Gou is practicing medicine in the clinic

Chapter 37 Hard bones
The Chengnan Community Health Service Station has nearly 40 doctors and [-] beds in name, and the actual utilization rate is estimated to be no more than half.

Its scale is already at the Big Brother level in the health service station.

Some smaller community health service centers are not much better than it.

According to Li Jingsheng's knowledge, the surgery business of the Chengnan Community Health Service Station is not bad, and it has a senior surgeon in charge.It is said that he had mixed up in the anorectal surgery operating room of a large hospital before.

Here I must introduce two departments that many people can't tell the difference.

Anal surgery and anorectal surgery are both sub-departments of general surgery.

Anal surgery mainly treats benign lesions of the anus and rectum.Such as the most common hemorrhoids, rectal prolapse, anal fissure and so on.

Anorectal surgery focuses on serious diseases and malignant lesions in the field of intestine and anus.

The most common colon cancer, rectal cancer, Crohn's disease, etc.

It can be seen from this that anorectal surgery is a very powerful department, and it basically treats serious diseases.

This senior attending surgeon can enter the operating room of the compound and work in a very good department, no matter how poor his ability is, he can't be much worse.He is completely an ace-level existence in the Chengnan Community Health Service Station.

Dr. Jin is a 'young' surgeon at the Chengnan Community Health Service Station.

37 looks like he is eight years old.

He has been selected as an outstanding surgeon in the community health service station for many years, and it is said that he is also planned to be the subject leader of general surgery.

In terms of surgical prowess, he should rank among the top three at the Chengnan Community Health Service Station.

It is certainly not easy for such a senior surgical 'master' to treat abscesses that have failed to heal many times.

Moreover, any medical institution with more than two doctors will use consultation to improve safety when encountering intractable diseases.

Dr. Jin treated the old man three times but he didn't get better. He must have seen other doctors together.

Including the senior attending physician of anorectal surgery.

The failure of so many doctors made Li Jingsheng feel heavy pressure immediately.

He examined the abscess carefully, trying to figure out why it was so intractable.

As long as you gently press and squeeze around the pustules, pink blood will be discharged, accompanied by the unique stench of pus.

"When was your last treatment?"

"Just yesterday."

Turns out it was just done yesterday.

No wonder what came out was pink blood instead of yellowish white pus.

The means to deal with superficial pustules are nothing more than incision and drainage, antibacterial and anti-inflammatory or pulsed laser irradiation and so on.

When encountering more stubborn pustules, large hospitals will also consider removing the entire lesion.

This requires very skilled debridement, incision, and suture.

There are strict indications for any operation, and you can't cut it casually.

If the pustule is too large, it is not suitable for excision.

Otherwise, a huge defect wound will be formed, which cannot be solved by skin grafting.

The patient's pustule reached more than 10cm in diameter, which is already a large pustule. Not to mention Li Jingsheng's small clinic, even a top-tier hospital would not be able to cut this pustule.

The venous plexus and nerves on the back are very rich.

There are huge potential risks in doing surgery.

"Did you bring the medical records of the treatment over there?"

"Not for us!"

The old lady rushed to answer.

"Maybe it needs to be archived over there. If you need it, you can apply for copying by yourself. Tell me, how did you deal with it three times over there?"

Li Jingsheng's small clinic does not dare to offend the behemoth-like community health service station.

What people eat is imperial food.

And the current slogan is: minor illness in the community, serious illness in the hospital, recuperation in the community, and health in the family.

The community service center vigorously promoted the six-in-one system, and the community service station followed suit, crushing Li Jingsheng's Sunshine Clinic in every way.

His clinic has gained a lot of fame today, and as the news spreads, many people are staring at the Sunshine Clinic.

Competitors watched him become famous, and it was easy to feel jealous.

At this time, keeping a low profile and making a fortune in silence is the kingly way.

Otherwise, I don't even know how to die.

Boss Zhao of Kuaikang Clinic alone is enough for him to have a headache. If he offends the bully on this street, he will die.

This patient was originally a patient who was not cured by the community health service station. Li Jingsheng took over and asked the patient to go to the community health service station to ask for a copy of the medical record.What will the doctors and nurses at the service station think?
The first thought was what did Li Jingsheng from Sunshine Clinic want to do?
Do you want to make trouble?

After comforting the family and the patient, he quietly listened to the patient's description of the three treatments.

For the first time, after incision of the pustules, the pus inside was pumped out and debridement was done.And received a four-day injection.

One week after the patient went home, he found that the pustules were red and swollen again, and pus flowed out again after a short time.

The wound never healed.

The second time he went to the health service station was still the debridement done by Dr. Jin.At that time, an elderly senior doctor was invited to come and have a look.

"What does that older doctor look like, do you have any impression?"

"He has dark skin and is not tall. He likes to hum from time to time when he speaks."

The old lady could see it clearly.

When describing at this moment, it has a good shape, and all the important features are depicted.

"That's right, that's Dr. Ding from the service station. He's very skilled." Li Jingsheng had never dealt with this person.

However, he has opened a clinic on this street for more than nine months, and he can basically figure out which doctors with strong medical skills are in the other two clinics and health service stations.

Ding Wangshou was the senior attending surgeon who had worked in the operating room of the compound.

I heard that the failure to challenge for the deputy senior title was not due to the evaluation, but due to the inescapable background relationship.

The place was given to another doctor who was less qualified than him and whose medical skills were not as good as his, because that person's uncle was the leader of the hospital.

This Dr. Ding was so angry that he had a big fight with the hospital leader, and then resigned.

After returning home, the staff in the community knew about it, and immediately told the head of the community health service station.I heard that the station manager visited Ding Wangshou's home in person, and visited Ding Wangshou's home three times before successfully persuading Ding Wangshou to work in the community health service station.

It can be regarded as the modern version of Sangu thatched cottage.

Usually, people with a bit of arrogance have real skills.

After Ding Wangshou entered the community health service station, he quickly took on the heavy responsibility and developed the surgical business of the community health service station.He is especially good at cutting hemorrhoids, treating anal atresia, rectal prolapse and other diseases, and has a good reputation.

Dr. Jin called it a surgical expert with quotation marks. This Ding Wangshou definitely has real talents and knowledge, and his surgical ability should be quite outstanding.

During the second follow-up visit of this patient, Dr. Jin asked Ding Wangshou to have a look, but he still couldn't cure it, which made Li Jingsheng even more stressed.

Finally, a surgical patient came, but it was a tough nut to crack.

Li Jingsheng gritted his teeth, and decided to try his best.

"How did you deal with it the second time?"

(End of this chapter)