Practicing Medical Skills in a Small Clinic-Chapter 157 - 119: A Major Case—The Evil Mother-in-Law and Her Pitiful Daughter-in-Law (Part 2)

The child's grandmother replied.

The child's mother was like a puppet, silent throughout, only watching and listening.

When Li Jingsheng heard the diagnosis from the big hospital, his head started to ache.

A cold and infantile enteritis can be treated, but the most frightening is immunodeficiency.

The human immune system is the guardian that combats all viruses and diseases, ensuring our survival.

For example, the much-dreaded cancer, actually every person's body possesses proto-oncogenes from birth. But with our immune system protecting our body, for cells to undergo genetic mutations, become cancerous, and take root and proliferate wildly within the body, requires overcoming multiple immune system defenses.

If intercepted at any point by the immune system, it cannot develop into cancer.

Moreover, everyone in the medical field knows that neither surgery nor medication can truly cure diseases.

99% of diseases are incurable.

Then why can recovery be achieved after treatment?

Because of our immune system.

If this child's immune system is deficient, regardless of the amount of money offered, Li Jingsheng would never dare to take on this case.

"Were the examination results and medical records from the big hospital brought over?"

"Yes! They're all in the bag."

The young mother finally said something.

At the same time, she handed him a large white plastic bag.

On it was written Jiangli City People's Hospital Imaging Department.

It should be the bag issued when taking a CT scan.

Nowadays, after scanning, you wait for the results to come out and the patient prints the images from a self-service machine. This plastic bag has a barcode on it, which just needs to be scanned by the machine.

Li Jingsheng took it and carefully examined all the test data.

Looking at the infant's blood routine, urine routine, stool routine, blood biochemistry, abdominal CT results, he felt envious.

The large hospital's equipment is advanced and comprehensive; the laboratory can run multiple biochemical tests.

This significantly aids in diagnosing the cause of illness.

Compared to these hospitals, his small clinic truly had nothing.

The clinic is struggling to survive, nestled between the expansive hospitals and official primary health institutions.

For example, in this area of Old Street of South City, there's a community health service station, which is exceptionally capable. Nominally a health service station, its scale and strength are at the health service center level.

Above that is the Second Hospital, which is a tertiary hospital.

Fortunately, South City lacks a decent private hospital.

The most competitive, certainly the Fake Faction private hospital.

They excel in money-making tactics and have equally powerful patient attraction strategies. Now, many departments in large hospitals are outsourced and operated by Fake Faction hospitals, which is quite unfortunate.

Previously, hospital services were poor, but the fees were reasonable, and they truly treated illnesses.

Now, the Fake Faction, it's hard to describe.

If you had to describe it, it's that bad money drives out good money.

"Body temperature is 37.2 degrees, low fever.

Pulse is 121 beats per minute, considered normal. A newborn's pulse can reach 150 beats per minute. For children under six, a heart rate over 100 beats per minute is common.

Respiration 30 times per minute.

Weight 4.9 kilograms, head circumference 39 cm, development is fairly normal, just slightly underweight."

Li Jingsheng checked the infant's actual condition and felt there was some malnutrition.

The child's mental state was also poor, appearing rather fatigued.

But it hadn't reached the level of lethargy.

"Come, let me check the child's mouth."

Catching the moment the child opened his mouth, Li Jingsheng examined the oral cavity and found the mucous membrane smooth.

Primarily, he was concerned about oral thrush.

Fortunately, he did not find this symptom.

The infant's eyelids were a bit swollen, and aside from being slightly pale, there were no obvious jaundice, rashes, or petechiae on the facial skin.

The neck skin was also relatively okay.

The child's blood test showed red blood cells at 3*10^12/L, hemoglobin at 86g/L...

Urine routine was normal.

Stool routine showed a weakly positive occult blood test, and negative for parasite eggs.

The Children's Hospital even checked the child's liver function and conducted three stool cultures, indicating the attending physician's persistence.

The results were all normal. 𝚏𝕣𝕖𝚎𝚠𝚎𝚋𝚗𝐨𝐯𝕖𝕝.𝕔𝐨𝕞

Probably the attending physician was at his wits' end too, suspecting that the child's fever and diarrhea might relate to bacterial infection. Experience proved even seasoned attending physicians are stumped by ineffective treatments and recurring illnesses.

Jiangli City People's Hospital's chief attending physician also fell into the same trap.

He aimed to find issues in the child's stool, so he performed a stool rotavirus antigen test.

The result was negative.

At this point, they seemed to give up on finding diagnostic breakthroughs in the stool.

Subsequently, he did a chest X-ray, finding no abnormalities in heart or lungs.

He also checked liver and kidney ultrasounds, still nothing abnormal.

The People's Hospital's chief attending physician probably felt a bit bewildered. In all his years of practice, he'd not encountered such a challenging case to diagnose.

...

After reviewing all the test results and medical record information, Li Jingsheng lamentably found that the disease that eluded the Clinic at the Old Street of South City's Community Health Service Station, Children's Hospital, and People's Hospital was indeed not something a small clinic doctor like him could resolve.

Thinking over it for quite some time, he still couldn't find a diagnostic direction.

The chief attending physician at the large hospital at least targeted the stool, indicating they had some diagnostic direction and a clear diagnostic thought process.

Master Level gastrointestinal diagnosis, equivalent to a junior attending physician, ultimately still has a significant gap with a chief physician.