Li Jingsheng wanted to say that a red envelope of one thousand is never too little, and two thousand is never too much. Our small clinic does not have so many rules. As long as the patient dares to give it, I dare to accept it.
Just think about it or forget it.
It's too cheap to say it.
If the patient's disease is cured and the patient really has this heart, then he will naturally be given a big red envelope.
There is no legal provision prohibiting medical staff from accepting red envelopes.
This is an honest and self-discipline rule specially put forward by the hospital in order to improve medical ethics and prevent doctors and nurses from taking advantage of patients. Reporting hotlines are also accepted by the hospital's medical department and disciplinary inspection office.
It must be said that taking bribes and voluntarily giving red envelopes to patients are two different concepts.
Bribery is illegal.
It is not illegal to accept gifts from patients, but it violates the hospital's integrity and self-discipline regulations.
Li Jingsheng is the boss himself, so he will be fine even if he receives a hundred thousand red envelope.
That’s the benefit of being your own boss.
"Oh, I know, I know!" As soon as the old man got angry, the old lady outside stopped saying anything.
When it comes to wisdom, men are definitely stronger.
The old man wrote a bad check to Li Jingsheng in order to make Li Jingsheng treat him more attentively.
And with Li Jingsheng's favor, the fees will be more transparent.
The medicine will be prescribed.
There are so many benefits, even if you get a red envelope after the treatment, it won’t be a loss.
Spending a small amount of money to do big things refers to giving gifts.
In some shady hospitals, you don't give red envelopes to the chief surgeon, and the surgery is left to the training and resident doctors under you. As long as there are no safety incidents, it doesn't matter. As for the effect of the surgery, it is conceivable that it was used as a guinea pig by a group of novices.
Even if you have some sequelae, you will have to suffer for decades in the rest of your life.
Without giving red envelopes to the anesthetist, he would wake up in pain halfway through the operation...
These are real things that have happened in some hospitals with bad practices.
A patient has to go through an operation to take care of everything.
The old man is very wise but his wife seems to be shrewd, but she is out of touch and lacks great wisdom.
Li Jingsheng led the old man to the examination room for a B-ultrasound and found that the sinus tract was shorter than expected.
And very thin.
If you don't already know that there is a hidden sinus at this location, you may not be able to find it even with a B-ultrasound.
An additional X-ray was taken.
Every time he took an X-ray, he wanted to smash the instrument.
The clarity is really poor.
After a lot of effort, it was finally clear.
Compare and verify with B-ultrasound examination results.
Yes, the lengths of the sinus tracts discovered by the two examinations are basically the same.
X-rays pass through the thickness and density of human tissue and are absorbed by the tissue. The amount of rays reaching the fluorescent screen is reduced. The change in the amount of rays can produce a black-and-white contrast.
It is used clinically to check whether there is a fracture, and the effect is the most affordable and best among all examinations.
B-ultrasound uses ultrasonic waves to form reflected waves in the human body, and then the energy is converted by an electronic computer to form images.
Its advantage is that it can obtain cross-sectional images of the examined organs and observe the organ morphology more intuitively. For example, the automatic measurement data can prompt objective data such as the caliber size of the gallbladder and bile ducts, the thickness of the duct wall, and the size of the lesions.
The disadvantage is that it is difficult to reach deep parts of bones and air, so it is difficult to detect gas-containing organs such as the lungs and gastrointestinal tract, and it is also not good for adult brain diagnosis. If multiple repeated reflections occur during the reflection, it can lead to false images and even misdiagnosis.
Li Jingsheng performs X-ray and B-ultrasound examinations on the patient at the same time to avoid misdiagnosis.
More accurate sinus tract data can also be obtained.
Including its length, width, position, depth, etc.
"Dr. Li, have you found out?"
"It has basically been identified that it is a superficial abscess on the back caused by a hidden sinus tract. If this sinus tract is not eliminated, the pustule will not heal and will keep recurring. And because you have used anti-inflammatory and antibacterial drugs for a long time, you have developed a certain tolerance. The medicinal properties. I suggest treating this hidden sinus immediately, and then debriding the abscess cavity, which should be able to cure it completely."
Li Jingsheng said to him.
"Can you do it here?"
He was obviously still a little worried about the small clinic.
"Can."
Li Jingsheng's answer was sonorous and powerful.
At this time, the patient must be given some confidence. If you are not confident enough, why should patients trust you?
"Do you need surgery?"
"Sure!"
"Is the incision deep?"
"The sinus tract is in a superficial position, and based on my surgical experience and clinical anatomy, I can determine that there are no major blood vessels or important nerves in this location. There is definitely a risk, but it is very small. To be honest, if it is a too big operation, or I don’t dare accept high-risk surgeries.”
Li Jingsheng knows what patients are worried about.
It's nothing more than worrying about safety.
He had already practiced how to answer to dispel the patient's doubts.
Don’t think that it will be easy for surgical patients and their families admitted to large hospitals.
They also have various doubts, and it is up to the interns and bedside doctors to convince them. Let the surgeon do these chores, and that's it if you don't want to do them.
The chief surgeon is usually at least the deputy chief physician, who is so busy every day that he cannot be seen.
It is only possible to see them during the director's ward rounds on Monday or Friday.
Li Jingsheng's ability to persuade patients and their families was developed when he was in charge of beds. Because the role of interns is not enough, the doctor in charge usually talks to the family members and patients first.
Wait until the discussion is almost complete, then ask the surgeon to come over and go through the process.
If it is spinal anesthesia or general anesthesia, the anesthesiologist will also come to talk to the family members. The main thing is to inform the risks and have the family members sign.
"Does this need to be treated at your place?"
"No need. However, after the operation, your wound must not be exposed to water, and you need to come on time every day for inspection and dressing change."
Li Jingsheng heard the patient ask this and knew that the negotiation was basically done.
"I'll discuss it with my wife and then give you an answer."
The old man stood up and walked out of the examination room.
"OK."
Li Jingsheng will definitely not force patients to have surgery here.
It is true that I really want to win this business.
The old man and the old lady discussed in whispers for half an hour.
The two of them walked to Li Jingsheng's consultation table together.
"Dr. Li, we just discussed it and decided to believe you. But please be careful." The old lady said to Li Jingsheng.
"Don't worry, I would never dare to joke with the patient's life safety. The operation may take more than an hour. If it is confirmed, we will arrange it right away."
Li Jingsheng is actually ready for patients to go to large hospitals.
When it comes to surgery, few patients are willing to go to small clinics and go to large hospitals.
This heavy trust was earned by Li Jingsheng based on his ability.
First there was the wave of publicity in the morning, with everyone praising him for his superb medical skills and noble medical ethics.
After hearing this, the old man came to see a doctor with the mentality of giving it a try.
After some hard work, Li Jingsheng unexpectedly found out the cause of the old man's illness.
This made the old man and his wife's trust in Sunshine Clinic skyrocket several times.
They felt that Li Jingsheng's medical skills were indeed very good.
Li Jingsheng's conversation with the old man in the examination room just now also played a big role. After weighing the matter, the old man decided to receive treatment here.
Because Li Jingsheng told him that the surgery was not risky.
He also believed that Li Jingsheng did not dare to joke about the future of the clinic.
"Sure, arrange for me to be treated!"
The old man expressed his position himself.
Men are like this. After making a decision, they often have great courage. Women are much more indecisive.
This is determined by the nature of males and females.
Li Jingsheng looked at Tang Ping.
"Sister Tang, there is a patient here who needs surgery. Are you almost finished over there?"
"Okay, I'll be fine soon."
She is selling medicine to customers.
I was very surprised to hear that Li Jingsheng had undergone an operation.
Li Jingsheng began to ask the old man if he had any drug allergies, heart disease, etc.
Not bad, the old man's body is in a very healthy state and can fully withstand this operation.
After Tang Ping finished selling the medicine and sent away the customers, she walked over quickly.
"This old man has a sinus tract in his back. We have taken a x-ray and checked it. It's superficial. We can operate here. You prepare a surgical bag and local anesthetic drugs. Disinfect and spread drapes in the treatment room."
Li Jingsheng asked her to do pre-operative preparations.
Since there is only one doctor and one nurse in the small clinic, both of them have to perform the surgery.
After Tang Ping heard this, a look of shock flashed across her face, but it disappeared briefly.
She probably didn't expect that Li Jingsheng would dare to undergo a real operation.
But she didn't say anything, just nodded and made preparations.
"The cost of the operation is about 2,000 yuan. I will refund you more and make up for the less. You can pay 2,000 yuan in advance, okay?"
Li Jingsheng will not perform surgery first and then collect money.
There are too many deadbeats these days.
A small clinic can't afford it.
"As long as it can be cured, it's two thousand," the old man said happily.
The old lady surprisingly did not raise any objection this time.
Instead, he readily paid two thousand yuan.
I have to say that some old ladies and gentlemen are really rich.
After collecting the money, Li Jingsheng issued a receipt and stamped it with the clinic's financial seal.
"You sit outside and rest while I take the old man into the treatment room to perform the operation. After a while, you can accompany him during the infusion." Li Jingsheng said to the old lady.
"Yeah! Please take your time."
The old lady was sitting on the sofa outside the treatment room, and Li Jingsheng poured her a glass of water.
Tang Ping now has to prepare for surgery and has no time to greet the patient's family members.
She brought the old man into the treatment room. She had already disinfected and spread the towel.
"Is it okay for you to lie down?"
"Can."
The old man was lying on the bed in the treatment room.
The conditions of the small clinic were too rudimentary, and surgical operations had not been carried out before. At most, the injured are debrided, sutured, and bandaged.
Although it was a minor operation this time, it was a real surgical operation.
Li Jingsheng was a little nervous, but more excited and expecting.
Skin incision, superficial debridement, multiple sutures, knotting, and hemostasis were all performed at a proficient level.
Now I finally got a chance to try it out.
There are definitely risks in doing this surgery, and it is definitely not as easy as he said to the patient.
The depth of the sinus tract is about 2cm and it is a superficial sinus tract.
The length reaches 7cm, which is quite long.
To remove the sinus tract, the wound will definitely be longer than the sinus tract.
After disinfecting the patient's back wound for the first time, Li Jingsheng prepared to wash his hands first, and then strictly follow the aseptic management of large hospitals.
The old lady waved to him outside the door.
Li Jingsheng passed by and opened the door.
Could it be that the old lady was afraid of the danger and didn't want the old man to have this operation?
"Dr. Li, could you please come out and let me say a few words to you."
Li Jingsheng secretly murmured in his heart, this person is already ready to go, but don't stop temporarily!
After going out, the old lady pulled him aside and quietly put a wad of bills into his hand.
"Just be careful. Please be more careful when performing surgery on my old man to ensure his safety."
The banknotes in hand are at least more than a thousand yuan.
A thick stack.
Li Jingsheng was really shocked. Not long ago, the old man just mentioned in the examination room that he would give Li Jingsheng a big red envelope after he was cured, and the old lady knocked on the door in a hurry.
At this moment, she called Li Jingsheng out before the operation and secretly gave him a red envelope.
And at least a thousand or more.
This is what the old man would do if he loves the old man deep in his bones!
