Gou is practicing medicine in the clinic

Before he decided to take on this big business, he had already read Mr. Zhao's colon cancer report.

The only regret is that there is only one video.

Generally, doctors with some level of experience don't like to read reports from other doctors. They prefer to watch films.

Because only in this way can the patient's condition be judged more accurately.

The doctors who issued the reports had varying levels of skill, and there were many examples of omissions of important information and even misdiagnoses.

If the doctor who receives the diagnosis only reads the report, there is a possibility of misdiagnosis.

When many intern doctors go to the hospital for internship, the two sentences that the superior doctors often repeat are that we as doctors must learn to protect ourselves. As doctors, we can't just read reports, we must learn to read films and make diagnoses ourselves.

"Mr. Zhao has an appointment for the surgery tomorrow. With today's successful experience, we should be confident that tomorrow's surgery will be done well."

Li Jingsheng has been discussing with Mr. Zhao for two days, but considering the complexity and risks of the operation, he has not yet figured out how to remove the colon cancer.

It was not until today when he removed the cardiac cancer that he verified that the new surgery was feasible, and he had greater confidence in completely removing the colon cancer.

……

The next day, Li Jingsheng was at work when a call came from Director Tian of the People's Hospital.

"Dr. Li, I went to the laboratory specifically to see the cardiac tumor you removed, and I was completely convinced. You are truly the most talented person in history, and you made me see the importance of innovation.

It also allowed me to see what it means to be a promising young man. "

Director Tian's tone was filled with excitement.

As the director of gastroenterology, he is an expert in this field.

In his opinion, it was almost impossible to completely remove the cardiac tumor through endoscopic surgery.

But Li Jingsheng made the impossible possible, which shocked Director Tian.

"I have been able to make a little progress because of your great help and support. I am really grateful to you."

Li Jingsheng’s success is inseparable from the full support of these big guys.

Without Director Tian's support, it would be difficult for him to perform endoscopic surgery at the People's Hospital, even for patients.

When drinking water, don’t forget the man who dug the well.

After he made achievements, he still remembered to thank Director Tian, ​​which made Director Tian very happy.

People who are grateful are often popular.

"Haha, I like to support promising young people like you. The patient's recovery was unexpectedly good, which shows that your new surgical method is extremely valuable. If you summarize it well, you can publish an academic paper. Share it! Good medical skills should be promoted. I have a hunch that your innovative endoscopic surgery is likely to lead the world trend.

Even changing the traditional method of endoscopic surgery. "

Director Tian is very optimistic about his new technique.

This also shows that he has learned about Li Jingsheng's surgical method from Lian Tao.

Traditional endoscopic surgery to remove digestive tract tumors requires incision of the mucosa, then removal of the tumor, and finally the mucosa is restored.

Another option is to remove the whole layer.

As we all know, the mucous membrane plays a very important role in protecting the inner wall of the digestive tract.

It is as important as the skin on the body surface.

Cutting it open will cause great damage to the digestive tract and is extremely detrimental to the patient's postoperative recovery.

Recovery time can be quite long.

It will also increase the risk of infection.

Li Jingsheng's new surgical technique can completely remove the tumor, but it still cannot avoid incision of the mucosa.

He feels that there is still more room for improvement and improvement.

Even so, his newly invented surgery also has many advantages that traditional endoscopic surgery does not have.

It is definitely a major advancement in endoscopic surgery.

"According to your advice, I will write a paper and publish it after I become more proficient in the operation of this technique. But to lead the world trend, that is something I dare not even think about."

Li Jingsheng originally had the idea of ​​writing a thesis, but now that Director Tian also mentioned it, he naturally agreed.

"By the way, I'm going to do Mr. Zhao's colon cancer surgery tonight, and I need you to arrange the pre-operative preparations."

"No problem, I'll just arrange it later."

Director Tian chatted with him for a few words and hung up the phone.

As the director of the department and the chief physician, I am extremely busy.

……

In the evening, after get off work, Li Jingsheng took two members of his team to the People's Hospital.

Lian Tao took the time to make arrangements for everything.

It is said that there are people in the court who are good at becoming officials.

Having Lian Tao, the chief physician, as a team member at the People's Hospital can indeed bring a lot of convenience.

Whether in society or in a hospital, human relationships can never be avoided.

The benefits it can bring are also very considerable.

In the endoscopy room, Mr. Zhao lay on the stage and waited quietly.

"Dr. Li, I'll leave my tumor to you. Don't be polite. You must kill it for me."

Mr. Zhao is a businessman.

Speaking is also very different from ordinary people.

"Haha, don't worry, my team and I will never be lenient to any disease."

Li Jingsheng responded with a smile.

After general anesthesia, the colonoscopy surgery began quickly.

Li Jingsheng controlled the colonoscope little by little to reach the lesion.

A rather large tumor appeared on the endoscope's display screen.

Under normal circumstances, such a large tumor cannot be removed endoscopically, but after Li Jingsheng looked at it, he was able to use his innovative surgical technique to completely peel and remove it.    …

The surgery went smoothly because electrocoagulation was used to mark the edge of the lesion, and there was almost no bleeding.

This method also successfully solved the patient's problem of poor coagulation.

After the operation, Li Jingsheng performed fine sutures on the patient's mucosal layer.

While suturing, he was thinking that the tumor was obviously growing under the mucosa. Is there no way to remove the tumor without damaging the mucosal layer?

In terms of medical skills, he pursues excellence.

It would be great if the endoscope could create a tunnel under the intestinal mucosa.

The catheter of the colonoscope is very small, only about three millimeters to pass smoothly.

Just how to establish this channel?

Li Jingsheng couldn't help but think about it.

Mr. Ruan discovered this problem when he was removing cardiac cancer and started to think about it.

If you want to cut the entire tumor, you can obviously remove it under the mucosa, but you have to make an incision in the mucosa.

Just like if you want to cut out a lesion under the skin, you must cut through the intact skin.

This has been the traditional thinking and method of all surgeries.

"If the mucosal layer is not damaged, wouldn't it be possible to cut through the outer wall?"

He has quite a lot of surgical experience. After all, he has performed many surgeries with chief physicians in cardiothoracic surgery and orthopedic surgery.

Even the general surgery department makes a few cameos.

He believes that it is completely feasible if the mucosal layer is not destroyed and the surgical idea is directly changed to cut in from the outside and then remove the tumor.

It’s just that the technical difficulty here is very high.

The surgeon is required to be able to cut each layer accurately, neither cutting more nor cutting less.

In addition, extreme caution is required during tumor removal, and the mucosa must not be broken.

In addition, intraoperative hemostasis is more difficult than traditional endoscopic surgery.

Mr. Zhao's operation went smoothly, and Li Jingsheng made money from the 70,000 yuan.

After the second surgery, he became more proficient in the new surgical techniques and had a better grasp of some precautions and technical difficulties.

Sitting in the clinic, he began to write his paper seriously.

If he wants to get more patients, get them to agree to the surgery and publish academic papers, this is the best way.

Two patients have now been operated on using the new technique.

Mr. Ruan's recovery is not bad.

Li Jingsheng was originally most worried about developing achalasia. Fortunately, I haven't found it yet.

Patients who have undergone cardiac surgery are highly susceptible to achalasia.

When patients with this disease swallow food, the cardia cannot relax normally, making it difficult for food to pass through the cardia and reach the gastric cavity, resulting in the inability to eat.

Eventually, the patient will suffer from severe malnutrition, weight loss, and even death.

Mr. Ruan is lucky to not have achalasia.

But if Li Jingsheng is asked to perform this kind of surgery again, he can never guarantee that the patient will not develop achalasia.

This also made him want to create better endoscopic techniques as soon as possible.

……

Eight days later, Mr. Ruan and Mr. Zhao, who were operated by Li Jingsheng using the new technique, both recovered very well and were discharged from the hospital one after another.

This also gave him great confidence.

Just because his team's reputation is limited, he only received two patients who were willing to let him perform surgery.

Because his high-end colonoscopy business only targets wealthy and powerful people, who can easily go to other major hospitals for treatment. Find top experts in the industry, famous doctors to perform surgery on them.

Naturally, they would not easily trust Li Jingsheng, a little-known team.

In response, Li Jingsheng decided to publish a paper first.

A medical paper titled Endoscopic Mucosal Dissection of Tumors was published by him on a relatively common academic paper website in China.

The main reason is lack of confidence.

Papers like those written by Wang Weiwei and Luo Binggang were directly submitted to core medical journals.

He wrote this paper alone. During this period, he asked Lian Tao to help provide some comments and made some refinements.

He himself is naturally the first author.

Out of concern for his brother, he listed Lian Tao as the second author.

After publishing the paper, he left it alone.

Keep going to work.

Do whatever you have to do.

I am also very busy every day.

There are no high-end clients who come to him for endoscopic surgery, but there are still some wealthy people who come to him for colonoscopy.

Now, his medical team is somewhat famous in the field of colonoscopy.

Especially in Jiangli City, it has already gained a certain reputation.

Many rich and powerful people came here to contact him. Express your intention to have a colonoscopy and then conduct some consultations.

These rich and powerful people are generally very cautious.

We will not sign an agreement with him easily, but we will contact him first, communicate more, and understand more.

Li Jingsheng is sitting in the orthopedic surgery clinic and has treated fifty-seven patients in the morning. His outpatient efficiency has nearly doubled compared with before.

This is because several apprentices are growing rapidly.

It has been able to help him share his worries and even reset some less difficult cases with individual techniques. (End of chapter)