Practicing Medical Skills in a Small Clinic

Chapter 859 - 405: A Mature Doctor Considers More Thoroughly—Rat Poison Severe Poisoning? (2)

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Chapter 859: Chapter 405: A Mature Doctor Considers More Thoroughly—Rat Poison Severe Poisoning? (2)

In the past, if this kid dared to ask so many questions, he would never have been so patient in explaining.

He might even scold Jin Yanyu for being meddlesome.

"Learned something new today."

Jin Yanyu nodded.

Others also showed thoughtful expressions.

A good teacher, through word and deed, could nurture batches of excellent students.

He continued treating other patients, which need not be mentioned.

...

Finally getting off work, he still had that patient with bloody stools on his mind.

The person came from far away to seek medical help at his clinic. If he could diagnose, he would do his utmost to help the patient find the cause.

After work, sitting in the taxi, he was reviewing the patient’s information.

ALT, AST, the two data values are 42u/L and 31U/L, respectively.

The normal range for alanine aminotransferase and aspartate aminotransferase is between 0 to 40U/L.

For women, the values should be slightly lower, normal being around 35 and below.

This patient’s alanine aminotransferase exceeded 40U/L, which is considered abnormal.

But it did not exceed the standard value by much.

Even if the patient’s liver function showed some abnormalities, it was only slightly abnormal.

Reasonably, it shouldn’t have led to coagulation abnormalities in the patient.

"Unfortunately, my clinic doesn’t have a lab, or I could try using normal plasma to correct the coagulation prolongation issue."

His eyes flickered, his mind pondering every possible method to diagnose the cause.

If normal plasma could correct the coagulation prolongation, it would indicate pathological anticoagulants in the patient’s body.

Though unable to conduct this experiment, the patient did have an abdominal ultrasound at the county hospital.

It basically ruled out the possibilities of cirrhosis and acute liver failure.

Coagulation abnormalities are often caused by coagulation factor abnormalities.

Li Jingsheng, based on some of the patient’s test results and various symptoms, stubbornly focused on the liver.

Returning to the clinic, the patient with bloody stools was still waiting for him as expected.

"Dr. Li, finally, I get to meet you!"

A young man and a woman, around twenty-seven or twenty-eight years old, stood up almost simultaneously when they saw him enter the reception hall.

The young man immediately recognized Li Jingsheng, which indicated he had probably seen him somewhere before.

Since they were from out of town, the only way they could have known Li Jingsheng was by watching his TikTok videos or seeing his work photos online.

After all, he had been featured in newspapers and television news. It’s not hard for the patient or family members to find a photo of him.

"Hello, hello! I happened to be at Hospital No. 2 today, not at the clinic. I sincerely apologize."

Li Jingsheng shook hands with the young couple.

The patient was an older man, clearly not these two.

"No worries, we came without an appointment. I saw news about you online: how you helped a paralytic and insane woman find the cause that had been missed for eleven years. I thought I might try my luck with my father.

If we can find out the issue, that would be great. If not, we’ve already left our contact information at Qiaobang Hospital. Once there’s a bed, I’ll send my father there for treatment."

The young man, seemingly around twenty-four or twenty-five, appeared quite mature and well-spoken.

"My brother trusts your clinic a lot, and I couldn’t convince him otherwise, so we brought my dad here,"

the woman interjected at the right moment.

"Thank you for your trust, I’ll do my best. Is this your father?"

Li Jingsheng looked at the elderly man being supported by the woman.

Sitting on the chair, his condition looked quite poor.

"Yes, this is my dad. He’s had bloody stools for some time, but he didn’t tell us. We found out only later that he had bought medicine himself, but it wasn’t effective. After discussing it with my brother, we hurriedly brought him to the county hospital.

But after some treatment there, he showed no signs of improvement.

Then the doctors there talked to us, telling us to transfer him to a provincial hospital."

The family briefly introduced the situation.

Their father is now fifty-seven years old, barely considered elderly.

Most elderly are similar; they don’t like going to the hospital when sick. They buy medicine themselves and just manage.

As long as there’s no pain, they can endure it indefinitely.

Until one day they can’t bear it anymore, collapse, and are taken to the hospital by family.

It’s common for some elderly to suddenly collapse at home and be rushed to the hospital. Many have been ill for a long time before collapsing.

But they don’t tell their children, refusing to say a word.

Li Jingsheng put on his mask, squatted down to examine the elderly man.

He noticed the elderly man sitting on the chair, his body trembling. Particularly his hands, which were shaking violently.

"Did your father tremble like this before falling ill?"

"No. I’ve never seen him like this before. Don’t be fooled; he’s 57 this year, but he could manage to farm ten acres himself, carry bags of rice weighing eighty or ninety pounds on his shoulder and just walk."

The young man spoke of his father with admiration.

As children, when they are young, they admire their parents the most. Because it was their parents who gave them a warm home, sheltering them from the wind and rain.

Children naturally consider their parents to be the most capable people in the world.

Before falling ill, the patient did not exhibit any physical trembling.

Now that he’s shaking so badly, is it due to hunger because he hasn’t eaten, or is it because of an illness?

If it’s illness-induced, could it be that the brain’s nerves are damaged?

For instance, an infection by a virus, encephalitis, or meningitis could all lead to such severe physical tremors.

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