Chapter 861 - 406: Special Medicine Treatment, the Troublemaking In-Law

Chapter 861: Chapter 406: Special Medicine Treatment, the Troublemaking In-Law

"No!"

The family member shook his head with great certainty.

Passing black, bloody stool does not necessarily require diarrhea. However, in clinical practice, most patients with bloody stool do exhibit diarrhea symptoms.

Unless it’s something like hemorrhoids, the stool is usually quite normal.

"Has your dad been taking any medication regularly before the onset of the illness?"

"Probably not. He has always been very healthy."

Again, the family gave a negative response.

"Uncle, have you come into contact with any rat poison?"

Li Jingsheng directly asked the patient.

Excluding chronic diarrhea, and a long-term medication history, especially the long-term use of antibiotics, Li Jingsheng could only think of rat poison.

In the past, most rat poisons were neurotoxic drugs, which were highly toxic to humans. Basically, if someone mistakenly ingested rat poison, they would die quickly.

Most would die on the same day.

Later, these neurotoxic poisons were banned from production and use by the relevant authorities, and were replaced by anticoagulant rat poisons.

This is a chronic poison. After rats eat it, it takes several days or even longer for them to die from internal bleeding.

The mechanism of this rat poison is that it interferes with the liver’s action on vitamin K, inhibiting the liver’s synthesis of vitamin K-dependent coagulation factors, thus prolonging coagulation time.

Moreover, the poison can damage the capillary walls, increasing the permeability of the vessel walls and making them more fragile.

At this time, widespread subcutaneous bleeding is likely to occur.

The patient had large subcutaneous bruising on the thighs and other areas, which is a sign of subcutaneous bleeding.

This is also why Li Jingsheng believed the patient might have mistakenly ingested rat poison.

The patient himself lived as a farmer, cultivating over a dozen acres of land.

Recently, it was the autumn harvest season, and the patient inevitably had to deal with rats.

"Uh-huh!"

The patient confirmed, indicating he had indeed come into contact with rat poison.

Reaching this stage of investigation, Li Jingsheng felt more confident.

Not long ago, while at the People’s Hospital, seeing Director Rong make quick decisions in patient rescue had a significant impact on him.

Although it seemed to go against medical procedures, in such a situation, if he didn’t make a decisive move, and waited for the patient’s test results to use medication according to regulations, it was very likely the patient would die.

This patient had been experiencing bloody stools for several days. Although the current situation wasn’t great, it wouldn’t be life-threatening in the short term.

Thus, it gave Li Jingsheng an opportunity to try a treatment.

At least he believed the risk was manageable.

Because vitamin K is a specific antidote for anticoagulant rat poison poisoning.

Treatment on the same day could show some effect by the next day.

In about three to four days, the efficacy would become very apparent.

"From your father’s current symptoms and test results, I personally tend to believe it’s rat poison poisoning. Since the course of the illness has been prolonged, and you cannot enter Qiaobang hospital for the time being, his condition is already quite severe. Each day of delay exacerbates the illness significantly. If you’re willing to treat him here, I can administer the special medication right away to test the results.

If the medication suits his condition, you should see some effect by tomorrow.

Then you can bring him back here for continued medication.

If the effect is not good, it may indicate another disease, and you can still seek treatment at Qiaobang Hospital without delaying the condition."

After listening to Li Jingsheng, the brother and sister exchanged a few words and agreed unanimously.

Ultimately, it was about trust.

Li Jingsheng immediately prescribed medication, administering vitamin K intravenously to the patient.

After the IV, the patient’s symptoms remained unchanged.

The siblings felt a bit nervous, taking the elder away.

When they left, they wore somewhat disappointed expressions. They came to Sunshine Clinic with high expectations to seek treatment from Li Jingsheng, but the medication did not achieve the desired effect.

However, Li Jingsheng remained full of confidence.

Early the next morning, before eight o’clock, while he was sitting in his office having breakfast, Tang Ping came running to tell him.

"Boss, that brother and sister duo brought the elder back here again yesterday."

"Has the elder’s condition improved?"

Li Jingsheng asked.

"I didn’t ask, but judging by their expressions, the treatment seems to have already had some effect."

Though Tang Ping was already an experienced nurse, after training at Sunshine Clinic, her social skills and ability to handle people improved continuously. For such a special patient, she had little understanding.

Naturally, she left it to Li Jingsheng to communicate with the family.

Li Jingsheng finished breakfast and went to the consultation hall for duty.

As soon as he entered the consultation hall, the elder’s son quickly approached him.

There was a hint of urgency in his expression.

"Dr. Li, my dad seemed to improve a bit after the injection here yesterday. Please have another look at him."

"Did he have a bowel movement this morning?"

"Yes!"

"What color is the stool?"

"Black."

"Is it formed?"

"Formed, just not much."

"What color is the urine?"

"Pink, the color isn’t as dark as yesterday. Plus, his body isn’t trembling as much."

The patient’s son replied.

Li Jingsheng checked the elderly patient’s condition and asked Han Siying to measure the patient’s blood pressure and temperature.

The blood pressure had increased compared to the previous day.

The patient’s complexion also looked much better.

When the patient visited the clinic yesterday, he needed support to even sit on a chair. He was not very stable.

But today, he could barely manage to sit steadily on his own.

Li Jingsheng observed keenly and knew that the medication had started to take effect.

"Has he had breakfast?"

"Not yet. We weren’t sure if we could feed him, so we came early to queue up."

Currently, Sunshine Clinic is overwhelmed with patients seeking consultation.

It’s not easy to get the first slot.

Especially with Li Jingsheng at the clinic today, many familiar patients know this pattern. More people come specifically to see him.

"Go ahead and buy him breakfast to eat! As long as it’s not spicy food, buy whatever he prefers. Millet porridge, eight-treasure porridge, buns, noodles, etc., are all fine."

"Can you give my dad an injection first? I’ll have my sister go buy breakfast."

The patient’s son looked at the long queue behind him, worried that they might have to wait until evening after breakfast.

"No problem, take this number. After he eats breakfast, come back and find me. You won’t need to queue again; just head to the infusion room, and I’ll prescribe the medication."

Li Jingsheng understood the family’s concerns.

The human body is like a ’precise machine’; replenishing energy is very important.

As long as one can eat, drink, and excrete, generally, there won’t be major issues.

The patient’s body tremors should be caused by weakness.

Combined with persistent internal bleeding, it makes the body even more frail.

Administering an IV drip also carries risks.

Li Jingsheng didn’t believe it was more beneficial for the patient to take medication immediately.

Once the patient eats, his body will be nourished, improving internal circulation. Then, an IV drip will be more effective.

The two family members took the elderly patient to the resting area, while the son went to buy food.

The sister stayed to care for the elder.

It was evident that the siblings were very filial.

In life’s later years, having such devoted children definitely makes one a winner in life.

Li Jingsheng then started attending to other patients.

Looking at the long queue, the pressure was certainly high for him.

Fame attracts, like pigs fear getting fat.

Recently, his reputation soared online, bringing more patients seeking consultation.

This also meant greater responsibility on his shoulders.

Unlike specialist doctors, his clinic treats all kinds of diseases, a full-service clinic.

This inevitably led to encountering diseases he couldn’t treat.

If it’s an unfamiliar area, he couldn’t treat it. Recklessly treating could tarnish his name, but causing a fatality would be a double loss.

Today’s start was decent, relatively smooth.

The second patient was a young child with a dislocated elbow, just over one year old.

Today, kids are precious; almost every adult treats children like treasures.

This toddler must’ve just learned to walk.

His left hand was injured, and there were five family members accompanying him.

This show of care was really enviable.

"When did the injury occur?"

Li Jingsheng asked the child’s parents.

"It happened around eight or nine last night."

"Was it a fall?"

Li Jingsheng began to cautiously examine the child’s arm.

Meanwhile, he asked about how the injury happened.

This is very important.

Some children suffer injuries from falls, traffic accidents, and there might be other affected areas.

Occasionally in the news, you see patients with fall or accident injuries who can initially stand and walk on their own, appearing fine. But soon after, their condition changes dramatically, leading to death.

To laypeople, this can seem terrifying and bizarre, but to doctors, it’s a normal phenomenon.

Some internal injuries may not be apparent initially.

For instance, brain injuries may allow a patient to walk and talk at first, but with worsening hematoma or bleeding, the patient’s condition can quickly deteriorate.

Therefore, it’s important during consultation to inquire about when the injury happened, how it happened, and what treatments were done.

Some family members might find the doctor’s questions annoying, answering impatiently or briefly.

This approach isn’t right; it carries many hidden risks.

"Don’t mention it. My in-law insisted on taking the child out to play. Late at night, with cold weather, we advised against going out. But the in-law took the kid out, and they returned shortly after.

The child was crying his heart out, and hearing it felt torturous.

We asked what happened and found out that the in-law was playing with the child in the square outside the community, spinning him around by the hand, and suddenly the child cried in pain. We rushed to the hospital emergency room, took X-rays, and learned that the in-law had pulled the child’s hand to the point of dislocation."

The speaking woman, in her fifties, was visibly angry.

Her tone was full of fury.

She appeared to be the child’s grandmother.

Judging by the situation, she probably held a grudge against the child’s grandfather.