Practicing Medical Skills in a Small Clinic-Chapter 61: This Family Is Strange

Not only is the quality of the goods good, but the prices he receives are cheaper, which means his profits are larger, or he can lower the selling price and have no issue engaging in a pricing war with big pharmacies.

Moreover, the medicine he sells will bring a good reputation for his small clinic.

The most peculiar advantage is the protection mechanism agreement with Best Medicine Company.

On this Old Street of South City, Li Jingsheng’s Sunshine Clinic signed the agreement, so other pharmacies or clinics cannot get their goods. They can only seek substitutes.

This will provide an immensely competitive advantage for Li Jingsheng’s small clinic.

Hopefully, Boss Zhao won’t come to Sunshine Clinic after being discharged. Otherwise, he’ll see how Li Jingsheng, in just a few days has transformed and started selling quality goods, while his Quick Recovery Clinic still sells trashy goods from Lining Pharma.

By then, Boss Zhao might end up being sent to the hospital again for rescue.

Sunshine Clinic, thanks to his efforts, is slowly turning the tide in desperate situations, letting in brighter light.

Everything is getting better.

At this moment, the words "the future is promising" popped into his mind.

Being able to survive on the extremely competitive Old Street of South City is truly challenging.

He is quietly establishing himself, enhancing his clinic’s competitiveness bit by bit.

At this time, a man and a woman helped a man in his sixties walk in.

The old man’s skin is fair, slightly thin, yet he has quite a good temperament, with a scholarly vibe.

But his complexion looks not so well, somewhat gloomy.

Judging by this situation, they are definitely not here to buy tonics or health supplements.

According to Li Jingsheng’s experience, when elderly come with their children, never think about selling health supplements.

He and Tang Ping have tried countless times, never succeeded once.

Clearly spending their parents’ money, yet when the children hear dad or mom want to buy a box of supplements costing hundreds, they immediately act like strangers. They’ll drag their parents out of the clinic.

Don’t know why, young people seem to resist health supplements particularly.

Health-labeled drugs aren’t as bad as imagined.

As long as they are produced by legitimate manufacturers, not claiming to cure all diseases, they generally have some effects of health maintenance and care.

As for the profit margin in this industry, it’s a matter of willingness, everyone sells medicine based on their skills.

"Who is Dr. Li?"

The man supporting the old man asked Tang Ping, who was selling medicine behind the counter.

This person is around thirty years old, wears black-framed glasses, and because of a perpetual frown, a faint "川" character appears on his brow.

He gives off a very solemn feeling.

Everything he says and does is methodically by the book.

He might be a teacher, or maybe a scholar or a technical researcher.

Li Jingsheng speculated privately about the man’s identity.

"I am! May I know what the matter is?"

Li Jingsheng directly took over the conversation.

"Hello Dr. Li. My father has been experiencing night sweats, coughing, weakness all over, and a slight fever lately, we’d like you to take a look." The man helped the old man sit by the examination table.

"Let me first measure your temperature and blood pressure, and listen to your heart and lungs."

Li Jingsheng maintains caution in attending to every patient.

The cautious work attitude, as if walking on thin ice, is already deeply ingrained in his bones.

Whether at a hospital or running his own clinic, one must avoid medical mishaps.

A minor accident might just lead to some penalties, to some compensation.

A major mishap, and the career could be essentially over.

Therefore, encountering any negligent, irresponsible doctor, there’s no need to get angry, as they will eventually face consequences. Certainly won’t last long.

Unless they leave frontline clinical work.

Measured the temperature, 37.2 degrees, the fever isn’t prominent, it’s considered low fever.

In clinical practice, temperatures 37.1 to 38 degrees are seen as low fever.

However, sometimes a temperature of 37.4 degrees might still be normal.

As some fevers are just transient.

Especially children, their temperature is slightly higher than adults, making it harder to determine.

However, for patients with this type of cough, temperature becomes a crucial diagnostic indication.

Li Jingsheng calmly continued measuring other vital signs for the patient: pulse was 115 beats per minute, slightly fast. This indicates the patient’s heart rate is probably also 115 bpm, while normal is between 60 to 100.

Tachycardia, if only temporary, is less impactful.

If sustained for a long time, it can lead to a series of problems.

Such as elevated blood pressure, increased cardiac load, etc.

Respiration was 37 breaths per minute.

Nearly double the normal rate of 16-20 breaths per minute.

This is highly abnormal.

Li Jingsheng’s expression turned serious.

It seems his prayers were answered, a challenging case had indeed arrived.

This time it seems he’s up for a major challenge.

This case clearly presents extraordinary diagnostic difficulty.

After that, for the patient, he measured blood pressure, 159mmhg systolic pressure, already falls into the range of stage 1 hypertension. Clinically regarded as mild hypertension.

As long as blood pressure is promptly controlled, there generally won’t be grave issues.

But long-term this way certainly wouldn’t work, leading to vascular sclerosis, problems with the heart or kidneys, etc.

"Please lie flat on the bed inside, I’ll listen to your heart and lung sounds."

After the elderly man’s children helped him lie flat on the bed inside, Li Jingsheng took the percussion hammer and attempted to percuss the patient.

Sometimes respiratory diseases might be triggered by heart diseases.

He’s secretly grateful that he’s improved his diagnostic skills to Master Level, because if not, he wouldn’t dare touch such a complicated case.

Prescribe some medication for the patient, maybe even administer a week of intravenous drips, at most earn three hundred plus bucks.

Should anything serious happen, selling the small clinic wouldn’t be enough to compensate.

Heart apex sounds are murmurs, lung sounds are moist rales.

"Alright, help him button up his shirt! The situation is a bit serious!"

Li Jingsheng’s brow furrowed, his tone expressed heaviness.

But the family’s reaction was particularly odd, after hearing this, neither the elderly man’s son nor that woman showed much concern.

Li Jingsheng pondered secretly, could the two family members actually not trust a small clinic doctor like him?

If that’s true, he couldn’t do anything about it.

Since ancient times, there’s an old medical adage with three types of non-treatment.

The first being, he who doesn’t trust the doctor, won’t be treated.

What’s that mean?

If the patient and family don’t trust the doctor, he won’t treat them.

Encountering such patients, they won’t listen to doctors, be skeptical about medicine, making it obvious the patient won’t effectively recover, and any doctor taking such cases risks ruining his reputation.

"The young man has some skills!"

After supporting the old man, he flashed a thumbs-up to Li Jingsheng.

The two family members looked at Li Jingsheng with admiration as well.

This, however, left Li Jingsheng thoroughly confused.

What’s up with this family acting so peculiarly?

"Has your blood pressure been measured before?"

Li Jingsheng did not mind the elder’s compliment, sometimes what patients say could be sarcastically reversed.

If you take it literally, you’re doomed.

"Measured, I do annual check-ups, my blood pressure has always been well controlled. Only during this illness, has it gotten somewhat high."

The elderly man was articulate and had good cognitive command.

"Okay, let’s head back to the main desk so I can record some consultation details."

Li Jingsheng told the three of them.

The small clinic’s limitations require patients lying down for auscultation to be done either in the infusion room or on the treatment room beds.

If there’s a vacant bed in the infusion room, Li Jingsheng tends to utilize it first.

Because the treatment room is kept as a surgery room.

He must keep it clean and sterile.

Absolute sterility isn’t feasible.

The conditions of the small clinic are indeed too rough for that.

"How long have you had this illness?"