Practicing Medical Skills in a Small Clinic
Chapter 816 - 382: Eight Years of Persistent Fever, the Tumor Playing Hide-and-Seek
Chapter 816: Chapter 382: Eight Years of Persistent Fever, the Tumor Playing Hide-and-Seek
"Thank you! How much is the fee for helping me with the check-up? Can I scan the QR code to pay you?"
She took out her phone, ready to scan the code for payment.
"Free consultation! No charge."
Li Jingsheng has always provided medical consultations for free.
He had thought about charging five or eight yuan just to show some gesture, but later considered it unnecessary.
Having always offered free consultations, suddenly charging might make patients think the business has grown and become money-driven. The good reputation of Sunshine Clinic has been largely due to the local patients.
It’s best not to burn bridges.
At least for now, maintaining the status quo is preferable.
In the southern city, all clinics are more or less the same, not charging for consultations. Instead, they add those costs to the medicine fees.
It’s also a strategy to attract clients.
The young woman named Liu Ying revealed a naive side upon hearing that Li Jingsheng didn’t charge.
"You’re not charging because you know I’m from the supervising department, right? I must give this money; it’s not fair for you to work for nothing."
"Really, there’s no need to pay. Since I started at the clinic, I’ve never seen my mentor charge a consultation fee,"
Han Siying advised from the side.
"Well... thank you! Goodbye."
She waved awkwardly and left the clinic.
Li Jingsheng continued treating other patients.
"Dr. Li is impressive! He really found what was wrong with her."
The family members in the waiting area teased with a smile.
"Haha, it was just a coincidence! I apologize for the delay, thank you for waiting."
Li Jingsheng looked at the patient.
"What’s been bothering you?"
"I’ve been feeling weak all over recently, and it seems like I have a fever. I’ve been on a drip for a week at the southern city health service station, and it didn’t help. I heard that you have excellent medical skills here, so I hurried over."
On hearing the patient’s symptoms, Li Jingsheng became wary at once.
Fever and fatigue are symptoms that apply to a wide range of conditions. It could be a small cold, a common viral infection, or a serious illness.
The southern city health service station isn’t weak in its capabilities; it’s been held back because of its unique location and hasn’t been upgraded to a health service center yet.
In fact, its medical capabilities are already comparable to a slightly weaker Grade II hospital.
Being on a drip there for a week with no effect suggests that the cause of the patient’s condition isn’t simple.
"Did they do a blood test there?"
"Yes, they did."
The family member beside them placed the blood routine report and other documents on the consultation desk.
Li Jingsheng picked them up and looked. Hemoglobin was only 71g/L, the red blood cell count was 2.7 times ten to the twelfth per liter, and the white blood cell count was 7 times ten to the ninth per liter...
The patient’s hemoglobin was significantly below the normal level for an adult.
Even for a female, at least 110g is normal.
If it’s a slightly healthier adult female, it can even reach one hundred thirty or forty grams.
The textbook standard is that 110-150 grams are considered normal.
She seemed extraordinarily thin, truly skin and bones. Her face appeared slightly pale, her skin somewhat tanned, possibly due to frequent sun exposure from work.
Li Jingsheng realized that this female patient likely had a chronic illness.
And it should have been dragging on for a long time.
A majority of people living at the bottom of society still exist. Many are afraid to go to the hospital for treatment when they fall ill, choosing instead to buy some medicine and drag the condition on if it doesn’t work.
Some even exhibit incredible endurance, as long as they don’t collapse, they keep gritting their teeth and toughing it out.
He’s even encountered patients living with illness for twenty-one years.
He genuinely admires these people; their endurance is truly astonishing.
"Do you live in this city?"
"Yes!"
"Do you have employee medical insurance?"
"I have it but my wife doesn’t."
"Are you a full-time homemaker, or do you work outside?"
Li Jingsheng looked at the female patient.
She looked like she was in her fifties, but her actual age was only forty-one.
She appeared especially aged.
This suggests either long-term arduous labor or living with an untreated long-term illness.
"I work at a labor service company."
She was reluctant to specify her job; her hands and facial skin looked rough, indicating that her job wasn’t ideal.
"I feel like your illness doesn’t seem to have occurred in the short term; its course could be very long. Have you previously felt unwell?"
As soon as Li Jingsheng asked this question, the patient and the family member looked at him with admiring eyes.
No need to say it, he hit the mark.
"I’ve indeed felt unwell for a long time; it wasn’t until recently that I became really ill and went to the hospital for treatment. Speaking of major problems, there are none except feeling a little feverish, dizzy, and weak all over."
The female patient described her symptoms.
The most terrifying are these not-severe-symptom chronic illnesses, especially when they occur in low-income groups, many choose to endure.
"Siying, measure her blood pressure and heart rate."
Li Jingsheng used an ear thermometer to scan her, 37.4 degrees.
This is a temperature he particularly dislikes.
Low-grade fever, and persistent low-grade fever, often indicate tricky chronic diseases.
Seeing her so thin, with hemoglobin levels seriously below normal, it might be a serious illness.
"How long have you been experiencing the symptoms you described?"
"Probably over eight years! I was only in my thirties back then, shortly after having my second child, these symptoms appeared. I thought I could eat and sleep, so I didn’t pay much attention."
Truly unbelievable.
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