Practicing Medical Skills in a Small Clinic novel Chapter 48

Chapter 48: Chapter 48: The Wolf Returns, Lady Huan Arrives

Though before coming to the Sunshine Clinic, I heard from friends that this clinic had excellent medical skills and high medical ethics, but as a forty-year-old man, I am already at an age of no perplexities.

At this age, a man’s thoughts have matured considerably, having been seasoned by time.

He can handle matters calmly, knows how to distinguish between true and false, and is very alert to various temptations and traps. Generally, he won’t be easily deceived like a young lad.

He has always been deeply wary of Li Jingsheng’s enthusiastic examination actions.

"Please wait a moment. Normally, the pinch mark on the calf skin should return to normal within twenty to thirty seconds. I will observe for about a minute."

After thirty seconds, the man’s leg pinch marks rebounded very slowly, still deeply indented.

Li Jingsheng patiently observed for about a minute, and the pinch marks recovered slightly, but it was limited. It was completely incomparable to the rebound of normal people’s skin indentation.

This also confirmed his thoughts.

The person indeed has signs of leg edema.

In clinical examinations, the most common method to verify edema is to check the speed of pinch mark rebound.

This is not a gold standard for diagnosing edema, but it is simple and feasible.

Especially for some patients in the early stages of mild edema, where the naked eye cannot distinguish between slightly overweight and edema, this method is very effective.

Under normal circumstances, when the kidneys have problems, the two most prone areas to edema are around the eyes and calves.

Pinching someone’s calf might at most get a reaction like, "Are you sick?"

As for pinching a customer’s eyes, Li Jingsheng was afraid of being punched into panda eyes by the customer.

Some male customers are quite violent and would punch you if anything goes wrong. When he was a trainee in the hospital, Li Jingsheng was beaten by family members once and even reported it to the police.

Ever since then, he has been extremely cautious when speaking with patients or family members.

"Alright, you can pull down your pant leg now."

Li Jingsheng signaled to the man.

"I just checked your calf and suspect there might be edema. I suggest you go to the hospital for a routine urine exam and a kidney function test. If it’s just ordinary kidney deficiency, you can come to me for herbal medicine. I don’t recommend taking that fast-acting Western medicine anymore, at least not now."

He is definitely a conscientious doctor at this clinic.

Meeting him is a blessing for the patient.

Who knew the man, after hearing this, would calmly ask, "How much is a box of fast-acting medicine? How much are the long-term herbal supplements?"

"For fast-acting medicine, like this Sildenafil, a box of 12 tablets sells for about 60 outside; I sell it for 58. The long-term herbal supplements depend on which one you choose; the better ones range from 600 to 800 per course."

In Li Jingsheng’s opinion, Viagra is more like a potion of tigers and wolves.

For a normal person, taking one or two occasionally for fun, there’s no problem.

But taking it every day, even an iron body can’t withstand it.

Viagra is a Western medicine and has never been a tonic.

It is actually a type 5 phosphodiesterase inhibitor, which can prevent the production of PDE5 enzyme and its binding with cGMP, achieving the effect of treating erectile dysfunction.

"Alright, thank you. I’ll consider it."

The man appeared polite on the surface but, in reality, took Li Jingsheng’s series of actions as tricks to make him buy expensive supplements.

"You’re welcome, take care. If possible, I suggest you make time to go to the hospital for a routine urine exam."

Li Jingsheng truly has the heart of a parent in medicine.

Knowing the patient wasn’t listening, he still insisted again earnestly.

The man walked away without looking back.

As he stepped out, one could see a cold smile on his face.

Li Jingsheng shook his head and sighed.

He subconsciously checked the attribute panel.

Because by experience, this golden finger was gained by refusing excessive medical treatment.

Just now, he lost a business by sticking to principles and thinking for the patient.

If the attribute panel could offer some compensation, it would be a great comfort.

A while ago, the life value was 103 after receiving a good review from Ms. Ou.

Later, upon follow-up for Ms. Ou, prescribing and infusing, it should earn 1 point of life value.

Selling health products and medical instruments doesn’t increase life value, only makes money.

Upon checking, he found the life value had increased to 114.

What a joy.

Refusing one instance of excessive medical treatment actually increased 10 points of life value.

His current level experience is 369.7, just 130.3 experience points short of advancing to a senior resident physician.

Having accumulated 114 points of life value, with more effort, perhaps with a bit of luck, he might level up today.

Then he could continue to upgrade various medical skills.

The Pulmonary Medicine diagnosis card has been stuck at 99.9 for two days now.

He dreams of upgrading this medical skill one more level.

Can’t wait to see how powerful a level higher than proficient diagnosis skills will be.

After gaining 10 points of life value, Li Jingsheng was happy but couldn’t help feeling worried for that man.

Afraid that good advice is hard to persuade a doomed ghost.

Judging by the man’s expression, he probably didn’t take Li Jingsheng’s advice to heart.

If he goes to another pharmacy and buys Viagra to use, that would be terrible.

When kidney problems cause mild swelling around the eyes and legs, it indicates a relatively serious kidney issue. At the very least, it would be chronic nephritis.

If left unattended and unrestricted enjoyment continues, it will rapidly accelerate kidney deterioration.

By the time noticeable physical discomfort appears and he goes to the hospital to check kidney function, it’s often in the mid to late stages of uremia, with almost no other solution besides dialysis or kidney transplantation.

Customers gradually filled the clinic.

Though not bustling, this small clinic’s business is quite decent.

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