Chapter 797 - 372: Super Nutritionist’s Plan Table and Surgical Suggestions (Part 2)

Chapter 797: Chapter 372: Super Nutritionist’s Plan Table and Surgical Suggestions (Part 2)

The overpricing is too severe to poach people, the clinic can’t handle it and will collapse directly.

After reviewing the entire nutritional support plan provided by Mu Yin, Li Jingsheng couldn’t help but admire her expertise even more.

The basic core of parenteral nutrition support is essentially the intravenous infusion of nutritional components.

Her nutritional plan included both peripheral venous nutrition and central venous nutrition.

Which nutrients to support through peripheral veins, which tissues and areas they act on, and which major nutrients to support through central veins were all detailed very carefully.

You can see her level of expertise from this point.

She’s much more sophisticated than those makeshift nutritional plans made hastily.

Li Jingsheng really was not belittling the nurses at the Second Hospital; even the chief nurses in pulmonology, gastroenterology, and cardiothoracic surgery wouldn’t come up with more than a few crude nutritional support plans for patients.

Glucose was the most commonly used, followed by amino acids and vitamins.

Anyone who could effectively use minerals could be considered the best of the best.

Using lipid emulsions sometimes made it seem impressive.

Besides, many senior nurses at the Second Hospital would secretly sell some nutritional liquids to wealthy patients.

Many of these nutritional liquids are imported, pre-mixed abroad.

They were just making some middleman fees with almost zero technical content.

A couple of years ago, there was even a joke where a nurse sold a bottle of expensive nutritional liquid for 800 yuan to a family member, only to find out it was just glucose with a small amount of vitamins. It was a ’nutritional formula’ cobbled together by an unemployed young man with a crooked mindset.

It was genuinely an unregistered product with no guarantees.

It was just carefully packaged, the profits distributed properly, leading to multiple nurses selling his homemade nutritional liquid.

Pretentiously said to be smuggled in through special channels from abroad.

The unemployed young man was arrested and honestly confessed that he had dropped out of school before completing junior high.

Later, he washed dishes, carried bricks on construction sites, and lugged cement, thinking it was too hard.

By chance, he dated a clinic nurse, becoming his girlfriend.

After seeing his girlfriend’s nursing books and overhearing her conversation about how expensive imported nutritional liquids were, he had a sudden inspiration to make his own nutritional liquid, package it up, and falsely claim it was imported from abroad.

Perhaps he could make a lot of money.

He even deliberately worked as a pharmaceutical salesman for over a year, enduring a lot of hardships.

But he used his thick skin, a sweet tongue, and a clever mind to get familiar with some nurses at big hospitals.

After that, he gradually began to hawk his homemade nutritional liquids.

This young man was worried about causing deaths, so he meticulously formulated and experimented on animals before implementing it.

No abnormalities were found, and he even had his girlfriend administer a bottle to him.

He felt it worked well and didn’t find any side effects, so he boldly sold it.

By the time he was caught, he had bought his girlfriend a large flat in the city center, a BMW worth more than 300,000 yuan.

He also gifted her numerous luxury handbags and two luxury watches.

A high-clarity D-color one-carat diamond ring.

His girlfriend praised him for being capable.

Even when her boyfriend was caught, she still expressed her willingness to wait for him to be released from prison to marry.

She was initially just a clinic nurse earning over 3,000 a month but had since lived in the rich and prosperous lifestyle she dreamed of thanks to dating this young man.

It’s worth mentioning that the young man was sentenced to three years in prison and fined 500,000 yuan.

But because the young man was very clever, most of those illegal profits were already unrecoverable.

That fine of 500,000 might just be a small fraction of what he earned.

Life after release should be quite comfortable.

Of course, the premise is that during his three years in prison, his girlfriend did not cheat on him.

Otherwise, he would just cry himself to sleep in the bathroom.

This also shows that sometimes education level is not the be-all and end-all. Like him, those with flexible minds, thick skins, and sweet tongues can still make a lot of money, even with little schooling.

The only pity is that he didn’t take the right path.

From this young man’s case, we can also see how scarce senior nutritionists are in the country.

Mu Yin’s parenteral nutrition support plan not only ensures the maintenance of every organ function, but its use of various minerals, vitamins, and trace elements has reached an astonishing level.

She listed out which nutrients the patient currently lacks and urgently needs to be supplemented.

Then there are nutrients that can be supplemented through diet or slowly.

Looking at her nutritional plan chart truly gives a feeling of being out of one’s depth.

Li Jingsheng was completely an outsider in front of this nutrition chart.

"With such an excellent nutritionist as her helping, coupled with the patient having the faith to write a book, I believe they can pull through."

The only thing that can be done now is to wait and see if the elderly patient’s condition improves or worsens after receiving the new treatment plan.

Li Jingsheng finished reviewing this information as well as his breakfast.

It was time to start another busy day.

Patients were waiting for him to treat them one by one.

Just then, Li Jingsheng’s phone rang.

It was an unfamiliar number.

"Hello!"

Li Jingsheng mused, could it be the blackmailer calling?

What should I say?

Tell him to buzz off in two words?

"Is this Dr. Li Jingsheng?"

"Yes, I’m Li Jingsheng, may I ask who’s calling?"

"I’m Shang Fu, the chief cardiothoracic surgeon at People’s Hospital. A patient was transferred here from the gastroenterology department. It’s been confirmed that there’s an esophageal rupture with remnants of a duck bone. Due to the critical condition of the patient, we’re preparing to arrange surgery immediately. While finalizing the surgical plan, there is still a question I’d like to consult with Dr. Li."

Director Shang is quite renowned in the cardiothoracic surgery department at People’s Hospital.

He is particularly skilled in heart surgery.

He is especially adept at meticulous surgeries.

"Oh, right, it was recommended by Director Lian. He mentioned that the cause of the patient’s condition was almost entirely diagnosed by you alone. Time is pressing, so forgive me for abruptly disturbing you, Dr. Li."

Director Shang quickly added a couple of sentences upon hearing Li Jingsheng not responding.

He thought Li Jingsheng might be reluctant to get involved.

"Please ask whatever questions you have, I dare not call it consultation! I was just recalling the patient’s situation, so I didn’t answer you immediately."

Li Jingsheng explained to the other party.

First impressions are particularly important when dealing with people.

He certainly didn’t want to leave an arrogant or indifferent impression on Director Shang.

"Judging from this patient’s drainage, I suspect there might be purulence in the pericardium. We can confirm that both of the patient’s lungs are covered with purulent materials. There is fluid accumulation in both pleural cavities. Does Dr. Li think there’s purulent fluid in both cavities?"

"Uh... I can only infer based on the patient’s condition, it may not be accurate. There is likely less fluid in the patient’s right pleural cavity; however, there is a high possibility of purulent fluid in the left pleural cavity. There is also a possibility of pus in the main pericardial cavity or it being eroded by purulent material. If performing a thoracotomy on the patient, I would suggest further investigation of the area near the right upper lobe bronchus, of the anterior mediastinum.

The patient’s lung issue is quite evident, and I suspect there might be purulence in that area, possibly one of the sources."

Li Jingsheng provided his analysis.

This patient’s case shouldn’t have been delayed for so long, now some organs in the thoracic cavity may be infected, multiplying the complexity of the surgery several times over.

The risk is also extremely high.

To be honest, such a patient wouldn’t even make it to the operating table in the cardiothoracic surgery department at the Second Hospital.

Either the patient would be advised to transfer out or conservative treatment would be recommended.

It’s not that doctors are heartless, but the current medical environment and procedures are like this.

With conservative treatment, even if the patient dies, it is due to unsuccessful resuscitation; doctors and the hospital do not bear responsibility. If surgery is performed and the patient dies on the table, lawsuits by the family against the hospital would be a huge hassle.

People’s Hospital dares to tackle this tough case and take the risk, prioritizing to develop a surgical plan, urgently scheduling surgery; this is a matter of responsibility.

Perhaps it is precisely this kind of spirit of the healer, the high sense of responsibility to take risks for patient treatment, that earns the heartfelt support from the people.

They trust it.

"Dr. Li’s advice is invaluable, thank you for your support, goodbye."

Director Shang truly wasted no words.

After hearing Li Jingsheng’s advice, he ended the call directly.

Now it’s just waiting to see how the surgery’s result will turn out.

Despite the fact that modern medical instruments are very advanced, allowing for many tests to be conducted non-invasively, some lesions remain difficult to diagnose.

It’s like gambling on jade, without cutting it open, no one knows what’s inside.

Even experience can occasionally lead to errors.

Li Jingsheng also stood up and proceeded to the outpatient hall to start his consultations.

Just upon reaching the outpatient hall, he saw a female patient being carried in and placed before his consultation desk.

To be honest, the impression was very unpleasant, as if the clinic had done something wrong to the person.