"Little brother, you'd better not go to my clinic. I have something to do and I won't be able to go back for a while. I only have two young guys guarding the place, and one of them is not an intern. If I treat you wrong later, you will be in trouble. It’s better for you to go to the hospital.”
After Boss Zhao heard this, he quickly pushed the patient out.
"The technology at your place is quite impressive. My girlfriend and I had colds and illnesses before. Didn't we always go to your place for treatment? We all got better very quickly! Why don't you help me find out what medicine to use? Just call and talk to the nurse at your clinic."
This young man has a high degree of trust in Boss Zhao.
"You have a stomachache. It's just across the belly. It's not that easy to cure. Listen to me and go to the hospital quickly. Dr. Cha at the health station is very good at treating this kind of disease. Tell him, I introduced you. , I will definitely give you some preferential treatment. You and your girlfriend are old customers of our Kuaikang Clinic after all, so I should help you with this small favor. "
Boss Zhao's mouth is really powerful.
After selling the patient, he can still ask the patient to help him count the money.
"Boss Zhao is very interesting! Okay, let's go to the health station. Thanks!"
The young man felt that he was very proud and left happily.
Boss Zhao stared at his girlfriend until she walked away, then reluctantly looked away.
I feel that Boss Zhao is particularly like Cao Cao in this regard.
Regardless of whether they are owned or not, as long as they look good, he likes them all and wants them all.
"Brother Li, can you come out for a moment?"
"Don't stand outside every time you come in and don't come in! Others see it and think I'm so stingy that I don't even invite you in for a cup of tea."
Li Jingsheng walked out.
Regardless of whether you like it or not, you still have to do the work you need to do.
It's just like the relationship between two countries is on bad terms. Even if there is a fight, diplomacy must be maintained.
"It's cool outside, it's cool outside! Brother Li, wow, you haven't been here for a day and you've already put up a sign of bone-setting skills. It's really enviable."
Boss Zhao stared at the newly made stainless steel sign with envy on his face.
"Compared with the dozen or so signs of your Kuai Kang Clinic, what am I? It's nothing."
"Don't say that, my dozen or so signs are not as good as yours!" Boss Zhao showed a proud smile. Every small signboard in the clinic is not hung up casually.
Every signboard is an expansion of strength.
He has been running a clinic for more than 20 years and has a deep foundation.
The vast majority of people who open a clinic make losses in the first few years. If they can break even after three years, they are considered good.
Boss Zhao’s current annual income is one to two million, but he doesn’t have much money. Is this possible?
"Brother Li, let's talk about business. Stationmaster Qiao wants to invite you to the health station for a consultation. How are you thinking about it? Let me explain in advance that I will only act as a middleman."
He was worried that Li Jingsheng would fall out with him.
The development potential revealed by Li Jingsheng now is terrible.
When Boss Zhao interacted with him, he was obviously completely different from his previous suppressive attitude.
Even when he speaks now, he still respects Li Jingsheng.
He is very smart. If he has a deep grudge with Li Jingsheng now, and in a few years, Li Jingsheng develops, will he still be crushed to death?
For this kind of opponent that cannot be nipped in the cradle, Boss Zhao chooses win-win cooperation instead of the previous suppression and control.
"I can't go. Just tell Station Manager Qiao that I won't go. I have to guard my own clinic."
Li Jingsheng replied calmly.
Stationmaster Qiao has great influence and has certain real power. Although he cannot directly control Li Jingsheng, he can indirectly affect the operation of his clinic.
If the incorporation fails, there should be no retaliation.
At most, he just hates Li Jingsheng.
It doesn't matter, Li Jingsheng doesn't want to have anything to do with him.
The sparrow knows the ambition of the swan.
His goals and ideals are beyond the imagination of Boss Zhao and Webmaster Qiao.
Sunshine Clinic will become a world-class top hospital in the future under his leadership.
Not to mention asking him to work as an external doctor at the health station, even if he was asked to be the director of the health station, he was not interested.
"Okay, I'll talk to you about this later." Boss Zhao nodded without any further persuasion.
Before he left, he glanced at Xiao Gao who was busy in the clinic.
"Xiao Gao, this little kid is really awesome! Alas, I missed a talent!"
As he spoke, he waved his hand, shook his head and left.
…
Two days passed in the blink of an eye. Li Jingsheng refused Webmaster Qiao's recruitment and there was no follow-up.
It's as if this never happened.
He knew that it would definitely not be as peaceful as it seemed.
The female patient who had facial abscess surgery had the surgery the day before yesterday. She came here yesterday to have the drainage strip replaced.
Li Jingsheng's implantation skills have reached entry level, so he is not stingy.
When she gave her patient a drainage strip the next day, she directly upgraded the insertion procedure to a proficient level.
It's not that he doesn't want to advance to master level, or even higher level.
It's that he doesn't have much health, only a little over a hundred, so he has to keep it for emergencies.
Inserting a drainage tube is basically enough for entry-level patients.
At best, the tube is a bit expensive, and it takes two or three times to successfully place it.
Now that you have upgraded to the proficiency level, you can succeed in one go.
Today is Monday, and Li Jingsheng rushed to the manual reduction clinic of the Second Hospital early in the morning for 'refresher training'.
Now both Dr. Chen and nurse Li Li know Li Jingsheng's abilities.
Even if Dr. Xu didn't arrive, they dared to take the patient inside.
Li Jingsheng followed the normal process, read the pictures, then felt the bones, and then formulated a treatment plan for the patient with manual reduction.
He has learned four advanced bone-setting techniques, and has also reached the proficiency level in ordinary bone-setting techniques. Basically, he can handle more than 60% of the cases.
It was too complicated and serious, not even him, not even Dr. Xu could handle it.
That kind can only be sent to the orthopedic surgery inpatient department, where hospitalization is done first, and then surgical treatment is performed.
And not all fractures can be cured with surgery.
Many of them cannot be cured, or their original motor functions cannot be restored after treatment.
The treatment of bone injuries is much more complicated than imagined.
Even if it is just a meniscal injury, it may not be cured.
Or after treatment, only part of the lower limb motor function can be restored.
As Li Jingsheng learned more about bone setting and bone healing and gained more experience, his respect for bone injuries became stronger and stronger.
Three patients were admitted one after another, and all of them were successfully reset.
Now, he seems to have the ability to perform surgical reset clinics.
It's already past eight-thirty, and Dr. Xu still hasn't come.
This kind of thing has never happened.
Li Jingsheng has been studying here for so long, and Dr. Xu has stepped in most of the time. A minute or two late at most.
The only time I was more than ten minutes late was because Dr. Xu rescued a child who accidentally fell from a height on his way to work. No wonder I saw blood stains on his clothes that time.
A fourth patient was brought in.
After Li Jingsheng saw it, he could still cure it.
However, the patient needs to take a radiograph first.
Some patients directly perform surgery to reset the number of the outpatient doctor, and then come to the outpatient room for treatment.
In this case, the patient needs to take a film first, and then come back with the film for further diagnosis.
"Why hasn't the teacher come today?"
Li Jingsheng was a little worried.
Not long after, Director Hua from the Orthopedic Surgery Department came over in person.
"How's the situation here?"
Director Hua asked.
"Doctor Li has already treated three patients, and the fourth one has just completed the examination application form and gone to take X-rays." Li Li answered truthfully.
"Well, very good! Dr. Li is now capable of becoming the new pillar of our orthopedic surgical reduction clinic." Director Hua praised him with satisfaction. "Lao Xu is sick and is getting an intravenous drip. It will probably take a while before he can come here. Just hold on for a while."
No wonder Dr. Xu never came.
It turned out to be illness.
The disease must be serious, otherwise there would be no need for an intravenous drip.
While he was talking, the fifth patient came in.
Director Hua was still a little worried and stood watching. You may also want to see with your own eyes Li Jingsheng's true level.
Li Li directly handed the patient's films and information to Li Jingsheng.
Dr. Chen can only be envious of this.
Because only Li Jingsheng has the ability to cure patients.
Li Jingsheng took the film, and instead of watching the film first, he looked at the people first.
The patient's right wrist was almost completely blue and purple, and the swelling was not particularly severe.
But it can still be seen that there is obvious swelling.
There are traces of Chinese herbal medicine applied on it.
External application and internal treatment have always been the characteristics of traditional Chinese medicine.
"How did this happen?"
Li Jingsheng asked.
"I was accidentally crushed while operating the machinery. Because the position where my hand was pressed was a round iron pillar, I thought it was no big deal. At that time, it ran directly over from here. My colleague immediately turned off the electric switch. In our town I asked a Chinese medicine doctor to prescribe medicine, which I was told to apply externally and take orally for wounds. It has been five days, and the swelling has gone away a lot, but I can’t move my hands. I’m afraid of becoming disabled, so I’ve heard about the techniques you can use here. I came here to treat the bone injury."
The patient is about fifty years old, has thick hands and feet, and is quite fat.
It can be seen that this person seems to have a special liking for Chinese medicine.
Some patients trust traditional Chinese medicine, while others trust western medicine. It all depends on personal preference and perception.
Both kinds of medicine can cure diseases.
However, the current mainstream in the market is Western medicine.
After Li Jingsheng learned about the patient's injury, he took the film and looked at it carefully.
What was taken was a hand CT.
The fingers are almost uninjured. Starting from the back of the hand, the closer to the wrist, the more serious the injury becomes.
I don’t know what kind of machine crushed it.
There have been reports of accidents in which workers were caught in some rotating machines and crushed into pieces of paper.
The patient's condition must have been extremely dangerous at that time.
If my colleagues hadn't turned off the gate, people might have died.
The most feared thing about crushing injuries is that there are two situations. One is tissue adhesion. Because this kind of injury often involves bone and soft tissue damage together, adhesions are almost inevitable.
There are also bone fractures and even comminuted fractures.
Even surgery cannot cure it.
Hip joints can be replaced, knee joints can also be replaced, and the artificial joint technology for shoulder joints is relatively mature.
So far, there is no way to replace the wrist joint.
Human medicine is constantly making progress, but there are still many areas that have not yet been conquered.
Conquering many medical fields requires the cooperation of scientists, manufacturers, hospitals, and doctors from multiple fields. There are great obstacles to the integration of these resources and the joint application of technologies.
Therefore, many medical problems are far away.
After Li Jingsheng saw the film, he found that the patient's wrist bone had minor fractures in two places. The joint displacement was not particularly serious, but the soft tissue damage and adhesion were serious.
"It's hard to recover from your situation!"
The four advanced bone-setting techniques that Li Jingsheng has mastered so far are not enough to deal with such complex bone injuries.
Dr. Xu may have this ability.
Sometimes it is so dramatic. The first four patients were all Li Jingsheng could handle.
However, while Director Hua was standing nearby watching, someone came who couldn't handle it.
He really didn't mean to show off.
"We asked two major hospitals, and the surgical treatment costs at least 18,000 yuan. They said that the manual bone setting technology here is very advanced and the cost is cheap. Can you help me think of a solution?"
the patient begged.
This person previously said that after treatment at the traditional Chinese medicine clinic had no effect, he went directly to the second hospital for treatment.
Dishonest!
This is normal. Many patients are worried about making doctors unhappy after seeing them in other hospitals, so they will deliberately hide it.
In fact, most doctors don't mind this.
Everyone is very practical. If it can be cured, it can be cured. If it cannot be cured, it can only be pushed to the outside.
"I have four children studying, the youngest is only eight years old, and the conditions at home are really bad. Doctors, please help! If it costs 20,000 to 30,000 yuan, we can't afford the treatment at all. If my husband's hand is disabled, we will not be able to treat it in the future. I don’t even dare to think about life at home.”
The woman was in her forties, and like her husband, she looked like a hard worker in the countryside.
Some towns are developing well and have factories.
Local residents do not have to leave their hometowns and can work near their homes. Although the salary is a little low, everyone is still happy to be able to make money and take care of the elderly and children.
The couple is almost fifty years old, and the youngest child is only eight years old. They are really fertile.
If you are over 35 years old, you are considered to be pregnant at an advanced age.
The risks will also increase exponentially.
The couple's salary is not high and they have four children. The financial pressure on this kind of family will definitely be particularly great.
Now that there is a problem with the backbone of the home, it is tantamount to a huge disaster for the entire family.
Li Jingsheng can sympathize with the difficulties of this family.
"That's good, you sit over there and wait for a while until my teacher comes over and see what he says."
Treating such a difficult bone injury is very risky.
Li Jingsheng would never dare to take the initiative.
He has seen too many stories about farmers and snakes.
Don't look at the patients and their families now begging him for help in treatment. If it's cured, everyone will be happy. If it's not cured, it's just a minor complaint.
He will never agree easily to something he is not sure about.
The family members and the patient agreed and sat aside to wait for Dr. Xu to come over.
A sixth patient was admitted.
This is a patient with a fracture injury, the humerus of his left arm was transected.
Li Jingsheng was completely depressed.
As if he was deliberately making him look embarrassed in front of Director Hua, he treated two difficult orthopedic patients in a row.
After reading the pictures and touching the bones, he had some confidence.
If you want to connect the patient's broken bones, he can do it. However, this is a transverse fracture injury, as well as a jagged fracture injury. Even after being connected, it is difficult to make the bone sections fit tightly.
This will definitely affect the healing of bone injuries and also reduce the strength of the fracture site after healing.
Secondary fractures can even easily occur.
In addition, good fracture reduction is like wound suturing, which can quickly heal the wound.
If after the broken bones are connected, there is no way to ensure that the broken ends fit tightly, and the healing time will be greatly extended. Malformation may even occur.
When Li Jingsheng was in a dilemma, Dr. Xu came over.
"Director Hua, please help me keep an eye on the situation!"
He smiled and greeted Director Hua.
"Isn't this because I want to see how good your master's skills are!"
Director Hua is very good at what he says and does.
Although Li Jingsheng failed to solve two cases in a row, he never said a word of criticism from beginning to end.
Not even a disparaging word was said.
When Dr. Xu heard others say that Li Jingsheng was his apprentice, he would always refute and correct them.
This time there was surprisingly no argument.
He turned to look at Li Jingsheng.
"Teacher, are you feeling well?"
Li Jingsheng was not in a hurry to report on his work, but asked about the teacher's health.
"It's okay! I just don't have any strength and my head is a little dizzy. Is it very difficult for these two patients to reset?"
After Dr. Xu glanced over, he could guess the conditions of the two patients without even needing Li Jingsheng's report.
"The patient had two minor fractures in his wrist bone and a certain degree of joint dislocation. Both of these can be easily solved, but his soft tissue damage was severe and there were adhesions, which caused great obstacles to manual reduction."
Li Jingsheng first reported on the condition of the first difficult patient.
"Soft tissue adhesion injuries combined with fractures and joint displacements? This is indeed extremely difficult to operate."
Doctor Xu is quite careful about protecting his apprentice's face in front of outsiders.
Of course, the operation difficulty is indeed not low.
"What about this? What's going on?"
His eyes looked at the patient with a fractured humerus.
"This patient suffered a transverse humerus injury. I have no problem with the broken bones connecting, but it is difficult to ensure that the broken ends of the fractures fit closely together."
"Well, bone transection is really difficult to treat. Do you have a treatment plan?"
Dr. Xu wanted to take the opportunity to test him and test whether he was studying hard.
"It may be necessary to perform traction, and then swing the distal end of the fracture to make the broken bone fit tightly. To perform this operation, one will need anesthesia of the arm, and the other will require an assistant. I can only wait for you to come over before I dare to do it."
Li Jingsheng wanted to try the manual reduction of humeral transverse injury.
This requires the use of the fifth advanced bone-setting technique.
He asked himself that he was somewhat sure, about 50%.
"Okay! It seems you haven't been lazy these days. The treatment bed inside can be used for traction and immobilization. If he can be cured in the outpatient clinic, he shouldn't need to be hospitalized."
After hearing this, Dr. Xu showed a satisfied expression.
Li Jingsheng had been studying with him for a day or two, so he understood what he meant when he heard this.
This allows Li Jingsheng to let go of his hands and feet, while the teacher gives guidance and sweeps the formation.
"Great, can you help me treat it now?"
When the patient heard that the old doctor said that he could be treated in the outpatient clinic without being hospitalized, he was very happy.
Everyone knows that outpatient treatment is much less expensive.
Recuperating at home is not only much less expensive, but also provides more freedom and comfort.
"I'll help you do it now. Lie down on the treatment bed inside."
Li Jingsheng now has many decisions to make.
Thank you two book friends, Dandan Bandit,
Book friend 20210301106460054746, reward and support, thank you very much.
(End of chapter)
