Gou is practicing medicine in the clinic

Chapter 294: If it’s too late, you might die, ‘birthmark’

Li Jingsheng stepped forward to take a look and found that a video titled "The Strongest Assistant Doctor in Jiangli City" was on the news hot search list.

After clicking on it, the first thing on the list is a short video composed of carousel images.

It has Li Jingsheng's heroic appearance in the skills competition.

He was even photographed helping Xiao Linlin, director of the Department of Gastroenterology, answer questions.

The paparazzi are so pervasive these days!

Almost every time Li Jingsheng participates in the competition, the team will win the award, which is why he is called the best auxiliary doctor.

Including him helping Professor Luo Binggang successfully complete the almost impossible cardiovascular interventional surgery, which was also photographed.Detailed text descriptions are also attached.

This self-media reporter is definitely a thoughtful person.

I'm afraid I've been paying attention to Li Jingsheng from the beginning of the game.

"Boss, by the way, didn't you get a Sunshine Clinic certified account last time? Let's see if your followers have increased."

Tang Ping remembered something more important.

As early as more than a month ago, since the Yang 2 clinic incident occurred, in order to prevent being exploited, Li Jingsheng registered accounts on multiple online platforms and carried out official certification.

After hearing this, he immediately took out his mobile phone, opened the screen, and directly entered the most popular Douyin APP.

As soon as I entered, it crashed immediately.

"This broken phone should have been replaced a long time ago."

Li Jingsheng could only retreat and then advance, but this time there was no chance of a panic. The column where the message reminded him was directly 99+.

The number of followers of Sunshine Clinic's account soared from 176 to 3891.

It is still increasing at an alarming rate.

The private messages and comments were so overwhelming that it was impossible to reply to them all.

"Excuse me, is this Dr. Li from Sunshine Clinic? My calf fracture has not been cured for almost a month. Can I come and see you?"

"Dr. Li, if my husband had top doctors like you and Professor Luo around when he got sick, he wouldn't have died!" followed by a long list of crying expressions.

"I want to go to Sunshine Clinic to see a doctor. Do I need to make an appointment?"

……

Looking at these news, Li Jingsheng felt very stressed.

His brows were also furrowed tightly.

These days I have been thinking about improving the clinic’s ability to generate revenue from diagnosis and treatment.I want to receive more surgical patients that can be done in the outpatient clinic.

It suddenly became a hot search topic, which caught him off guard.

People can search for the certification number of Sunshine Clinic by searching for Dr. Li Jingsheng.

This is just one platform of Douyin. It is estimated that many online fans will also pay attention to other platforms.

He vaguely realized that this was a great opportunity, and there were also many crises lurking in it.

If you don't handle it well in the slightest, the car may overturn.

"Sister Tang, please record a short video for me first, otherwise our clinic will soon be overcrowded with patients seeking treatment."

The first thing Li Jingsheng thought of after he calmed down.

"Isn't it a good thing to be overcrowded with patients?"

Tang Ping looked puzzled.

"Our clinic's digestive capacity is limited, and there are a large number of patients crowded in at the same time, which cannot be handled at all. Many patients come from other places and are sick themselves, which is very detrimental to them."

The first thing Li Jingsheng thought of was the suffering of the patients.

When a large number of patients come in, the clinic will not be able to handle it, which will only delay the patient's condition.

He recorded a video on the spot outside the reception hall, just in time to see the Sunshine Clinic's sign.

"Thank you to all the patients and fans for your support and trust in me and Sunshine Clinic. If you are a patient from out of town, you must contact our clinic before coming. Because the clinic has limited medical staff and limited conditions, the current processing capacity is close to saturation. If you come to see a doctor rashly, you may not be able to get a doctor's appointment that day, thus delaying your condition. We sincerely ask for your understanding and tolerance."

Li Jingsheng recorded this video, edited it slightly, and then posted it online.

He did not give a direct contact number.

With the current popularity, as long as he gives out his phone number, his personal mobile phone number will be discarded on the spot.

It is also impossible to get a dedicated person to answer the phone.

I have long been thinking about getting a new phone card.

This time was an opportunity, and he decided to seize the time to do one.

Bought a new mobile phone and a new calling card.

This number can be used as the contact number of the clinic in the future to avoid affecting the use of personal mobile phone numbers.

Keeping work and private life separate is a wise choice.

On the way back to the clinic, he went to an advertising shop again. The boss had made a sign for him, and since he was now a celebrity in the old street in the south of the city, he had already become familiar with it.

When I saw him entering the store, I smiled and said hello from a distance.

"Dr. Li, why are you free to come over today to take care of my business?"

"I want you to make a few boxes of business cards, and then help me change the contact number on the clinic's sign."

"Okay, I'll make arrangements for you right away."

The advertising shop owner registered him on the spot.

I have to pick up the business card the next day and change the number on the sign. I can help him get it done in the afternoon.

On the way back to the clinic, Li Jingsheng secretly wondered if the clinic's business phone number should be divided into two parts.

It would be better if the pharmaceutical sales and diagnosis and treatment business should be separated.

At present, most of the customers calling for consultation on pharmaceutical sales are Xiaogao.

From the perspective of the clinic's interests, this is actually very risky.

If Xiao Gao changes jobs one day, he can easily take away his customer base.

After thinking deeply, he decided to apply for two numbers at a time.One is used for clinic diagnosis and treatment business consultation, and the other is used for pharmaceutical sales consultation.

Doing this matter at once can avoid Xiao Gao's unhappiness to the greatest extent possible.

As long as Xiao Gao is not stupid, he will definitely know that the boss is guarding against him.

In the face of the clinic's major interests, Li Jingsheng could not fully take into account Xiao Gao's personal feelings.Even Tang Ping can only make way for the interests of the clinic in the future.

This is not to be ruthless, but only in this way can we ensure the healthy and sustainable development of Sunshine Clinic.

You don't have to worry about when an employee's resignation will cause the clinic to suffer a serious loss or even collapse.

After returning to the clinic, he devoted himself to intense diagnosis and treatment work.

More and more people come to see him for medical treatment.

In the past, those patients were still very picky and were not very willing to let Wang Zongxiao treat them.

Now Han Siyu directly allocates numbers based on the patient's condition.

The biggest advantage of this is that it can ensure that every doctor has enough work to do.

Otherwise, Wang Zongxiao would spend a large part of his time sitting there with nothing to do, or he would simply run to help Xiao Gao sell health medicines.

Being a doctor may not be suitable for sales.

Wang Zongxiao and Shao Bing are only suitable to be doctors.On the contrary, Han Siyu and Tang Ping, in addition to their regular jobs, can also work part-time in sales.

In addition to being young and beautiful, they are also very eloquent and adaptable.

At this point, Munro appears relatively weak.

She prefers technical talents.

"Dr. Li, can you please check on my wife? She has been receiving infusions at Kuai Kang Clinic for two days, and her condition is not improving at all."

A man in his 40s helped his flushed wife to sit in front of the consultation table.

You must have queued up early in the morning.

Otherwise, I wouldn’t be ranked first.

"Siying, take her temperature, blood pressure, and heart rate."

After Li Jingsheng asked Han Siying to measure the patient's basic physical signs, he began to inquire about the patient's condition.

The female patient looked 34 or [-] years old, her hair was slightly messy, and some hair strands were stuck to her forehead and others.

It means she is sweating.

"Oh, my body temperature is so high, it has already reached 39 degrees."

After measuring it, Han Siying reminded Li Jingsheng in surprise.

"First tell me what made you feel uncomfortable at first."

Li Jingsheng is already observing the patient.

"Two days ago, I suddenly felt a little uncomfortable. I felt a little cold at first, and then started to have a fever. I didn't want to eat, felt a little nauseous and felt like vomiting, and I had no energy." The woman described her symptoms weakly.

"I went to the Kuaikang Clinic to see a doctor, who said I had a bad cold, and then asked me to undergo infusion treatment. They said that considering my serious condition, they would let me choose better medicine. An injection costs more than 400 yuan. But I took injections all day yesterday, but they had no effect. We heard that the medical skills here are better, so we came here."

The charge for a drip is more than 400.

Boss Zhao is indeed a black-hearted doctor, and it is unambiguous to make money from patients.

The key thing is that his illness has not been cured yet.

When Han Siyu measured the heart rate of the female patient, Li Jingsheng caught a glimpse of a red rash on the patient's chest.

"By the way, I feel very painful in my knee joint today, and my whole body seems to be sore. Is this related to the fever?"

The female patient provided another symptom information.

"Here, let me check your knee joint."

After hearing this, Li Jingsheng already suspected that the woman did not have a cold.

The husband of the female patient was very considerate. He squatted down and carefully helped his wife pull up her trouser legs.

The woman's legs are quite white.

Li Jingsheng touched her knee and felt that the temperature was higher than normal and there was swelling.

"Does it hurt?"

He pressed slightly harder. "pain!"

She nodded with a pained expression on her face.

She also checked her other knee joint, which also showed symptoms of swelling, fever, and soreness.

"Let me show you the elbow joint again!"

When her sleeves were rolled up, Li Jingsheng discovered that there was a red rash on her upper arms.

Some women develop a rash on their chest, which is not a big problem.

Because the skin on the chest is tender and rich in blood vessels, eating too much spicy food, or endocrine disorders and other reasons may cause rashes.It can subside on its own after some time.

"Did you have the rash on your elbow before, or did it appear in the past two days?"

"It seems to have appeared in the past two days. My skin has always been smooth before, without these rashes."

she replied.

Li Jingsheng touched her elbow joint, and she also said there was pain.

"Dr. Li, is my wife's cold serious? Can you treat it here?"

The man was several years older than his wife, so when his wife fell ill, he took on the husband's responsibility of taking care of her.

He is very protective of his wife.

Moreover, his wife is better dressed, with gold bracelets, watches, platinum necklaces, and diamond rings.

The cheap gray round-neck T-shirt he wore had holes in it.

"She shouldn't have a cold."

Li Jingsheng looked serious.

"Ah...then what disease does my wife have? No wonder she didn't feel better even after taking injections at the Kuai Kang Clinic for a whole day!"

The female patient's husband became anxious immediately.

"Don't worry. The specific disease needs further examination and diagnosis. It's also possible that my small clinic can't find it out, so you have to go to a big hospital. From the time she sat over, I heard her There is a wheezing sound, indicating that the respiratory tract is pathologically pathological, but an upper respiratory tract infection will not cause swelling of the knee joints, and rashes rarely occur. I feel that her condition is more complicated than imagined, and it is progressing rapidly.

If you think of some useful triggers, you can tell me at any time.

For example, eating special foods or coming into contact with something before the onset of the disease can help my diagnosis. "

Li Jingsheng is not a god. When faced with such a strange condition, he can only try his best to diagnose it under very limited conditions.

"Honey, you didn't eat any special food before you got sick, right?"

"It's just the usual food!"

His wife shook her head blankly.

"Let me listen to your heart and lung sounds first!"

Li Jingsheng gave her the probe of the stethoscope and taught her to put it inside her clothes and press it on different locations such as the heart area and lung area.

You can see that the red rash on her chest is very large and has a tendency to spread to her neck.

After listening, Li Jingsheng's brows furrowed even more tightly.

"The heartbeat is obviously tachy, and there is no murmur in the lungs. Why does it feel like symptoms of sepsis or bacteremia?"

Li Jingsheng murmured to himself.

"Have you had your skin scratched by anything recently?"

"I was pinched by a crab at the seafood market. Does this count?"

The female patient provided a very important piece of information.

"Let me see."

Li Jingsheng asked her to take off her stockings, and sure enough, she saw a small wound on the back of the third finger of her right foot.The redness and swelling are still present.

"It was very painful at the time, but the skin was only broken a little. I was buying seafood with my friends. The boss gave me a 20 yuan discount and apologized, so I didn't bother him."

The female patient showed a depressed expression when she talked about what happened at that time.

Under normal circumstances, crabs are all tied up, and I don’t know how she got caught.

"I suggest you go to a big hospital like the People's Hospital immediately and get tested for Vibrio vulnificus. This can be found in blood tests and stool. Tell the doctor directly about your symptoms and injury history, and he will know what to do. Yes. You must go to the emergency room and don’t delay.”

Li Jingsheng was still wondering at first why he felt like sepsis.

Now that I heard that a woman was bitten by a crab, I suddenly realized it.

What kind of cold is this? It's probably Vibrio vulnificus infection.This is a kind of bacteria that lives in the sea. It is usually easy to get infected by eating seafood or being stabbed by seafood.

Therefore, be sure to wear gloves and take protective measures when handling seafood.

When eating seafood, eat it cooked.

Chaoshan people like to eat raw seafood the most, but they have experience and always pickle it.Ordinary people advise not to imitate.

"Oh, then I have to ask the seafood seller to compensate." The female patient said regretfully.

"Is this disease serious?"

The woman's husband cares more about his wife's safety.

"It's very serious. Some people have strong resistance and may not have any serious problems after infection. But some people can become seriously ill in a short period of time and eventually die. You guys have been delaying it for a day, so you need to go quickly."

Li Jingsheng told the patients and their families very seriously.

"Thank you, Dr. Li!"

The man helped his wife up.

"Let's go, let's take a taxi to the People's Hospital. Fortunately, we came to the Sunshine Clinic. If we had continued to get injections at the Kuaikang Clinic, I would have died."

The husband was very scared.

"The owner of the seafood shop has to come up with the money. If we don't go to him now, what will happen if we don't recognize him then?" The female patient was worried about the money.

It is true that no one is willing to pay this unjust money.

"Hey, your life is almost gone, why do you care? Go to the hospital for treatment first. When you are safe, I will go find him." The husband helped his wife out of the door.

Li Jingsheng looked at the backs of the couple as they left, hoping that the female patient had not developed into a serious condition.

Based on his diagnosis just now, his condition should be considered relatively serious.

But it should be no problem to save your life.

The most feared thing about this disease is misdiagnosis and mistreatment, or delaying treatment at home.

Continue with other patients.

Occasionally, Li Jingsheng can only advise them to go to the hospital when they encounter problems that cannot be solved.

Near noon, a young couple came in with a little boy about four years old.

The way this little boy walks is a little weird.

It feels a bit clumsy.

The back is also slightly stooped.

"Dr. Li, I heard that your medical skills are excellent. Can you show my daughter?"

Young dad greets with a smile.

"Is the child feeling uncomfortable somewhere?"

"There's just a big birthmark on my back that keeps getting bigger."

As he spoke, he lifted up his son's clothes, revealing a large dark brown birthmark on his back.

Li Jingsheng stared at it carefully.

The area is about the size of an adult's palm and distributed in a cluster.It's like a devil, still rapidly expanding to the surrounding skin.

But the boundaries look clear.

"This doesn't feel like a birthmark, it looks a bit like a plexiform neuroma. It's a kind of conscience tumor. Are you sure you want to treat the child?"

After Li Jingsheng looked at it, he made a preliminary diagnosis.

"When the child was first born, it was only as big as an egg. Now it has grown so big. It's so scary! We are even more worried that when the child grows up, it will affect his ability to marry a wife and find a job. What if it continues to expand and grow on his face or hands? What should I do?"

The child's mother said from the side.

"For treatment, this requires surgery. Why don't you go to a big hospital for treatment?"

Li Jingsheng found that the child's parents were very young, about 25 years old.

Maybe even a little younger.

He has not yet married a wife, and his children are so old. He is really envious.

But he is now considered a winner in life.

He has achieved some success in his career, and his girlfriend is white, rich and beautiful, and she is also very kind to him.

"I can't afford it! I have been taking care of my child at home, and I only let him go to kindergarten this year. I found a job, which only makes more than 2000 a month. The child's father's income is not high. We asked someone and he was told It would cost tens of thousands to treat in a big hospital.”

When the woman mentioned tens of thousands, her face showed an expression of helplessness and despair.

This is absolutely an astronomical sum for a young couple with a low income.

"Have you been to a big hospital?"

"When I was born, the doctor saw me and told us to call the oncology department for a check-up. The family conditions were not good, so I kept delaying it."

"I can do this surgery here, but the price won't be cheap. His skin tumor is too large, and he will definitely need skin grafting. Fortunately, it happened on the back, otherwise if it happened on the face, the cost would be even higher. Some."

Li Jingsheng has never had this kind of surgery.

But he was sure of it.

After all, his incision, suturing, and separation techniques are now very good.

Just cutting out the superficial plexiform neuroma and then completing the skin grafting should be within his ability.

The only troublesome thing is the skin grafting.

After all, the area is a bit too big.

"How much will it cost?"

When the child's father asked this question, he couldn't help but pinch his pocket.

(End of this chapter)