"By the way, how much do you owe Xiaoyue? I'll pay it back for you first. Next time you need money and you really don't want mine, just ask me to borrow it."
Li Jingsheng could understand the stubbornness and self-esteem in her heart.
A girl from a rich family is arrogant and arrogant. Even if she is in trouble, she still clings to her thin face.
Only after experiencing blows and major setbacks can they truly transform.
But Li Jingsheng hopes that day will never come.
As long as he is here, he is willing to protect her forever and let her continue to be silly and sweet.
"My parents know about this and must have paid back the money. As for borrowing money from you, I think there is no need. I will graduate from the formal training soon, and my income will be high by then, which can completely protect me. life."
The salary of regular trainees is low, but the salary of residents is indeed much higher.
Ordinary residents can basically get more than 6,000.
The most impressive ones, like Li Jingsheng, earned 20,000 to 30,000 yuan a month before he was promoted to attending physician, which is higher than the income of attending physician.
…
The next day he went to the Second Hospital for consultation as usual.
Not long after receiving the consultation, I heard bursts of yelling and cursing coming from outside.
There are patients or family members making trouble.
This happens all the time in hospitals.
Li Jingsheng dealt with the patient by himself and ignored him. After a while, I heard someone shouting "Call the police, call the police!"
That's when he realized the problem might be serious.
Under normal circumstances, if patients and family members just curse a few words or even slam the table, the doctor will not call the police.
Doctors will call the police only if something is broken or someone is hit.
Li Jingsheng hurriedly went out to check the situation.
As a medical staff in a hospital, if you encounter a patient or family member hitting someone, you must stand shoulder to shoulder to stop the other person from committing the crime.
When he came to the nearby corridor, he saw many people surrounding the door of Clinic Room 4.
There appeared to be a fight or argument going on inside.
He rushed in and saw a tall young male patient losing his temper and a young girl hugging him tightly.
The girl's height may only reach the man's armpits.
It's not that she is short, but the man is over 1.9 meters tall. By visual inspection it should be 1.95 meters.
Wearing a sports vest, you can see the strong muscles on the exposed arms and arms.
He's not a muscular man, but one with smooth lines.
"If you have something to say, talk about it. Getting angry won't solve any problem."
Li Jingsheng was not short, but he was still a little shorter when he stood in front of this man.
The doctor attending the consultation is Ruan Xiaoqin.
After all, he is a senior attending physician, so it is not surprising that he can sit in the outpatient clinic.
The business volume of the Orthopedic Surgery Department has been increasing recently. The director and deputy chief physicians are very busy people, and their attending physicians are the backbone of the general outpatient department of the orthopedic surgery department.
"You here eat people without spitting out their bones, and cheat people without paying for their lives. How can I speak calmly?" The man looked extremely angry.
Especially when he looked at Ruan Xiaoqin, his eyes were very fierce.
A deputy chief physician has also mediated in the clinic.
It's just that the deputy chief physician is not tall, only about 1.65 meters tall, which is a head shorter than the man who caused the trouble.
Coupled with his age of over fifty, he naturally has no deterrent effect.
"You can eat randomly, but you can't talk nonsense! Why did I cheat you? I treated you, but in the end you have to repay kindness with hatred, really!"
Ruan Xiaoqin is a smooth man and rarely suffers losses.
Treating patients is even more complicated.
Today he met a doer who was tall and a little scared.
People have hid behind chairs.
This is for fear of being beaten.
Sometimes doctors are injured by patients. Although the police will be called to deal with the incident afterwards, the patients will also be arrested. But this hurts the doctor's face and may also affect his work.
Just imagine, what would the patients and their families think if the doctor sat in the clinic with a slap mark on his face and a bruised nose and face?
You will definitely think that this doctor is afraid of being beaten.
"I'll beat you to death, you quack!"
The man was so angry that he wanted to hit someone again, but his girlfriend hugged him tightly.
Li Jingsheng also held the person back.
Fortunately, he is young and strong, and his strength is not small.
This finally caught the angry patient.
The deputy chief physician seemed to be from Chen Anchen's group, his surname was Zheng. When he saw the patient about to hit him, he actually shrank into a corner.
Seeing this cowardice, Li Jingsheng really doubted that the patient was really going to take action, and Director Zheng would hide directly in the examination room at the back.
I think about how magnificent Zheng He was when he made his voyages to the West. However, in this generation, they are so cowardly.
Although Li Jingsheng was usually timid, he was never afraid when something really happened.
The guiding nurse has called the police and hospital security.
"Can you tell me the whole story?"
Li Jingsheng comforted the agitated patient while winking at Ruan Xiaoqin.
Ruan Xiaoqin understood.
Knowing this was causing him to evacuate.
Just seeing the patient standing guard at the door and staring at him with ferocious eyes made him feel a little scared.
In case you were beaten by a patient in the past.
Looking at the opponent's tall body, I'm afraid no one can stop him.
Wouldn't it be better to send it over and give it a beating?
Ruan Xiaoqin's eyes rolled wildly. He looked at the open door of the consulting room and then at the patient, but he didn't dare to go there.
"Dr. Ruan, why don't you ask Professor Wu to come over and handle it?"
After Li Jingsheng came in, he didn't find the doctor injured and knew that the matter was not a serious matter.
The hospital basically adopts a peacemaker attitude toward this kind of thing.
"Come, if you have anything to do, sit down and talk about it. When we get to the hospital, I will definitely help you solve it. If you are not satisfied with this doctor, he will go and invite the superior doctor over."
The patient sat down half-heartedly under Li Jingsheng's persuasion.
His girlfriend was also there desperately trying to persuade him.
I'm afraid that if the doctor gets injured and is arrested and imprisoned, it will be ruined.
Ruan Xiaoqin saw the patient sitting down and quickly slipped out.
I was probably very frightened when I was blocked by patients in the outpatient room just now.
"My hand was injured while playing basketball. The first time I got injured, I thought it was nothing, so I didn't deal with it. The thumb and the thumb on the back kept hurting and seemed to be a little swollen, so I came over to see a doctor. I was thinking of a small problem at the time. , it should be cured by just looking for a doctor. It was Dr. Ruan Xiaoqin who gave me the first X-ray. After the examination, he said it was arthritis and prescribed medicine.
It cost several hundred, and it took almost half a day to queue up for examinations, follow-up visits, and get medicine.
But it had no effect at all.
After about half a month, I came to see him. I was asked to register first and queue up. It was said that the validity period of my last registration had expired earlier.
I re-registered and queued up as he requested, and I finally took a liking to it.
Then he said in one sentence that the recovery period of osteoarthritis was relatively long, and then he prescribed some medicines, whether it was aspirin or something, but he prescribed a bunch of medicines anyway. It cost several hundred more. "
The man was full of anger when he talked about his medical experience.
"The treatment period for arthritis will indeed be relatively long. Dr. Ruan will diagnose and prescribe medicine for you. From a procedural point of view, there should be no problem." Director Zheng saw Li Jingsheng comforting the person.
At this time, I finally dared to sit down and deal with this matter.
The hospital has a rule that whoever has higher qualifications and a higher professional title is the person in charge of the scene.
For example, during an operation in the operating room, Li Jingsheng is the surgeon, but Professor Wu is present.
Then the person in charge of the operating room is not Li Jingsheng, but Professor Wu.
Something went wrong during the operation, and Professor Wu was the one to be held accountable.
"That man is just a quack doctor who talks nonsense. I took the medicine for the second time, but it still had no effect. I went to see him again after a month, and this time he did another examination on me and took a CT scan. Then they said my swollen thumb might be tuberculosis. I started to treat it for tuberculosis, but it still had no effect.
This time I came to see him, and he talked a lot about it, saying that tuberculosis and gout might be combined.
I have to do a CT scan again, which costs hundreds or even thousands of dollars at a time. Do you really think that our patients’ money comes from the strong wind?
It doesn’t matter that the fee is expensive, the most important thing is that you cure the disease for me!
After several months of treatment and several thousand dollars spent, my hand is still swollen and the pain is severe every time I play ball or something. If your hospital doesn't solve this problem for me today, I will kill that quack even if I go to jail. "
The man said harsh words.
But after all, he was still too young, his words were harsh, but his eyes were a little twinkling.
It was nothing more than forcing the hospital to solve the problem for him.
If you really kill the doctor, won't you destroy yourself too?
"Don't you want to see another doctor?"
Li Jingsheng really has a headache for this buddy.
Isn't it stupid to still go to see a doctor again and again despite knowing that he is a quack?
There are so many doctors in the hospital, so you can definitely switch to a higher-level doctor.
It is worthwhile even to register a special expert account.
Ordinary special needs specialist accounts at the second hospital cost 300 yuan each.
It seems that only Director Hua of the Department of Orthopedic Surgery has been rated as a special-needs expert, and not even the two directors Chen Anchen and Zhong Hu have been rated as such. They are just ordinary expert accounts.
"That quack doctor said that the doctors in your hospital are all the same, no matter who you go to."
The patient is about to be fooled to death.
He believed whatever Ruan Xiaoqin said.
But let’s not talk about it, Ruan Xiaoqin’s mouth is indeed very talkative.
"This is Director Zheng from our Orthopedic Surgery Department. You can also check with him. Dr. Ruan is the attending physician, and Director Zheng is the deputy chief physician. They have more experience and should have a higher level."
Li Jingsheng advised from the side.
"Uh... I'm actually not very good at this kind of bone and joint disease. I'll let Director Wu handle it later. He is the chief physician and has a higher level than me."
Director Zheng was very slippery and refused to accept this patient at all.
Not every doctor can be as honest as Li Jingsheng. Some doctors are very calculating about fame and fortune.
If they think the risk is too high and it might ruin their brand and reputation, they might not accept it.
This is also human nature.
Isn't it stupid to take over it even though you know it's a disaster?
Therefore, some patients have been seen in major hospitals, but no doctor dares to treat them. In fact, the condition is complicated or too serious, and they are afraid of something happening.
While talking, Professor Wu hurried over.
Let’s talk about Professor Wu. It is true that he is greedy for sex. No one knows whether he is greedy for money or not. After all, gray income is tightly covered and it is impossible to let outsiders know.
Although Professor Wu has many shortcomings and his medical skills are not great, he still takes good care of the doctors in the team.
When encountering difficult patients, he rarely plays tricks and always helps his doctors find ways to solve the problem.
"Director Wu, this patient said that he had been treated by Dr. Ruan several times without any effect, and he wanted to find a higher-level doctor to help him deal with it. You have research on bone trauma and orthopedic surgery, so I will leave this patient to you. I still have patients waiting over there, so I’ll leave first.”
Director Zheng rubbed oil on the soles of his feet and gave two brief instructions.
Run away on the spot.
Li Jingsheng was kind enough and was not in a hurry to leave.
Instead, he waited until Professor Wu sat down and saw that the patient showed no signs of hitting anyone, and when hospital security arrived, did he get up and leave.
Ruan Xiaoqin was still a little afraid of being beaten and hid behind the security guard.
Of course, he would not look like a coward and huddle behind the security guard, but stand behind the security guard.
It's one thing to be afraid of being beaten, but you still have to save face anyway.
Li Jingsheng returned to his surgical reset clinic 2 and continued working.
Today's incident also made him realize that doctors must not deceive patients like fools, otherwise something will happen sooner or later.
If Ruan Xiaoqin had advised the patient to change doctors during his third consultation, perhaps these things would not have happened.
Near noon, Li Jingsheng received a message from Ou Qinglan.
"I've packed some food for you, what do you want to eat?"
"Can I eat you?"
Li Jingsheng joked with her.
Received a row of bloody knife emojis.
"Just make the decision! I'll go to the cafeteria to find you after I finish handling this patient."
At this moment, Dr. Chen is putting a plaster on the patient.
After the hospital opened the Manual Reduction Clinic 2, Dr. Chen and nurse Li Liquan were assigned to Li Jingsheng.
Dr. Chen was very happy.
It means working with Li Jingsheng in the outpatient department for three days a week, and working in the inpatient department for the remaining three days. He can only take one day off a week.
A bit miserable.
Better than trainees and interns.
"Teacher Li, call that patient in! Finish the get off work and get off work."
There are actually patients waiting in line behind him, but after learning from the last complaint, Li Jingsheng no longer shows mercy.
However, his heart and intestines are still soft after all. Often after six o'clock, when he sees a patient coming for treatment, he will give them a call.
The latest time, I didn’t get off work until after seven o’clock.
He knows very well that Dr. Xu never works overtime and the treatment is not finished until he is finished.
Anyway, the number is limited every day. If the number exceeds the processing limit, Dr. Xu will not answer the call. The hospital couldn't do anything to him.
Li Jingsheng is much better at this point.
When patients ask him for help, they almost never refuse.
If he doesn't deal with it, the patient will have to wait until the next day or go to the inpatient department for surgery.
In fact, patients are very vulnerable.
When the manual reduction clinic is out of business, the patient would rather be in pain all night and wait until the next day to come to the manual reduction clinic for treatment.
You can indeed save a lot of money and suffer a lot less.
So they are willing to wait.
The last patient's condition was not bad, but he had a right ankle fracture and joint dislocation.
This kind of surgery requires surgical treatment in many places. Li Jingsheng's current bone setting and reduction techniques are very advanced and he was able to do it in three minutes.
Dr. Chen had not finished putting on the plaster, so Li Jingsheng put the plaster on the patient himself.
After processing, he looked up and saw an acquaintance.
I thought Ou Qinglan's parents were gone, but I didn't expect them to be gone.
At the moment, I am watching Li Jingsheng treat patients outside.
Li Jingsheng quickly greeted the two of them with a smile, but unexpectedly they turned around and left.
It seems that he still doesn’t recognize him as his son-in-law!
It doesn't matter, take your time, and there will always be a day when they fully accept it.
After listening to Ou Qinglan's story last night, didn't she also acquiesce in the relationship between the two?
After Li Jingsheng got off work from the outpatient clinic, he hurried to the hospital cafeteria.
"Here, here!"
Ou Qinglan had already prepared the meal and waved to him.
"Wow, are you getting rich? You gave me braised pig's trotters, fried loach, and a big chicken drumstick."
Li Jingsheng drooled a little when he saw the dishes in the basin.
Everyone said that eating too much meat was bad, but every time he saw these delicacies, he couldn't help but want to eat them.
What about the doctor who knows about health care?
If you can't control your mouth, you can eat whatever you want.
The most difficult thing for people to control is all kinds of desires.
"You big pig's trotter, don't you know today is my birthday?"
"ah……"
Li Jingsheng slapped his forehead and really forgot about it.
"Find a place to celebrate for you tonight, I didn't even prepare a gift!"
He said a little embarrassed.
"What gift do you want? You staying with me is the best gift. Eat it quickly. I will wait for you to go to the office to diagnose difficult cases later! Today our team received another difficult case. The patient's right thumb The swelling was suspected to be arthritis, but treatment for arthritis had no effect.”
As soon as she mentioned the patient's condition, Li Jingsheng knew who she was talking about.
It must be the tall guy.
Even if he is admitted to the hospital, it doesn't feel like a normal illness.
Li Jingsheng is now very good at orthopedic surgery diagnosis and bone palpation, but he is not afraid.
Maybe he can make another contribution.
"Oh, by the way, I saw your parents coming to the hospital just now. I wonder if they have eaten? I smiled and greeted them, but they ignored me and turned around and left."
Li Jingsheng told her this.
"It's okay, they just don't trust me and want to check you out more. As for eating, they won't eat in the cafeteria."
It seemed that Ou Qinglan had called or communicated with her parents again.
It seems that she is in a good mood today.
Moreover, the food she bought was quite abundant, and the economy seemed to be improving.
Li Jingsheng secretly guessed that maybe her parents felt sorry for their daughter and gave her some money after they reconciled.
She had refused to spend the dowry money before, and her parents no longer gave her pocket money because she did not want to go on a blind date with the son of the chairman of the livestock company introduced by her parents.
It is estimated that her parents made compromises and concessions.
After dinner, Li Jingsheng came to the doctor's office. When Ruan Xiaoqin saw his arrival, it was like seeing a savior.
"Dr. Li, the patient who caused trouble this morning asked you to help with consultation. Professor Wu admitted the patient to the hospital and promised to find a way to help the patient find out the real cause of the disease."
Ruan Xiaoqin didn't feel embarrassed or guilty at all about this matter.
He seemed to think that it was natural that the cause of the disease could not be found and that a misdiagnosis had occurred.
"Okay, let me take a look first."
Li Jingsheng did not refuse.
He is not a doctor in the second group, but his girlfriend is in the second group. He often performs surgeries with Professor Wu, which can be regarded as half a second group doctor.
"Did you take any pictures of the patient?"
"It was taken. But he seemed to be very resistant and only agreed to take the cheapest X-ray."
"It should be enough. Did you find any abnormalities in the CT scan before?"
Li Jingsheng asked again.
“The results of CT scans at that time were very similar to arthritis.”
Ruan Xiaoqin said with certainty.
"Can I see the patient's information when I log in to my own account?"
"it should be OK."
After Li Jingsheng and Ou Qinglan came in, Doctor Qin did not leave this time.
Because he has changed seats.
The seat next to Ou Qinglan is basically empty now.
Dr. Qin didn't want to be kicked out of the office every time Li Jingsheng came over. so awkward.
So he took the initiative to change seats.
Anyway, there is no fixed seat in the office.
Li Jingsheng sat next to Ou Qinglan, turned on the computer, and then logged in to his personal account.
Go directly to the final case and see the patient's information.
Chen Heli, male, 26 years old, said that his right thumb was injured playing ball a year ago and he did not go to the hospital for treatment. Later, he was injured in the same area for the second time. His thumb was in unbearable pain and swollen, so he came to the second hospital for medical treatment...
The medical history is very clear.
It is estimated that Dr. Ruan will blush once after seeing him.
In any case, such an incurable case must be a bit embarrassing for the first-seeing doctor. Not to mention having been treated so many times.
Looking at the CT films taken before by the patient, it does look a bit like arthritis.
The B-ultrasound film taken previously showed that the metacarpal bone of the phalanx at the metacarpophalangeal joint of the right thumb was destroyed and the surrounding area was hypoechoic. This indicates the possibility of inflammation.
Seeing this, Li Jingsheng felt that Ruan Xiaoqin could not be entirely blamed for this matter.
If another doctor looked at this film, he would probably treat it as arthritis.
He then looked at the patient's X-ray taken today and could see obvious osteolytic damage to the base of the proximal phalanx of the thumb.
"The patient kept calling me a quack, and I was almost pissed off. I was really wronged. When he came here for the first time, he took an X-ray and it felt like osteoarthritis, so I treated him as if he had arthritis. He treated.
The second time I came, it still didn't feel better. I took another B-ultrasound, which still showed that the possibility of inflammation was very high. I prescribed medicine for arthritis treatment again.
When I came for the third time, I still said there was no effect. I was also worried about misdiagnosis, so I did a CT scan on him. In order to prevent missed diagnosis, I even did a biochemical test. The low-density lipoprotein was 1.54mmol/l and the uric acid was 465umol/l.
This time I suspected it might be tuberculosis because I had seen related cases in books.
Unexpectedly, the treatment was still ineffective, so I explained to him that it might be tuberculosis combined with gout. I wanted to do an MRI on him, but he didn't agree, and then he started calling me a quack, a liar, and so on. With all my conscience, the first two tests I prescribed for him were all cost-effective. They were X-rays or B-ultrasounds with the lowest cost. "
Ruan Xiaoqin looked aggrieved. While explaining to Li Jingsheng, he was also explaining to other colleagues in the office.
No one wants to be labeled by their colleagues as a shady doctor who deliberately defrauds patients of their money.
"Patients don't understand this. It's normal to curse people. Just ignore them."
As Li Jingsheng spoke, he had already begun to review the patient's X-rays taken today again.
This disease is certainly not as simple as imagined.
No matter how difficult it is to treat arthritis or tuberculosis, if you take the medicine for such a long time, you should see some effects.
(End of chapter)
