Xiao Gao has extraordinary talent in sales. In order to improve sales performance, he dares to bend down and is willing to put down his posture to smile and talk softly to customers. And he is very good at grasping the psychology of customers.
These are his strengths.
But his medical skills should be average.
For normal medical students, even if they fail to pass the medical certificate examination, they will usually have no problem if they graduate from the regular training.
He couldn't even pass the final exam for the regular training, which was actually quite miserable.
According to regulations, if you fail to pass the final examination of the regular training, if you are a professional master, even graduation will be a problem.
You can make up the exam in the second year without having to participate in training.
If you fail to take the exam for three consecutive years, it will be very miserable and you will need to re-enter the training program.
By the time they graduate from the examination and training, many medical students are already in their twenties or eighties. In this age group, every year of delay will increase the pressure on all aspects exponentially.
This is why Xiao Gao's salary is so low, but he is still willing to devote himself to Kuai Kang Clinic for one year.
People are forced to do nothing.
Now that he has finally moved to Sunshine Clinic, it is not difficult to understand why he works so hard to sell medicine.
He himself said that if he wanted to work hard to make money, he should get married first.
Unexpectedly, another patient would visit us at this time.
An elderly couple in their sixties came in with a four or five-year-old boy. The little boy was crying profusely, with tears all over his face.
The little boy is held by the old man.
He looked thin, and kept his right hand motionless on his chest.
From time to time, he raised his left hand to wipe away his tears.
"Doctor, doctor, my grandson just fell down while playing on the balance bike at home and can't lift his right hand. Can you help us take a look?"
The expressions of the two old men were very anxious.
The old lady wore glasses and was well-dressed, exuding the temperament of a talented woman from a scholarly family.
The old man also seemed to have a good temperament and was by no means an ordinary person.
At least they are teachers and researchers.
Before retiring, you will definitely be engaged in clerical or technical work.
He shouldn't be a leading cadre, because he lacks the "powerful spirit" in him.
"Don't worry, put the child on the bed inside first, and I'll check him."
Li Jingsheng led his family members into the infusion room.
The clinic is very small, with only one bed each in the infusion room and treatment room.
The treatment room does not allow patients to enter easily, especially after Li Jingsheng came up with the idea of developing a surgical project, he was considering making the treatment room more like an operating room.
When I have more money, I will renovate it and purchase equipment such as shadowless lamps and electrocoagulation knives.
Under the current conditions, even performing first-level surgery frightened him.
We have to worry about the patient's wound infection, but also worry about not being able to stop the bleeding after piercing the blood vessel.
What's worse is that when a patient has an accident during the operation, his small clinic's rescue capabilities are extremely weak. It would take at least ten minutes to send him to the second hospital, but the actual time would definitely be longer.
Small clinics still face many challenges if they want to develop surgical services.
But he remains confident.
No fat man can make it in one bite. He just needs to be down-to-earth and develop step by step. I believe that sooner or later he will be able to realize this ideal.
After laying the child flat on the bed, Li Jingsheng began to conduct a preliminary examination on the child.
At this moment, the importance of bone palpation is highlighted.
"Kid, don't cry, don't cry. My uncle is a doctor and he will examine you now. Only when the injury is clearly investigated can we help you cure it. Do you understand?" Li Jingsheng comforted the child.
Tang Ping, who had already changed her clothes, put on a nurse uniform after hearing the news and came over to help.
Xiao Gao stood silently behind and watched Li Jingsheng examine the child.
The area of the infusion room is not large, only enough to accommodate a few people.
The little boy looked at Li Jingsheng with tearful eyes and stopped crying.
But he still sobbed from time to time.
"Where did it hurt from the fall?"
"Here, and here, here... uh uh..."
The little boy pointed to three locations with his left hand.
Right elbow, shoulder, butt.
Fortunately, as long as you don't hit your head, it's usually not life-threatening.
It is common for children to fall down.
That is to say, children nowadays have become more delicate. In the 1950s and 1960s, and even in the 1980s and 1990s, the children at that time were very wild. After falling twice, he didn't even make a sound. He got up and patted his butt and continued playing.
Li Jingsheng checked the little boy's buttocks and found that there was almost nothing wrong.
Then start looking at the elbow of your right hand.
The skin was scratched, but no bones were injured, and it was only a minor injury at most.
It seems the problem is in the shoulder.
The mastery-level bone touching technique provides him with powerful bone injury inspection capabilities.
After touching his shoulder and surrounding areas, he already had a certain idea.
If the shoulder joint is dislocated, the joint capsule should not be too damaged.
Children have soft bones and good toughness, so the probability of fractures and fractures is low.
"It should be a dislocation of the shoulder joint. If you are willing, I can take an I can take my child to the hospital for surgery.”
Li Jingsheng said to the two old people.
This is the first business he has received since he learned common bone-setting techniques and bone-touching techniques.
Xiao Gao couldn't help but look at Li Jingsheng with admiration when he heard that his boss actually knew how to correct the bone.
Tang Ping was only slightly surprised, but also a little worried.
The boss went to the No. 2 Hospital for further training and learned bone-setting and reduction techniques from Dr. Xu. How many days has it been?
What can be learned in such a short time?
No matter how famous teachers produce great disciples, it still takes time!
"Why don't we take a video first!"
The old lady had been silent, but now she made the decision.
"The film costs 100 yuan. Can you please pay the fee first?"
When it came to collecting money, as long as Tang Ping was present, she never let Li Jingsheng lower his stature.
Basically, she comes forward to communicate with family members or patients.
"Can."
The old lady took out her smartphone.
“Can I scan the code?”
"There is a charge code outside, please come here."
After guiding the old lady to pay, Li Jingsheng took the child to the medical technology room to take an X-ray.
After X-ray examination, the results were consistent with his bone palpation results.
The dislocation of the little boy's right shoulder joint is relatively serious. Even if an ordinary orthopedic surgeon knows a little bone-setting techniques, it is not easy to restore the joint without damaging the little boy's joint capsule.
Considering the risk of joint capsule tear, ordinary doctors should not dare to operate it.
Because Li Jingsheng knows the art of bone manipulation, he can directly form a real bone map in his mind, which is comparable to open reduction. In addition, his ordinary bone setting techniques have reached the master level, so he has full confidence that he can help this patient. The child's manual reduction was successful.
If there is a fee, he plans to charge 200 yuan per person for shoulder joint reduction.
This amount is not fixed and is charged based on difficulty and risk.
The X-ray costs 100 yuan, but the patient can actually be cured at a cost of 300 yuan.
As for the bandage used for suspension after successful reset, this was a gift from Li Jingsheng.
"This is a film taken for a child. The right shoulder joint is seriously dislocated, but manual reduction can be tried. If it fails, surgical treatment will be considered." Li Jingsheng introduced the basic situation to the family members.
Definitely can't speak too highly.
What if the manual reset is unsuccessful?
"Is the success rate of manual reduction high? If it fails, will it cause new damage to my grandson's arm?"
The little boy’s grandmother asked Ning questions one after another.
The family members obviously still have great doubts about the medical skills of this small clinic.
"The success rate is over 80%! As for whether failure of reduction will cause harm to your grandson, I can only answer you this way. There are risks in any clinical operation. If during the reduction process, I feel not sure that it may cause harm to the child's bones. Damage, I will stop immediately.”
Li Jingsheng's bone-touching technique is at least proficient.
The bone image, bone position, and possible damage during the reduction process can be predicted in advance.
"I'll discuss it with my wife first and then I'll reply to you!"
The old lady took the old man and walked not far away to discuss.
I could faintly hear her lowering her voice and saying, "This is just a small clinic. It has been open for less than a year, and the doctor is so young. Why don't we go to the community health service station?"
"Didn't the newspaper say that this clinic has excellent medical skills and good medical ethics? The examination has been done, why not let him try it first."
The old man had different ideas.
"What if our grandson's bones are injured? What should we do? If it doesn't work, we might as well go to the second hospital." The old lady had her own worries.
"Okay then, it's up to you."
The old man was finally persuaded by his wife.
Basically, most harmonious families are similar. The wife listens to the wife on small things, and the husband makes the decision on big things.
"Doctor, I'm sorry, we are still a little worried about the safety of the manual reduction, so we decided to go to the hospital for another check."
The old man said to Li Jingsheng with a smile on his face.
"It doesn't matter. If the hospital requires surgical treatment, you can still come back to me and try the manual repositioning first. First, the treatment fee is very low. In addition, the child will suffer less and the recovery time will be much shorter. It will not affect school at all."
It is the patient's freedom to choose where to receive treatment and in what manner.
All he can do is try to inform the pros and cons.
He felt it was a pity to see a patient with shoulder joint dislocation who had finally received treatment pass away like this.
Tang Ping was about to persuade the family members, but Li Jingsheng stopped her with his eyes.
"Dr. Gao, it seems that the community health service station cannot be reset by manipulation, right?"
Maybe he didn't expect Tang Ping to ask him.
Xiao Gao scratched his head habitually, "I'm not very clear about this!"
"Don't think I don't know. You used to go to the community health service station to get medicine. You must know the technology there." Tang Ping didn't give him a chance to pretend to be stupid.
Whether it’s Boss Zhao’s Kuai Kang Clinic or Li Jingsheng’s Sunshine Clinic, some medicines are simply not available.
I can only find a way to get medicine from the hospital.
Li Jingsheng didn't have this kind of access, so he could only find ways to substitute other drugs for the medicine he didn't have.
If Xie Guiqiu can help him get the qualification to join the centralized purchasing platform, he will no longer have to ask for help when it comes to medication.
Xiao Gao specializes in doing odd jobs and running errands at Kuai Kang Clinic.
When the Kuai Kang Clinic needs medicine, it will ask him to go to the community health service station to "restock".
Li Jingsheng didn't know about this, but Tang Ping accidentally discovered the secret when he took Niuniu Community Health Service Station for a physical examination.
"I, I've only been there a few times... They have surgical services there, so I don't know if they can perform manual bone reduction."
Xiao Gao stammered and turned red.
"Okay, okay, don't embarrass Dr. Gao! Let's get off work! Sooner or later, our clinic will start the business of manual bone reduction."
Li Jingsheng helped Xiao Gao get out of trouble.
He understood Xiao Gao's concerns, and when he switched jobs to Sunshine Clinic, he must have promised Boss Zhao not to leak Kuai Kang Clinic's business secrets.
Otherwise, it would be like digging up Boss Zhao's ancestral grave.
Li Jingsheng was very happy that Xiao Gao could keep his promise.
In the future, if Xiao Gao changes jobs from here, he will still be able to keep his promise.
…
Li Jingsheng finished settling the accounts and writing today's medical records before going out to eat.
Xiao Gao is really awesome. He alone sold more than 7,600 yuan today. In other words, Tang Ping only sold it for about 3,500 yuan.
Without Xiao Gao's participation in Sunshine Clinic, the sales of health medicines would soon drop to one to two thousand per day.
Lack of a huge customer base and accumulation, it rises quickly and falls equally quickly.
Li Jingsheng realized that if he wanted to become bigger and stronger, he still had to work steadily.
Relying on media exposure and publicity can play a certain role in promoting the company, but if it lacks core competitiveness, it will still be difficult to achieve success.
While eating egg fried rice outside, his cell phone rang.
It's an unknown number.
"Hello, who are you looking for?"
"Are you the doctor from Sunshine Clinic?"
"Yes, I'm Li Jingsheng! What can I do for you?"
"Hello Dr. Li, I am the one who brought his grandson to your clinic for treatment not long ago. He is the little boy who broke his right hand. Do you still remember him?"
"Oh, it's you! Have you gone to a big hospital for treatment?"
Li Jingsheng was surprised.
There is no way that the elderly couple has his phone number. Calling him now is the only possibility. They were outside Li Jingsheng's clinic.
The spray-painted signboard that cost more than 400 yuan had Li Jingsheng's phone number on it.
It was originally intended to make it easier for patients to contact him in an emergency.
"We went there, but the community health service station couldn't treat us. The emergency department of the Second Hospital told us that we need to wait until tomorrow morning at 8 o'clock, and the manual reduction clinic can't be treated before we can get treatment. You see...it's convenient to work overtime for a while and help my grandson treat it." Is that so? We are taking our grandson outside your clinic and see the glass door is locked."
The old man must have considered that the child would be in pain all night if he waited until tomorrow for treatment.
And no one can guarantee whether the injury will worsen while waiting.
You can feel the anxiety in his heart from his almost pleading voice.
It was true that these two old men went through a lot of troubles and finally had to seek treatment from Li Jingsheng.
But I can understand their mood.
"I'm outside. I'll be back soon. It will take about ten minutes."
Li Jingsheng didn't talk nonsense either.
When patients are in need, he will try his best to provide help to the best of his ability.
"Okay, okay, thank you so much! Then we'll wait for you outside your clinic!" The old man was relieved to hear that Li Jingsheng would be back soon.
Li Jingsheng speeded up his meal.
He drank up the free seaweed and egg soup in one gulp and hurried back to the clinic.
When he arrived, he saw the elderly couple standing in the night in the distance, with the old man holding the child.
A little boy of four or five years old is not light.
It must be very difficult to hold it all the time.
The old man was reluctant to put his grandson down.
The old lady kept looking anxiously.
I wonder if the old man scolded her?
A couple of complaints should be indispensable.
"Come on, come on, the doctor is here!"
When the old lady saw Li Jingsheng striding over, she immediately smiled happily.
"Sorry for keeping you waiting!" Li Jingsheng apologized and quickly unlocked the door and pushed the glass door open. "come in!"
He led the three people into the clinic.
When I left, I only left one light on to save electricity.
There are patients at the moment, so we can only open them all.
Suddenly, the dark little clinic was filled with light.
"Put him on the bed first, and I'll check him again."
Out of caution, Li Jingsheng definitely needed to touch the bones again.
When he touched the dislocated shoulder joint, he frowned slightly.
"Did you perform manual repositioning in the hospital?"
The old lady's face suddenly turned red.
The old man admitted frankly, "When we went to the community health service station, a surgeon named Jin was on duty. He asked us to take a film at the community health service station. After watching it, he said that it could be restored manually. The result was a failure. "
Manual reduction of the shoulder joint is not difficult, but it depends on the situation.
Dr. Jin is a general surgeon at a community health service station and is very enterprising.
He should not be good at orthopedic surgery.
Maybe he was overconfident in his bone-setting and reduction techniques, which is why he made a fool of himself.
"Did you go to the emergency room of the Second Hospital to take any films?"
"No! The doctor there saw that we had taken two X-rays at the community health service station and here, and he said there was no need to do any more examinations. He also told us that judging from the dislocations shown in the X-rays, my grandson's The dislocation is quite serious. Only Dr. Xu in their hospital has this bone-setting technology. We have to wait until Dr. Xu goes to work at eight o'clock tomorrow to take a look at it to determine whether it can be reduced manually."
The old man is quite honest.
Everything is said.
"Doctor, my grandson's surgical reduction failed at the community health service station. Is there any impact?"
The old lady asked worriedly.
When Li Jingsheng touched the little boy's bones just now, his expression changed obviously.
"fine."
Li Jingsheng could only give an ambiguous answer.
Let him speak ill of Dr. Jin at the community health service station. There is no way he would do such a thing.
"That's good, can you help my grandson reset his technique now?"
"You can try it. My charge here is 200 yuan."
After touching it, Li Jingsheng found that there were some hematomas in the dislocated area of the child's shoulder joint. Blood vessels and muscles were damaged to some extent.
I really cannot praise Dr. Jin's manual reduction skills.
Fortunately, the child's shoulder joint capsule was not torn or the bones were seriously damaged. Otherwise, it would probably be a serious problem.
Seeing how much this old couple loves their grandson, if they learn that Dr. Jin seriously injured their grandson's bones during the surgical reduction, they will definitely pursue the case to the end.
"Money is not an issue. Just making sure my grandson is safe."
The old lady's monthly retirement salary should be quite a lot.
I don't care about the cost of treatment.
And it only charges 200 yuan, which is really not much.
"Please hold the child and sit on the chair, immobilizing his body as much as possible."
Li Jingsheng said to the old man.
The old man did as he was told.
Li Jingsheng held the little boy's shoulder with one hand and held the humerus of the little boy's arm with the other hand.
Then use the traction technique newly learned from Dr. Xu to pull the child's right arm vertically upwards, while slowly externally rotating the arm and applying slight force on one end.
A very slight bone ringing sound was heard.
This is the sound of the humeral head successfully returning to the joint capsule.
The little boy had been screaming in pain, but now he suddenly became quiet. Followed by crying loudly.
