Gou is practicing medicine in the clinic

Chapter 370 Nutritionist’s support, only one thing in life
"Instead of treating the disease first, you should strengthen nutrition first. Your treatment idea is very unique!"

Lian Tao's eyes brightened slightly, but the expression on his face was still full of worry.

The patient's intestines become so weak because of the disease.

Rather than trying to solve the disease first, but instead strengthening enteral and parenteral nutrition, isn't this the same as letting cattle and sheep fatten themselves, and then fighting against tigers and wolves?
According to the cruel survival laws of nature, there is no other way except dying faster.

Is the plan proposed by Li Jingsheng really feasible?

This is still a question.

Because Lian Tao has been practicing medicine for so many years, he never thought he could treat diseases like this.

The most mainstream diagnosis and treatment thinking is to find the cause and then eliminate it.

He has encountered no matter how complicated the causes are, and he has many ways to solve them.

Such as dividing and attacking.

Or use two or more treatments at the same time, a two-pronged approach.

But he never thought about strengthening the nutrition of patients who were already sick in order to achieve the purpose of curing the disease.

This is actually just a habit of thinking.

In the field of oncology and leukemia, there are numerous examples of strengthening nutrition first and then treating it.

It's just that this patient's situation is special. He has a digestive tract disease. It is estimated that few doctors can think of such a strange treatment idea.

"If we want to save such a terminally ill patient, I'm afraid we can only take the wrong approach."

Li Jingsheng's words contained a hint of paranoid confidence.

It's more like the kind of master-level figure in martial arts dramas who is both evil and good.

Don't act according to common sense.

Not to mention Lian Tao, even the disease would never have thought that a doctor like him would behave like this.

"Why don't we just give strong medicine to the serious disease?"

Lian Tao asked rhetorically.

"The use of strong drugs in severe cases depends on the situation. The patient's intestines and body are already too weak. No matter how heavy the drug is, the body cannot absorb it, and you can only punch the air."

Similar quarrels between the two of them happened from time to time.

My friends, most of them are like this.

Those who dare not joke are not called friends, but guests, elders, leaders, and strangers.

"After all, your treatment thinking is a bit different. I have never tried it on this kind of patient. Life is at stake, so I'll call a nutritionist for advice."

After Lian Tao said that, he actually took out his mobile phone and made a call.

"Muyin, what are you doing?"

Lian Tao asked with a smile after making the call.

Judging from the tone, he should be very familiar with this nutritionist.

"I'm cooking, and I've made two cups of nutritionally enhanced soup. Would you like to come over and try it?"

"Ah haha, I'll try your skills next time I have a chance. Now I have a seriously ill patient here..." Lian Tao declined with a haha, and then gave a general description of the patient's condition.

"I invited a friend for consultation. He thought that enteral and parenteral nutrition should be strengthened first. Do you think it is feasible? The patient's current condition is very bad, and I don't have much time left. I am mainly worried about wasting time on Strengthening nutrition has delayed precious treatment opportunities. The patient has now begun to suffer from multiple complications and feels that the medication is a bit overwhelming."

The female nutritionist on the other end of the phone was silent.

Clearly, she was thinking.

Lian Tao also waited patiently.

Li Jingsheng took the patient's information and studied it carefully.

Strengthening enteral and parenteral nutrition is not just a simple nutritional injection, but requires starting from multiple angles.

"Lian Tao, I think this patient's situation is feasible. According to what you just described, if we just use step-by-step conventional treatment, the patient will most likely die from complications. And it is difficult to survive for more than one month. According to your description Although the method suggested by a friend may seem a bit outrageous, it is actually the most likely method to save this life."

The female nutritionist thought for three to four minutes before giving the answer.

"I didn't expect you to support his treatment plan. It seems that my idea is out of date. This friend of mine may not be very good at nutritional treatment. Can you help with consultation and give some suggestions on nutritional enhancement?"

Lian Tao's dealings with Li Jingsheng didn't last a day or two.

Naturally, he knows what Li Jingsheng is good at and what he is not good at.

In fact, professional nutritionists are not doctors, but nurses.

"Can I not agree to the invitation you extended? Send me the patient's information! I will read it later and give nutritional advice."

"Haha, thank you! I will package it and send it to your email immediately."

"bye!"

The other party hung up the phone first.

Lian Tao turned on the computer and started working quickly while chatting with Li Jingsheng.

"Brother Tao, I asked you to go have soup, why don't you go?"

Li Jingsheng had never heard Lian Tao mention his wife and guessed that he might be single.

An outstanding man like him is still in demand even after he is 40 years old.

There will be many young and beautiful women willing to partner with him.

"You see, I'm so busy, how can I get away? Besides, a young lady asked me to go over with a man to drink soup in the middle of the night. I was really afraid that I wouldn't be able to leave after drinking."

He is not a young man, but a middle-aged man with very mature thoughts.

"Many men dream of this kind of good thing, but they become timid when it comes to you. Are you, a grown man, still going to suffer?"

"Go, go, you little brat, what do you know! Going to a woman whenever you see her is the behavior of a beast in heat. The woman I am willing to share the same bed with must be a woman I like."

"When I heard you chatting, you had a good relationship! Isn't she your type?"

Li Jingsheng has long heard that the higher the academic level, the easier it is to be single.

Men and women alike.

Because some people have studied for a few more years and feel that they are all superior, and that mortal women or men are simply not worthy of them.

The women were picked here and there, and in the end they became the leftover women.

When a man finds a girlfriend, he dislikes her because she has low education and is not a good match for him.Then there are all kinds of male chauvinism and men's style, treating women like slaves.Or look down on her.

In the end, as long as the woman doesn't go crazy, she will most likely not be able to bear it anymore and choose to divorce.

"I don't hate her at all, I just have a good impression of her. But the woman I like is another woman, and I won't hide it from you. She is one of my patients. She is the lady who wants to ask you to do a colonoscopy."

This was the first time that Lian Tao told Li Jingsheng about his emotional state.

"I met Muyin when I was studying abroad, and we have been close friends for many years. When studying abroad, you know, we are easily bullied. We met in a foreign country, and we are from the same motherland. Become friends naturally and then help each other when in trouble.

Muyin majored in nursing. She later majored in nutrition and received a high degree of achievement from Harvard. "

In a large country, the two most powerful medical institutions should be Harvard Medical School and Mayo Medical Center.

Harvard is known as the top medical school in the world, which naturally has its strength.

Muyin was actually a nursing major from Harvard, which made Li Jingsheng feel a little inferior in front of experts like them who had studied abroad.

Although academic qualifications are only a stepping stone, the institutions you graduate from are extremely valuable.

If a graduate from an ordinary university and a graduate from Peking University enter the same company, nine times out of ten, the latter will be more popular and easier to get promoted and get a salary increase.

Sometimes, in addition to ability, academic qualifications, background, and the school you graduated from are also very important.

Mayo is a goal that Li Jingsheng longs for. From the first day he founded Sunshine Clinic, he dreamed of one day becoming the world's top medical center from a clinic like Mayo.

Currently, he is working towards this.

As long as you give him some time, it may be difficult to become the world's top medical center, but it should not be difficult to become the top clinic in Jiangli City.

"I feel you are all so powerful! You didn't fall in love with this nutritionist named Muyin, so why did you fall in love with your patient instead?"

Li Jingsheng felt that he was a bit gossipy.

From what the female nutritionist said just now, she should still be single, and she seems to have a crush on Lian Tao.

Many people who have studied abroad have also been westernized in terms of love.

Romance in the West is relatively freer. Some women may divorce their husbands directly because the arrangement of their toothbrushes does not suit her wishes.

Women in China are more tolerant.

There are even some silly women who, even if their husbands cheat, are still willing to endure it for the sake of their family and children.

However, it seems easier for men and women abroad to cheat.

Sometimes if you look at each other, you might be seduced by just one look, and then you can book a room.

Li Jingsheng personally still prefers the traditional domestic view of marriage and love.

After falling in love, never leave each other, love each other, and then live a lifetime.He and Ou Qinglan were planning to spend a lifetime together.

Unless one day she says she doesn't love her anymore and wants to leave, and if he fails to keep her, he might choose to let her go.

He hoped that day would never come.

Because breaking up is a very painful and sad thing.

"Who knows. No one can explain this thing clearly. From the first time she came to me for treatment, my heart was attracted to her. At first, I just wanted to help her. Later, as time went by, Her illness continued to worsen, and I was deeply fascinated by how weak and helpless she was, yet strong and independent. She and I are not yet boyfriend and girlfriend.

She knows I like her, but she doesn't agree to be my girlfriend because she's afraid of dragging me down.

I respect her opinion and it's fine now.

We get along like good friends. Sometimes when I go on business trips, I will bring her gifts.When she was in trouble, even late at night, I would rush over to help.

I can feel that although she did not agree to be my girlfriend, now I have become her important spiritual support. "

Speaking of these love affairs, Lian Tao's face showed the longing that only a teenager can have.

This is the yearning for beautiful love.

The types of women that men are most likely to fall into are those that are cute, pitiful, and weak.

In particular, it is not surprising that a powerful man like Lian Tao falls in love with a female patient who needs his help.

"Have you known her long?"

"Almost five years."

"Then you, an expert in gastroenterology, are incompetent. Why don't you try to help her treat it? Instead, your intestinal tract deteriorates step by step and turns into pink intestines?"

Li Jingsheng felt that it would take many years for a patient's intestines to progress from a healthy state to as brittle as crumbs.

"When she came to see me for treatment, her intestines were almost in that state. She went to multiple hospitals for treatment, but the results were not satisfactory. Then she came to me and checked the state of her intestines. I was shocked.

Because I have only seen powdered intestines in one medical paper abroad.

Even Crohn's disease doesn't surprise me.But this is really the first time I have seen a pinky intestinal disease like hers.

The specific reason has not yet been found.

We can only use some drugs and treatments to try to delay the deterioration of her intestinal tract.

Originally, I was not a chief physician with two specialties, but just to help her treat her illness, I kept studying hard, consulted various materials, and actively participated in solving various difficult clinical cases, doing scientific research with others late at night, and then I became a doctor. In a short period of time, he reached the level of deputy chief physician.

Although I have obtained the qualification of chief physician in gastroenterology, it has not been long since I was promoted to a full-level position, and I think my level is very limited.

Jingsheng, my brother has never asked you for anything.

If possible, I hope you can work hard to improve your colonoscopy skills during this period and strive to make her colonoscopy safer. "

After all, Lian Tao, who is in his 40s, would definitely not ask for help easily.

In order to treat the female patient he liked, he was even willing to ask Li Jingsheng.

"Brother Tao, let's not talk about anything between us brothers. I know the relationship between you and the female patient. Even if you don't tell me, I will try my best to improve the level of colonoscopy.

Give me a little time, a month at most, and I will work hard to reduce the destructive power of the colonoscopy to less than 0.8. "

Li Jingsheng said sincerely.

The implantation technique has now reached proficiency. If you want to advance to the next level, you will need nearly [-] health points.

It's not the hardest.

Because his doctor level is currently only deputy chief physician. Although he has long wanted to upgrade his doctor level to another level, he has too many medical skills that need to be upgraded.

No matter how fast you earn life points, you can't keep up with the speed of flowers.

It takes [-] health points to be promoted from deputy chief physician to chief physician.

During this period, he worked hard to practice medicine and accumulated more than 400 doctor level experience points.

In other words, if you want to be promoted to director, you need at least more than 500 health points.Including the more than 900 points for the ascending implantation surgery, the total is more than 400 points.

With so many health points, even if you work hard and earn an average of [-] points a day, it will take nearly a month.

The only hope is to get some health bonuses.

Especially the large health bonus.

It's just that as he has earned all the rewards he deserves, the chances of getting health rewards during surgery are becoming less and less.

Just now, he helped Lian Tao diagnose two difficult cases and earned a bonus of [-] health points.

"If you need me to provide hands-on practice opportunities, as long as you have time, I will arrange it here. I guarantee that you will never finish all kinds of colonoscopy patients."

Lian Tao knew that the conditions of his clinic were poor.

The number of colonoscopy patients in the Second Hospital is limited.

That's why he took the initiative to create convenient conditions for him.

The People's Hospital can't wait for colonoscopy patients at all, especially painless colonoscopy, which has been scheduled for several months.

"No need for now, I will come back to you if necessary. Now go to the ward to see the patient with diarrhea! I should go back later."

"Go, I'll take you there."

Lian Tao took him to the ward.

The patient is an extremely thin old man with snow-white hair and his beard, which may not be shaved, is a bit long and a bit messy.

Family members stayed by the hospital bedside.

After saying hello, Lian Tao introduced Li Jingsheng's identity.

"This is Dr. Li Jingsheng. He is very good in many medical fields such as gastroenterology, cardiovascular medicine, and respiratory medicine. After checking your information just now, I want to come to the ward to have a look."

When Lian Tao introduced him, he was somewhat flattering.

Everyone basically follows this routine.

In front of patients and their families, it is natural to elevate the consulting doctor.On the one hand, it can make the consulting doctors feel respectable, and on the other hand, it can also make family members and patients feel valued.

Inviting an expert to come for consultation and inviting a resident physician to come for consultation are completely different psychological feelings for the patient.

"Thank you."

The old man thanked Lian Tao and Li Jingsheng weakly.

"Should be."

Li Jingsheng looked at the patient's face. His face was pale and showed a serious illness.

He just seems to be in good spirits.

Logically speaking, if a patient is so ill, he must be mentally depressed.

The doctor who treated me also wrote the same thing.

But after seeing the real person, Li Jingsheng found that the patient's spirit was much better than expected.

"How have you been eating lately?"

"I feel like vomiting after eating even a little bit, and I can't eat any more."

"Can you still move your arms and legs?"

"My hands can still move, but I need help when walking on the ground."

Li Jingsheng looked at the bedside, where there was a notebook and manuscript paper beside the patient's pillow.

"Are you still writing even though you are sick and in the hospital?"

You can see that there are many dense words written on the manuscript paper, as well as some formulas.

He didn't know what the old man did.

"To make you laugh, I just want to finish writing this book before I die. I can feel that life is coming to an end little by little. So as long as my body still allows, I want to insist on finishing the book. When the time comes, stay It can also provide a reference and learning basis for future generations.”

The old man talks freely and is open-minded.

Sure enough, as Lian Tao said, this is an admirable old man.

"You don't have to be so pessimistic. Modern medical technology is already very advanced. I believe it will be able to help you realize this wish. It may even help you live another ten or 20 years."

Li Jingsheng comforted the patient.

As he spoke, he lifted the quilt and examined the patient's feet.

No obvious edema of the lower limbs was found, and the skin tone looked a little dull, but everything else was fine.

The patient's blood volume decreases, it is difficult to supply blood to the terminals, and the color of the legs is unsightly, which is normal.

"You can massage his legs! These two muscles in the legs are called the second heart. They can help him improve his terminal blood supply and reduce the work pressure on the heart."

Li Jingsheng said to his family.

(End of this chapter)