"Taken! The examination results are similar to yours."
The patient hesitated for a moment before responding.
"Did you bring the scans?"
"I have to ask my son!"
The patient was obviously making excuses.
Li Jingsheng noticed when the patient got up, using his left hand to awkwardly support his lower back, showing a slightly pained expression, clenching his teeth secretly, with his cheeks bulging.
"Take it easy, take it easy!"
He quickly ran over to support the patient.
Upon leaving the medical room, the unease in Li Jingsheng’s heart grew stronger.
Getting a bone setting case early in the morning made him quite pleased. But he couldn’t be like a fish, seeing only the bait and not the hook, seeing the profit and not the harm.
While talking with this patient, he felt a hint of malice.
It’s hard to pinpoint, just that after dealing with various patients over time, a kind of keen professional judgment develops.
Over 99.9% of patients hold a favorable view of doctors when seeking medical attention, sometimes even with reverence or ingratiation.
Because they need doctors to relieve their ailments.
Both parties inherently have a cooperative and trusting relationship.
In ancient times, doctors had six categories for not treating patients, and the first on the list was those who do not trust doctors are not to be treated.
Patients who don’t trust doctors cannot be treated.
Li Jingsheng instinctively scrutinized this patient, whose complexion was sallow and slightly dark, with very pronounced eye bags that could be half the size of a baby’s fist.
His eyes appeared slightly dull and yellowish.
His hair was slightly disheveled, with stubble from not shaving for about two days.
"Hey, hey, wait, it’s caught on my clothes."
When exiting, because Li Jingsheng was supporting the patient, the width was a bit inadequate through the doorframe. The patient’s clothing accidentally caught on the edge of the door lock.
The patient immediately stopped, slightly turned, and used his right hand to handle his caught clothing.
At that instant, Li Jingsheng unexpectedly noticed a small bruise on the patient’s right wrist, along with a small red dot.
This was a needle mark from intravenous infusion.
The small bruised swelling was caused by the medication seeping in after the infusion.
His eyes narrowed slightly.
It’s hard to exhibit such a phenomenon with one or two infusions. It usually requires an indwelling needle with multiple infusions to occur.
Of course, it could also be due to a young nurse’s poor needle insertion skills, resulting in drug fluid congestion, or even injuring a blood vessel.
In any case, it indicated the patient had undergone infusions elsewhere, and very recently.
This could disappear on its own in as little as two or three days, or even a bit more than a day quickly.
Did he really think Li Jingsheng was young and easy to fool?
"There’s no rush for treatment, we need to understand the cause of the condition first."
"You see, there are several other patients waiting! Could you perhaps administer some medicine for the pain first, at least? Moreover, everyone praises your excellent medical skills here, aren’t minor ailments like mine instantly curable by you?"
The patient urged repeatedly.
The more he urged, the more vigilant Li Jingsheng became.
Back when he had just transitioned to a resident doctor at the First Hospital, an older associate chief physician in the group had said something that he still remembered vividly.
That patient had been hospitalized for almost two months, in the late stages of lung cancer.
Doctors and nurses advised him to take some painkillers home; there was no need to end up both financially and physically exhausted.
The family didn’t clearly state it, but they had hinted at the idea.
After all, staying in the hospital was quite a financial burden daily.
The patient refused to be discharged.
That older associate chief physician instructed the group’s doctors and nurses that when changing medication or administering drugs to this patient, a senior attending physician or nurse in charge had to be present.
Once, when Li Jingsheng entered the ward, the weak patient beckoned him over.
Saying that breathing was painful and a bit labored, requesting Li Jingsheng to administer some pain relief and anti-asthma drugs.
At that moment, the attending physician was consulting in another department, and Li Jingsheng thought it wasn’t a big deal, so he prescribed a bit of pain medication for that patient. However, the anti-asthma medication involved deeper pharmacodynamics and pharmacokinetics, and he dared not take that risk.

Comments
The readers' comments on the novel: Practicing Medical Skills in a Small Clinic