"I suspect the patient might have SLE. Although the patient hasn’t shown obvious joint muscle symptoms or severe liver and kidney damage, they’ve experienced reduced platelets, systemic hemolysis, and so initial skin damage. So I suspect there’s a high possibility of lupus. At the very least, it’s worth further examination."
When you consider the patient’s increased bone temperature, blisters on the back of the calves, along with hemolysis, persistent high fever, severe headaches, and unexplained decreased platelets, it makes sense.
The only disease that cos to mind is the notorious lupus.
It’s an immune system disease.
It presents with a variety of symptoms, often causing doctors to misdiagnose or be puzzled during diagnosis.
If tuberculosis is easily misdiagnosed and missed, then this disease often leaves doctors completely at a loss.
"Hearing you say that, it seems to make so sense. I’ll imdiately order a skin biopsy for the patient."
Director Mu is also an old hand in the clinical battlefield.
Taking pride is one thing, but in the face of truth, he’s definitely not soone who’s stubbornly unchangeable.
"The skin biopsy might take a while, so I’ll first have an antinuclear antibody test done for her, just to be safe."
Director Mu doesn’t need to discuss these tests with the patient.
This is the advantage of being a doctor in a large hospital.
You don’t have to waste ti explaining everything, which greatly improves efficiency.
"Well, you’ve seen the case and discussed it, I’ve also enjoyed your good tea, so I’ll head back now."
Li Jingsheng was equally pleased to help Director Mu pinpoint this critical diagnostic direction.
It seems like it’s a good idea to learn more dical skills when I have the ti.
If he hadn’t studied dermatology and skin immunology, today he would have been completely clueless.
"Don’t rush off, Director Hua from orthopedics wants to know how you’ve considered the matter you discussed with him the other day?"
This was a relatively private matter.
Only Li Jingsheng and Director Hua discussed it.
Now that Director Mu knows, it shows that he has a good relationship with Director Hua.
Also, Director Hua must have discussed any recruitnt with hospital leadership.
While he can make the decision, it wouldn’t be appropriate to do it alone.
After all, Li Jingsheng’s hiring conditions have many special aspects. For example, working only three days a week.
"Does Director Hua want an answer from now?"
Li Jingsheng asked back.
This was sothing he intended to actively discuss with Director Hua yesterday.
It turned out Li Jingsheng was just too busy.
Plus, Doctor Xu advised him to work well with him and elevate his own value.
Nothing unseemly about it.
Everyone is after their own interests.
Now that Director Hua couldn’t wait and proactively asked Li Jingsheng for his decision, it’s a good thing.
It shows the timing is right.
"He didn’t insist on an imdiate response; just ntioned that if you co to the Second Hospital, you should drop by his office."
"Then I might as well go over now!"
Li Jingsheng decided to finalize this matter.
"Honestly, I was keen to compete for talent like you with orthopedics. But I can’t offer the kind of benefits they do, so you should go. In the future, you can co by our Pulmonary dicine departnt whenever you have ti; I have high hopes for you."
Director Mu is a straightforward person.
Clearly stating the interests involved.
Li Jingsheng has bone-setting skills, which makes him a special talent in orthopedics, naturally elevating his worth.
But in Pulmonary dicine, no matter how exceptional he is, his skills are easily replaceable, so asking for extravagant conditions is out of the question.
He made his way smoothly to orthopedics.
Director Mu probably inford Director Hua.
As soon as Li Jingsheng arrived, Director Hua was already waiting and gesturing for him.
"Li Jingsheng, over here!"
Seeing Director Hua, Li Jingsheng quickened his pace.
"I’ve been extrely busy at my clinic these days and couldn’t make it to see you in ti, I’m really sorry."
Li Jingsheng apologized to Director Hua.
"No worries, it’s understandable. Your clinic was on the TV news, so I guess it must have been packed with patients these past few days, right?"
Director Hua asked with a smile.
"Not exactly overwheld, but the outpatient volu has indeed increased several tis compared to usual. But no matter what, it’s just a clinic that sees minor ailnts like colds and headaches."
Li Jingsheng was very modest.
Both Director Zhao and Doctor Xu have hinted to Li Jingsheng.
The Second Hospital is the true dominator of the southern city area.
It seems to allow no dical institution that might threaten its status to erge.
Therefore, it’s necessary to show a bit of humility and self-deprecation.
"Clinics are indeed sowhat limited, so joining our hospital is a good choice for you. How have you considered the matter we discussed a few days ago?"
Director Hua brought him into the departnt head’s office.
"Working here three days a week, just in the outpatient departnt, although it will impact my clinic sowhat, the benefits outweigh the drawbacks. So I’m very keen to join the Second Hospital. Plus, having such a wise and amiable departnt head like you makes even more eager."
Li Jingsheng didn’t beat around the bush. Since he made a decision, he was straightforward.
"Haha, don’t try to flatter too much."
Director Hua laughed heartily at the complint.
"Since you’ve agreed, let’s discuss the details right away, then we can call HR over to sign the contract."
Director Hua seed very eager regarding Li Jingsheng’s employnt.
Why not be eager?
Doctor Xu was sick and couldn’t work.
The patient flow for manual therapy in the clinic was greatly reduced, which worried the departnt head.
If Li Jingsheng could co and cover for Doctor Xu, even if he only worked three days a week, it would greatly improve the situation.
"I have no major demands in other areas and can comply with all your work arrangents. But in terms of freedom, so of my conditions might seem a bit excessive, so please be understanding and considerate."
Li Jingsheng now basically held the initiative.
Negotiations are like this; the side that can’t remain composed usually loses a bit more.
But overall, it’s a win-win cooperation.
At most, there would be so minor gains here and there.
"Just tell ; as long as it’s within my authority, I’ll try my best to accommodate you."
Director Hua’s expression beca much more serious.
"Work three days a week, not consecutively, preferably one day on, one day off."
"That’s no problem."
"Work hours are from 8 am to 5 pm, no forced overti. You can’t call back to the hospital for overti outside of working hours." Li Jingsheng added a rather crucial condition.
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