Gou is practicing medicine in the clinic

Chapter 9 The boss has made great progress
"Old Liu, you can get cured here. When the time comes, ask Dr. Li to charge a higher treatment fee. I'll talk to Mr. Yu and ask for as much compensation as possible. After all, this is also a work-related injury."

Worker Shun Ye persuaded from the side.

He thinks the price is acceptable.

"Isn't that good? When the time comes, you can ask Mr. Yu to reimburse you for the treatment fee."

Master Liu is too simple.

Of course, to put it nicely is honest, but to put it bluntly is stupid.

"You bleed so much, can it be in vain? Besides, you can't work these days, and the loss is not small. We were injured while helping him to decorate, so it's okay to ask him for 2000 yuan part. He himself agreed."

Master Shun's ability to survive in society is obviously stronger.

"Doctor Li, you have also seen our situation. When the time comes, I will help you with a treatment fee of [-] yuan. Do you think it is okay? Think of it as helping Lao Liu."

"I'm afraid I can't issue an invoice. For ordinary receipts, you can get them yourself, or find an agency."

Patients often make this request.

Can't agree.

If it is reported by others in turn, it will be a big trouble.

Because it is illegal to charge falsely for medical treatment.

But a clear refusal may annoy the patient and lose the business.

It can only be euphemistically explained.

"Isn't it just to write the number at the beginning bigger? Can't you just help us?" the worker named Shun begged.

"There's really no way around this! Last time, the boss of a clinic helped a relative to inflate treatment fees, but he was arrested. I heard that at least half a year in prison. Our boss is doing legal business, and we dare not do it at a young age. Illegal things."

Tang Ping explained in a gentle voice beside her.

Women, especially young and beautiful women, have a unique advantage when dealing with men.

With her explanation, Master Liu immediately backed down.

"Master Shun, we don't need to do anything illegal."

"Didn't I want to ask Mr. Yu to reimburse you more! All right, I'll figure out a way when the time comes." Master Shun didn't bother with this matter any more. "Doctor Li, please help Lao Liu quickly! The wound is still bleeding!"

This is what Li Jingsheng was waiting for.

"Okay! Treat him immediately."

Tang Ping didn't need to be greeted by Li Jingsheng at all, she took out a disposable bed sheet and spread it on the treatment bed, and then helped Master Liu lie on it.

Compared with large hospitals, the surgical conditions in small hospitals are extremely simple.

There is no way to meet the sterility requirements.

But it doesn't matter, the small clinic has its own way.

Tang Ping had brought disinfectant alcohol and cotton pads, and skillfully cleaned the wound and the surrounding area for Master Liu.

Hospitals often have special nurses or interns to prepare the patients for this kind of leg surgery, including asking the patients to put on clean clothes, prepare the skin, and so on.

For general anesthesia or spinal anesthesia, the patient will be required to fast and drink.

Li Jingsheng brought the instrument kit, put on his gloves and began to prepare for the operation.

Nurse Tang Ping is in charge of preparing local anesthetics, sutures, and gauze.The two have worked together for more than nine months, and the cooperation is quite tacit.

"Give!"

After inhaling the local anesthetic into the needle, push out the air inside, and then pass it to Li Jingsheng.

"Is this 0.25 lidocaine?"

Li Jingsheng asked after taking it.

"Correct!"

She nodded.

Li Jingsheng began to inject points on Master Liu's leg wound.

Lidocaine of 0.25%-0.5% is usually preferred for local infiltration anesthesia, and the dose should be controlled flexibly.Especially the elderly, children, and the infirm, usually need to be accurate to the kilogram.

"Has Master Liu weighed himself too much?"

Li Jingsheng asked casually while pushing the anesthetic.

"Just weighed once last month, 57 kg."

"You are so tall, and you can keep your weight at 57 kilograms. It's really good. Now many people in the city are getting fat and have to spend money to lose weight!"

"Hehe, I do heavy physical work every day, and my body has never gained weight. It's all muscle. Except for injuries, I don't even have a small cold."

Being proud of what Li Jingsheng said, Master Liu smiled complacently.

"Then your health is really good. It is quite normal for ordinary people to catch colds two or three times a year. People who sit in an office are prone to affluence diseases." Li Jingsheng found out the patient's weight in a casual conversation.

The dosage of local anesthetics is strictly controlled.

There is about a fifth left.

Lidocaine with a concentration of 0.25 has an onset time of 1 minute after subcutaneous injection and a 90-120-minute effect time. The maximum dose for an adult is no more than 500 mg.

Generally considered adult safety standard is about 300mg.

This medicine is not expensive, but if you take too much, you must be afraid of accidents.

Three-drug.

The dosage of any kind of medicine is the best if it can be done just right.However, because the medical skill of pharmacokinetics is extremely difficult to improve, the medication standards of most doctors can only be strictly implemented according to clinical medication manuals or other textbooks.

How can this kind of medication according to the book compare to Li Jingsheng's flexible medication?
The proficient level of drug generation allowed him to experience an advantage that he had never had before.

At least compared with doctors in other clinics, this advantage is quite large.

In a slightly larger hospital, there are many strong people in it, not to mention doctors, even many nurses are very good at medication.His level of pharmacokinetics is placed in a large hospital, and it is estimated that he will be better than interns and regular trainees if he is exhausted.

Of course, it's hard to say if it's a small hospital.

Some doctors who have worked for more than ten years are still in a mess.

The smaller the hospital, the harder it is to improve the level of doctors.

There are few patients, the teaching environment is not good, the competition is small, and doctors lack the conditions and pressure to make progress. It is no wonder that the level can be improved.

Tang Ping saw that he hadn't finished taking all the anesthetics this time, a trace of doubt flashed in her bright eyes, but she didn't say much.

Although she has successfully won this big business right now and can earn hundreds of dollars, the patient's wound is extremely deep, and she knows very well what the boss's suture level is like.Especially worried about the boss screwing up.

This kind of deep wound is on the leg, and the tension itself is high, which makes it more difficult to suture.

The boss sutures ordinary superficial wounds enough.

If you screw up, how do you explain it to the patient?
She has already started thinking about the aftermath.

After the anesthetic took effect, Li Jingsheng began to carefully clean the patient's wound with alcohol, then found the larger broken vein and ligated it.

For small ruptured or broken blood vessels, he does not have electrocoagulation equipment here, so he can only suture them to stop the bleeding.

"Give me the No. 4 absorbable thread."

This degree of vascular ligation is generally sufficient with 4-gauge wire.

If it is the ligation and hemostasis of the large blood vessels in the abdominal cavity, or even the large blood in the chest cavity, it is often necessary to use the No. 1 line.

Absorbable sutures are used for vascular ligation and hemostasis in the body, which has the advantage of eliminating the need to remove the sutures.

Of course, this thread is much more expensive than ordinary sutures.

However, the total treatment fee for this business was more than [-] yuan, and Li Jingsheng would not be stingy with such a small piece of suture.

With the money in place, he can try his best to pursue better treatment effects, use good consumables, and use good medicine.

"Sister Tang, use the retractor to help me open his wound."

Pulling hooks is a physical labor, and nurses are rarely called to do this.

Right now, this kind of hook naturally doesn't need much effort.

Tang Ping is fully capable of it.

I saw that Li Jingsheng found the proximal end of the bleeding blood vessel, then held the needle, and deftly passed the hook needle through the tissue layer around the blood vessel, and passed out.

This series of operations made Tang Ping's eyes light up.

The level of the boss's crochet operation seems to have improved a lot!
Under her surprised gaze, Li Jingsheng quickly began to tie the knot.

The left hand is used to shoot, flexibly pull the suture, thread it out after winding it, and tie the square knot tightly.

The proficient square knot finally came in handy for the first time after the promotion.

His previous square knot level was only entry-level, and it was easy to tie the square knot into a slippery knot.The square knot tied at this moment not only fastens the broken vein, but is also very neat and firm.

It is completely different from the square knot that was played before.

"Boss's knot-tying skills are amazing!"

Tang Ping couldn't help but praise.

"Haha, after many days of hard work, you must improve a bit!"

Li Jingsheng knew that Tang Ping had worked as a nurse in a big hospital before, but she was fired by the hospital because of some dark things.Her husband also disliked her and divorced her.

What's even more infuriating is that she was obviously a victim, and after she was dismissed from the hospital, the perpetrator went around ruining her reputation.As a result, she was directly blacklisted in other hospitals, and it was extremely difficult to find another nurse job.

Later, when Li Jingsheng's clinic opened, he fell in love with her immediately.

The business level is very professional and diligent.

As for being beautiful and having a charming figure, that's just an add-on.It is not the core standard for Li Jingsheng to hire nurses.

She had worked as a nurse in a large hospital for several years, so her eyesight was naturally not bad.

Li Jingsheng's square knot-tying level has been raised from beginner level to proficient level, and she discovered it immediately after using it.

(End of this chapter)