Gou is practicing medicine in the clinic

Chapter 446 Great harvest, Director Bi’s plea

In a fold, he found a polyp with a diameter of more than 0.5cm.

It has a large base and a faint pedicle on its surface.

The boundaries are quite clear.

Like this, there is still the possibility of malignant transformation.

Theoretically speaking, clinically it is believed that polyps below 1cm pose no threat.But it takes at least two years for a polyp to grow from zero to 0.5cm.

Li Jingsheng believed that the polyp needed to be removed.

"Brother Lian Tao, I think this polyp needs to be removed now. Can you ask the family to come in and talk about it?"

"No problem, just leave this little thing to me."

Lian Tao can get a 400 yuan bonus for undergoing a colonoscopy surgery, so he is very motivated.

He ran out on the spot to find the family members and after a brief communication, they brought him in.

"Come and take a look. A hidden polyp is found in your husband's ascending colon. The diameter is close to 0.6cm. Its base is very wide and has a clear tendency to expand. There is also a faint formation of a polyp here. Pedicle. According to my personal clinical experience, polyps like this have a greater risk of becoming cancerous. They can be considered early-stage intestinal cancer.

And it takes at least two years for it to grow this big.

According to your husband's feedback, the last time you had a colonoscopy was not long, only a month.There are two possibilities for this polyp. One is that it was not discovered during an ordinary colonoscopy because it is relatively hidden.There is also an unusual situation where it may have been very small when last checked, but has grown to such a large size in a very short period of time.

Then the problem is even more serious.

No matter what the situation is, I recommend removing this polyp immediately. "

Li Jingsheng briefly explained the situation to his family members.

This polyp can also be clearly seen.

"It's up to you, go ahead! Since we have chosen to seek your services, we trust you."

The family agreed to the resection.

The next signing and price increase became a matter of course.

There will definitely be a price increase for polyp removal.

For ordinary colonoscopy to remove polyps, if the patient can tolerate the pain, the cost will be around [-] to [-] yuan.

Painless colonoscopy is for convenience of surgery.

Mr. Wan's family is very well off and money is not an issue at all.

In fact, when a problem like this is discovered, the money spent is only a small amount of money.

Otherwise, when the polyp becomes malignant, the cost of subsequent treatment will be very expensive.

And whether it can be cured is still a question mark.

For all diseases, early treatment is the most cost-effective and trouble-free way.The longer it takes, the more trouble it will be.

Li Jingsheng removed the patient's polyp and used electrocoagulation to stop the bleeding.

Whether it was mucosal peeling, resection, or hemostasis, Lian Tao next to him was amazed.

"Jingsheng, I thought you were good only at colonoscopy, but I didn't expect that your surgical skills are already so great. My original suggestion that you receive high-end colonoscopy services was definitely my wisest suggestion. How many patients will this benefit?" "

Although Lian Tao's words are a bit exaggerated, for patients, it is indeed a blessing to meet a brilliant doctor who is both internal and external.

It is also a very lucky thing.

"I think that being able to form a team with you, Yani, and Munro is the wisest thing."

Li Jingsheng said with a smile.

Yani also smiled after hearing this.

She likes to be praised.

Li Jingsheng's recognition of her made her feel particularly happy.

"A large polyp that may become malignant has been found. Do we still need to continue the investigation?"

"I think it's necessary."

Li Jingsheng replied seriously.

"The patient knows his body best. He reported abnormalities in his body, which were either hypothetical or real problems. His body is quite obese, which will undoubtedly increase the risk of disease.

It is our obligation and our responsibility to give him a thorough colonoscopy. "

As the founder of the team and the de facto surgeon, he must be responsible for the patient.

Colonoscopy continues.

The entire colon was examined and no new polyps were found.

Li Jingsheng continued to deeply explore the ileum and found a small polyp.The diameter is estimated to be only about 0.2 cm.

Polyps like this are generally left alone.

Li Jingsheng carefully inspected the polyp and found that the border was clear, the surface was smooth, and the color was normal and ruddy.

He checked the location of the polyp, which should not cause the patient much discomfort.

The patient may not even notice it.

After thinking about it, Li Jingsheng decided to remove it.

After all this is done, the colonoscopy is basically over.

If it is an ordinary painless colonoscopy, it can indeed be over.Because after the investigation was completed, there was a great harvest.

When Li Jingsheng withdrew the mirror, he still examined the patient carefully out of a sense of responsibility.

See if there are any fish that have slipped through the net?

No new problems were found, and the colonoscopy was completed.Two polyps, large and small, were cut out and sent for examination.

After the patient regained consciousness, he felt very lucky to learn that a hidden early-stage cancerous polyp had been found.

Just because I just woke up from anesthesia, my brain is still a little groggy and I need more rest.

Hospitalization arrangements will be made by the People's Hospital.

This is a good thing for the People's Hospital, so we are naturally willing to cooperate.What's more, Lian Tao has become a member of Li Jingsheng's team, and he is also responsible for this colonoscopy surgery. It is not difficult to admit him to the hospital.

The only problem is the shortage of beds.

Basically, this problem exists in popular departments of all large hospitals, and this can only be coordinated by Lian Tao.

In fact, at Lian Tao's level, and on one-third of an acre of land in his own department, adding a bed is not as difficult as imagined.

If that doesn't work, it's possible to borrow a bed from a brother department.

Also, the People's Hospital has flexible temporary beds.

It's easier to solve.

Now we are waiting for the pathological biopsy results of those two polyps.

After the operation, Li Jingsheng returned to the clinic, and it was time to divide the spoils again.

The red envelope given to Yani was 600 yuan, while Meng Luo’s was still 200 yuan.

Lian Tao gave him an extra two hundred, which was an introduction fee for Director Tian.

Although 200 yuan is not much, it is still a considerable amount of extra income to receive fifty or sixty colonoscopy surgeries a month.

For Director Tian, ​​it is actually just sharing the patient's information.

After Li Jingsheng finished his work, he took a shower and prepared to go to bed early.

I have been really busy recently, and my body has begun to suffer from a decline in immunity due to lack of sleep.

Just halfway through washing, I heard my cell phone ringing.

I couldn't answer it, so I had to finish washing quickly, get dressed and check who called.

It turned out to be Director Bi of the General Surgery Department of the Second Hospital.

Li Jingsheng saved Director Bi last time, which made the relationship between Director Bi and him instantly become much closer.

Until now, Director Bi is still on sick leave.

"Xiao Li, are you sleeping?"

"No! You haven't rested so late? How is your body recovering recently?"

"Haha, thank you for your concern. Because my condition was discovered in time, the prognosis is not bad. I estimate that I can return to work next week and continue fighting. But Shenwai also said that I can no longer work as hard as before. I may be slower in the future. We must quickly cultivate a group of successors and strive to carry forward the general surgery department."

Director Bi has devoted his whole life to the operating room.

Most of the time and energy are devoted to the development of general surgery.

This is a senior who deserves respect.

"There are many talented people in the general surgery department. I think your idea is very wise. What is the saying? Children and grandchildren will have their own blessings! You have trained them very well and slowly add more burdens to them. I believe I will definitely take over your responsibilities and develop the general surgery department even more powerfully.”

Li Jingsheng has a deeper understanding of medical inheritance.

Dr. Xu passed down his bone-setting skills to him. After Dr. Xu collapsed, he was able to take over the burden and continue to provide services to patients.

He was later stabbed in the arm by a psychopath and forced to rest.

During that time, if some of the doctors under my command can learn, they can also take on heavy responsibilities.

Therefore, he stepped up his efforts to train several of his doctors.

I also have more mind and tolerance as a teacher, and I also have the ingenuity that a teacher should have.

"Haha, you can make people happy! I am a member of my own family and know my own affairs. The general surgery department seems to be full of talents, but for the time being, there is no role that can take the lead. On the other hand, you are blessed with talents in all aspects. If you can Entering the development of our general surgery department, given time, we will definitely become a leader. I have this confidence."

Director Bi responded with a happy smile.

"By the way, I'm calling you because I want to ask you for help."

"If you need anything, just ask."

Li Jingsheng's tone also became serious.

"Our General Surgery Department admitted a patient who was transferred from the Department of Gastroenterology. He originally had an operation because of acute intestinal obstruction. But since the operation, the patient has had a series of adverse reactions, which makes me very worried. . The chief surgeon, Dr. He Qingzhi, just called me to report the situation. I am still recuperating and cannot return to work, so I would like to ask you to help check on the patient."

Director Bi made a request.

After hearing this, Li Jingsheng secretly sighed in his heart that his life was miserable.

He declined politely and said, "You think too highly of me. Even Director He of the General Surgery Department couldn't handle the patients. I was completely useless in the past!"

The General Surgery Department has become the strongest department of the Second Hospital not only because of the good operations, but also because of the overall strength of the doctors.

In particular, several chief physicians, deputy chief physicians, and even the following attending physicians all have very high standards.

Li Jingsheng would never dare to ask Da to run over and show his shame.

"No, no, no, I know that you have unmatched ability in difficult cases that other doctors can't match. This patient's condition is very serious, and I'm worried that something may happen if you don't handle it well. Can you please go to the hospital now? If it's true, If it can’t be solved, I’ll think of another way.”

Director Bi's tone was almost pleading.

For the director and chief physician of the general surgery department to ask for help from a junior attending physician, it means that there is really no other way.

In terms of diagnosing difficult cases, Li Jingsheng does have advantages that other doctors cannot match because he is proficient in multiple medical fields.

"Okay, I'll rush over right away. But you can't put too much hope in it."

Li Jingsheng agreed.

(End of this chapter)