Practicing Medical Skills in a Small Clinic novel Chapter 361

Chapter 361: Chapter 187: All Four Causes Ruled Out, The Final Breakthrough_2

The outside hospital started with the patient’s nasal discharge, discovered the presence of bilateral nasal polyps, and then became stuck in this dead-end cycle.

To achieve a significant breakthrough with this case, it is very necessary to change the perspective.

"I have tried addressing this issue, but there hasn’t been much progress."

How could Lian Tao not think of this problem?

"What I mean is, stop the prednisone first, and then make a diagnostic breakthrough focusing on granuloma."

Hearing Li Jingsheng’s suggestion, Lian Tao’s eyes brightened slightly.

"This proposal is a bit bold, but the thinking is very unique, somewhat unorthodox, with the intent of cutting through the fog to find the truth. It’s worth trying."

"Alright, let’s give it a shot first."

Li Jingsheng could only wait until after stopping the medication to conduct further examinations on the patient for diagnosis.

...

The next day, Li Jingsheng opened the clinic for normal operations.

There were quite a lot of patients.

Once the doors opened, they rushed to the reception desk, wanting to be the first to see the doctor.

Li Jingsheng asked everyone to queue civilly and distributed number tags to prevent queue jumping.

"Dr. Li, please take a look at my father, his right hand seems to be broken, can it be treated?"

The first person in line was a young, robust man, about twenty-five or twenty-six years old.

He took the spot, and family members helped the patient in.

The old man appeared to have a severely hunched back, and was quite frail. However, there were four family members accompanying him, plus the young man holding the spot, totaling five family members.

Needless to say, it was definitely a large family with many children.

Having many children makes upbringing strenuous, but as long as the children are filial, in old age, they have plenty of caregivers for any ailment.

"Help him to sit down, I’ll take a look first."

Li Jingsheng said to the family.

As the family helped the patient sit, he noticed a painful expression on the patient’s face as he sat down. Furthermore, he moved slowly while walking earlier.

Old people typically have porous bones, making fractures from falls easy.

If his right hand is broken, the fall was definitely severe.

Could there also be a fracture or injury in the hip joint?

"Where do you feel pain now?"

Li Jingsheng asked the old man.

"The hand, and here!"

Sure enough, the old man pointed to his right hand and his hip.

Li Jingsheng palpated his bones, the right elbow joint was dislocated, but surprisingly not fractured.

Moreover, this old man’s bones were much sturdier than those of a typical elder.

Raising so many children must have been particularly taxing, doing a lot of work, and his body got quite a bit of exercise, so even in old age, his bones are much sturdier than a typical elder.

That was the summary Li Jingsheng made in his mind.

"Let me check your hip."

He palpated the hip again but found no fracture or joint capsule tear, only a soft tissue contusion.

"Go inside and get an X-ray, if there’s no severe fracture, I can treat it here. The X-ray is 100 yuan."

VERIFYCAPTCHA_LABELVerify