Practicing Medical Skills in a Small Clinic

Chapter 800 - 374: Rapid Erythrocyte Sedimentation, Why a White-Collar Woman Losing Her Arm Is a Blessing

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Chapter 800: Chapter 374: Rapid Erythrocyte Sedimentation, Why a White-Collar Woman Losing Her Arm Is a Blessing

The patient is in a relatively good condition to wait, which can give Li Jingsheng ample time for diagnosis.

This illness is obviously quite complex and cannot be diagnosed in a short period of time.

There are no issues with the bones, and multiple biochemical tests, imaging, and electromyography at a major hospital found no obvious abnormalities.

Although there were certain signs before the disease manifested, it transitioned from a normal state to a case suddenly.

This indicates that the onset was very acute.

In clinical terms, it can be classified as an acute condition.

Excluding the possibility of the child experiencing psychological trauma or having a history of mental illness, what could it be?

The first thing that came to his mind was epilepsy.

This disease can occur without any warning signs, with a person potentially collapsing into convulsions, foaming at the mouth, and losing consciousness.

However, the symptoms of this female patient clearly differ significantly from epilepsy.

Besides experiencing weakness and inability to move, she is alert, can eat, drink, and sleep.

Hemiplegia tests conducted at the hospital showed positive bilateral pathological signs.

In Li Jingsheng’s view, this seemed somewhat irresponsible.

The patient’s symptoms were very similar to paralysis, yet there were distinct abnormalities.

Patients with paralysis often show abnormal electromyography signals, interrupted or impaired nerve conduction, etc. She did not exhibit these issues.

"Has she ever experienced incontinence after falling ill?"

Li Jingsheng decided to start from other details.

"There have been two incidents of urinary incontinence, but no fecal incontinence. However, there has been severe constipation, sometimes requiring me to use gloves to help remove it."

Long-term lying down naturally leads to constipation.

Her body is weak, making it difficult to create strong abdominal contractions with the sphincter muscles to expel feces.

Experiencing difficulty with bowel movements is normal.

There appear to be many aspects of this female patient’s condition that warrant further investigation.

"Where is your motorhome parked now?"

"Parked at the public parking lot next to Dafu Temple. My husband and I went there to offer incense yesterday and found that parking is free there and we can even access tap water, so we parked there."

The elderly couple traveled with their daughter across the country seeking treatment, but no improvement was seen.

Thus, they turned to praying and worshiping, hoping it would bless their daughter’s early recovery.

This was also a form of faith.

Because over the years of seeking treatment for their daughter, they likely felt despair inside.

Although beliefs in gods and Buddha may seem metaphysical, at the darkest moments, they can provide a sense of faith and strength.

"Dafu Temple is quite far from here, at least two or three kilometers, how did you manage to carry your daughter over?"

"We first park the car outside your clinic, carry her out of the car into the clinic, and then my husband goes to park the car over there."

So that’s the procedure, Li Jingsheng nodded.

"I’ve got a general understanding of your daughter’s condition, but finding the specific cause might take more than just a day or two. If you’re willing to give me some more time, please stay in Jiangli City for a few more days. I’ll also try to get experts from other major hospitals to consult together so that your trip won’t be in vain and we can identify the cause."

Li Jingsheng didn’t want to overpromise.

He could only say he would do his best.

Moreover, with neurological diseases, even if the cause is identified, they may not be curable.

"Thank you, thank you!"

The elderly lady clasped her hands gratefully and repeatedly bowed to him.

"If a lot of money will be needed, please let us know in advance. We are willing to spend whatever it takes to cure our daughter’s illness."

"Well, if we really need to perform major surgery or use imported medicines, I’ll inform you in advance. Right now, it’s just diagnosing, and apart from normal examination fees, other aspects won’t be charged by Sunshine Clinic. It’s basically free consultation for patients."

Even when Li Jingsheng wasn’t earning much, he insisted on free consultations.

He never charged patients for consultations.

Now that he is making money daily, he is even less inclined to collect consultation fees from these patients.

The people coming to the clinic are often impoverished, and within his ability, he tries to offer them some benefits.

"By the way, if parking at Dafu Temple is inconvenient for you, you can directly park your vehicle in the yard of my clinic. As for tap water, you are free to use it. There is a public restroom inside the clinic. For meals, you will have to arrange them yourselves. As for accommodation, it’s best if you continue staying in the vehicle."

Even though there are a few vacant rooms inside Li Jingsheng’s clinic, he would never admit patients inside.

Doing good must have its limits.

If he kindly lets patients reside in the clinic and something happens, his clinic could be ruined.

"Thank you! Before we came, we had many concerns, but after interacting with you, even though you are very young, your care for us is truly moving. I’ll go tell my husband now."

With the conversation over, Li Jingsheng returned to his post to continue attending to other patients.

The elderly couple took their daughter aside to communicate.

In the numerous tests conducted on the female patient, the only finding with distinct abnormality was the rapid erythrocyte sedimentation rate.

There are many causes for a rapid erythrocyte sedimentation rate, such as inflammatory diseases, or viral or bacterial infections, or collagen diseases.

Severe anemia, hematological diseases, chronic hepatitis, cirrhosis, multiple myeloma, hyperthyroidism, heavy metal poisoning, malignant lymphoma, etc., all can lead to a rapid erythrocyte sedimentation rate.

Also, various tissue injuries or necrosis can equally lead to a rapid erythrocyte sedimentation rate.

Based on just this one parameter, it’s impossible to diagnose the specific cause.

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