Practicing Medical Skills in a Small Clinic
Chapter 925 - 466: For Injured Patients, Never Block a Bleeding Nostril
Chapter 925: Chapter 466: For Injured Patients, Never Block a Bleeding Nostril
"My fans are supportive, that’s one aspect. The most important thing is that evil cannot triumph over good; justice naturally resides in people’s hearts."
Li Jingsheng seems to have gained a deeper insight and understanding of the world.
Throughout his journey, he has received assistance from many benefactors.
If a benefactor helps once or twice, it might be due to good luck. However, being aided by benefactors multiple times is certainly not just a matter of good luck.
Human nature is inherently good.
The vast majority of people in this world have a conscience, are spirited, and act with integrity. This predestines the very few who wish to engage in underhanded schemes to ultimately face dire consequences.
"Tianqi, has that person quieted down recently?"
Logically speaking, they’ve already been secretly targeting Sunshine Clinic for more than a month, spending tens of thousands, even hundreds of thousands of yuan daily; this is not something an ordinary person can endure.
Even if it costs ten thousand yuan a day, at least three hundred thousand has been spent.
Such a large sum might be worthwhile if it could crush Sunshine Clinic.
Now, with Li Jingsheng’s successful counterattack, the opponent should back off.
And they can only suffer this loss in silence.
"Not quieted down, every day there’s still over ten thousand negative news stories surfacing. If this person doesn’t have deep-seated animosity with us, then there must be a significant financial conflict. Moreover, the opponent seems financially strong."
Wen Tianqi has seen big scenes.
Yet this kind of extravagant spending tactic is something he is witnessing for the first time.
After all, everything spent daily is cold, hard cash.
"Hmph, this person is quite stubborn, so let him continue! Three hundred sixty-five days a year - let’s see how long he can persist."
Li Jingsheng wasn’t too concerned after hearing this.
Times change, and now the initiative is on his side.
"Boss, we can’t be too complacent about this matter. I suspect this person might be wagering that Sunshine Clinic’s fans can’t keep supporting us forever. When the enthusiasm of the fans dwindles, we’ll be completely overwhelmed by negative news."
Wen Tianqi cautioned.
"No worries, I’ve already thought of a strategy to engage in a long-term attrition battle with this person."
Li Jingsheng smiled confidently.
Previously, he rarely posted on Douyin and interacted with fans due to being extremely busy every day.
Now, with such a formidable opponent emerging, he decided to share some typical medical cases online daily, educating netizens on medical knowledge, while also promoting the clinic and himself.
This way, not only will fan enthusiasm not decline, but it will further increase.
It might even attract a steady stream of new fans to join.
He will only grow stronger as he fights.
While chatting here, a man and a woman helped a middle-aged man around forty walk in.
The man’s face was covered in blood, looking quite frightening.
The person could still walk, but appeared rather pained.
"Doctor, doctor, my uncle fell from the scaffold while painting the wall at the shop. Please, take a look,"
The man and woman appeared relatively young, around twenty-seven or twenty-eight.
Li Jingsheng glanced at the couple, feeling a bit familiar.
Seemingly, they are the owners of the newly opened fruit shop on this street.
A few days ago, he saw them renovating the shop. He hadn’t seen this middle-aged man before.
Their fruit shop is closer to both Jinkui Clinic and Quick Recovery Clinic, yet they bypassed these to come to Li Jingsheng for treatment — interesting.
This demonstrates that Sunshine Clinic’s reputation on this street is already quite high.
It’s overshadowing the other two clinics.
It might even be overshadowing the South City’s Health Service Station.
Speaking solely of clinic visitation volume, Sunshine Clinic easily surpasses those three. However, the Health Service Station has recently devised some strategies, trying to carve out new territory, aiming to function as family doctors for residents in this area.
Yet this is a large development trend.
Sunshine Clinic, on the other hand, is beginning to treat more complex cases.
Surgical cases have been received, though their development pace is slow.
"Can you sit?"
Li Jingsheng asked the middle-aged man.
"Yes!"
The middle-aged man could still speak, though his voice carried a hint of pain.
This indicates the man’s consciousness is relatively clear.
"Come, help him sit down,"
The two family members helped the middle-aged man sit while Li Jingsheng observed the man’s response.
This aids him in making a preliminary diagnosis of the man’s injuries.
If the limbs or the lumbar spine were injured from the fall, certainly there would be some abnormal manifestations when sitting.
Based on Li Jingsheng’s diagnostic experience, he can identify them at a glance.
He observed no limbs unable to bend, nor hands unable to move when seated.
This suggests the likely area of injury is the head.
Since the patient had bleeding from his eyes, nostrils, and ears.
"Was the area of injury the head?"
Li Jingsheng asked the patient again.
The person most aware of the injuries is surely the patient himself.
"Yes, I fell on this spot,"
The man pointed to the upper rear area, behind the ear on the right side of the head.
Seeing him point to this spot, Li Jingsheng felt a pang in his heart.
Falling and injuring the head, the most feared area is precisely here.
Many know that when hitting someone, you shouldn’t hit behind the ear. There’s a ’fatal spot.’
Indeed, there is an acupuncture point here, but the main risk lies not in the point itself.
Striking here can easily cause eardrum perforation, ear bleeding, and concussion.
Skull fractures are usually very dangerous.
However, they can be divided into several levels based on the degree of danger. A little above and behind the ear belongs to the base of the skull.
If the fracture is caused by a fall, it’s called a basal skull fracture.
Now, the patient’s nostrils, eyes, and ears are bleeding, which indicates it’s likely a basal skull fracture from a fall.
"Doctor, my cousin’s nostril keeps bleeding, could you help stop the bleeding first?"
In the eyes of ordinary people, bleeding is certainly a bad sign, and measures must be taken immediately to stop it.
"Don’t rush to stop the bleeding; let me examine him first."
Li Jingsheng leaned closer to the patient’s face for examination. The nostrils were still bleeding, but the amount was not large.
Maybe that’s why the family hadn’t blocked the nostrils with tissues or something.
The blood was mixed with a light yellow liquid.
At first glance, it looked like clear nasal mucus.
But Li Jingsheng judged by experience that it wasn’t mucus.
He opened the patient’s eyes for observation, and the bleeding was also minor.
Blood from the ears had mostly stopped.
"He may have hurt his skull; can we take a scan?"
Li Jingsheng sought the family’s opinion.
Normally, such a serious injury should be treated at a hospital.
The family might have just rented a shop and needed to prepare a large amount of capital for opening, thus being financially constrained. So they brought him to the clinic for a check first.
It’s certain that clinic treatment costs are much lower than hospitals.
Once at the hospital, all sorts of tests and treatments easily surpass a thousand.
Staying for two or three days wouldn’t be less than two or three thousand yuan.
Explain here that IV drips don’t equate to antibiotics.
Nowadays, most people know that abusing antibiotics is like chronic suicide.
Because prolonged use of various antibiotics easily forms resistant bacteria in the body.
Every future infection would require higher doses and more antibiotics to eliminate those bacteria.
The body’s immune system can easily suffer significant vulnerabilities during this process.
It becomes easier for superbugs to appear.
Then, no medicine would work, and a minor cold could end one’s life.
For ordinary people, even severe colds like the flu can be fought through natural immunity without medication.
Patients who’ve been hospitalized might notice the inevitability of IV drips.
The IV drips may not be antibiotics, but other medications.
Saline, glucose—these are basic needs.
Paired with some medication for intravenous infusion.
"Take it!"
The female family member decided, though the male seemed unwilling.
However, he didn’t stop her.
Li Jingsheng took an X-ray scan and found a basal skull fracture, seeing two fracture lines and air trapped in the skull, though not too severe.
He led the patient out of the examination room.
"Doctor, how’s the injury? Does he need hospital treatment? Any need for surgery?"
The male family member wasn’t concerned about the patient’s condition.
He was more worried about the cost of treatment.
"Surgery is possible but requires doing it at a large hospital."
Li Jingsheng glanced at the male family member.
Upon hearing the need for surgery, he immediately frowned.
"Can we avoid surgery?"
He sensed potential flexibility in Li Jingsheng’s words.
"That’s possible too. He needs to lie still at home and maintain a left-side reclining position. No forceful coughing or sneezing."
Li Jingsheng provided some treatment recommendations.
"Uncle, you’ve heard what the doctor said; don’t cough or sneeze!"
The man told the injured.
Learning surgery wasn’t necessary, he breathed a big sigh of relief.
"What about my uncle’s nostril bleeding? Need to find a way to stop it for sure. And prescribe some medication for him to take at home."
The man aimed to minimize the treatment costs.
There’s generally no room for negotiation at clinics or hospitals.
He could only have the doctor prescribe medicine for use at home, which saves money.
"Let me emphasize your cousin’s nostril bleeding issue. Ear bleeding and eye bleeding will stop quickly, and nostril bleeding will stop soon. Our platelets are smart enough to automatically repair the bleeding vascular wounds, so you don’t need to worry.
I observed earlier; the bleeding wasn’t severe. Staying longer at my clinic should stop the bleeding.
But remember, never plug the nostril bleeding with anything.
When you brought him, you wisely didn’t rush to stop the bleeding, which was good.
Otherwise, the consequences could be very serious."
Li Jingsheng warned the two family members.
Simultaneously, he cautioned the injured not to stop the nostril bleeding.
"Why can’t we stop nostril bleeding? I used to plug nostril bleeding with cotton when I was a child!"
The male family member questioned, puzzled.
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