Chapter 882 - 423: Watching in Danger, Unusual Fall Injury Pain

Chapter 882: Chapter 423: Watching in Danger, Unusual Fall Injury Pain

If the professional title is insufficient to preside over third or fourth-level surgeries, then making a lot of money becomes very difficult.

Everyone knows that treating major illnesses is the real path to both fame and fortune.

A surgery could cost hundreds of thousands; the profit margin is actually quite significant. After subtracting the cost of disposable materials and drugs, most of it is the fee for the technique.

Hospital charges are generally distributed among the myriad of examination items, tests, and various miscellaneous items.

Drug costs are often very cheap, and labor costs are also very cheap.

To be frank, it’s just impossible to openly and legally charge a high technical fee.

Private clinics actually have greater autonomy in pricing.

Therefore, as long as Li Jingsheng’s professional title improves and he finds a way to obtain qualifications for major surgeries, he could break new ground.

He might even pave an innovative path.

He wants to lead a top-notch medical team, and to do so, he cannot afford to be weak himself.

Apart from the challenge of professional titles, there are also qualifications for surgeries, inpatient services, reputation... and so on.

One cannot become fat with just one gulp.

He believes that with effort, solutions can definitely be found for each issue.

At that point, Sunshine Clinic might become the country’s first clinic to truly find its path.

The current medical setting generally sees major hospitals focusing on handling complex cases, while grassroots medical institutions handle minor ailments like colds, fevers, and suture wounds.

Li Jingsheng’s ideal is to lead Sunshine Clinic down a high-end development path.

Abroad, many private clinics have already succeeded on this path.

Domestically, there are quite a few clinics actively attempting this.

For example, Jinkui Clinic’s Boss Ye takes up high-end private jobs, which is actually a pretty good method.

...

The next day, he was awakened by a ringing phone before 7 am.

Director Yan from the emergency department called.

"Dr. Li, yesterday you referred a female patient to us in the emergency department, suffering from acute epiglottitis, do you remember?"

"I do. Her condition was quite serious at the time."

"The patient is still in our emergency department. After admitting her yesterday, we immediately administered medication and conducted additional tests. Just how to put it, the results are somewhat disappointing. To say there’s no effect is wrong, as there has been some effect.

But to say it’s effective, her epiglottic hematoma is still enlarging, and the current situation is more severe than when she first got admitted yesterday.

I’m already considering an immediate tracheostomy and intubation.

She is personally quite resistant to this treatment plan and wishes to see you."

Director Yan pays special attention to patients in such dangerous situations.

"Have antibiotics and steroids been used?"

Li Jingsheng asked.

"We’ve already used a combination of antibiotics and steroids, but as she waited until the situation became quite serious to come to the hospital, the epiglottis is already severely enlarged. Reducing the swelling is much more difficult than at the initial onset.

Ordinary acute epiglottitis patients typically have a noticeable reduction in swelling and airway restoration after five to six hours of medication.

But she has been hospitalized for over twelve hours, and the hematoma has not reduced, but worsened instead.

Personally, I think, given her condition, intubation will likely be necessary."

Director Yan’s skills are not lacking, and he possesses extremely rich emergency experience.

Considering safety, generally, under such circumstances, the family would be asked to sign the necessary documents.

By talking things over with the family, the rescue can be immediately enacted when required.

This way, there is no delay in rescue time.

"I’ll head over right now! I’ll work on the patient’s thoughts."

Encountering such a situation, Li Jingsheng quickly got up, washed up, and hurriedly headed to the emergency department of the Second Hospital.

Arriving at Observation Ward 1 of the emergency department, he saw Han Xiaoqing lying quietly on the hospital bed.

There was only one family member, a middle-aged woman.

With typical barrel waist, big belly, and thick arms.

Women around fifty years old generally fall into two extremes. Those who are sufficiently self-disciplined and manage their body well maintain a good figure even at fifty.

The more laid-back and free women tend to develop obese physiques, typically with the figure of a middle-aged woman.

Turning up the clothes, it’s simply unviewable.

There’s at least two layers of fat sagging down the belly.

This middle-aged woman should be Han Xiaoqing’s mother since the mother and daughter share many similar features.

"Han Xiaoqing, why aren’t you listening to the doctor’s advice and refusing the intubation? Your situation is very dangerous, you know?"

Li Jingsheng came to the bedside, nodded slightly towards the middle-aged woman, which counted as a greeting.

Then he directly questioned Han Xiaoqing on the bed in a reproachful tone.

Were it not for Chu Yao’s sake, he really wouldn’t meddle in this.

Now, however, he cannot stand idly by.

The patient was referred by him, so whether for the hospital’s responsibility or the patient’s, he must intervene.

He must strive to ensure the patient safely crosses the dangerous threshold.

"I’m worried the surgery might directly end my hosting career!"

Seeing Li Jingsheng hastily arriving early in the morning, she felt a strong sense of familiarity.

She understands very well that this doctor genuinely cares about and is concerned for her, hence rushing over early in the morning.

"You’re struggling to speak and still worrying about your career! Let me check your epiglottis condition!"

Faced with Han Xiaoqing’s pleading eyes, he eventually softened.

In most cases, Li Jingsheng treats patients like family.

Sometimes, he has to not only consider the patient’s conditions but also their actual difficulties and concerns.

For example, some female patients, if they lose their ability to bear children after treatment, or have to remove their mammary glands, these will all impact their lives post-recovery.

Some women, after having one mammary gland removed, were rejected by their husbands, leading to constant arguments, increased conflicts, and eventually, divorce.

Han Xiaoqing made a name for herself in the hosting industry, which was extremely difficult.

If, due to this illness, she has to quit her hosting career in the future, it would indeed be somewhat cruel.

She obediently opened her mouth, allowing Li Jingsheng to examine her.

Li Jingsheng examined her very carefully.

The epiglottis had swollen a bit more compared to yesterday.

However, it was evident that the hematoma on the epiglottis had shown significant improvement.

Because, under normal circumstances, if left untreated, her epiglottis would completely block her airway.

Now, although the gap had become slightly smaller, the progression of the disease had already slowed significantly.

Li Jingsheng even felt the area around her throat with his hand, carefully assessing the state of the blood vessels.

"Can I avoid the tracheotomy?"

Her voice was hoarse, and she seemed to speak with considerable difficulty.

She looked at Li Jingsheng with near pleading eyes, filled with hope.

"Although the hematoma is slightly larger than yesterday, there are signs of control over the condition. Let’s wait and see! Even so, you still need to sign the consent form. I will talk to Director Yan, and unless it’s absolutely necessary, we won’t perform the tracheotomy."

Li Jingsheng, after a moment of hesitation, offered a relatively safe option.

Based on her current condition, he believed it was worth taking the risk to wait a bit longer.

If nothing unexpected happens, the hematoma should start to shrink within eight hours.

His personal assessment was that results could be seen in about four hours.

If within four hours, the hematoma doesn’t block the airway, she should be able to get through it.

Additionally, nasal intubation was also an option.

However, given her current condition, it hadn’t yet come to that, and no one dared to recklessly stimulate her throat area.

Because, if things went wrong, the process of intubation could easily worsen the hematoma.

Her breathing was currently difficult, but she had already been given oxygen therapy. Overall, her blood oxygen saturation was still maintaining at an ideal level.

"Alright, I’ll listen to you."

Han Xiaoqing agreed softly after hearing him.

Li Jingsheng looked towards the family member.

"Auntie, you see Han Xiaoqing’s condition too, she has symptoms of breathing difficulties. If the epiglottis swells further, blocking the airway..."

Before Li Jingsheng could finish his sentence, Han Xiaoqing’s mother nodded repeatedly.

"My daughter said she’ll listen to you, so I’ll listen to you as well. Young man, you are quite remarkable and responsible."

Auntie looked at him, her eyes full of smiles.

"Young man, how old are you this year? Do you work at this hospital? How long have you known my Xiaoqing?"

Such expressions, along with a string of questions, made Li Jingsheng feel a burst of embarrassment.

As someone with experience, he naturally understood that Auntie was looking at him with the eyes of a mother-in-law picking a son-in-law.

"Auntie, since you agree, I’ll go notify the emergency care staff now."

Li Jingsheng quickly walked toward the outside, almost escaping.

"I agree, I agree. The young man is quite shy, how about you come to my house for a meal when Xiaoqing is discharged!"

Auntie’s words had a double meaning, nearly making Li Jingsheng stumble.

In fact, from the moment Li Jingsheng entered the ward, she had been observing him.

Whether it was Li Jingsheng’s concern when questioning Han Xiaoqing on her reluctance to undergo a tracheotomy, or later when he touched her neck, checking her epiglottis, and Han Xiaoqing’s meek reaction, all made Auntie instinctively believe that this was the boyfriend her daughter was secretly dating.

Her daughter had always been quite wild and strong-willed.

Even she, as a mother, was seldom listened to.

Yet she was very obedient to this young doctor.

Moreover, Li Jingsheng’s ability to work in such a large hospital, seemingly with a high status, made Auntie even more fond of him.

A mother-in-law’s love for a son-in-law only grew stronger the more she looked at him.

After leaving the room, Li Jingsheng found Director Yan and explained the situation.

"Since Dr. Li considers it manageable, I’ll wait and see. Based on my experience, her condition will very likely require a tracheotomy in the end."

"Thank you for your trust, Director Yan. I’ll return to the orthopedic outpatient department now."

"Don’t be in a hurry to leave! This patient’s condition is very risky; you can’t just throw it to me to handle. At least make time to come check on her condition at noon. I estimate the next two to three hours will be the critical period."

Director Yan made a small request.

This request wasn’t unreasonable.

"No problem, I’ll come over to check after finishing my outpatient shifts at noon."

After leaving the emergency department, Li Jingsheng went to his orthopedic outpatient clinic sessions.

He was still quite worried about the possibility of Han Xiaoqing’s condition worsening.

The first patient was already waiting in line early.

Hearing his number called, he entered the consultation room happily.

"Doctor, I injured my left leg last month. It’s still very painful, and now my right hand has started to hurt. I’ve heard your clinic is very skilled at treating injuries; please, take a careful look for me!"

The patient, a man of about thirty-seven or thirty-eight, introduced his condition while offering a cigarette to Li Jingsheng.

"Thank you, I don’t smoke."

Li Jingsheng waved his hand, declining politely.

Pain resulting from injuries is quite common.

Most patients with mild injuries will recover within half a month.

However, this patient had been in pain for more than a month without improvement and was experiencing pain in his right hand, indicating the condition was not as simple as it seemed.