Practicing Medical Skills in a Small Clinic novel Chapter 674

Chapter 674: Chapter 310: Misfortune Seeks the Unfortunate, the Second Patient’s Fear

The patient’s sister agreed directly.

Coming to the Sunshine Clinic for treatment, obviously reflects a level of trust.

When the doctor suggests any examinations, the patient and their family usually consent as long as they can afford it.

Unless certain invasive tests pose risks that frighten them, they might refuse.

After taking a chest X-ray for the patient, Li Jingsheng discovered total atelectasis and even nodular shadows in the lungs.

Pulmonary interstitial fibrosis is also quite severe.

No pleural effusion or infiltration shadows were found.

Based on his experience, this patient’s condition is much more severe than initially expected.

However, his small clinic’s limited capabilities can’t proceed with further examination.

Initially, he merely suspected the patient had chronic respiratory failure, so he wanted to take an X-ray to check the lung condition. In fact, the best way to diagnose respiratory failure is through arterial blood gas analysis.

He cannot perform this test here, and can only use other methods for diagnosis.

Imaging tests, whether X-ray or CT, help doctors pinpoint the causes of respiratory failure.

For instance, this patient’s respiratory failure cause has basically been identified.

Total atelectasis, lung nodules, and pulmonary interstitial fibrosis are the primary causes of respiratory failure.

After bringing the patient back to the outside consultation desk, Li Jingsheng looked at the patient’s sister.

"Just took an X-ray, found nodular shadows in the lungs, the condition is a bit complex, our clinic’s limitations suggest you go to a major hospital for further examination."

Li Jingsheng spoke rather tactfully.

In practice, doctors always try to speak gently directly to the patient.

Especially with severe conditions, they generally won’t tell the patient outright.

Some patients with poor health and weaker mental fortitude might struggle to cope with hearing about serious issues, such as cancer or major illnesses.

They might break down immediately.

Some might even collapse then and there.

Especially patients with bad hearts, high blood pressure, or severe intracranial arterial sclerosis, and cardiovascular hardening, they cannot bear such shocking news.

Elderly patients also face similar difficulties.

"Going to a major hospital for treatment is too expensive, can you treat it here?"

The patient clutched his chest and gasped forcefully.

Already at thirty, his health is so deteriorated, at least he’s fortunate not to be married, otherwise a wife and kids would be burdened.

"Go see a major hospital first. If you need medicine or injections later on, you can come back to our clinic."

Li Jingsheng advised the patient.

Ultimately, the patient’s sister supported him as he left.

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