Practicing Medical Skills in a Small Clinic

Chapter 736 - 341: Jiangli City Keeps Getting Smaller—Abandoning Treatment at a Critical Moment?

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Chapter 736: Chapter 341: Jiangli City Keeps Getting Smaller—Abandoning Treatment at a Critical Moment?

Treating an ordinary perianal abscess likely costs around five to six thousand yuan in total.

But for such a serious case like his, the cost easily exceeds ten thousand.

If sepsis occurs and ICU admission is necessary, the price for one night can easily go over ten thousand.

We must also hope that not too many complications arise. If multi-organ failure occurs, then it becomes even harder to handle.

"Is over two thousand yuan enough? I haven’t been working for long, and I’ve only saved this much money."

The young man turned visibly pale when he heard it could be fatal.

He was filled with immense fear.

Having just entered society not long ago, he hadn’t experienced much, let alone faced death. Even a slightly bloody scene might easily freak him out.

"Let’s get your brother over first! Money is the lesser issue; this illness can’t be delayed. It’s best to have surgery to drain it today. Otherwise, if delayed for another day or two, the abscess will certainly expand further."

Before performing surgery, Li Jingsheng would certainly need to take an X-ray to check the situation.

If treated at a large hospital, the examination would definitely be much more comprehensive.

Currently, his General Surgery diagnostic level is at the Minor Achievement level.

This is because the clinic’s business has increased, allowing him to gradually improve his skills in diagnosing General Surgery cases to the Minor Achievement level.

It can be said that this skill was elevated step by step from proficient to Minor Achievement.

He did not use life points to boost it.

This kind of improvement without shortcuts has very apparent benefits.

His clinical experience in this field is richer, and his integration of General Surgery knowledge and practice is more profound.

In diagnostics, he’s more adept.

For example, with this patient here, after a digital examination, he could deduce the general situation and whether he could take on this case.

The young man put on his pants and went to the waiting area to call his brother.

Meanwhile, Li Jingsheng continued diagnosing other patients.

A little after noon, the young man’s brother finally came over.

He was a young man with a straight back, appearing not much older, maybe around 26 or 27 years old.

He was wearing a black suit.

Some high-end hotels have their security guards wear black suits with ties instead of traditional security uniforms to show their class.

"Doctor, hello, what exactly is my brother’s condition? Is the surgery risky?"

He was noticeably more mature than his newly-entered-society brother.

From his demeanor, he seemed to have a military background.

"I’ve diagnosed him with a perianal abscess. But during the digital exam, pus was continuously discharging, indicating a long-term and severe condition. Since the anus harbors various bacteria, it poses a higher treatment challenge. Before coming here, he had been receiving infusion treatment for seven days at a place called Limin Clinic.

If only he had sought treatment at a big hospital or here earlier.

Now, his condition is very dangerous, easily leading to sepsis, which can be fatal..."

Li Jingsheng notified the patient’s brother of the actual situation.

However, he didn’t directly criticize Limin Clinic.

It’s challenging to be a doctor, especially when running a clinic, so it’s best not to offend any peers.

Undermining peers only creates trouble.

Getting beaten up is the least of worries; one could easily get stabbed.

"Why didn’t you get treated earlier? Now it’s dragged to this severe state."

After hearing Li Jingsheng, the brother glared at the younger brother, questioning him.

His voice was filled with intense anger.

In reality, it was genuine concern from hearing that his brother’s condition was severe.

The deeper the blame, the deeper the love.

The brother felt awful knowing how severe his younger brother’s condition was. He blamed his brother’s ignorance for not seeking treatment at a proper hospital sooner.

"I... initially planned to visit Sunshine Clinic, but Limin Clinic’s owner told me that Sunshine Clinic is just more famous, and their actual skills are no different from Limin Clinic. Then the owner said that they often treat my condition and are very skilled. Initially, they said three days of injections would suffice. When there wasn’t any improvement, they changed it to seven days of injections.

If I had known it would drag on this bad, I would never have believed their deceptive words."

The young man seemed very fearful of his brother.

Facing his brother’s blame, he put all the responsibility on Limin Clinic.

"If that unscrupulous clinic owner causes you any harm, I won’t forgive him. But first, let’s treat your illness. I’ll take you to a major hospital for treatment, where it’s more regular."

The brother feared that further delay would worsen his younger brother’s condition.

"Perhaps get treated here! Sunshine Clinic is a licensed clinic. Sitting here waiting, I heard them all say the Sunshine Clinic’s medical skills are proficient, and medical ethics are excellent. Dr. Li told me it would cost at most three thousand yuan to treat here, while big hospitals are so expensive."

The patient probably felt earning money wasn’t easy and didn’t want to waste it at a big hospital.

"Doctor, can we brothers discuss and then get back to you?"

The brother looked at Li Jingsheng after hearing this.

Evidently, he still had reservations about Sunshine Clinic.

His brother’s condition worsened at Limin Clinic, so even if they switch clinics, there might be only a slight improvement compared to Limin Clinic.

He believes all clinics are pretty much the same.

"It’s okay, you guys discuss it thoroughly. Such a big matter definitely needs careful consideration. If possible, I would suggest you seek treatment at a big hospital for more safety. Because my clinic has limited facilities, many tests can’t be done here. There’s also no inpatient option. If you have surgery here, your brother can only go home afterward and come in every day for dressing changes and injections."

Li Jingsheng is not lacking patients at the moment.

Every day is extremely busy for him. He takes on this business with the responsibility for every patient, coupled with enough confidence to treat this young man’s condition.

Because there is a substantial risk involved.

He actually hopes the young man will go to a big hospital instead.

"Alright, thank you."

The brother took the younger brother outside to discuss.

Because of the pain in his buttocks, the young man’s walking posture was quite strange, almost dragging his legs out.

Minimizing the movement of his legs can reduce the pain from his anus.

The brothers discussed outside for a while and finally returned.

"Dr. Li, we didn’t know your Sunshine Clinic was so well-known. Even our security team captain said your clinic is reliable. His mother-in-law broke her left leg last time, and the big hospital needed more than thirty thousand RMB, but here it was treated with less than a thousand RMB. Our captain advised me to bring my brother here for treatment."

The city of Jiangli seems to be getting smaller and smaller.

More and more people have heard of Li Jingsheng and Sunshine Clinic.

Among customers who bought health supplements from Sunshine Clinic, nine out of ten give positive reviews. Needless to say, those who’ve been treated here.

Many patients feel better after treatment and bring their family or friends back when needed.

The typical returning clientele.

"Alright, we’ll arrange it here. First, we’ll do an ultrasound to check the situation before determining if surgery can be done here." Li Jingsheng chuckled.

Sometimes the world works in mysterious ways.

After taking the images for the patient, he decided to first perform an incision for drainage, clearing out the pus and then cleaning the wound.

At least it’s worth a try.

Surgery was arranged for the patient in the afternoon.

Incision and drainage to release a large amount of pus. Then the initial cavity cleaning for the patient followed by infusion therapy with multiple antibiotics to perform antibacterial and anti-inflammatory treatment, aiming for the quick recovery of the wound.

Usually, as long as there’s a layer of flesh, specifically the red granulation tissue, there are generally no major issues.

...

Three days have passed, and under Li Jingsheng’s meticulous care, the patient’s condition rapidly improved.

Perhaps because the patient is young, his body’s ability to heal is also quite impressive.

After cleaning out the abscess cavity and coupled with Li Jingsheng’s excellent medication regimen, using three antibiotics jointly, the condition was successfully controlled, and the cavity did not further deteriorate.

Gradually, some new flesh grew where the wound had been cleaned.

Everything is progressing in a positive direction.

Li Jingsheng no longer worries about this case, confident that the patient will soon fully recover.

Truly a blessing in disguise.

With the arrival of Professor Luo Binggang, and research launched with Professor Wang Weiwei from Cardiovascular Medicine at People’s Hospital and Li Jingsheng, Li became a key figure in this new research project.

Hence, he also became particularly busy.

Both professors were exceptionally friendly to him. Seeing his relatively weak knowledge in Cardiovascular Medicine, they often took the time to supplement his understanding in this field.

Li Jingsheng experienced firsthand what it’s like being simultaneously cultivated by two professors.

Several top professors nurturing one student is exceedingly rare.

Only a few exceptionally talented medical students or young doctors, recognized highly by professors, enjoy such special treatment.

That day, Li Jingsheng was sitting in the clinic as usual.

The young man with the perianal abscess hasn’t come for two days, leaving Li Jingsheng puzzled.

It shouldn’t be. Under his meticulous treatment, the young man’s condition has been well controlled. Further infusion would consolidate the treatment, and then at-home topical application and maintenance should suffice.

Why did he suddenly stop coming?

"Sister Tang, has the patient named Xie Junjie come to our clinic for infusion in the past two days?"

"Is it the young man who spoke shyly with a perianal abscess?"

"Yes, that’s him."

Li Jingsheng nodded to confirm.

"It seems like he hasn’t come in the last two days, and I can’t find any infusion records for him in the system. Perhaps his condition was controlled, and to save money, he might not plan to come for infusions anymore."

Tang Ping speculated.

Doctors often encounter such patients, who, thinking their condition is under control, believe they’re cured and refuse to come back for medication or injections.

The outcome is predictable.

The condition starts to rebound quickly. Some unreasonable ones end up scolding the clinic for poor medical skills.

Faced with this, Li Jingsheng often feels exasperated.

"Give him a call to check the situation; how can he not come for infusion! His abscess is so severe and just improving, the condition shouldn’t be allowed to relapse. Meng Luo and I spent a long time performing the drainage surgery, and the odor made Meng Luo almost vomit."

Li Jingsheng instructed the nurse to call and inquire.

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