Practicing Medical Skills in a Small Clinic

Chapter 440 - 213: Atrial Fibrillation Rescue, Brother Qiang’s Gratitude (Part 3)

Practicing Medical Skills in a Small Clinic

Chapter 440 - 213: Atrial Fibrillation Rescue, Brother Qiang’s Gratitude (Part 3)

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Chapter 440: Chapter 213: Atrial Fibrillation Rescue, Brother Qiang’s Gratitude (Part 3)

It must be lowered quickly, or the patient’s heart might collapse.

"Don’t think about anything now, relax, try to breathe deeply, and stay calm. I’ve already asked someone to get the medication, you’ll be treated very soon."

Li Jingsheng comforted the patient.

At this moment, the patient’s heart must be filled with fear, which would cause blood vessels to constrict and heart rate to further accelerate.

Blood pressure would also rise.

It’s practically adding insult to injury, a vicious cycle. 𝒇𝒓𝙚𝒆𝔀𝓮𝓫𝒏𝓸𝙫𝓮𝓵.𝓬𝙤𝙢

Xiaogao was very efficient, and the medicine was brought back quickly.

Seeing him running back with a sweat-soaked head, Li Jingsheng gained a new appreciation for Xiaogao’s character. This newspaper photographer had nothing to do with Xiaogao, and they almost had a dispute last time.

Now Xiaogao was willing to risk running to get medicine to save this man, showing clearly that he prioritizes the patient’s safety.

The borrowed medication included several kinds.

"Sister Tang, first inject the medication for this patient."

How much acetylocardenol is appropriate?

Li Jingsheng held the borrowed medication, frowning. Finally, he decided to use 0.4mg acetylocardenol plus 20ml of 5% glucose solution for intravenous injection.

After prescribing, he had Tang Ping further review it.

After all, it’s a cardiotonic, classified as a precautionary prescription drug with high risk.

Tang Ping was highly skilled, having her involved reduces the risk.

"The boss’s medication skills are getting higher and higher now!"

After reviewing, she looked at Li Jingsheng with an admiring gaze.

"If there’s no problem, proceed with the medication! I attend courses at the Second Hospital every day, progress is inevitable."

Li Jingsheng formerly dared not use these drugs.

Now, not only could he use them flexibly, but he also had a sophisticated grasp of dosage and administration methods.

After Tang Ping gave the injection, both Li Jingsheng and her stood somewhat nervously watching from the side.

Li Jingsheng even kept using a stethoscope to monitor the patient’s heart sounds.

After about fifteen or sixteen minutes, Li Jingsheng’s expression relaxed significantly from its initial seriousness.

Lying on the infusion bed, Brother Qiang’s symptoms also greatly alleviated.

His complexion was not so pale, and his breathing was much smoother.

"Dr. Li, how is he doing now?"

Chu Yao had been standing by.

It’s evident this female reporter is very kind-hearted. When Brother Qiang was not doing well earlier, she was so anxious she was at a loss, nearly crying.

After all, she’s very young, hasn’t experienced such situations.

Plus, being a girl, in emergency situations, it’s generally easy to become anxious.

"Temporarily, it should be fine now. I’ll prescribe him oral medication to take once a day, remember to take it timely and in the correct dosage. If there are any problems, seek consultation at a large hospital’s chest stroke center in time. Don’t opt for a regular appointment in situations like earlier, even emergency isn’t the best option; it’s best to take the green emergency path of the chest pain center."

Nowadays, slightly larger hospitals all have chest pain stroke centers, specifically opening a life channel for sudden cardiovascular disease patients.

Sometimes, myocardial infarction, stroke can snuff out the patient’s life in a very short time.

If following regular diagnosis methods, it’s easy to miss the best rescue and treatment opportunity.

Today’s hospital emergencies sometimes have queues longer than specialists.

Because many patients believe going to emergency can lead to earlier medical treatment, they all squeeze in.

Li Jingsheng prescribed digoxin orally for Brother Qiang.

This medication can be used in acute and chronic heart failure for hypertension, valvular heart disease, congenital heart disease and is also used in conditions of atrial fibrillation, flutter, and supraventricular tachycardia with rapid ventricular rates.

Considered common medication for outpatient treatment of such diseases.

Requires long-term medication.

Many western medicines have this drawback, cannot discontinue medication.

For example, hypertension patients, many stop their medication when they feel their blood pressure is under control.

This leads to tragedy, ultimately resulting in cerebral infarction, cerebral hemorrhage, arteriosclerosis, or coronary artery disease.

Long-term hypertension patients must control blood pressure, else arteries quickly become atherosclerotic, something irreversible. Some popular science claims eating kelp or fungi treats arteriosclerosis, it’s nonsense.

For all diseases, prevention is better than cure.

Once it really happens, reversal is difficult.

"Just take the medication timely. You can lie down and rest a bit longer, leave when fully recovered."

After speaking, Li Jingsheng nodded to Brother Qiang and Chu Yao, then walked out.

"Dr. Li, how much are the treatment and medication fees? I’ll scan the code to pay you."

Chu Yao chased after him a couple of steps.

She hadn’t thought about medical fees earlier, being focused solely on saving a life.

"You’ve helped my clinic multiple times, the treatment fees are waived. Oh, later I’ll have Dr. Gao bring you two boxes of beauty and detox supplements, good for your skin. My gift to you."

Li Jingsheng said to her.

He’s interacted with this female reporter several times.

He had a rough understanding of the kind of person she is.

"You’re quick to change your attitude! The fees to be paid should still be paid, running a clinic isn’t easy for you either."

Chu Yao was quite surprised at Li Jingsheng’s attitude change towards her.

Meanwhile, she instinctively touched the freckles on her face.

Probably due to staying up late to finish drafts, she had quite a few freckles. Her complexion might not be great either. It’s not visible now, with makeup on.

"Previously, I was too narrow-minded, I believe you all are good people, definitely won’t publish news negatively affecting my clinic recklessly. I have other patients outside to attend to, excuse me."

After speaking, Li Jingsheng walked out.

Watching his back, Chu Yao revealed a slight, almost imperceptible smile.

It’s undeniable, Li Jingsheng’s attitude change somewhat reassured her.

After about half an hour, Brother Qiang and Chu Yao emerged from inside.

"Dr. Li, thank you! We’re leaving!"

Brother Qiang greeted Li Jingsheng voluntarily.

His voice was deep and muffled.

Saving his life, surely he felt grateful to Li Jingsheng. Just couldn’t change his attitude so quickly.

"Feeling any discomfort now?"

"Much better."

Brother Qiang replied.

"Remember to take your medication timely, with your atrial fibrillation, it’s best to get checked at a large hospital."

Li Jingsheng here could only handle it this way.

To further determine the reasons for atrial fibrillation, echocardiography and other examinations are needed at a large hospital.

"Dr. Gao, bring three boxes of beauty and detox medication for Chu Yao."

"Sure!"

Xiaogao took three boxes from the counter, packed them in a gift bag for her.

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