Practicing Medical Skills in a Small Clinic novel Chapter 791

Chapter 791: Chapter 369: Both Fronts Are Hard to Hold, When Weakness Cannot Be Supplemented

Many critically ill patients actually do not die from the original disease, but from complications.

Take AIDS for example, the virus itself cannot kill humans. However, it can damage our immune system, resulting in immune deficiency.

Without the barrier of the immune system, the human body is extremely susceptible to various infections and the occurrence of multiple malignant tumors.

An unfortunate AIDS patient, by the time of death, was found to have 11 types of cancer.

For an ordinary person, suffering from one cancer is already terrifying and fatal enough.

A patient with 11 types of cancer simultaneously, even among survivors in nuclear radiation zones, no one has had so many types of cancer at once.

Li Jingsheng initially advised Lian Tao to abandon treatment for this case, considering it from multiple perspectives.

Acute myocardial infarction was only the first complication and definitely not the last.

Although the patient has some decent foundational treatment conditions, based on his height and weight, the assessment during physical examination, and current indicators, it’s clear his health is already very poor.

There’s an old saying that when the wall is about to collapse, everyone pushes.

A strong person may not be invulnerable, but can recover quickly even if a disease occurs.

However, a weak person can be toppled by even a very minor illness.

"Since the patient developed acute myocardial infarction after being admitted, I suspect it’s very likely due to his blood volume deficiency, causing slow blood flow which then triggered the heart attack. Although the condition has been controlled through timely treatment, the root of the problem hasn’t been solved, and the issue still remains."

Li Jingsheng analyzed the patient’s current situation.

He speculated that the patient’s diarrhea, fever, vomiting, combined with discomfort and poor food intake, all led to blood volume deficiency.

For ordinary patients, poor food intake might only cause the body to become weaker and prolong the recovery time.

But for elderly patients like this, with inherently poor blood circulation, blood volume deficiency leading to slow blood flow is akin to adding insult to injury.

Heart attacks, strokes, naturally all came along.

"The issue you mentioned, Professor Wang Weiwei also raised. Communication with the family was done yesterday, providing nutritional injection therapy for the poor food intake problem. The effect is temporarily good. The key is to find the cause of the patient’s vomiting and diarrhea, otherwise, nutritional injections cannot be administered indefinitely. The longer it drags on, the more disadvantageous it is for the patient.

To be honest, I’m really anxious here.

I just hope to help the patient find the cause of illness as soon as possible, allowing the condition to improve.

Those complications that can pop up at any moment are like little devils. They’re now merely preparing to attack the patient or lurking in the shadows waiting for the right opportunity. Once the issues of the patient’s vomiting and diarrhea are resolved, and the patient resumes food intake, all the impending complications will disappear without a trace."

Lian Tao had his treatment strategy.

Moreover, this strategic thinking is at a high point.

Chief physicians usually possess such comprehensive, far-sighted diagnostic capabilities in dealing with diseases.

The patient seems to have a myriad of problems, but as long as the core problem is firmly grasped and resolved, everything else can be swiftly sorted out.

"I really agree with your treatment strategy. Just, it’s very difficult to pinpoint the cause when trying to investigate it. If quickly, it can be discovered tonight, slow, it might still be a guessing game with the real cause for ten days or half a month. If the cause can’t be found within a day or two, I’m very worried about the patient’s lung getting infected."

Since Li Jingsheng decided to help Lian Tao treat this patient, he must first think of ways to prevent potentially lethal complications.

The heart and lungs are extremely critical areas.

There’s no room for mistakes.

In fact, regarding the heart, acute myocardial infarction has already occurred.

Equivalent to one vital area nearly being overrun.

Luckily, through efforts, the heart area has been successfully defended.

If the lungs get infected, given the patient’s current situation, it would be disastrous.

Because the patient is already using many antibiotics.

If the lungs get infected under these circumstances, normal antibiotics would be like a drop in the bucket, having no effect at all.

The best approach is to prevent it in advance.

"Jingsheng, is this concern of yours based on the patient’s CXR results?"

"Yes! The patient’s chest X-ray shows patchy infiltrates in the upper right lung, indicating a potential infection."

"Don’t worry, pulmonology is my strong suit. The patient has already been given antibiotics like cefuroxime, ceftazidime, and ciprofloxacin. I’m confident that within half a month the patient’s infection can be controlled."

Lian Tao spoke with full confidence in his tone and demeanor.

"Brother Tao, we have a strong relationship, you’ve never considered me an outsider, so I’ll speak candidly."

"Go ahead, I’m not someone petty. Any criticism is welcome. Those who criticise me are actually my benefactors."

Lian Tao said earnestly.

Indeed, as he said, those at his level generally hear praise and flattery most of the time.

Rarely does someone criticize him.

Just imagine, would any employee dare to criticize their leader?

Unless the employee’s emotional and intelligence quotients are struggling, they certainly wouldn’t do such a foolish thing.

Directly criticizing a leader, many leaders might accept criticism gracefully and even commend the critic. But in reality, that foolish person who criticized the leader may already be sidelined.

Even if a broad-minded leader doesn’t put them in a cold spot, they would certainly not consider promoting or utilizing that individual.

Li Jingsheng and Lian Tao are friends, so there’s no such concern.

But among friends, opposing views sometimes still need to be tactful.

"Does the patient cough now?"

Li Jingsheng didn’t immediately offer opposing views but asked first.

"Yes, coughing, why?"

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