Practicing Medical Skills in a Small Clinic-Chapter 183 - 128: Higher-Difficulty Combination Therapy—Shallow Waters Can’t Nurture ’Jiaolong

Li Li just covered her mouth and laughed secretly.

Li Jingsheng didn't mind; he thought Doctor Xu was just overthinking it. When he was taught the Bone Touching Skill back then, he had already promised not to pass it on randomly to others.

It's impossible for someone to just chit-chat and learn advanced Bone Setting skills from him.

However, that being said, medical skills are meant to treat and save people, and being stingy about it is not Li Jingsheng's style.

If he meets someone of good character, he is happy to take on a few apprentices.

If everyone keeps things to themselves, some secret techniques will be easily lost.

"Teacher, I'll be going now!"

"Hmm!"

Doctor Xu nodded.

He was nearly half an hour late for work today, something that had never happened before. No one knew what had happened?

When Doctor Xu arrived, Li Jingsheng noticed there was mud on Doctor Xu's pants and spots of blood on his sleeves.

Just by observing with the naked eye, Doctor Xu did not appear injured.

So Li Jingsheng didn't ask much more.

Doctor Xu had a somewhat quirky personality. If something shouldn't be asked about, even if you asked, he wouldn't answer.

He might even give you a cold shoulder.

...

Upon returning to the clinic, Li Jingsheng found that the infant with diarrhea he treated yesterday had already been brought back by the family.

The child's mother was holding him.

The grandmother sat beside them holding the child's clothes and a hand-held cartoon toy.

Now things looked much more harmonious and natural.

"Dr. Li, after my grandson was treated here yesterday, he indeed showed some improvement. The child seemed much more energetic this morning."

The child's grandmother stood up to welcome Li Jingsheng as soon as she saw him come in.

And she reported the latest situation of the child.

"As long as the cause of the illness is identified correctly, the treatment will definitely be effective. However, because the child's illness duration is very long, you should also be prepared for long-term treatment. My conservative estimate is that the treatment time is approximately two weeks, and full recovery may take at least over twenty-eight days."

The treatment cycle is generally calculated in three days, a week, half a month, twenty-one days… things like that.

There can be some flexibility, such as four days or five days can also work.

In any case, it must go through the professional evaluation of the doctor and nurses, and once they feel the discharge standards are met, then a treatment cycle is considered complete.

Li Jingsheng's small clinic does not have inpatient facilities, so he can only let the patient go home with medication, come back daily for checks, and make treatment adjustments as needed.

"Anyway, we listen to you, whatever you say we'll do."

The child's grandmother now trusts him immensely.

She almost follows his words to the letter.

"Has the child had a bowel movement today?"

Li Jingsheng put on the clinic's work uniform and began the consultation.

"Today it's been quite good, there has only been one bout of diarrhea so far."

"Hmm, I asked you yesterday to take a couple of pictures after the child had a bowel movement, did you?"

Because his small clinic does not have biochemical testing capabilities.

Getting the family to collect the patient's stool and bring it in is not very meaningful.

Taking a few photos to look at the color, shape, and content is the most 'elegant' method.

Almost all clinic doctors have some 'crude' ways to achieve diagnostic and treatment goals.

"We did! Please have a look to see if they are okay?"

The child's mother swiped her phone screen, found the album, and opened it for Li Jingsheng to examine.

Li Jingsheng carefully looked through the photos one by one.

"This was taken last night. This was taken around six this morning."

The child's mother explained on the side.

Yesterday's stool was noticeably more watery, completely watery stool.

Considering this infant's fecal occult blood test at the Children's Hospital was weakly positive, meaning there is slight intestinal bleeding. Based on the initial effectiveness of the anti-allergy medication used yesterday, he decided to add some more medication today.

The child spitting blood is quite normal actually.

Even for a seven-month-old baby, let alone an adult, having diarrhea for over a month can take a big toll on the intestines!

The child's intestinal mucosa is fragile, the diarrhea is severe, and the illness has lasted over a month. And upon examining the stool pictures from last night and this morning, it still showed jelly-like mucus.

This is a clear indication of intestinal tissue discharge.

Medication must be given to prevent secondary infection after intestinal mucosa damage.

If infection has already set in, it needs to be treated promptly.

His mind began to consider what medication to use.

Antimicrobial treatment is indeed necessary.

The child just 'automatically discharged' from a large hospital yesterday, and should have been using antimicrobial drugs at the People's Hospital yesterday.

Now that Li Jingsheng has fully taken over, what kind of antimicrobial medication to use is worth pondering.

Both the Children's Hospital and the People's Hospital couldn't identify the real cause of the illness, but their treatment experience is very rich, and their medication level is extremely high. The use of numerous antibiotics in combination at least ensures that the infant is in a relatively safe state during their hospital stay.

Li Jingsheng has a bit of a headache; infant medication has to be cautious and even more cautious.

What kind of antimicrobial drug is safe, reliable, and effective? What is the dosage? Which method of administration?

All needs careful consideration.

Also, the infant's tolerance level, physical condition, etc., should also be carefully considered.

"Metronidazole may be a good choice for tackling anaerobic bacteria!"

When considering intestinal bacterial infection, anaerobic bacteria are a primary concern.

Metronidazole can prevent systemic or localized infections caused by sensitive anaerobic bacteria, such as infections in the abdominal cavity, digestive tract, female reproductive system, lower respiratory tract, skin and soft tissue, bones, and joints.