Practicing Medical Skills in a Small Clinic

Chapter 379 - 193: The Little Girl with Abdominal Ascites—You Came to Me About This? (Part 2)



Chapter 379 - 193: The Little Girl with Abdominal Ascites—You Came to Me About This? (Part 2)

It’s either a shady hospital or a ’money-grabbing’ hospital.

There’s another situation worth being wary of.

When a patient enters the emergency room, the doctor over-concerned about whether they’ve bought insurance is suspicious, if not outright problematic.

When the doctor performs some emergency treatment on a patient, considering the economic situation, they inquire about insurance.

That’s quite normal.

Patients with insurance can use medications and some expensive rescue equipment without budget constraints, because a large portion can be reimbursed.

The patient can afford it.

Without insurance, every aspect must be saved for the patient, and treatments that can be avoided will be.

Doctors would only casually ask one or two questions on this matter.

But some private hospitals or those with poor performance, upon hearing about insurance purchase, or a responsible driver or employer covering medical expenses, ensure to prescribe excessively, use all equipment, and order full sets of tests.

Hospitals like these focus solely on making money; their medical skills are predictable.

Ethics are almost nonexistent.

If you don’t transfer hospitals quickly, once admitted, you might be slaughtered like a ’fattened pig’ for the New Year.

Li Jingsheng stood in the emergency waiting hall, casually observing the patients and the medical staff’s post-reception plans, etc.

"Hey, aren’t you Dr. Li from the clinic?"

An emergency nurse recognized him while passing by.

"Haha, you still remember me! Aren’t you running with the emergency vehicle anymore?"

Li Jingsheng also remembered the nurse.

Sharp in speech but not ill-hearted.

The first time coming to his clinic to retrieve a heart attack elderly woman left a deep impression on Li Jingsheng. Saying some disdainful and critical words to him on the ambulance but also giving well-intentioned advice.

A typical ’sharp tongue, soft heart’ person.

"Spit, spit, spit, who goes out on emergencies every day! Now I don’t have to be on the vehicle, officially stationed at the infusion room in the emergency department."

She’s still sharp.

Going out with an ambulance is considered a tiresome task, usually, somewhat experienced newcomers are dispatched.

If someone makes an emergency call at midnight, they have to leave at midnight.

If arriving late or the patient dies upon receiving, the family might scold or beat them.

"Congratulations then, a promotion! You’re busy, I’m just casually looking around."

Li Jingsheng said to her.

"Don’t you, you, me, I’ve got a name, I’m Cheng Ling, if you need my help in the future, remember to call me Miss Cheng, haha... I’m off to work!"

She probably found herself amusing, couldn’t help but laugh walking away.

After taking two steps, she turned back to look at him.

"By the way, congratulations are in order! You’re now officially a doctor at our Second Hospital, quite nice!"

"Just trying to make a living!"

Li Jingsheng seemed indifferent.

In others’ eyes, a clinic doctor entering a big hospital is a promotion.

Li Jingsheng felt rather indifferent.

With skill improved, many things naturally follow.

At this moment, the sound of pleading at the reception desk caught Li Jingsheng’s attention.

"Please, save my daughter! She’s only six, if you don’t take her here, we really don’t know where to go."

A woman in her thirties holding a little girl desperately pleaded with the doctors.

Such things often happen in the emergency room.

Doctors wouldn’t openly refuse, but advise the family and patient to visit larger hospitals.

To put it plainly, it’s just passing the buck.

Everyone is afraid of accidents.

A patient brought in known to be a hot potato, and still accepted, both nurses and admitting doctors might receive blame.

The woman’s attire shows she’s from the countryside.

If slightly familiar with Lijiang City, she wouldn’t go to a second hospital for serious illness.

At least go to the People’s Hospital and Qiaobang Hospital, big grade 3 hospitals.

"Your child’s condition requires the digestive department; we treat only emergency patients here, got it? The digestive department specializes in this type of disease."

The nurse advised the family sincerely.

"I’ve seen the digestive department, they told me to look at thoracic surgery. I checked with thoracic, they also said they couldn’t treat this, need to see digestive."

The woman’s been pushed around twice, likely on the verge of breakdown.

Passing the buck happens often.

Sometimes admitting doctors indeed diagnose it as a non-specialized disease not belonging to their field.

Who’s brave enough to accept unfamiliar specialized fields?

What if they delay the condition?

No one can bear that responsibility.

Li Jingsheng noticed that the little girl the woman was holding looked very thin but had a rounded belly like a pregnant woman. Furthermore, the little girl’s mental state was extremely poor, drooped head lying on her mother’s shoulder.

Her eyes could hardly open.

Facing this situation, which doctor dare to easily admit?

"We are an emergency department, even if admitted, it will be transferred to the appropriate specialized treatment. You can also go to other big hospitals, your child seems seriously ill, delays can’t be afforded, delaying the condition increases treatment difficulty."

These nurses are trained.

There’s a set of rhetoric for advising family members and patients.

Bringing out the pretense of thinking for the patient, not afraid of family’s unwillingness to listen.

"Please, I am unfamiliar with the place and don’t know other hospitals. Even if going, likely the same result. My daughter has already cost tens of thousands at the maternal and child hospital back home. Could you help my daughter, please?"


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