Practicing Medical Skills in a Small Clinic novel Chapter 234

Chapter 234: Chapter 145: This Isn’t Bronchitis, My Status Seems to Be Rising

Some elderly people in their 60s who persist in exercising are even stronger than young men in their 30s.

"I’ve had this old problem for almost thirty years. It started as just a cough with a lot of phlegm, and later my breathing became somewhat labored. I’m an impatient person. When I was teaching, seeing students not listening, not studying seriously, and not completing their assignments properly, I’d get angry. The angrier I got, the worse the cough became, cough, cough..."

After speaking, the man began to cough violently again.

Unexpectedly, the man was a teacher, no wonder he had such a distinctive demeanor.

He gave off a clean, tidy, serious, and earnest feeling.

"Have you been to a hospital for a check-up?"

"Yes, they said it couldn’t be cured, just managed with some medication."

"Did they mention what disease it might be?"

"They said my lungs aren’t good. I heard that you have good technology and high medical ethics here, so I wanted to come and try some medicine. Previously, I got my medicine from a dedicated hospital."

The man is a teacher, so he’s definitely covered by medical insurance.

Moreover, he is at least fifty-seven or fifty-eight years old, and his insurance contributions are likely well over 25 years, so he can enjoy lifelong medical insurance.

Now he’s coming to Li Jingsheng’s small clinic for medication, but this place hasn’t qualified for dedicated medical insurance yet!

The patient can only pay out-of-pocket.

"I can prescribe some medication for you, but our clinic’s treatments are not covered by medical insurance. Can you accept that?"

"If it’s not too expensive, that’s fine. If it is, I’ll just go to the hospital, cough, cough..."

The man couldn’t speak too much.

Speaking too much would trigger a violent cough.

"Do you smoke?"

"I don’t smoke."

"Do you have chest pain, cough blood, chills, or any other symptoms?"

"No, I just feel short of breath and have to inhale forcefully."

From the time he entered, the man’s breathing was labored.

"Alright, let me listen to your heart and lung sounds, and measure your blood pressure and temperature."

Upon measurement, the man’s temperature was normal, with a respiratory rate of 19 breaths per minute.

The lung sounds were rough, but there were no obvious dry or wet rales.

The heart sounds were fairly normal as well.

His blood pressure was slightly elevated, but still acceptable.

The man was slender, with a noticeably barrel-shaped chest and rib spaces wider than usual.

After examining the man, Li Jingsheng initially diagnosed it as chronic bronchitis.

Chronic bronchitis is quite common clinically.

It’s a stubborn disease, difficult to cure and prone to relapses.

His small clinic couldn’t perform blood gas analysis, but through a comprehensive diagnosis, he judged the man’s condition to be not severe and felt capable of treating it himself.

The patient mainly exhibited shortness of breath and respiratory distress.

It should indeed be chronic bronchitis, so treatment will proceed as such.

At this point, the man coughed and expectorated phlegm.

He was very courteous, wrapping it in a tissue.

Li Jingsheng noticed the phlegm was yellow and viscous.

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