Chapter 162 Master and apprentice conspired to save another life

Deaths from venous embolism occur every year for many reasons.

For example, sitting or lying down for a long time will slow down the blood flow. Especially in the lower limbs, it is easy for blood return to be blocked, red blood cells to accumulate, and eventually thrombosis.

In addition, the blood in the body is in a highly coagulated state, especially after burns and scalds, this phenomenon is most likely to occur.

The rest is atherosclerosis, or narrowing of arteries, etc., which are prone to blood clots.

The most harmful thing is definitely pulmonary vein thrombosis.

Mainly, it is not easy to find. When the diagnosis is made, it is often at the autopsy stage.

"You are right, the patient died of pulmonary vein thrombosis. It was also the death of that patient that made me realize that manual bone reduction is not just about reducing the fracture site, but also paying attention to checking the patient's vascular damage and blockage. Your current

Your bone palpation technique should have reached a certain level, right?”

When Dr. Xu talks about the death case that year, he is still frightened even after many years.

Every patient's death or major change in condition will be deeply remembered by doctors.

"I should now have reached the fourth level of bone palpation. I can feel the patient's bone vitality, subtle bone patterns, ligaments and blood vessels, and soft tissue injuries. But I feel there is still a lot of room for improvement."

Li Jingsheng didn't hide it either.

In fact, given Dr. Xu's level, one can definitely see Li Jingsheng's true level from his practical operations.

"It is very good to be able to reach such a high bone palpation level in such a short period of time. When your bone palpation level is stronger in the future, you can feel more subtle changes in the patient's bones, blood vessels, and ligaments. For example, in the blood vessels,

Blood flow rate. If you find that the blood flow rate slows down, especially in the lower limbs, you must be extra vigilant about vascular embolism."

Taking the bone palpation technique a step further, you can actually feel the blood flow rate in the blood vessels.

It's a bit incredible to think about it.

Li Jingsheng is full of yearning for a higher level of proficiency.

His bone-touching technique is currently at the Xiaocheng level. If he wants to advance to the next level, he needs 1,000 proficiency levels, which is still several hundred short of that.

It seems like you have to work hard!

Next, Dr. Xu talked with him about a lot of clinical knowledge about bone correction and reduction.

These things are difficult to learn from books.

They are all accumulated by doctors themselves or taught by other doctors.

As for some surgical techniques, even original techniques, combined medication, etc., they all need to be taught by teachers.

The conversation was almost over, and Li Jingsheng was about to stand up and leave.

"Teacher, there is one more thing I would like to ask your opinion on. The Second Hospital wants to recruit me to the Orthopedic Surgery Clinic. I will work three days a week and be paid as a regular employee. I can be evaluated on professional titles, hire attending physicians, etc.

Personally, I am quite excited. I am worried about harming your interests, so I decided to ask your opinion first."

The survival rule that Li Jingsheng learned in the old streets in the south of the city is that one mountain cannot accommodate two tigers.

Compared with the last time when Fredo Pharmacy opened, both his and Lao Zhao's clinics were greatly affected.

Patients who were going to the clinic to buy medicine were directly attracted to it.

One carrot and one pit.

There are only so many patients and customers who need to buy medicines in Chengnan Old Street, so naturally there is a decline and a rise.

In the past two days, Sunshine Clinic's business has been extremely hot, and Lao Zhao must have been suffering.

However, the customers and patients who come to Li Jingsheng's clinic are not from this small area. Some of them come from other areas in the city. It can be considered that there is some initial siphon effect.

Now, if Li Jingsheng agrees to work in the surgical reset clinic of the Second Hospital, wouldn't it mean that his apprentice is stealing his master's job?

"How are you harming my interests? Don't worry, don't tell me that you only work there three days a week. Even if you work seven days a week, it won't affect me. When I stayed at the Second Hospital, Director Hua kindly invited me.

Even though I only know how to manipulate bone and reduce it, and I can do it all over the world, as long as I can do it, I can get good treatment in any hospital I go to."

When Dr. Xu said this, he showed a proud expression on his face.

His eyes were stern, looking proudly into the sky.

This is true.

Doctors are an industry that relies on technology. As long as you are excellent in one field, you can do very well.

"It's a good thing that you entered the Second Hospital. Don't underestimate professional titles and qualifications. In almost more developed countries around the world, professional titles are particularly important. And if you enter the Second Hospital, it is equivalent to having your back against a big tree.

The area south of the city can be more confident."

Dr. Xu also mentioned this matter in a subtle way.

It seems that more advanced doctors know that this area in the south of the city is not simple.

Think about it too.

There is only one second hospital in the south of the city of Nuovo University, which is extremely abnormal in itself.

"If you are talking about admission to the second hospital in the past two days, I can cooperate with you. I happen to be sick, and there is no substitute there. If you don't say you are waiting for a price, at least you can ask for a good price. Then

There are some additional conditions that can be mentioned, such as not working overtime, not attending hospital meetings during non-working hours, etc. I can see that your kid likes to go wild. When signing the contract, you can mention some additional conditions appropriately so that you can have more privacy.

free."

Dr. Xu treated him really well.

Not only was he not worried about Li Jingsheng taking his job, but he helped Li Jingsheng get a good price.

"Since you agree, I'm going to talk to Director Hua tomorrow."

Li Jingsheng is also worried about long nights and many dreams.

Some opportunities are difficult to get again if they are missed.

"Be confident when talking about it. I'm not bragging. Although there are many doctors who know how to manipulate bones and bones, there are very few who can reach a higher level. Your current level is not very good, but looking at the entire Jiangli City, basically

The above is to choose a general from a dwarf, and you already have some foundation. As time goes by, you will definitely become more powerful, so you need to have some confidence when negotiating terms.

Director Hua is a pretty good person, but when it comes to interests, he is definitely on the side of the department and the hospital in many matters.

There are a lot of things you need to fight for on your own.”

Dr. Xu said these heartfelt words because he regarded him as his disciple.

…

It was almost ten o'clock in the evening when Li Jingsheng returned to the clinic. He gained a lot from this visit to his mentor.

It will be better to talk to Director Hua tomorrow about admission and employment.

What he has to consider now is that after joining the Second Hospital, he will be away from the clinic for three days a week. Who will do the diagnosis and treatment?

Recruit another certified doctor?

If it’s less than 7,000 yuan/month, it’s basically a no-brainer.

And the quality of those recruited cannot be guaranteed.

Doctors who are willing to work in small clinics are basically half-qualified.

However, there are times when things are missed, and it would be ideal to recruit a doctor who knows how to deal with the problem and has some real skills.

Clinics generally don't handle anything serious, just common colds, fevers, diarrhea, headaches, etc.

After much thought, he decided to hire another doctor who could take his place.

On the one hand, they can maintain a legal business, and only licensed doctors can prescribe prescriptions. Even if Tang Ping and Han Siying understand some clinical medicine, they cannot prescribe prescription drugs.

Otherwise it is illegal.

But what to say about this kind of thing? They prescribed it in the name of Li Jingsheng. Even if the authorities checked it out, nothing would happen.

The only drawback is not to have an accident.

Just one accident can turn him into a pawn and destroy the marshal immediately.

Nowadays, the handling of medical accidents in the industry is basically high-pressure. As long as a problem is found, the minimum punishment is to suspend the employee for investigation, and the more serious one is to revoke the medical license.

This risk is too great and Li Jingsheng cannot bear it.

It is basically a common phenomenon in hospitals for unlicensed doctors to issue medical orders in the name of senior doctors.

Better graduates can easily obtain this privilege.

But there is no comparison between a clinic and a hospital.

The clinic's ability to resist risks is small, and the hospital has multiple inspection and control systems.

If there is a problem with the medical order prescribed by the intern, the nurse will immediately find out and call back in time to ask the intern to reopen the order.

There is only one nurse in his small clinic, Tang Ping.

She has been working in the clinic for nearly a year, and her professional sensitivity and level have definitely declined.

"No, if the clinic's business can be stable at 20 patients a day, then hire another certified doctor."

Li Jingsheng finally decided to put safety first.
To be continued...