Gou is practicing medicine in the clinic
Chapter 359: Reluctant to die, the old man’s diarrhea is difficult to cure
Chapter 359: Reluctant to die, the old man’s diarrhea is difficult to cure
"I'm very happy! But I can't leave now. There are many patients to deal with in the afternoon!"
Li Jingsheng can learn a lot of practical knowledge by performing colonoscopy on patients.
At the same time, it can also improve colonoscopy technology and accumulate experience.
There are many benefits.
"Can you come after six o'clock in the evening? I know you are a busy person, so come to the head office after get off work!"
"No problem. I'll rush over as soon as I finish my work here."
"I know Dr. Li is willing to help! Then it's settled! This is a veteran cadre, you can't let me go! Otherwise I will definitely be scolded."
Xiao Linlin was very happy to hear that Li Jingsheng agreed to help.
"It turns out he is a veteran cadre, no wonder you are so interested!"
Li Jingsheng is still wondering. If an older patient like this feels that the risk is too high, there is no need to agree.
Some elderly people have had several abdominal incisions, even intestinal anastomosis surgery, or have some underlying diseases.Physical condition is very bad.
The life of this kind of patient is like a candle in the wind, swaying and may be extinguished at any time.
When undergoing a colonoscopy, even if the elderly can endure the pain caused by the colonoscopy without anesthesia, there is still a high risk.
Some elderly people have heart disease, high blood pressure, etc.
During the colonoscopy, I got sick even after being slightly irritated, and the doctor didn't even have time to cry.
"I'm kidding. He is the God of Wealth in our gastroenterology department. If you don't serve him well, it will be difficult for the performance of the department. Let's not talk about it for now. I will invite you to have dinner with Dr. Ou tonight."
After saying that, Xiao Linlin hung up the phone.
She's quite a good person.
Invite Li Jingsheng to dinner, and even call Dr. Ou.
Li Jingsheng quickly sent a message to Ou Qinglan.
Tell her that Director Xiao will treat them to dinner tonight.
This is also a good thing, as it allows her to get to know a department director.
The Department of Gastroenterology has never been good or bad, but it is much better than the Department of Endocrinology.The internal medicine department of the second hospital is generally weak.
Including respiratory medicine, it is not very strong.
Originally, in a large, ordinary hospital like this, the Department of Internal Medicine and Gastroenterology were the most basic internal medicine departments.As long as we seize the opportunity, it will be easy to slowly grow and become the two most prosperous internal medicine departments.
But the two departments of the Second Hospital, the Department of Internal Medicine, are just barely there.
Gastroenterology is not even marginally good.
If it could develop better, it would not be necessary for the department director to shamelessly ask Li Jingsheng for help because of a veteran cadre.
Xiao Linlin's medical skills are not bad, and she has a good character. I believe that as long as she keeps working hard, she will definitely be able to make a difference in the Department of Gastroenterology.
She is also very young, only in her early 40s.
It has only been more than two years since I took over the Department of Gastroenterology, and it has already made great progress.
As long as you give her more time, it will definitely be fine.
It is definitely a good thing for Ou Qinglan to make friends with such a person.
……
Li Jingsheng was busy until around 20:[-] in the evening, and finally finished handling all the patients.
Now Wang Zongxiao and Luo Cheng are both growing rapidly and can take care of Li Jingsheng's worries.In addition, the veteran Shao Bing is also very capable, and ordinary patients rarely let Li Jingsheng worry about it anymore.
Unless some patients ask for his number by name, there is no way.
And only Li Jingsheng can handle surgical and orthopedic patients.
"Sister Tang, I have to rush to the Second Hospital immediately. I'll leave the finishing work to you."
"Well, you go!"
Tang Ping is Li Jingsheng's most effective internal assistant.
Many clinic affairs can be left to her to handle.
He hurriedly walked outside and passed by the guard room. He saw that Xiang Cangsong had put on his security uniform. Except that his face was a little tanned and he didn't shave, it looked like that.
"Lao Xiang, why haven't you gone back to take care of your wife and children?"
"I have gone back and just came here after finishing my work. My son is now older, quite sensible, and can help the family with a lot of things. He was even happier than his mother when he heard that I had found a formal job. He also allows me to work here with peace of mind, and he will take care of my mother when he comes home from school."
When Xiang Cangsong mentioned his son, he was very pleased.
Sometimes, the more difficult a family is, the more sensible the children they cultivate will be.
Adults don't even educate their children.
They are deeply influenced by it and see the hardships faced by their families, so they naturally know how to help their parents share the burden.
"Do you have a quilt?"
"Yes, I've brought it here. I'll lay it out later."
"Get used to it first. If you have any difficulties, you can always come to me for feedback."
Li Jingsheng gave a few instructions and left in a hurry.
This was during the evening rush hour, so it was actually quite difficult to take a taxi.
After waiting for almost 20 minutes, we stopped a car.
"I have to buy a car to come back. It will be convenient for commuting to and from get off work."
Li Jingsheng was silently calculating in his heart.
It's not far from the clinic to the Second Hospital, only about three kilometers.
Now is the time to spend money, and he is not going to buy a car.
As for motorcycles, he has finally given up.
Now I am very busy all day long, and I don’t have time to go out and hang out.
Buy an electric car?
It will definitely cost you 3000 to [-] yuan, and you will also need to get a license plate.
He decided to discuss it with Ou Qinglan later.
Not long after, he arrived at the Gastroenterology Department of the Second Hospital.
Xiao Linlin was already waiting for him in the endoscopy room.
"I thought you would arrive around 06:30, but it's almost seven o'clock. Just come." Xiao Linlin whispered to him.
"It's too difficult to take a taxi. I waited for almost 20 minutes. I'm really sorry. I didn't cause you to get scolded, did I?"
Li Jingsheng apologized repeatedly.
"It's not like he scolded me, he just urged me several times. But I'm really not sure about the condition of his intestines, and I don't dare to do anything about it! Come on, let's go in quickly."
"How is the patient?"
"Everyone is in good physical condition, but he has been suffering from diarrhea recently. The patient heard people say that people with long-term diarrhea should be wary of malignant diseases, so he insisted that we help him check a colonoscopy. In fact, we have already checked ultrasound and CT. What's the problem? nothing."
Xiao Linlin did not lower her voice this time.
The two of them entered the operating room inside. The patient was lying there, and all preparations had been made.
The assistant is talking to the patient and comforting the patient.
Many veteran cadres like this who are not short of money are reluctant to die.
The cost of medical treatment is almost fully reimbursed, and they are particularly willing to spend money on medical treatment.
As long as the cause of the disease can be found out and the disease cured, they don't care about spending money.
As long as they feel something is wrong with their body, they want to check it out to see if anything is okay.
Malignant diseases are what they fear most.
"Apply some lubricant and put the endoscope probe in!"
Li Jingsheng said to his assistant.
"Director Xiao, is this the expert you specially invited to do my colonoscopy?"
"Yes, this is Dr. Li. He is of a very high standard. To be honest, you have had an anastomosis operation on your intestines, and I really don't dare to check it on you. Dr. Li is not only very good at colonoscopy, but also has a very high level of diagnosis. Inviting him to come over to check this colonoscopy is also responsible for you."
"Okay, okay! The country needs high-end talents like you, Dr. Li, please."
"This is what I should do. You lie down and try not to move your body. If you have severe pain during the colonoscopy, you can remind me at any time."
Before Li Jingsheng came, he had already understood the patient's basic condition.
Had partial colon resection surgery.
At that time, because a tumor suspected of being a malignant lesion was detected, intestinal segment resection was performed directly, and then anastomosis was performed.
The surgery was performed five years ago.
There is a reason why patients are extremely vigilant about bowel cancer.
Once bitten, twice shy.
This prolonged diarrhea made him very scared, fearing that colon cancer would recur.
So I insisted on having a colonoscopy.
Sometimes, tumors in the intestines may not be detected even with a CT scan.
Even NMR could not detect it.
Colonoscopy is still the best way to detect tumors and polyps inside the intestines.
As long as the colonoscopy doctor has enough experience, the colonoscopy can be guaranteed for at least several years.
Some patients worry that removing intestinal polyps during colonoscopy will make the intestines thinner and thinner. There is no need to worry about this.
The intestine has four layers, and polyps tend to develop in the innermost mucosal layer.
What many people don’t know is that the intestinal mucosal layer renews and grows much faster than the skin on our hands.
If the skin on your hands is accidentally scratched, it may take five or six days to heal and more than a week to basically recover.
But the renewal rate of the intestinal mucosa is more than twice as fast.
It will recover in two or three days.
Li Jingsheng carefully controlled the insertion of the colonoscope bit by bit and stared at the screen intently.
"The lining of this intestinal tract is very healthy! There is nothing wrong with it at all."
"I usually pay attention to what I eat, and I try to exercise as much as possible and go for walks in the park."
Veteran cadres generally have a pretty good life in their later years.
As long as he is not paralyzed in bed due to a stroke or the like, he can live a very comfortable life.
Retirement wages, many of which are over [-] yuan, are higher than the income of working young people.
You can play around.
Li Jingsheng checked his rectum and colon all the way and found no problems.
I checked another section of the ileum upwards, but there was still nothing wrong.
"Your intestinal tract is very healthy and there is nothing wrong with it. Not even a small polyp was found. You don't have to worry at all."
After the colonoscopy, Li Jingsheng said to the old man.
"That's good, that's good! These days, when I was playing chess in the park because of diarrhea, I heard someone said that long-term diarrhea may be caused by intestinal cancer. But it scared me a lot."
"Now I've had a colonoscopy and found nothing wrong. You can rest assured and have a good sleep. However, your intestines are much more fragile than those of young people, and their elasticity has obviously become worse. You should try to eat as much as possible when eating. Soft, easily digestible food.”
"I usually pay special attention to these. Director Xiao, the cause of my diarrhea has not been found out yet. I have to continue to stay in the hospital, and I have to ask you to be more careful."
Veteran cadres will never be discharged from the hospital.
Even if there is nothing wrong after a colonoscopy, he still has to stay in the hospital.
Because it makes him feel more secure.
"No problem. I estimate that the biochemical results of the feces will be available tomorrow afternoon at the latest. We will definitely work hard to help you cure your diarrhea."
Xiao Linlin agreed.
After someone sent the veteran cadre back to the ward, Xiao Linlin also breathed a sigh of relief.
Finally got it.
"Dr. Li, you are very good at the diagnosis of gastroenterology. Look, how about you help me to the end and help with the consultation together?"
She asked Li Jingsheng for help again.
Having seen Li Jingsheng's diagnostic skills, she couldn't help but rely on him when encountering such difficult cases.
Most doctors are the same. When they encounter difficult cases, they will find ways to ask high-level doctors to help consult and give some reference opinions.
(End of this chapter)
"I'm very happy! But I can't leave now. There are many patients to deal with in the afternoon!"
Li Jingsheng can learn a lot of practical knowledge by performing colonoscopy on patients.
At the same time, it can also improve colonoscopy technology and accumulate experience.
There are many benefits.
"Can you come after six o'clock in the evening? I know you are a busy person, so come to the head office after get off work!"
"No problem. I'll rush over as soon as I finish my work here."
"I know Dr. Li is willing to help! Then it's settled! This is a veteran cadre, you can't let me go! Otherwise I will definitely be scolded."
Xiao Linlin was very happy to hear that Li Jingsheng agreed to help.
"It turns out he is a veteran cadre, no wonder you are so interested!"
Li Jingsheng is still wondering. If an older patient like this feels that the risk is too high, there is no need to agree.
Some elderly people have had several abdominal incisions, even intestinal anastomosis surgery, or have some underlying diseases.Physical condition is very bad.
The life of this kind of patient is like a candle in the wind, swaying and may be extinguished at any time.
When undergoing a colonoscopy, even if the elderly can endure the pain caused by the colonoscopy without anesthesia, there is still a high risk.
Some elderly people have heart disease, high blood pressure, etc.
During the colonoscopy, I got sick even after being slightly irritated, and the doctor didn't even have time to cry.
"I'm kidding. He is the God of Wealth in our gastroenterology department. If you don't serve him well, it will be difficult for the performance of the department. Let's not talk about it for now. I will invite you to have dinner with Dr. Ou tonight."
After saying that, Xiao Linlin hung up the phone.
She's quite a good person.
Invite Li Jingsheng to dinner, and even call Dr. Ou.
Li Jingsheng quickly sent a message to Ou Qinglan.
Tell her that Director Xiao will treat them to dinner tonight.
This is also a good thing, as it allows her to get to know a department director.
The Department of Gastroenterology has never been good or bad, but it is much better than the Department of Endocrinology.The internal medicine department of the second hospital is generally weak.
Including respiratory medicine, it is not very strong.
Originally, in a large, ordinary hospital like this, the Department of Internal Medicine and Gastroenterology were the most basic internal medicine departments.As long as we seize the opportunity, it will be easy to slowly grow and become the two most prosperous internal medicine departments.
But the two departments of the Second Hospital, the Department of Internal Medicine, are just barely there.
Gastroenterology is not even marginally good.
If it could develop better, it would not be necessary for the department director to shamelessly ask Li Jingsheng for help because of a veteran cadre.
Xiao Linlin's medical skills are not bad, and she has a good character. I believe that as long as she keeps working hard, she will definitely be able to make a difference in the Department of Gastroenterology.
She is also very young, only in her early 40s.
It has only been more than two years since I took over the Department of Gastroenterology, and it has already made great progress.
As long as you give her more time, it will definitely be fine.
It is definitely a good thing for Ou Qinglan to make friends with such a person.
……
Li Jingsheng was busy until around 20:[-] in the evening, and finally finished handling all the patients.
Now Wang Zongxiao and Luo Cheng are both growing rapidly and can take care of Li Jingsheng's worries.In addition, the veteran Shao Bing is also very capable, and ordinary patients rarely let Li Jingsheng worry about it anymore.
Unless some patients ask for his number by name, there is no way.
And only Li Jingsheng can handle surgical and orthopedic patients.
"Sister Tang, I have to rush to the Second Hospital immediately. I'll leave the finishing work to you."
"Well, you go!"
Tang Ping is Li Jingsheng's most effective internal assistant.
Many clinic affairs can be left to her to handle.
He hurriedly walked outside and passed by the guard room. He saw that Xiang Cangsong had put on his security uniform. Except that his face was a little tanned and he didn't shave, it looked like that.
"Lao Xiang, why haven't you gone back to take care of your wife and children?"
"I have gone back and just came here after finishing my work. My son is now older, quite sensible, and can help the family with a lot of things. He was even happier than his mother when he heard that I had found a formal job. He also allows me to work here with peace of mind, and he will take care of my mother when he comes home from school."
When Xiang Cangsong mentioned his son, he was very pleased.
Sometimes, the more difficult a family is, the more sensible the children they cultivate will be.
Adults don't even educate their children.
They are deeply influenced by it and see the hardships faced by their families, so they naturally know how to help their parents share the burden.
"Do you have a quilt?"
"Yes, I've brought it here. I'll lay it out later."
"Get used to it first. If you have any difficulties, you can always come to me for feedback."
Li Jingsheng gave a few instructions and left in a hurry.
This was during the evening rush hour, so it was actually quite difficult to take a taxi.
After waiting for almost 20 minutes, we stopped a car.
"I have to buy a car to come back. It will be convenient for commuting to and from get off work."
Li Jingsheng was silently calculating in his heart.
It's not far from the clinic to the Second Hospital, only about three kilometers.
Now is the time to spend money, and he is not going to buy a car.
As for motorcycles, he has finally given up.
Now I am very busy all day long, and I don’t have time to go out and hang out.
Buy an electric car?
It will definitely cost you 3000 to [-] yuan, and you will also need to get a license plate.
He decided to discuss it with Ou Qinglan later.
Not long after, he arrived at the Gastroenterology Department of the Second Hospital.
Xiao Linlin was already waiting for him in the endoscopy room.
"I thought you would arrive around 06:30, but it's almost seven o'clock. Just come." Xiao Linlin whispered to him.
"It's too difficult to take a taxi. I waited for almost 20 minutes. I'm really sorry. I didn't cause you to get scolded, did I?"
Li Jingsheng apologized repeatedly.
"It's not like he scolded me, he just urged me several times. But I'm really not sure about the condition of his intestines, and I don't dare to do anything about it! Come on, let's go in quickly."
"How is the patient?"
"Everyone is in good physical condition, but he has been suffering from diarrhea recently. The patient heard people say that people with long-term diarrhea should be wary of malignant diseases, so he insisted that we help him check a colonoscopy. In fact, we have already checked ultrasound and CT. What's the problem? nothing."
Xiao Linlin did not lower her voice this time.
The two of them entered the operating room inside. The patient was lying there, and all preparations had been made.
The assistant is talking to the patient and comforting the patient.
Many veteran cadres like this who are not short of money are reluctant to die.
The cost of medical treatment is almost fully reimbursed, and they are particularly willing to spend money on medical treatment.
As long as the cause of the disease can be found out and the disease cured, they don't care about spending money.
As long as they feel something is wrong with their body, they want to check it out to see if anything is okay.
Malignant diseases are what they fear most.
"Apply some lubricant and put the endoscope probe in!"
Li Jingsheng said to his assistant.
"Director Xiao, is this the expert you specially invited to do my colonoscopy?"
"Yes, this is Dr. Li. He is of a very high standard. To be honest, you have had an anastomosis operation on your intestines, and I really don't dare to check it on you. Dr. Li is not only very good at colonoscopy, but also has a very high level of diagnosis. Inviting him to come over to check this colonoscopy is also responsible for you."
"Okay, okay! The country needs high-end talents like you, Dr. Li, please."
"This is what I should do. You lie down and try not to move your body. If you have severe pain during the colonoscopy, you can remind me at any time."
Before Li Jingsheng came, he had already understood the patient's basic condition.
Had partial colon resection surgery.
At that time, because a tumor suspected of being a malignant lesion was detected, intestinal segment resection was performed directly, and then anastomosis was performed.
The surgery was performed five years ago.
There is a reason why patients are extremely vigilant about bowel cancer.
Once bitten, twice shy.
This prolonged diarrhea made him very scared, fearing that colon cancer would recur.
So I insisted on having a colonoscopy.
Sometimes, tumors in the intestines may not be detected even with a CT scan.
Even NMR could not detect it.
Colonoscopy is still the best way to detect tumors and polyps inside the intestines.
As long as the colonoscopy doctor has enough experience, the colonoscopy can be guaranteed for at least several years.
Some patients worry that removing intestinal polyps during colonoscopy will make the intestines thinner and thinner. There is no need to worry about this.
The intestine has four layers, and polyps tend to develop in the innermost mucosal layer.
What many people don’t know is that the intestinal mucosal layer renews and grows much faster than the skin on our hands.
If the skin on your hands is accidentally scratched, it may take five or six days to heal and more than a week to basically recover.
But the renewal rate of the intestinal mucosa is more than twice as fast.
It will recover in two or three days.
Li Jingsheng carefully controlled the insertion of the colonoscope bit by bit and stared at the screen intently.
"The lining of this intestinal tract is very healthy! There is nothing wrong with it at all."
"I usually pay attention to what I eat, and I try to exercise as much as possible and go for walks in the park."
Veteran cadres generally have a pretty good life in their later years.
As long as he is not paralyzed in bed due to a stroke or the like, he can live a very comfortable life.
Retirement wages, many of which are over [-] yuan, are higher than the income of working young people.
You can play around.
Li Jingsheng checked his rectum and colon all the way and found no problems.
I checked another section of the ileum upwards, but there was still nothing wrong.
"Your intestinal tract is very healthy and there is nothing wrong with it. Not even a small polyp was found. You don't have to worry at all."
After the colonoscopy, Li Jingsheng said to the old man.
"That's good, that's good! These days, when I was playing chess in the park because of diarrhea, I heard someone said that long-term diarrhea may be caused by intestinal cancer. But it scared me a lot."
"Now I've had a colonoscopy and found nothing wrong. You can rest assured and have a good sleep. However, your intestines are much more fragile than those of young people, and their elasticity has obviously become worse. You should try to eat as much as possible when eating. Soft, easily digestible food.”
"I usually pay special attention to these. Director Xiao, the cause of my diarrhea has not been found out yet. I have to continue to stay in the hospital, and I have to ask you to be more careful."
Veteran cadres will never be discharged from the hospital.
Even if there is nothing wrong after a colonoscopy, he still has to stay in the hospital.
Because it makes him feel more secure.
"No problem. I estimate that the biochemical results of the feces will be available tomorrow afternoon at the latest. We will definitely work hard to help you cure your diarrhea."
Xiao Linlin agreed.
After someone sent the veteran cadre back to the ward, Xiao Linlin also breathed a sigh of relief.
Finally got it.
"Dr. Li, you are very good at the diagnosis of gastroenterology. Look, how about you help me to the end and help with the consultation together?"
She asked Li Jingsheng for help again.
Having seen Li Jingsheng's diagnostic skills, she couldn't help but rely on him when encountering such difficult cases.
Most doctors are the same. When they encounter difficult cases, they will find ways to ask high-level doctors to help consult and give some reference opinions.
(End of this chapter)
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