Practicing Medical Skills in a Small Clinic
Chapter 824 - 386: Director Xue Is Jealous, The Hospital Steps In Directly
Chapter 824: Chapter 386: Director Xue Is Jealous, The Hospital Steps In Directly
Considering the patient’s economic hardship, she’s already spent quite a bit on tests at the bone internal medicine department. Li Jingsheng didn’t delay and immediately dialed Director Zhang via a WeChat voice call.
Generally speaking, it’s best not to lightly initiate voice calls, especially with leaders or superiors.
Sometimes it can be seen as disrespectful.
As for spontaneous video chats, that’s even more taboo.
Unless it’s with family or very close relationships, like lovers, then it’s not a big deal.
"Xiaoli, are you free in the middle of the day and wanting to chat with me?"
Director Zhang obviously didn’t know the situation on Li Jingsheng’s side.
He spoke quite casually.
"I’m reaching out to you for business! There’s a patient here who was initially thought to have multiple myeloma and got admitted by bone internal medicine. Now, after a series of examinations and diagnoses by the bone internal medicine doctors, it’s discovered that the patient has Castleman’s disease with massive lymphadenopathy. There are huge lymph nodes in places like the right lung and groin. The patient’s family is in financial distress. Do you think chest surgery could directly remove them?"
Li Jingsheng directly addressed the problem.
"Castleman’s disease, huh? I can definitely admit them here. If the issue isn’t severe, maybe the bone internal medicine department could investigate the causes? Could conservative treatment be better?"
According to Director Xue’s investigative approach, the patient might end up hospitalized for ten days to half a month without pinpointing the cause.
By then, the money may run out.
And the only option left would be to go home and wait for death.
This is a result Li Jingsheng is absolutely unwilling to see.
"The cause of this disease is hard to determine, and the patient may not have the patience for it. Perhaps the surgical approach to directly cut it out is more favorable for her."
Surgery indeed has this advantage.
If diagnosed as a tumor or mass, or necrosis of intestinal segments, there’s no need to dig deep for causes—just cut it out.
Though not finding the ultimate cause poses a recurrence risk, most issues can be resolved.
Especially for severe patients, cutting out the focus leads to rapid recovery and improvement.
No matter if it’s a black cat or white cat, as long as it catches mice, it’s a good cat.
Treating illnesses should follow this principle, rather than sticking rigidly to formal protocols or dogmatism.
As long as the patient’s disease is cured, most patients would gladly agree even if the ultimate cause isn’t found.
It’s a thousand or ten thousand times better than spending money, consuming many medications, undergoing numerous tests, and ultimately dying untreatable.
"Is that how you evaluate our surgery department? Really."
Director Zhang couldn’t help but scold him.
"Since you’ve requested it, okay, have the patient come directly to the cardiothoracic surgery inpatient department and look for me. You haven’t participated in surgeries for two days, right? Don’t slack off. Come over today; I’ll give you the chance to be the lead surgeon."
In the end, Director Zhang didn’t forget to remind him.
Even lured him by offering Li Jingsheng the chance to be the chief surgeon.
Without waiting for Li Jingsheng to answer, the phone voice connection was already cut off.
That’s how straightforward people like Director Zhang communicate on the phone.
Once the matter is discussed, they don’t waste words, ending the call directly.
"Dr. Li can be impressive! Truly young and promising, multitalented." Director Xue looked at Li Jingsheng with changed eyes.
Even his tone became more courteous.
Director Zhang’s team is one countless doctors dream of joining, yet he’s willing to offer Li Jingsheng a leading surgical opportunity, which seems utterly incredible to Director Xue.
However, he also knows very well that if Li Jingsheng didn’t have that capability, Director Zhang wouldn’t take such a risk.
It’s not just about giving lead surgery opportunities to other doctors; even slightly risky practical operations would be approached very cautiously. If problems arise, the blame wouldn’t fall on the young chief surgeon but on Director Zhang, the overall in-charge.
In larger hospitals, those below the deputy chief physician level don’t actually have the qualification to host surgeries.
Don’t be misled by the surgical admit system that states experienced attending physicians can independently host first- and second-level surgeries or participate in third-level surgeries under mentorship. Most hospitals won’t easily grant this power.
What if something goes wrong?
Only exceptionally excellent and stable attending physicians may potentially earn this trust from their superior physicians.
Almost all departments operate as teams.
It’s virtually impossible for a doctor to work solo.
Normally, they advance to deputy chief physician and thus begin to qualify to lead groups independently.
If they feel their experience is lacking or the chief physician they follow is particularly capable, many deputy chief physicians opt to stay in their original medical team for continued learning and potentially inheriting that big-shot’s mantle.
Despite being a bone internal medicine doctor, Director Xue knew about certain things in the bone surgery department.
He knows Li Jingsheng originally just ran a private clinic, and later fortuitously came under Doctor Xu, learned some techniques in bone setting. Then perhaps owing to good talent, gradually thrived, rising step by step to his current position.
During the diagnosis of this female patient, he witnessed Li Jingsheng’s formidable diagnostic ability and solid medical knowledge.
Yet surgical training is exceedingly difficult to enter.
Although medical students each practiced suturing on small mice or pigskin and acquired four basic surgical skills, very few truly enter the operating room after becoming doctors.
Making a name for himself in the bone surgery department was remarkable enough, and now he’s entered the cardiothoracic surgical team.
And moreover, it’s the core team led by Director Zhang.
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