novelraw Chapter 331 - 177: Diagnosis of Bronchiolitis, Instantly Settled (Part 2)
Chapter 331 - 177: Diagnosis of Bronchiolitis, Instantly Settled (Part 2)
The lung texture is noticeably thickened and the edges are blurry.
This indicates widespread alveolar inflammation that obscures some thickened lung texture.
The X-ray shows two lung lobes have atelectasis.
Combining the patient’s multiple symptoms, Li Jingsheng’s final diagnosis is lobar pneumonia.
Initially, during the physical examination, it was suspected to be lobar pneumonia, but with the X-ray as an auxiliary diagnosis, the results are clearer now.
It’s undoubtedly lobar pneumonia.
Because lobar pneumonia usually results when bacteria invade the alveoli directly after entering via the airways, centering around a single alveolus, and then spreading extensively to adjacent alveoli through Kohn’s pores, eventually forming a lobe-segment inflammation.
Lobar pneumonia, on the other hand, arises when bacteria invade the bronchi and trachea through the upper respiratory tract, causing inflammation that then spreads to the alveoli.
In simpler terms, it’s bronchial pneumonia.
Li Jingsheng’s treatment for the patient centered on anti-infection treatment, fever reduction, and phlegm removal.
"Does the child have a history of penicillin allergy?"
Before prescribing medication, he inquired of the family members.
"I don’t know!"
The family members were unaware.
There was no choice but to conduct an allergy test.
Beta-lactam and macrolide antibiotics were Li Jingsheng’s first choice of medication.
Unable to test for the pathogen, medicine had to be administered based on probabilities.
Even if the pathogen was identified, major hospitals would adjust and switch medications if the treatment was ineffective.
"For now, prescribe three days’ worth of medication for the child. It’s best to come for infusions every morning. It is suggested to feed the child some nutritious food at home."
After prescribing the medication, Li Jingsheng once again emphasized the need to reinforce the child’s nutrition.
...
Around eleven o’clock, two pharmacy inspection staff arrived.
With a stern look, they began inspecting the clinic’s counter drugs and found no issues, then asked for documentation of the drug purchases.
Li Jingsheng now had no loopholes, and wasn’t afraid of inspections.
"Damn, it must have been those seven pharmacy owners who reported me."
He wasn’t sure if it was a joint report by the seven of them or a solo report by one of them?
The two pharmacy inspectors conducted a very detailed check, clearly aiming to find some issue.
Li Jingsheng remained calm.
If there was indeed a problem, it would be Best Medicine coming out to clean up the aftermath.
With such a large company, its capabilities must be substantial, with strict quality control in terms of quality, import channels, etc.
Watching the two pharmacy inspection officers rummage through the counter affected the customers’ perception.
The customers and patients, unaware of the situation, might think there was something wrong with the clinic.
At this time, Li Jingsheng’s phone rang.
It was Director Hua calling.
"Dr. Li, is it convenient for you to take a call now?"
"Yes, yes! Please go ahead!"
Li Jingsheng’s biggest worry was having issues in the clinic and at the hospital simultaneously.
"Here’s the thing, the successful rescue of the case yesterday saved the department from a disaster, and you made a significant contribution. The department really needs excellent doctors like you who are responsible, knowledgeable, and capable. We have an important case consultation at noon today, can you come over and attend? It should be of great help to your orthopedic clinical diagnostic skills and treatment plan learning."
Director Hua was trying to show goodwill.
Li Jingsheng made a great contribution yesterday, so there should be some recognition!
Fostering Li Jingsheng as a key talent for the department is the best reward.
For the department, it’s a win-win.
Both fostering excellent talent and enhancing departmental strength.
"I’m afraid I can’t get away now! Two pharmacy inspectors have been checking my clinic for over forty minutes. I need to stay here to handle the situation."
Li Jingsheng candidly stated the situation.
He was delighted at the opportunity to participate in the difficult case consultation.
But he couldn’t leave!
"Inspectors from the pharmacy bureau are checking your clinic? Is it a routine inspection or just targeting your clinic?"
Upon hearing this, Director Hua’s tone was filled with concern.
And there was a hint of anger as well.
"It doesn’t seem to be a routine inspection; their car was parked at the entrance, and they came straight in to check. It may be that my clinic sold more health supplements than usual these days, drawing complaints and being reported by fellow peers."
Envious peers can indeed be annoying.
"I’ll help you settle this. You’re now a doctor at our Second Hospital, and even when beating a dog, one must consider its owner. Your clinic hasn’t sold expired or prohibited drugs, right?"
Director Hua directly indicated the intention to help him out.
And the tone was quite certain.
The department director was impressive!
Once again, Li Jingsheng was reminded of the peculiarity of this southern district.
Only the Second Hospital is a tertiary hospital here, and Old Zhao advised Li Jingsheng not to attempt to expand.
From another perspective, the influence of the Second Hospital in the medical and pharmaceutical sector seems to be beyond imagination. It likely has remarkable influence with the supervisory departments as well.
Li Jingsheng didn’t understand these high-level matters.
He was content to be a small fish.
"I assure you, I operate legally and haven’t done any illegal activities."
Li Jingsheng was secretly relieved, having detected potential risks and corrected himself to patch up some loopholes after the first newspaper report.
"Just wait!"
Director Hua hung up directly after speaking.
Less than ten minutes later, the two pharmacy inspectors seemed to have received notification and left in haste.
After a half-day inspection, no issues were found.
Li Jingsheng ordered a boxed lunch and ate with his three employees.
While they were eating, Station Chief Qiao arrived in a BMW. Parked at the entrance without fear of a parking ticket, he hurriedly came inside.
It was obvious from Station Chief Qiao’s stern face that he was very displeased.