Practicing Medical Skills in a Small Clinic novel Chapter 752

Chapter 752: Chapter 349: Improvement May Be Only an Illusion, Unconditional Support for Dr. Li

Because the child is currently in a coma and his heart rate is alarmingly low. In this situation, vital signs are unstable, and the fracture in his arm does not affect his life. If he kindly sets the right arm fracture for the child,

what if the child doesn’t make it later on? Would the family blame him for making the child worse?

So, in this situation, it is absolutely impossible to reposition the child’s right arm fracture.

Otherwise, it might not turn out well.

He conducted a careful examination and found that the child’s bones showed signs of osteoporosis. Moreover, the child was fairly thin and weak in physique.

Some parents love their children dearly, indulging them with all sorts of snacks.

Carbonated drinks, candies, and high-sugar pastries eaten by the child on a daily basis — it’s no surprise the body isn’t healthy.

Li Jingsheng also specifically checked the child’s head again and saw no obvious external injuries.

"Miss, do you have a stethoscope?"

"Yes!"

The nurse seemed to know Li Jingsheng and was warmly amicable towards him.

Soon, she brought over a stethoscope.

Li Jingsheng carefully listened to the child’s heart and lung sounds, consistent with the results checked by the admitting doctor.

"Haven’t used any cardiac stimulants yet?"

"The directors’ consultation hasn’t yielded results, how dare we use any medication! For now, we’re just connecting a bottle of hypertonic glucose solution for fluid supplementation."

There’s a strict protocol for rescuing a patient.

In the case of such a special patient, without imminent life-threat, treatments are usually conservative.

Only after the directors determine the cause and give orders will medications be administered.

Unless the patient exhibits symptoms like respiratory failure or cardiac arrest, then measures such as administering adrenaline, external cardiac massage, or defibrillation are considered.

Li Jingsheng felt the child’s forehead with the back of his hand; the temperature seemed slightly elevated.

He also touched the child’s hands and feet, which were somewhat cold.

Returning to the consultation room, he had a very bad premonition in his heart. The child’s condition was serious, and the cause was unknown, making it very prone to complications.

"Director Hua, I checked and found a minor fracture in the right arm, a dislocated elbow joint, and signs of osteoporosis, but it shouldn’t directly affect the child’s coma and extremely low pulse."

Essentially, the injury to the right hand is unrelated to the child’s current condition.

"Secretary Bei, during my examination of the child, I noticed the child’s constitution was poor. Before this incident, did the child suffer from a cold or viral infection?"

"Hmm... probably not! I’m usually quite busy with work, and it’s mostly my husband, and my parents who look after him. However, my son is quite prone to illnesses, going to the hospital seven or eight times a year. When he was about four, he was hospitalized for over three months."

Secretary Bei seemed a bit unsure as she answered.

From her answer, however, Li Jingsheng discovered an important clue.

"What illness did the child have around the age of four?"

Being hospitalized for over three months indicates a very serious illness.

Of course, for families like theirs, there might be a tendency to be overprotective. They would keep the child in the hospital until fully recovered, feeling it safer with healthcare personnel around.

"At that time, it was due to a fever, persistent fever, then joint pain. After diagnosis, the doctor also mentioned a heart murmur and diagnosed it as rheumatic heart disease. After treatment, there have been no more episodes, just occasional minor colds or stomachaches."

Her attitude towards Li Jingsheng subtly shifted.

Because she could sense that this young doctor was providing substantive answers.

Not as slick as those few directors.

His inquiries were also highly targeted.

"The blood test results show lymphocyte count is only 0.31, with a notable increase in white blood cell count. I suspect the child’s heart might be infected by a virus. I suggest you ask the family if the child has recently had a cold or viral infection. I personally think the child may have had issues even before the fall, just not disclosed to you adults."

Li Jingsheng expressed some of his diagnostic viewpoints.

Since it was a discussion, he could speak freely.

"Myocardial viral infection usually presents with symptoms such as chest pain beforehand, so it doesn’t quite fit. However, Dr. Li’s mention of viral infection warrants examination."

Director Yan looked at Li Jingsheng with renewed admiration.

Underneath the fame, there is real ability.

This young man, who gained stellar recognition in skill competitions, indeed possesses true skills and knowledge.

The abilities he’s now showcasing clearly extend beyond just expertise in bone setting.

"Alright, I’ll go inquire thoroughly right away, you guys continue the discussion."

Secretary Bei, seeing progress in the consultation, also cooperated positively.

Not long afterwards, the director of the Cardiovascular Medicine department arrived. He was a man who had lost all his hair and had a seriously stout body, likely nearing sixty, with a kindly, benevolent appearance.

Many internal medicine doctors are very amiable, possibly related to the nature of their work.

Doctors too impatient wouldn’t last in internal medicine.

Because treating patients in internal medicine often doesn’t produce immediate effects, it takes time to see results.

If medication shows improvement the next day, that’s considered very fast indeed.

More often, medications may need to be administered for three or four days, or even longer, before seeing some effect.

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