Practicing Medical Skills in a Small Clinic novel Chapter 28

Chapter 28: Chapter 28: The Real Cause of the Illness Has Been Found

Directly added 28 life points to this medical skill.

"Damn it!"

Li Jingsheng expected to upgrade this medical skill, but unexpectedly it stopped at Pulmonary Medicine proficiency 99.4/100, and then got stuck.

It only consumed 27 life points in total.

He’s already had an experience of such an upgrade failure before.

He knew that something was definitely dragging this medical skill down.

Spending a whole 27 precious life points and failing to upgrade was heart-wrenching!

Although the life points didn’t run away after being added, and the proficiency needed to reach the next level decreased from 27.6 to 0.6, the failure still made him very frustrated.

The main issue now is not being wealthy, and every life point has to be used judiciously.

Wasting 27 points like this, if used to upgrade entry-level medical skills, could have at least upgraded two skills.

General Surgery Diagnosis and Cardiovascular Medicine Diagnosis are both at entry level, and he couldn’t even bear to ’spend money’ to upgrade them.

Although frustrated, he must now calm his mind and first handle the patient in front of him.

There’s not even time to explore the specific reason for the upgrade failure now.

At this moment, the patient was clutching her chest, coughing violently, her face flushed from coughing.

As she spat into the trash can, Li Jingsheng observed closely.

It was white and sticky phlegm.

Spitting white sticky phlegm, pus is a sign of a cold constitution.

Could it be a cold?

Colds are divided into wind-heat and wind-cold, and the medication is completely different for each type.

Some people find that taking cold medicine has no effect on their cold symptoms.

It might even worsen the symptoms.

Could it be because the cold medicine taken was ’going in the wrong direction’?

Clearly a wind-heat cold, yet insisting on taking medicine for a wind-cold, isn’t that foolish?

To conclude it’s a wind-cold based on fever, cough, and white sticky phlegm alone would be too hasty.

For treating other diseases, Li Jingsheng might have limited experience.

But having run his clinic for over nine months, the most common disease he encountered was the common cold.

He felt that the symptoms of this female patient were slightly different from a cold.

Moreover, her complexion and symptoms differed from a typical cold.

This keen diagnostic ability can only be developed by frequently interacting with cold patients and accumulating rich experience.

If it’s not a cold, then what could it be?

Unfortunately, his Pulmonary Medicine diagnosis upgrade got stuck, otherwise, he should have been able to easily diagnose the cause and type of disease.

"Let me listen to your lung sounds again!"

Li Jingsheng said to the patient.

"Didn’t you do that just now?"

This time, the patient was somewhat unwilling.

Being examined by a male doctor with a cold probe on her chest was already slightly off-putting.

For the sake of treatment, she tolerated the first time.

Now with Li Jingsheng wanting to listen again, she couldn’t help but question the male doctor’s intentions.

"When I listened last time, I heard scattered dry and wet rales. After you coughed up the lung phlegm, it possibly changed, which is very important for diagnosing the cause. So it needs to be auscultated again, maybe two or three more times."

Li Jingsheng patiently explained to her.

"If you feel offended by the auscultation, you can hold the probe yourself, and I will guide you on where to place it while I handle the auscultation."

The female patient was of just above-average appearance.

Her temperament was fairly decent.

She retained some charm!

But to imply that Li Jingsheng had any impure thoughts about her would simply be insulting him as a doctor.

"Just place it on the chest as you did just now?"

"Yes! But during auscultation, the lung sounds might change locations. If I find anything new, I’ll instruct you to move the probe."

"Alright."

She directly took the stethoscope probe and placed it on her chest.

Then, under Li Jingsheng’s guidance, she slowly moved it around.

Auscultating lung sounds and heart sounds for adult women is indeed quite cumbersome. For many women, the thick layer of breast tissue can seriously hinder auscultation.

"There really are changes, after coughing and expelling phlegm, the dry and wet rales in both lungs are gone."

Li Jingsheng said somewhat excitedly.

For doctors, every new diagnostic finding during the assessment of a patient is a cause for great joy.

Because it means they are a step closer to identifying the cause of the illness.

The patient also realized that this young male doctor was genuinely serious about diagnosing her illness, without any ulterior motives.

Her expression softened considerably.

"Have you figured out what illness it is?"

She asked with some anticipation.

"Not yet, but there’s been a lot of progress. Did you do anything before you started coughing yesterday?"

"No, just the usual stuff like watering flowers, pruning leaves, and reading. Started coughing during dinner, so I skipped the evening square dance..."

Nine out of ten elder women dance.

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