Gou is practicing medicine in the clinic

Chapter 219 Saved two families, the sought-after Dr. Li

"The disaster has already happened, and it's useless to worry. You calm down first, and I'll take a look at the film, and then check the specific injury of the patient."

Naturally, Li Jingsheng would not give guarantees to others just because the party responsible for the accident sold out badly.

To be an attending doctor must first learn how to survive.

Protect yourself and protect the interests of the hospital.

Do things according to your ability, otherwise people will not help you, and you will end up in trouble for yourself.And in the end, instead of being grateful for sympathy, this crying woman would try to put the blame on Li Jingsheng as much as possible.

Since you are not sure about this, why do you want to treat it?

Li Jingsheng has seen too many such scenes that chill the hearts of doctors and nurses.

"This is a film taken at the Qiaobang Hospital. The doctor is very kind. After seeing my mother's injury like this, after learning about the specific situation, he suggested that we send it to the Second Hospital to see if we can perform manual reset. He said manual reset Not only can patients suffer less, the risk is much lower than surgical treatment, and it is economical."

The age of the patient should be more than 50 years old, with yellow hair, and the specific age cannot be seen.

The male family member who gave the film to Li Jingsheng is the patient's son, who should be 30 years old.

About the same age as Li Jingsheng.

Li Jingsheng sincerely admires the medical ethics displayed by the doctors of Qiaobang Hospital.

In his impression, both the People's Hospital and Qiaobang Hospital are the ceilings of Jiangli City Hospital, and they belong to giants.

When he was working in the No. [-] Hospital, he could only look up to the doctors in these two hospitals.

Unexpectedly, now there are bone setting techniques that even the orthopedic surgeons of Qiaobang Hospital do not have.

He now believes that immortality will eventually come out.

After watching the film, he already had some bottom line in his heart.

He walked up to the patient and stared at her face.

Other than some paleness, it's pretty good overall.

"What kind of discomfort do you feel in your body now?"

Li Jingsheng asked her.

"It was checked at the Qiaobang Hospital, and everything else is fine, except for the prolapse of the lumbar spine." Xiongzi's mother interjected beside him.

Li Jingsheng turned his head and glanced at her, "I'll ask the patient to understand the situation, you don't need to answer. I'll ask you again when necessary."

This is a tactful warning.

If this woman is so cautious, Li Jingsheng can only tell them that it is a pity that the patient's manual reset is too difficult and risky to operate.

"You go and sit over there first, and we'll call you later if something happens."

The family members saw a hint of displeasure on Li Jingsheng's face, and said directly to the woman.

"Okay, okay, call me if you need anything."

The woman didn't dare to answer back, she walked away obediently, sat in the distance and waited.

Li Jingsheng looked at the patient again, "It's okay, you can tell me what's uncomfortable, and you must tell me. If you keep it from the truth, if something goes wrong, it will be dangerous."

"Mom, if you feel uncomfortable, tell this doctor."

The patient's son spoke in dialect next to him.

Not a local accent.

Only about [-]% of Jiangli City are locals, and [-]% are outsiders.Many of them are migrant workers from surrounding counties, cities, and rural areas. After hard work and hard work, they gradually took root in Jiangli City.

"Now I can't move my lower body at all, my waist hurts, and I'm a little swollen, I can't control my bowel movements..."

The patient recounted some evidence.

Much more serious than imagined.

But these symptoms are all caused by lumbar herniation.

After listening, Li Jingsheng nodded without finding any potential risk factors.

"Let me check it for you. It may hurt a little bit. Be patient. If you can do manipulation reset here, I will try to do it for you, so that you can recover soon and suffer less."

Li Jingsheng said to the patient.

"Thank you, thank you!"

Patients are full of hope after hearing this.

"Doctor, please take care."

The patient's son handed Li Jingsheng cigarettes.

"Thank you, I don't smoke, and you can't smoke here either."

Li Jingsheng waved his hand.

It can be seen that the family members also very much hope to receive manual reduction treatment here.

I guess they were also worried that the parents of the child who caused the accident would not be able to pay that much money, and the surgery would be risky and not necessarily good, which made them even more worried.

Li Jingsheng felt the patient's bones.

Ask the patient's son to cooperate with a female family member to hold the patient's body and lie on his side.

Li Jingsheng lifted up the patient's clothes to reveal the injured part of the lumbar spine.Then touch the bone.

The woman's skeleton seemed to have a certain degree of osteoporosis to the touch.

"All right."

Li Jingsheng finished his inspection and looked at his family members.

"You can try to reset her manipulation now. You need to be given anesthesia, so you have to wait there. An anesthetist will be arranged for you here. After the anesthesia, you can reset 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 is no risk. If you agree, I will give you a bill, pay the fee, and apply for an anesthesiologist to come.”

"agree!"

The patient's son agreed directly.

30-year-old young people, some are still 'children', and some can really carry things.

Raise your children well, and when you encounter such a big event, you will have one more person who can help you make up your mind.

Li Jingsheng wrote a list to the patient, but he didn't mention arranging anesthesia.

When paying the fee, the patient's son directly called the mother of the child who caused the accident.

There is nothing to say about this. If you get into trouble, you can pay as much as you want.

With a better attitude, people can pay less for nutrition, lost work and so on.

More than 40 minutes later, the anesthesiologist came over to conduct a detailed examination on the patient and confirmed that the anesthesia requirements were met before agreeing to anesthesia.

When it came to the critical part of the reset, Li Jingsheng called Dr. Chen to help, and first put pressure on the patient, because there was some tension.

The proportion needs to be well grasped.

Kyphosis, joint stiffness, these can interfere with reduction.

Almost later, Li Jingsheng implemented the rotation reset method again.

Pass one hand under the patient's armpit, grab the shoulder on the good side, and push forward on the healthy side.

The purpose of doing this is to open the intervertebral space.

The heel of the palm of his other hand is placed between the protruding vertebral bodies, against the side of the spinous process, and then rotates in a giant loop.

After three consecutive resets, it can be seen that the patient's back is no longer in the strange shape it was before.

Li Jingsheng also heaved a long sigh of relief after the inspection was correct.

"Okay, I'll come and deal with it after I wake up from the anesthesia, just lie down and don't move."

When Li Jingsheng said the word "okay", the family members of the child who caused the accident and the family members of the patient all showed joyful smiles.

This is the right trip.

Although the process of manipulative reset is frightening, it is really great that it can be cured without surgery.

"Thank you, doctor!"

"You're welcome, you can stay here, I'll treat other patients outside, and just call me when the patient wakes up."

Li Jingsheng continued to treat patients outside.

Dr. Xu had also arrived earlier, but he didn't care about it.

Instead, let Li Jingsheng do it himself.

After about half an hour, the family members called Li Jingsheng and said that the patient had fully woken up.

Li Jingsheng went in and examined the patient.

"Come on, I'll help you sit up, and I'll give you a waist splint later for at least three weeks."

Helping the patient up, everyone watched nervously.

Seeing the patient's happy face, Li Jingsheng let go of his hand, but she still sat upright without any problem.

"Okay, really good! Great!"

"The medical skills here are superb! Thanks to the doctor at Qiaobang Hospital who told us about such a good place."

The family members all smiled.

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, she wept with joy.

"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 splints the patient himself.

It is a splint similar to a belt, which can be wrapped around the waist.

Very convenient.

It 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 make up the 6 yuan for the treatment. Now that you have cured this sister's illness, it is equivalent to saving our family. In my heart, I really want to offer you as a Bodhisattva."

The woman wiped away tears of joy, expressing her joy and gratitude again and again.

"I can understand your difficulty. The lesson this time is very painful. I still need to educate the children more! If her lumbar spine is not cured and she becomes paralyzed, don't you think the two families will be ruined?"

Li Jingsheng advised the woman.

The other party was several years older than him, but he spoiled and pampered the child too much, which led to such a big disaster.

Some bear children are really the ancestors of the family, lawless.

I'm used to being crazy at home, but I don't care about the consequences when I do things outside, and getting into trouble is almost inevitable.

"Hey! How should I say this? My current husband and I are in a second-marriage family. The son was born to my husband and his ex-wife. My husband is rarely at home, and sometimes it is difficult for me to be a stepmother. I have strict control. , others thought that I abused my ex’s children. To tell you the truth, my family is not raising four old people, but five old people. His predecessor died of a disease, breast cancer. There is only one old father left in the family. My husband is a soft-hearted person, so he bears the responsibility of raising her."

After the woman said these things, everyone was silent.

Every family has its cupboard.

At first, I thought she was selling miserably, but I didn't expect that the family conditions were even worse than imagined.

The income of the couple is not high, and it costs money to support five elderly people, two children, and the couple's own food, clothing, housing and transportation.

One can imagine how difficult this family is.

Because of family planning, their generation is basically only children.

It is very common for a couple to raise four elderly people.

"The education should be educated, otherwise he will be harmed. A child is actually a blank sheet of paper. If you teach him well, he will have a future, and your family will gradually improve. If you let it go, next time if you don't If you make a bigger disaster, it will be too late for you to regret it."

Li Jingsheng said to her.

"This doctor is very reasonable. If you need to be beaten, you must be beaten. If you don't care about it, the child will suffer even more when the society takes care of it for you."

The patient's son has a good ideological awareness.

What he said was basically the truth.

"After this incident, I also discussed it with my husband. He will quit his current job next month and find another job that can take care of the family. It is definitely inappropriate for me to beat and scold his ex-wife's children. "

This woman's thinking is really not ordinary stubbornness.

In order to have a good reputation as a stepmother in front of outsiders, letting the children of the husband and ex-wife become lawless is really speechless.

True to the old saying, poor people must have something to hate.

Li Jingsheng didn't persuade him any more.

Adults are like this, don't try to convince anyone.Otherwise, they will only become enemies.

Busy until he left work at noon, he actually treated 23 patients in one morning, and his efficiency was significantly improved compared to before.

"Good progress!"

Dr. Xu just dropped a word and went to eat by himself.

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 his lunch, because 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 I have to go to Director Mu's office and thank him face to face.

Thinking of this, he went straight to the office of the director of the Respiratory Department.

"Who are you looking for?"

A nurse in her 30s passed by and asked Li Jingsheng.

"Excuse me, is Director Mu in the office?"

"It should be there!"

"OK, thanks!"

Li Jingsheng walked directly to Director Mu's office.

"Oh—I know who you are, Dr. Li Jingsheng, right?"

The nurse walked some distance away, then turned to ask him again.

"Yes! I'm Li Jingsheng! Can you tell me the name of Miss Sister? It's convenient for me to say hello next time."

Li Jingsheng responded with a smile.

"Roll fiber."

This name is really full of laughter.

I don't know, I thought she was swearing.

"People with the surname Gun are relatively rare. I only know that there seems to be such a big family in the Miao nationality."

Li Jingsheng also has a little knowledge.

"Hee hee, I didn't expect Dr. Li to be very knowledgeable. I really belong to the Miao nationality. I have to go to the ward, goodbye!"

She waved.

Most of the 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 house and work for three years, and he can marry the woman only when he is approved.

Li Jingsheng knocked on Director Mu's office door.

"Director Mu, did you disturb your rest?"

"It's Dr. Li! Please come in! I usually don't sleep at noon, and I welcome you every day."

Director Mu liked this kind of outstanding young doctor very much.

The two are also somewhat related.

The intersection is constantly deepening as you come and I go.

Li Jingsheng was able to worship Dr. Xu as a teacher and learn the true skills of bone setting, but it was because of Director Mu's help to match the bridge that he succeeded.

"Yesterday you sent me a flower basket and even came to congratulate me in person. It was a waste of money!"

"Why are you being polite to me! How is it, the opening was not bad yesterday?"

"It's okay, there's no silence."

Li Jingsheng spoke modestly.Nearly 70 patients were treated, actually 69.The income from diagnosis and treatment is more than 400 yuan.The total sales of medicines exceeded 95, but because of the [-]% discount, it was considered a profit.

Profits are a little lower than usual.

However, health care medicines have a profit of more than 100%, and the profit is 5%. After excluding the sales commission of the red employees, the profit is still very scary.

Li Jingsheng spent a total of more than 30 yuan on renting and decorating the new clinic site.

Just back some blood.

Then the rent of 30 is deducted from the more than 20, and the rest is basically decoration, which can be reimbursed for about [-].

He himself did not spend much.

Of course, the wool comes from the sheep, and Modu Youyao gave him a subsidy of 20 yuan. I definitely hope that he can sell more medicines and get more goods.

"There is a rule in opening a clinic. The first year and the second year are losses, and the third year is considered a victory. Some clinics even need the fourth and fifth years to protect the capital. You can make money in just one year. Within a short period of time, it has been directly upgraded from a small clinic to a hospital scale, which is already very against the sky. I saw many patients and customers patronizing with my own eyes yesterday, and the hot scene, tsk tsk, ordinary second-level hospitals may not be comparable. "

Director Mu didn't believe that what he said was not cold.

Class II hospitals are strong and weak, and some of them earn tens of millions a year.

Those who are weak may not even be able to pay wages.

This is really not comparable.

"By the way, your in-call diagnostic skills are good, help me with this case."

Director Mu showed a case file to Li Jingsheng.

In the conversation 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 about the business situation of the department, what new technologies are available, and so on.

Generally do not ask each other's income.

Unless the relationship is particularly good.

Li Jingsheng likes diagnosing various difficult and miscellaneous diseases, as long as he is good at it, he likes it.

After reading it carefully, he began to think seriously.

At this moment, the phone rang.

I saw that it was Director Hua calling.

He quickly connected.

"Doctor Li, why didn't I see you come to the doctor's office at noon today?"

"My girlfriend is off today, so I didn't go there. Director Pamu came here to drop by."

"You have to be tied down by a beautiful woman to not run away? Hurry over here, there is an important case consultation, you come to participate."

"Okay, I'll be right there."

Li Jingsheng had no choice but to stand up, and said apologetically to Director Mu, "I have to go to the orthopedic surgery office as soon as possible. I have already read the information on this case. If I have a diagnosis idea later, I will send you a WeChat message."

Director Hua is the director of the department, and Li Jingsheng must follow his arrangements.

"Okay! This patient is very urgent. I was worried about misdiagnosis, so I thought about finding a few more people to help me. If you are free, please help me with my advice."

When Director Mu said that, it was already quite embarrassing.

If it wasn't for an important case that could not be handled, it would be impossible for him to ask Li Jingsheng to help him.

Hospitals are like this. As long as they perform well in a difficult case once, the next time the senior chief physician has a problem, he will immediately think of this young doctor.

Li Jingsheng has shown a lot of ability now, and several departments in the Second Hospital highly value him.

(End of this chapter)