Gou is practicing medicine in the clinic

Chapter 486 The sun goes down without you, several minimally invasive solutions for intestinal polyps

"Jingsheng, we have been in love for six years, are you really that heartless? I just want to care about you, can't I even do this small request?" She looked at Li Jingsheng with resentful eyes.

A pair of cute and pitiful appearance.

"Don't mention the past. I made it clear that it is no longer possible to be with you. To be ruthless, I am quite grateful to you. It was you who taught me ruthlessness. It was your ruthlessness that made me grow. .”

When Li Jingsheng was in the most difficult time and needed someone to care about her, her girlfriend of six years was not even as good as the nurse she hired, Tang Ping.

No one can guarantee smooth sailing in this life.

There will always be times of adversity.

When he needed her, she left. Now that she sees the development of Li Jingsheng's clinic, she wants to get back together again. How can anything in the world be so cheap?

"I know that leaving without saying goodbye will definitely make you sad and even make you hate me. But I have never regretted it, and I have been in pain. Six years, a whole six years of love, do you think I can just say goodbye? Do you want to give up? During that time, I couldn't sleep every day, I was crying, and my hair was falling out in great quantities."

Yao Lu was talking, tears already hanging on her face.

She knew Li Jingsheng.

First, he played the emotional card and evoked Li Jingsheng's sweet past between the two.

Then he resorted to his trump card and cried.

It has to be said that when a woman cries, most men will surrender immediately.

This is also their natural advantage.

Since the emergence of human beings, even in matriarchal societies, women have always played a weak position.

It's just that she doesn't really understand men.

When a man loves her, crying is the most effective way to kill her.

In the past, no matter how big a mistake she made, as long as she cried, Li Jingsheng would obey her or forgive her.

But now Li Jingsheng has fallen in love with Ou Qinglan, how could he soften his heart because of Yao Lu's crying?

Besides, Li Jingsheng was able to develop Sunshine Clinic step by step, and in the process, he also achieved great growth.

He is no longer the indecisive man he was before.

Instead, he became a mature man with means and courage.

"Miss Yao, it seems that you are not sick. I'll write you what I want to say."

Li Jingsheng immediately took a pen and quickly wrote a paragraph.

Fold it and put it in front of Yao Mian.

"I have something else to do, so excuse me. Siying, please remember to lock the door later."

Li Jingsheng looked at Han Siying.

"Ok."

Han Siying looked at the pitiful Yao Lu with contempt.

As a woman, she naturally knows the routines and methods commonly used by women.

The more Yao Lu plays tricks, the more scheming she becomes.

If Li Jingsheng was immature before, he might be fascinated by such a woman, or even be manipulated by the other party without realizing it.

Now, the more Yao Lu behaves like this, it will only make him look down upon and disgust him.

No man wants to be played like a fool by a woman.

"Jingsheng, don't leave, don't leave, okay?"

Yao Lu saw Li Jingsheng leaving and quickly turned around and called.

"I know, you must still have me in your heart and still love me..."

She is really not an ordinary sentimental person.

"Ms. Yao, I suggest you read the note that Dr. Li left for you first."

Han Siying was still thinking about getting off work early.

The master asked her to lock the door. His meaning was very clear, that is, to wait until Yao Lu left before locking the door.

Li Jingsheng didn't want to tangle with Yao Lu.

Yao Lu saw Li Jingsheng leaving without looking back with tears in her eyes. She realized that this man was no longer the man who was always obedient to her before.

She committed suicide and lost a man who loved her to the core.

Now, this man belongs to another woman.

Yao Lu took out a tissue from her pocket, wiped away her tears, sobbed slightly, and unfolded the note written by Li Jingsheng.

“If you don’t accompany me when the sun goes down, who will you be when I rise again?”

Just one sentence.

But it was like a sharp sword, piercing Yao Lu's heart.

All her luck was shattered at this moment.

It was only at this moment that I realized that all the tricks had been seen through by Li Jingsheng.

"Li Jingsheng, you bastard, bastard..."

She angrily grabbed the clothes she bought, threw them to the ground, and then stamped on them, venting her dissatisfaction and humiliation.

"It's not like I'm not wanted by anyone. Who do you think cares about you, you loser? Isn't it just that I have made some achievements now and have some bad money? I don't care about it. I only need to raise my finger, and a lot of rich men will chase me. ."

Yao Lu stepped on it and cursed.

She has always been a fierce woman.

Even though she looks like a lady on the outside, when it comes to acting, she is absolutely shrewd.

Fortunately, Li Jingsheng had the foresight to stabilize her first and deliberately arranged for her to be the last one to see a doctor in the evening. Now that there are no more patients or customers, let her make trouble.

"Ms. Yao, I know what you are saying now is angry. As a woman, I still want to advise you. Don't let yourself become a bus because of your anger, otherwise it will only devalue you even more."

Han Siying, a little girl, really has no social experience. How can she say such things?

It's out of good intentions, but people won't buy it.

If it were Tang Ping, she would definitely not meddle in other people's business.

"You, what are you scolding me for? You are the bus! Your whole family is the bus. Seeing that you are so close to Li Jingsheng, have you slept with him?"

"I'm sorry, I was wrong. I shouldn't have advised you. I take back what I just said."

Han Siying was so angry that she was scolded, but she could only admit that she was unlucky. She is still in the internship period and has a lot of social experience to learn.

During the relationship between Yao Lu and Li Jingsheng, although she would have affairs with some wealthy men from time to time, it probably never happened that she slept with those men.

As for how many men she had slept with after the breakup, only she knew that.

She should be particularly sensitive to the word bus.

Yao Lu vented her anger and walked outside.

"Ms. Yao, please take this garbage away. We don't have a dedicated cleaner here."

Han Siying was referring to the clothes and paper bags that were trampled on the ground.

Yao Luli ignored her and left directly.

……

Li Jingsheng took a bus directly to the People's Hospital.

On the one hand, he wanted to avoid Yao Lu who was stalking him, and on the other hand, he came to see Director Tian to discuss the surgical plan for the patient with ascending colon cancer.

He had already seen the patient's condition on the way here.

The diameter of the tumor is greater than three centimeters. Under normal circumstances, it is impossible to remove such a large tumor through colonoscopy.

The more commonly used surgical method is to open the abdomen, remove the entire diseased intestinal segment, and then perform intestinal anastomosis.

Colonoscopy surgery is an endoscopic surgery, and its advantage is that it is minimally invasive.

The trauma to the patient is relatively minimal.

Recovery will also be faster.

However, clinically, a set of standard protocols has been developed for colonoscopy surgery.

Polyps or tumors smaller than 3mm are usually removed by clamping or trapping. Li Jingsheng usually performs direct clamp resection.

He was sure that he would not damage the deep layers of the patient's intestinal wall.

It has never happened before that a patient suffered intestinal perforation.

If the diameter of the polyp is more than 5mm and less than 1CM, it cannot be removed by clamping. The most commonly used method is to perform electrical resection with a snare.

If it is more than 1cm, but less than 2cm, ESD can be performed.

There are various treatment options for polyps or tumors larger than 3cm.

But there was no way to remove it through colonoscopy.

The most common method is to open the abdomen.

Laparoscopic resection is now popular, which is considered a minimally invasive surgery. A hole is made through the abdominal cavity, and then a knife is cut through the outer wall of the intestine.

The advantage is that it is less invasive, slightly more invasive than colonoscopy.

Recovery time is short.

But it’s also easy to screw up.

There is also endoscopic resection from the anus, which is also minimally invasive.

Li Jingsheng entered the field of colonoscopy not long ago, relying on his outstanding insertion skills and good surgical skills. Therefore, we can quickly make some achievements in the field of colonoscopy.

In fact, he still has a lot to learn.

The Second Hospital was weaker after all, and what Xiao Linlin could teach him was limited.

If you want to learn truly advanced medical skills, you have to go to the People's Hospital for further training.

Li Jingsheng has set small goals for himself, one is colonoscopy and the other is cardiovascular interventional surgery.

Just these two areas.

No matter how much, he is afraid of biting off more than he can chew.

After arriving at the People's Hospital, we went straight to the inpatient building of the Department of Gastroenterology.

We arrived outside Director Tian's office with ease.

The door was not closed, Director Tian was still frowning and looking at the computer screen.

I don’t know if I am reviewing the medical records in the department or encountering difficult cases.

Boom boom boom!

Li Jingsheng knocked on the door.

"Dr. Li is here, please come in and sit down."

Director Tian was quite enthusiastic towards him.

Li Jingsheng and Lian Tao were friends, and this relationship alone was enough to make Director Tian look highly upon him. In addition, Li Jingsheng now leads a small team specializing in advanced colonoscopy, which can be regarded as a move towards high-precision technology.

It's enough for Director Tian to be optimistic about his development potential.

It can be said that no matter which hospital they are in, as long as young doctors perform well enough, they will get some preferential treatment from superior doctors.

Unless there are very few people who don't know how to behave, are arrogant about their talents, and don't know how to respect superior doctors, then that's another matter.

There are not only some medical students with this kind of withdrawn personality and false aloofness, but there are also many of them.

It has something to do with family.

Some children from lower-class families, because of their smart minds, have been admitted to a good university and entered the medical field, but they basically have a blank slate when it comes to human relations and sophistication.

It is perfectly normal not to please the superior doctor.

"How's it going? Have you read the information I sent you?"

Director Tian got up and made tea for him personally.

"I've seen it. Although the patient's tumor is not small, it meets the requirements for minimally invasive surgery. Why not do laparoscopic surgery?"

Li Jingsheng asked puzzledly.

"The patient's father also had intestinal cancer. He underwent laparoscopic surgery at that time. However, because the technology was not mature at that time, the patient developed an infection after the operation and suffered peritonitis. After rescue, the patient eventually died due to multiple organ failure. So. , he was determined not to undergo laparoscopic surgery.”

Director Tian explained.

(End of this chapter)