Gou is practicing medicine in the clinic
Chapter 492 Living Bodhisattva, changing the contraindications of endoscopy
This surgery is best arranged to be performed at the People's Hospital.
Because the medical conditions here are better and the team of nurses and doctors is stronger.
Postoperative care of the patient is equally important.
After Li Jingsheng usually undergoes colonoscopy surgery, he always sends it to the hospital for treatment.
Anyway, he only charges the cost of colonoscopy surgery. As for hospitalization fees and nursing fees, the hospital makes money.
After all, benefits can only last longer if they are shared.
Over at the Second Hospital, the Department of Gastroenterology was really not that powerful. He was worried that the postoperative care for the patients would not be adequate.
You must know that this patient's condition is like a candle in the wind, which may be extinguished by a slight blow.
After surgery, you need to take care of your baby as carefully as you would a baby.
For an operation, preoperative examination and preparation only account for 2 points, surgery accounts for 5 points, and postoperative care accounts for 3 points.
This shows that postoperative care is more important than preoperative work.
There are many examples of patients dying due to inadequate post-operative care and carelessness.
If the postoperative care is messed up, all previous efforts will be wasted.
That's how important it is.
"Dr. Li, my old Ruan is all in your hands. If the surgery fee is not enough, can you allow us to wait for two days? I will sell the house and then give you the money."
After the patient's wife chose to trust Li Jingsheng, she also trusted Li Jingsheng and entrusted Li Jingsheng's team with full authority to handle the matter.
"I would like to ask, how is your family's financial situation?"
Li Jingsheng established a high-end medical team just to make money.
And it’s making money from rich people.
Rich people think differently than poor people. They are willing to pay for high-end services.
Li Jingsheng will feel guilty for making money from poor people.
Making money from the rich and powerful is a matter of peace of mind. With money, he can expand his team and enter more sophisticated medical fields.
Only then will we be able to overcome terminal and difficult diseases one after another.
Disease has always been the greatest health threat to mankind.
Even a small mouth ulcer or a flu can be enough to make a patient miserable.
This self-limiting disease usually resolves on its own within a few days.
The torture of the patient was brief.
But those chronic diseases and serious illnesses may torture patients for a lifetime. And the pain is far more severe than mouth ulcers and the flu.
Every time Li Jingsheng's team overcomes a difficult or terminal disease, they may save countless patients suffering from the disease.
Also rescued were the families behind the patients.
"My family's economic conditions are average. My brother is a worker, I am now starting my own business, and both my parents have pensions. But it is difficult for our family to come up with hundreds of thousands of cash at a time."
The patient's daughter said very sincerely.
"It doesn't cost hundreds of thousands to treat your dad's disease! My team is responsible for the surgery, and the total cost is about 20,000 yuan. Then there are the routine pre-operative examinations, postoperative care, radiotherapy and chemotherapy, etc. You take care of it on your own. But in total, I estimate it is only tens of thousands of dollars. If your father has a pension, he must have employee medical insurance, which can reimburse a large part of it.
Let me explain in advance that the 20,000 yuan fee charged by my team is self-funded and may not be reimbursed.
I believe you have also asked, other doctors and teams do not dare to perform this surgery on your dad. "
After Li Jingsheng took on more jobs, he became more calm and calm when discussing prices with patients.
He will adjust the quotation appropriately based on the patient's family situation.
Under normal circumstances, he would charge at least 70,000 yuan for this endoscopic surgery.
Considering that the patient's family was either extremely wealthy or from an ordinary family, he simply quoted a minimum price when charging.
It costs 20,000 yuan, even if it is done by a hospital, it is still close.
If imported drugs or equipment are used, the price will only be more expensive.
The main purpose of this surgery was to experiment with his new technology.
"Is it really just 20,000 yuan?"
The three family members asked almost in unison.
They know very well that Li Jingsheng's team only provides high-end medical services, and the charges must be much more expensive than those in hospitals.
At this moment they could hardly believe their ears.
"Yes, for 20,000 yuan, I can help him completely remove the stomach cancer. The risks have been told to you, and there is no guarantee of success. My team and I can only do our best."
Li Jingsheng said seriously.
"Thank you, I really appreciate it. If it only costs 20,000 yuan, our family doesn't have to sell the house."
The patient's wife smiled for the second time.
When she heard that Li Jingsheng's team could cure her husband's disease, she smiled for the first time.
Now that she heard that it only cost 20,000 yuan and the disease could be cured without selling the house, she laughed again.
It seemed that Li Jingsheng was the lucky star and savior of her family.
"Auntie, I definitely can't ask you to sell your house, otherwise where will you and your wife live?"
Li Jingsheng said with a smile.
The two children wanted to answer the call and said that their parents could stay at their house. In the end, none of them said anything.
They were worried that the young doctor would increase the price on the spot.
"Young man, thank you so much. You are simply the Buddha of our family. When my wife is cured of his illness, I will often make delicious food for you. A good doctor like you should gain weight." The old man's words made everyone laugh again.
When Li Jingsheng came out of the hospital, he was in a particularly happy mood.
Being able to help a family makes studying medicine particularly meaningful to him.
The next thing is to negotiate with Director Tian.
The two parties had already agreed to borrow the endoscopy room of the People's Hospital. There is no problem with this.
Hospital arrangements are also not a big problem.
Unless the patient's condition is particularly bad after the operation, it is impossible for the Gastroenterology Department of the People's Hospital to push the patient out.
You must know that follow-up care, radiotherapy and chemotherapy for the elderly can bring considerable income to the department.
……
The next day, after get off work, Li Jingsheng and his team rushed to the People's Hospital early to start the first innovative surgery in his life.
The patient has been sent to the endoscopy room, and Yani has taken over the anesthesia work.
Outside the endoscope room, the patient's wife, son, daughter-in-law, grandson, and daughter were all here.
"Dr. Li, I'm begging you. This is a little thought, please don't dislike it."
The patient's daughter wrapped a thick red envelope and stuffed it into Li Jingsheng's hand.
"I appreciate your kindness. The 20,000 yuan you put into my team account is enough. There is no need to pay other fees. My team has no precedent of accepting red envelopes or asking for benefits. Please trust me. , If you don’t accept this red envelope, you will still do your best to perform this operation for your father. I am going in, and I have to hurry up and do the operation. You can sit over there and rest.
If there are any problems during the operation, I will promptly ask the medical team to come out and communicate with you. "
After saying that, Li Jingsheng walked into the door of the operating room.
Unlike the operating room in the Second Hospital, there are multiple operating rooms here.
A long corridor with multiple operating rooms and supporting rooms. Including pre-anesthesia room, recovery room, rescue room, etc.
The patient's family members can only wait outside.
There is an advantage to this.
It can ensure that doctors can operate inside without being disturbed to the greatest extent.
Another advantage is...if something happens to the patient, the doctor can leave safely through other channels.
When the patient is transferred out for rescue, there is no need to use the door through which he came in.
Because after a patient has an accident during surgery, the golden rescue time is very short, and family members will hinder the rescue, which will delay the rescue opportunity.
If a patient dies directly on the operating table, family members are more likely to beat up the medical staff.
In the endoscopy room, all the patient's life monitoring instruments have been installed, and the patient is already under general anesthesia.
Because during the operation, the patient should not be allowed to swallow, cough, or even be agitated, otherwise it will affect the operation and even directly put his life in danger.
Yani stared intently at the monitor screen. She was nervous and extremely sensitive to every change in the patient's physical signs.
Li Jingsheng had already communicated with her before the operation.
She also knew that the patient's condition was not optimistic and that an accident could happen at any time.
Some patients may be fine one second during the operation, but then breathe and have cardiac arrest the next second. This situation is not uncommon.
"I'll dye the lesion first!"
Li Jingsheng said this mainly to Meng Luo.
Now he has no choice but to offend Lian Tao and act as a mirror supporter for him. Fortunately, this surgery is not particularly complicated. Otherwise, we would definitely have to consider adding more manpower.
After staining the lesion, the range to be removed was determined.
This is only the first step. Li Jingsheng will next perform more precise electrocoagulation markings on the edge of the lesion.
The electrocoagulation annotation point by point seems to be drawing an extremely detailed painting.
It turned out that his idea was very good.
After electrocoagulation marking, the edges will be clearer during resection, so there is no need to worry about missed cuts and less cuts.
In fact, there is no problem in cutting this tumor without performing electrocoagulation labeling.
He was preparing and experimenting with higher technical advancements in endoscopic surgery.
Lian Tao watched quietly from the side without speaking, mainly because he was afraid of disturbing Li Jingsheng.
But from his expression, you can still see that he is contemplating and showing surprise.
After completing electrocoagulation labeling of the patient's tumor, Li Jingsheng began to inject at multiple points under the mucosa around the lesion. Physiological saline, the cheapest and most commonly used medicine, turned decay into magic in his hands, playing an unimaginable role.
The edges of the tumor soon became noticeably raised.
This provides great convenience for complete surgical removal.
Next, Li Jingsheng began to carefully peel off the entire tumor, and everyone did not dare to express their anger.
The endoscopy room was quiet, and everyone was focused on Li Jingsheng at the moment.
Li Jingsheng, on the other hand, focuses on the patient's tumor.
Peel off little by little.
Endoscopic surgery is based on basic surgical procedures. Its operation is not as direct as traditional surgery, or it mainly involves the upgrading of surgical tools.
It can be understood as an upgrade from the cold weapon era to the hot weapon era.
The principle of surgery remains the same.
When separation is needed, it is separated, and when it is necessary to cut off, it is cut off. All processes are basically the same.
Time passed by little by little, and sweat broke out on Li Jingsheng's forehead from time to time. He concentrated on peeling off the tumor, which was three centimeters in diameter. This is a big project. (End of chapter)
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