"Old Liu, if it can't be treated here, I'll ask Dr. Li to charge a higher treatment fee when he invoices me. I'll put in a good word with Mr. Yu and try to get as much compensation as possible. After all, you are also a work-related injury."
Workmate Shun Ye advised from the side.
He actually thinks the price is acceptable.
"Isn't that good? Then I can ask Mr. Yu to reimburse me for the treatment fee."
Master Liu is so honest.
Of course, at best it sounds like simplicity, but at worst it sounds like stupidity.
"You shed so much blood, can it be in vain? Besides, you can't work these days, the loss is not small. We were injured while helping him decorate, and we can't get him more than two thousand yuan." It’s not too much. He agreed to it himself.”
Mr. Shun's ability to survive in society is obviously stronger.
"Dr. Li, you have also seen our situation. Do you think it's okay to help with the treatment fee of 2,788? Think of it as helping Lao Liu."
"I'm afraid I can't issue an invoice. For ordinary receipts, you can get them yourself or find an agent."
Patients often make this request.
Can't agree.
If someone reports you in turn, you will be in big trouble.
Because it is illegal to make false claims for treatment.
But refusing to do so may offend the patient and result in the loss of the business.
It can only be explained euphemistically.
"Why don't you just write the first number bigger? Can't you just help us?" the worker named Shun Ye begged.
"There is really no way around this! Last time, the owner of a clinic helped a relative to inflate treatment fees, and he was caught. I heard that he would be sentenced to at least half a year. Our boss is doing legal business, and we don't dare to do it at such a young age. Doing something illegal.”
Tang Ping explained softly beside him.
Women, especially young and beautiful women, have unique advantages when dealing with men.
After her explanation, Master Liu immediately gave in.
"Master Shun, there is no need for us to do anything illegal."
"Don't I want to ask Mr. Yu to reimburse you more! Okay, we'll find a way then." Master Shun didn't dwell on the matter anymore. "Doctor Li, please help Lao Liu treat it quickly! The wound is still bleeding!"
This was what Li Jingsheng was waiting for.
"Okay! Treat him immediately."
Tang Ping didn't even need to ask Li Jingsheng to greet him. She directly took out a disposable sheet and spread it on the treatment bed, and then helped Master Liu lie down on it.
Compared with large hospitals, surgical conditions in small hospitals are extremely crude.
There is no way to meet the sterility requirements.
But it doesn't matter, the small clinic has its own method.
Tang Ping had already brought disinfectant alcohol, disinfectant cotton and other materials, and skillfully cleaned Master Liu's wound and surrounding area.
When hospitals perform this kind of leg surgery, they often have specialized nurses or interns to make preoperative preparations for the patient, including asking the patient to change into clean clothes, prepare the skin, etc.
If general anesthesia or spinal anesthesia is required, the patient will also be required to fast and drink.
Li Jingsheng took out the equipment package, put on gloves and started to make pre-operative preparations.
Nurse Tang Ping is responsible for preparing local anesthetics, sutures, and gauze. The two have worked together for more than nine months and have a tacit understanding of their cooperation.
"Give!"
After sucking the local anesthetic into the needle, push out the air inside, and then hand it to Li Jingsheng.
"Is this 0.25 lidocaine?"
Li Jingsheng asked after taking it.
"right!"
She nodded.
Li Jingsheng began to inject the wound at Master Liu's leg at points.
For local infiltration anesthesia, 0.25%-0.5% lidocaine is usually preferred, and the dosage must be flexibly controlled. Especially the elderly, children, and the frail and sick, usually need to be accurate to kilograms.
"Master Liu, did you weigh yourself?"
Li Jingsheng asked casually while pushing the anesthetic.
"I just weighed it last month and it was 57 kilograms."
"It's really good that you are so tall and can keep your weight at 57 kilograms. Nowadays, many urbanites have to spend money to lose weight because they are fat!"
"Haha, I do heavy physical work every day, and my body has never gained weight. It's all muscle. Apart from injuries, I don't even get a cold."
Being praised to the point of pride by Li Jingsheng, Master Liu smiled proudly.
"Then your health is indeed very good. It is normal for ordinary people to catch colds two or three times a year. People who work in offices are prone to affluence." Li Jingsheng found out the patient's weight during a casual conversation.
The dosage of local anesthetic is strictly controlled.
About a fifth remains.
Lidocaine with a concentration of 0.25 has an onset of action of 1 minute after subcutaneous injection and a duration of action of 90-120 minutes. The maximum dose for adults does not exceed 500mg.
The generally considered safe standard for adults is about 300mg.
This medicine is not expensive, but if you take it too much, you will definitely be afraid of something happening.
Three-drug.
It is best to use just the right amount of any medicine. However, because the medical skill of medication is extremely difficult to improve, most doctors' medication standards can only be strictly implemented according to clinical medication manuals or other textbooks.
How can this kind of medication according to the book compare to Li Jingsheng's flexible medication?
The expert-level medicine agent now allowed him to once again experience an advantage he had never had before.
At least compared to doctors in other clinics, this advantage is quite big.
In larger hospitals, there are many strong people inside. Not to mention doctors, even many nurses are very good at using medicine. If you put his level of medicine in a large hospital, he would probably be a little better than an intern or a trainee.
Of course, if it is a small hospital, it is difficult to say.
Some doctors who have worked for more than ten years are still terrible at using medicine.
The smaller the hospital, the harder it is to improve the quality of doctors.
There are few patients, poor teaching environment, little competition, and lack of conditions and pressure for doctors to improve. It would be strange if their level can be improved.
Tang Ping saw that he had not finished all the anesthetic this time, and a trace of doubt flashed in her bright eyes, but she didn't say anything more.
Although she has successfully won this big business and can earn hundreds of dollars, the patient's wound is extremely deep, and she knows very well what her boss's suturing skills are like. Especially worried that the boss will screw up.
This kind of deep wound, and it is on the leg, has high tension, which makes it more difficult to suture.
It's difficult for the boss to sew up ordinary superficial wounds.
If you mess up, how do you explain it to the patient?
She was already thinking about the aftermath.
After the anesthetic took effect, Li Jingsheng began to carefully clean the patient's wound with saline, then found the larger broken vein and ligated it.
For the small blood vessels that were ruptured or severed, he didn't have electrocoagulation equipment here, so he had to wait and suture them to stop the bleeding.
"Give me absorbable thread No. 4."
This level of vascular ligation is generally sufficient with No. 4 wire.
If it is a large blood vessel in the abdominal cavity or even a large blood vessel in the chest, it is often necessary to use No. 1 line to stop bleeding.
Absorbable sutures are used to ligate blood vessels in the body to stop bleeding. This has the advantage of eliminating the need to remove the sutures.
Of course, this thread is much more expensive than ordinary suture thread.
However, the total treatment cost for this business was over a thousand yuan, and Li Jingsheng would not be stingy with such a small amount of sutures.
Once the money is in place, he can pursue better treatment effects, use good consumables, and use good medicines.
"Sister Tang, use the retractor to help me open his wound."
Retracting a hook is a physical job, and nurses are rarely asked to do it.
Naturally, this kind of retractor does not require much effort at the moment.
Tang Ping is fully qualified.
Li Jingsheng found the proximal end of the bleeding blood vessel, then held the needle and dexterously passed through the tissue layer around the blood vessel and out.
This series of operations immediately made Tang Ping's eyes light up.
The boss’s crochet skills seem to have improved a lot!
In her surprised eyes, Li Jingsheng quickly began to tie the knot.
Photographed with the left hand, pull the suture flexibly, thread it out after winding it, tighten it and tie it into a square knot.
The skilled level Fang Jie finally came into use for the first time after being promoted.
His previous level of square knot was only entry-level, and it was easy to tie the square knot into a slip knot. The square knot made at this moment not only locked the broken vein, but was also very neat and firm.
It is completely different from the square knot made before.
“The boss’s knot-tying skills are great!”
Tang Ping couldn't help but praise.
"Haha, after practicing hard for many days, you must make some progress!"
Li Jingsheng knew that Tang Ping had worked as a nurse in a large hospital before, but was later fired by the hospital because of some dark things. Her husband also disliked her and divorced her.
What's even more irritating is that she was obviously a victim. After being fired from the hospital, the evildoer went around trying to ruin her reputation. This put her directly on the blacklist of other hospitals, making it extremely difficult to find another job as a nurse.
Later, Li Jingsheng's clinic opened, and he fell in love with her at first sight.
The professionalism is very professional and the work is done diligently.
As for people being beautiful and having a charming figure, that's just an add-on. It is not the core standard for Li Jingsheng to hire nurses.
She has worked as a nurse in a large hospital for several years, so her eyesight is naturally good.
Li Jingsheng's square knot tying skills improved from beginner level to proficient level, and she was immediately discovered after using it.
