Practicing Medical Skills in a Small Clinic-Chapter 37: A Tough Nut to Crack

The Chengnan Community Health Service Station has nearly twenty doctors, with a nominal capacity of 40 beds, but the actual usage rate is estimated to be less than half.

In terms of size, it’s a big brother among health service stations. 𝑓𝘳𝑒𝑒𝓌𝘦𝘣𝘯ℴ𝑣𝘦𝑙.𝘤𝑜𝑚

Some smaller community health service centers are not much better than it.

As far as Li Jingsheng knows, the surgical operations at the Chengnan Community Health Service Station are not bad. It has a senior attending surgeon. It is said that he used to work in the anorectal surgery room of a large hospital.

We must introduce two departments here that many people cannot distinguish.

Anal Surgery and Anorectal Surgery are both sub-departments of General Surgery.

Anal Surgery mainly treats benign lesions of the anus and rectum. For instance, the most common hemorrhoids, rectal prolapse, anal fissures, etc.

Anorectal Surgery focuses on severe and malignant disorders of the intestines and anus.

The most common diseases like colon cancer, rectal cancer, Crohn’s Disease, etc.

From here, you can see that Anorectal Surgery is a very impressive department, primarily dealing with major illnesses.

This senior attending surgeon, being able to enter the surgery room of a large hospital and work in such an impressive department, could not be too weak. In the Chengnan Community Health Service Station, he is absolutely an ace.

Dr. Jin is a "young" surgeon at the Chengnan Community Health Service Station.

Around thirty-seven or thirty-eight years old.

He has been selected as the outstanding surgeon of the community health service station for several years and is reportedly being considered as the head of the general surgery department.

In terms of surgical skills, he is likely ranked among the top three at the Chengnan Community Health Service Station.

Such a senior surgical "expert," being unable to cure the abscess despite multiple treatments, surely indicates it is not simple.

Moreover, any medical institution with more than two doctors would conduct consultations to enhance safety when encountering hard-to-treat diseases.

Dr. Jin treated this old man three times with no improvement, surely having consulted other doctors.

Including that experienced anorectal surgeon.

So many doctors being unable to handle it, Li Jingsheng suddenly felt immense pressure.

He carefully examined the abscess, trying to identify the reason for its obstinacy.

Just by slightly pressing around the abscess, pink blood fluid oozed out, accompanied by a typical pus odor.

"When was your last treatment?"

"Just yesterday."

So it had been treated only yesterday.

No wonder it was pink blood fluid rather than yellow-white pus.

The remedies for superficial abscesses are mostly incision and drainage, antibacterial and anti-inflammatory treatment, or pulsed laser irradiation, etc.

For more stubborn abscesses, a large hospital might consider excising the entire lesion.

This requires very sophisticated debridement and incision techniques, as well as suturing skills.

Every surgery has strict indications and cannot be conducted carelessly.

If an abscess is too large, it is unsuitable for excision.

Otherwise, it would create a huge defect wound; it certainly isn’t something that can be fixed by transplanting a piece of skin.

This abscess of the patient reached a diameter of over 10 cm, already considered a large abscess. Not just Li Jingsheng’s small clinic, even a top-tier hospital couldn’t remove this abscess.

The venous plexus and nerves in the back are very rich.

Surgery poses a huge potential risk.

"Did you bring the treatment records from there?"

"They didn’t give them to us!"

The old woman quickly responded.

"Perhaps they need to keep them on file. If you need it, you can request a copy. Please tell me, how was it handled all three times there?"

Li Jingsheng’s small clinic certainly cannot offend the massive community health service station.

They are on public payroll.

Moreover, the current slogan is: minor ailments at the community, major illnesses to the hospital, recuperation back to the community, health into the home.

The community service center is vigorously implementing the six-in-one system, and community service stations are rising accordingly, able to crush Li Jingsheng’s Sunshine Clinic in every aspect.

His clinic had gained a big reputation today, and as the news spread, many eyes were on Sunshine Clinic.

Competitors would likely be envious upon seeing his rise to fame.

At such times, keeping a low profile and quietly getting rich is the way to go.

Otherwise, one wouldn’t even know how they lost.

Just dealing with Boss Zhao of the Quick Recovery Clinic gives him enough headaches; offending the street’s overlord would be self-destructive.

This patient was originally someone the community health service station couldn’t cure; Li Jingsheng took over and asked the patient to request and copy the records from the community health service station. How would the service station’s medical staff perceive this?

The first thought would be, what does Li Jingsheng from Sunshine Clinic want to do?

Is he trying to stir up trouble?

After appeasing the family and patient, he quietly listened to the patient’s account of the treatments from the three times.

The first time, after incising the abscess, they drained it completely and performed debridement. The patient was on an intravenous drip for four days.

A week after returning home, the abscess appeared red and swollen again, and soon started oozing pus once more.

The wound never healed.

The second time, at the health service station, Dr. Jin still performed debridement for him. He even invited an elderly superior doctor to take a look.

"What did the elderly doctor look like, do you remember?"

"He had dark skin, was short, and liked to hum through his nose while speaking occasionally."

The elderly lady on the side seemed to observe carefully.

At this moment, she vividly described, capturing all important features.

"That’s right, that was Dr. Ding from the service station, with quite a high skill level." Li Jingsheng hadn’t interacted with this person.

But after running the clinic on this street for over nine months, he had a good understanding of the skilled doctors in the two other clinics and health service station.

Ding Wangshou was the senior attending surgeon who had worked in the large hospital’s surgery room.

It was heard that he failed in obtaining a deputy senior title not because of the assessment itself but due to the inescapable background connections.

The spot was given to another doctor less experienced and with lesser medical skills because that person’s uncle was a hospital leader.

This angered Dr. Ding, who quarreled heavily with the hospital leaders and then resigned.

After returning home, the community staff found out and immediately informed the director of the community health service station. It is said that the director personally visited Ding Wangshou’s home three times before convincing him to work at the community health service station.

It was indeed a modern version of the three visits to the thatched cottage.

Generally speaking, people with a bit of pride usually possess true skills.

After joining the community health service station, Ding Wangshou quickly took on heavy responsibilities, developing the station’s surgical business. Particularly skilled in dealing with hemorrhoids, anal atresia treatment, and rectal prolapse, he maintains a very good reputation.

Referring to Dr. Jin as a surgical expert requires quotation marks, but Ding Wangshou undoubtedly has genuine talent and learning, with remarkably outstanding surgical capabilities.

The second time this patient revisited, Dr. Jin consulted with Ding Wangshou, yet they still couldn’t cure it, increasing the pressure on Li Jingsheng.

A surgical patient finally arrived, but they turned out to be a tough nut to crack.

Li Jingsheng gritted his teeth and decided to give it his all.

"How was it handled the second time?"