Naturally, Shang Zhi would not be an idiot if he could climb up to the position of deputy section chief. Seeing that the directors of the three major departments were vying for this small clinic doctor, and this young man's talent sounded very impressive.
At such a young age, he has such outstanding talent.
Wouldn't it be wrong for him to offend to death if he had a problem on his head?
To take a step back, even if Li Jingsheng has no talent, now that three chief doctors have come forward, let alone him, even if the boss of the medical department handles this matter, it is estimated that the major issue will be reduced to trivial matters.
"Ahem... I didn't know about it before. Since Lao Xu has reported it to your department in advance, this doesn't count as bringing doctors from other hospitals into the hospital privately. However, for safety reasons, the young man can come to our hospital for further training next time. Go to the medical department to prepare a case first!"
Section Chief Shang also followed the wind, and his tone and attitude changed dramatically.
Rules are dead, but people are alive. If he doesn't make changes when they should be made, his position as deputy section chief will not last long.
Although the medical department leads the clinical departments, the development of many businesses requires the cooperation of clinical departments.
Superiors assign tasks to the medical department, such as how much revenue to generate.
The medical department will have to consult with the department heads of these departments.
If the relationship is at a standstill, no matter how big your face is, it’s not easy to open your mouth like this! Even if he opens his mouth, the clinical department won't buy it and can only stare.
It is an indisputable fact that hospitals rely entirely on clinical departments to generate revenue.
"Chief Shang is still reasonable! Since everything is okay, I will take the person away. When I came just now, the patients in the manual reduction clinic were quarreling. When it comes to bone-setting techniques, Lao Xu is the most authentic."
Director Hua looked gentle, but when it was time to hit the other person, he did so in an unambiguous manner.
Chief Shang took the orthopedic surgeon away directly from the outpatient room, which obviously made Director Hua dissatisfied.
It's not a heinous matter. You can wait until after get off work at noon to call Lao Xu to the medical department for a talk. Just because Lao Xu is just an attending physician, we can't take him lightly.
Looking at it from another angle, this is actually a kind of disrespect towards Dr. Xu by Section Chief Shang.
"Maybe I was too impatient after receiving the report. I must pay attention to my methods next time."
Chief Shang smiled apologetically, lowered his head and half-hidden his mistake.
The reason he gave was that he was too impatient, so he acted a little harshly.
As for asking him to apologize to Dr. Xu in person, this is simply impossible.
These people who work in the administrative department are very slippery.
They knew exactly who could be offended and who could not afford to offend.
If he dared to take Dr. Xu directly from the clinic, he would definitely kill Dr. Xu.
This kind of differential treatment is similar in every hospital.
If you have a high status, you will be respected by others. If you have a low status, you will be easily manipulated or even bullied.
"Young man, remember to bring your ID next time you come over and have it filed with the medical department. No one will report you again if you come to the Orthopedic Surgery Department of our Second Hospital for further training." Director Hua said to Li Jingsheng.
"Ok, thank you!"
Li Jingsheng nodded in agreement.
"My small clinic is still open for business. There is only one nurse working on it. It is too busy at all, so I will leave first. Thank you to the three directors for coming to intercede for me. Goodbye!"
None of these three directors has a low status.
Being able to get them to put aside their work and rush over to plead for mercy is something that most people really don't have the face to do.
"Teacher, I'm leaving first."
Li Jingsheng said hello to Dr. Xu again and left in a hurry.
"Looking at this guy leaving in such a hurry, he wants to go back and sell more boxes of health medicines!
Director Zhang joked with a smile.
"Haha, I understand that small clinics have to work hard to make money to survive. What a great talent. If you have to run a clinic by yourself, it would be great if you come to our hospital to develop!"
Director Hua smiled, shook his head and sighed.
He deeply regretted that he could not recruit Li Jingsheng to the orthopedic surgery department.
"By the way, doesn't Mr. Xu in your department not accept apprentices?"
"Maybe I'm just saying that because I haven't met someone with great talent! Bone setting requires talent, and I don't have the talent in this area. It's okay to ask me to reset the shoulder joint, but I don't dare to do anything more complicated, for fear of being slapped in the face!"
Director Hua's words made the other two directors laugh again.
…
When Li Jingsheng rushed back to the small clinic, it was already very busy.
He quickly put on his white coat and started working.
We need to recruit someone else.
Tang Ping can't keep up with her workload by herself. If something goes wrong while busy, it's no joke.
Taking the wrong medicine can put your life at risk.
Considering the cost of employment and the actual needs of the clinic, he felt that it was most cost-effective to recruit an unlicensed medical doctor.
As for nurses, one is enough for the time being.
To recruit a nurse with a practicing certificate like Tang Ping, the basic salary would need to go up to at least 3,000. Including commission, if it's less than 4,500 a month, people will definitely run away.
Recruiting such a young, beautiful, and highly professional nurse like Tang Ping at a very low salary was definitely a blessing from our ancestors, and we were lucky.
It would be extremely difficult to pick up another big leak like this again.
I was busy until about 11:40 noon, and finally finished handling the last patient.
Taking advantage of this opportunity, Li Jingsheng wrote a recruitment advertisement and posted it on the glass door outside.
In fact, it is safest to stick it inside the glass door, because the city management will tear it off directly if they find it.
He had placed billboards outside before, but they were confiscated several times.
"Recruitment: Due to development needs, this clinic is looking for a medical assistant under the age of 30. The salary is negotiable."
After checking the above content, there was no problem, and he was relieved.
This street has a large flow of people, and there are a lot of young people looking for jobs. It is estimated that they can find people in a few days.
The reason why older people are not recruited is because medical students over 30 years old either have very high academic qualifications or already have extensive work experience, and their salary requirements will also be very high.
Small clinics cannot afford it.
On the contrary, medical students who have just graduated from campus are very popular in small clinics and pharmacies.
After Tang Ping saw off the last customer, she also walked out of the clinic to watch.
She said that everything was decided by the boss, and the clinic was recruiting new people, but she was still quite nervous.
The clinic's business is now booming, and her income this month is likely to exceed 10,000.
She knew very well that nurses were fed young people.
When the time comes that she will be squeezed out by the newcomers, it will be hard to say whether she can keep her job.
Although she knew that Li Jingsheng was not the kind of person who would burn bridges by crossing rivers, she couldn't help but worry.
"You are not recruiting intern nurses!"
After Tang Ping read the recruitment announcement, a relaxed expression suddenly appeared on her pointed face.
An imperceptible smile appeared on the right corner of her thin red lips.
"Our clinic is a small business, and you are enough as a nurse for now. When the clinic becomes bigger in the future, I will consider recruiting new intern nurses to take care of you." Li Jingsheng naturally knew her worries.
Not exposed either.
Hiring a medical assistant also takes her feelings into consideration.
"Sure! Just leave it to me when the time comes. I will definitely teach you carefully."
She smiled and agreed.
"Are you going to the Second Hospital for further training tomorrow?"
"Well, I guess I will have to study from Monday to Friday in the next two months."
Li Jingsheng nodded to confirm.
"Then it is very necessary to recruit a medical assistant. You are not here today, and there are two patients who can't wait and leave directly. I was worried that something would go wrong, so I didn't dare to prescribe medicine for them. Seeing that two patients finally left, I I think it’s a pity.”
She has a strong sense of belonging to Sunshine Clinic.
Seeing the loss of patients, I felt very sorry and distressed.
"You are doing the right thing. Safety always comes first. Our small clinic has finally made some progress, so we must not lose the big for the small. If I were not here, I would rather take one less business than open for them randomly. medicine."
Doctors and nurses have a clear division of labor.
Although nurses also know a lot of medical knowledge, they cannot treat patients or prescribe prescriptions.
Not to mention a clinic, even in a ward of a large hospital, if a patient has a condition and the nurse rushes to the ward to see it, as long as the condition is slightly more complicated, they will immediately report it to the doctor on duty.
While the two were chatting, an old scavenger came over carrying a large plastic bag.
The bag also contained collected drink bottles and waste paper.
"Uncle, do you need anything?"
Li Jingsheng greeted warmly.
"I would like to ask you to check me out. Since yesterday, I have been feeling unwell all over."
The uncle's speech was a little slurred, as if he couldn't open his mouth.
As an elderly person, it is easy for you to have slurred speech as you get older.
"Come, please sit inside and I will take your temperature and blood pressure."
Li Jingsheng treats all patients equally.
He did not despise the old scavenger just because he picked up scraps to sell.
The old man was not badly dressed, with a dark gold striped short shirt, black shorts, leather shoes and black socks.
Her silver-white hair is also meticulously cared for.
Except for the dirt on my hands, my body and face were still clean, and there was no body odor from someone who hadn't showered in months.
Even though he was just picking up scraps to sell, he was completely different from the beggar who was hit that day.
The uncle's body seemed to be uncontrollable and trembling slightly.
"Did you bring your ID card?"
"Did not bring!"
"Do you have a cell phone?"
"There is a senior machine."
The uncle trembled and took out a brick-shaped mobile phone for the elderly from his pocket.
This kind of mobile phone has simple functions, has digital buttons, long standby time, loud sound, and large screen fonts. It is specially tailored for the elderly.
In fact, many elderly people now prefer to play with smartphones.
Even if their cultural level is low, it does not prevent them from chatting on WeChat and watching Douyin videos.
And it’s a lot of fun.
"I will follow the admission procedures and register you first. If I have any questions, I can contact you in time."
Li Jingsheng asked the old man for his name, phone number, home address and other information.
Register one by one.
When asking for the name, Li Jingsheng wanted the uncle to write his own name because his speech was a bit unclear.
As a result, the uncle's hands were shaking so much that he couldn't write at all.
After a lot of effort, the boss finally managed to find out the old man's name.
With the professional sensitivity of a doctor, Li Jingsheng felt that the old man was probably seriously ill.
He is getting older, so it is best to inform his children to avoid accidents at home alone.
"Do you have your children's phone numbers on your mobile phone? Let me register them together and use them as backup contacts."
"Yes! I have a son who works out of town and is a navy soldier!"
The old man looked particularly proud when he talked about his son's career.
Soldiers are the patron saints of a country. They shed blood and sweat, are not afraid of sacrifice, and just protect their country and people. They are very worthy of respect.
"Wow, that's really amazing! When one person serves as a soldier, the whole family is honored. We ordinary people can live and work in peace and contentment, thanks to them guarding the border."
Li Jingsheng couldn't help but have a little more respect for this old man.
The old man struggled to find the phone number, and Li Jingsheng registered it.
The one I saved is my nickname, Xiaoqiang.
"Do you usually live alone at home?"
"I used to live with my wife. My wife passed away the year before last, so I lived alone. I didn't have much to do, and when I was free, I just wanted to go out and pick up some scraps to sell."
Li Jingsheng nodded and praised, "It's good to make money through hard work. It can also reduce the burden on your children!"
After hearing this, the old man moved his lips but said nothing.
"Uncle, let me take your temperature, blood pressure, and heart rate first!"
This is the routine procedure for receiving patients in regular hospitals.
Because of the large volume of outpatient and emergency care, doctors may not necessarily examine every patient, but when it comes to such an elderly person, no doctor would dare to be careless.
The body temperature is normal, 36.4 degrees.
The blood pressure was significantly higher than the normal value, with the systolic blood pressure as high as 157, which was approaching grade two hypertension.
Then measure the heart rate, 112 beats/minute. Faster.
Li Jingsheng wrote down the measured data. This was his habit of receiving medical examinations to facilitate subsequent diagnosis and self-examination.
"Where do you feel uncomfortable?"
"It's just that it's a little difficult to eat and speak. It's also a little difficult to breathe. In short, my whole body feels weak. My hands didn't shake before, but they have been shaking violently in the past two days."
The uncle's words made Li Jingsheng tremble with fear.
Small clinics can handle ordinary patients just fine. Elderly patients who suddenly start to tremble are often a very bad sign.
In the past, when I encountered this kind of patient in a large hospital, ten out of ten had major physical problems.
There was even an 87-year-old woman whose hands trembled when she brushed her teeth in the morning and also when she ate. Her family sent her to the No. 1 Hospital for treatment.
After inspection, no obvious problems were found.
The family members insisted on hospitalization.
Because the old man had difficulty breathing, he was admitted to the inpatient ward of the respiratory medicine department.
As a result, at around 12 o'clock that night, Li Jingsheng went to check the ward and found that the old lady seemed to be sleeping with her eyes closed, but her face looked a little strange. The old lady's daughter stood beside the hospital bed, lying on the edge and falling asleep.
Out of caution, Li Jingsheng stepped forward to check on the old lady.
It turned out that the old man was no longer breathing.
He quickly woke up his family members and reported to superior doctors to organize rescue.
In fact, it is the cardiopulmonary resuscitation set with greater symbolic significance.
Half an hour later, he was pronounced dead.
The old lady walked peacefully. If Li Jingsheng hadn't discovered it in time, he would have been cold and hard by the next morning.
If this happens, he will definitely be criticized and may even be taken to court by his family.
Precisely because of that memorable experience, he was particularly careful whenever he was in charge of older people.
The most fearful thing is to meet an old man who suddenly has tremors in his hands, feet or body.
It is normal for some elderly people to have trembling hands and feet as they get older.
What I fear the most is that my hands, feet, and body will suddenly tremble when I am normally fine.
The prognosis is often not good.
At this moment, the old man suddenly started to tremble in his body and hands, and felt uncomfortable all over. It sounds like a sign of the end.
"Is your difficulty in eating due to difficulty swallowing?"
He consulted the old man with utmost care.
"Yes, it's a bit hard to swallow. It's also a bit hard to open my mouth. I always feel like I can't exert enough force when biting. I've always been in good health before, and I can recover quickly from colds occasionally. This time it seems to be getting worse."
The old man struggled to describe the symptoms.
His hands were resting on the consulting table, still shaking uncontrollably.
Like a Parkinson's patient.
Li Jingsheng worked hard to synthesize this information to make a diagnosis.
It is difficult to open your mouth, swallow, and breathe. There is also a sudden shaking of the body, increased blood pressure, and accelerated heart rate... What kind of disease could this be?
Because the diagnosis level is limited, judging from the various symptoms, it seems a bit like a neurological disease.
He had to continue to obtain more valuable diagnostic information from the elderly.
"How long have you been like this?"
"Maybe three or five days ago! It wasn't serious at first, but it seems to have gotten worse in the past two days. I knocked off two bowls when I picked them up. This has never happened before."
The old man seemed very distressed when he talked about knocking off two bowls.
"My body and hands didn't tremble before, right?"
"Yes, I never tremble. Even though I am over eighty years old, my hands have never trembled. I usually have the habit of reading and writing with calligraphy, so I can't do it these days."
"Have you ever fallen or eaten any special foods before these symptoms appeared?"
food poisoning.
Brain damage caused by a fall may cause this series of symptoms in the elderly.
"I didn't fall down, and I didn't eat any special food. I just had steamed buns and porridge every morning, some rice at lunch, one meat and one vegetarian, and very little at night."
The old man's life is very simple.
Li Jingsheng guessed that the old man had poor financial conditions and was unwilling to ask his children for it, so he came out to pick up scraps and sell them.
I didn’t fall, and it wasn’t food poisoning. So what kind of illness could it be?
Li Jingsheng racked his brains to conduct a comprehensive diagnosis for the elderly. In fact, he wanted to persuade the elderly to go to a large hospital for examination.
It was hard for him to say this when he thought that the old man had difficulty even making a living, and that at such an old age he still had to pick up scraps and sell them to make a living.
"Uncle, let me touch your hands and neck to see how your muscles are!"
"good!"
The old man nodded in agreement.
He looked very labored when he nodded.
Li Jingsheng noticed this when the old man came in.
He first touched the old man's arm. It was not very thin and had some muscle. But the old man's muscles were tense.
I touched the old man's neck again and found that there was a certain degree of cervical stiffness.
Including the masticatory muscles, he also touched them and found that there were also abnormalities.
However, no obvious lymphadenopathy was felt in the neck.
"What disease can cause muscle tightness in the neck and hands at the same time?"
Li Jingsheng fell into deep thought again.
Diagnosing the cause of disease must be rigorous, with as much evidence as possible, and one's own subjective conjectures should not dominate diagnostic thinking.
The old man put the mobile phone in his trouser pocket, but it seemed very laborious.
When he took his hand out, he accidentally brought out a wad of money.
Li Jingsheng quickly got up and helped the old man pick it up.
"Just sit down and I'll help you pick it up. Don't drop it."
Basically, they are mainly one yuan, five yuan, ten yuan, and fifty cents.
Li Jingsheng helped the old man pick them up one by one and fold them neatly.
He found that along with the coins fell out a remittance slip. The date is quite close, today, and the remittance amount is RMB.
The payee account turned out to be a Hope Primary School in a mountainous area.
In the column for the remitter's signature, the old man's name was written crookedly.
Li Jingsheng instantly felt his nose was slightly sore and his heart was filled with excitement. The image of this old man suddenly became hundreds of times taller in his mind.
