Practicing Medical Skills in a Small Clinic novel Chapter 698

Chapter 698: Chapter 322: This Responsibility Can’t Be Shirked, and the Plate Keeps Getting Bigger

Watching the couple leave with their child, even leaving behind threatening words as they left, Tang Ping was filled with worry.

"Boss, next time when you encounter family members who are difficult to communicate with, don’t try to persuade them too hard!"

She could only offer gentle advice to her boss.

Having worked with Li Jing for so long, she’s familiar with his personality.

It’s hard to sway him.

"It’s fine, even if he curses at me, it’s no big loss. After all, it’s related to a child’s life; it’s always better to be cautious."

Li Jingsheng was not bothered by the family’s threats.

Making a medical error, giving someone a misdiagnosis or mistreatment, that would be a big issue.

In a situation like this, he thought the child’s illness might be serious and suggested the family go to a major hospital for further examination. There’s absolutely nothing wrong with that.

Even if the family took the child for a check-up and found nothing, and came back to make a fuss, after people hear about the situation, they’d still side with Sunshine Clinic.

"The child’s foot is swollen; why did you ask him to check creatinine?"

Wang Zongxiao was quite puzzled.

Sometimes, watching Li Jingsheng diagnose patients felt like reading an ’arcane book.’

He couldn’t comprehend his boss’s diagnostic thinking at all.

"Then what do you think is the most common cause of foot swelling?"

Li Jingsheng asked in return.

"Well... problems with the kidneys most easily lead to lower limb edema." Wang Zongxiao’s medical foundation is quite decent. "But the boy’s foot is swollen, and his parents said it was due to an injury! Doesn’t seem related to kidney issues, right?"

"If the family says it’s an injury, do you conclude it’s definitely an injury? Then why do we need doctors? I’ve carefully observed the swelling in the child’s right leg—it’s swelling evenly from top to bottom. To the family, it might look like only the ankle is swollen, because the swelling there is most obvious."

Sharing his findings from the diagnosis, Li Jingsheng spoke.

The overwhelming majority of lower limb swelling intensifies gradually from bottom to top.

It can be simply understood from a physics perspective: water flows to lower places.

Swelling is often due to issues in fluid circulation.

However, tracing the cause of the issue shouldn’t solely rely on circulation direction because it could be caused by cardiac, hepatic, renal, endocrine reasons.

Determining which specific cause requires comprehensive diagnosis based on the location, color, time, symptoms, among other factors about the swelling.

If necessary, biochemical tests and imaging checks are incredibly necessary.

"What if the swelling is due to lower limb circulation obstruction? Why do you consider kidney issues to be a more likely cause?"

Wang Zongxiao continued questioning.

"Dr. Wang seems to have gotten more inquisitive lately! You asking questions with such persistence is a good thing. But next time, we can save such discussions for lunchtime or after work."

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