Practicing Medical Skills in a Small Clinic

Chapter 888 - 429: Advancing into High-End Medicine, The Most Dangerous Intestines

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Chapter 888: Chapter 429: Advancing into High-End Medicine, The Most Dangerous Intestines

"Profit sharing? How does that work?"

Li Jingsheng looked puzzled.

Whether performing surgeries or other treatments in a hospital, the earnings are based on performance bonuses.

Moreover, one must at least be an attending physician to qualify for departmental bonuses. Resident doctors only get a meager two thousand yuan a month, and only kind-hearted department heads might give some overtime pay.

Writing medical records was also supposed to be compensated, but payments were hardly ever made.

The interns were the worst off, receiving no pay at all and having to pay out of pocket to the hospital.

"Your clinic might not have the qualifications to perform colonoscopies. But you can form a team and collaborate with a hospital. After earning, you can either profit share or provide a fixed income to the hospital directly."

"That’s not going to work, right? Outsourcing a hospital department is illegal. It’s not worth it for me to make that money." Li Jingsheng repeatedly shook his head.

Earning money is tempting, but certain things must never be done.

Committing crimes or breaking the law is a red line for him.

Although many people operate in legal grey areas and earn considerable returns, such money doesn’t bring peace of mind.

If nothing happens, then all is well, but once something goes wrong, it could lead to bankruptcy or even imprisonment.

After experiencing many ups and downs, he became more cautious, prioritizing stability in his mindset.

"First of all, I’m not talking about contracting a hospital department. I’m talking about seeking cooperation. Hospital services can be outsourced. For example, the lab tests that your Second Hospital can’t conduct, don’t they seek assistance from our People’s Hospital?"

After Lian Tao explained it like this, Li Jingsheng understood.

Service outsourcing or venue leasing is permissible.

Hospitals, too, need to survive and earn money.

Renting out some spaces can relieve management burdens and generate a significant rental income.

For example, the hospital cafeteria, parking lot, etc.

As for service outsourcing, it becomes even more necessary.

Projects that their own hospital cannot handle can be outsourced to provide patients with higher-quality medical services. It not only makes things convenient for patients but also boosts the hospital’s reputation, making everyone happy.

"Are you suggesting that People’s Hospital outsources colonoscopy business to me? Don’t joke around, even with your help connecting us, it can’t be done."

No matter how skilled Li Jingsheng is at performing colonoscopies, People’s Hospital would never outsource their colonoscopy business to him.

"Why insist on contracting all colonoscopy services from People’s Hospital? Isn’t it enough to just collaborate? Look, the colonoscopy damage value you just tested on the colonoscopy simulator was consistently below 0.4. This level is not only rare but, at least among the doctors and medical institutions I know, no one else can reach this level."

Currently, medical services are becoming more polarized, with high-end services gaining popularity quietly.

With a strong nation and wealthy people, the demand for medical safety and quality is higher than ever.

Many patients aren’t afraid to spend money as long as they meet three requirements: safety, speed, and convenience.

Your colonoscopy safety level has reached an alarming degree. In clinical exams, according to a certain country’s safety assessment, a colonoscopy damage value below 0.4 is deemed absolutely safe."

Do you know what that means?

It means colonoscopies that large tertiary hospitals can’t handle, you can take them on.

Among the patients or clients who book colonoscopy appointments with me, there are no shortage of company executives or people of high status. They are willing to spend money as long as it’s safe.

Because they don’t worry about daily needs and often attend banquets and dinners, they inevitably develop luxurious diseases.

In other words, they frequently experience gastrointestinal issues.

The demand in this area is substantial.

Our hospital can’t take on such work, and it’s challenging for other hospitals as well. If you can take it on, I’m sure our department head would be very willing to collaborate with you."

Lian Tao painted a promising picture.

When a technique reaches a high level, it’s almost monopolistic.

For example, Li Jingsheng’s bone setting techniques, while not unique, are at least the number one in Jiangli City.

Even his mentor, Doctor Xu, currently can’t match his bone setting skills.

Now that he has ascended to a Level 3 Chief Physician, his skills in manual bone setting can only improve further.

By then, it will be like his colonoscopy skills, reaching a level where others can only look up to him.

"Isn’t a colonoscopy only about three or four hundred bucks? It’s not that I’m greedy, but I really don’t care for such small amounts."

Li Jingsheng wouldn’t waste so much time just to earn a few hundred yuan.

"Ordinary colonoscopies in our hospital generally cost less than 500. But with polyp removal, it’s at least over a thousand, and most range between three to four thousand yuan per procedure. You’re taking on the tough, high-end tasks, so the price can definitely be set higher. As long as you have the courage to put a clear price tag, it’s entirely feasible."

"Are you implying that even if I charge ten thousand yuan for a colonoscopy, it’s okay?"

"Not just ten thousand yuan, even if you charge a hundred thousand, as long as the patient accepts, it’s legal. I don’t need to spell out how private hospitals operate, do I?"

Lian Tao looked disdainful.

Li Jingsheng clearly underestimated the market dynamics.

The high-end market focuses on perfecting technique, service, and charging high fees.

"If I charge ten thousand yuan for a colonoscopy, how much should I share with People’s Hospital?"

"I can’t make the decision on that, but as far as the hospital is concerned, you should only need to pay the usual price of an ordinary colonoscopy. As for the department head and the director, you get the idea!"

Lian Tao winked.

Some things, as adults, just need a hint.

Li Jingsheng is not new to society, so if he makes big money, he would naturally be willing to give a little benefit to the department head and the director.

However, it’s unlikely for him to offer bribes up the chain.

After all, he’s making money based on his skills, so giving some benefits to those in charge should suffice.

"According to your suggestion, this seems promising. If you can help arrange a connection, I can give it a try."

Li Jingsheng did a quick calculation and found that the profit from a single colonoscopy was frighteningly high.

Even if he’s generous, giving three hundred yuan to show gratitude to the department head and the director, he’d still pocket an impressive sum of over nine thousand yuan.

The equipment and venue belong to People’s Hospital, and he just needs to bring two assistants. One would be an anesthetist, and the other, an assistant helping manage the colonoscopy.

The colonoscopy assistant acts as the surgeon’s eyes and plays a crucial role in the procedure.

But the core figure is certainly Li Jingsheng, the primary surgeon.

The anesthetist, naturally, is essential for painless procedures and polyp removals, which all require anesthesia.

If this thing can truly be implemented, his idea of forming a top-tier medical team will have a good path forward.

He can even recruit Yani now.

She won’t need to work full-time for the moment, just come over for part-time work when there’s something to do.

Once things develop well, it might even expand into post-operative nutritional care, and he could recruit Mu Yin into the team too.

He is very eager to have these two specialized talents join his team.

Because such talents are extremely scarce.

If he misses them, it will be very difficult to find someone truly skilled again.

As for the assistant holding the instrument, he plans to minimize costs by dispatching from the clinic as needed.

Meng Luo is an excellent candidate.

As for Tang Ping, he basically nurtures her to be a supportive partner for the Sunshine Clinic.

Maybe somewhere between the role of a secretary and vice director.

"If you want me to ask the department head to build this bridge, it’s easy! Just make sure Yu Lele’s colonoscopy goes well without any mistakes."

Lian Tao raised a small request.

It turns out his girlfriend is named Yu Lele, a very cheerful name.

"Agreed!"

Li Jingsheng and Lian Tao high-fived.

Soon, they both arrived at the colonoscopy room and finally met the patient with fragile intestines.

A very delicate girl, her eyelids slightly swollen, as if she wasn’t fully awake, giving an impression of a dreamy and beautiful sleeping beauty.

She looks very thin, like the frail young ladies of ancient times.

Her appearance is weak, but her aura is unique.

She belongs to the kind of girl who has light in her heart and knowledge in her belly.

No wonder Lian Tao fell in love with her.

This girl indeed has many attractive qualities.

"Lele, this is Dr. Li. Due to the poor condition of your intestines, he will perform the colonoscopy for you. Don’t worry, it’s very safe. His colonoscopy damage rate is always below 0.4. Not just in Jiangli City, but nationwide, it’s hard to find such a skilled colonoscopy expert."

Lian Tao introduced Li Jingsheng’s identity and prowess.

"Dr. Li, I’m counting on you!"

She smiled at Li Jingsheng.

A very healing smile.

Gentle, optimistic, fresh and natural.

"You’re welcome."

Li Jingsheng responded, then turned to look at Lian Tao.

"Shall we do anesthesia?"

"Yes! If there are any polyps, they can be dealt with at the same time." Lian Tao directly made the decision for her, and she seemed very trusting of Lian Tao.

These two have long harbored affection for each other.

Just waiting for the girl’s intestinal illness to be cured, they can enter the palace of marriage and achieve a happy ending.

"Are the fasting, water, and bowel preparation for the colonoscopy done?"

"Nonsense. Without preparation, could she be lying here?"

Lian Tao rolled his eyes.

The anesthesiologist was a forty-something lady, initially with a serious face. But hearing the conversation between Lian Tao and Li Jingsheng, she couldn’t help but smile.

Yu Lele soon fell asleep.

"You can begin."

The anesthesiologist signaled to Li Jingsheng and Lian Tao.

It’s better for a female patient undergoing colonoscopy to have anesthesia, especially with male doctors.

Otherwise, it would definitely be quite awkward.

Li Jingsheng was careful, asking a female nurse to insert the colonoscope into the patient before operating it to begin the examination.

The rectum is typically the easiest segment to examine.

But this patient’s intestinal condition was unimaginably poor. As Li Jingsheng operated the colonoscope deeper, he almost caused an accident. Her intestines were too fragile.

Both thin and fragile.

It feels like her mucosa layer has already thinned beyond imagination, and the muscular layer is also very thin.

As for the submucosa, it’s right below the mucosa layer, looking almost nonexistent.

The outer membrane is composed of serosa and fibrous membrane, meant to be a thin layer. Its surface is very smooth, facilitating intestinal movement.

As a result, the patient’s intestinal wall is frighteningly thin.

If it were just thin, Li Jingsheng could manage. But it’s also very fragile.

Maybe slightly better than paper mash.

This truly is a fragile intestine.

Pink, thin as paper, fragile as paper mash.

It’s hard to imagine how the patient’s intestine in this state is functioning?

Even a random piece of fecal matter might rupture the intestines.

As long as the intestine breaks, even a small tear could be fatal for the patient.

We humans are resilient; the patient has survived until now.

She definitely controls and finds ways to protect her intestines.

"In her condition, can’t her intestines be altered? They’re too thin, too fragile. It feels like life is hanging by a thread."

Li Jingsheng has performed many colonoscopies, and this is the most dangerous intestine he’s ever seen.

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