Practicing Medical Skills in a Small Clinic
Chapter 796 - 372: The Super Nutritionist’s Treatment Plan and Surgical Recommendation
Chapter 796: Chapter 372: The Super Nutritionist’s Treatment Plan and Surgical Recommendation
Until a little over a month ago, he started experiencing sore throat, then chest pain, fever, and now coughing, purulent sputum, difficulty breathing, persistent high fever, and other severe symptoms.
No one could imagine that the culprit was actually a bone that got stuck in his throat when eating duck three years ago.
At Li Jingsheng’s suggestion, a fiberoptic bronchoscopy revealed a scar at the esophagus, which had ruptured; further examination uncovered the bone, finally bringing the true cause to light.
If the true cause hadn’t been found, the doctors were prepared to perform a bone marrow examination on the patient.
Because the patient’s symptoms were highly similar to those of a blood disorder.
Currently, this teenager has undergone closed thoracic drainage for air release and has been transferred to surgery for potential surgical treatment.
Though the issue has been identified, the patient presents with esophageal rupture, mediastinitis, mediastinal abscess perforation, Gram-negative bacilli sepsis, toxic hepatitis, and possibly purulent pericarditis.
This needs further investigation.
Even without further examination, it is almost certain the patient has suppurative pericarditis.
With so many diseases combined, this teenager’s situation is not any better than the elderly person’s.
The only consolation is that the cause was identified at the fastest speed.
It gave doctors very precious time to save the patient’s life.
Whether the patient can ultimately be saved is still uncertain.
After all, with patients in such deteriorated condition, diagnosing the cause doesn’t guarantee a cure.
How to treat, what changes will occur in the patient’s body during treatment, all these are unknowns.
That said, if this teenager still dies despite the full rescue efforts by the People’s Hospital, the outcome would likely be similar in any other hospital.
The People’s Hospital remains one of the top in overall strength.
Although many top-tier hospitals have emerged in developed cities and provinces exceeding the People’s Hospital, it does not affect this evergreen presence in public hospitals.
On the contrary, hospitals like the once high-profile central series hospital, number one hospitals, and maternal and child health hospitals have all lost their luster in the tides of historical development.
This isn’t the case everywhere.
At least in the majority of areas, the trend is such.
Some older people will find that the once magnificent hospitals have now become neglected.
Whenever people fall ill, they all rush to the People’s Hospital or the leading hospitals that have emerged locally.
This is the public’s expectation for future healthcare.
Life is more valuable than money.
When economic conditions allow, as soon as someone gets sick and it’s slightly serious, they will desperately rush to the region’s strongest hospitals for treatment.
In fact, this ’few hospitals’ often means only two to three.
In many provinces, there’s even a single dominant hospital.
After reviewing the cause of this teenager’s illness, Li Jingsheng checked the nutritional support program table sent by Lian Tao.
It was a nutritional treatment plan devised by Mu Yin.
In her assessment of the patient’s hyponatremia, she believed it was due to excess fluid, and the supportive measure taken was to change the nutritional formula and restrict fluid input.
However, due to the patient’s symptoms of diarrhea, dehydration is easy to occur.
Restricting fluid infusion is not friendly to the reduction in blood volume, potential secondary myocardial infarction, stroke risk, etc.
Thankfully, she is a high achiever from Harvard and a professional nutritionist. Surely, she can break this vicious cycle.
For the patient’s hypokalemia, she mainly corrected the potassium deficiency, also providing a nutritional support and treatment plan to alleviate diarrhea. It’s primarily supportive nutrition, with treatment as a secondary consideration.
Combined with the previous support plan for hyponatremia, they complement each other, forming a strong combination.
It also successfully broke that vicious cycle.
...
After reading Mu Yin’s enteral nutrition support plan, Li Jingsheng felt very impressed.
If there’s an opportunity, he can have Lian Tao introduce her, not to court her, but to learn her superior nutrition techniques.
Nutrition is considered a niche major in the country.
Currently, many people’s impressions of nutritionists are stuck in negative images like pyramid schemes, scams, and health foods.
In fact, there is a lack of excellent nutritionists in the country.
However, in the nursing industry, nutritionists are extremely important.
Just how important?
Whether a surgery succeeds depends on the surgeon. Whether a patient can recover post-surgery and survive critical moments depends on the nutritionist.
Perhaps this is exaggerating, as postoperative care involves more than nutrition support; infection control is also crucial.
Furthermore, monitoring vital signs and in/out volumes post-surgery is very important.
If a patient doesn’t urinate post-surgery, that’s a big issue.
A doctor needs to be consulted immediately to diagnose the problem and provide a treatment plan.
Li Jingsheng has a grand ideal: to make Sunshine Clinic strong. He needs to recruit top talents in all aspects.
Finding top-notch nutritionists is very difficult.
Mu Yin’s performance is quite impressive, and he wants to get to know her deeply and gradually win her over.
Just like winning over Lian Tao, Luo Binggang, Wang Weiwei, and others, slowly infiltrating, and nurturing relationships, rather than crudely trying to buy people off with money.
Using money to entice works for most second-rate doctors, but is less effective on top-level doctors and nurses.
It’s not that they don’t love money, it’s just difficult to offer them a satisfying amount.
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