Gou is practicing medicine in the clinic
Chapter 6
Chapter 6
Li Jingsheng continued to bow his head to practice vertical mattress suture. After previous research and practice, he has made considerable progress.
Gradually comprehend many of the key points.
His whole stitching action is also getting faster and faster.He kept cutting new slits in the cloth, and then sewed them up.
Time is passing little by little.
Li Jingsheng, who was concentrating on practicing the vertical mattress suture, didn't even notice a customer entering the door.
Li Jingsheng is closing the needle and knotting, completing the final suture practice.
Looking at the effect of stitching on the cloth, it looks like a section of railway. This is the most basic feature of vertical mattress stitching, called railway traces.
Beginners are most likely to sew railway traces due to their poor skills and irregular operations.
He was quite happy though.
Because it means that he has initially learned the vertical mattress suture.
"Doctor Li, Doctor Li..."
The customer who came in was an old acquaintance, with messy gray hair sticking to his scalp due to sweat, and a tall and burly body wearing dusty dark blue overalls.Also soaked in sweat, tightly stuck to the strong body.
At the moment, being supported by a worker of about the same age, I can only hop on one foot.
As the two approached the counter, the pungent sweaty smell hit their faces.
"Hey, Master Liu, what's the matter with you?"
Li Jingsheng hurried around the counter and moved a stool for the other party to sit on.
It can be seen faintly that Master Liu's right calf seems to be bleeding a lot. The dark red blood has soaked a large part of the blue overalls, and a tear about ten centimeters long on the pants is also very clear.
There is already a strap tightly bound around the thigh near the knee.
Simple bandage to stop bleeding is basically done by everyone.
Master Liu is actually only 46 years old, because he has been engaged in heavy physical labor for a long time, he looks like a 60-year-old man.
"Oh...don't mention it. When building the wall, a large piece of glass was broken somehow. I didn't pay attention to the back, and I got a big cut on my leg."
Li Jingsheng was slightly relieved when he heard that it was the glass injury.
Relatively speaking, glass has less pollution to the wound, and if it is a rusty piece of iron, it will be more troublesome.
"Let me check for you first whether the injury is serious or not!"
He wanted to roll up the trousers of Master Liu's left leg, but found that it didn't work at all.
It's full of blood and dust, which is very bad for the wound.
Secondary pollution easily occurs after treatment.
Besides, the trousers are very tight after being wet. If they are rolled up and tightly wrapped around the thighs, the patient will feel very uncomfortable, and the blood supply to the legs will not be smooth.
"I'm afraid you'll have to cut off the leg of your trousers."
"This set of overalls cost more than 50 yuan, and it has only been worn for less than two years. It's a pity to cut it off! Can I not cut it?"
Master Liu was very distressed when he heard that the trouser legs were going to be cut off.
People in the city are a little more particular, and a shirt costs several hundred, and they don't wear it if they are a little old.Master Liu spent more than 50 yuan to buy a suit of street goods. After wearing it for almost two years, the neckline, cuffs and other parts have long been worn out, and now he is reluctant to cut them.
It's really not easy for the bottom of society.
"Well... If you don't want to cut it, you can take it off."
Li Jingsheng's small clinic usually treats poor people, and he can understand the bitterness and difficulty of these people.
Master Liu hesitated, and glanced at the worker next to him.
How embarrassing to walk on the street after taking off my trousers and wearing only shorts!
"Old Liu, it's just a pair of pants. If you cut it off, you can cut it off. It's important to get treatment quickly."
The co-workers advised him by the side.
"Okay, okay, then cut it for me!" Master Liu gritted his teeth as if he had cut a piece of meat.
Li Jingsheng brought scissors and carefully cut off the trouser legs for him.
At this moment, he could already see a bloody mess on his calf.
The wound extended from the calf to the bend of the leg, and the flesh turned slightly outward.
After seeing the injury clearly, Li Jingsheng couldn't help taking a breath.
From his experience, it is certain that the wound is deep.
At that time, the large piece of glass must have been very sharp. When it fell, it cut from the bend of Master Liu's calf all the way down to the depths of the muscle.
The length of the wound is at least 12 cm.
He didn't know whether the blood vessels, tendons, and nerves inside were damaged.
This deep wound was beyond his ability to handle.
"The wound is too deep, you have to go to a big hospital for treatment. I'm afraid I can't handle it here."
Li Jingsheng frowned and said solemnly.
The clinic has been open for more than nine months. Although the business is bleak, there has never been an accident.
This has a lot to do with his decent style and prudence.
As long as the risk of disease is slightly greater, he would rather not make this money.
Small clinics are most afraid of accidents.
Almost all clinic owners who can survive are cautious.
It's not a job for the bold.
"Going to a big hospital will cost tens of thousands of dollars! You can help me see, I have been injured several times because you have cured me. Isn't it just that the wound is a little deeper this time? Don't worry, treat me, it's okay." .”
Master Liu said as he rolled up his sleeves, revealing a centipede scar five to six centimeters long on his left forearm.
This is Li Jingsheng's masterpiece.
Li Jingsheng sewed him up for the injury he suffered half a year ago.
Because the suture level is not good, it is good to let the wound heal.
Unsightly scars are inevitable.
Li Jingsheng still hesitated, he dared to deal with superficial wounds.
The risk of such a deep wound is too great.
"I'm afraid of hurting nerves, large blood vessels, and tendons. If I don't go to a big hospital for treatment, what if I become disabled?"
Li Jingsheng said seriously.
The co-workers did not speak at the side.
Everyone has their own little Jiujiu, he and Master Liu partnered to contract renovation business such as smashing walls.Now that Master Liu is injured, logically speaking, it must be considered a work-related injury.
It costs a lot of money to enter a big hospital, not to mention that this business is for nothing, I am afraid that I will have to pay extra for Master Liu's treatment.
He was definitely not happy in his heart.
"Master Shun, why don't we call the owner of the house and ask his opinion?"
Master Liu was also a little scared when he heard that he might be disabled.
As a migrant worker in the city, it is not easy for Master Liu to live in this big city with his wife and two children.
Not only do they have to rent a house to live in, but they also need to provide for their two children to study.
The parents in my hometown and the parents-in-law on the wife’s side don’t talk about support, at least three festivals and two lives need some money.Coupled with various human expenses, it is also a considerable expense.
As the pillar of the family, there are old and young, and if the leg is disabled, he will not be able to work and earn money.
"Okay, I'll call him again and talk to him."
The worker took the phone and went outside the clinic to make a call.
It didn't take long to come in.
His complexion was slightly unsightly.
"Called Mr. Yu, and he asked us if we bought insurance? I said no. He asked me if 2000 yuan can cure the disease? According to that, we have to pay for more than [-] yuan."
After the worker finished speaking, his eyes flickered and he continued.
"Old Liu, let's just treat him here. If Mr. Yu is offended, it will be a big loss if he can't get a job in the future."
In the face of interests, people are selfish.
The workers sympathized with Master Liu and worried that the treatment in the small clinic would not be effective.But instead of offending a big client, he chose to let Master Liu treat him in a small clinic at the risk of becoming disabled.
Master Liu's complexion was changing, and his eyes were deep.
After more than ten seconds, he said bitterly, "I knew I shouldn't have saved those hundreds of dollars. I should have bought the new rural cooperative medical insurance, and then bought a commercial accident insurance."
Buying medical insurance is like this, which plays a protective role.
In case of illness or injury, a large part of the treatment can be reimbursed in proportion, and the financial burden of the patient can be greatly reduced.
"Doctor Li, why don't you help me check it first, and try to treat it at your place if possible."
Master Liu finally bowed his head to reality and chose to take risks in the clinic for treatment.
It's not unreasonable for people to be poor.
How many people can afford an ICU ward worth tens of thousands of dollars a day?How many families can afford the millions of cancer treatment costs?
The scariest thing about being in a hospital is having no money.
"Okay then, I'll do some examinations for you first. I need to take an X-ray first to see if your bones are injured. It costs 100 yuan to take this film. Can you see it?"
Li Jingsheng's clinic is quite simple.
Don't even think about CT machines, the cheapest ones cost more than 50 yuan.
When I bought the X-ray machine at the beginning, I bought a second-hand one with my back molars.It also cost fifteen thousand.
It is a power frequency machine eliminated by a private hospital.
It takes more than 3 to buy a new one.
That private hospital made money, and the shotgun was replaced by a high-frequency machine with clearer imaging.
Li Jingsheng's newly opened small clinic can only make do with the equipment that others have eliminated.
Sometimes, he really wants to make money in his dreams, so that one day he can buy a building, recruit a large number of doctors, nurses, logistics, and administrative personnel, and form a hospital.
Unfortunately, this dream is out of reach.
It is difficult to even survive now, let alone develop.
"Can I be treated at your place after the filming?"
When Master Liu heard that it would cost 100 yuan to make a film, he was obviously reluctant.
"I can't guarantee this, but the bones are fine after the inspection, and I should be able to treat them here."
Li Jingsheng has long been beaten by the society, and he never speaks full of words when talking to patients, leaving some leeway.
Otherwise, being slapped in the face is a trivial matter, and it will be troublesome if it causes a doctor-patient dispute.
The older the doctor, the more conservative he is when talking about his illness.
I never said, I will definitely cure your disease, and if it will be cured in three days, your disease must be some kind of disease.They are in the diagnostic opinion column, usually with a question mark after the name of the diagnosed disease.
It means to suspect the disease.
If it is not the disease, there is no dispute.
While Li Jingsheng was talking to Master Liu, he secretly checked the medical attribute panel.
In the skill column, there was indeed a new stitching skill.
Introduction to vertical mattress suture 0/10, can be used for deep wound suturing and wound suturing in loose skin, or for reducing the tension of wound skin.
Seeing that he successfully learned the vertical mattress suture, his confidence suddenly increased.
It is only entry-level now, and it is obviously not enough to suture the wound on Master Liu's leg.
But it doesn't matter, he just earned 10 life points not long ago, and it's useless to save it.
It would also be nice to prioritize vertical mattress stitching if needed.
First take an X-ray film for Master Liu to see the situation.
He is now a typical family who has surplus food and does not panic.
(End of this chapter)
Li Jingsheng continued to bow his head to practice vertical mattress suture. After previous research and practice, he has made considerable progress.
Gradually comprehend many of the key points.
His whole stitching action is also getting faster and faster.He kept cutting new slits in the cloth, and then sewed them up.
Time is passing little by little.
Li Jingsheng, who was concentrating on practicing the vertical mattress suture, didn't even notice a customer entering the door.
Li Jingsheng is closing the needle and knotting, completing the final suture practice.
Looking at the effect of stitching on the cloth, it looks like a section of railway. This is the most basic feature of vertical mattress stitching, called railway traces.
Beginners are most likely to sew railway traces due to their poor skills and irregular operations.
He was quite happy though.
Because it means that he has initially learned the vertical mattress suture.
"Doctor Li, Doctor Li..."
The customer who came in was an old acquaintance, with messy gray hair sticking to his scalp due to sweat, and a tall and burly body wearing dusty dark blue overalls.Also soaked in sweat, tightly stuck to the strong body.
At the moment, being supported by a worker of about the same age, I can only hop on one foot.
As the two approached the counter, the pungent sweaty smell hit their faces.
"Hey, Master Liu, what's the matter with you?"
Li Jingsheng hurried around the counter and moved a stool for the other party to sit on.
It can be seen faintly that Master Liu's right calf seems to be bleeding a lot. The dark red blood has soaked a large part of the blue overalls, and a tear about ten centimeters long on the pants is also very clear.
There is already a strap tightly bound around the thigh near the knee.
Simple bandage to stop bleeding is basically done by everyone.
Master Liu is actually only 46 years old, because he has been engaged in heavy physical labor for a long time, he looks like a 60-year-old man.
"Oh...don't mention it. When building the wall, a large piece of glass was broken somehow. I didn't pay attention to the back, and I got a big cut on my leg."
Li Jingsheng was slightly relieved when he heard that it was the glass injury.
Relatively speaking, glass has less pollution to the wound, and if it is a rusty piece of iron, it will be more troublesome.
"Let me check for you first whether the injury is serious or not!"
He wanted to roll up the trousers of Master Liu's left leg, but found that it didn't work at all.
It's full of blood and dust, which is very bad for the wound.
Secondary pollution easily occurs after treatment.
Besides, the trousers are very tight after being wet. If they are rolled up and tightly wrapped around the thighs, the patient will feel very uncomfortable, and the blood supply to the legs will not be smooth.
"I'm afraid you'll have to cut off the leg of your trousers."
"This set of overalls cost more than 50 yuan, and it has only been worn for less than two years. It's a pity to cut it off! Can I not cut it?"
Master Liu was very distressed when he heard that the trouser legs were going to be cut off.
People in the city are a little more particular, and a shirt costs several hundred, and they don't wear it if they are a little old.Master Liu spent more than 50 yuan to buy a suit of street goods. After wearing it for almost two years, the neckline, cuffs and other parts have long been worn out, and now he is reluctant to cut them.
It's really not easy for the bottom of society.
"Well... If you don't want to cut it, you can take it off."
Li Jingsheng's small clinic usually treats poor people, and he can understand the bitterness and difficulty of these people.
Master Liu hesitated, and glanced at the worker next to him.
How embarrassing to walk on the street after taking off my trousers and wearing only shorts!
"Old Liu, it's just a pair of pants. If you cut it off, you can cut it off. It's important to get treatment quickly."
The co-workers advised him by the side.
"Okay, okay, then cut it for me!" Master Liu gritted his teeth as if he had cut a piece of meat.
Li Jingsheng brought scissors and carefully cut off the trouser legs for him.
At this moment, he could already see a bloody mess on his calf.
The wound extended from the calf to the bend of the leg, and the flesh turned slightly outward.
After seeing the injury clearly, Li Jingsheng couldn't help taking a breath.
From his experience, it is certain that the wound is deep.
At that time, the large piece of glass must have been very sharp. When it fell, it cut from the bend of Master Liu's calf all the way down to the depths of the muscle.
The length of the wound is at least 12 cm.
He didn't know whether the blood vessels, tendons, and nerves inside were damaged.
This deep wound was beyond his ability to handle.
"The wound is too deep, you have to go to a big hospital for treatment. I'm afraid I can't handle it here."
Li Jingsheng frowned and said solemnly.
The clinic has been open for more than nine months. Although the business is bleak, there has never been an accident.
This has a lot to do with his decent style and prudence.
As long as the risk of disease is slightly greater, he would rather not make this money.
Small clinics are most afraid of accidents.
Almost all clinic owners who can survive are cautious.
It's not a job for the bold.
"Going to a big hospital will cost tens of thousands of dollars! You can help me see, I have been injured several times because you have cured me. Isn't it just that the wound is a little deeper this time? Don't worry, treat me, it's okay." .”
Master Liu said as he rolled up his sleeves, revealing a centipede scar five to six centimeters long on his left forearm.
This is Li Jingsheng's masterpiece.
Li Jingsheng sewed him up for the injury he suffered half a year ago.
Because the suture level is not good, it is good to let the wound heal.
Unsightly scars are inevitable.
Li Jingsheng still hesitated, he dared to deal with superficial wounds.
The risk of such a deep wound is too great.
"I'm afraid of hurting nerves, large blood vessels, and tendons. If I don't go to a big hospital for treatment, what if I become disabled?"
Li Jingsheng said seriously.
The co-workers did not speak at the side.
Everyone has their own little Jiujiu, he and Master Liu partnered to contract renovation business such as smashing walls.Now that Master Liu is injured, logically speaking, it must be considered a work-related injury.
It costs a lot of money to enter a big hospital, not to mention that this business is for nothing, I am afraid that I will have to pay extra for Master Liu's treatment.
He was definitely not happy in his heart.
"Master Shun, why don't we call the owner of the house and ask his opinion?"
Master Liu was also a little scared when he heard that he might be disabled.
As a migrant worker in the city, it is not easy for Master Liu to live in this big city with his wife and two children.
Not only do they have to rent a house to live in, but they also need to provide for their two children to study.
The parents in my hometown and the parents-in-law on the wife’s side don’t talk about support, at least three festivals and two lives need some money.Coupled with various human expenses, it is also a considerable expense.
As the pillar of the family, there are old and young, and if the leg is disabled, he will not be able to work and earn money.
"Okay, I'll call him again and talk to him."
The worker took the phone and went outside the clinic to make a call.
It didn't take long to come in.
His complexion was slightly unsightly.
"Called Mr. Yu, and he asked us if we bought insurance? I said no. He asked me if 2000 yuan can cure the disease? According to that, we have to pay for more than [-] yuan."
After the worker finished speaking, his eyes flickered and he continued.
"Old Liu, let's just treat him here. If Mr. Yu is offended, it will be a big loss if he can't get a job in the future."
In the face of interests, people are selfish.
The workers sympathized with Master Liu and worried that the treatment in the small clinic would not be effective.But instead of offending a big client, he chose to let Master Liu treat him in a small clinic at the risk of becoming disabled.
Master Liu's complexion was changing, and his eyes were deep.
After more than ten seconds, he said bitterly, "I knew I shouldn't have saved those hundreds of dollars. I should have bought the new rural cooperative medical insurance, and then bought a commercial accident insurance."
Buying medical insurance is like this, which plays a protective role.
In case of illness or injury, a large part of the treatment can be reimbursed in proportion, and the financial burden of the patient can be greatly reduced.
"Doctor Li, why don't you help me check it first, and try to treat it at your place if possible."
Master Liu finally bowed his head to reality and chose to take risks in the clinic for treatment.
It's not unreasonable for people to be poor.
How many people can afford an ICU ward worth tens of thousands of dollars a day?How many families can afford the millions of cancer treatment costs?
The scariest thing about being in a hospital is having no money.
"Okay then, I'll do some examinations for you first. I need to take an X-ray first to see if your bones are injured. It costs 100 yuan to take this film. Can you see it?"
Li Jingsheng's clinic is quite simple.
Don't even think about CT machines, the cheapest ones cost more than 50 yuan.
When I bought the X-ray machine at the beginning, I bought a second-hand one with my back molars.It also cost fifteen thousand.
It is a power frequency machine eliminated by a private hospital.
It takes more than 3 to buy a new one.
That private hospital made money, and the shotgun was replaced by a high-frequency machine with clearer imaging.
Li Jingsheng's newly opened small clinic can only make do with the equipment that others have eliminated.
Sometimes, he really wants to make money in his dreams, so that one day he can buy a building, recruit a large number of doctors, nurses, logistics, and administrative personnel, and form a hospital.
Unfortunately, this dream is out of reach.
It is difficult to even survive now, let alone develop.
"Can I be treated at your place after the filming?"
When Master Liu heard that it would cost 100 yuan to make a film, he was obviously reluctant.
"I can't guarantee this, but the bones are fine after the inspection, and I should be able to treat them here."
Li Jingsheng has long been beaten by the society, and he never speaks full of words when talking to patients, leaving some leeway.
Otherwise, being slapped in the face is a trivial matter, and it will be troublesome if it causes a doctor-patient dispute.
The older the doctor, the more conservative he is when talking about his illness.
I never said, I will definitely cure your disease, and if it will be cured in three days, your disease must be some kind of disease.They are in the diagnostic opinion column, usually with a question mark after the name of the diagnosed disease.
It means to suspect the disease.
If it is not the disease, there is no dispute.
While Li Jingsheng was talking to Master Liu, he secretly checked the medical attribute panel.
In the skill column, there was indeed a new stitching skill.
Introduction to vertical mattress suture 0/10, can be used for deep wound suturing and wound suturing in loose skin, or for reducing the tension of wound skin.
Seeing that he successfully learned the vertical mattress suture, his confidence suddenly increased.
It is only entry-level now, and it is obviously not enough to suture the wound on Master Liu's leg.
But it doesn't matter, he just earned 10 life points not long ago, and it's useless to save it.
It would also be nice to prioritize vertical mattress stitching if needed.
First take an X-ray film for Master Liu to see the situation.
He is now a typical family who has surplus food and does not panic.
(End of this chapter)
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