Gou is practicing medicine in the clinic

"Okay, we listen to you."

After seeing the fragility of life with his own eyes, the patient chose to believe in Li Jingsheng.

Because the lesson of blood is right before our eyes.

Yesterday evening, if her late-pregnancy friend had listened to Li Jingsheng's advice and not left the hospital without permission, and Lao Piyi had cooperated with the doctor's examination and treatment, perhaps such a tragedy would not have happened.

"Dr. Li, there is one more thing I want to ask you."

After the female patient finished speaking, her husband directly handed a thick red envelope to Li Jingsheng.

"Just a little thought, please buy me a drink."

The thickness of this red envelope, if it contains hundred-dollar bills, should be no less than one thousand yuan.

The family members must be asking for such a big red envelope.

"If you just want to ask for some diagnosis and treatment advice, I provide free clinics here and there is no charge. Please take back the red envelope. I accept your kindness."

Li Jingsheng has never received any red envelopes from patients or family members.

This is the character of a doctor.

Human greed is endless. If you can take it once, you can take it twice, and a third time.

In some hospitals, when patients want surgery, doctors openly ask for red envelopes. Moreover, if the red envelope given by the patient is too small, the doctor may not accept it, or arrange for his trained doctor to perform the surgery on the patient.

I believe that when those doctors first started, they also had the original intention of studying medicine.

Later, the quality gradually changed, just because I got used to receiving red envelopes.

An illegal thing becomes a daily behavior.

"Then after my wife recovers, I'll treat you to a meal."

When the man saw that Li Jingsheng refused to accept the red envelope, he stopped forcing it.

"The skills of each hospital vary greatly. We are laymen and would like to ask Dr. Li which hospital is better for surgery?"

"Which hospital are you currently hospitalized in?"

"In Qiaobang Hospital. IVF is also done there."

Qiao Bang Hospital is the only one in the city that can perform in vitro fertilization.

Even the People's Hospital can't do it.

This not only requires qualifications, but also involves many technical difficulties, and a professional team is required.

The market demand for IVF itself is not large. Although Jiangli City has a population of more than 10 million, there are not many women who need IVF.

It is difficult to accommodate two hospitals.

The People's Hospital, already at a disadvantage, is planning to open a second branch and then establish a specialized stroke and chest pain center to maximize interventional treatment.

I guess I also saw two top cardiovascular medicine experts, Wang Weiwei and Luo Binggang.

Then with the addition of Li Jingsheng, the team made a major breakthrough in interventional technology.

The People's Hospital seized this opportunity and wanted to build momentum in one fell swoop and give the hospital one more distinctive project with strong competitiveness.

In recent years, with the improvement of people's living standards, the incidence of cardiovascular and cerebrovascular diseases has shown a significant upward trend.

The charges for treating such patients are often quite high.

If we can make this area the strongest in the city, or even become the leader in the southern region of the country, the hospital will not only gain a very high reputation, but also generate a lot of revenue.

These days, if the hospital wants to develop, it needs to recruit high-level talents, purchase advanced equipment and instruments, build sufficient comprehensive inpatient buildings, and even turn them into teaching hospitals. It basically became a tetralogy of top hospitals.

Many top hospitals train their own talents.

Still taking Xiehe in the imperial capital as an example, it does not recognize the inspections of the outer court, but only recognizes its own.

Why is that?

Because the inspections performed by other hospitals may not be as clear as it is, and the equipment may not be as advanced as it is. Also, the doctors who issued the reports may not be as good as the doctors at Union Medical College.

As a result, some causes remain unclear.

"The technology of Qiaobang Hospital is absolutely fine. Breast cancer can be treated there, as long as your finances can support it. There are only two leading hospitals in the city, either People's Hospital or Qiaobang Hospital.

You are currently hospitalized in Qiaobang Hospital, and all examinations were done there. It is recommended that you undergo breast cancer resection surgery there. "

The opinions given by Li Jingsheng were relatively pertinent.

Jiangli City has a specialized cancer hospital, and its scale is quite large.

Although there are specialties in the surgery, her condition is more suitable for treatment at Qiao Bang Hospital.

In fact, even a triple-B hospital like the Second Hospital can treat cancer.

Various departments receive and treat many cancer patients.

However, the treatment effect and technical level cannot be compared with Jiangli Cancer Hospital, People's Hospital, and Qiaobang Hospital.

Unless you encounter a particularly difficult cancer, Qiao Bang Hospital is totally fine.

……

Eight days passed in the blink of an eye. Li Jingsheng did whatever he was supposed to do every day.

The People's Hospital branch not far behind Sunshine Clinic has begun demolishing old buildings. It seems that it was in a hurry and completed the expropriation and demolition work in a very short period of time.

The urban villages in Chengnan Old Street accommodate many low-income people who come to Jiangli City to work because of their low rents.

Demolition work has been ongoing.

Just because of the high density and the fact that houses are gradually becoming unsaleable, the enthusiasm of developers to acquire land has been greatly reduced.

Therefore, the scale of urban villages in the south of the city is still very large.

The People's Hospital chose to establish a branch here with far-reaching vision.

In the south of the city, only the Second Hospital dominates the market.

With the retirement of the second hospital's largest backer, breaking the monopoly has become inevitable.

The People's Hospital took the lead, and it was considered that the good news did not go to outsiders.

It's better than letting other hospitals get there first.

After establishing a branch here, it can quickly grow bigger and stronger with the mother hospital behind it.

It can be said that with the People's Hospital's talent and equipment advantages, it has no rivals in the south of the city.

When Li Jingsheng and Ou Qinglan were walking together, they went over to take a look and found that the circled plot of land was quite large. There is no problem in building seven or eight complex buildings.

Moreover, if necessary in the future, we can continue to expand the scope of expropriation and demolition to both sides.

It is still unclear whether his Sunshine Clinic will be affected by that time.

However, he has a good relationship with many chief physicians and department directors of the People's Hospital, so the possibility of the People's Hospital suppressing him is very small.

As for normal market competition, everyone depends on their own abilities.

On this day, Li Jingsheng returned to the clinic from get off work at the Second Hospital.

An elegant woman in her forties was sitting in the reception hall waiting for him.

The woman has fair skin, a simple ponytail, no glasses, and wears a turtleneck black sweater with a camel wool coat.

The dress is very high-quality, noble and elegant.

But her face looked very haggard.

Dark circles are also more obvious.

Although she put on foundation to cover it up, it couldn't be concealed at all.

"Boss, this beautiful sister came here specifically to see you. She has been waiting for more than two hours."

Tang Ping said to Li Jingsheng.

She is equivalent to the second in charge of Sunshine Clinic. When Li Jingsheng is away, she will basically receive some special visitors.

"Hello there!"

Li Jingsheng greeted the other party. “Hello, Dr. Li, I have long admired your name.”

The woman stood up and nodded in response to Li Jingsheng.

Her posture seemed very humble, indicating that she probably had something to ask for.

"What do you want from me, beauty?"

"There's something going on. Can I come to the office with you and have a private chat?"

She looked at the environment in the reception hall.

There are many people here, so it is obviously not a place for talking.

"The office is over there, please follow me!"

Li Jingsheng always treated such elegant beauties very favorably.

Time has never defeated a beauty.

As long as a woman lives a fulfilling life, is kind-hearted, and is motivated, she will usually not be too bad.

Like the beauty in front of me, she is forty-seven or eighteen years old, and she still looks very pleasing to the eye, which shows that she has done a good job in all aspects. This is a very well-educated woman, and her economic conditions should not be too bad.

If a woman wants to be beautiful, all she needs to do before the age of twenty-five is to be beautiful.

After the age of thirty, as the appearance ages, at this time, if the financial conditions are not good and the life is not satisfactory, you will look very old. The whole person's mental state will also be extremely poor.

After Li Jingsheng brought her to the office, he poured her a glass of water.

"Thank you!"

She stood up and took it.

The hands are very white and the fingers are long.

There was no manicure or anything like that, and my nails were even cut very short.

"I haven't asked the beauty her name yet!"

Li Jingsheng sat down opposite her.

"My name is Chen Hongyue. I am a deputy chief physician in the Obstetrics and Gynecology Department of Qiaobang Hospital. I took the liberty to come here to find Dr. Li this time because I want to ask Dr. Li about a pregnant woman."

She is actually the deputy chief physician of Qiaobang Hospital, so she is a colleague!

"As long as I can say it, I will say it all. But there are some things that involve patient privacy that I can't say. I hope you can understand this."

Although Li Jingsheng runs a small clinic, it is the obligation of every medical staff to protect the privacy of patients.

You must not disclose it to others casually.

"The patient's privacy should not be involved. The patient was a woman in late pregnancy, and I was her attending doctor. The night before the accident, she ran away from the inpatient ward of the hospital secretly. I heard that she came to you clinic. I came here with a pregnant woman suffering from breast cancer."

It turned out that I came here for the mother who died.

It is estimated that if the family members seek an explanation from the hospital, the commotion may be fierce.

Large hospitals are much better able to resist medical disturbances, but they are still afraid of medical disturbances.

It only takes two or three family members to take the patient to the entrance and exit of the hospital, and the pressure on the hospital will reach its peak in an instant.

Onlookers can circle three levels inside and three levels outside in a very short time.

In the Second Hospital where Li Jingsheng works, such medical incidents sometimes occur.

This is often resolved by calling the police.

As for letting hospital security beat people, how is that possible?

The patient must have had poor results after treatment in the hospital, or something went wrong, which is why he caused trouble.

At this time, if the security guard touched him with a finger, it would cause big trouble.

No security guard dared to take action.

The deputy chief physician Chen Yuehong now came to see Li Jingsheng in person and waited for Li Jingsheng in the clinic for more than two hours, which shows that her situation is very disadvantageous.

Otherwise, I would not be able to invite such a beautiful lady with such temperament.

People can't afford to be early if they don't have any advantage.

"Yes, there was such a expectant mother who came to my clinic at that time."

Li Jingsheng admitted frankly.

If someone knows so clearly, he must have inquired clearly before coming here.

I just don’t know what her purpose is in looking for Li Jingsheng now.

"I heard that you noticed that the expectant mother had symptoms of proteinuria?"

In severe cases of proteinuria, patients will develop some obvious morbidities.

Being able to diagnose the presence of proteinuria in patients just by looking at their appearance requires a lot of experience and a very high level of diagnosis.

Ordinary old chief physicians may not be able to do it.

"Correct!"

Li Jingsheng nodded again.

"The mother did not return to the hospital that night, but went home to live. She had a seizure at night, and was rushed to the hospital to deliver the baby. Because it happened very suddenly, the patient's amniotic fluid had broken, and the baby's feet came out first. Like her If the fetus is in breech position and cannot be adjusted before delivery, we will perform a cesarean section to avoid danger."

Normally, during delivery, the fetus is head-down.

As long as the head comes out, the whole body can come out with a bang.

But the feet come out first, which is a very bad fetal position.

Danger prone.

In the early years, some midwives were unprofessional and caused difficult labor for the mother, with the baby's head stuck and unable to come out. The midwife pulled hard on the baby to assist in the delivery, and the baby's head was broken off.

Nowadays, prenatal examinations are very important. As long as it is determined that the fetus is macrosomic, or the head circumference is too large, or the fetal position is abnormal, caesarean section will be chosen.

Even if the umbilical cord is wrapped around the neck, a caesarean section may be required.

The woman did not listen to the advice and went home instead of staying in the hospital.

It ended up happening at home.

Then when I was sent to the hospital, the amniotic water broke and the child's feet came out, which was very troublesome.

Amniotic fluid is very important to the fetus.

When the amniotic water breaks, it will quickly pass out of the pregnant woman's uterus. At this time, if the fetus cannot come out as soon as possible, it will suffer from hypoxia.

"Even if the baby's feet come out, your hospital can still choose to give the mother a caesarean section, right?"

Li Jingsheng didn't believe that such a big hospital could helplessly watch a mother die in front of her eyes.

"Yes, I later chose to perform a lateral incision and cut out a seven-pound baby boy. However, after the baby boy was cut out, he was no longer breathing on his own. After rescue, it was finally determined that the baby was brain dead.

After a caesarean section, the mother experienced unsatisfactory uterine contractions and excessive postpartum bleeding.

Because I had something else to do at that time, after performing an autopsy on the baby, I handed it over to my doctor and left.

My doctor found that the mother had poor uterine contractions and excessive postpartum bleeding, but she did not report it to me. Instead, the mother was given 400 ml of blood transfusion and 1,500 ml of fluid rehydration. "

Blood transfusion and fluid replacement are generally performed simultaneously.

If the patient loses a lot of blood, he or she may need a blood transfusion.

Because every bag of blood in the blood bank is extremely valuable, there is no unlimited supply.

Blood transfusion combined with fluid rehydration can effectively reduce the amount of blood transfusion.

The three body fluids of the human body are inherently interchangeable.

It’s just that the conversion mechanism is more complicated.

"Oh, if only that mother had listened to my advice and returned to your hospital in time. What a pity for a baby who lost his life just after birth."

Li Jingsheng sighed. (End of chapter)