Practicing Medical Skills in a Small Clinic-Chapter 48: The Wolf Returns, Lady Huan Arrives
Though before coming to the Sunshine Clinic, I heard from friends that this clinic had excellent medical skills and high medical ethics, but as a forty-year-old man, I am already at an age of no perplexities.
At this age, a man’s thoughts have matured considerably, having been seasoned by time.
He can handle matters calmly, knows how to distinguish between true and false, and is very alert to various temptations and traps. Generally, he won’t be easily deceived like a young lad.
He has always been deeply wary of Li Jingsheng’s enthusiastic examination actions.
"Please wait a moment. Normally, the pinch mark on the calf skin should return to normal within twenty to thirty seconds. I will observe for about a minute."
After thirty seconds, the man’s leg pinch marks rebounded very slowly, still deeply indented.
Li Jingsheng patiently observed for about a minute, and the pinch marks recovered slightly, but it was limited. It was completely incomparable to the rebound of normal people’s skin indentation.
This also confirmed his thoughts.
The person indeed has signs of leg edema.
In clinical examinations, the most common method to verify edema is to check the speed of pinch mark rebound.
This is not a gold standard for diagnosing edema, but it is simple and feasible.
Especially for some patients in the early stages of mild edema, where the naked eye cannot distinguish between slightly overweight and edema, this method is very effective.
Under normal circumstances, when the kidneys have problems, the two most prone areas to edema are around the eyes and calves.
Pinching someone’s calf might at most get a reaction like, "Are you sick?"
As for pinching a customer’s eyes, Li Jingsheng was afraid of being punched into panda eyes by the customer.
Some male customers are quite violent and would punch you if anything goes wrong. When he was a trainee in the hospital, Li Jingsheng was beaten by family members once and even reported it to the police.
Ever since then, he has been extremely cautious when speaking with patients or family members.
"Alright, you can pull down your pant leg now."
Li Jingsheng signaled to the man.
"I just checked your calf and suspect there might be edema. I suggest you go to the hospital for a routine urine exam and a kidney function test. If it’s just ordinary kidney deficiency, you can come to me for herbal medicine. I don’t recommend taking that fast-acting Western medicine anymore, at least not now."
He is definitely a conscientious doctor at this clinic.
Meeting him is a blessing for the patient.
Who knew the man, after hearing this, would calmly ask, "How much is a box of fast-acting medicine? How much are the long-term herbal supplements?"
"For fast-acting medicine, like this Sildenafil, a box of 12 tablets sells for about 60 outside; I sell it for 58. The long-term herbal supplements depend on which one you choose; the better ones range from 600 to 800 per course."
In Li Jingsheng’s opinion, Viagra is more like a potion of tigers and wolves.
For a normal person, taking one or two occasionally for fun, there’s no problem.
But taking it every day, even an iron body can’t withstand it.
Viagra is a Western medicine and has never been a tonic.
It is actually a type 5 phosphodiesterase inhibitor, which can prevent the production of PDE5 enzyme and its binding with cGMP, achieving the effect of treating erectile dysfunction.
"Alright, thank you. I’ll consider it."
The man appeared polite on the surface but, in reality, took Li Jingsheng’s series of actions as tricks to make him buy expensive supplements.
"You’re welcome, take care. If possible, I suggest you make time to go to the hospital for a routine urine exam."
Li Jingsheng truly has the heart of a parent in medicine.
Knowing the patient wasn’t listening, he still insisted again earnestly.
The man walked away without looking back.
As he stepped out, one could see a cold smile on his face.
Li Jingsheng shook his head and sighed.
He subconsciously checked the attribute panel.
Because by experience, this golden finger was gained by refusing excessive medical treatment.
Just now, he lost a business by sticking to principles and thinking for the patient.
If the attribute panel could offer some compensation, it would be a great comfort.
A while ago, the life value was 103 after receiving a good review from Ms. Ou.
Later, upon follow-up for Ms. Ou, prescribing and infusing, it should earn 1 point of life value.
Selling health products and medical instruments doesn’t increase life value, only makes money.
Upon checking, he found the life value had increased to 114.
What a joy.
Refusing one instance of excessive medical treatment actually increased 10 points of life value.
His current level experience is 369.7, just 130.3 experience points short of advancing to a senior resident physician.
Having accumulated 114 points of life value, with more effort, perhaps with a bit of luck, he might level up today.
Then he could continue to upgrade various medical skills.
The Pulmonary Medicine diagnosis card has been stuck at 99.9 for two days now.
He dreams of upgrading this medical skill one more level.
Can’t wait to see how powerful a level higher than proficient diagnosis skills will be.
After gaining 10 points of life value, Li Jingsheng was happy but couldn’t help feeling worried for that man. 𝗳𝐫𝚎𝗲𝚠𝚎𝗯𝕟𝐨𝘃𝚎𝗹.𝗰𝗼𝗺
Afraid that good advice is hard to persuade a doomed ghost.
Judging by the man’s expression, he probably didn’t take Li Jingsheng’s advice to heart.
If he goes to another pharmacy and buys Viagra to use, that would be terrible.
When kidney problems cause mild swelling around the eyes and legs, it indicates a relatively serious kidney issue. At the very least, it would be chronic nephritis.
If left unattended and unrestricted enjoyment continues, it will rapidly accelerate kidney deterioration.
By the time noticeable physical discomfort appears and he goes to the hospital to check kidney function, it’s often in the mid to late stages of uremia, with almost no other solution besides dialysis or kidney transplantation.
Customers gradually filled the clinic.
Though not bustling, this small clinic’s business is quite decent.
There’s only one doctor and one nurse in the entire clinic, and too many customers and patients come in, making it hard to entertain them all.
Such scattered arrivals actually work better.
"Hahaha... Dr. Li, good morning! Tang the beauty, you look even prettier today! Tsk tsk, that nurse uniform looks great on you."
Boss Zhao walks into Li Jingsheng’s clinic with his sidekick, hands behind his back.
Saw relatives causing trouble yesterday, Boss Zhao slipped away faster than anyone.
He thought Li Jingsheng’s Sunshine Clinic would be finished, but contrary to his wishes, Sunshine Clinic’s popularity surged.
Today, he comes again uninvited.
Seeing half of the health products and supplements sold out at the counter, Boss Zhao’s eye twitched uncontrollably.
His jealousy was almost visible from his small bean-like eyes.
Unexpectedly, his mischief ended up helping Li Jingsheng in such a big way.
"That’s too kind!"
Tang Ping responds coldly, continuing to serve the customers.
She always kept a respectful distance from Boss Zhao, who was an old hand thinking of taking advantage of her.
Especially when Boss Zhao blocked her halfway that evening pretending to be drunk and kept bothering her, making her quite afraid of him.
"Xiaogao, return the gift Dr. Li sent yesterday to him."
Boss Zhao says to his sidekick behind him.
Xiaogao hands the plastic bag to Li Jingsheng.
"Dr. Li, it’s my underling’s fault for not knowing any better and accepting gifts recklessly. I scolded him harshly yesterday, unclear about the rules; do you think Old Zhao is someone who can’t handle storms?"
On the surface, Boss Zhao is scolding Xiaogao, but he’s actually telling Li Jingsheng that the bridges Old Zhao has crossed are greater than the roads you’ve walked.
Even if you turned the tables yesterday, I can handle it.
You sent two heart pills, you underestimated me.
"No, no, no, my gift was sincere. Boss Zhao should carry it with him; it might save a life at a critical time."
Li Jingsheng also responds with double meaning.
"Boss, Dr. Li is also being considerate, maybe we should keep it!"
Xiaogao is not the sharpest tool in the shed.
Here, the two bosses are having a tacit verbal challenge, yet he suggests Boss Zhao accept the gift.
What kind of gift is this?
Two heart pills! Can they be accepted?
Boss Zhao is not one to suffer losses; losing to Li Jingsheng yesterday and then being humiliated by receiving heart pills, and you want him to accept the pills?
"You fool, shut your mouth, stand behind, and don’t speak."
Boss Zhao glares at Xiaogao with a dark expression.
If it weren’t for his low employment cost, he’d have fired Xiaogao long ago.
Now he’s entirely using Xiaogao as a doer of odd jobs, more economical than hiring a cleaner.
"Dr. Li, you should keep such a generous gift yourself! I’ve heard your small clinic has been crowded with patients from yesterday to today, I came especially to see. Congratulations!"
Boss Zhao coming here is like a weasel paying New Year’s greetings to a chicken.
"Oh, by the way, a customer just said they came here to buy supplements, and you tried to persuade them to buy more expensive ones, which they saw through. Consequently, that customer bought a box of Viagra at my Quick Recovery Clinic for only 59 yuan, and they kept praising we at Quick Recovery Clinic for having integrity, not cheating. I explained that maybe there’s some misunderstanding with Dr. Li, but they refused to listen. They also cursed that you’re a reputation-seeking, heartless doctor."
Openly saying such things in front of so many customers disgusted Li Jingsheng and spoiled the reputation of Sunshine Clinic, killing two birds with one stone.
Boss Zhao never came with good intentions.
"Haha, people can say whatever they want. Time will prove who is the heartless doctor. The truth cannot be faked, and the false cannot be real."
Li Jingsheng smiles indifferently.
However, those customers who were about to buy medicine showed visible hesitation after hearing Boss Zhao’s words.
One customer was already getting ready to pay, then decided against it.
Boss Zhao’s lips curved into a cunning smile.
When it comes to outsmarting rivals, he’s absolutely a master.
With just a few words, he wrecked a deal at Sunshine Clinic that was about to be closed.
That box of Qi tonic was priced at 358 yuan, with profits exceeding at least 150 yuan. Tang Ping’s sales commission could be about 7.5 yuan.
Ruined by Boss Zhao, Tang Ping was so angry she’s almost biting her pearly white teeth.
But she didn’t dare to curse or speak; she clenched her fists tightly out of anger. That Zhao fellow is full of dirty tricks.
Li Jingsheng was equally filled with rage.
He must teach this old bastard a lesson; otherwise, if he comes every day to cause trouble, it’s a big nuisance.
Just as he was thinking of ways to deal with Boss Zhao, an eye-catching red Ferrari stopped abruptly on the road in front of the clinic.
This road is usually a no-parking area, and traffic police often come by to ticket.
Occasionally, city management will also take on the role of traffic police.
Whenever they come, they usually harvest a lot; at least a dozen tickets can be posted with minimal effort.
Those who drive Ferraris are usually very wealthy.
Some traffic rules are really just ignored by them. A fine is just a fine, they don’t mind.
The car door opens, and a plump, glamorous middle-aged woman steps down.
The driver is a handsome young man.
After getting out, he quickly supports the plump, affluent woman.
Li Jingsheng immediately recognizes the two people; they are the ’wealthy woman’ Sister Huan and her kept young lover who came to the clinic to buy digestive tablets yesterday.
Judging by the situation, they should have completed their hospital check-up.
Don’t know what they’re planning today?
