Gou is practicing medicine in the clinic

When I examined the patient's ileum just now, the length and shape of the villi of the small intestine, the color of the intestinal wall, the frequency and amplitude of intestinal peristalsis, etc. were all very good.

The only thing that needs to be checked now is the raised black line.

The more common tumors in the intestine include carcinoma in situ, adenocarcinoma, etc.

Among the malignant tumors examined by Li Jingsheng during colonoscopy, they basically all have a common characteristic, which is either cauliflower-like or nodular.

And they grow into the intestinal lumen.

Some that are obviously cancerous are not only larger in size, but also have ulcers on their surface.

The black stripe has raised features and is hard in texture.

If it is really a tumor, it may be very malignant.

But Li Jingsheng had never seen a tumor of this shape before.

If it grows on the body surface, it can also be considered as melanoma.

But there are no such cord-shaped melanomas!

The most common melanomas are mostly round or oval, and some that may become malignant have unclear borders and various shapes.

After the colonoscopy, the patient should be quite satisfied with the service.

After explaining the precautions to the family members, Li Jingsheng, Yani and Meng Luo evacuated first.

Lian Tao also wants to talk to the patient.

"Yani, thank you so much for today."

Li Jingsheng was satisfied with her performance.Her true ability has not yet been revealed.

"You're welcome! I'll take you back to the clinic!"

She was quite enthusiastic.

"I live a little far from the clinic, so I can just take a taxi back. Boss, if there's nothing else, I'll leave first."

Munro had ridden in her car once, and his expression changed after hearing about it.

I will never dare to sit there a second time.

"Well, pay attention to safety on the road."

Li Jingsheng nodded to her.

It is very convenient to take a taxi or take the bus from the People's Hospital.

These large hospitals do not even need to take the initiative to fight for bus route planning. The superiors will take it into consideration when planning.

Medical care and education should be the two most important areas in the city.

If it weren't for the fact that good medical care and education are concentrated in cities, I believe many people would not buy houses and settle in cities.

The most attractive places in the city are three major areas.

One is that there are abundant employment opportunities and you can make money.The second is high-quality education.Third, medical care is good.

Slightly more serious diseases cannot be cured in the countryside.

Basically running to the city.

Munro stopped a taxi, waved to Li Jingsheng and Yani, got in and left.

"Yani, this is your hard work today. It's not much. Please don't dislike it. Just treat it like I'm buying you a cup of milk tea."

Li Jingsheng had already prepared cash red envelopes.

The share given to Yani is 400 yuan.

If the patient undergoes a painless colonoscopy, the price is basically around [-] to [-] yuan.This depends on the specific pricing of the hospital.

Because consumption is high in first-tier cities, prices are generally more expensive than in smaller cities.

Li Jingsheng gave her 400 yuan for an ordinary colonoscope, which was very generous.

Because the total price of an ordinary colonoscopy is only about [-].

This colonoscope can cost 3000 yuan. The main reason is that Li Jingsheng's colonoscopy is of high quality and can ensure the absolute safety of the colonoscope.

After all, it was the first time to cooperate with her, and the only thing that could attract her was the high income.

The role of the anesthesiologist in colonoscopy is still very important.

Especially painless colonoscopy and colonoscopy surgery.

"Thank you!"

She accepted the red envelope.

But it was not opened in person.

"Let's go, I'll take you back to Sunshine Clinic!"

She invited again.

Unable to resist the hospitality, Li Jingsheng bit the bullet and sat in.

The two chatted about work along the way.Yani is still more inclined to enter a major tertiary hospital and become a director-level anesthesiologist.

After sending Li Jingsheng back to the clinic, she drove away.

Li Jingsheng transferred [-] yuan to Meng Luo and [-] yuan to Lian Tao.

"Brother Lian Tao, please pay four hundred to the hospital. Four hundred is your hard-earned fee. It's not much, so please don't dislike it."

Lian Tao had almost no work during the colonoscopy, but he was very important.

He also helped pull in the work.

Although I didn't do this job to make money, I just wanted to help Li Jingsheng develop a new business.But Lian Tao's role is very important.

So give him 400 yuan as hard work fee.

As for Munro, the appearance fee of 200 yuan is already very high.

Under normal circumstances, it would be difficult for her to earn so much.

"Just give 400 yuan to the hospital. I don't want you to give me any money. If you really feel sorry for me, treat me to dinner next time."

Lian Tao refused to accept [-] yuan.

This is not easy to handle.

Li Jingsheng knows very well that this kind of cooperation can only last long if both parties are profitable.

"Is it too little? If not, then accept it. One code is one code, and I can't let you work in vain. I can take over the first business today, and you deserve the most credit. Treating you to dinner is a must. , but the money must be given.”

After some hard persuasion, Lian Tao finally accepted.

A total of 3000 yuan was allocated, and [-] yuan was divided. Li Jingsheng earned [-] yuan himself.

You make money based on technology, and this income is quite good for ordinary people.Many people cannot earn [-] yuan in a day. Li Jingsheng spent more than two hours in total and earned [-] yuan.

The colonoscopy took less than an hour, and the commute took about 10 minutes.

This is also impossible.

We haven’t built our own endoscopy room yet, so we need to borrow someone else’s space.There is no way to avoid commuting time on the road.

……

Li Jingsheng got up the next morning and received a text message from Yani at around [-]pm.

Just a few words: "Thank you Dr. Li for the big red envelope!"

She even sent him a text message of thanks so late yesterday, indicating that she was satisfied with the four hundred yuan appearance fee.

"You're welcome! I might have to ask you for help again in the future!"

The message Li Jingsheng sent her back also had a probing meaning.

I want to see if I can invite her next time.

After sending the message, there was no response.

Either she didn't see the message, or it was out of play.

She probably still wants to work in a big hospital.

After a few minutes, she texted back.

"No problem, as long as I have time, I am happy to cooperate with you."

There is some flexibility in this answer.

It must be based on the premise that she has time.

In this regard, Li Jingsheng is also helpless. It is indeed difficult to find top talents.

After replying with an expression of thanks, Li Jingsheng hurried to the Second Hospital for consultation.

There are no shortage of patients seeking medical treatment.

I also know why so many people are always injured.Some people even fell down because they were wearing slippers and the ground was slippery while taking a shower, eventually breaking their bones.

At around four o'clock in the afternoon, Lian Tao sent him a message.

There is also a pathology biopsy report.

"Jingsheng, do you know what the black stripe found yesterday is?"

"toothpick?"

After reading the pathology results, Li Jingsheng had already made some guesses.

"It's a broken bamboo stick. I'm afraid it has been in the patient's body for many years. He has had an operation in our hospital and the bamboo stick was taken out. According to the patient's own recollection, it may have been accidentally swallowed when swallowing barbecue. ."

Lian Tao gave the answer.

Why the patient accidentally swallowed the bamboo sticks in the barbecue is probably only known to the patient himself.

If the other party doesn't want to say it, it's definitely not a glorious thing.

You can imagine it. The patient said that when he was young, he was very poor, and it was considered good to have a full stomach.Under normal circumstances, it's hard to get barbecue.

Bamboo has a chance to be digested in gastric juice, but it is more difficult.

Once in the intestines, it can be very dangerous.

It is easy to puncture the intestines and cause intestinal perforation.

This patient suffered from upper abdominal pain for a period of time more than 20 years ago, but did not go for examination and treatment.Later it gradually got better.

The bamboo stick must have penetrated into the intestinal mucosa at that time.

The patient was very lucky and his intestines were not punctured.The bamboo stick was wrapped instead.

As for whether there is suppuration or infection, it is difficult to say.

This time I had a colonoscopy and it came out, which is a good thing.

It is equivalent to eliminating an uncertain bomb in the body.

……

In the evening, Lian Tao sent another message to Li Jingsheng.

"Our Director Tian is very satisfied with our first cooperation yesterday. He has recommended two patients with such needs to you. I will give you the phone number and contact the patients directly. You can also decide the price yourself."

The People's Hospital has a huge patient base. As long as these chief physicians are willing to introduce patients to him, his business will surely continue to flow.

The patient's colonoscopy yesterday was of great benefit to the People's Hospital.

Patients' high-level service requirements have been met, and the Department of Gastroenterology has gained a good reputation.The patient then underwent surgery at the People's Hospital the next day.

It can be said to be both fame and fortune.

The good thing is that there will naturally be an endless supply of cooperation.

Director Tian is a very stable person. He tested Li Jingsheng's ability through yesterday's colonoscopy, and then he dared to really start recommending patients to Li Jingsheng.

At the beginning, the business of Sunshine Clinic was also opened in this way.

Li Jingsheng was naturally very happy to receive two new jobs.

The market for high-end medical services itself is not large. It is a healthy development to open up the situation little by little and slowly accumulate popularity.

As long as you don't screw it up, it will definitely get better.

The only thing that made Li Jingsheng a little depressed was that Dean Fu never replied to his letter.

Dean Fu said he would give Li Jingsheng an accurate answer tomorrow or the day after tomorrow.

But there is still no reply for such a long time, which shows that this matter is very difficult to handle.

Think about it, there are many uncertain risks in clinics carrying out colonoscopy.

It would be fine if it was just a regular colonoscopy, which can be done in an outpatient setting.

However, painless colonoscopy requires general anesthesia, which alone is enough to stump most clinics.Even if the clinic can hire an anesthesiologist and purchase all the required instruments and equipment, if the patient's colonoscopy is found to have lesions during the examination and requires polypectomy or other treatments, the risk will double.

If nothing happens, there will be no problem.

Once something goes wrong, not only the clinic will be in trouble, but the health department in charge will also be held responsible.

It is too difficult for a clinic to build its own endoscopy room and provide a series of medical services.

Really come to whatever you want.

There was a call on Li Jingsheng's cell phone. It was Dean Fu.

Dean Fu is a very trustworthy person, but there are some things that he cannot decide. (End of chapter)