The medicines used by doctors are all symptomatic treatments.
But it was of no use at all. Instead, the patient's condition worsened, indicating that the cause was not acute gastric mucosal disease at all.
What disease could it be?
The possibility of intestinal perforation is not high.
However, if the patient has a high fever that persists and develops various severe abdominal pain symptoms, then acute peritonitis caused by intestinal perforation needs to be considered.
This disease is very dangerous. For every 12 hours of delay, the patient's risk of death at least triples.
It is not difficult to understand why Dr. Cha is as anxious as an ant on a hot pot.
"Transferring to another hospital is one way, but the situation at the health station is more complicated. It would be best if we could handle this case by ourselves. By sending a bad patient to a higher-level hospital, station director Qiao is now a little worried about the health station being upgraded to a service center. Things are affected. You know, right? This is a vision shared by dozens of medical staff at the health station and Station Director Qiao."
Boss Zhao is now worried about buying two pieces of tofu and hitting the wall.
How could something that was the best of both worlds end up like this?
If he doesn't help resolve this matter, Doctor Cha will probably hate him for the rest of his life. Stationmaster Qiao will also have a bad impression of him.
For an ambitious person like Stationmaster Qiao, he will be in a hurry with anyone who prevents the health station from being upgraded to a service center.
"Then what do you mean by looking for me?"
Li Jingsheng was tricked many times by Boss Zhao, so he immediately maintained a high degree of vigilance.
"Ahem... I just want to ask you, do you know what disease that patient has?"
Boss Zhao is an old man, and now he is forced to ask Li Jingsheng, a junior, for advice.
There must be some confusion on his face.
"Then who knows! Acute gastroenteritis, ulcerative colitis, intestinal perforation, acute pancreatitis, acute cholecystitis, etc. are all possible. I only learned a little about the patient's condition that day, and didn't even allow for abdominal examination. When I did it, the patient lost his temper and left. You were also present at the time!"
Li Jingsheng kicked the ball back.
This matter must not be touched.
"When they left, you told the patient that it was not a minor illness. It could be seen that you were very sure at the time. Brother, it's time now, so stop hiding it and tell me, whatever your diagnosis or ideas are. . I’m asking you for help, okay?”
Boss Zhao was so anxious that he had no choice but to do anything.
"really do not know."
Li Jingsheng spread his hands helplessly.
"I still have patients inside, so I won't talk to you anymore. If you ask me, you can transfer the patient to another hospital or invite experts from other hospitals to come for consultation."
"Brother, you said this lightly. How can it be so easy to transfer to another hospital? The patient will die at the health station now, and he will not agree to transfer to another hospital by himself. If the hospital takes the initiative to transfer, it can only be transferred to the second hospital above. This is 10,000 The last resort. As for inviting experts from outside hospitals for consultation, you think it’s so easy to invite experts? It’s too late for experts to hide from such a rotten patient!”
Boss Zhao shook his head and sighed.
If a person does not serve himself, he will be destroyed by heaven and earth.
Experts are human beings and cherish their reputation more than ordinary doctors. Any expert who collects a few hundred dollars for a consultation fee would be considered crazy if he did this kind of thing.
Unless they have direct business dealings, no expert will get involved.
Not to mention asking for consultation from other hospitals, even if we ask for consultation from our own hospital, sometimes we will still hesitate.
Li Jingsheng ignored him and went directly into the clinic.
It seemed like more than an hour had passed, and it was already half past six in the evening.
There are no more patients coming to the clinic for treatment.
But occasionally one or two patients who buy medicines still come.
Li Jingsheng was going to let two employees get off work.
There is endless money to be made.
Today's sales are quite good, estimated to be at least 15,000 yuan or more.
The gross income from diagnosis and treatment should be around 1,800 yuan.
One bone-setter alone brought in an income of 400 yuan.
Surgery and orthopedics are very profitable.
There are very few patients in these two categories.
At this time, a middle-aged man dressed elegantly pushed in the door, with a distinguished temperament and a majestic look in his eyes.
It was none other than Station Manager Qiao, the boss of the medical industry in Chengnan Old Street.
"Hey, stationmaster Qiao, what kind of wind has brought you here! Please sit down quickly!"
Li Jingsheng quickly stood up to greet him.
In front of this big boss, he didn't dare to make any excuses.
Even if he becomes the attending physician of the Second Hospital in the future, he will still not offend Stationmaster Qiao.
Unless you are forced to do nothing, then make it turn upside down and turn it upside down.
As long as Stationmaster Qiao's brain is not kicked by a donkey, he will never easily become an enemy of Li Jingsheng.
At most, he is unhappy and embarrassed.
Li Jingsheng is not his subordinate, it is his fault that he likes to make faces. It's useless even if it's longer than a horse's face.
"I heard from Lao Zhao that your small clinic is getting better and better. It looks really good! It looks small, but it is clean and tidy. What's even more commendable is that no matter the medicines sold or the medical skills of the clinic, They are both very strong. I think the other two clinics may not necessarily be your opponents in the future."
Stationmaster Qiao glanced at the clinic counter and other places, with surprise and appreciation in his eyes.
"Both Boss Zhao and Boss Ye are my seniors. I have never thought about competing with them. I just want to serve every patient and customer who comes into the clinic. I will be satisfied if I can survive."
Li Jingsheng didn't dare to show any ambition in front of this person.
Otherwise, it would not be worth it if he was directly pressed to death.
"Haha, your mediocre thinking of doing something without doing anything, not deviating from the middle, and the mean is not easy is the real wisdom."
Stationmaster Qiao smiled.
His positioning is particularly high.
"I don't go to the Three Treasures Hall for anything. I want to ask you to come and help with the patient with abdominal pain after drinking. Boss Ye and Lao Zhao have passed away. The doctors in the Department of Internal Medicine and Surgery at our health station are still on duty regardless of whether they are on vacation. , I called them all together, with only one goal, to find out the cause of the patient's disease."
Stationmaster Qiao personally visited Li Jingsheng for consultation when it was difficult to find experts.
It can be regarded as giving Li Jingsheng enough face.
There was no way. Li Jingsheng dared to refuse him at the wine table a few days ago, and he dared to refuse him today.
He could only follow the path of respect. He did not dare to use his power to suppress Li Jingsheng easily.
And I believe that if he had good information, he would also know that Li Jingsheng had a close relationship with the Second Hospital.
Then we don’t dare to really use our power to oppress others.
"Okay, I'll be there as soon as I close the clinic door."
Li Jingsheng did not refuse this time.
Stationmaster Qiao personally came to invite him, and everyone worked together to consult him, so he must go.
Otherwise, he would be automatically excluded from the medical system in Chengnan Old Street.
You can think of the consequences of being unsociable with your toes.
Besides, if something happens to Li Jingsheng's clinic in the future, others will still stand by and watch.
This is mutually beneficial behavior.
"My car is parked outside, take my car there!"
After Stationmaster Qiao finished speaking, he turned around and walked out.
"I'll wait for you in the car."
From beginning to end, Tang Ping and Xiao Gao were automatically ignored by Webmaster Qiao.
The weight of the two of them is not enough, and there is really no way for them to fall into the eyes of Stationmaster Qiao.
"Sister Tang, Doctor Gao, please get off work! Sister Tang, please help me lock the door of the store."
"OK."
After gaining Li Jingsheng's trust, Tang Ping now has the key to the clinic.
In case Li Jingsheng is away for something, she can open or lock the door.
Walking out of the clinic, a black BMW parked outside.
Webmaster Qiao is not low-key at all!
Many bosses of companies with relatively high positions usually do not drive luxury cars.
It’s not that you can’t afford it, but it’s to avoid being targeted.
Li Jingsheng opened the passenger door and got in.
Not sitting in the back is also a form of riding etiquette.
Normally, the driver drives and the leader sits in the back.
Station Commander Qiao is driving now. If he sits in the back seat, the situation will be a bit big.
"I had no ill intentions when I invited you to work at the health station that day. If you don't want to go, forget it. From now on, you can still come and go frequently with the health station."
Stationmaster Qiao waited for him to sit down and then turned the car around.
Then he said the first sentence.
Stationmaster Qiao directly compacted the line and turned around. It was obvious that he was not the kind of person who sticks to the rules.
There seems to be a very interesting phenomenon in this society. Many people who have a partial official position or a relatively high status do not like to stick to the rules. On the contrary, ordinary people live their lives honestly and within the rules.
It's because those people dared to venture, fight, and didn't follow the rules, and finally achieved something successful.
Or is it because after gaining status, he became arrogant, ignored some small rules, and trampled on them directly. No one can explain this clearly.
"Okay, thank you for your tolerance and understanding."
Li Jingsheng heard that webmaster Qiao took the initiative to say that he didn't care about being rejected.
He was quite happy.
"Which hospital did Dr. Li work in before?"
"Both regular training and residency are done at the First Hospital. It's just that my understanding is poor and my performance is mediocre, so I wasn't even hired as an attending physician."
Li Jingsheng does not shy away from the ordinary life of the past.
"I am also trained by the First Hospital. I have worked in the First Hospital for eight years. I have a little better luck than you. I was hired as an attending physician, but I know that this will be the end of my life. Later I took the initiative to come to Chengnan Health Station, my family lives nearby, so it’s convenient to take care of my parents.”
Webmaster Qiao took the initiative to reveal some private matters, probably for the purpose of exchanging information and quickly increasing intimacy with Li Jingsheng.
As for Li Jingsheng's "tough quarrel", if we can't suppress or coopt him, we can only try to be as harmonious as possible.
"What I admire most is people who honor their parents! We have both been doctors in the First Hospital for many years. It is really fate."
Li Jingsheng said with a smile.
"Let's talk about honoring your parents. I think as long as parents treat their children well, they don't need to be taught at all. When the children grow up, they will naturally know how to honor them. Over-indulging is not the case!"
Stationmaster Qiao's words made Li Jingsheng laugh.
Being spoiled is like killing a child.
After all, there are very few people who over-indulge their children. Not only is it harming the children, but it will ultimately lead to the consequences for oneself.
"The First Hospital gave me a lot of valuable growing experience, but you know the general environment there. The system is rigid and there are too many veterans. It doesn't matter if newcomers want to get ahead, it doesn't matter if they don't have a background. It's too difficult. What did you do at the First Hospital before? Department?"
Dean Qiao looked majestic and started chatting, which was quite topical.
If nothing else, just because he and Li Jingsheng had both worked as doctors in the First Hospital, they had a lot in common.
"I have worked in many departments, including emergency department, general surgery, internal medicine, gastroenterology, and gastrointestinal surgery. I am just a handyman, filling in wherever there is a shortage of people. The one I have worked for the longest is the respiratory medicine department. I am definitely incomparable to an outstanding senior like you. I am hospitalized, in charge of beds, and on duty every day."
When Li Jingsheng talked about the past, it was really hard to look back.
I didn't do very well in the past.
"The environment there is like this. As long as an honest person can endure hardship, there will be endless hardships. I had better luck and met a good senior doctor. Later, when I was transferred to the health station, he always helped me and greeted me. Only then did he succeed in ascending to the throne.”
Speaking of this superior doctor, Stationmaster Qiao's eyes and face were full of gratitude.
There will always be so many noble people in life.
The Sunshine Clinic was not far from the health station, so the car stopped quickly.
The courtyard of the health station is not big and is shaped like a zigzag.
The outpatient building and the inpatient building are integrated.
There is also a three-story building behind the outpatient building. Health and epidemic prevention, canteen, staff dormitories, trade union offices, etc. are all concentrated in the back building.
There are more than a dozen private cars parked in the yard.
The ambulance was parked on the left side of the outpatient building.
It’s just one car and it basically eats dust.
Ordinary patients do not need to call 120 for emergency treatment. Emergency cases are basically not handled here and will be directly assigned to the second hospital for emergency treatment.
Li Jingsheng has been here twice. He himself has low self-esteem, and the medical staff here are generally cold and cold, so he has never been here again.
After half a year, when he came back to the health station, his status was completely different.
Now Station Manager Qiao personally drove over to pick him up.
After getting off the car, the nurses in the outpatient clinic and the people in the pharmacy all looked at him curiously.
When they recognized that the person Stationmaster Qiao picked up was Li Jingsheng, their expressions showed a bit of shock.
"The doctors are in the consultation room, please come over here!"
Stationmaster Qiao was very polite to him.
One thing is certain, after Boss Zhao and others consulted, there was not much progress, so Station Manager Qiao personally invited Li Jingsheng to come over.
I definitely have high hopes for Li Jingsheng.
Stationmaster Qiao thinks so highly of Li Jingsheng. On the one hand, it is possible that Boss Zhao exaggerated Li Jingsheng in order to shift the blame. Also, Li Jingsheng cured the old man with a pustule on his back. Ding Shouwang was impressed by Li Jingsheng, which also made Station Master Qiao take a high look at Li Jingsheng's strength.
Li Jingsheng could feel the freckle-faced nurse in the outpatient clinic looking at him with surprise and envy the whole time.
To be honest, it worked for him.
The feeling of feeling proud and proud is really good.
Next time I come to the health station, I guess this nurse girl won’t dare to raise her face so high.
Entering the consultation room, it was brightly lit and nearly twenty people were sitting inside.
The projection on the screen is the inspection result.
Abdominal ultrasound and X-ray.
Don't think that the examination equipment at the health station is so good. A dozen doctors still can't afford a CT equipment.
Not to mention NMR.
Many second-level hospitals don’t have this kind of thing.
At least 20 million units are required, and it requires various maintenance and repairs every year. An ordinary small hospital can just buy it as an ancestor's gift.
When it first came out, the price of nuclear magnetic resonance was hundreds of millions.
Later it was put into mass production and the price dropped to 50 million.
I heard that the big hospitals in China that bought them early have still not recovered their costs.
"Let me introduce to you that this is Dr. Li from the Sunshine Clinic. I specially invited him to come with me for consultation. From now on, we are all medical staff in Chengnan Old Street, and we will help each other."
As soon as Station Commander Qiao spoke, everyone calmed down and looked at him and Li Jingsheng.
As soon as he finished speaking, Boss Zhao took the lead in applauding.
Everyone applauded together, warmly welcoming Li Jingsheng's arrival and joining.
"Thank you everyone! Please take care of me in the future."
Li Jingsheng bowed to everyone, his posture was very low.
"Brother Li, sit here and leave a seat for you."
Boss Zhao waved to him.
I have to say that Boss Zhao is very good at superficial skills.
Even though Li Jingsheng had been tricked by him countless times and was so angry that he was grinding his teeth, now slowly, with the efforts of Boss Zhao, the relationship between the two has been repaired and eased.
He walked over and sat next to Boss Zhao.
He nodded to the cold Boss Ye as a greeting.
The three clinic owners were sitting together.
Boss Zhao called all three doctors from Kuaikang Clinic over. Boss Ye still has that 'bodyguard' with him.
The two don't know what their relationship is.
"This is the patient's examination information. You should take a look at it first."
Boss Zhao handed him some inspection reports.
After taking it, Li Jingsheng looked at it carefully.
"The white blood cells are obviously elevated, and the urea nitrogen is also much higher than the normal level."
The patient's body temperature has reached 39.5 degrees.
…
After reading the existing examination data, especially the films taken, intestinal perforation can basically be ruled out.
Acute peritonitis should also be ruled out.
"It looks a bit like acute colitis to me, but Boss Ye thinks we should focus on checking the middle burner among the three burners." Boss Zhao introduced the situation.
Boss Ye follows the path of traditional Chinese medicine. Although he also studies Western medicine techniques, he mainly focuses on traditional Chinese medicine.
Li Jingsheng doesn’t know much about traditional Chinese medicine.
Western medicine never refers to the theories of traditional Chinese medicine when treating diseases. Even Western medicine never believes that the human body has acupuncture points and meridians.
The internal organs from the diaphragm to the navel are the middle burner, including the spleen, stomach, liver, gallbladder and other internal organs.
"Based on the patient's pulse, complexion, and pain location, I think the lesion should be in the middle burner. It may be closer to the liver and gallbladder area, but my pulse sensing and diagnosis skills are not good enough to pinpoint the specific location of the lesion."
She described the diagnosis in a calm and cold tone.
Since it is a consultation, everyone must work together.
"I want to see the patient first. Just looking at these data, I'm not afraid of the two of you making fun of me. I don't have a clue."
This is of course a modest statement.
"Okay, of course, I'll take you to the ward."
Boss Zhao is more familiar here than at home.
It seems that he is a frequent visitor here!
There is no other clinic owner who is so familiar with health stations.
Stationmaster Qiao obviously valued Li Jingsheng very much and followed him out.
The three of them headed to the ward together.
"Can that young doctor do it?"
"Who knows!"
"It's quite a grand occasion, and we, the stationmaster, need to accompany it in person."
Several veterans at the health station commented secretly.
It’s pretty much the same everywhere.
Veterans are rarely convinced by newcomers.
Unless the newcomers can show their strength to convince them.
When Li Jingsheng arrived in the ward, he saw the young and beautiful girl lying on the edge of the bed with her chin propped up and a sad look on her face. A poem that makes people think of it is that the belt is getting wider and wider, but you will never regret it, and you will feel haggard for him.
If Li Jingsheng could meet such a good girlfriend, he would be willing to risk his life to protect her.
The young man who lost his temper in his clinic that day was already extremely ill.
Because of the pain on his face, his facial features were a little distorted.
Disease has never been gentle to humans.
(End of chapter)
