Practicing Medical Skills in a Small Clinic-Chapter 243 - 148: Jaw Abscess, A Man’s Difficulty
"Are there symptoms like night sweats during sleep, diarrhea, or nausea?"
Li Jingsheng asked calmly.
"My appetite has always been poor, and recently I’ve had some diarrhea. It’s nothing serious, right?"
She asked indifferently.
"Please wait a moment." After speaking to the patient, Li Jingsheng turned his head towards the counter. "Sister Tang, could you please come and help this female patient check her lymph nodes?"
"Okay!"
She said something to a customer who was buying medicine, then walked over quickly.
Probably in a hurry to get back to the counter to sell medicine, she signaled to the young female patient, then reached out to touch her neck.
"Hey, wait! Put on gloves. It’s more hygienic this way!"
Li Jingsheng quickly stopped her and handed her transparent film gloves.
When performing surgery on a patient, rubber gloves are generally worn. They are thin, but still affect the tactile sensation of the hands.
Film gloves are thinner, have minimal impact on the tactile sensation of the fingers, and are very inexpensive.
The only downside is that they are easily torn.
But for conducting surface medical examinations, they are completely sufficient.
Tang Ping nodded knowingly, put on the gloves, and examined the patient’s neck lymph nodes. Actually, in most mammals that have hair, the cervical lymph nodes are the most abundant.
For example, common poultry and pigs are like this.
When conditions allow, it’s best to eat less chicken neck skin and pork neck meat, also known as "slot head meat."
If you have to eat them, you can remove the lymph nodes before cooking.
Because lymph nodes are an important part of the immune system, various viruses, bacteria, and toxins invade, and lymph nodes are the most formidable warriors, also serving as the main battlefield. Over time, lymph nodes accumulate toxins and harmful substances.
Eating them will definitely have a significant adverse impact on human health.
While Tang Ping was examining the patient’s neck lymph nodes, the patient expressed discomfort.
"There is swelling of the lymph nodes on both sides of the neck."
Tang Ping looked at Li Jingsheng.
"Check her axillary lymph nodes as well."
Li Jingsheng’s expression became more serious.
When Tang Ping checked the patient’s underarms, she repeatedly laughed, "It tickles, I’m ticklish..."
"Just bear with it for a moment; the examination will be over soon."
After the examination was complete, Tang Ping’s expression became much more solemn.
"Boss, I just examined her; there’s swelling in both her neck and axillary lymph nodes."
"You can go back to work!"
Li Jingsheng nodded.
"Miss, please register your name and contact number."
"Why do I have to register for buying oral ulcer medicine? I don’t need to register when I buy from a pharmacy!"
The patient seemed very cautious.
"You also mentioned that it’s a pharmacy, and we are a clinic, equivalent to a hospital’s outpatient department. The nature is definitely different. Don’t worry, we’re just following the regulations from higher authorities that require patient registration. We won’t leak any patient privacy." 𝓯𝙧𝓮𝓮𝒘𝓮𝙗𝙣𝒐𝒗𝒆𝓵.𝓬𝓸𝒎
The ledger Li Jingsheng presented was densely filled with many patients’ names and contact information, even addresses.
Compared to hospitals, clinics have certain disadvantages.
For instance, patients must register in hospitals, regardless of the disease, to receive treatment. By registering, hospitals can retrieve patient identification information.
Clinics find it very difficult to obtain patient identification information.
Especially this type of small clinic.
Struggling for survival, if a patient comes in to buy oral ulcer medicine, forcing them to register identification information might make them turn away.
The best Li Jingsheng could do was try to use persuasive language to encourage cooperation from the patient.
The female patient eventually filled in her name and phone number.
To prevent any mistakes, Li Jingsheng took out his phone and attempted to dial the number on the spot.
The phone rang on her body.
The ringtone was a very touching love song, "A Love That Lets Go."
Young men and women often have beautiful dreams and naturally long for beautiful love.
"Please understand, I just need to verify that the phone number is correct."
Li Jingsheng naturally wouldn’t say that some patients don’t provide real numbers.
"Can I get my medicine now? Also, what’s the reason for my lymph node swelling?"
"I suspect this is not a simple oral ulcer. I recommend that you go to the disease control center immediately for further examination; they have free medicine available."
"What kind of disease is it?"
The girl looked confused.
"We need to wait for test results from the disease center to know. I initially suspect it’s a bad viral infection."
"Do I have to go to the disease control center? Can the community health station treat it?"
"I estimate that no matter which hospital you go to, you’ll ultimately have to go to the disease control center because they specialize in treating this disease. It’s best not to delay—go now because this virus has some transmissibility."
"Alright! Thank you!"
The girl left.
After walking out, she was seen standing by the roadside, hailing a taxi towards the west end of Old Street.
The west end leads to the city center; the city’s disease control center is in this direction.
It seems she heeded the advice and took a cab to the disease control center.
Li Jingsheng still called to report the case as required.
Because he couldn’t obtain the patient’s identification and other information, the follow-up work would be handled by the disease control center.
"Boss, what illness does that girl have?"
Tang Ping knew the girl’s condition was definitely not simple.
Otherwise, the boss would not have had her wear gloves for the examination.
"It could be ’Little Ai.’
Li Jingsheng spoke in a heavy tone.
’Little Ai’ is a euphemism used among medical staff, a discreet term for AIDS.
For example, syphilis is referred to as ’Little Mei.’
If it’s cancer, it’s referred to as CA; sometimes it’s called a lesion. Very few medical staff would use the word ’cancer’ directly in front of patients.
