Gou is practicing medicine in the clinic

Chapter 404: Strange bleeding, a great success even before the operation was done

He knew very well that if he could not find a way to gain Li Jingsheng's understanding as soon as possible and regain the respect of his colleagues, he would soon be unable to stay in this small group.

But how to get Li Jingsheng’s understanding?

He has thought about this question countless times.

It's a pity that no good solution has been thought of.

Li Jingsheng ate with Ou Qinglan in the cafeteria. He felt particularly happy having a girlfriend.It would be even better if I could marry her home.

After all, it’s still a long night and it’s hard to sleep alone.

While he was eating, his cell phone rang.

"Boss, there is a patient who came to you specifically for treatment. He said that he saw on the Internet that you helped the paralyzed woman successfully diagnose the cause of the disease, so he came to you specifically."

The call was from Tang Ping.

In Li Jingsheng's absence, she basically handles all matters in the clinic.

"Where did the patient come from? What are the symptoms?"

After becoming famous recently, some patients from other places come to him specifically for treatment.Many of them are difficult and complicated diseases, or some incurable diseases.

Currently there are many diseases in medicine for which there is no specific cure.

"He said there was blood in his urine and his stool was black. After many days of treatment in the local county, there was no effect. He was originally going to transfer to a provincial hospital, but the beds there were full and he had to wait. So he came to our clinic. He was from Came from Lishan."

"You came so far! Did you bring his test results with you?"

"I brought it with me! The information is quite complete, including the biochemical and imaging test results."

"Have Luo Cheng and Shao Bing seen it?"

Among the several doctors at Li Jingsheng Clinic, Luo Cheng is a general practitioner and can treat all kinds of diseases.

It's just not very powerful.

Compared with the boss Li Jingsheng, there is still a big gap.

This is also a common problem among general practitioners.

Shao Bing is quite powerful and is proficient in many fields of internal medicine.Just a bit old.

He is also considered a late bloomer.

After being hired into the clinic by Li Jingsheng, it is currently developing well.

His medical skills continue to improve, his income is considerable, and he and his ex-wife have successfully remarried.It can be said that old age is a blessing, but it is extremely prosperous.

"They have already looked at it and said that they cannot diagnose it. Dr. Shao thinks that the patient's condition is very dangerous and recommends that the patient go to a large hospital for treatment."

Tang Ping was reminding Li Jingsheng that something might happen to this patient after receiving treatment.

When Li Jingsheng is away from the clinic, Shaobing, who is experienced and has good skills, basically serves as the 'technical director'.

It is up to him to decide which patient cannot be treated.

Out of respect, sometimes when encountering something he was unsure about, Shaobing would ask Li Jingsheng for instructions before making a decision.

He said that this disease is very dangerous, which means that patients are at risk of death.

"Let's do this. You take a photo of the patient's information and send it to my phone, and I'll take a look."

Li Jingsheng decided to take a look before talking.

After all, people came all the way to find him.

Being famous online is a good thing.It can greatly increase the outpatient volume of Sunshine Clinic, and there will be an endless stream of patients coming for treatment.There are also problems.

Many of these patients have complex conditions whose causes are difficult to diagnose or far beyond the ability of clinics to treat.

Small clinics have limited equipment and technical capabilities.

We dare not admit even more critical patients.

Otherwise, if someone dies in the clinic, who can bear the responsibility?
Tang Ping quickly sent the patient’s examination information.

The patient is a 57-year-old male. Recently, he developed black stools and bloody urine. It took nearly half a month before he went to the hospital for treatment.

This makes people really speechless.

If you have blood in your urine, if you are a young person, you will definitely be scared to death.

After discovering an abnormality, they will rush to the hospital for treatment as soon as possible.

The patient held firm for half a month before going to the hospital for treatment.Coming from a county town, the economic conditions may not be very good.

People are poor and their lives are low.

Rich people don't care about how much money they spend as long as their health is in trouble.

There were also some very strange words written in the consultation information.

After the patient developed a problem, he purchased blood-activating pills and painkillers at a local clinic.

What kind of magical patient is this?
No wonder I have blood in my urine and black stools, and I dare to stay at home for half a month.

It turns out that he is his own doctor!

If it's a minor cold or ailment, it's okay to be your own doctor.If his symptoms are so severe, there must be internal bleeding. It is almost difficult to cure it by buying medicine by yourself.

When a patient buys painkillers, it means there is obvious pain in the body.

Where is the pain?

He then checked the consultation information.I thought the patient might have abdominal pain, but unexpectedly it turned out to be joint pain.

This made Li Jingsheng immediately alert.

Joint pain involves bone disease.

Li Jingsheng should be relatively good at treating bone diseases.

Blood in the stool and joint pain made him first think of serious diseases such as leukemia.

The patient's symptom description also mentioned dizziness and fatigue.

It even made Li Jingsheng suspect that the patient's cause was probably leukemia.

Because of this disease, abnormal coagulation function will occur, the nose will bleed for no reason, or it will be extremely difficult to stop bleeding after injury.

"The temperature is normal, 36.8 degrees."

Under normal circumstances, the initial symptoms of leukemia patients are quite similar to those of a cold, with fever.

Often a low-grade fever persists.

But this patient's body temperature is normal.

Moreover, the patient responded and had no similar medical history.This onset of illness occurred suddenly without any warning or obvious cause.It is not difficult to diagnose patients with abnormal bleeding in their bodies.

If the liver is abnormal, it can cause blood clotting problems.

Also, bleeding in the stomach and intestines of the digestive tract can lead to black stools.

In cases of gastrointestinal bleeding, there is often only melena and no hematuria.

The cases that can stump the county hospital are indeed not simple.

He checked the patient's routine blood test results and found that the hemoglobin was low and the white blood cell count was high, reaching 12.4 times ten to the ninth power per liter.Normal count values ​​generally do not exceed ten.

If the white blood cell count is high, could it really be leukemia?
But the patient's platelet count, PLT, is 289 times ten to the ninth power per liter.

This made Li Jingsheng, who originally highly suspected that the patient might have leukemia, immediately denied the initial diagnosis result.

Next, he read all the patient's other biochemical test results.

The patient tested negative for hepatitis B virus markers.

Anti-hepatitis C virus antibodies were also negative.

This basically rules out viral infection of the liver, or hepatitis.

However, the patient's coagulation test was significantly higher than normal.

Indicates that the patient has a problem with coagulation.

Li Jingsheng frowned and looked at the patient's other examinations, including imaging examination results.

No obvious tumors or other abnormalities were found in the chest and abdomen.

The diagnosis of this disease immediately put him in trouble.

If the coagulation time is prolonged, the first suspect must be the liver.

He was about to think about it again, and Ou Qinglan should have received a notification from Professor Wu.

"Honey, can you go to the operating room and help our second team perform an operation today?"

Every time she asked Li Jingsheng for help, she would use this particularly gentle tone.

If a man is capable, his status in the family will not be too bad.

"When?"

"Now."

"You did this premeditated, right? After you saw me finish eating, you asked me to do the surgery for you."

Li Jingsheng said with a smile.

"Haha, you saw this all! Yes, I had a plan. Our group was criticized during the morning meeting today. The number of surgeries performed last month was far lower than other groups, and the income was also poor. There are also five patients who have various problems after surgery. One of them has now complained to the Health Bureau and wants to file a lawsuit with our hospital. Professor Wu keeps a calm face every day.

I guess if he didn't care about you, he would have scolded me a long time ago.

After all, even Ruan Xiaoqin from our team has been scolded by him several times. "

Being a team leader is the dream of many doctors.

But after actually leading the team, the pressure became even greater.

The powerful team leader is naturally cheating all the way, constantly leading the doctors in the team to fight and make achievements.

Team leaders like Professor Wu are often in awkward situations.

Bone cement research is a unique project at the Second Hospital, but its audience is very small.

When patients hear that cement needs to be injected into the bones, many people are afraid.

Will not agree.

This has also resulted in Professor Wu’s performance failing to improve.

According to the current rapid development trend of orthopedic surgery, if Professor Wu does not make some achievements, he may be squeezed out soon.

The department cannot waste too many resources in his hands.

"Qinglan, as I told you last time, have you ever thought about changing to a different group?"

Li Jingsheng asked her.

From a profit perspective, he felt that Professor Wu's second group would be finished sooner or later.

It's better to let your girlfriend jump directly to Zhong Hu's group.

Zhong Hu currently does not have any powerful doctors. It is true that he has a bad temper, but Director Zhong Hu is also very capable.Directly proportional to temper.

Ou Qinglan's current basic surgical skills, especially suturing, are already quite good with Li Jingsheng's teaching and help.

If he joins Zhong Hu's group, he should have good development.

At least it gets attention.

It's better than hanging around in Professor Wu's group.

"I don't want to change teams. Now I'm familiar with my colleagues. If I suddenly change teams, I won't be able to behave well in the department in the future."

She refused.

This was her second refusal.

"Are you worried that others will say that you are courting Qin Muchu?"

"Of course! We girls are not like you men. We are thin-skinned after all. If I want to survive in the Second Hospital, if I jump to another group at this time, I will definitely get poked in the back."

She has her own concerns.

"Okay! Let's go, I'll do the surgery with you. But you have to hurry up, I have to go back to the outpatient clinic for a consultation later."

Li Jingsheng had no choice but to rely on his girlfriend.

The two went directly to the operating room.

Professor Wu has actually made such sufficient preparations. The old fox’s calculations are quite deep.

After entering the operating room, I saw Professor Wu and his doctors already making preoperative preparations.

"Professor Wu, I brought Li Jingsheng."

"Okay, very good! You are the hero of our second team."

Professor Wu said two good words in a row.

There was an obvious smile on his face, and there was a hint of relaxation deep in his eyes.

(End of this chapter)