Jingsheng, it would be unjust for him.

"How much will the surgery cost?"

"The drainage and debridement costs are not to be precisely determined now. For treatment here, you’ll need at least two to three thousand yuan. If treated at a large hospital, it might cost over ten thousand, as they may likely require hospitalization. Because the condition has been delayed for so long, it’s already quite serious. If the abscess can’t be effectively controlled, it’s very easy to develop systemic symptoms, leading to septicemia, which is fatal."

Li Jingsheng wasn’t trying to scare him.

But this young man, without realizing the seriousness, could easily face big trouble.

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