Gou is practicing medicine in the clinic

"Xiao Li, I finally have some ideas about applying for the endoscopic medical project for your clinic. My original idea for this matter was to have the Second Hospital endorse your clinic, which is equivalent to opening a business service point in your clinic. . But since the promulgation of the new regulations, this operation has become impossible.”

Dean Fu didn't hide it from him.

Although the Second Hospital in the south of the city is a completely monopoly-level existence, it cannot reach the point where it can cover the sky with one hand and do whatever it wants.

Many operations are done according to procedures.

Whether it is an individual or an organization, no matter how big it is, it cannot be bigger than the law.

"I know that in order to help me with this matter, you must have asked many people and used many connections. The policy does not allow it, and no one can do anything about it. I will definitely keep your help in mind."

Li Jingsheng can accept this result.

He had a backup plan anyway.

It was quite good to examine patients at the People's Hospital like yesterday.

Even if there is an emergency, the hospital is fully equipped and can be sent for rescue at any time.

In my own small clinic, the conditions are definitely much worse.

In addition, the review, approval and construction of the endoscopy room are not only complicated procedures, but also require a large amount of funds.

"Although the first method is not feasible, your situation is special. Sunshine Clinic has a good impression in the minds of many leaders of the higher-level authorities. Moreover, there is a big leader who can speak for you and is willing to take certain risks and take responsibility. You come up with a special plan to do something special, so it can still be done."

Dean Fu's words made Li Jingsheng instantly excited and happy.

So far, Sunshine Clinic has always adhered to the benevolence and original intention of doctors, and its image is also very positive.

There is nothing surprising about being able to favor the superior leaders.

The vast majority of leaders don't just "point the country." They actually have a righteous heart and try their best to do a good job.

For a clinic with a good reputation like Sunshine Clinic, they will definitely be supportive and supportive.

The stronger the medical institutions in a region, everyone benefits.

Including the leading cadres themselves and their families, if they have three diseases and two pains, the local hospitals are strong and they can enjoy high-quality medical care immediately.

On the contrary, if they really only engage in cosmetic projects and make boastful remarks, the local medical institutions will be terrible.

To put it bluntly, if they suddenly become ill one day, they may have to go out of town to seek medical treatment.

If it is an acute illness, then you can only kick your legs.

There is a big leader who speaks for Li Jingsheng and takes a certain risk to help him handle this matter. Who could it be?

If you have the opportunity, you must thank them properly.

"Don't know what to do?"

Li Jingsheng asked excitedly.

"The request from your superiors is to ensure that your team has the qualifications for endoscopy and surgery, and then let you lead the team to cooperate with some large hospitals and try to develop this business first. When the time is right, your superiors will tell you We will review and evaluate the endoscopy business that our team has done. If they really have that ability and have reached a high level of excellence, they can handle special matters for you.”

Dean Fu gave a solution.

Isn't this the method Li Jingsheng envisioned?
It seems that superior leaders also attach great importance to practice.

"It's very good. I have already initially formed a medical team, and there is an excellent chief physician in it, so there should be no problem with the qualifications."

Li Jingsheng brought Lian Tao into the team. He was a chief physician and was not even qualified to be an endoscopist. How could this be possible?

"Young man, you are very fast! It seems that you are very confident in this matter!"

Dean Fu is a mature man and he knows what is going on as soon as he hears it.

At their level, many things are clearly understood.

"Hey, you must have confidence. Now that we have a team, it shouldn't be difficult for me to discuss cooperation with the People's Hospital. Do you think our Second Hospital can also support us and cooperate with my team in this area? ? Anyway, I will bear all risks on my own and will never involve the second hospital."

Li Jingsheng didn't need to be too reserved in front of Dean Fu.

Dean Fu is like his elder and leader. The two of them have a good relationship. It would be better to speak directly about this kind of thing.

"Haha, you know how to strike while the iron is hot. As long as you negotiate this matter with the relevant departments, the hospital will definitely not hold you back. Work hard, I am very optimistic about you. I always thought you were just a helpless grassroots , I didn’t expect that there is a big leader above who is so supportive of you. The young man is hiding his secrets!"

Dean Fu said meaningfully.

"Who is this big leader you are talking about? I'm not afraid of making fun of you. My ancestors were really poor and had no background at all."

Li Jingsheng wanted to know who this big leader was.

"I don't dare to reveal it randomly. You will know it later. Okay, let's do this for now!"

Dean Fu refused to disclose the other party's name.

This made Li Jingsheng very depressed.

You definitely can't guess it.

He seems to know a few big leaders, such as Director Jia of the Health Bureau, and his good brother Xie Guiqiu... As for who secretly supports him so much, I really don't know.

If I can't guess it, I don't bother to guess.

Li Jingsheng began to consider talking to Director Xiao Linlin of the Department of Gastroenterology about cooperation.

The business demand in this area of ​​the Second Hospital should be quite strong.

I believe Xiao Linlin will be happy to cooperate with him.

After all, she sometimes received some difficult colonoscopy business, but she always turned it down.

Unless you encounter a particularly important patient, you have no choice but to ask Li Jingsheng for help.

It's definitely not good to ask Li Jingsheng for help all the time.

She herself would feel sorry for herself.

Now Li Jingsheng has launched an advanced colonoscopy service. If she encounters such a patient, she can directly recommend him to Li Jingsheng.

She also gets some benefit from it.

Based on Li Jingsheng's principles of dealing with people, she would definitely not let her recommend patients in vain.

I just got off work now, so Xiao Linlin probably hasn't left yet.

Li Jingsheng was going to go over and talk to her.

It's not too late to contact the two patients recommended by Director Tian after the chat is over.

Even for an ordinary colonoscopy, there is still a preparation for bowel cleansing.From the day before the examination, I could only eat liquid food and drink several large cups of bowel cleansing medicine prescribed by the doctor.

The purpose is to clear the intestines.

Under normal circumstances, after drinking this bowel cleansing medicine, you will have diarrhea more than ten times.It is not qualified until the water comes out.

If the intestines are not drained cleanly, the results of the colonoscopy will be affected.

Generally speaking, after drinking this medicine, some people react more slowly and never experience diarrhea symptoms.But if you drink so much water, you will definitely feel bloated.Don't worry too much about this.

Most people will have frequent bowel movements starting the next morning.

Li Jingsheng went straight to the inpatient department of the Department of Gastroenterology and saw Xiao Linlin busy.

"Director Xiao, you are busy!"

Xiao Linlin looked up.

"Hey, it's Dr. Li! I'll be fine here soon. I'll teach them to listen to the bowel sounds."

The business of gastroenterology has grown significantly these days.

Recruitment and expansion of the medical team are indispensable.

The hospital strongly supports each department to become bigger and stronger. As long as the performance is achieved, if you apply to add doctors or nurses, the hospital leaders will quickly approve it.

Purchasing new equipment and adding hospital beds are a little more troublesome.

In short, everything is based on strength.

I recruited two young doctors to follow behind me and learn to listen to bowel sounds.

Listen to the patient's bowel sounds. Different types of patients have different bowel sounds.

This needs to be summarized in clinical practice.

The two young new doctors looked at Li Jingsheng with some curiosity.

They only knew that Li Jingsheng was very important in the Department of Gastroenterology, and Director Xiao often invited Li Jingsheng to the office for private chats.

And when he met Li Jingsheng, he was also very enthusiastic.

"It's okay, it's okay, I'm not in a hurry."

Li Jingsheng stood by and watched.

Xiao Linlin listened for a moment and frowned slightly.

"It's strange, his bowel sounds are almost inaudible. Dr. Li has deep knowledge in the field of gastroenterology, please listen to it."

Xiao Linlin asked him for help.

In front of the patients and their families, she, the chief physician, could not directly ask Li Jingsheng to help.

"What's the problem that brought you to the hospital?"

Li Jingsheng took the stethoscope and auscultated the patient.

Bowel sounds are intermittent gurgling sounds caused by the flow of gas and fluid in the intestines during bowel movements.

If you are a normal person, you can hear four or five bowel sounds within 1 minute.

If we are hungry, even we can hear our stomach growling.

These are common bowel sounds.

If there are no bowel sounds, that's definitely not normal.

"I've been feeling a little bloated lately, but I haven't had any other problems. I took a X-ray at your hospital and found no problems, so Director Xiao suggested that I stay in the hospital for two days of observation."

The patient is a middle-aged man.

57 looks eight years old, with very serious bags under his eyes, and a faint dignity on his face.

He may not necessarily be an official, but he may have some power or be in charge of several people.

Li Jingsheng did not rush to auscultate bowel sounds, but pressed the patient's abdomen with his hand.

No obvious lumps or the like were found.

"Does your stomach hurt?"

Li Jingsheng asked.

"No pain!"

"Is it difficult to have a bowel movement?"

"Alright."

The patient seemed very cooperative and answered all questions.

Li Jingsheng nodded and tried to auscultate the patient's bowel sounds.

Sure enough, the results of Xiao Linlin's auscultation were the same, no bowel sounds could be heard.

Not even faint bowel sounds could be heard.

"When were you hospitalized?"

"I just moved in this morning."

"Have you eaten yet?"

"I must have eaten! I had lunch for lunch."

"The food intake is about the same as usual, or has it decreased?"

"It seems about the same! But after eating, I feel a little bloated. In our words, I feel a little stuffed. In fact, I don't eat much every time."

The patient responded to him.

"Well, let me listen to you again."

Li Jingsheng auscultated the patient's bowel sounds again.

The main sites for auscultation are the right lower abdomen and navel.This is also the primary site where all doctors auscultate bowel sounds. (End of chapter)