Gou is practicing medicine in the clinic

Chapter 40 The Old Man's Love

Li Jingsheng really wanted to say that one thousand red envelopes is not too little, and two thousand is not too much. Our small clinic does not have so many rules.As long as the patient dares to give, I dare to accept.

Just think about it or forget it.

It's too cheap to say.

If the patient's illness is cured, and the patient really has the heart, he will naturally give him a big red envelope at that time.

There has never been a law that prohibits medical staff from accepting red envelopes.

This is a clean and self-disciplined regulation specially put forward by the hospital in order to improve medical ethics and prevent doctors and nurses from demanding patients.Reporting calls are also accepted by the hospital's medical department and discipline inspection office.

It must be said that bribery and patients voluntarily giving red envelopes are two concepts.

Taking bribes is illegal.

It is not illegal to accept property donated by patients, but it violates the hospital's integrity and self-discipline regulations.

Li Jingsheng is the boss himself, even if he receives a red envelope of [-] yuan, it will be fine.

That's the beauty of being your own boss.

"Oh, I know, I know!" Once the old man got angry, the old lady outside stopped talking.

In terms of wisdom, men must be stronger.

The old man wrote a bad check to Li Jingsheng in order to make Li Jingsheng pay more attention to his treatment.

And with Li Jingsheng's favor, the charges will be more transparent.

The medicine will be prescribed.

There are so many benefits, even if you really get a red envelope after the cure, it is not a loss.

Spending small money to do big things refers to giving gifts.

In some darker hospitals, you don’t give red envelopes to the chief surgeon, and the surgery is handed over to the subordinate trainers and resident doctors. As long as there are no safety accidents, it doesn’t matter.As for the effect of the operation, it is conceivable that a group of novices used it as guinea pigs.

If there is any sequelae at will, you will have to suffer for decades in the second half of your life.

Don't give red envelopes to the anesthetist, wake up from the pain halfway through the operation...

These are all things that really happened in some hospitals with bad style.

Patients have to go around for an operation.

The old man is very wise and foolish, but his wife seems to be shrewd, but she lacks great wisdom because of petty mistakes.

Li Jingsheng led the old man to the examination room to take a B-ultrasound, and found that the sinus tract was shorter than imagined.

And very thin.

If it is not already known that there is a hidden sinus tract at this location, it may not be able to find it even with B-ultrasound.

Another X-ray was done.

Every time he took an X-ray, he wanted to smash the machine.

The clarity is really poor.

It took a lot of effort and finally got it clear.

Compared with the B-ultrasound inspection results, it should be confirmed.

That's right, the lengths of the sinus tracts found by the two inspections are basically the same.

X-rays are absorbed by the tissue after passing through the thickness and density of the human tissue, and the amount of radiation reaching the fluorescent screen is reduced, and the contrast of black and white can be produced through the change of the radiation amount.

It is used clinically to check for fractures, and the effect is the most affordable and the best among all checks.

The B-ultrasound uses ultrasonic waves to form reflected waves in the human body, and then converts the energy of the electronic computer to form an image.

Its advantage is that it can obtain cross-sectional images of the inspected organs, and can observe the shape of the organs more intuitively. For example, according to the automatic measurement data, it can prompt objective data such as gallbladder, bile duct caliber, wall thickness, and lesion size.

The disadvantage is that it is difficult to reach the deep part of bones and air, so it is difficult to detect gas-containing organs such as the lungs and gastrointestinal tract, and it is not good for adult brain diagnosis.If multiple reflexes occur in reflexes, it can lead to false impressions and even misdiagnosis.

Li Jingsheng also performed X-ray and B-ultrasound examinations on patients to avoid misdiagnosis.

More accurate sinus tract data can also be obtained.

Including its length, width, position, depth, etc.

"Doctor Li, have you found out?"

"Basically, it has been found out that it is a superficial abscess on the back caused by a hidden sinus tract. If the sinus tract is not eliminated, the abscess will not heal and will keep recurring. Moreover, you have developed a certain degree of resistance due to long-term use of anti-inflammatory and antibacterial drugs. The properties of the medicine. I suggest that this hidden sinus should be dealt with immediately, and then the abscess cavity should be debrided, and it should be completely cured.”

Li Jingsheng said to him.

"Can you do it here?"

He is obviously still a little worried about the small clinic.

"can."

Li Jingsheng's answer was sonorous and forceful.

At this time, some confidence must be given to the patient.If you are not confident enough, why should patients trust you?

"Do you need surgery?"

"Sure!"

"Is the knife going deep?"

"The sinus tract is in a superficial position, and based on my surgical experience and clinical anatomy, it can be confirmed that there are no large blood vessels or important nerves in this position. There is definitely a risk, but it is very small. To be honest, if it is too large an operation, or I dare not accept high-risk surgery."

Li Jingsheng knows what patients worry about.

It's nothing more than worrying about safety.

He has already practiced how to answer to dispel the patient's doubts.

Don't think that surgical patients and their families admitted to large hospitals are easy to deal with.

They also have doubts in various aspects, and these are all persuaded by the interns and the bed doctor.Let the chief surgeon do these trivial things, and it's almost the same if you don't want to do it.

The chief surgeon is usually at least the deputy chief physician, who is so busy every day that he can't see his shadow.

It is only possible to see them during the director's rounds on Monday or Friday.

The ability to persuade patients and their families was developed by Li Jingsheng when he was in charge of the bed.Because the number of interns is not enough, the doctor in charge usually talks with the family members and patients first.

Wait until the conversation is almost over, and then ask the chief surgeon to come over and go through the process.

If it is spinal anesthesia or general anesthesia, the anesthesiologist will also come to talk to the family members.The main thing is to inform the risk and get the family members to sign.

"Does this need to live with you for treatment?"

"No. But after the operation, your wound must not touch the water, and you need to come to check and change the dressing on time every day."

Hearing the patient's question, Li Jingsheng knew that the negotiation had basically been concluded.

"I'll discuss it with my wife and give you an answer."

The old man got up and walked out of the examination room.

"OK."

Li Jingsheng will definitely not force patients to undergo surgery here.

It is true that I really want to win this business.

The old man and the old lady murmured and discussed for half an hour.

Only then did the two walk to Li Jingsheng's consultation desk together.

"Doctor Li, we discussed it just now and decided to trust you. But please take care of me." The old lady said to Li Jingsheng.

"Don't worry, I never dare to joke about the patient's life safety. The operation time may take more than an hour. If it is confirmed, we will arrange it immediately."

In fact, Li Jingsheng has already made preparations for patients to go to large hospitals.

To use a knife, almost few patients are willing to go to a small clinic, and they all go to a big hospital.

This heavy trust was also earned by Li Jingsheng.

First, there was the wave of publicity in the morning, everyone praised him for his excellent medical skills and noble medical ethics.

Then the old man came to see a doctor with the mentality of trying it out after hearing about it.

After a lot of hard work, Li Jingsheng did not expect to find out the cause of the old man's illness.

This made the old man and his wife's trust in the Sunshine Clinic skyrocket several times.

They felt that Li Jingsheng's medical skills were indeed very good.

Li Jingsheng's conversation with the old man in the examination room just now also played a big role.After weighing the matter, the old man decided to treat him here.

Because Li Jingsheng told him that the operation risk is not great.

He also believed that Li Jingsheng would not dare to joke about the future of the clinic.

"Okay, arrange for me to treat it!"

The old man expressed himself.

Men are like this. After making a decision, they often have great courage.Women are much more indecisive.

This is determined by the nature of males and females.

Li Jingsheng looked at Tang Ping.

"Sister Tang, there is a patient here who needs an operation. Are you almost finished?"

"Okay, I'll be fine soon."

She is selling medicine to customers.

Hearing that Li Jingsheng had undergone an operation, he couldn't help being very pleasantly surprised.

Li Jingsheng began to ask the old man if he had any drug allergies or heart disease.

Not bad, the old man's body is in a fairly healthy state, and he can fully withstand this operation.

Tang Ping walked over quickly after selling the medicine and sending away the customers.

"This old man has a sinus tract on his back, and he has taken an X-ray to check it. It is superficial, and we can operate here. You prepare a surgical kit and local anesthetics. Disinfect and spread drape in the treatment room."

Li Jingsheng asked her to do preoperative preparations.

Since there is only one doctor and one nurse in the small clinic, both of them have to perform the operation.

After Tang Ping finished listening, a look of shock flashed across her face, but it was fleeting.

She probably didn't expect that Li Jingsheng would dare to undergo a real operation.

But she didn't say anything, nodded and agreed to prepare to go.

"The operation fee is about 2000 yuan. When the time comes, the extra will be refunded and the less will be compensated. You can pay 2000 yuan in advance, is that okay?"

Li Jingsheng would not receive money after surgery.

There are too many old people these days.

Small clinics can't afford to hurt.

"As long as it can be cured, two thousand is two thousand." The old man was straightforward.

The old lady unexpectedly did not raise any objection this time.

Instead, he readily paid 2000 yuan.

I have to say that some old ladies and old men are really rich.

After receiving the money, Li Jingsheng issued a receipt and stamped it with the clinic's financial seal.

"You sit and rest outside, and I will take the old man into the treatment room for surgery. After a while, you can accompany me during the infusion." Li Jingsheng said to the old lady.

"Hmm! Please take care."

The old lady was sitting on the sofa outside the treatment room, and Li Jingsheng even poured her a glass of water.

Tang Ping has to prepare for the operation now, and has no time to greet the patient's family.

Bring the old man into the treatment room. She has been sterilized and the drape has been laid.

"It's okay for you to lie on your stomach?"

"can."

The old man was lying on the bed in the treatment room.

The conditions of the small clinic are too simple, and they have never carried out surgical operations before.At most, it is to debride, suture, and bandage the wounded.

Although it was a minor operation this time, it was a real surgical operation.

Li Jingsheng was a little nervous, but more excited and looking forward to it.

Skin incision, superficial debridement, multiple sutures, knotting, and hemostasis have all reached the proficiency level.

Now I finally got a chance to try it out.

There are definitely risks in doing this operation, and it is definitely not as easy as he told the patient.

The depth of the sinus is about 2cm, which belongs to the superficial sinus.

The length has reached 7cm, which is quite long.

To resect the sinus tract, the wound will definitely be longer than the sinus tract.

After the initial disinfection of the wound on the patient's back, Li Jingsheng prepared to wash his hands first, and then operated in strict accordance with the aseptic management of large hospitals.

The old lady waved to him from outside the door.

Li Jingsheng passed by and opened the door.

Could it be that the old lady was afraid of danger and didn't want the old man to have this operation?

"Doctor Li, please come out for a moment, let me say a few words to you."

Li Jingsheng secretly muttered in his heart, this person is already on the verge of breaking out, but don't stop it temporarily!
After going out, the old lady pulled him aside and quietly stuffed a stack of banknotes into his hand.

"Be careful, please take care when performing surgery on my old man to ensure his safety."

The banknotes in the hands are at least more than [-] yuan.

A thick stack.

Li Jingsheng was really shocked.Not long ago in the examination room, the old man just mentioned that he would give Li Jingsheng a big red envelope after he was cured, and the old lady knocked on the door anxiously.

At this moment, she called Li Jingsheng out before the operation, and secretly gave him a red envelope.

And at least a thousand or more.

This is because he loves the old man to the depths of his bone marrow, so he will do this!
　Thank you book friend for a touch of gunpowder, book friend 140510152930780, for rewarding support.I always feel that sincerity is not enough to add only one more chapter, so I coded another chapter, this time full of sincerity!

　　
　
(End of this chapter)