Practicing Medical Skills in a Small Clinic novel Chapter 53

Chapter 53: Chapter 53: Skilled in Medication Usage

Some biases are deeply ingrained in the bones of doctors and nurses in large hospitals.

This nurse isn’t malicious; you could tell from the way she reminded Li Jingsheng that night.

But her sense of superiority, along with preconceived prejudices, made her words uncomfortable to hear.

"Young lady, you can’t just say whatever you want! A few days ago, an old lady had an issue here, but it was her own heart attack. Dr. Li acted quickly, and it had nothing to do with their clinic. Today, the person who had an issue is Dr. Zhao from Quick Recovery Clinic. He had an attack just as he was walking out. Dr. Li has been doing all he can to help, and many people saw it happen. Saying it happened at Dr. Li’s clinic is really unfounded,"

Ms. Ou, having finished her IV, needed to stay for observation for another thirty minutes before she could leave.

Just in time to witness the whole process.

She’s now a devoted fan of Sunshine Clinic, and she stood up to speak out when she heard the ambulance nurse wrongly accusing Li Jingsheng.

The others buying medicine just watched coldly, with no intention of speaking up for Sunshine Clinic.

Most people, as long as it doesn’t concern their own interests, prefer to avoid unnecessary trouble.

Few are willing to get involved in others’ business.

It’s human nature to seek benefits and avoid harm, and to avoid getting into trouble.

Li Jingsheng really didn’t expect Ms. Ou to be so chivalrous and was quite moved by it.

"Sorry!" The nurse realized she misspoke, and gave Li Jingsheng an awkward smile. "Lend a hand, let’s get this patient onto the ambulance quickly! From the looks of it, he’s in a bad state, and needs to be taken to the hospital for further examination and treatment as soon as possible."

She switched focus to ease the awkwardness.

Li Jingsheng, along with Xiaogao and the ambulance doctor, first got Boss Zhao onto the stretcher, then all together, they lifted him onto the ambulance.

Seeing Boss Zhao’s short stature, they hadn’t expected him to be so heavy.

The three of them worked up a sweat lifting him onto the ambulance.

When Boss Zhao was standing, he just seemed a bit fat, with a businessman’s belly. But lying flat on the stretcher, his belly was round and bulging, even larger than a typical pregnant woman’s.

He probably lived well, indulging in grand meals.

Without exercise, he maintained a weight nearing a hundred seventy to eighty pounds.

"These are the vital signs we measured, and we’ve given him fast-acting heart pills and blood pressure medication," Li Jingsheng quickly jotted down Boss Zhao’s heart rate, blood pressure, and other symptoms on paper.

After handing it to the nurse, he added, "We gave him a double-dose of fast-acting heart pills, two pills, equivalent to six regular ones. The three antihypertensive pills were felodipine, 2.5mg each. Considering his very high blood pressure is likely primary and surged due to stress, I only gave him three pills, approximately a 7.5mg dose."

For felodipine antihypertensive medication, typically, 2.5mg a day is sufficient.

Many elderly patients with hypertension use calcium channel blockers to lower pressure.

Li Jingsheng’s decision to administer a 7.5mg dose was, after consideration, the optimal choice.

A blood pressure reading of 160mmHg is already alarming.

Hypertension often induces strokes and heart attacks, accelerating vascular sclerosis and significantly increasing the risk of vascular blockages or ruptures, while also harming the liver and kidneys.

It’s immensely harmful.

Overuse of calcium channel blocker antihypertensive medication can damage the liver, and Li Jingsheng took a lot of care when medicating Boss Zhao.

"Buddy, I have to say, your understanding of drug efficacy and pharmacokinetics seems quite good!"

The ambulance doctor couldn’t help but praise Li Jingsheng.

Inept as small clinic doctors are often stereotyped, his proficiency might have been shocking to him.

After all, many clinic owners are seen as doctors who’ve been ousted from formal hospitals.

The township health centers and community health service stations are considered formal hospitals, albeit small ones.

But for a doctor to successfully run their own clinic, they must have some skills. Those lacking understanding couldn’t sustain a clinic for long before it would fail.

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