Gou is practicing medicine in the clinic

Chapter 423: Waiting and watching in danger, unusual fall pain
If you don't have enough professional title and can't preside over third- and fourth-level surgeries, it will be difficult to make big money.

Everyone knows that it is easier to gain both fame and fortune by curing serious illnesses.

For an operation, the treatment fee is 10,000+, and the profit is actually quite considerable.Excluding the cost of disposable consumables and medicines, most of them are technical fees.

Hospital charges are generally allocated to a wide range of examination items, tests, and various miscellaneous items.

Medications are often very cheap, and so are labor costs.

To put it bluntly, there is no way to charge a high technology fee openly.

Private clinics actually have greater autonomy in pricing.

Therefore, as long as Li Jingsheng's professional title is improved and he finds a way to obtain the qualifications for major surgery, he can open up the situation.

Or even find an innovative path.

He wants to lead a top-notch medical team, but he needs to be strong himself, and he must not be too weak.

In addition to the difficulty of professional title, there are also surgical qualifications, qualifications for conducting inpatient services, popularity, etc.

It is impossible to eat a fat man in one bite.

He believed that as long as he thought of a way, he would be able to find solutions one by one.

By then, Sunshine Clinic may become the first clinic in the country to truly find a way out.

The current medical setting is basically that large hospitals focus on handling difficult cases, and then the grassroots medical institutions below deal with minor problems such as colds, fevers, and wound sutures.

Li Jingsheng's ideal is to lead Sunshine Clinic on a high-level development path.

Abroad, many private clinics have already taken this path.

There are also many clinics in China that are actively trying it.

For example, Boss Ye of Jingui Clinic goes out to take on some high-end private jobs. This is actually a very good idea.

……

The next day, before seven o'clock in the morning, he was woken up by a phone ringing.

Director Yan from the emergency department called.

"Dr. Li, yesterday you introduced a female patient to our emergency department with acute epiglottitis. Do you still remember her?"

"Yes. Her condition was quite serious at the time."

"The patient is still in our emergency department. She was given medicine immediately after admission yesterday and also underwent supplementary examinations. But how can I put it, the effect is a bit unsatisfactory. If you want to say it has no effect, it has already had an effect.

To be fair, her epiglottis hematoma is still growing, and her condition is worse now than when she was admitted yesterday.

I have considered tracheotomy and intubation at any time.

She herself is relatively resistant to this treatment plan, saying she wants to see you. "

Director Yan pays special attention to such dangerous patients.

"Have you used antibiotics and hormones?"

Li Jingsheng asked.

"A combination of antibiotics and hormones has been used, but she did not come to our hospital until the condition became more serious. The epiglottis swelling has become very serious. It is much more difficult to reduce the swelling than when she first developed the disease.

For patients with acute epiglottitis, the swelling will generally subside within five or six hours after taking the medication, and the airway will quickly become unobstructed.

However, she had been admitted to the hospital for more than twelve hours, and the hematoma not only did not subside, but worsened.

I personally think that in a situation like hers, tracheal intubation is likely to be needed. "

Director Yan's skills are not bad, and he has extremely rich experience in emergency medicine.

For safety reasons, in this case, family members are usually asked to sign what should be signed.

If you have a good conversation with your family, you can immediately carry out rescue work when necessary.

This will not delay the rescue time.

"I'll rush over right away! I'll do ideological work for the patient."

When Li Jingsheng encountered this kind of thing, he had to get up quickly, wash up, and rush to the emergency department of the Second Hospital.

When we arrived at the observation ward 1 of the emergency department, we saw Han Xiaoqing lying quietly on the bed.

There is only one family member, a middle-aged woman.

Typical waist, big belly, and thick arms.

When a woman reaches around 50 years old, she is basically in two extremes.A woman who is usually self-disciplined and manages her figure well will still be in good shape when she is 50 years old.

Women who are more relaxed and free will have a fat body, a typical aunt figure.

With the clothes lifted up, you can't see at all.

There are at least two layers of fat hanging down on the belly.

This middle-aged woman should be Han Xiaoqing's mother. The faces of mother and daughter have many similarities.

"Han Xiaoqing, why don't you listen to the doctor and refuse to undergo tracheal intubation? Your current situation is very dangerous, do you understand?"

Li Jingsheng came to the hospital bed and nodded slightly to the middle-aged woman as a greeting.

Then he directly asked Han Xiaoqing on the hospital bed in a reproachful tone.

If it weren't for Chu Yao's sake, he really wouldn't care about this matter.

But now we can't ignore it.

The patient was recommended by him. Whether he is responsible for the hospital or the patient, he must take care of it.

Every effort must be made to ensure that patients safely pass through dangerous situations.

"I'm worried that the surgery will directly end my hosting career!"

She felt very cordial when she saw Li Jingsheng rushing to the hospital early in the morning.

She knew very well in her heart that this doctor really cared about her and cared about her, so he rushed over in a hurry early in the morning.

"I can hardly speak anymore, and I'm still worried about my career! Let me take a look at your epiglottis!"

Facing Han Xiaoqing's pleading eyes, he finally relented.

In most cases, Li Jingsheng treats his patients as family members.

Sometimes, not only the patient's condition must be considered, but their actual difficulties and concerns must also be considered.

For example, some female patients will lose their fertility or have their lactation organs cut off after treatment, which will affect their lives after treatment.

After some people cut off one of their breast-feeding organs, they were rejected by their husbands, and then they continued to quarrel and the conflicts worsened, and there were also cases where they ended up getting divorced.It is not easy for Han Xiaoqing to break into a world in the hosting industry.

It would indeed be cruel to ask her to quit the hosting industry in the future because of this disease.

She opened her mouth obediently and let Li Jingsheng check it.

Li Jingsheng looked very carefully.

The epiglottis is a little swollen compared to yesterday.

But it can be seen that the epiglottis hematoma has achieved significant results.

Because normally, if left untreated, her epiglottis would completely block the airway.

Although the gap has become a little smaller now, the progression of the disease has slowed down a lot.

Li Jingsheng even touched her throat with his hands to carefully feel the condition of the blood vessels.

"Can you not do the tracheotomy?"

Her voice was hoarse and it was quite difficult to speak.

He looked at Li Jingsheng almost pleadingly, his eyes full of hope.

"Although the hematoma is larger than yesterday, the condition is showing signs of being under control. Let's wait and see! In this case, it's time to sign. I'd like to say hello to Director Yan. I won't give you a trachea unless it's absolutely necessary. Incision.”

After Li Jingsheng hesitated for a moment, he came up with a fairly safe method.

Based on her current situation, he thought he could risk it and wait.

If nothing else goes wrong, the hematoma should begin to recede within eight hours.

His personal assessment is that the results will be available in about four hours.

If the hematoma doesn't block the valve within four hours, she should be able to get through it.

Alternatively, intubation through the nose is also an option.

It's just that in her current situation, she hasn't reached that stage yet, and no one dares to irritate her throat.

Because if you don't do it right, the hematoma can easily worsen during the intubation process.

She is now having difficulty breathing, but has been given oxygen.Overall, her blood oxygen saturation was maintained at an ideal level.

"Well, listen to you."

After hearing this, Han Xiaoqing agreed softly.

Li Jingsheng looked at his family members.

"Auntie, you have also seen Han Xiaoqing's condition. He has difficulty breathing. If the epiglottis swells further, hold your breath..."

Before Li Jingsheng could finish speaking, Han Xiaoqing's mother nodded repeatedly.

"My daughter told me to listen to you, so I will listen to you too. The young man is talented and responsible. He is really good."

The aunt looked at him with smiles in her eyes.

"How old is this young man? Do you work in this hospital? How long have you known my Xiaoqing?"

This expression and a series of questions made Li Jingsheng feel embarrassed.

As someone who has been there, I naturally understand that my aunt is looking for a son-in-law.

"Auntie, since you agree, I will go and talk to the emergency medical staff now."

Li Jingsheng walked outside as if running away.

"I agree, everyone agrees. The young man is quite shy. When Xiaoqing is discharged from the hospital some other time, you can come to my house for dinner!"

The aunt's pun made Li Jingsheng almost fall over.

In fact, she had been observing Li Jingsheng since he entered the ward.

Whether it was Li Jingsheng's concerned question about why Han Xiaoqing didn't agree to a tracheotomy, or his reaching out to touch her neck, or checking her epiglottis, or Han Xiaoqing's low-brow reaction, the aunt instinctively thought that this was The boyfriend my daughter secretly talks about.

My daughter is usually very wild and full of personality.

She didn't even listen to what her mother said.

But he obeyed the young doctor's words very much.

In addition, the fact that Li Jingsheng can work in such a large hospital and his status is not low makes my aunt even more fond of him.

When a mother-in-law looks at her son-in-law, the more she looks at him, the more she falls in love with him.

After Li Jingsheng came out, he went to Director Yan and told the situation.

"Since Dr. Li thinks she is certain, I will wait and see. Anyway, based on my experience, her situation is likely to require tracheotomy for rescue."

"Thank you, Director Yan, for your trust. I will go back to the orthopedic surgery clinic first."

"Don't leave in a hurry! This patient's condition is very dangerous. You can't be a hand-off shopkeeper and just leave it to me to deal with. You must at least take time to check on her condition at noon. I estimate that in the next two or three hours, she should It’s a critical period.”

Director Yan made a small request.

This requirement is not excessive.

"No problem, I'll come over to check after I finish my outpatient appointment at noon."

After Li Jingsheng left the emergency room, he went to his orthopedic surgery clinic for consultation.

I was still worried about Han Xiaoqing's condition getting worse.

The first patient has already queued up early.

Hearing the call, I happily entered the clinic.

"Doctor, I injured my left leg last month. It's still very painful, and now my right hand is also starting to hurt. I heard that you here are very good at treating injuries caused by falls. Please help me take a closer look!"

The patient, a 37-year-old man, introduced his situation and then gave Li Jingsheng a cigarette.

"Thank you, I don't smoke."

Li Jingsheng waved his hand and declined.

Pain from a fall is very common.

Most patients with minor injuries will recover within half a month.

However, this patient suffered from pain for more than a month and did not get better.There was also pain in my right hand, and the condition was by no means as simple as imagined.

(End of this chapter)