Gou is practicing medicine in the clinic

Chapter 437 Dangerous aneurysm, the first single colonoscopy business

He tried putting gentle pressure on the patient's neck with his stethoscope.

It's exactly where the lump is.

As the carotid artery pulses, the mass makes a strange "sizzling" sound.

It sounds a bit like "la la la" again.

It feels like the sound made by a balloon being inflated to the extreme.

And this sound is very regular, and this kind of murmur occurs only when the arteries are pulsating.When the artery finished beating, the strange sound disappeared.

Li Jingsheng listened carefully.

It is basically certain that this mass does not make any sound when the heart relaxes.

It makes that strange sound when the heart contracts.

"If it is a tumor, it cannot be at the same frequency as the heart. Only aneurysms will have a close connection with the heart."

Li Jingsheng made a judgment instantly.

It is basically certain that the mass is an aneurysm.

Such a large aneurysm, and it is in such an important position in the neck, once it ruptures, the consequences will be disastrous.

The patient's neck pain has escalated from mild pain to severe pain, which itself is a serious warning sign.

Thinking of this, Li Jingsheng couldn't help but break into a cold sweat.

This tumor may rupture at any time.

Aneurysms are like time bombs installed in the body that may explode at any time.

"Dr. Li, do you hear what's wrong? Isn't it cancer?"

The patient seemed quite nervous.

In this case, the patient's emotional stability is very important.If you are too emotional, it can easily cause your blood pressure to rise rapidly.By that time, the aneurysm, which is already on the verge of rupture, will easily rupture.

"Don't worry, based on my many years of medical experience, I can confirm that this mass is definitely not cancer."

Li Jingsheng first gave the patient a reassurance.

The patient's expression was obviously much more relaxed.

This is exactly the effect Li Jingsheng wants.

"Is your home far from my clinic?"

"It's a little far, what's the matter?"

"It's okay, just asking casually. Did you come by bus?"

"I drove here by myself, and the car is parked outside your clinic."

She didn't know why Li Jingsheng asked her these topics that had nothing to do with his illness.

Out of politeness and respect, she answered truthfully.

"Married?"

"Oh, are you still single and looking for a girlfriend?"

She covered her mouth with a shy smile on her face.

"I'm already married! But for an outstanding man like you, I can introduce my female classmate to you."

"Haha, let's discuss this matter another day. Can your husband come over now?"

Li Jingsheng tried his best to keep the chat atmosphere relaxed.

With all conscience, he really had no thoughts about this female patient.

"He's at work! Why do you want him here?"

No matter how stupid a woman is, she realizes something is wrong.

"The mass on your neck may be caused by a blood vessel problem. I can't do this examination here, you can only go to a big hospital for examination. But to do this examination, family members need to accompany and sign. Your spouse is the first relative. He has the authority to sign, so I suggest you call him now and take you to the hospital directly."

Li Jingsheng tried his best to speak tactfully so as not to make her nervous.

"That's right! Then can't I just drive to the hospital directly, register first, etc., and then ask him to rush to the hospital too?"

"You can't drive anymore. It's best to call your husband now and sit in my clinic and wait for him to come. I will also give him some precautions. Now that you are sick, don't Thinking about it again will affect his work. Husband, isn’t it just for solving problems at critical moments?”

Her current situation is very dangerous.

But I couldn't tell her directly. It was really not easy to get her to cooperate and hide it from her at the same time.

Fortunately, this female patient trusted Li Jingsheng very much.

"Okay, then I'll call him now."

The female patient took her mobile phone to the rest area and made a call.

After a while, she finished the phone call and came over.

"Dr. Li, I told my husband just now that he will take leave soon."

"Your husband loves you very much! Have you brought your ID card?"

"Bring it!"

"That's good. You can just sit over there and wait for your husband to come over. You can read the newspaper, watch videos on your phone, and so on."

After Li Jingsheng arranged for her, he continued to receive other patients.

Less than half an hour later, a handsome young man hurried into the reception hall.

After a brief conversation with the woman, the two went straight to Li Jingsheng's reception desk.

"Doctor, what's wrong with my wife? Is it serious?"

"You are her husband, right?"

"Yes, he is my husband."

The woman hugged her husband's arm, looking like a little bird clinging to him.

"Not only are you handsome, but you are also so considerate to your wife. No wonder you smile so happily!" Li Jingsheng praised the man. "There is a mass on your wife's neck. The results of my preliminary examination are that it is a blood vessel disease. She just wanted to drive to the hospital by herself. I didn't think it was safe, so I called you over.

Now take her to the hospital to register for a vascular examination.

The only thing to note is not to let her drive and to keep her emotionally stable. "Li Jingsheng gave a general explanation of the precautions.

She was not allowed to drive just now because her condition was very dangerous.

If she encounters an emergency on the road and brakes suddenly, she may be so nervous that the aneurysm ruptures.

"Then which department should we study in?"

"General surgery, cardiovascular surgery, etc. should be fine. I'll write you a description of the situation and just show it to the doctor who treats you."

Li Jingsheng wrote down the diagnostic ideas and handed them to the patient's husband.

The young couple thanked him and left together.

If nothing else happens, this female patient will definitely have to be hospitalized for surgery.

This time he did not recommend the patient to the second hospital, but let the patient make his own choice.

……

At around eleven o'clock, Lian Tao from the People's Hospital called him.

"Jingsheng, are you busy today?"

"As usual, your girlfriend didn't have any abnormalities after the operation, right?"

Normally, patients can recover and be discharged from the hospital quickly after colonoscopy surgery.

However, Lian Tao's girlfriend is in a special situation. Her intestines are not very good. After having three polyps removed, it is easy for some unexpected problems to occur.

"The recovery is not bad. The main reason is that your colonoscopy skills are excellent."

Lian Tao smiled and praised him.

"By the way, did you mention that matter to your hospital leaders yesterday? I have a patient here who wants to make an appointment for a colonoscopy with a high safety factor. It doesn't matter if he pays a little more. For a pure colonoscopy, he can get it Three thousand, will you accept it?"

I just finished talking about cooperation with Director Tian from the Gastroenterology Department of the People's Hospital yesterday, and I had a job recommended to him today. Without even thinking about it, Lian Tao must be working hard to help him with the job.

A pure colonoscopy costing 3000 yuan is equivalent to earning [-] yuan while lying down.

Li Jingsheng would naturally not refuse such a good thing.

"I communicated with our director, and he wanted me to build an endoscopy room in the clinic. However, I felt that it was quite difficult, and it would be difficult to implement it in a short time.

During this period, I directly borrow the space and equipment of your hospital. This is the easiest way. "

When talking to good brothers, Li Jingsheng never hides anything.

Say anything.

"Your director is really petty. But there is one thing to say. Although it is difficult and the investment is huge for you to build an endoscopy room in the clinic, as long as it can be done, I think it is very good. It is indeed better than borrowing the space of any hospital. It’s more beneficial.”

Lian Tao also supported him in establishing an endoscopy room in the clinic.

"Have you accepted this job? If you open up, it will be easier to accept jobs in the future."

It can be seen that Lian Tao is sincerely interested in him and thinks of him in everything.

"Okay, let's take it then! Otherwise, I'm sorry for helping you with all the planning. When will you do it?"

"If possible, arrange for the patient to undergo bowel preparation today, and then the colonoscopy can be performed in the evening."

"Is he doing painless or normal?"

What Li Jingsheng thought was that he could find Yani to do a job.

He would like to take this kind of top talent under his command.

If the patient undergoes a painless colonoscopy, the fee may be higher.At that time, the money allocated to Yani will be more.

"Of course it's an ordinary one! This patient is a 71-year-old man with two real companies under his name and a lot of money. He just has a weird temper. For example, let's go for a colonoscopy. He has been having diarrhea recently, so he didn't check it. I found out the cause of the disease. I was worried about something bad, so I wanted to have a colonoscopy.

He wanted to see it with his own eyes and then demand that his safety be guaranteed.

I thought, hey, isn't this a patient tailor-made for you?So I recommended you to him.

They didn't lack the money, so they agreed without saying a word.

I thought since I was so rich, wouldn’t it be more comfortable to have a painless colonoscopy?After all, doing a regular colonoscopy is still a bit uncomfortable.

Unexpectedly, he was determined not to undergo a painless colonoscopy, but requested to remain awake during the colonoscopy. He requested to see the status of his intestinal tract with his own eyes. "

Lian Tao was speechless when he mentioned this patient.

Rich people generally have very unique temperaments.

There is no way around it, they are all successful people and it is understandable that they have more ideas than ordinary people.

"He wants to see the condition of his intestinal tract with his own eyes. Wouldn't it be different to just record a video?"

"How could it be the same? This patient doesn't believe in anyone but himself."

"Okay, then I'll come directly after work in the evening."

Li Jingsheng was quite happy.

I received my first order of business so quickly.

During lunch, he took advantage of this rare free time to make another call to Yani.

Nothing more than asking her to come over and help.

"Hello! Doctor Li, are you asking for the results? I haven't thought about it yet!"

"Don't worry about that, I have enough patience to wait for you. Today I received a colonoscopy business, and I will do it tonight because I have formed a temporary team. I have nurses, but I still need an anesthesiologist. Can you come over and help me? Are you busy? It's just a good opportunity for you to get to know me as a person and the content of our future cooperation."

Li Jingsheng said directly.

"This... okay! I'll come over to you later. What time is it in the afternoon?"

"You can go to my Sunshine Clinic at six o'clock. If you are close to the People's Hospital, you can go there directly."

"I'd better meet you at your clinic first! It's not far from your place anyway."

"Yes! Teacher Yani is welcome to come to my clinic as a guest."

Li Jingsheng successfully invited her and couldn't help but smile.

As long as there is the first cooperation, there will definitely be more cooperation in the future.

It was also a good opportunity to see how her level of anesthesia was.

(End of this chapter)