Tokyo: A leisurely life starting from the countryside

The other four clinics are located in the surrounding areas, while Yokomitsu Clinic is located right in the middle of the village.

Coming to him is the closest.

However, everyone on the island knows that the previous doctor Yuki is gone, and the level of the new doctor Yuki is unknown.

No one wants to be a guinea pig.

Because his mother's illness was so serious, Sato Sosuke didn't dare to carry her on his back anywhere.

I had no choice but to choose Yuki Tsukasa's Yokomitsu Clinic.

"Doctor Yuki, how is my mother's illness?"

Sato Sosuke's bald head was covered in sweat and his face was very nervous.

Yuki Si calmly examined the patient with a stethoscope.

The first lesson of being a doctor is to remain calm even when faced with a catastrophe.

Although the phlegm sound in the patient's throat could be heard clearly without a stethoscope, his eyes were bloodshot.

"Yuuki... Doctor..."

The patient wants to talk.

Yuki Shi smiled gently, giving the patient a great sense of security.

"Don't worry, Grandma Zhenmei. I have already asked Aunt Zhexiang about your condition."

Yuuki Si gently squeezed Sato Zhenmei's rough hand, and an invisible warmth calmed Sato Zhenmei down.

Although his chest was still heaving violently and his breathing was heavy, he had obviously calmed down a lot.

"Has the patient urinated so far?"

Yuki Si looked at Sato Zhenmei's ankle and pressed it gently with his hand.

Sato Tetsuka and his wife looked at each other, shook their heads and said:

"I don't know. My mother has been lying in bed since yesterday morning and has not gotten out of bed."

This is inducing heart failure.

Yuki Si frowned secretly. Sato Zhenmei caught a cold during the heavy rain the night before. She developed symptoms such as coughing, sputum, wheezing, chest tightness and shortness of breath. These were typical AECOPD caused by cold, which subsequently led to acute right heart failure.

And judging from Sato Zhenmei's mental state, there were already signs of respiratory failure.

This is really difficult.

He turned his head and glanced at Sato Sosuke and his wife, hesitated for a moment and said:

"Grandma Zhenmei is a bit seriously ill. Can I use the medicine first?"

Neither Sato Sosuke knew anything about medicine, and didn't know how to answer.

Yuki Si didn't say anything more and first took the ECG monitor from the clinic and connected the oxygen device.

"Heart rate 113, breathing 37 times/minute, oxygen saturation is still 89."

After breathing oxygen, the oxygen saturation became 91. Although the increase was not much, it was at least acceptable.

Then it’s time to prescribe the medicine.

Patients with AECOPD require a series of combined treatments including antispasmodics and antitussives, expectorants and antiasthmatics, and anti-infections.

However, it is very likely that Sato Zhenmei has right heart failure and needs to control her fluid intake, otherwise her heart failure will worsen.

Yukishi didn't hesitate. He used hormones, short-acting β2 receptor agonists, diuretics, antibiotics...

These things were previously done by nurses, but fortunately, Yuuki Si had experience during his training in his previous life, so he prepared the medicine quickly.

After hanging up the liquid, Yuki stood in front of the patient and observed him for two minutes.

The effect was quite good, and Sato Zhenmei's symptoms were much relieved.

After discussing some issues with Sato Sosuke and others, Yuki Tsutomu returned to his own clinic.

If there was a problem, just let them call him directly.

Patients like Sato Zhenmei usually have to go to a large hospital in Longguo and undergo a lot of tests.

However, Yuki Tsukasa's clinic did not have any of these testing equipment, let alone blood tests.

Therefore, everything can only be handled by relying on Yuki Tsukasa's experience. Although I am a little nervous, I have to say that it is also an opportunity for training.

Waited about half an hour.

Sato Zhenmei's condition has improved a lot.

This made Yuki Shi sigh that the effects of some domestic medicines are indeed much worse.

"Grandma Zhenmei, have you borrowed the urinal?"

Sato Zhenmei was leaning against the head of the bed with a nebulizer in her mouth. When she heard Yuki Si's question, she was about to take off the nebulizer.

"No need to take it, just nod or shake your head."

Sato Zhenmei nodded quickly and looked at Yuki Si with gratitude.

Sato Tetsuka also said quickly: "It has been solved, and mother feels that her breathing is much smoother. Thank you, Dr. Yuki."

Yuuki Si glanced at the monitor and saw that his breathing was 25 times per minute. Although it was still a little fast, it had at least been significantly relieved.

During this process, what Yuki Si feared most was the patient's acid-base imbalance. After all, there was no way to check the blood gas, and he would be at a loss when it came time to replenish the fluid.

If possible, should I get a blood gas analyzer myself?

in the afternoon.

For the first time today, Yuki Shi actually saw three patients, all of whom had common colds. He gave them some medicine and left.

If Mika Mizuno is included today, we saw a total of five patients, which is half of last month's performance.

Seeing that the time was almost up, Yuki Si went to see Sato Zhenmei again, and after reminding them to take some precautions, he sent them away.

He can't be hospitalized here.

Yuki Shi also didn't want to.

After locking the door, Yukishi looked at the plaque hung up today and turned to head for the cross-sea bridge.

After picking up Yurei Kinoshita, I'm off work for today.

Chapter 41 I'd like to trouble Miss Mizuno with something.

"You saw five patients today?"

In the evening, at the Kinoshita residence, on the second floor.

When Hanako Kinoshita heard what Yuki Nozomi said, a hint of disbelief appeared on her face.

"You're not going to give people free examinations, are there five people here?"

"Aunt, I really don't know how you can say such cold words with your 37-degree mouth? Can't I just rely on my own strength?"

Yuuki Si responded speechlessly.

"I'll take a step back and rely on luck." Kinoshita Hanako said lightly, not believing what Yuki Shi said at all.

Question: If you have a beautiful elder who only knows how to use repressive education and is very venomous, how would you refute her?

1. Suffer in silence, do something big in the future to surprise her, and then kneel on the ground to show submission?

2. Push back!

After careful consideration, Yuuki Shi chose the second one.

"what are you doing?"

Kinoshita Hanako suddenly put down the bowl and stared at Yuki Shi with a stern look.

Yuki Si was stunned for a moment and quickly retracted his foot.

"Oh, I'm sorry, aunt, I didn't mean it."

Kinoshita Hanako kept a sullen face and said nothing. She picked up her bowl and continued eating.

The atmosphere at the dinner table suddenly became much quieter.

However, when Kinoshita Hanako was eating, she was obviously absent-minded, and her eyes kept moving back and forth over Yuki Osamu.

Yuki Si's expression remained unchanged and he ate obediently.

He didn't mention the fact that he accidentally kicked Kinoshita Hanako's skirt just now.

After dinner, as usual, I played with Kinoshita Yurei for a while.

Yuki Si said goodbye.

Life without games is a bit boring. If I have the chance, I would buy a computer.

Sitting on his bed.

Yuuki thought about how many goals he had set now.

1. Buy a means of transportation.

2. Purchase some inspection equipment for the clinic

3. A computer

In fact, except for the second goal, the first and third ones are easy to achieve.

Yuki Tsutomu originally wanted to get an electric car, but later he found out that there were almost no electric cars in Japan, but there were many motorcycles.

But he has no desire to ride a motorcycle because he doesn't have a driver's license.

So Yuki decided to go to Tokyo this weekend and buy a bicycle.

They are all means of transportation anyway, they are the same.

As for the computer, we’ll see when the time comes. After all, it’s not an urgent need.

The clinic's examination equipment seems to be more important in comparison.

However, the 2.5 million yen that Tanaka Tomomichi compensated him was not enough to buy the equipment, so he gave it up for the time being.