Gou is practicing medicine in the clinic

Chapter 324 The fourth diagnosis mode, brain disease
"A child with swollen feet?"

All he could think about was the little boy.

"Yes, the edema of this sick child's lower limbs, especially the right lower limb, is severe. The family members responded that you just looked at it casually and said that their child might have a serious illness, and asked them to go to a big hospital to check creatinine. The family members were very kind to you. Dissatisfied. Later, our nephrologist checked the child’s hematuria and found that there were serious abnormalities.

After further examination, it was finally found that it was an intestinal malignant tumor, and he was transferred to our Department of Gastroenterology.

I really admire your diagnostic skills more and more. "

Lian Tao sent him several voice messages.

"What's the point? Any doctor with a little bit of experience will ask the child to check the kidney-related functions."

Li Jingsheng said modestly.

"It is not difficult to ask patients to check creatinine, but to be able to determine that the patient has a serious illness is something that ordinary doctors cannot do. I asked myself that I can't do it. I really want to learn from you. I am so envious of this diagnostic ability. "

"There is no need to study, just come to my clinic and work. The conditions of the clinic are simple. After receiving a patient, there are only two things to think about. Can I cure this disease? I must not let anything happen to this patient." Things. In such a difficult and high-pressure environment, your diagnostic sensitivity is guaranteed to rise sharply in less than a year."

What Li Jingsheng is best at is painting cakes for others.

Keep a talent close to you.

Lian Tao is the chief physician of the People's Hospital of both departments. He is very good at both the Department of Internal Medicine and Gastroenterology.

Gastroenterology, in particular, is his strongest area of ​​expertise.

Li Jingsheng dreams of recruiting such top medical talents to work at Sunshine Clinic.

After sending the message, it took a long time before I got back to him.

"Why don't you try a free clinic at your clinic another day?"

Lian Tao seemed to be moved.

"You are welcome at any time! If you want to keep a low profile, I will just add a medical seat for you. No publicity will be made to the outside world. If there are patients in the Department of Internal Medicine and Gastroenterology, I will ask the nurse to give you some more. If you want to keep a low profile, I will give you a doctor." A banner titled Expert Lian Tao, director of the Department of Gastroenterology and Respiratory Medicine of the People's Hospital, came to our clinic to carry out free clinic activities."

Li Jingsheng saw that he was only a little bit away from the successful abduction, so he immediately worked harder.

When Lian Tao comes to his clinic for consultation, he will definitely not let people work in vain.

Will pay wages or give red envelopes.

In fact, at Lian Tao's level, there are a lot of small and medium-sized hospitals that want to invite him to visit.But he won't agree easily.

On the one hand, it is busy, but on the other hand, it also involves the interests and reputation of the hospital.

"The low-key approach you mentioned is very good. Starting from scratch should be quite new."

After listening to the two plans given by Li Jingsheng, Lian Tao couldn't help but be even more excited.

Going to the Sunshine Clinic as an unknown doctor feels like being used to being a high-ranking official and suddenly becoming a common man, and you can experience an unprecedented sense of freshness.

"Okay, then I will add another consultation seat in the clinic. From now on, it will be dedicated to experts like you for consultation."

Li Jingsheng has long wanted to take the elite route and recruit doctors with real abilities like Dr. Xu and Director Lian Tao to come to the clinic for consultation.

It's just that except for unlucky guys like Shao Bing, this kind of doctors do well.

It is impossible to leave the original unit easily.

At this moment, while chatting with Lian Tao, he accidentally found an alternative way out.

"By the way, how is that child doing now?"

Li Jingsheng accepted a big durian from a family member, so he must be concerned about their situation.

"The child's condition is not optimistic. It has been basically determined to be a malignant tumor. As for the specific tumor, we need a pathological biopsy to know. The child's creatinine is too high now, and the risk after anesthesia evaluation is too high, so surgery is not possible. I was having trouble with digestion just now. We will negotiate with the surgery department and prepare to transfer the child. We will not consider surgery until the child's creatinine level drops."

Lian Tao was full of helplessness when he talked about the child's condition.

This often happens in clinical practice. A patient may have to be referred to several departments before the disease is finally diagnosed.

In this process, departments may also be kicked out of each other.

The system at People's Hospital is pretty good.

Medical staff are also particularly responsible for patients and will do their best to treat them if they can.

After Li Jingsheng finished chatting with Lian Tao, he went to the Cardiothoracic Surgery Department of the Second Hospital to participate in the operation.

……

The days passed so unhurriedly.

Sunshine Clinic’s online drug sales business is developing better and better.

Although we encountered many problems along the way, we worked together to find solutions and gradually became more and more perfect.

Li Jingsheng has already hired a warehouse manager and a packaging and delivery person.

The offline sales business has always been a blessing for Tang Ping, Han Siying and others to make extra money.

But as the clinic's diagnosis and treatment business became better and better, their work gradually focused on the diagnosis and treatment business.Li Jingsheng hired another pharmacist to assist Xiao Gao.

Female, in her early 30s.

To be precise, she is a 32-year-old saleswoman.Have experience in selling drugs.

I have worked in direct sales, stood at the counter, and worked in a pharmacy.

My resume is quite good, my eloquence, emotional intelligence, and adaptability are very strong, and I am also very careful in doing things.If I want to talk about my shortcomings, it is that I love money very much.

No adult doesn't love money, but she showed it a little too much.

Some customers buy medicine because she knows there is a commission and she will never give in.

As long as she is busy, people of all ages and genders will definitely rush to receive her.

In the past, elderly customers were basically handled by Xiao Gao by default.

Now that she is doing this, it is equivalent to robbing Xiao Gao of his food.

But this woman is very good at getting things done.

So far, the relationship with Xiao Gao is going well.

Also, after this woman was recruited, offline sales actually increased significantly.

It shows that her ability is very strong.

Successfully retain some potential customers and let them buy medicines at Sunshine Clinic.

You know, before she came, this kind of potential customers would eventually be lost due to various reasons.

She used her thick-skinned, sweet-talking, and super-enthusiastic attitude to successfully motivate this group of customers to buy medicines, which is nothing wrong with her.

In the medicine sales business, the clinic has added three new employees, and its expenses have also increased a lot.

But compared with the new profits every month, everything is worth it.

Li Jingsheng's bank card deposits are also rising rapidly.

Now, the clinic's monthly volume has already exceeded 50, and is heading towards the one million mark.

Even Manager Hu from Modu Youyao thought this was a miracle.

After meeting Li Jingsheng, his current attitude is not only enthusiasm, but also special respect.He won't speak as casually as before.

In addition to achieving remarkable results in the drug sales business, Li Jingsheng's Sunshine Clinic has also continued to make new breakthroughs in the diagnosis and treatment business.

Lian Tao visited his clinic several times and always took the time to come.

Basically, every time I sit in the clinic for a morning or an afternoon.

According to his own reflection, the results of the consultation were quite good, and it was indeed very helpful in improving his diagnostic skills.

Of course, Li Jingsheng would not treat his brothers badly.

The money you should give is a penny.

It's really a waste of work and I won't come back next time.

The clinic's surgical business has also gradually improved thanks to Li Jingsheng's efforts.

Now we can receive almost 25 surgeries a month.

Compared with the past where I could only receive one or two calls a month, this is a big breakthrough.

However, limited by operating room conditions, clinic qualifications, and doctor skills, the surgical projects that can be carried out at present are still very limited.The level is also strictly controlled below level [-] surgery.

At best, the attending doctor can only perform secondary surgery.

In addition, the nature of the clinic is actually an outpatient clinic, and it is also not qualified to perform third- and fourth-level surgeries.

But any hospital grows up slowly like this.

Li Jingsheng is very satisfied with the current development of the clinic.

During this period, he not only participated in many orthopedic surgeries, but also went to the cardiothoracic surgery department more frequently.

His surgical skills are improving day by day.

The shortcomings are constantly being made up for.

The only thing I lack is surgical experience. There is no way to take shortcuts. I can only participate in more surgeries and slowly accumulate them.

When I perform surgery with Director Zhang, I feel that I gain a lot each time.

Director Zhong Hu of the Department of Orthopedic Surgery often invites him to work as an assistant, which also benefits him a lot.

The person who invited him to perform surgeries the most was none other than Professor Wu.

This person is one of the few unique beings among chief physicians.

Every time an operation is performed, as long as Li Jingsheng is present, Li Jingsheng is basically ordered to do it.

"Dr. Li, you can complete this incision."

"You take care of this neurological separation!"

"The removal of this osteophyte is left to you!"

"In our team, you are the most neat at sewing skins. Please sew better! I have something else to do, so I'll leave first."

Then Professor Wu abandoned them and ran away.

Li Jingsheng didn't believe him when he said something was wrong.

Most likely he was dating some mistress or female student.Professor Wu is good at this and can compete with Boss Zhao.

Li Jingsheng didn't have any complaints.

After Professor Wu left, Ruan Xiaoqin also slipped away quickly.All kinds of excuses.

They left the finishing work of the operation to Li Jingsheng and were very relieved.

Li Jingsheng would sometimes give Ou Qinglan some hands-on training opportunities.

Her stitching skills are now improving very quickly.

It is no problem to suture superficial wounds alone.

……

That day, while he was sitting in the clinic, a man came in.

Dress very normally.

Judging from his age, he was only 34 years old, a few years older than Li Jingsheng.

He had an unshaven beard, a pair of loose sweatpants, and a dark gray corduroy jacket.

The shoes are pretty good, Nike sneakers.

It's just that both the shoes and the pants look very old.

The man looked a little thin.

The complexion is not very good either.

"Is this Dr. Li Jingsheng?"

"Yes! I am."

Li Jingsheng looked at the man and could tell that there must be some kind of disease in this man's body.

"My brain is sick, can you help me look at it?"

The man sat next to the consultation table and was a little surprised when he opened his mouth.

"What's wrong with you?"

Li Jingsheng is not good at neurology or surgery.

But when people come to seek medical advice, he will still take a closer look.

"I can't tell. I just sometimes lose consciousness suddenly and my mind goes blank. Sometimes I wake up suddenly in pain when I fall asleep or reading a book in the middle of the night."

"Have you not been to a major hospital for a checkup? I feel like you should have a head CT or MRI checked."

After Li Jingsheng listened, he could basically conclude that the patient's lesion was intracranial.

This kind of disease cannot be cured by his small clinic.

"I checked it and said no problem was found."

After speaking, the man took out the previous inspection data for Li Jingsheng to check.

There are many diseases that cause temporary loss of consciousness, such as epilepsy, nervousness, moyamoya disease, etc.

I took a CT scan of the patient's head and looked at it, and found no problem.

"Didn't you do an MRI?"

"I had a friend do it in private. It was free of charge and no film was produced. After watching it, he said there was no problem."

The man replied.

The doctors in the hospital all understand the situation he mentioned.

Sometimes, the doctor who performs a certain examination in the medical technology department happens to be an acquaintance and has a good relationship with him, so the examination can indeed be free of charge.

No films will be released, no registration will be required, just take a look at the results after checking.

Li Jingsheng has never enjoyed this kind of treatment, but he heard colleagues in the hospital mention it.

There is a nurse who has a good relationship with the doctor in the ultrasound department. The two are classmates.She was pregnant, so she asked that classmate to help with the B-ultrasound examination.

Of course, that classmate is a female doctor.

Because within three months of pregnancy, the gestational sac is still very small, so it is difficult to detect it with a probe placed on the belly.

It needs to be put in from below to take a photo.

If the nurse's classmate was a male doctor, she would never ask the male classmate to do this examination just to save more than a hundred dollars.

This man asked an acquaintance to get an MRI done, the kind of prostitution for free.

The other party didn't find any problems, which meant that either there were no lesions in the brain, or there were some extremely hidden diseases that were difficult to detect.

It is impossible for ordinary first- and second-level hospitals to have MRI.

After all, this instrument is very expensive.

Moreover, there are not enough patients in small hospitals, so there are even fewer patients who need MRI.

The cheapest one costs a few hundred dollars more.

At present, even in county-level hospitals, a less precise MRI costs more than [-] per time.The more expensive ones cost two to three thousand per visit and require an appointment, and are only available in top tertiary hospitals.

The man's friend was also an MRI doctor at at least a tertiary hospital.

No matter how bad the level is, it can't be much worse.

If you help your friends watch movies, you will do your best.

Li Jingsheng basically had no doubts about the inspection results.

"Does your head hurt now?"

Li Jingsheng asked him.

"The pain is always painful, coming in waves. But the pain is still within the tolerance range. Sometimes the sudden severe pain is like someone digging into my head with an awl. The pain is really unbearable."

said the man.

"What do you usually do?"

"I used to work in a large Internet company and was the operations director. Later, because I fell ill and the cause could not be found, the superiors thought I was faking my illness and asked me to quit. Now I am basically unemployed."

I really didn’t expect that this man, with his plain appearance, actually worked in a large factory.

There are not many major Internet companies in China, just a few.

Those who can get in are the talents among talents.

It is not easy to be the operations director.

"Married?"

"I was dating a girl before. I originally wanted to make more money, buy a big house, and have a better financial foundation before marrying her. Later, I fell ill and was asked to quit by the company, and her family firmly disagreed."

When talking about this incident, the man seemed a little painful.

Love is one of the most important parts of a person. Losing love can make people feel pain, despair, and frustration.

Especially since he suffered such a serious blow in his career, suffered from physical illness, and then lost his love.It was not easy for him to survive.

"Sorry, I talked about your sad past."

Li Jingsheng asked if he was married just to obtain more comprehensive diagnostic information.

"It's nothing. I even thought about committing suicide at first, but I survived. Now what I want most is to cure this strange disease, get back on my feet, and start a new life. I believe that with my own ability, as long as I cure the disease , I can definitely do a great job."

The man waved his hand and didn't care.

After experiencing such a cruel blow, I naturally became extra strong after overcoming it.

"Even big hospitals can't find the cause, so why would you want to come to my small clinic?"

Li Jingsheng felt that this man had seen a lot of the world, and he should go to Imperial Capital or other specialized hospitals specializing in neurological diseases for medical treatment.

"This is also fate. I am engaged in Internet operations. Although I am unemployed now, I have not stopped learning in this area. I accidentally saw our store on the online shopping platform two days ago. I wanted to buy it at that time It is a health medicine that relieves headaches and nourishes the brain. After finding out that your store is pretty good, I tried to place an order.

I received the medicine yesterday and it works very quickly.

And it can be seen in every aspect that it is done very carefully.

However, I also found some shortcomings.From this, I infer that you may be newbies.

On online shopping platforms, there are often some lucky people like you who, due to various highlights or good luck, hit the hot search keywords and were able to get ahead.Good quality is definitely a prerequisite.

I took the medicine I bought from your store and it worked the same as what I bought before.

Maybe it's a psychological effect, or maybe you've done a good job in some details. I just think your medicine is very formal, so I can take it with confidence.I will definitely repurchase it next time I need it. "

The man said as he learned about the Sunshine Clinic.

It was a chance encounter.

"Thank you for your care and trust. We have just started and there are many shortcomings, but we are slowly improving. If you have any good suggestions, you can always give them to us."

Li Jingsheng was not surprised after hearing this.

Because online drug sales are indeed performing well, word-of-mouth scores have always been high.

The rating of a certain treasure reached an astonishing 4.9 points or above, and it has been maintained ever since.

Li Jingsheng never gets used to the professional blackmailers who write bad reviews, threaten and extort people.

If you want to leave a negative review, just leave it.

Otherwise, his store rating should be even higher.

"You probably only have customer service in your online store and don't have professional operators, right?"

"Ok!"

Li Jingsheng's answer was somewhat ambiguous.

For such a stranger, he must be on high alert and vigilant.

(End of this chapter)