Gou is practicing medicine in the clinic

Chapter 164 It's not good to provoke anyone, Director Mu's request for help

Setting up a membership level system and then automatically giving discounts can indeed greatly increase customer loyalty and repurchase rates.

As long as there is no problem with the quality and the price is a little cheaper than other pharmacies and clinics, regular customers are naturally willing to take care of Sunshine Clinic.

People, after all, still talk about feelings.

"So fast! That's great!"

Xiao Gao was extremely excited when he heard the good news.

"I'm just waiting for this membership system to be implemented! Last time we held an anniversary event and accumulated a large number of customer information, many of whom are very high-quality customers. Now our clinic is reported on TV, which is really popular! With the membership system again, I will definitely be able to get twice the result with half the effort."

Xiao Gao is now focusing on selling medicine.

I want to make my business bigger and stronger.

It is not easy to meet a wise boss, and Li Jingsheng appreciates him very much, and directly delegates many things to him.

Although the platform is a bit small, it has great potential, so Xiao Gao naturally cherishes it very much.

"2000 membership cards should not be enough. When you are about to run out, you can tell me one day in advance, and you can buy more at that time."

A small clinic can have 50 members, even if only [-]% of them are active members, that is still very good.

"Siying is worthy of being a talented student. The idea she came up with is really good. I think your brain is working. You can give your boss some good suggestions in the future."

Xiao Gao smiled and praised her.

"Hehe, I just said that casually. Also, what kind of talented student am I? Now the postgraduate degree is not popular at all. I still want to use this year to work hard and strive for the doctorate exam!"

Han Siying has many outstanding highlights of contemporary young people.

As long as you have time, you will silently improve your academic qualifications to a higher level.

In the past, a postgraduate master's degree was regarded as a high degree of high education, but now it is too complicated.

If you want to enter the top three, you need at least a doctoral degree to be more stable.

"Hey, isn't even research masters popular now? I'm afraid I can only be eliminated!"

Xiao Gao sighed after hearing this.

"Brother Gao is so good, so he won't be eliminated! I heard from my classmates that the People's Hospital recruited three cardiac surgeons this year. As a result, there were more than 700 resumes for the applicants, and all of them with a master's degree or below were directly filtered out in the first round. The remaining twenty or so people are all doctoral degrees, and two are post-doctoral. It feels really cruel."

When it comes to the future, Han Siying is also full of worries.

This is normal.

In the face of many powerful competitors, which one is not panic, which one is not afraid?
At this time, sirens sounded outside.

Whizzed past.

Is there another fight?

In the old street in the south of the city, although the law and order is not particularly good, fighting with weapons is relatively rare.

In the section of food stalls, there are more fights at night.

Especially at night in summer and autumn, when the weather is hot, many people are like a powder keg, exploding at a single touch.

Now that it's broad daylight, there should be less chance of a fight.

After less than half an hour, a customer came into the clinic to buy medicine.

"Uncle Wang, you are here!"

After Xiao Gao saw each other, he greeted him warmly.

He didn't ask every old man to be a godmother or godfather.At least you have to close your eyes. The other party is rich or has some influence, so Xiao Gao will "bow".

Only he knows how many godmothers and godfathers Xiao Gao has recognized.

It is conservatively estimated that there should be twenty or thirty.

"The lipid-lowering drug you recommended to me last time was quite good. After taking it, I went to the hospital for an examination yesterday. The doctor praised that my cholesterol and triglycerides are well controlled. No, I'm here to ask you to buy some back."

The man looked like he was in his 50s, and his clothes were above average.

The actual age is likely to be more than 50 years old.

Many men with superior jobs, as long as they take care of themselves properly, they will not look old even in their 60s.

"Haha, I'm very happy to hear that your test results are not bad."

Xiao Gao has a certain medical background, and recommending health care medicines is not random, but targeted.

In addition, Sunshine Clinic now sells all high-quality products, so the customer satisfaction rate is very high.

"Will Uncle Wang still buy the same medicine as last time?"

"It's fine if you recommend it to me. I don't understand those pharmacological knowledge." The man actually trusted Xiao Gao very much.

In fact, the vast majority of patients and customers are basically the same.

As long as the treatment in the clinic is effective, they will have a certain degree of trust when they come back next time.

"Then I'll take it for you! By the way, remember to bring your ID card when you come to buy medicine next time. I'll get you a membership card, and you can enjoy discounts when you buy medicine in the future. I will also write down the consumption amount for this time in the notebook, and add it together next time."

Xiao Gao directly started pushing membership cards to patients.

"Okay, okay, Doctor Gao is considerate in his work. He always thinks about our customers if there is any benefit." The man nodded and agreed when he heard that there was a discount. "Oh, when you came over there just now, you didn't know that the police arrested two people, a man and a woman. Do you know what they were doing? They were carrying a dead child to the Kuaikang Clinic to buy medicine, but the boss found out and kept them calmly, then called the police and arrested them."

After the man got the benefits, his favorability towards Xiao Gao increased, and the chatter was opened.

"Doctor Gao, you are a very good doctor. You are still so young, but you must be careful! These days, the world is dangerous, and there are always some people who try to cheat and abduct. Who would have thought of taking a dead child to the clinic to buy medicine!"

The man kindly reminded Dr. Gao not to be fooled.

"It's scary. Thank you Uncle Wang for telling me this, I'll pay attention."

Xiao Gao looked terrified.

I don't know if it was acting, or I was really scared.

However, those two men and women dared to carry their children to the Kuaikang Clinic to cheat. They were really looking for death by lighting lanterns in the toilet.

Boss Zhao, who is that?

The old street in the south of the city is absolutely ruthless, a bully in the old arena.

Even Li Jingsheng's many routines and principles of life were "plagiarized" from Boss Zhao.

That couple must not be locals, otherwise they would not have dared to go to the Kuaikang Clinic with the courage of the three of them.

Han Siying listened by the side without saying a word, but silently cast admiring glances at the boss.

I haven't seen Boss Zhao coming over for two days.

Should I go to 'visit' Boss Zhao later?

Working behind closed doors is a taboo.

If the industry wants to develop, it needs to learn and communicate with the seniors.

At this time, Li Jingsheng's phone rang.

It was actually Director Mu from the Second Hospital calling.

The two haven't been in touch for some time.

"Mr. Mu, hello! If you have any instructions, please tell me."

Li Jingsheng has always been grateful to Director Mu.

Although Director Mu is very face-saving, he is quite a good person.

If Director Mu hadn't been the guarantor last time, Li Jingsheng would never have had the chance to learn bone-setting techniques from Dr. Xu.

"Ah, I don't dare to take instructions and orders! It's just that I haven't seen you for a few days, so I want to call and ask."

Director Mu looked very happy.

Everyone likes to carry people in flowery sedan chairs.

Li Jingsheng's respectful attitude towards him made him very useful.

"Don't tell me, since we parted last time, I have been thinking about when I can see you again. I have some medical knowledge in the respiratory field, and I really want to ask you for advice, but I am afraid that you are busy with work, so I dare not disturb you easily."

Who is Li Jingsheng?

That is a rising star in Chengnan Old Street.

After nearly a year of tempering, both IQ and EQ have become better.

He was obedient and listened to the sound, so he naturally wouldn't believe Director Mu's polite words.

Director Mu said he missed him, just listen to what he said.

There must be something on the phone.

It's just that Director Mu has a thin skin and refuses to speak out directly.

"Doctor Li, if you say that, it's a shame! I'm not busy at work any day? As long as you are willing to come, I am happy to come. If you are free, you can come here now. It happens that I have two classic cases here, you can come and discuss them together."

Director Mu called him just to ask him to discuss the case together?
Li Jingsheng murmured in his heart that although the strength of the Second Hospital could not be said to be particularly strong, it was definitely not weak.

No matter what, there is no need to ask for help from a doctor in his small clinic, right?
He decided to play tricks.

"Oh, I really want to go to ask you for advice every day, but my small clinic is too busy these two days. Can I go to you again in a few days when there are fewer patients here?"

He is really not free in the morning.

It's been relatively quiet this afternoon.

So far, only four patients have been seen.

"It will be fine in a few days!"

Director Mu agreed very readily.

Just when Li Jingsheng thought that the test was fruitless, Director Mu went on to say, "Among these two classic cases, a patient said that he had seen a doctor at your place. Why don't you come over and discuss it together?"

The real purpose was revealed.

Sure enough, there is something to 'seek'.

"I have seen a doctor here. What kind of patients are they? I have seen a few difficult cases that I can't handle in the past two days. You know, my small clinic has limited conditions, and my personal level is also very limited. I am also afraid of delaying the patient's condition for cases that are not accurate, so I always ask them to go to a big hospital for treatment."

It is true that Li Jingsheng has seen a lot of patients in the past two days.

"The patient is a woman. She has a fever and a headache. She said she bought cold medicine from you and took it. The headache didn't hurt so much, but she still had a fever. Do you have any impression?"

With such a reminder, Li Jingsheng really remembered.

That woman definitely didn't have a cold.

"The patient is a young woman in her 20s with yellow skin and subcutaneous bleeding. Is this the person?"

"That's right! That's the patient. How about it, come and discuss it now?"

Director Mu basically put down his face and asked for help.

Perhaps it was Li Jingsheng who diagnosed the old man with tuberculosis last time, which made Director Mu give him a high look.

It is believed that Li Jingsheng should not be weak in the internal field.

That's why I asked him to come over for a consultation.

"Okay, I'll go to the Second Hospital to find you right away. I just told you in advance that my level is very limited. You can take care of me and be more tolerant when participating in the discussion."

Director Mu just invited him explicitly.

It would be a bit unkind to refuse again.

"Medical discussions do not distinguish between professional titles or experience levels. It is the right answer for everyone to brainstorm and overcome the disease together. I am in the No. 3 director's office of the inpatient department.
Wait for you. "

Hearing that Li Jingsheng agreed to go over, Director Mu's tone was obviously relaxed.

Being a doctor is a high-risk profession.

It is even more difficult for a famous doctor like him.

People often say that they are burdened by false fame, but this is what they actually mean.

The status and fame are there, who will you not go to when something happens?While enjoying the benefits of fame and status, it also means taking on more responsibilities.

When encountering such difficult cases, lower-level doctors can push them to the top, and the doctors at the top have only one way to push them, and that is to push the patients to other hospitals.

It's okay to do this kind of thing once or twice.

Pushing difficult patients to other hospitals again and again, is it true that the hospital leaders are just doing nothing?
They certainly do not agree.

And it hurts reputation.

Li Jingsheng took a taxi to the Second Hospital and saw Director Mu in the director's office.

It seems to be using a computer to check information.

When doctors encounter difficult cases that cannot be solved, it is a good way to check similar disease cases on the Internet for reference, or to read books.A well-connected doctor can also ask his peers for advice.

"Dr. Li is here! The patient is hospitalized in the ward. Yesterday he developed symptoms such as convulsions, severe headache, and aphasia. I have organized a discussion with the doctors of this hospital, but there is no clear result. At present, it is suspected that there is a problem with the central nervous system."

When Director Mu saw Li Jingsheng coming, he immediately got up to greet him.

Then go straight to the topic and introduce the patient's situation.

Li Jingsheng remembered that although the female patient had some symptoms yesterday, she was still awake.

Communication is normal and movement is normal.

Unexpectedly, the disease progressed so quickly in just one day.

"Can you let me see the patient's examination report? The patient asked me to buy cold medicine the afternoon before yesterday. She came to me yesterday morning and reported that she still had a fever. At that time, I saw that her skin was yellowish and there were spots of subcutaneous bleeding. I realized that it was probably a serious illness. Excluding liver and gallbladder diseases, the only thing left was hemolysis. So I advised her to go to a big hospital for further diagnosis and treatment."

Li Jingsheng told the story again.

Such a precise judgment can be made just by relying on some performances, which made Director Mu give him a few more high-level glances.

"These are all the tests done after the patient was admitted to the hospital, you should take a look first."

Director Mu's brows were full of worry.

Doctors sometimes want patients to recover sooner than family members.

With such a patient in hand, the attending doctor is under great pressure.

Li Jingsheng first checked the blood routine data of the patient.

Because of hemolysis, it is easy to find abnormal data in the blood picture.

Hemoglobin 65g/L.

The first item is extremely abnormal.

Normal adult women's hemoglobin is 110-150g/L.The female patient's hemoglobin is only half of normal.

红细胞2.3*10的12次方/升，白细胞8*10的9次方，淋巴细胞0.35，血小板38*10的9次方……

Normal platelets are generally (100~300)×10 to the 9th power/L.

This patient's platelet count was only 38.

No wonder there is widespread subcutaneous bleeding, her blood clotting must be seriously abnormal.

Urinary red blood cells were positive.

Stool routine is normal.

Li Jingsheng hurriedly checked several other important indicators. The data of blood potassium, creatinine, carbon dioxide binding capacity, and sodium were all normal.

"The thermal hemolysis test turned out to be negative."

He was a little surprised when he saw another test result.

"The sucrose water test is also negative! This case is really difficult."

Director Mu has been patiently by his side.

It is nonsense to pin all hopes on Li Jingsheng.

However, if Li Jingsheng can give suggestions or directions on some key ideas, Director Mu may be able to find a breakthrough with his rich experience in clinical diagnosis and treatment.

Li Jingsheng found that the patient's cold agglutination test was also negative.

Liver function is normal.

Even the hepatitis B virus surface antigen was tested for her.

What a big hospital does is rigorous.

If it was Li Jingsheng who came for diagnosis and treatment, the liver and gallbladder function would basically not need to be tested.

However, the Second Hospital frantically did a lot of examinations on the patients, but there was a reason why they didn't have a complete set.

It can be seen that the application time of these inspections is relatively late.

It explained that after the previous inspections, no problems were found, so I thought about checking for hepatitis B.

The liver is the production site of various enzymes in the human body.

It is also the most important detoxification organ of the human body.

Many people think of the kidneys as detoxification organs because they think toxins are excreted through urine.This is actually unprofessional.

The liver is silently acting as a decomposition factory for all kinds of toxins and toxic substances eaten into the stomach.

Why drink alcohol to protect the liver?

This is also true.

The wine that is drunk, what it really hurts is not the esophagus and stomach, nor the intestinal tract, but the liver.

Repeated hepatitis or hepatitis B disease can lead to abnormal blood coagulation.

When Director Mu checked the patient's hepatitis B, it actually looked like a headless chicken.

Li Jingsheng continued to look down, and found that the patient's bilirubin was 27.4UMol/L, and the total bilirubin was 72.4umol/l.

This is more than that, and the patient's electrocardiogram was checked.

Of course, it must be normal.

Hemolysis is rarely caused by heart disease. Checking this ECG may have many considerations.

Then I checked the chest X-ray.

As a result, no abnormalities were found in the heart, lungs, and mediastinum.

After checking the organs of the chest and abdomen, the cause of the disease was not found, so we have to continue to search.

A head CT scan was performed on the patient, which is actually quite expensive.

If the patient does not have medical insurance, even if he is hospitalized, he will not be reimbursed much.

Doctors prescribe this relatively expensive examination to patients, and usually ask patients to go through hospitalization before applying.The purpose is to allow patients to reimburse a little more.

There is a difference between outpatient and inpatient reimbursement rates.

Of course, many patients don't know this at all, so they can't understand the doctor's good intentions.

No tumor, cerebral parenchymal hemorrhage, cerebral infarction and other problems were found in the patient's head from the CT film.

When the disease was found to this step, the difficulty further increased.

But the real cause of the disease is getting smaller and smaller.

The method of exclusion is a commonly used method in clinical diagnosis.

Simple and practical.

Next, a lumbar puncture was performed on the patient.

The main viscera of the thoracic and abdominal cavity, and the head were all checked, and no abnormalities were found.If the blood picture is obviously abnormal, then check the cerebrospinal fluid.

Cerebrospinal fluid pressure was normal, and routine and advanced laboratory biochemistry were all normal.

After checking here, there is basically only the last item left, bone marrow.

Director Mu actually did the same.

(End of this chapter)