Li Jingsheng first took a good look at the elderly lady. Her complexion looked much better than yesterday, and her spirits had improved a lot as well.
The effects and pharmacokinetics of the medication at a proficient level were indeed impressive.
To be honest, treating cold patients never had such good results before. Moreover, this elderly lady had accompanying symptoms of wheezing and coughing, which were quite severe for a cold.
Reaching such satisfactory results in just one day and night without using antibiotics was something Li Jingsheng had never dared to imagine before.
He gained a little more confidence in his own medication skills.
"Thank you, thank you! Please come in!"
Li Jingsheng repeatedly expressed his gratitude to the elderly lady.
"Sister Tang, please attend to them first. I'll wash up and come out. Last night, a heart disease patient came in without family accompaniment. I took the person to the hospital emergency room and came back very late."
Mentioning last night's incident, Li Jingsheng still felt a lingering fear.
When his small clinic encountered such incidents, it felt like a practitioner's tribulation in a fantasy world. Any slight mistake could lead to total ruin.
"Oh my... That patient was really something, going to see a doctor with heart disease in the middle of the night without family accompanying. If anything went wrong, a life could have been lost. Fortunately, they met you!"
Tang Ping was also shocked upon hearing this.
The two patients nearby were listening attentively.
Middle-aged women in their fifties or sixties loved gossip, eager to dig out every bit of detail.
Li Jingsheng didn't give them a chance to ask questions and went straight inside to wash up.
Opening the door to business, he was quite pleased.
After washing up, Tang Ping had already recorded the symptoms, medical history, and other information of the two patients.
She had also measured their blood pressure, temperature, heart rate, and other basic vital sign data.
She was just a nurse and didn't have the authority to prescribe medication. All she could do was complete the preliminary work, waiting for Li Jingsheng to come over and prescribe based on the illness.
"One by one, please!"
Li Jingsheng first reexamined the elderly lady. Her temperature had dropped, her heart rate was slightly fast but still considered normal.
The current symptom was a bit of a headache, but much better than yesterday.
This was a normal phenomenon.
An illness attacks like a mountain, but recedes like drawing silk.
No matter how miraculous the medication, it couldn't restore health immediately after being taken.
The process from sickness to recovery involves the immune system being breached, then defeating the virus or disease, and rebuilding and strengthening the immune system.
Therefore, recovery takes time.
Yesterday, an antiasthmatic medication was used, and the elderly lady felt much better after the infusion.
Today, she almost didn't experience wheezing while breathing, but Li Jingsheng conducted an auscultation of her lung sounds and concluded that today's infusion should still involve antiasthmatic medication to consolidate the effect.
The main symptoms the elderly lady currently experienced were fatigue, mild headache, and a lack of appetite.
Decreased appetite after catching a cold is a common symptom.
It usually starts to recover around the fourth day.
If it is a mild cold, the appetite might recover as early as the next day.
Glucose solution, antiasthmatic, and oral cold medication, Li Jingsheng still prescribed these three medications to the elderly lady, but adjusted the dosage.
After preparing the medication, Tang Ping carried it to lead the elderly lady to the infusion room for the infusion.
There was no other option.
The concept of infusion curing all diseases was deeply rooted in people's minds. If you didn't give a patient an infusion, they wouldn't agree.
After dealing with the elderly lady, Li Jingsheng invited the middle-aged woman brought by the elderly lady to sit at the consultation table.
"Your main symptoms are cough, phlegm, and a slight fever, correct?"
"Correct!"
The patient nodded slightly.
Li Jingsheng silently observed this patient, about fifty years old, with fair skin, slender fingers, wearing a ruby ring and a wristwatch with a brown leather strap on her left wrist.
Dressed appropriately.
The clothes weren't 20 or 30 yuan stall goods but medium-priced clothing.
Both workmanship and material, as well as style, showed some attention to quality.
The elderly lady receiving the infusion worked as a nanny for someone, while this patient had a look of shrewdness in her eyes, a calm demeanor, and an aura of leisure.
In his heart, he noted that this patient was likely a local resident with a decent standard of living.
Such patients generally have higher quality-of-life standards.
They seldom visit small clinics when they're ill.
Coming to Li Jingsheng's clinic this early in the morning, he could deduce two pieces of information.
First, her visit was due to the elderly lady's praise of Sunshine Clinic's good medical skills. After taking medicine, the elderly lady's wheezing was immediately relieved, and by this morning, her condition had almost returned to normal.
This tangible efficacy was the most effective in gaining others' trust.
Second, her illness might be urgent.
Which means it manifested suddenly in a very short period.
Based on her symptoms, Li Jingsheng could preliminarily diagnose that there might be lesions in the trachea, bronchi, or lungs.
Specifically where requires further consultation.
If it were a hospital, they would require the patient to undergo a series of tests and related checks. For instance, taking an X-ray to look, or doing a complete blood count to see if there are abnormalities.
Given the limited conditions at Li Jingsheng's place, he could only rely on his medical skills.
"Ms. Ou, when did your symptoms of coughing and such first appear?"
"I started feeling a little cough last night, which became increasingly severe afterward."
"Did you cough before this?"
"No, I didn't."
"Have you had similar symptoms before?"
"Such sudden, causeless coughs I haven't had, at most a cough for a few days towards the end of a cold recovery."
"Do you have a sore throat?"
"A little."
Li Jingsheng had reached the end of his inquiry, having asked about all the basic information he needed.
Consistent with his earlier assumption, the patient had an acute illness.
It suddenly appeared since last night.
In such a short time, her temperature had spiked to 38.7 degrees, indicating it's definitely an acute inflammation.
"Open your mouth; I'll check your tonsils."
The patient complied and opened her mouth wide, tilting her neck slightly.
He could clearly see her teeth were well-maintained, brushed very clean, white like porcelain.
Many middle-aged women at this age not only have cavities making their teeth a mess but also have severely yellow teeth, bad breath, and severe tartar buildup.
"The tonsils are fairly normal, not inflamed. I'll listen to your lung sounds."
As Li Jingsheng prepared to use the stethoscope for the lung sounds examination, he noticed a slight frown on her face.
This was a sign of psychological discontent.
Some female patients, when undergoing heart and lung auscultation by male doctors, show this kind of aversive emotion.
What doctors need to do is maintain a serious expression and work to allay patients' concerns.
To help them understand it's about treating illness, they should dismiss any thoughts about gender differences.
"Bilateral lung breathing sounds are coarse... Don't move, please refrain from coughing now."
Li Jingsheng's expression became extremely focused as he stopped the patient from coughing.
"Scattered dry and moist rales audible at both lower lungs, just one night, shouldn't extend to the lungs!"
His frown deepened.
The proficient level diagnosis in Pulmonary Medicine always felt a bit inadequate.
It would be ideal if it could level up once more.
Currently, he had 60 life points left.
Diagnosis: Proficient 72.4/100 in Pulmonary Medicine.
This diagnostic skill needed to consume 28 life points to level up.
This female patient was undoubtedly a local resident, and considering her good living conditions, the people she knows are likely in the same tier. Curing her illness could generate a compelling advertising effect.
Li Jingsheng's clinic mostly served the impoverished, barely making ends meet or struggling below the subsistence line.
Such patients would stretch one yuan to spend as if splitting it in two.
They were equally frugal about spending money on treatment.
Expecting to make much money off them was impossible.
If he recommended slightly more effective but pricier medications, they would grumble and shake their heads in refusal.
The real revenue boost for the clinic would still come from modestly well-off families.
Not particularly rich, but living reasonably comfortably.
If the treatment could immensely satisfy the female patient in front of him, it would be like cracking a segment into the moderately affluent echelon. In the future, there would be chances to treat more such patients.
Gritting his teeth, he decided to level up his Pulmonary Medicine diagnosis skill once more.