Gou is practicing medicine in the clinic

If the patient's necrosis occurs not in the small intestine but in the limbs, I believe a surgeon will know what to do.

For example, one finger was severely frostbitten.

Seeing that the blackening has begun and cannot be saved, the doctor will not hesitate to advise the family and the patient to choose amputation.There will be no sloppiness.

Now switching to the small intestine, Director He was hesitant. There were two main reasons. One was that it was difficult to determine whether the intestine was completely necrotic, and the other was that the small intestine was too important among the organs for nutrient absorption.

You really can't cut it easily.

The diseased intestinal segment is cut out and then the stumps are anastomotic.

Director He did the matching himself.

Even though Director He seemed a bit naive when diagnosing this patient, Li Jingsheng admired Li Jingsheng from the bottom of his heart for his surgical skills during the anastomosis of the ileum.

The method of anastomosis of intestines is basically similar to that of anastomosis of blood vessels.

The difficulty is not low.

With current medical technology, there are two methods of anastomosis.One is hand suturing, and the other is anastomosis using a stapler.

Hand stitching is still the mainstream method.

Because hand stitching is more reliable and flexible, the survival rate is more guaranteed.In addition, after the intestinal tube heals, the anastomotic stoma is less likely to develop stricture.

The advantage of the stapler is that it saves time, effort and is more efficient.

"Okay, after cleaning the abdominal cavity, do drainage, and then close the cavity!"

Director He completed the anastomosis and the inspection was correct.

Have your doctor close the abdominal cavity.

He himself carefully inspected the severed intestines.

"Dr. Li is quite capable. From the inside, it is basically impossible for this intestine to survive."

"When I touched them, they were indeed dead. When the pathology results come out, the condition may be clearer. This patient's condition is still very dangerous, and there is a tendency for multiple organ failure. I am afraid that he will need to undergo systemic surgery. Supportive care.”

Li Jingsheng is not particularly good at critical care medicine.

This patient gave him the feeling that he could develop into a serious condition at any time.

……

Three days passed in the blink of an eye.

The results of this patient's intestinal pathology section were finally released.

Consistent with Li Jingsheng’s diagnosis, the patient had acute hemorrhagic necrotizing enteritis.

Without Li Jingsheng's persistence, the patient's current situation would have been particularly bad.

He was sitting in the outpatient clinic, performing manual reduction and bone setting on patients with orthopedic injuries, when Director He came in a hurry.

Face full of excitement.

"Dr. Li, the surgical patient with intestinal obstruction is thanks to your persistence. Today he has begun to urinate. Although the urine output is not large, he has already urinated, and all abnormal data have begun to decline. When the pathology results come out, I will I know that if it weren’t for your insistence, I would have done the terminal ileostomy on the patient, which would have been a disaster.”

He Qingzhi looked scared.

"The patient's condition was indeed very dangerous at that time. I was not entirely sure at that time. I just felt that the patient was still very young, only in his 20s. If anything happened, the family might be completely destroyed. Now everything has changed. It is developing in a good direction, which is a good thing, and we, the patients and their families are all happy."

The happiest thing about treating patients is that their condition improves after treatment.

Especially for this kind of patient who is almost certain to die, if his condition finally improves after the wisest and most decisive treatment, he is really competing with the King of Hell for his life.

"I have nothing else to do here. I just can't help but feel the excitement and joy in my heart and want to tell you the news. In addition, if Dr. Li is free tonight, I would like to have a casual meal and let me thank you."

Director He successfully treated such a critically ill patient, which is a great credit.

It will be a big bonus for him to compete for the future department director.

Director Bi is currently recuperating. It is even more significant that he has cured such a critically ill patient.

"I'm afraid I can't do it tonight. I have to go to the People's Hospital after work. Let's wait for another day. Let's just wait until the patient recovers and is discharged. Then I'll treat you to dinner. I can operate with you and get to know you. With the high-level anastomosis, I gained quite a lot.”

The cooperation between Li Jingsheng and Professor Wang Weiwei and Professor Luo Binggang has been ongoing.

It's just that because of his busy work schedule, he doesn't have much time to do research together.

Now that it has reached the critical research stage, he, an important member, must take time to participate more.

Otherwise, the research progress will be seriously affected.

I am also sorry for the focused training of two top experts in cardiovascular medicine.

"Okay, let's make it a deal. When the patient recovers and is discharged from the hospital, we will make an appointment to have a drink. You're busy, I'm leaving."

He Qingzhi walked out for a few steps, then turned back and said, "Dr. Li, next time I have a condition that I'm not sure about, can I still ask you for help?" When making this request, He Qingzhi looked a little uneasy.

He looked at Li Jingsheng slightly nervously.

"Of course, as long as I have time, I am happy to serve you. Discussing difficult cases and critical cases is my favorite."

Li Jingsheng smiled and nodded in agreement.

"Haha, no wonder you can kill across departments. With such a hobby, it's hard not to do harm. Goodbye."

He Qingzhi left with a hearty smile.

Li Jingsheng promised to help him deal with difficult cases again, which made him feel particularly happy.

……

On this day, Li Jingsheng was sitting in the clinic.

Someone actually set off firecrackers outside the clinic gate.Jiangli City does not completely ban the setting off of fireworks, but it is generally not allowed to set off randomly in the streets.

Because it is easy to injure others.There are many safety hazards.The urban environmental pollution is also serious.

"Siying, go see what's going on outside!"

Li Jingsheng is most afraid that something will happen to a patient after treatment at the clinic.Family members ran to the clinic entrance to place wreaths and set off firecrackers.

I just paid the final payment for the clinic yard yesterday, and I'm planning to do something big.

But nothing can happen.

As soon as Han Siying arrived at the door of the reception hall, she saw two men rushing in carrying a large plaque.

The security guard Xiang Cansong followed behind with a helpless expression.

Looking at this situation, Xiang Cangsong should have tried to persuade these two people, but failed to do so.

"This is the reception hall, what do you want to do?"

Han Siying stopped the two men.

"Girl, don't get me wrong. I am thanking Dr. Li for saving me. I specially customized a plaque to express my gratitude to Dr. Li."

Mr. Wan must have just been discharged from the hospital. Accompanied by his wife, he walked into the reception hall.

"Dr. Li, do you still remember me? I just asked you to do a high-end colonoscopy a while ago..."

Li Jingsheng, who was diagnosing and treating patients and prescribing prescriptions, looked up at the door when he heard this.

"Hey, it's Mr. Wan! Of course I remember you. How are you? Are you doing well after the operation?" Li Jingsheng asked about Mr. Wan's condition.

"I feel much better. Didn't I tell you last time that I always felt uncomfortable after eating? I never had that uncomfortable feeling after the operation. If I hadn't asked you to do another colonoscopy for me, then Two polyps will kill me sooner or later.”

Mr. Wan's feeling was not a hypothetical disorder, but a real problem with his body.

The pathological results of those two polyps have already been released.

The small one was an inflammatory hyperplastic polyp, and the large one was found to be carcinoma in situ.

Li Jingsheng helped him get rid of this thunder, which was really equivalent to saving his life.

"Bring the plaque in!"

Mr. Wan waved to the two men, who carried the plaque into the reception hall.

There are four golden characters written on it: benevolence, benevolence, and benevolence.

The person who donated the plaque and the reason for the plaque are written in the lower right corner.

He had already received all kinds of thank-you banners and thank-you letters.

This is the first time I received the plaque.

"Thank you, thank you! You are considerate!"

Li Jingsheng accepted the plaque.

"Dr. Li, can we take a photo together? I want to record this moment."

"no problem."

Li Jingsheng immediately stood up and walked to the big plaque and took a group photo with Mr. Wan and his wife.

[Health value +1000. 】

Receiving a hundred banners can add one hundred health points, but I didn't expect that a plaque can add one thousand health points.It's absolutely terrifying.

Li Jingsheng was so happy with this extra gain.

"Doctor Li, can you come to my house for a home-cooked meal at noon? You saved my husband, and I have already bought the groceries. I want to express my gratitude to you in the simplest way."

After dealing with Li Jingsheng twice, Mr. Wan's wife had some understanding of his personality.

I am willing to invite Li Jingsheng to my home for dinner, which is definitely a deep gratitude from the bottom of my heart.

"I appreciate your kindness. There are too many patients in the clinic and they can't leave. You specially customized such a large plaque for me. This has made me very touched and grateful."

Li Jingsheng declined the meal.

It's not that he's being pretentious, he really can't get away.

And I don’t want to cause trouble to family members and patients.

"In this case, I will prepare the meals and deliver them to your clinic. I'll invite everyone in your clinic to have a meal together, okay?"

Mr. Wan's wife will not give up until she expresses her gratitude.

"It's too troublesome for you, so there's really no need."

"What's the trouble? Let's take it as your promise! Little girl, please give me the total number of people in your clinic. Once it's done, I'll have someone send it over. First of all, say yes, in case it doesn't suit your taste. , then we can only make do with it.”

"Okay, okay! On behalf of everyone at Sunshine Clinic, I would like to thank you and your wife for your kindness. As long as we see the patient recover, this is the greatest comfort to our doctors and nurses. There is really no need to say anything else."

Li Jingsheng reluctantly accepted.

Mr. Wan's wife will definitely not give up unless she is allowed to cook this meal.

Li Jingsheng recently earned two huge health bonuses. He was thinking that if he saved a little more, he could finally upgrade Fang Yao's two medical skills to another level.

To treat diseases and save lives, surgery is very important, surgery and bone reduction are very important, and prescriptions are equally important.

His prescription skills gradually failed to keep up with his level.

At noon, Mr. Wan and his wife made delicious meals and brought them to the clinic.

Including the security guard Xiang Cangsong and the temporary workers who package and ship goods, everyone has a copy.

After learning about Xiang Cangsong's family situation, Mr. Wan and his wife not only gave Xiang Cangsong two meals, but also went to Xiang Cangsong's home to visit his bedridden wife.A 1000 yuan cash red envelope was given. (End of chapter)