Gou is practicing medicine in the clinic

Chapter 440 The upper beam is not straight and the lower beam is crooked with black stripes
This price is already very expensive for ordinary people.

After all, it’s just a regular colonoscopy.

In some hospitals, a common colonoscopy can be done for only three to five hundred yuan.He charges almost ten times that.

"The price is no problem, safety is the most important thing."

Mr. Lan accepted the price very happily.

For the truly wealthy, 3000 yuan may only be enough for a meal.

Some dandies or the young rich generation who have made a lot of quick money can order takeout for as much as 3000 yuan to [-] yuan.In the eyes of that kind of people, money is not money, just a number.

Li Jingsheng does not have high requirements for wealth. He is satisfied as long as he can achieve primary wealth freedom.

Now with Sunshine Clinic’s earning power, this requirement must be changed.

As long as nothing happens and he can develop steadily, it will be just around the corner for him to become a truly rich man.

With money, you can do many things.

Recruit troops and absorb more top medical staff.Buy equipment, space, conduct scientific research, etc.

If you want to build Sunshine Clinic into a world-class clinic, you will definitely need funds.

He basically doesn't consider things like financing.

Financing also means having more than one speaker, which will seriously affect his decision-making.

Relying on your own abilities and slowly accumulating, although the development is not that fast, it is stable.

And I can always guarantee that I have the final say on my territory.

Li Jingsheng showed the prepared agreement to Mr. Lan for review.

"Secretary Yang, check it out."

Mr. Lan waved his hand and handed the agreement to the female secretary.

Two family members stood nearby and did not comment.

"There is no big problem with the content of the agreement, and the rights of both parties are guaranteed."

"Then please sign. Not only the patient himself has to sign, but also his family members." Li Jingsheng motioned to Munro to take out a pen and let the patient sign first.

The agreement is made in two copies, with each party holding one copy.

“If a polyp is found during the exam, do I need to remove it?”

"Let's make an impromptu decision when the time comes!"

"Okay. Let me make it clear in advance that the 3000 yuan is just for a colonoscopy. If polyp removal surgery is required, additional charges will be required. Of course, I definitely hope that your intestines do not have any polyps or other lesions. "

Li Jingsheng signed the service agreement with the patient.

There is no problem with the procedures.

"Doctor Li, my Lao Lan is leaving it to you."

Mrs. Fu said to Li Jingsheng.

"Don't worry, we will definitely provide the best service. You can just wait outside the endoscopy room. If anything happens, we will discuss it with you at any time."

Push the patient into the colonoscopy room and Li Jingsheng presides over it.

But Lian Tao was also there to 'guide'.

Yani plays the role of an anesthesiologist.

Medication for colonoscopy is usually done intravenously, and the risk is very low.It’s not the general anesthesia or spinal anesthesia, epidural anesthesia, etc. that you imagined.

Yani's main role is to closely monitor changes in the patient's physical signs to ensure patient safety during colonoscopy.

Munro served as mirror holder.

The colonoscopy started soon, and the patient asked to shake the head up so that he could see the colonoscopy screen.

Li Jingsheng controlled the colonoscope and inserted it into the patient's intestine little by little.

Because the patient was quite obese and had a lot of abdominal fat, his intestines also became very fat.

This is the kind of person I'm talking about.

Obesity is not a good thing, but the enemy of health.

"Is it difficult to defecate at ordinary times?"

After Li Jingsheng checked the rectum and colon, he asked the patient.

No polyps were found.

Colonoscopy not only detects polyps, but also detects enteritis, intussusception, tumors, intestinal ischemia, cysts, hemangioma, etc.

"Correct!"

After the patient admitted, he looked at Li Jingsheng with a hint of trust.

This kind of person believes in no one except himself.

If he was born in ancient times, he would probably be a powerful figure like Cao Cao.

This can be seen from the fact that his wife and children dare not interrupt at will.This person must be very strong at home, and he is right to the point.

It’s not a matter of machismo.

People with this kind of personality often fall into two extremes. They are either in a quarrel with each other, making everyone in their family live in fear and fear, not daring to disobey in the slightest.He was beaten and scolded at every turn.

Another way is to make achievements in your career, have money, and be successful in your career, and treat your family well.

"Do you feel slight swelling and pain on the left side of your belly button when you defecate?"

"Hey, the young man is quite capable! You are right, I really have this symptom."

Patients have more trust in Li Jingsheng's medical skills.

"The rectum and colon appear to be in pretty good condition at the moment. Difficulty in defecation is related to the narrowing of some areas of the intestine. Pain in the left abdomen when straining to defecate, it is likely that there is a small hemangioma in this location.

Personally, I think there is no risk if you don't deal with it.

If treatment is needed, you can see a general surgeon for further examination to see which treatment option is suitable. "

Li Jingsheng explained some basic information to the patient.

This patient is obese, and the difficulty of colonoscopy is higher than that of ordinary people.

Obesity leads to excess abdominal fat, narrow intestinal lumen, and even possible intestinal malformation and electrolyte imbalance, which will affect colonoscopy.

Spending [-] yuan to ask Li Jingsheng to do this colonoscopy was a very correct choice.

It also allowed Li Jingsheng to open a ticket smoothly.

Yani's current performance is quite satisfactory, and it's hard to tell whether her level is high or low.

Reflecting the level of a doctor, he often needs to encounter some diseases that are difficult to diagnose and treat, or encounter emergencies such as rescue.Li Jingsheng was satisfied with her performance.

But if I want to say there are any special highlights, there really aren’t any.

"Okay, thank you for your hard work! As long as there is no problem, can you remove the mirror?"

During the colonoscopy, patients kept their eyes glued to the screen.

I don't know if he can understand it.

A narrowing of the intestine may be visible to the patient.

But more experience is still required.

Professional doctors like Li Jingsheng can easily judge it.

"I suggest you check the condition of the ileum again. Because you are relatively obese, colonoscopy is difficult. I estimate that even if you usually undergo a colonoscopy, you rarely check the condition of the ileum."

Li Jingsheng's suggestion was certainly not made casually.

There is a saying that the upper beam is not straight and the lower beam is crooked.

This theory has certain reference significance in colonoscopy.

At least according to his diagnostic experience, when a patient has abnormalities in the rectum or colon, and if the patient has symptoms such as obesity, constipation, diarrhea, or occult blood in the feces, the upper part of the intestine is also worthy of investigation.

Sometimes, a gastroscopy is even needed to check the condition of the stomach, duodenum and other parts.

"The doctor told me about this problem. My colonoscopy is indeed difficult. They said that this will increase the risk of colonoscopy. They also told me that if there is no obvious discomfort in the body, the ileum does not need to be examined. . A close gastroenterologist also told me that based on their experience, the small intestine is generally not prone to problems."

The patient seemed less interested in Li Jingsheng's proposal.

It can be seen that he cares more about the safety of colonoscopy.

Any examination with higher risks will be chosen carefully.

“If I could make a colonoscopy safe, would you like to look at the ileum?”

Li Jingsheng asked.

"Well, that's fine."

The patient agreed.

"Okay, I will operate carefully. As long as there is a greater risk, I will stop immediately."

Li Jingsheng controlled the colonoscope and continued to penetrate deeper.

The patient showed a distressed expression.

This is a normal phenomenon during a colonoscopy.

If you have a painless colonoscopy, these reactions will not occur.People are asleep, and after waking up, there is basically no discomfort.

Unless the doctor's skills are poor and the intestines are stabbed or ruptured.

As the colonoscope penetrates deeper into the ileum, advancement becomes more difficult.

The intestinal lumen of the small intestine is not as spacious as the large intestine.

"Huh? This thing doesn't look like normal intestinal tissue."

Li Jingsheng made a major discovery.

The normal intestinal lining is pink or the mucous membrane is white.

There is a black stripe about three centimeters long at this location, and there is an obvious bulge.

It looked like a blood vessel in the inner wall of the intestine had proliferated and mutated.

"It is indeed not normal intestinal tissue. Even the blood vessels cannot be black."

Lian Tao also said beside him.

Although Lian Tao is well-informed, this is the first time he has seen such black stripes on the intestinal wall.

No one knows what it is.

"It seems hard."

Li Jingsheng said after further inspection.

The patient is glued to the screen.

"Do you usually have any obvious symptoms in this area? For example, pain."

Li Jingsheng accurately positioned the upper abdomen to facilitate patient identification.

"There didn't seem to be any symptoms. When I was in my 20s, I had stomach pain for a while, but it gradually got better. At that time, because I was poor and studying in school, I never saw a doctor."

The patient provides a message.

"Why did you have a stomachache at that time? Did you have a stomachache after eating something or was it an injury?"

Li Jingsheng immediately asked about the medical history.

"I'm really not sure about this. Because I was poor at that time, I didn't pay much attention to food. Basically, it was enough to fill my stomach. I don't have any symptoms now. This small black stripe should have nothing to do with it, right?"

Patients don't want to get involved.

Almost the vast majority of patients think this way.

As long as the body has no symptoms, it is generally not treated.

"It feels hard and I don't know what it is. If you are willing, I can take a specimen and send it for biopsy to clarify its nature."

Modern science is highly developed.

A biopsy can determine the composition of a tissue sample.

Whether there is cancer or infection can be detected.

"Okay, you take a specimen and check it out."

The patient agreed.

Li Jingsheng took the specimen on the spot and sent it for examination.

The results won't be available until at least tomorrow.

After the colonoscopy, there were no other findings.

"Your intestinal condition is generally very good. Continue to maintain a reasonable and healthy diet, and if possible, it is best to lose a little weight."

Li Jingsheng withdrew the colonoscopy.

and gave some suggestions.

(End of this chapter)