Practicing Medical Skills in a Small Clinic novel Chapter 3

Chapter 3: Chapter 3: Another Medical Skill Leveled Up

"Our charges here are transparent and fair. For a minor cold like yours, you usually recover with two infusions. The cost for one session is about eighty yuan, and it definitely won’t exceed a hundred. As for the effect, you can rest assured; all patients who have had infusions here say it’s good."

Tang Ping saw that the patient was still a bit hesitant and continued.

"Seeing it’s your first time at our Sunshine Clinic, I’ll give you a special price. One infusion is just 75 yuan, with the best medication guaranteed. But once you recover, you’ll have to help us with some free publicity."

The patient, upon hearing a five-yuan discount per session, showed a slight smile.

"Alright, I’ll try one infusion then! You better give me the best medicine!"

The patient was successfully retained by Tang Ping.

"No problem, you can rest easy. We’re counting on your recovery to help us spread the word, so we’ll definitely use the best medicine for you."

She led the patient into the infusion room.

Upon exiting, Li Jingsheng was already preparing the medication for the patient.

With proficient-level skills in pharmacology and pharmacokinetics, he handled the medication preparation smoothly, clearly at a different level than before.

The main symptoms of the patient were headache, fever, fatigue, and slight wheezing.

Li Jingsheng diagnosed it as a viral infection.

Since the symptoms were mild and the patient, in his fifties, was in the prime of health, there was no need to use antibiotics.

He devised a treatment plan of hydration, bronchodilation, and pain relief for the patient.

Cold medications for oral use could reduce fever and alleviate pain.

Glucose solution was the preferred hydration medication, as it not only rehydrates but also provides some nutritional support for the patient. Cold sufferers often have poor appetites, and a 500ml bag of glucose solution can help restore the patient’s physical strength quickly.

The cost price of glucose injection is also low, with the cost for 5% 500ml being just a few yuan.

This patient did not experience tissue dehydration, and a 5% glucose injection was sufficient. If severe tissue dehydration occurs, a hypertonic 50% glucose solution would be needed, which is more expensive.

His small clinic could never encounter such critically ill patients.

There was never any consideration to stock 50% glucose solution.

With hydration, fever reduction, and pain relief addressed, the only remaining aspect was deciding on the bronchodilator.

Which medication would be best?

Pulmonary Medicine diagnosis was his strength, but medication use was his weakness.

Of course, that was in the past.

Now his pharmacology skills had improved to a proficient level, and after quickly evaluating the patient’s age, gender, physical condition, and cause, he immediately came up with a medication plan.

Aminophylline.

This medication was perfectly suited for bronchodilation and cough suppression.

With proficient-level pharmacokinetics, he could fully consider the method and dosage of medication when choosing this drug.

Aminophylline is generally not suitable for intravenous injection alone, as it can easily cause problems. It’s best administered via intravenous drip alongside glucose injection.

In the past, Li Jingsheng was cautious and timid, not daring to use these medications.

Mainly fearing something might go wrong.

Now he had full confidence.

He was also eager to test the clinical effects of proficient pharmacology and pharmacokinetics.

"Can’t you be a bit more patient-focused?"

After he prepared the medication, Tang Ping couldn’t help but complain in a low voice.

Owed three months of salary, she never once asked for it, nor complained.

Every time she saw Li Jingsheng push patients away, missing out on money, she’d grumble a bit.

Sometimes only one patient would come in a day, and even they got turned away, really a pity.

Upon leaving, patients wouldn’t feel grateful at all and would just head to another clinic, receiving treatment as usual.

They’d later even curse Sunshine Clinic for its lousy medical skills and poor service attitude.

"I... just can’t get past my conscience!"

Li Jingsheng showed a slight bitter smile.

It wasn’t that he was inflexible, but that he had his principles.

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