Gou is practicing medicine in the clinic

Chapter 365: A colonoscopy expert with extremely low destructive power, esophageal tumors are highly malignant
Who knows Li Jingsheng best?
Lian Tao is definitely one of them, especially in terms of medical skills. He often discusses with Li Jingsheng and is well aware of Li Jingsheng's strength.

"As long as you're not afraid of getting into trouble, I'll have no problem. I'll be here right away."

Li Jingsheng readily agreed.

"Are the instruments in your hospital so advanced now?"

He was very curious about this.

"It is a simulation device imported from abroad, specially used for teaching. Now we have developed a new use. You control the endoscope to move in the simulated lumen, and it will automatically calculate the alignment of your endoscope probe. The destructive power caused by the lumen. Although it cannot achieve a completely realistic simulation of intestinal lumen operation, its calculation is quite accurate. Come and play with it, it is quite interesting."

"OK, we'll arrive in 10 minutes."

Li Jingsheng really wanted to see this advanced teaching instrument.

……

Nearly an hour later, he finally arrived at the Gastroenterology Department of the People's Hospital.

There is no way, taking a taxi is definitely not as good as owning a car.

Waiting for a bus takes a lot of patience.If it's fast, it can be called in a few minutes.If it is slow, it will be very confusing.

"Jingsheng, have you had dinner?"

"I've eaten! Look at your mouth and it's shiny. You must have eaten it not long ago."

"Haha, those who know me are respectful students! Let's go, I will take you to test your colonoscopy skills first."

Director Lian Tao took him to the teaching and scientific research building.

Almost all larger hospitals will have areas for scientific research and teaching.Many have their own specialized laboratories for doctors to use for scientific research and study.

"I have thought over and over the information about the veteran cadre you sent me. I think if no organic disease is found, there are only two possibilities. The first is that there is a problem with the food. Some patients will say, I have been eating these foods for a long time and have never had any problems before. But as you know, some cold foods can easily cause constipation, diarrhea and other problems if eaten for a long time.

If it is a problem in this area, you can ask him to find a reliable old Chinese medicine doctor to take care of it.

Mostly, cold food hurts the spleen and stomach, and the upper cold causes lower pain. "

Lian Tao analyzed the possible causes.

"Oh, Brother Lian Tao seems to have never touched the knowledge of Chinese medicine before, but now your Chinese medicine terminology sounds very professional! Are you starting to accept the knowledge of Chinese medicine?"

Li Jingsheng asked in surprise.

"To tell you the truth, I have really learned a lot about traditional Chinese medicine recently. This was due to the influence of one of my mentors. An unexpected small circle exchange made me completely change my prejudices and views on traditional Chinese medicine."

Lian Tao pushed up his glasses.

"Jingsheng, you don't know that a total of six seniors in the medical field gathered together that day to exchange medicine. I was fortunate enough to go there with my mentor to gain knowledge, and to get acquainted with these big guys. Who knew they had some profound discussions? With their medical knowledge, all six of them actually had some knowledge of Chinese medicine.

Four of them are proficient in many advanced medical principles of traditional Chinese medicine.

Isn’t my arm sore, numb, and painful because of reading and writing medical records?The effect of your massage on me is good, but it can't cut off the root, it can only relieve it.But it has been half a month since Mr. Huangfuqi gave me three injections, and it has not relapsed so far.

In the past, I always thought that Chinese medicine was just a little skill and folk prescription. From that time on, I began to try to understand the knowledge of Chinese medicine.

The more I study, the more profound I feel that Chinese medicine is, and many medical concepts are advanced. "

Another Western medicine elite began to immerse himself in the ocean of traditional Chinese medicine.

"Traditional Chinese medicine does have its own uniqueness. The Western medicine we study has developed over the years and is actually equally powerful. In many aspects, it has even surpassed the achievements of traditional Chinese medicine in that field. Therefore, I think it is better to take a closer look at it. "

Li Jingsheng's method of bone setting is a proper traditional Chinese medicine technique.

His current attitude towards Chinese medicine should be a relatively healthy one.

Neither belittle it nor exalt it too much, just treat it correctly.

"I very much agree with what you said. If traditional Chinese medicine were used, many patients today would not survive at all. For example, the most common respiratory failure in our Department of Respiratory Medicine can survive by putting a ventilator on the patient. In ancient times, when we encountered a serious respiratory infection, They are almost always certain to die.”

Lian Tao strongly agrees with his point of view.

"In addition to the damage to the spleen and stomach caused by eating cold food for a long time, what other reasons could cause diarrhea for the veteran cadre?"

"The second possible cause is neuropathy. It is difficult to detect the specific focus of this disease, and it is a more metaphysical cause. However, after being controlled by neurology drugs, significant effects can often be seen. If it is a sudden onset of diarrhea , stress syndrome can be diagnosed. If the diarrhea progresses slowly, it may be neuropathy. After all, as we get older, all aspects of the body's functions continue to deteriorate."

Lian Tao pointed out two investigation directions to Li Jingsheng.

When the time comes, let Xiao Linlin look it up and get the answer.

It's just that the level of neurology in the second hospital is average, so it may not be possible to detect it.But neither Xiao Linlin nor the hospital wanted to push someone away like a veteran cadre.

In this matter, Li Jingsheng may only be able to do his part.

It is impossible to get involved deeply.

The two of them were walking and chatting, and before they knew it, they had reached the fourth floor of the Science and Education Building.

"Director Lian, are you doing another experiment?"

The staff inside saw him and greeted him with a warm smile.

"Bring my friend here to test the level of the colonoscopy."

he responded.

"No one is using it right now. You guys came just in time. Do you want me to help turn it on?"

"No, I can do it myself."

Lian Tao led Li Jingsheng inside.

Some of the doctors who were conducting experiments knew Lian Tao and greeted him enthusiastically or had a few words with him.

It can be seen that Lian Tao's status in the People's Hospital is quite good.

Just like Li Jingsheng is very popular in the Second Hospital.

They just looked at Li Jingsheng curiously, and quickly devoted themselves to experimental research.

The two arrived at the table at the end of the laboratory. A bionic human model was lying on its side. A large number of cables could be seen extending from the back of its cervical spine and then connected to a large instrument.

"This machine was bought for more than 700 million yuan. I heard that I asked foreign friends to help me. It took a lot of effort and I bought it after going around several times. Even Qiao Bang Hospital doesn't have it."

Lian Tao introduced the origin of this instrument with some pride.

Medical equipment worth 700 million is nothing.

Which of the early nuclear magnetic resonance machines was not purchased for tens of millions?
There are also Da Vinci robots, PET-CT, which is known as a cancer detection tool, etc. None of them are cheap.

However, some advanced instruments cannot be bought even if you have money.
Many developed countries in the West still have severe technological blockades against us.

It's understandable, after all, people are selfish, and no one is stupid enough to share core technology with others.

Because technological monopoly is very profitable.

It was obviously not the first time for Lian Tao to play with this instrument. He was familiar with turning it on and operating it all in English.

Many "brick masters" call for children not to spend a lot of time learning English, but to use that time to learn the quintessence of Chinese music, chess, calligraphy and painting.Any parent with any sense will not be fooled.

If you can speak a foreign language fluently, you can use it to participate in more advanced academic exchanges and even business exchanges.

Otherwise, if you don't even know the language, you won't be able to communicate with those foreign elites at all.

Should we let our children work behind closed doors?
I don’t know about other industries, but the medical industry Li Jingsheng is engaged in, no matter which medical field, as long as it reaches a certain level, it must be in line with international standards.

If you want to continue to expand your horizons and knowledge, you must interact with foreign experts.

Language is the most basic means of communication.

"Okay, it's time to play. Just like playing a game, you can set a target location, or not set a target, and then control the endoscope to investigate. This instrument will accurately score based on your performance.

For example, the destructive force caused to the cavity wall, as well as the number of hidden lesions discovered, etc. "

Lian Tao gave him the handle.

It is exactly the same as the handle of a gastrointestinal scope.

As soon as Li Jingsheng tried to operate, the red lights came on one after another.

"Don't be nervous, take your time!"

Lian Tao comforted him.

Li Jingsheng just didn't understand the rules and just operated it casually to get familiar with its control performance.

Now I have basically figured it out, and there is no difference from the colonoscopy operation.

It's just that the intestinal cavity is not a real human body.

"Brother Tao, help me set a target and I'll try to investigate."

"it is good!"

Lian Tao set a hidden goal for him.

As a result, Li Jingsheng found it easily, with an operational score of 9.7. "I knew your level would definitely be good. I'll give you something a bit more difficult this time."

The hidden target that Lian Tao just set is at the descending colon.

Moderate difficulty.

"Okay, let's get started!"

He asked Li Jingsheng to control the colonoscopy again.

I saw the probe moving forward flexibly in the intestinal lumen of the bionic human. When facing some obstacles or curved intestinal sections, it appeared to be extremely flexible, and the strength was just right.

In terms of touch, Li Jingsheng now has an expert touch whether he is touching bones or holding a surgical knife.

It is not difficult for him to control the colonoscope to complete these difficult tasks and cooperate with the superb insertion technique.

"Okay! This level is much better than mine."

Lian Tao looked shocked as he watched Li Jingsheng find the lesions one by one.

When Li Jingsheng controlled the colonoscope to enter the ileum, Lian Tao stared at the screen closely.

Unknowingly, some people gathered behind him.

They all wanted to see how strong this young man could be praised by Lian Tao.

After entering the ileum, the colonoscope probe encountered a three-turn series of twists and turns.

Most colonoscopies do not enter the ileum.

Now not only has it entered the ileum, but there are also three abnormal turns. Even the most dangerous roads are rarely designed like this.

Under the control of Li Jingsheng, the colonoscope was like an earthworm, flexibly crossing the curves from some tricky angles.

"It's so strong. The damage to the intestinal wall is always less than 1 point. It's incredible."

Among the onlookers, there were some endoscopic experts in their 50s and [-]s. They knew that controlling the endoscope to advance in a narrow lumen would inevitably damage the inner wall of the lumen.

Being able to maintain a destruction score of less than 3 points is already very powerful.

Like Li Jingsheng, he actually stayed below 1 point, and the same was true for crossing consecutive curves.This is simply unbelievable.

"Director Lian, is this your student? What a great talent!"

"You think maybe not. When I pass through this three-turn ileal section, the damage score is generally above two points. Sometimes I don't pay attention and directly hit it to above five points. Look at other people, the whole process is kept below one point. This is He is a true master of colonoscopy. In other words, he is a genius among geniuses. He is more like being my teacher."

Lian Tao replied.

During their conversation, Li Jingsheng had already found the hidden lesion in the ileum.

There was a round of warm applause behind him.

Although this was just like playing a game, it also showed Li Jingsheng's great strength, which made them couldn't help but admire him.

"Jingsheng, that pink intestine patient can be saved if you meet him."

Lian Tao looked excited and excited.

"Don't, don't, don't. After all, I'm just practicing with instruments. Doing a colonoscopy on a real person will definitely be very different. You said that patient's intestines are as fragile as crumbs. If I puncture them, there's nothing I can do. save."

At that time, it will not be saving people, but killing people.

Li Jingsheng did not dare to agree easily.

"The destructive force that the patient's intestinal wall can withstand is about 1.2. The destructive force on the intestinal tract when you operate a colonoscope always remains at about 1 to 0.9, which is already very impressive. To be safe, it can be maintained at 0.8 Within the destructive power, that is the safest. But we can’t find anyone like that in the whole hospital. You are the only person I have found so far who can always maintain the destructive power within 1.”

Naturally, Lian Tao would not joke with the patient's life.

"If the patient only has intestinal polyps, the colonoscopy surgery should not be urgent in a day or two. If you really want to put this burden on my shoulders, then let me practice again. It will probably not take more than a month. I will take the initiative to find you when the time comes."

Li Jingsheng's idea is to upgrade the implantation technique to another level.

Before that, he needed to upgrade his doctor level to another level.

This requires a lot of health points, and giving him a month should be enough.

It's just that the two medical skills of Fang Yao may have to be delayed again.

"This is what you said! I will call and talk to the patient later. She should be able to wait for a month."

Lian Tao was afraid that Li Jingsheng would regret it.

"Director Lian, who is this doctor? Please introduce him to us!"

"Such a powerful colonoscopy expert opened my eyes. I guess his level is also very high when it comes to other endoscopic explorations. Brother, I advise you to go directly to the direction of endoscopy. It is a hot medical direction now. You just need to do endoscopic examination If you practice mirror well, your future prospects and financial prospects will definitely be good."

The doctor who advised Li Jingsheng to develop endoscopy was in his 40s. He had no idea that Li Jingsheng was already making a lot of money.

The future is equally bright.

Li Jingsheng is the kind of person who is blooming in many places now.

"Everyone, everyone, I'm sorry, I have to discuss a few cases with Jingsheng today. I'll chat with you another day."

Lian Tao pulled Li Jingsheng out of the laboratory.

“Your colleagues are so welcoming!”

Li Jingsheng said with a smile.

"Those who can enter the laboratory are a group of medical lunatics who have made great achievements in one or more fields of medicine. It is rare to meet a master of colonoscopy. It is normal for everyone to want to know you. As doctors, we often sit down If you have irregular meals, you are prone to intestinal problems. If you undergo interventional surgery or work in some departments that require a lot of radiation and radiation, you are more likely to develop malignant tumors.

Bowel cancer is extremely difficult to detect in its early stages and colonoscopy is the only way to detect it.

It’s just that most people don’t feel confident about having a colonoscopy.They don't need anesthesia and are afraid of pain. Being able to ask an expert like you to do a colonoscopy is definitely something they yearn for.

I don’t need to tell you the rest! "

Lian Shou explained to him the reasons for these people's enthusiasm.

This is actually rather one-sided.

The value of an expert endoscopist goes far beyond this.

Everyone was vying to get acquainted with Li Jingsheng, and there were other interests to consider.

Adults are unable to afford it early.

"Jingsheng, I kidnapped you here today to test your colonoscopy level, just by the way. There are a few cases where I want your help in diagnosing, which is the main purpose. Let me talk about the first one. He is an esophageal tumor patient. He swallowed Difficult, an esophageal tumor has been found. But after the examination, it was found that it may be leiomyoma, please help to check it out. "

Esophageal tumors have a very high probability of malignancy, while leiomyomas are benign and often have little impact on health.

"Can't you tell by taking the specimen and doing a pathological biopsy? I'm not good at oncology at all."

Li Jingsheng was really not being modest this time, he was telling the truth.

"I've had pathology done, and it's an esophageal leiomyoma. But from some of the patient's symptoms and manifestations, I always feel that it doesn't look like a benign tumor. This is what I'm telling you! Don't spread it to the outside world, otherwise The patient thought I cursed him with a malignant tumor."

No wonder Lian Tao asked Li Jingsheng to help diagnose.

When encountering some suspicious cases, sometimes you must not be too superstitious about the test results.

Experienced doctors may have sharper intuition.

In addition, most esophageal tumors are malignant. If they are malignant and treated as benign, won't the patient's condition be delayed?

"Don't you know what my mouth is like? I've chewed the back of my tongue since forever!"

"That's true. Let's go and sit in my office. I have prepared the patient's information and am waiting for you to discuss it together."

The two came to Lian Tao's office.

It's quite simple, with some medical books piled everywhere.

Lian Tao is usually a medical lunatic. In order to study a difficult case, he can check information day and night and make various inferences.

The mess in the office is the truest side of him.

"I only have coffee here, and I guess you may not like it either. Please drink a glass of boiled water!"

Lian Tao smiled.

"When I'm usually sleepy, I like to drink a cup of coffee to refresh myself. Although I know it's not good, I can't help it. I just hope God allows me to live a few more years and make more contributions to the medical cause."

There are actually many doctors like him.

Everyone is a silently dedicated hero.

"Is this the patient named Xie Zhi?"

"Yes, that's him! He coughs, wheezes, and sometimes feels a burning pain in his chest and back, so he comes to me specifically for diagnosis. After I looked at it, I think it shouldn't be as simple as the results of the pathology test."

(End of this chapter)