The surgery time was chosen with great care for Li Jingsheng.
Surgery is rarely scheduled at noon because it is the doctor's break.
This arrangement is to cater to Li Jingsheng.
It is no exaggeration to say that Li Jingsheng is even busier than him, the chief physician, and he treats endless patients every day.
There is only about an hour's rest after lunch.
Usually, Li Jingsheng used this time to talk about love and cultivate feelings with Ou Qinglan in the office.
Now, as his surgical skills are getting better and better, he has long been targeted by Professor Wu.
Try every means to invite him to help with the operation.
"No problem, I'll be here on time after lunch tomorrow."
Li Jingsheng readily agreed.
He was quite looking forward to this operation.
With him personally performing the surgery, at least the quality is guaranteed.
None of the doctors in the second orthopedic surgery team has strong surgical skills. Including Professor Wu, the coach, is also a bad guy.
When he felt the patient's bones, the special feeling that looked like cancer but not cancer also made him want to further deepen his impression and touch it a few more times. If you encounter similar cases in the future, you will know what the disease is by just touching it.
Osteoblastoma is extremely rare and is considered to be the same disease because of its similarity to osteoid osteoma.
In fact, there are some differences between the two.
Osteoblastoma is the giant among osteoid osteomas, and its characteristic is its large size.
If this patient's true cause had not been discovered by Li Jingsheng this time and allowed to develop, his bones would have swelled to an extremely exaggerated level.
In addition, after osteoblastoma occurs, if it is not treated in time, there is actually a great risk of mutation in clinical practice.
There is a malignant tumor of the bone called osteosarcoma.
This disease is common and is more likely to occur in teenagers.
It usually occurs in the long bones of the limbs, especially the lower end of the femur and the upper end of the tibia.
Clinical studies have shown that osteosarcoma originates from osteoblasts.
Li Jingsheng firmly memorized the patient's bone image and the feeling of touching the bones, and he would be able to detect all diseases in this category in the future.
After ending the call with Professor Wu, he continued to treat patients waiting in the clinic.
When it was about 12 o'clock in the afternoon, Boss Zhao stretched his head and took a look inside the door of the reception hall.
Seeing that Li Jingsheng still had patients waiting for treatment, he didn't come in.
In fact, during the recent period, Boss Zhao didn't know whether it was to avoid suspicion or what happened. Except for coming over to deliver flower baskets on the opening day, he has never been here again.
Especially after the death incident at the Yang 2 Clinic, Boss Zhao had no contact with Li Jingsheng.
That is to say, they met on the way last night and the two said hello. He sat in the car and Li Jingsheng stood on the roadside and chatted for a while.
It also led to Li Jingsheng knowing about Boss Zhao's keeping a lover.
Li Jingsheng really admires Boss Zhao on this point.
If it were an ordinary person, no matter how hard he tried to avoid suspicion, he would still send a message to Li Jingsheng, claiming credit for the death and closure of the Yang 2 Clinic.
Boss Zhao never mentioned this matter.
Not mentioned once.
It was as if there was never any agreement between the two.
When Li Jingsheng was busy until almost one o'clock in the afternoon and had finished treating all the patients in his hands, he had time to have lunch.
Tang Ping and Han Siying felt sorry for their boss and kept putting rice in the insulated box for him.
It still tastes hot now.
“Brother Li, you’ve been so busy that you haven’t eaten until now!”
Boss Zhao walked in.
The current Sunshine Clinic makes Boss Zhao envious from head to toe.
It's strange to say that when Li Jingsheng's clinic was weak in the past, he only got the cooperation qualification of a magic drug, which stimulated Boss Zhao to have a heart attack and required hospitalization for rescue.
Now that Sunshine Clinic has such a large store, it has obtained qualifications for centralized purchasing and designated medical insurance institutions, and it is recruiting more and more nurses and doctors.
Each of these points was enough to stimulate Boss Zhao to have a heart attack several times.
But Boss Zhao is fine now.
In fact, I just couldn't beat him, so I chose to lie down, lower my head, and completely surrendered in my heart.
"I saw you were standing outside a long time ago. Why don't you come in? We are old acquaintances. If you come over in the future, just come in and sit down! Don't be so outspoken!"
Li Jingsheng spoke from his heart.
He and Boss Zhao finally settled their differences and became allies.
"It's not that I'm outside. I just saw that you were busy and I was afraid it would affect your work."
Boss Zhao sat down opposite Li Jingsheng.
"I came to see you today. I encountered a difficult matter and wanted to ask for your help."
I have never seen Boss Zhao so shy before, and it feels weird at the moment.
Because Boss Zhao behaves like a newly married daughter-in-law.
"What's the matter? Just tell me, as long as it's within my capabilities, I'll do my best."
Li Jingsheng didn't say anything.
The main reason is that he is worried that Boss Zhao's "old illness" will relapse and he will come over to dig holes for him again.
Of course, this possibility is slim.
It is essential to be on guard against others, and he must still be on guard.
"That man can be regarded as one of my benefactors! He helped me a lot, especially in the early years when I opened the clinic. Later, he couldn't stand the idleness of the hospital, and he had a big accident. I simply quit my job and opened my own clinic. Although business has been poor in the past few years, at least I have real skills, and I can still make a living."
Boss Zhao slowly told the whole story.
Tang Ping asked Meng Luo to pour a glass of water for Boss Zhao and bring it over.
"Boss Zhao, please drink some water!"
Munro saw that Boss Zhao was having a close conversation with his boss, and thought he was an important friend of his boss.
So I was very polite and enthusiastic towards Boss Zhao.
He even showed a sweet smile to Boss Zhao.
"Thanks!"
After Boss Zhao took it, he nodded to her. After she left, he couldn't help but said to Li Jingsheng, "Brother Li is really a role model for us. The female employees he hired are all not only in good shape, but also have outstanding temperament. This little nurse , that smile made my whole body tingle."
After hearing this, Li Jingsheng shook his head and smiled and said, "You are still the old Zhao I know. He loses his soul when he sees beautiful women. But when it comes to recruiting female employees, all of them are good-looking, good-tempered, and... I really didn’t choose their looks deliberately. I didn’t even have any ideas about them.”
It sounds like that.
Boss Zhao definitely doesn’t believe it.
"I understand, I understand, men, no matter whether you are a great hero or a humble commoner, you will still find it hard to be beautiful. At most, some people like to be prude and others show off their temperament. Besides, it is neither illegal nor illegal for men to like beautiful women. It’s not shameful, it’s a normal need. So you really don’t need to keep it in your heart, otherwise it’s easy to hold it in and get sick.”
When it comes to beauties, Boss Zhao has endless things to say.
Li Jingsheng rolled his eyes.
"If you keep talking about these things, don't ask me for help."
Three female employees heard this and thought the boss had some ideas about them.
In the conscience of heaven and earth, Li Jingsheng really has no wrong thoughts towards them.
The most is to appreciate their good figures and good looks, relieve visual fatigue, and relieve work pressure.
"Haha, I'm so angry! Okay, okay, I won't say it anymore, I won't say it anymore. Let's get on with the business. You think it would be great if my clinic could recruit such beautiful and good-tempered female employees."
Boss Zhao asked Li Jingsheng for help and admitted his mistake on the spot.
But he was still a little confused about his inability to recruit such beautiful female employees.
This is actually quite normal.
Female employees with good temperament are of high quality and have certain talents.
When you apply for a job at Boss Zhao's clinic, you will be scared away on the spot as long as you have the slightest contact with Boss Zhao.
No woman wants to work for a boss with dirty ideas.
Li Jingsheng's ability to attract these beautiful and temperamental female employees was partly due to chance, but more to his personal charm.
"My benefactor is really lucky. He received a patient a few days ago. There was nothing serious. He just had fever, headache, vomiting, and he said he had a sore neck. After diagnosis, he treated the patient as a cold and gave him infusion treatment. . As a result, after three or four days of treatment, the patient not only did not get better, but also developed symptoms such as gibbering and flailing hands and feet."
This really makes people a little speechless.
It's incredible that a cold can turn a person into a psychopath.
I don’t know what medicine the doctor prescribed?
"Now his family members are coming to his door. Not only are they destroying his clinic, but they are also asking him to find a way to cure him quickly. Otherwise, he will be crippled."
"Didn't you call the police?"
"Report it! What's the use of calling the police just to treat people like that?"
"Is there anything wrong with the medicine he gave the patient?"
"It should be fine. First, I used commonly used drugs such as ceftriaxone sodium and glucose sodium chloride infusion solution. On the third day, I saw no obvious effect, so I used ribavirin and other drugs, which are also commonly used to treat colds and colds. Medicine. And even if the patient does not have a cold, it is impossible to cure the person into a lunatic with these medicines. My benefactor used to be quite famous in the internal medicine department of Qiao Bang Hospital, and he was good at treating diseases in many fields such as respiratory medicine and gastroenterology. .
Before the serious accident that year, he was even called the internal medicine genius in the medical community of Jiangli City.
Whether it is diagnosis or medication, he has high attainments, and he does not take the usual path, and has his own unique way of medication and diagnosis.
To be honest, even when I meet patients who are unsure, I always go to him for advice.
You can always get it right.
Therefore, problems with medication can basically be ruled out. "
When Boss Zhao mentioned this benefactor, he was full of admiration for his medical skills.
This kind of medical wizard is actually easy to go to extremes sometimes. If nothing happens, it will be fine. If something happens, it will be a big accident.
Because they are too conceited.
He is extremely confident in his own abilities, thus seriously lowering the most important red line of safety.
"What do you want me to do when you come to me now?" Li Jingsheng asked Boss Zhao.
"I would like to ask you to help with the diagnosis. I know that your internal medicine diagnosis level is very good. I heard that last time your clinic opened, even the chief physician of the Internal Medicine Department of the People's Hospital came to give you a flower basket."
Boss Zhao seems to have stopped coming to Li Jingsheng's clinic, but he still pays close attention to Li Jingsheng's affairs.
"Brother Li, this matter is just asking you to help with the diagnosis without you taking any risks. You don't even need to have any contact with the patients or their families. I, Zhao, am a sensible person. No matter whether the cause of the disease is found out or not in the end, it is all mine." I owe you a favor. If anything happens in the future, I don’t need your help.”
In order to help this benefactor, Boss Zhao was actually willing to owe Li Jingsheng a debt of gratitude.
This actually made Li Jingsheng look at Boss Zhao.
Just like Li Jingsheng saved Boss Zhao's life, from then on, Boss Zhao never did anything to Li Jingsheng again even if his eyes were red with jealousy.
It shows that although this person is full of all five evils in doing things, he still has some principles.
"Send me the patient's information! At least do a blood test or something, otherwise there's no way to check!"
Li Jingsheng was already very interested in difficult cases, so he decided to give it a try.
Lao Zhao's favor is quite valuable.
If someone with no eyesight comes up again in the future and opens a Yang 3 clinic or a Yang 4 clinic across from him, let Lao Zhao take action and destroy the opponent without spending a single soldier.
"My benefactor has already asked his former colleagues in the hospital for help. But as you know, after people leave, few people are willing to really help him. Everyone is afraid of getting into trouble. He took the patient to Qiaobang Hospital for treatment All the expenses were borne by my benefactor. Several family members accompanied him for the examination, and he paid for the meals."
This is really not an ordinary tragedy.
The family members also went too far and wanted to punish this unfortunate doctor to death.
"Why don't you add my benefactor's WeChat account and ask him to forward the information to you directly! If you have any questions, you can also communicate with him directly, which will be more efficient and accurate."
Boss Zhao said.
"Can."
Li Jingsheng got the unlucky guy's phone number from Boss Zhao.
Then search for WeChat ID based on the number.
Chief Superintendent of Internal Medicine.
This is this person's online name.
From this online name, it can be seen that even if this person has had a major accident, he is still determined and arrogant.
The average doctor is very good if he has mastered two fields of internal medicine in his lifetime. No one wants to achieve a grand slam and master all the subdivisions of internal medicine.
Even if Li Jingsheng had an attribute panel, he would not dare to have such an idea.
Because this is basically impossible to achieve.
It is better to bite off more than you can chew. Those are the golden words learned by our predecessors through bloody lessons.
"I'll send a message to communicate with this benefactor first. His family members are by his side 24 hours a day, so it's hard to make a phone call."
"OK."
Li Jingsheng just took the time to eat.
Not long after, the WeChat friend application was approved.
The general manager of Internal Medicine sent a picture of a fisted expression.
Then I sent some patient information.
I didn’t do many tests, just routine blood tests, head CT, chest and abdominal ultrasound, and routine urine and stool tests.
Routine blood count of white blood cells was slightly elevated.
"Has rabies been ruled out?"
"The rabies virus has not been detected, so this disease should be ruled out."
The other party quickly replied with a message.
Li Jingsheng felt that the biggest suspicion was rabies.
Before the onset of rabies, symptoms such as fever, dancing, and delirium often appear.
Many of this patient's symptoms are highly consistent with rabies and pseudorabies.
After reading the blood routine and other test results, he found no useful clues.
Come to think of it, this man is known as the General Manager of Internal Medicine, and he was once a genius in internal medicine at Qiao Bang Hospital. If he really had rabies, it would be impossible not to notice it.
A head CT revealed no obvious problems.
"Has the vomit been tested?"
"I checked and found nothing unusual."
"How long have you been sick?"
"According to the patient's self-report, the fever and other symptoms started last week. He went to my clinic the next day and received infusion treatment."
After speaking, the other party sent over the drug name, dosage, and administration method for each infusion.
It also includes the patient’s symptoms and signs during infusion.
It can be seen that although this chief internal medicine manager is a bit arrogant, he has some real abilities.
He also does things very solidly.
Every detail has been carefully considered. If compared to other clinics, more than 95% would not be able to do this.
After Li Jingsheng looked at it carefully, he felt that if he could see the patient in person, he might find some clues.
"Is this patient only five years old?"
"right!"
"Did she describe all the conditions during the visit?"
"The family members also gave some descriptions, which are supplementary."
"Can you take a current photo of the patient? Send it to me. Video is best."
"no problem."
Soon, a short video was sent.
Li Jingsheng found a little girl with a sallow face and dark skin lying on the hospital bed. She was only four or five years old.
It seems that he was admitted to Qiaobang Hospital.
In the view of the family members, being admitted to Qiaobang Hospital brings hope of cure.
Only doctors understand that large hospitals do have advantages in many technologies and equipment, but when faced with such complex and bizarre cases, the experts from Qiaobang Hospital still have to scratch their heads.
Hospital doctors have more experience in diagnosing and treating difficult cases, but there is no need to overestimate them.
In terms of diagnosis and treatment of many diseases, they are not much different from other hospitals.
"She had what appeared to be three or four red spots on her face and on her neck."
Li Jingsheng reminded.
"This phenomenon occurred when I saw a doctor. It should be a normal skin erythema."
The other party replied.
Li Jingsheng thinks it's not that simple.
Red spots appear on the surface of the body. Some children with special constitutions do have it, and they do not show any symptoms of discomfort. This kind of erythema is considered normal in medicine, and no one knows why.
Sometimes it may be scratched by the child himself, or he may be allergic to some food he has eaten.
Generally it will disappear automatically after a while.
"Is the patient currently hospitalized in Qiao Bang Hospital?"
"No, I'm just being treated in the emergency room."
The other party replied.
It's really a waste of time, there isn't even a doctor to help.
At least we should admit the patient to the hospital and then proceed with diagnosis and treatment!
As long as you explain it clearly to your family members before admission, and then follow the procedures for diagnosis and treatment, even if the patient dies after ineffective treatment, the family members will not have any trouble with the hospital.
In larger hospitals, as long as the diagnosis and treatment procedures are strictly implemented, there is no need to worry about family members causing trouble.
If a small hospital has a normal relationship with the police station in the area, it may be a little difficult to deal with medical troubles and so on.
But big hospitals don’t have this problem at all.
"A little later, can I come to the hospital to see the patient?"
Li Jingsheng decided to go over and see the patient before making further diagnosis.
Erythema should be a diagnostic idea.
The Chief Supervisor of Internal Medicine first sent a picture of someone moving to tears.
"It's totally fine, as long as you're not afraid of getting into trouble."
"OK! I'll contact you later."
Qiaobang Hospital is one of the two top hospitals in Jiangli City. In recent years, it has become stronger and stronger because of its support from foreign capital and the ability to send its doctors to study abroad.
There is already a faint tendency to leave the People's Hospital behind.
Li Jingsheng happened to go over to see the world.
Let’s take a look at the strongest hospitals in the city and what are their strengths.
(End of chapter)
