Chapter 0008 Daily Operations of the Clinic
After 30 minutes, Lu Fei began to write the medical record and said to Washington: "Washington, you must never engage in vigorous exercise after meals again. The examination results indicate edema of the appendiceal wall; you have chronic appendicitis. There are two treatment options; please choose one: First, you can go to Carson City this afternoon for an emergency consultation, where you will be hospitalized for two days until the surgical indications are clear, and the appendix will be removed. Second, you can opt for conservative treatment here, which involves eliminating the inflammation, requiring intravenous drips, and coming in daily for at least 5 to 10 days."
I sincerely thank you for saving me, alas, in the end, it was only through the help of my compatriots that I found a way to survive. I was originally an English teacher from a small place in the northwest. A few years ago, I met my husband in China; he was a rancher from Texas, USA. After we got married, I followed him to live in the United States. Everything was initially wonderful, but he passed away from a cerebral hemorrhage six months ago. His children from his previous marriage returned to claim the family fortune, and because I only had a marriage certificate issued in China and did not have the chance to register it in the United States, I was driven out of the house.
Mandy: ---
"Mandy, I am going out for a bit. While the gun shop is still open, I will go buy some things." After saying this, Lu Fei went to the neighboring gun shop and bought all the standard daggers available, which amounted to only about fifty or sixty. He considered them as flying knives to prepare for training at home
At 8:45 AM, Luffy arrived at the clinic on time
After listening to Chris, she hugged Luffy and cried loudly, finally letting go of the fear and anxiety in her heart. Luffy patted her, telling her not to be too agitated, and informed her that he still needed to go see a doctor, urging her to rest well. After saying this, he picked up the first aid kit, took out 1,000 US dollars, and placed it in her hand, encouraging her to buy some good food and drinks, and to change into a clean set of clothes.
His hair was somewhat gray and disheveled, his beard unkempt, and dark circles under his eyes. As he walked, he stumbled slightly. He looked at Lu Fei, extended his hand, and said: "You must be Jack. I heard from the mayor that you would be coming today. I am Dr. Bell."
Lu Fei thought that his flying knives should also be practiced in the real world alongside the *illustrated* books, so he went to the tool room to make a target. He simply took a square wooden board and drew several circles on it, then got a wooden stick and nailed the large board and the stick together to create a simple wooden target. He set it up against the wall on the south side of the yard, near Lilith's house. Taking out the dagger he had just bought, he began practicing his flying knives. He simply took a square wooden board and drew several circles on it, then got a wooden stick and nailed the large board and the stick together to create a simple wooden target. He set it up against the wall on the south side of the yard, near Lilith's house. Taking out the dagger he had just bought, he began practicing his flying knives.
Holding the key, I opened the front door. Upon entering, I found the house to be somewhat in disarray, and there was a note placed on the dining table
"It hurts, it hurts, it hurts," when Lu Fei pressed on Washington's lower right abdomen, the young man broke out in a sweat.
A young girl had just left. An elderly man in his sixties walked in.
Upon a cursory glance at the appointment sheet on the table, Lu Fei noticed that it was nearly fully booked, with individuals from various age groups represented. After yesterday's work, Lu Fei was actually looking forward to alleviating the ailments of the townspeople. He recognized most of them, and at times, it felt as though he was treating family members. This experience provided him with a greater sense of immersion and accomplishment than his work in the emergency department at St. Cassie. He felt that he was no longer just a fleeting visitor, but that he would leave a lasting impact.
"I heard them all call you Doctor Jack, are you of Chinese descent? Do you understand Chinese?" Chris's English accent was quite strange, making it difficult to understand.
Frequently experiences nausea, and at times also suffers from diarrhea, back pain, and vomiting
In the afternoon, the clinic was relatively quiet. Mandy received many phone calls and has already confirmed appointments for the next 3 days. Another patient was seen, a young girl with a minor scratch on her arm from a branch. There was no need for stitches; a disinfectant was applied, and a band-aid was placed, completing the treatment. If she had come a little later, the wound would likely have healed by then.
Lu Fei said: "You will need several more days of treatment, and the intravenous drip will not be removed until around 9 PM. You cannot eat today. I will go home first, have a good meal, and then come back to the clinic to take care of you. You will be alone in the clinic for an hour, but there is no need to be afraid."
"Last year's economic crisis led to Washington's father losing his job, and we can no longer afford health insurance. Washington needs surgery in Carson City, which is estimated to cost between 10,000 and 20,000 USD. We cannot afford this amount. Could you possibly treat him here and help us save some money?" Jesse said with difficulty
Hello, come and sit down, young man, what is the matter with you
In just a few words, the medical advice was written, and the young mother left with peace of mind
Luffy: (⊙⊙)
As a newcomer, I hope to receive your guidance in the future
Thursday, April 29, 2009
Aunt Jessica's eyes glistened with tears as she held Luffy's hand, momentarily speechless with excitement. Luffy sincerely said, "We are all one family in the town; it is only right to help each other. If there is still not enough money, then apply for a medical interest-free loan. I will sign and give my consent for the medical expenses."
Dear son, Mother has left to enjoy the scenery of Europe and the world for two. Ha ha ha, take good care of yourself, and I will bring you a gift when I return
Luffy quickly extended his hand to shake hands with Bell
After a round of emergency procedures, Lu Fei and Mandy both felt somewhat fatigued, especially Lu Fei, whose arms felt nearly unable to lift. At the moment, they did not feel it, but once the tension eased, they immediately felt a significant soreness. The two rested for a while before recovering. This is the nature of emergency care; doctors and nurses experience a substantial release of adrenaline, leading to particular exhaustion afterward.
The first patient today is a young Black man, accompanied by a woman who is supporting him as he enters. The young man appears to be in poor condition, holding his stomach with his right hand
After greeting Mandy, arrangements were made for her to continue administering intravenous drips to Chris. Lu Fei informed Chris that he could eat some easily digestible food at noon, along with a series of precautions, and then began the outpatient work
My husband's daughter even tried to kill me; she stabbed me with a long needle. I called the police, but it was of no use; the police in the town had all been bribed by them, so I had no choice but to flee. I escaped north, enduring hunger and hardship, hoping to encounter someone of Chinese descent or a Huaxia person who could help me contact the embassy so that I could survive. " Chris said, crying uncontrollably as he spoke.
"Alright, let me check it for you first," said Luffy with a gentle smile
How do you know? I am the running back for the school's football team, and we usually start training after lunch.
OK, Jessica, I will try to minimize your expenses. Mandy, I am issuing a medical order: Ceftriaxone 3g and Clindamycin 3g for urgent antibacterial treatment to prevent further infection. Additionally, provide general symptomatic supportive treatment with Omeprazole injection 40mg. Please take them to the adjacent pharmacy to purchase injectable medications, infusion bags, and other medical supplies, initially for a 5-day supply. After returning, intravenous drip will be administered. I will waive my medical fees, and there will be no charge for the bed fee.
Upon returning home, I lay down on the bed after taking a shower
Luffy shook his head with a wry smile, thinking that having such a carefree mother was indeed somewhat amusing. He tidied up his home a bit, cooked himself a large steak, paired it with some broccoli, and filled his stomach.
Before long, a woman in her thirties rushed in, holding a child around 7 or 8 years old. The mother was very anxious because the child had come into contact with something dirty, and his face and body were covered with large swollen patches, making him look like a little monster.
Luffy pressed on Washington's abdomen in various places while asking, "Where does it hurt? Just tell me directly, and I will try to be gentler."
Luffy nodded and continued to ask, "Think about it, what other symptoms do you usually have?"
After tidying up the house, Lu Fei returned to the clinic, assisted Chris in removing the intravenous drip, administered some antibiotic tablets, and advised her to rest assured. If needed, she could use the landline to call his mobile phone, and the clinic's hygiene and facilities were available for her to use freely
Washington looked at his mother, and she sincerely said to Lu Feicheng: "Jack, I live on the street right next to your house. I worked part-time on your ranch last year, milking the cows. My name is Jessica"
Hello, Jessica, no wonder www.hetushu.com looks familiar. Lu Fei thought to himself, in this town, who wouldn't look familiar, unless they are just passing through.
Chris did not decline either, tightly gripping the money and nodding repeatedly
Doctor Jack, my name is Washington, and I am classmates with Lucas. He came to see you yesterday, the one you referred to as the little yellow fellow, who has already become well-known at Ogulite Town Middle School. He told me that you have started practicing at the clinic, and my mother helped me make an appointment. I have been experiencing stomach pain for some time, about 2 to 3 months. I thought it would get better if I just endured it, but the pain started to worsen the day before yesterday, and yesterday I could hardly even stand.
Luffy took a small detour, first dropping Mandy off at her home, and then returned to his own house
Jessica and Washington repeatedly expressed their gratitude. Mandy accompanied Jessica to the neighboring pharmacy to buy medicine, while Lu Fei instructed Washington to lie down in the injection room and wait for Mandy to return to administer the injection
By the time Mandy and Jessica returned with the medication and administered antibiotics and anti-inflammatory solutions to Washington, Chris was completely awake and waved for Lu Fei to come over
Do you often exercise right after eating?
I can speak Mandarin, as well as the dialects of Shanghai and Sichuan. Which one can you speak? Lu Fei's mother in her previous life was from Sichuan, and his father was from Shanghai
Luffy continues to allocate time for his training skills of 2, 3, and 3. Tonight, after exercising, he will continue to read a large amount of medical literature and refine his flying knife technique
After receiving a phone call, the town mayor hurriedly left; being a town leader is indeed quite busy. The mayor left a very good impression on Lu Fei. Regardless of what his demands may be, a good official is one who works for the welfare of the town's residents
Rest assured, they have absolute power in Texas, and I also have considerable influence in the town. You can stay here with peace of mind; I have already spoken to the mayor. You will stay at the clinic for now, and once you feel a bit better, you can help us keep an eye on the door at night and do some cleaning in the morning and evening. I will provide you with 2,000 USD each month for your living expenses and to take care of your health. Once you are fully recovered, I will help you find the Chinese embassy or a lawyer to reclaim what you have lost and ensure that those who harmed you are sent to prison.
Initially, the distance was 5 meters and 10 meters, and later I ran upstairs to throw downwards. I felt that I had made significant progress, as the error in throwing knives at close range was basically within 3 centimeters. Additionally, I utilized my ability to multitask and trained both my left and right hands.
The United States is like a big rural area, with too few entertainment activities. Before 9 o'clock, I actually found myself lying in bed, which makes me nostalgic for the days when I couldn't be separated from my phone. However, this is quite good; in the past, I was either in the hospital or staying at home looking at my phone. Now, life is both easy and fulfilling, with little pressure. I do feel a bit mentally exhausted from training in the system at night, but the gains are substantial. I will continue to learn and train, as there are still quite a few rescue points to be utilized.
Back at the clinic, Lu Fei glanced at Chris again, who was gradually regaining consciousness
That is great, we can communicate in Mandarin." Chris said in Mandarin.
Chris nodded, unable to speak for the moment
"Alright, I will make arrangements." Mandy also looked at Lu Fei with appreciation, as they were neighbors, and everyone has their difficult times
"It’s you who takes care of the clinic. I just went to the supermarket to buy some wine, and Jesse kept praising you, by the way, he also gave me a 10% discount." Bell said with a smile. "You all stay busy, I’ll go to my office inside to have a drink to refresh myself. If you find yourselves overwhelmed, feel free to call me for help; if it’s too much, then just let it be."
"Acute urticaria, this condition may seem alarming, but it is actually not serious. Later, go to the pharmacy and purchase some antihistamines according to the prescription I provided. Take the medication as per the instructions, drink plenty of water, and avoid drafts. After taking the medicine, get some sleep, and the hives on your body will mostly subside," Lu Fei reassured his mother.
"Come with me, lie down on that bed inside. I will perform an abdominal ultrasound for you. Mandy will assist and take his temperature, heart rate, and blood pressure as well," Lu Fei said earnestly.