"Okay, then you help Master Liu first, I'll go prescribe the medicine. He still needs to hang a bottle of fluid for inflammation." With a wound this long, not using antibiotics for inflammation would be too careless.
Li Jingsheng opposes the misuse of antibiotics, but definitely does not ban them.
In clinical practice, you still need to use them when necessary.
Even in a large hospital, after surgery, when the patient is pushed back to the ward from the operating room, the nurse would quickly follow the doctor's orders and hang the prescribed fluid for the patient.
Postoperative anti-inflammatory and anti-infection treatment is routine medication.
However, the choice of anti-inflammatory drugs needs to be based on the type of pathogen infection, requiring a high level of prescription skill from the doctor.
If the wrong anti-inflammatory drug is used, it may fail to reduce inflammation, or even have adverse effects.
Li Jingsheng now has skilled pharmaceutical expertise, prescribing anti-inflammatory drugs is more than sufficient for him.
Postoperative anti-inflammatory treatment mainly involves medication targeting anaerobic and aerobic bacteria.
He not only ensures precision and efficiency in drug selection, but also skillfully controls dosage.
The benefits of his pharmacy and pharmacokinetics skills reaching a proficient level are constantly being realized.
Using the least amount and most suitable medication to achieve the ideal therapeutic effect is the ultimate pursuit of doctors.
Of course, his current level of prescription skills is more than adequate for dealing with simple diseases, but is somewhat lacking for complex or serious illnesses.
While prescribing, he quickly went through Master Liu's overall condition in his mind.
A glass cut, if the wound is small, may not even require any anti-inflammatory medicine, as the human body possesses strong self-healing capabilities.
But with such severe lacerations, infection prevention is absolutely necessary.
Prophylactic medication is generally considered for around three days. Too short a duration may be ineffective, but too long can lead to drug resistance in the patient's body, significantly weakening prevention capability.
Amoxicillin, roxithromycin...
The names of medicines quickly flashed through Li Jingsheng's mind.
Ultimately, he chose to use ceftriaxone for Master Liu's inflammation, combined with sodium chloride solution for intravenous drip.
Ceftriaxone and sodium chloride solution are considered an inseparable pair, most widely used clinically.
For safety, he still performed a skin test for Master Liu.
When using antibiotics, many require a skin test first.
Being cautious ensures longevity.
His small clinic is already struggling financially, with strong competitors watching in the shadows, ready to move.
If something were to happen, it would be utterly devastating.
The skin test was done without any allergic reactions.
The medication can be used.
"Tang Ping, the medicine is ready, you can give Master Liu the infusion!"
Li Jingsheng called out, quickly going to eat.
If another patient comes later, he might have to combine lunch and dinner.
The coworker called Master Shun was squatting outside the clinic making phone calls, seemingly looking for someone to replace Master Liu and help him with work.
Perhaps because Li Jingsheng himself lives at the bottom, the world he sees is one where everyone is trying hard to survive.
He just sat down and had two bites when Tang Ping came over.
"Is your food cold? Shall I heat it up for you?"
"No, no, just having something to eat is very satisfying."
Li Jingsheng felt her concern, and instantly felt very warm.
But thinking about Boss Zhao from Quick Recovery Clinic trying to poach her, Li Jingsheng was a bit worried.
He can barely pay salaries here, while Quick Recovery Clinic is bustling, with a stable work environment and presumably stable income too. If Zhao is poaching her, the offered salary must be higher than at Li Jingsheng's.
This little temple may not hold onto her.
Thinking about the nurse who had been with him for over nine months leaving, Li Jingsheng felt quite sad.
After working together, a foundation of trust has been established, and their cooperation at work makes him very satisfied.
Now that his small clinic is finally starting to turn around, yet she's being poached by a competitor, he's definitely reluctant for her to leave.
If she really wants to go, Li Jingsheng wouldn't hold her back, but it would be a shame.
"Boss, I ran into Boss Zhao when I was buying lunch today. He seems to know about you selling the motorcycle, and then asked me if your clinic is about to close. I didn't reveal anything. Finally, he said to me, 'Seeing you as a woman with a child is so pitiful, come work at his clinic.' But please don't overthink, I've never thought about changing jobs."
She whispered as she proactively explained the situation to Li Jingsheng.
So Boss Zhao actually knew about selling the motorcycle! Is the old guy watching Li Jingsheng all day?
This made him secretly vigilant, needing to be more cautious in the future.
"Sister Tang, thank you for always supporting me. However, if you have better options, I will respect your choice. You don't need to have any mental burden."
Li Jingsheng said openly.
"I really am not like that..."
Her voice sounded a bit strange, and Li Jingsheng instinctively turned to look, immediately saw the sparkles of tears in her eyes.
He got a bit flustered immediately.
And also a bit heartbroken.
Such a good female employee being made to cry by this lousy boss, he really wants to hit himself.
"Why are there tears now? I don't disbelieve you, I'm just worried that I might not be able to pay you next month. You have a child to raise, so I..."
He didn't finish his sentence.
"As long as your clinic can keep going, I can persist to the end. At worst, I'll take two jobs, I've already thought it through. In a few days, I'm planning to sell drinks at bars and food stalls. A friend of mine said that during good business, you can earn six or seven hundred a night."
She actually plans to work two jobs at once.
Clearly, she never thought of leaving Li Jingsheng.
She's even prepared for Li Jingsheng not paying salary for a year.
"There are all kinds of people in night shifts, and you're so beautiful. It's too dangerous to sell drinks. If something unexpected happens, what about your child? Please give me another month, okay? I'll do my best to change the situation."
Li Jingsheng quickly persuaded her to abandon the idea of selling drinks at night bars.
This job isn't something every woman can do.
The night scene is chaotic with people from all walks of life. Some men, after a few drinks, start acting crazy, and if they take advantage of her, it's considered mild.
If something worse happens, the consequences could be dire.
"I didn't expect you to care for me like this! Night shift jobs are indeed dangerous, a friend of mine almost got forcibly taken away by three men last week. The Carrefour Supermarket nearby is hiring night shift cashiers, that's safe, just a bit low-paying."
She secretly wiped her eyes.
Her expression seemed considerably brighter.
A woman's heart truly is like a needle at the bottom of the sea, hard to fathom.
"How disappointed are you with me as a boss? You've prepared so many night shift jobs already." Li Jingsheng looked defeated. "Can you have a bit of faith in me? This month I'll definitely find a way to resolve your salary issue."
"Yes, I believe in you!"
She bit her red lips and nodded firmly.
Her expression immediately turned more serious, and her tone became much more solemn.
"I must say, after seeing the medicine you prescribed and your stitching skills today, I'm definitely more confident in you by two points."
"Only two points? Can't it be eight points or ten?"
Li Jingsheng smiled and joked with her.
"Haha..."
She was finally amused and smiled again.
"I only gave two points because I was afraid of you getting arrogant! When you turn a profit, I'll score you full marks. I'll go check how Master Liu's infusion is going."
After saying that, Tang Ping walked briskly into the infusion room.
The coworker called Master Shun eventually left Master Liu behind and went away. But this guy was decent enough to prepay Master Liu's treatment fee of 1100 yuan.
Li Jingsheng made him a receipt, and he hurried off.
Hiring a laborer to help, not rushing to get to work promptly, wages continue, but little work done.
It's hard to hire laborers these days, many are adept at shirking work.
A day's work dragged out over two or three days is considered good.
Looking at the 1100 yuan added to his account, Li Jingsheng felt delighted.
Making money with skills is really satisfying.
The trouble now is the few customers. If he could treat a dozen patients a day, he could basically achieve financial balance.
Treating this kind of long and deep serious wound, one patient's income equals ten.
Turning a profit just by treating one a day is possible.
After deducting consumables and medication costs, earning at least over 700 from 1100 is possible. To retain customers, even charging just 1050 still earns at least 650.
Surgery is extremely profitable.
This is just general surgery. If he could learn some orthopedic surgery skills, he could definitely quickly become affluent.