Practicing Medical Skills in a Small Clinic
Chapter 900 - 441: Only by Sharing Benefits Can Cooperation Last, The Harm of Bamboo Skewers
Chapter 900: Chapter 441: Only by Sharing Benefits Can Cooperation Last, The Harm of Bamboo Skewers
While examining the patient’s ileum earlier, the length and shape of the villi, the color of the intestinal wall, and the frequency and amplitude of intestinal peristalsis were all excellent.
The only issue that needs to be clarified now is the raised black line.
Common intestinal tumors include carcinoma in situ and adenocarcinoma, among others.
In the malignant tumors found in the colonoscopy by Li Jingsheng, they generally have a common characteristic, either appearing as cauliflower-like or nodular.
Additionally, they tend to grow into the intestinal lumen.
Some that have clearly started to become cancerous are not only larger in size but also have ulcerated surfaces.
The black stripe has a raised characteristic and is quite hard in texture.
If it’s truly a tumor, the likelihood of malignancy is significant.
However, Li Jingsheng has never seen a tumor of this shape before.
If it were on the surface of the body, it might be considered as melanoma.
But there’s no such cord-like melanoma!
The most common melanomas are usually round or oval, and some that might be malignant have unclear boundaries and various shapes.
After finishing the colonoscopy, the patient should be relatively satisfied with the service.
After explaining the precautions to the family, Li Jingsheng and Yani, along with Meng Luo, left first.
Lian Tao stayed to talk to the patient.
"Yani, thank you so much for today."
Li Jingsheng was quite satisfied with her performance. Her true skills have yet to be revealed.
"You’re welcome! Let me drive you back to the clinic!"
She was very enthusiastic.
"I live a bit far from the clinic, so I’ll take a cab home myself. Boss, if there’s nothing else, I’ll head out."
Meng Luo had ridden in her car once, and it was now a source of trepidation.
He dared not ride a second time.
"Alright, be safe on the road."
Li Jingsheng nodded to her.
Getting a taxi or taking a bus from People’s Hospital is very convenient.
These large hospitals are prioritized in public transportation routing and don’t even need to fight for inclusion; the planners take them into account.
Healthcare and education should be the two most important sectors within a city.
If good healthcare and education weren’t concentrated in cities, many people wouldn’t choose to settle there.
The most appealing aspects of a city are threefold.
First, there are abundant job opportunities to make money. Second, high-quality education. Third, excellent healthcare.
For even slightly serious illnesses, treatment is not possible in the countryside.
People basically head to the city for medical care.
Meng Luo hailed a taxi, waved to Li Jingsheng and Yani, and got in to leave.
"Yani, here’s your compensation for today, it’s not much, but please don’t find it inadequate. Consider it an invitation for a milk tea."
Li Jingsheng had prepared a cash envelope for her.
Yani’s share was four hundred yuan.
If the patient opts for painless colonoscopy, it generally costs between twelve hundred and eighteen hundred yuan. This varies depending on the hospital’s specific pricing.
In first-tier cities, because of the high living costs, prices are generally higher than in smaller cities.
For a standard colonoscopy, Li Jingsheng was very generous in giving her four hundred yuan.
The total price for a standard colonoscopy is about four hundred yuan.
This particular colonoscopy fetched three thousand yuan, mainly due to Li Jingsheng’s high proficiency, ensuring absolute safety, which is the primary reason.
Since this was their first collaboration, the major attraction for her was likely the substantial income.
Anesthesia doctors play a vital role in colonoscopies.
Especially for painless colonoscopies and colonoscopy surgeries.
"Thank you!"
She accepted the envelope.
However, she didn’t open it on the spot.
"Let’s go, let me drive you back to Sunshine Clinic!"
She offered again.
Unable to refuse her hospitality, Li Jingsheng reluctantly got in.
The two of them chatted about some work-related topics on the way. Yani was more inclined towards joining a large Grade-III hospital as a director-level anesthesiologist.
After dropping Li Jingsheng off at the clinic, she drove away.
Li Jingsheng transferred two hundred yuan to Meng Luo and eight hundred yuan to Lian Tao.
"Brother Lian Tao, four hundred is for the hospital, and four hundred is your compensation, though it’s not much, please don’t feel it’s lacking."
Lian Tao did hardly any work during the colonoscopy, but his role was extremely important.
He was the one who brought in this client.
Though he wasn’t seeking to earn money through this, he just wanted to help Li Jingsheng develop a new business. But Lian Tao’s contribution was significant.
So he received four hundred yuan for his efforts.
As for Meng Luo, a two hundred yuan appearance fee was quite high.
Under normal circumstances, she hardly earns that much.
"Just give four hundred yuan to the hospital, I don’t need your money. If you feel bad about it, just treat me to a meal next time."
Lian Tao refused to accept the eight hundred yuan.
It made things difficult.
Li Jingsheng knew very well that only when both parties benefit can such cooperation last.
"Is it too little? If not, then accept it. We need to keep things straightforward, I can’t let you work for free. You played a crucial role in securing this first transaction for me today. Treating you to a meal is a must, but the money must be given."
After much persuasion, Lian Tao finally accepted.
Out of the three thousand yuan total, Li Jingsheng distributed fourteen hundred yuan, earning sixteen hundred yuan for himself.
In this line of work, it’s about earning through skills, and this income is quite decent for the average person.
Many people can’t make 1,600 yuan in a day, but Li Jingsheng made 1,600 yuan in just over two hours.
The colonoscopy took less than an hour, while commuting took about eighty minutes.
This can’t be helped.
He hasn’t yet established his own endoscopy room, so he needs to borrow someone else’s venue. Commuting time is unavoidable.
...
Li Jingsheng woke up the next morning to receive a text message from Yani sent at around eleven p.m. the previous night.
Just a few words: "Thanks for the big red envelope, Dr. Li!"
Sending a thank-you message so late implies she was satisfied with the 400 yuan appearance fee.
"You’re welcome! I might need your help again in the future!"
The message Li Jingsheng replied with also had a probing tone.
He’s trying to see if he can enlist her help next time.
No reply after the message was sent.
Either she hasn’t seen the message, or it’s a no-go.
She probably still wants to work in a big hospital.
A few minutes later, she responded.
"No problem, as long as I have time, I’m happy to collaborate with you."
This answer has a certain degree of flexibility.
It must be on the premise that she has the time.
Li Jingsheng felt quite helpless about this; top talents are indeed hard to recruit.
After sending a grateful emoji, Li Jingsheng hurried to the second hospital for his clinic duty.
The patients seeking consultations never seemed to decrease.
It’s also clear why there are always so many injured people. Some even slip and get fractures while taking a shower wearing slippers due to wet floors.
Around four in the afternoon, Lian Tao sent him a message.
Along with a pathological biopsy report.
"Jingsheng, do you know what the black stripe found yesterday was?"
"A toothpick?"
Having seen the pathology results, Li Jingsheng had some ideas already.
"It was a broken bamboo skewer. It has probably been inside the patient for many years. He’s already had surgery at our hospital to remove it. According to the patient’s own recollection, it might have been accidentally swallowed while eating barbecue."
Lian Tao provided the answer.
Why the patient accidentally swallowed the bamboo skewer in the barbecue might only be known to the patient.
If the other party is unwilling to say, it definitely isn’t a glorious matter.
As you might imagine, the patient mentioned he was very poor when young, and being able to fill his stomach was considered good enough. Normally, it was difficult to eat barbecue.
Bamboo might sometimes be digested in stomach acid, but it’s quite difficult.
Once it enters the intestine, it becomes very dangerous.
It can easily puncture the intestine, causing perforation.
The patient had upper abdominal pain for a period over twenty years ago, but did not go for a check or treatment. Later, it slowly got better.
Presumably, at that time, the bamboo skewer had already pierced into the intestinal mucosa.
Luckily for the patient, the intestine was not perforated. The bamboo skewer got encased instead.
As for pus infection, that’s hard to say.
This colonoscopy examination is a good thing.
It’s like removing an uncertain bomb from inside the body.
...
In the evening, Lian Tao sent another message to Li Jingsheng.
"Our Director Tian is very satisfied with yesterday’s initial collaboration. He has recommended two patients with similar needs to you, and I’ll give you their contact numbers, so you can directly reach out to them. You can set the price yourself."
The patient group at People’s Hospital is large, and as long as these attending physicians are willing to refer patients to him, his business will surely continue without end.
Yesterday’s colonoscopy for that patient greatly benefited People’s Hospital.
The patient’s high-level service demands were met, and the reputation of the gastroenterology department gained some momentum. Then the patient underwent surgery at People’s Hospital the next day.
It was a gain in both fame and fortune.
With benefits, continued collaborations naturally follow.
Director Tian is a very prudent person, and he only dared to truly start recommending patients to Li Jingsheng after yesterday’s colonoscopy tested Li’s abilities.
Originally, the Sunshine Clinic’s business also opened up similarly.
Receiving two new cases, Li Jingsheng was naturally very happy.
The market for high-end medical services is inherently not large, opening the situation a little bit, gradually accumulating popularity, this is positive development.
As long as there’s no mishap, it’s bound to get better and better.
The only thing that annoyed Li Jingsheng a bit was that there was no reply from Dean Fu.
Dean Fu said he would give Li Jingsheng an accurate answer the day after tomorrow.
But after such a long time, there still wasn’t a reply, indicating this matter is difficult to handle.
After all, there are many uncertainties in conducting colonoscopies at a clinic.
If it’s just performing a regular colonoscopy, that can be done in an outpatient setting.
But for painless colonoscopy, general anesthesia is required, and this alone is enough to stump most clinics. Even if the clinic can hire an anesthesiologist and acquire all the necessary instruments and equipment, the risk doubles if issues like polyps needing removal or other treatments arise during the examination.
If nothing happens, there’s no problem.
Once something goes wrong, not only would the clinic be in trouble, but also the supervisory health departments would have to shoulder responsibility.
For the clinic to establish its own endoscopy room and offer a range of medical services is very difficult.
Truly, thinking about it brings it to fruition.
Li Jingsheng’s phone rang; it was a call from Dean Fu.
Dean Fu is a very trustworthy person, but there are some things he couldn’t decide himself.
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