"Now that trouble has occurred, there is no point in worrying. You calm down first, I will look at the film, and then check the patient's specific injuries."
Naturally, Li Jingsheng would not give anyone a guarantee just because the party responsible for the incident suffered a misfortune.
When you are an attending physician, you must first learn how to survive.
Protect yourself and the interests of the hospital.
Do things within your ability, otherwise no one will be able to help you and you will end up in trouble. And in the end, not only would this crying woman not be grateful for sympathy, but she would try her best to put the blame on Li Jingsheng.
Since you are not sure about this, why should you treat it?
Li Jingsheng has seen too many scenes like this that chill doctors and nurses.
"This is a film taken at Qiaobang Hospital. The doctor was a very nice person. Seeing how my mother was injured, and after understanding the specific situation, he suggested that we send us to the second hospital first to see if we can perform manual reduction. He said that manual reduction can be done Not only can patients suffer less, the risk is much lower than surgical treatment, and it is also economical."
The patient should be in his fifties, with yellow hair, and his specific age cannot be seen.
The male family member who handed the film to Li Jingsheng is the son of the patient and should be thirty years old.
He is about the same age as Li Jingsheng.
Li Jingsheng sincerely admired the medical ethics displayed by the doctors at Qiaobang Hospital.
In his impression, the People's Hospital and Qiaobang Hospital are the ceiling of Jiangli City Hospital, and they are giant-like existences.
When he worked in the First Hospital, he could only look up to the doctors from these two hospitals.
Unexpectedly, there are now manual bone-setting techniques that even the orthopedic surgeons at Qiao Bang Hospital do not have.
He now believes that Immortal will eventually come forward.
After watching the movie, he already had some confidence in his mind.
He walked up to the patient and stared at her face.
Apart from being a little pale, overall it's pretty good.
"What kind of discomfort do you feel now?"
Li Jingsheng asked her.
"I checked at Qiaobang Hospital. Everything else is fine except for lumbar prolapse." The naughty child's mother interjected from the side.
Li Jingsheng turned to look at her, "I'm asking the patient to find out the situation. You don't have to answer. I'll ask you if necessary."
This is a tactful warning.
If this woman plays such a trick again, Li Jingsheng can only tell them that unfortunately, the manual repositioning of this patient is too difficult and the risk is too high to be performed.
"Go and sit over there first. We'll call you if anything happens."
The family members saw a hint of displeasure on Li Jingsheng's face and spoke directly to the woman.
"Okay, okay, call me if you need anything."
The woman didn't dare to say anything back, so she walked away obediently and sat down far away to wait.
Li Jingsheng looked at the patient again, "It's okay. You can tell me where you feel uncomfortable, and you must tell me. If you hide it, it will be dangerous if something goes wrong."
"Mom, if you feel uncomfortable, tell this doctor."
The patient's son spoke in dialect nearby.
Not a local accent.
Only about 40% of Jiangli City are locals, and 60% are outsiders. Many of them are migrant workers from surrounding counties, cities and rural areas. After hard work and hard work, they slowly took root in Jiangli City.
"Now I can't move my lower body at all. My waist is very painful and a little swollen. I seem to be unable to control my bowel movements..."
The patient recounted some of his symptoms.
It's much more serious than imagined.
But these symptoms are all caused by lumbar prolapse.
After listening, Li Jingsheng did not find any potential risk factors and nodded.
"I'll check it out for you. It might hurt a little bit, so please bear with it. If we can do manual reduction here, try to do it for you, so that you can recover quickly and suffer less."
Li Jingsheng said to the patient.
"Thank you, thank you!"
The patient was full of hope after hearing this.
"Doctor, please be more careful."
The patient's son handed Li Jingsheng a cigarette.
"Thank you, I don't smoke, and you can't smoke here."
Li Jingsheng waved his hand.
It can be seen that the family members also hope to have manual reduction treatment here.
I guess they are also worried that the parents of the child who caused the accident will not be able to pay that much money, and the surgery is risky and may not be good, which makes them even more worried.
Li Jingsheng felt the patient's bones.
Ask the patient's son and a female family member to cooperate and support the patient's body to lie on his side.
Li Jingsheng lifted the patient's clothes up to reveal the injured area of the lumbar spine. Then feel the bones.
This woman's bone elephant seems to have a certain degree of osteoporosis to the touch.
"alright."
Li Jingsheng finished the inspection and looked at his family members.
"You can try the manual repositioning method on her now. Anesthesia is required, so you have to wait over there. An anesthesiologist will be arranged for you here. After the anesthesia, the repositioning can be done on the spot. I can't guarantee that it will be successful. Compared with surgery, it is much safer. But no one can guarantee that there will be no risks. If you agree, I will make a bill for you, pay the fee, and apply for an anesthesiologist to come over."
"agree!"
The patient's son agreed immediately.
Some of the thirty-year-old young people are still just 'children', and some are really capable of handling things.
If you educate your children well, you will have one more person to help make decisions when encountering such big things.
Li Jingsheng wrote the order for the patient, not to mention arranging anesthesia.
When paying the fee, the patient's son directly called the mother of the child who caused the accident over.
There's nothing to say. If you get into trouble, you can pay whatever you want.
If you have a better attitude, you will be able to pay less for nutritional expenses, lost work expenses, etc.
More than forty minutes later, the anesthesiologist came over to conduct a detailed examination of the patient and confirmed that the patient met the anesthesia requirements before agreeing to anesthesia.
When it came to the critical stage of reduction, Li Jingsheng asked Dr. Chen to help him. He first put pressure on the patient because there was a certain degree of angulation.
The proportion needs to be well grasped.
Kyphosis and joint stiffness can interfere with reduction.
Almost later, Li Jingsheng implemented the rotation reset method.
Pass one hand under the patient's armpit, hold the shoulder on the good side, and then push forward on the healthy side.
The purpose of this is to open the intervertebral space.
The heel of the palm of his other hand is placed between the protruding vertebral body and the vertebral body, against the side of the spinous process, and then rotates in a large loop.
After three consecutive reductions, it can be seen that the patient's back is no longer the strange shape it had before.
The inspection was correct, and Li Jingsheng breathed a sigh of relief.
"Okay, I'll come over and take care of it after you wake up from the anesthesia. Just lie down and don't move."
When Li Jingsheng said the word "good", the family members of the child involved in the accident and the patient's family members all smiled with joy.
This time I came to the right place.
Although the process of manual reduction is scary, it is really great that it can be cured without surgery.
"Doctor, thank you!"
"You're welcome. You can stay here while I treat other patients outside. Just call me when the patients wake up."
Li Jingsheng continued to treat patients outside.
Doctor Xu also arrived long ago, but he didn't care about this matter.
Instead, let Li Jingsheng do the whole process by himself.
After almost half an hour, the family members called Li Jingsheng and said that the patient was fully awake.
Li Jingsheng went in and examined the patient.
"Here, I'll help you sit up. I'll put a waist splint on you later and nurse you for at least three weeks."
After helping the patient up, everyone watched nervously.
Seeing the patient's face looking happy, Li Jingsheng let go of her hand. She still sat upright without any problem.
"Okay, it's really good! That's great!"
"The medical skills here are still excellent! Thanks to the doctor from Qiaobang Hospital for telling us about such a good place."
The family members all smiled happily.
At this time, the mother of the child who caused the accident suddenly knelt down in front of Li Jingsheng.
"thank you!"
She wanted to kowtow to Li Jingsheng, because she was so happy that she cried with joy.
"Hurry up and help her up!"
Li Jingsheng quickly asked someone to help the woman up.
"It's my job to treat patients. You don't have to do this." Li Jingsheng said to the woman.
He splinted the patient himself.
It is a splint similar to a belt, just wrapped around the waist.
Very convenient.
Mainly plays a role in protecting the lumbar spine.
"You don't know, if I can't be cured here, I don't know how to raise the 60,000 yuan for treatment. Now that you have cured this sister's disease, it is equivalent to saving our family." . In my heart, I am really willing to worship you as a Bodhisattva."
The woman wiped away her tears of joy and expressed her joy and gratitude again and again.
"I can understand your difficulty. The lesson this time has been very painful. It is better to educate the children more! If her lumbar spine is not cured and becomes paralyzed, don't you think two families will be ruined?"
Li Jingsheng advised the woman.
The other party was several years older than him, but he was too pampered and doted on his children, which led to such a big disaster.
Some naughty children are really the ancestors of the family and are lawless.
He is used to being crazy at home, and when he does things outside he does not care about the consequences, and getting into trouble is almost inevitable.
"Alas! What can I say about this? My current husband and I are in a second-marriage family. My son was born to my husband and his previous wife. My husband is rarely at home, and it is sometimes difficult for me as a stepmother. I must be strict. , others thought I abused my ex’s children. To tell you the truth, my family now has five elderly people instead of four. His ex died of breast cancer. There is only one old father left in the family. She is raised by others, and my husband is a soft-hearted person, so he takes on the responsibility of raising her.”
After the woman finished speaking these things, everyone fell silent.
Every family has its cupboard.
At first, I thought she was selling out miserably, but I didn't expect that her family's conditions were even worse than imagined.
The couple's income is not high. They have to support five elderly people and two children. They also need to spend money on their own food, clothing, housing and transportation.
You can imagine how difficult it is for this family.
Because of family planning, most of their generation were only children.
It is extremely common for a couple to raise four elderly people.
"You still have to educate him, otherwise he will be harmed. A child is actually a piece of blank paper. If he is taught well, he will have a future, and your family will gradually get better. If you let it go, what will happen next time? If you cause a bigger disaster, it will be too late for you to regret it."
Li Jingsheng said to her.
"What this doctor said is very reasonable. If you need to fight, you must fight. If you don't care and wait until society takes care of it for you, the child will suffer even more."
The patient's son has a good ideological consciousness.
What he said is basically the truth.
"After this incident, I also discussed with my husband. He will quit his current job next month and find another job that can take care of his family. It is definitely not appropriate for me to beat and scold his ex-wife's children. "
This woman's thoughts are really not ordinary stubbornness.
In order to have a good reputation as a stepmother in front of outsiders, she allowed her husband and his ex-wife's children to become lawless, which makes people really speechless.
True to the old saying, there must be something hateful about poor people.
Li Jingsheng did not persuade him any further.
That's how adults are, don't try to convince anyone. Otherwise, you will only become enemies.
He was so busy that when he got off work at noon, he actually treated twenty-three patients in the morning, and his efficiency was obviously much higher than before.
"Good progress!"
Dr. Xu just said a word and went to eat.
He never eats with Li Jingsheng.
I don’t know if it’s because of my personality or because I don’t like getting too close to my colleagues.
Li Jingsheng finished lunch. Since Ou Qinglan didn't go to work during the day, he didn't want to go to the doctor's office.
Director Mu sent him a flower basket yesterday, so he had to go to Director Mu's office to express his gratitude in person.
With this in mind, he went straight to the office of the director of the Respiratory Department.
"Who are you looking for?"
A nurse in her thirties asked Li Jingsheng as she passed by.
"Is Director Mu in the office?"
"Should be there!"
"OK, thanks!"
Li Jingsheng walked directly to Director Mu's office.
"Oh - I know who you are, Doctor Li Jingsheng, right?"
The nurse walked some distance away and turned around to ask him again.
"Yes! I am Li Jingsheng! Can you tell me your sister's name? It will be convenient for me to say hello next time I meet you."
Li Jingsheng responded with a smile.
"Rolling fiber."
This name is really full of laughter.
Those who didn’t know better thought she was cursing.
"People with the surname Gun are usually rare. I only know that the Miao people seem to have such a big clan."
Li Jingsheng also has some knowledge.
"Hehe, I didn't expect Dr. Li to be quite knowledgeable. I'm really from the Miao ethnic group. I have to go to the ward. Goodbye!"
She waved.
Most Miao girls are very enthusiastic. I heard that in some places girls actively pursue boys. Then the man needs to live in the woman's home and work for three years before he can marry the woman after getting approval.
Li Jingsheng knocked on Director Mu's office door.
"Director Mu, I didn't disturb your rest, did I?"
"It's Dr. Li! Please come in quickly! I usually don't sleep at noon. I welcome you to come every day."
Director Mu treats this kind of outstanding young doctor with full affection.
The two of them are somewhat related.
The intersection between you and me is constantly deepening.
It was only because of Director Mu's help that Li Jingsheng was able to become a teacher of Dr. Xu and learn the true skills of bone-setting techniques.
"Yesterday you sent me a flower basket and came to congratulate me in person. It was a waste of money!"
"Why are you so polite to me? How about it? The opening yesterday was pretty good, right?"
"It's okay, there's just no silence."
Li Jingsheng spoke modestly. Nearly 70 patients were diagnosed and treated, 69 in fact. The income from diagnosis and treatment is more than 3,400 yuan. The total sales of medicines exceeded 40,000, but because of the 50% discount, it was considered a profit.
Profits are a little lower than usual.
However, health medicines have more than 100% profit, and the profit margin is 5%. Excluding the sales commission of red employees, the profit is still very scary.
Li Jingsheng spent a total of more than 300,000 yuan on renting a new location for the clinic and renovating it.
Just get some blood back.
Then, after excluding the rent of 70,000 yuan from the more than 300,000 yuan, the rest is basically decoration money, which can be reimbursed for about 200,000 yuan.
His personal expenses are actually not much.
Of course, the wool comes from the sheep, and Modu Youyao gave him a subsidy of 200,000 yuan, so he definitely hopes that he can sell more medicines and get more goods.
"There is a rule for opening a clinic. You will lose money in the first and second years. If you can break even in the third year, you will be considered a success. Some clinics even need the fourth or fifth year to break even. You can do it in just one year. Within a short period of time, it was directly upgraded from a small clinic to a hospital scale, which is extraordinary. Yesterday, I saw with my own eyes many patients and customers coming in. The hot scene, tsk tsk, is not necessarily comparable to ordinary second-class hospitals. "
Director Mu didn't believe what he said about it being quiet.
There are strong and weak A-level hospitals, and some of them are powerful and make tens of millions a year.
Those who are weak may not even be able to pay their wages.
There's really no comparison.
"By the way, your diagnostic skills are pretty good. Please help me with this case."
Director Mu showed Li Jingsheng a case file.
In conversations between doctors, the easiest thing to talk about is case diagnosis and treatment. If they are not from the same hospital, they may also exchange information on the business situation of the department, what new technologies are available, etc.
Generally, we don’t ask about the other person’s income.
Unless the relationship is particularly good.
Li Jingsheng likes to diagnose all kinds of difficult and complicated diseases, as long as he is good at it, he likes it.
After looking at it carefully, he began to think seriously.
At this time, the mobile phone rang.
I saw it was Director Hua calling.
He quickly got through.
"Dr. Li, why didn't I see you come to the doctor's office at noon today?"
"My girlfriend has a day off today, so I didn't go over. Director Pao Mu dropped by here."
"You have to have a beautiful girl to tie you up so you don't run away? Come over here quickly. There is an important case consultation. Come and participate."
"Okay, I'll be there soon."
Li Jingsheng had no choice but to stand up and said apologetically to Director Mu, "I have to go to the orthopedic surgery office quickly. I have already read the information on this case. If I have diagnostic ideas later, I will send you a WeChat message."
Director Hua is the head of the department, and Li Jingsheng must obey his arrangements.
"Okay! This patient is very urgent. I'm just worried about misdiagnosis, so I want to find a few more people to help. If you are free, please take the trouble to give me some advice."
Director Mu said this, which was already quite embarrassing.
If it weren't for an important case that couldn't be solved, there was no way he would have asked Li Jingsheng to do this.
The hospital is like this. As long as he performs well in a difficult case, the superior chief physician will immediately think of this young doctor next time he has a problem.
Li Jingsheng has now shown a lot of abilities, and several departments in the Second Hospital think highly of him.
(End of chapter)
