Practicing Medical Skills in a Small Clinic

Chapter 865 - 409: Waiting for a Development Opportunity—Is He Feeling Confident Again?

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Chapter 865: Chapter 409: Waiting for a Development Opportunity—Is He Feeling Confident Again?

Breaking the limitations of clinics that can’t conduct inpatient services or perform complex surgeries is actually not difficult.

As long as the scale increases, you can apply for an upgrade to a general hospital.

Small clinics generally find it hard to achieve this in one step; they usually grow gradually.

First, upgrade to a secondary grade B hospital, then after being rated as a secondary grade A, you can aim for a tertiary grade B hospital. It’s generally less common to upgrade to a tertiary grade C hospital.

This is considered from the fundamental interests.

It’s better to be a leader in a smaller pond than a follower in a bigger one, especially in the medical industry.

Usually, grade C hospitals are poorly rated in various aspects, not even reaching the evaluation standards, which results in their designation as grade C.

Some are downgraded due to issues like medical quality.

Regardless of the reason, it’s not good.

Even though most patients don’t understand this, if someone knowledgeable mentions it to their relatives or friends, it quickly becomes known that the hospital isn’t competent.

This severely affects outpatient and emergency service volume, and it’s hard to recruit high-end talent like doctors, nurses, or administrators.

That’s why it’s rare to see signs for secondary grade C hospitals or tertiary grade C hospitals.

No student wants to have "I’m a poor performer" written on their face.

Unless they’re barely conscious.

Li Jingsheng’s Sunshine Clinic, given his current capabilities and income, could easily be upgraded step by step within a short time.

However, he has a gentleman’s agreement with Dean Fu that requires controlling the clinic’s scale over the next ten years, limiting the number of doctors and nurses to no more than fifty, which he must adhere to.

Controlling the number of medical staff to within fifty is actually not significant.

Because Li Jingsheng originally intended to forge a new path, following the elite route.

The clinic hasn’t recruited new medical staff lately to reserve valuable positions for elite talents.

Recruiting elites is quite challenging.

Because doctors and nurses with some skills rarely want to work in a clinic.

Additionally, there’s a bigger challenge once they are recruited.

He has to find a way to lead them to generate revenue and sustain themselves.

It’s hard to retain a good surgeon without offering four to five thousand a month. For a competent nurse, the going rate is usually two to three thousand a month.

Take organizing a surgical team, for instance.

Li Jingsheng himself serves as the chief surgeon, and to perform major surgeries, at least three medical assistants are needed.

Typically, the first assistant’s ability is not much lower than the chief surgeon’s.

The second and third assistants also have their specialties.

Many people think that second and third assistants just handle hook pulling and skin suturing, which applies to regular surgical teams.

For example, a mentor might use interns as second and third assistants to save labor costs. Considering interns get two thousand monthly, you can’t expect them to be more skilled than attending physicians, right?

Even being able to pull a hook or suture skin and close cavities is already quite good.

To truly build a top surgical team, the second and third assistants have to be equally outstanding.

This means their salaries won’t be low either.

The second assistant needs at least three thousand a month, while the third assistant can’t get less than two thousand.

At least two nurses are necessary.

For major surgeries, the standard is at least three nurses.

To have a unique team characteristic, you definitely need a skilled nutrition nurse, which is another expense.

An anesthesiologist is also indispensable.

Nowadays, excellent surgical teams usually perform endoscopic surgery, making an outstanding anesthesiologist particularly important.

An exceptional anesthesiologist won’t consider less than three thousand a month.

Typically, an anesthesiologist should have an anesthesia nurse paired with them.

These alone total ten people already.

This still can’t be called a complete surgical team. Li Jingsheng aims to develop a one-stop service team.

He has to do it this way.

Since performing a successful surgery is only half the battle.

The postoperative management is equally crucial.

There are four doctors and nurses handling ward management, which is a bare-bones setup.

Normally, you need two doctors and five to six nurses.

The standard is one doctor paired with three nurses.

This is in cases where there are enough patients; only then can each person’s labor value be fully realized.

Ward managing doctors and nurses might have lower wages.

Even if paying only one thousand each, it still amounts to several thousand a month.

To sustain a surgical team, the monthly salary alone costs four to five thousand. If not enough work is secured, how can the team be supported?

On the flip side, if enough work is secured, profitability is certain.

Such a top team has the potential to generate over ten million monthly revenue, at least seven to eight million.

Li Jingsheng, so far, has only recruited Meng Luo as the surgical nurse.

He is still far from creating a top team.

The current conditions in various aspects are not yet mature.

In the future, Mu Yin from the People’s Hospital, he wants to recruit her. Such a top-tier nutrition nurse is absolutely a rare talent.

Then, once his own surgical ability improves, he can begin to select a first assistant.

Recently, he diagnosed quite a few complex cases, earning a lot of life value rewards.

With a bit more effort, he should be able to raise his doctor level to chief physician.

Then, once the insertion technique progresses another level, performing endoscopies in the future should qualify him to reach the top level in the industry. He can also help Lian Tao’s girlfriend with her endoscopy.

Having made a promise to someone, he must fulfill it.

Actually, the demand in the endoscopy market is pretty high, it’s just that his clinic is lacking in qualifications.

With proper planning, endoscopy might become an opportunity for him to develop a surgical team.

"Ring, ring, ring..."

The sudden ringing of the phone made him jump.

He checked to see it was Director Hua calling.

It was already past seven twenty in the evening, the hospital’s outpatient clinic was long closed. Director Hua calling at this hour, could it be that another family member or an important person themselves got injured and needed a bone setting?

Of course, with an opportunity to succeed and expand connections, Li Jingsheng would be more than willing.

"Director Hua, what instructions do you have?"

"Haha, your consciousness is quite high! Knowing your hand was injured, there might be work but I try to push it away. I’m calling to tell you some bad news. You’ve been posted online again."

As Director Hua continued, his tone became slightly serious.

"Posted online again? I must be quite popular! What issue was posted online this time?"

He really feels that popularity comes with its controversies.

Not long ago, he just sent the rumor-monger away, and now someone else is online battling him.

"It’s a patient with a herniated lumbar disc sought treatment from you, said it couldn’t be treated, and then went to Jiupeng International Hospital and was cured. I’ve already verified this patient’s information, it should be true."

"So it was that couple! I remember this case, it was just recently. The patient’s condition was herniated lumbar disc with severe spinal scoliosis. Because my left hand was injured and hasn’t recovered, I couldn’t treat that patient."

Li Jingsheng doesn’t feel at fault in this matter.

Doctors are human too, and in an injured state, they certainly can only do what they can.

Jiupeng International Hospital actually cured this patient, it must be Professor Wei who treated them.

Wei Xianxian is also Doctor Xu’s disciple and has inherited Doctor Xu’s true teachings.

He and Li Jingsheng both come from the same mentorship, his bone setting technique isn’t bad either.

During the last skill competition, due to showing off, he didn’t even manage to win a bronze medal.

Ultimately, he was defeated and trampled by Li Jingsheng.

Now he’s reappeared.

This guy probably feels he’s capable again.

"Did the patient and family know about this situation at the time?"

Director Hua’s tone obviously softened after listening to his explanation.

"They didn’t know."

Li Jingsheng didn’t tell the patient or family at the time about the injury.

Being stabbed by a patient, that’s not something honorable he would naturally proclaim publicly.

Moreover, the manual repositioning clinic at the second hospital is solely supported by him now. If others were to know about his injury, it could easily cause a significant drop in patient visits.

If some person with ulterior motives were to dig deeper and then recklessly publicize, the consequences could be much more serious.

"This issue has caused a significant negative impact on our orthopedic department’s manual repositioning clinic. The hospital might have to do some explanatory work related to this. I’ve understood the situation already, you should rest early! You are indeed our orthopedic department’s pillar of strength, can’t have any mishaps."

Director Hua called to understand the specific situation.

Upon knowing that Li Jingsheng was unable to help the patient because of his hand injury, he instead breathed a sigh of relief.

Two tigers cannot coexist on a mountain.

Manual repositioning in Jiangli City’s bone setting has almost become a signature treatment item of the second hospital.

Director Hua and hospital leadership surely don’t want this piece of the pie taken away.

Jiupeng International Hospital is gaining momentum, and it’s gradually becoming a model for private medical companies in high-end medical fields.

Director Hua knows about Wei Xianxian’s manual bone setting technique.

It’s strong.

If the two hospitals fight for this and it ends up even, it’s definitely not something Director Hua wants to see.

After ending the call, Li Jingsheng went online to check.

Easily found it.

The patient and family posted an article accusing him, the measures were quite meticulous and included images of the patient before and after treatment.

Li Jingsheng holds no deep grudges with them, logically speaking, they shouldn’t attack Li Jingsheng online like this.

Behind this, it must be Jiupeng International Hospital driving it.

Because the article’s whole intent revolves around one thing: Li Jingsheng at the second hospital personally said the patient’s bone disease couldn’t be treated. Then, at Jiupeng International Hospital, Professor Wei performed a miraculous recovery through manual bone setting.

After netizens read this news, they would surely think: it turns out Professor Wei at Jiupeng International Hospital is more competent than Li Jingsheng at the second hospital.

Next time when injured, they could seek treatment from Professor Wei.

Wei Xianxian was quiet for a while, now he’s jumping around again, which made Li Jingsheng very angry.

The grudge with the mentor hasn’t been avenged, now this one jumped out again, so there’s no need to hold back, deal with it fiercely.

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