Gou is practicing medicine in the clinic

According to his experience, not only tubular adenomas, villous adenomas, and tubulovillous adenomas need to be removed. Non-adenomas and hamartomas are also worthy of vigilance.

"Can we not cut it? My husband is a postdoctoral fellow. He checked the information and found that polyps with a diameter of less than five millimeters do not need to be cut. Moreover, its color is red, and the child is only fourteen years old. We suspect it is an inflammatory polyp. . Can it go away on its own if you take some anti-inflammatory medicine?"

the woman asked from the side.

"Based on my personal diagnosis and treatment experience, I conclude that this polyp will not disappear on its own. Surgery to remove it as soon as possible is the best way."

Li Jingsheng answered firmly.

What happened to the postdoc?

Having a lot of knowledge does not mean that you understand medicine.

Even if you understand medicine, you may not necessarily understand intestinal diseases.

Li Jingsheng has considerable experience in intestinal polyp surgery.

Every time he removes a polyp, he will study it carefully and write a summary when he returns to the clinic. Then when the pathological biopsy results come out, he will make a second summary.

Through continuous accumulation, his diagnostic level of intestinal polyps has also skyrocketed.

This ability cannot be learned by reading and looking up information at all, but requires repeated practice and continuous summary.

"But I checked many authoritative information, and they all said that tumors below 5 mm do not need to be removed!" The child's father pushed up his glasses and emphasized again that he had checked a lot of information.

And it is authoritative information.

Meeting such family members can sometimes make people laugh or cry.

Many clinicians are afraid that they would rather believe in information and Baidu than in doctors.

"Then what is the purpose of bringing your children to see me for medical treatment?"

Li Jingsheng asked.

"You are a professional and a top expert in the field of endoscopy, so I would like to ask you to give me a more authoritative opinion!"

"My opinion is to cut it off."

Li Jingsheng repeated his suggestion again.

"I heard that after the polyps are removed, the intestinal wall will become thinner and more likely to be perforated. Surgery also has certain risks, so we thought it would be best not to remove it."

Family members are also emphasizing their thoughts.

"Gotta cut it."

Li Jingsheng repeated his opinion again.

"But I checked and found that inflammatory polyps under five millimeters are safe without cutting."

The child's father is very stubborn.

Mom is based on dad's opinion.

It could be seen that when she looked at her husband, her eyes were filled with little stars.

At first, she was probably my husband's little crush.

"What do you study?"

Li Jingsheng asked the child's father.

As a doctor, I have a kind heart. We cannot let it go just because of the stubbornness and ignorance of the family members.

It would be best to be able to persuade them.

If we really wait until the polyp has become malignant and metastasized, it will be too late to perform surgery by then.

Even if metastasis does not occur, the effect of surgery is not 100% curative.

There is still a high chance of recurrence.

The recurrence rate of bowel cancer has always been high, especially in the late stage of bowel cancer.

"I majored in civil engineering construction and was a PhD and postdoctoral student in a famous foreign university."

When it comes to his academic qualifications, the child's father is very proud of himself.

"You are not a medical student, and your understanding of medical knowledge may not be as comprehensive as that of a professional doctor. Have you ever thought about it?"

"But I checked a lot of information and studied carefully..."

Seeing that he was trapped in an infinite loop again, Li Jingsheng couldn't stand it anymore.

"Okay, let's stop talking. You have your opinions, and I have my diagnosis. The advice I can give is that surgery must be performed and removed as soon as possible. The polyp will not disappear automatically. You can also go again Looking at other hospitals, our Jiangli City People’s Hospital, Medical University Affiliated Hospital, and Qiaobang Hospital all have strong technical capabilities in the field of intestinal polyps.

Let the next patient come in for treatment! "

Li Jingsheng had no choice. The family members stuck to their opinions and repeatedly investigated many authoritative materials, but could not be persuaded at all.

This arduous task can only be left to doctors from other hospitals.

The family eventually left with their children.

When I left, it was obvious that I was not very satisfied.

Li Jingsheng's cell phone rang at this time.

"Teacher, do you still remember the patient whose legs were bent and unable to straighten last time? He later went to the Wei's Medical Osteopathic Center opposite for manual bone setting, and now he's here again. He wants to see you for him. .”

As soon as the call was connected, Ye Hui said impatiently.

"What's his condition now?"

Li Jingsheng was deeply impressed by that patient.

At that time, he suspected that the patient had bone tuberculosis, rather than a simple fall injury.

But the patient didn't believe it, and was eventually taken to Wei's Bone Clinic across the street to receive "free" bone-setting techniques.

"Now his legs are in severe pain and a little swollen. His lumbar spine is also starting to hurt and he can't lift his hands."

"Tell him to do a bone tuberculosis screening first. Also, even if it's bone tuberculosis, our hospital can't treat his legs."

Li Jingsheng knew very well that the patient's last forced bone setting had destroyed the joint structure of his legs.

Based on his experience in bone medicine, it is almost impossible for this kind of patient's leg joints to restore normal movement function.

"Okay, then I'll tell him."

Ye Hui hung up the phone and went to communicate with the patient.

The next day, when Li Jingsheng went to work, he asked specifically.

The patient ultimately did not choose to be treated in the Second Hospital, but went to the People's Hospital.

As long as you go to a regular hospital, you'll be fine.

The Orthopedics Department of the People's Hospital was only average. After Li Jingsheng had clearly informed him that it might be bone tuberculosis, the treating doctor would do an examination for bone tuberculosis as long as he had some brains.

……

This matter was originally thought to be over like this.

Unexpectedly, three weeks later, Li Jingsheng was sitting in the clinic when he heard someone say that someone was about to jump from the rooftop of Wei's Medical Orthopedics opposite.

Li Jingsheng was at work, so he naturally wouldn't go to see the excitement.

At noon, he went to the inpatient department to meet his girlfriend and heard the nurses discussing the matter.

These nurses usually like to gossip.

If there is any news event, they will whisper to each other and discuss it quietly in private.

The fact that Li Jingsheng and Ou Qinglan were in love was flying around like wings. The whole hospital knew about it, and the nurses were indispensable.

No one can stop this group of lesbians from gossiping.

Otherwise, you will definitely become the public enemy of all nurses in the hospital.

It is estimated that even Dean Fu would not dare to do this.

"Dr. Li, I heard that a patient came to you for treatment, but he didn't believe you and went to Wei's Bone Clinic opposite for treatment. Now there's a big problem."

"There are too many patients who don't listen to my advice. The Wei's Bone Clinic opposite is offering free services, and Dr. Wei's bone-setting techniques are very good, so he can naturally attract a large number of patients."

Li Jingsheng was very helpless about this phenomenon.

Patients have their own choices.

No one can interfere.

Free is great.

You can choose free treatment and save hundreds or even thousands of dollars, and many patients are absolutely willing to do so.

"Our Dr. Li is handsome, has good medical skills, and has noble medical ethics. Those patients are also serious. Why don't they listen to your advice? The patient who is about to jump off the building today is really miserable. I heard that he was originally injured after a fall. The legs cannot be straightened. After seeing you, you asked the patient to check for bone tuberculosis first and told the patient that he could not use manual bone reduction.

Unfortunately, the patient didn't listen and ran to the Wei's Orthopedic Clinic across the street for manual reduction.

Then I went home to raise him for about half a month, and serious problems arose. Not only did his legs not heal, but there was also a problem with his lumbar spine, and he couldn't lift his hands.

He went to the People's Hospital for further examination and was found to have bone tuberculosis, and both knee joints had suffered irreversible damage. After being treated in the People's Hospital for more than half a month, the bone tuberculosis was effectively controlled.

The lumbar spine and hands have returned to normal.

But doctors at the People's Hospital told him that his legs were likely to be permanently disabled and he would never be able to stand again.

At this time, the patient realized that he had been deceived by Wei's Bone Clinic, so he went to ask for an explanation.

Instead, he was beaten up by the doctor there.

The patient's family was very vulnerable and finally chose to run to the upstairs of Wei's Orthopedics Hospital and jump off the building. "

Nurse Wang told the whole story in one breath.

I never expected that the patient who was clamoring to jump off the building was actually the patient with suspected bone tuberculosis.

The patient probably felt angry, desperate, and regretful when he heard the doctor from the People's Hospital say that he might not be able to stand for the rest of his life.

When he went to Wei's Bone Clinic to seek an explanation, he was beaten. If he had any grievances, he had no way to redress his grievances, so he could only defend his rights by jumping off a building.

"It shouldn't be a success, right?"

Li Jingsheng sympathized with the patient.

It's just that as an adult, you need to be responsible for your own actions.

You should have thought of this consequence when you made the decision.

"Someone called the police, and the fire department and the police came. The patient was rescued, but I don't know what happened next."

This kind of thing can only be brought to court in the end.

It's just that the vast majority of patients belong to a vulnerable group, and if they want to sue Wei's Orthopedics, they may not win.

After all, Wei Xianxian is backed by Jiupeng International Hospital.

That Dean Mike is a former justice himself, and he is absolutely qualified when it comes to litigating.

After this incident of jumping off a building, Wei's Medical Bone Clinic's business has not been greatly affected and is still booming.

At the same time, Jiupeng International Hospital offers free colonoscopy, which also attracts many patients.

On this day, Li Jingsheng was sitting in his clinic thinking about a difficult case.

"Boss, there is a doctor named Lin who wants to see you."

Run over to Cangsong and report to him.

"Doctor? Another doctor who came to me to discuss endoscopic surgery?"

Li Jingsheng raised his eyebrows.

People are afraid of being famous, and pigs are afraid of getting fat.

Since he became famous, there has been an endless stream of fellow doctors coming to him to discuss endoscopic surgery.

As long as Li Jingsheng has time, he will usually receive them.

As a result, I got to know many top experts in the field of endoscopy.

As for those doctors with average skills, he usually sees them off after chatting for a few words. Because the level of the two parties is so different, there is no need to communicate at all.

If the other party wants to learn endoscopic mucosal dissection, he can definitely read the paper he wrote.

The principles of surgery are written in detail, so you just need to follow them.

"Invite him in!"

Not long after, a very young doctor came in.

Seeing that the other party was very young, only twenty-seven or eighty years old at most, Li Jingsheng felt disappointed.

It is estimated that this is another doctor with average skills.

The purpose of these people coming to him to discuss is, some are for learning, and some are for gold plating.

After the discussion with him, we took a few group photos, then went back to develop the photos and hang them on the wall for promotion.

It was said that they happily took a group photo with Dr. Li Jingsheng, an endoscopic expert.

Some simply call him Li Jingsheng's apprentice.

Use this identity to attract patients to come for treatment.

"Dr. Li, I'm sorry to bother you, please don't introduce me!"

Dr. Lin looks quite handsome.

The fingers are also slender, and the eyes are very decent.

At least the first impression he gave Li Jingsheng was not bad. Li Jingsheng is often very cautious when communicating with peers who have erratic eyes.

After ‘accepting’ many disciples, he no longer easily takes photos with others.

"Dr. Lin, you're welcome. Please sit down!"

Li Jingsheng made the other party a cup of tea.

"Thank you!"

After the other party took it, he smelled it.

"Good tea. Is this expensive Pu'er tea?"

"Someone else gave it to me, but I don't know if it's expensive or not. I thought it tasted good, so I used it to entertain guests."

Li Jingsheng basically knows nothing about the so-called tea ceremony.

He has never seriously studied the various details of drinking tea. In his opinion, drinking tea is to quench thirst.

"Let me introduce myself. My name is Lin Xiaoran. I used to work in a major tertiary hospital in Shanghai. I have been engaged in general surgery for almost fourteen years. I mean the working experience in the operating room is fourteen years. I have been practicing medicine for almost seventeen years. years."

Dr. Lin introduced himself with a smile.

Li Jingsheng was shocked when he heard that he had been working for seventeen years.

This man looks to be in his mid-twenties and has been working for seventeen years. Did he start working officially at the age of ten?

"I want to ask abruptly, how old are you? You have been working for seventeen years. Even if you started working at the age of twenty-three, you are already forty now. But you look very young, not much different from a newly graduated graduate student. "

"Haha, is Dr. Li complimenting me on my youth in disguise? I am forty-one years old this year and am currently a second-level chief physician."

So awesome.

The 41-year-old chief physician is definitely considered a top elite.

For many people, being able to become a chief physician at the age of 42 is enough to make them laugh when they fall asleep.

This Dr. Lin is already a second-level chief physician.

"If you hadn't said you were forty-one, I would have thought you were just a young man in his twenties. Does Dr. Lin have anything to do with me?"

"I want to join your medical team. This is my resignation letter from the original hospital, as well as the SMS notification of approval from the leader."

He had made adequate preparations before coming.

A copy of the resignation letter and the text message notification were given to Li Jingsheng for review.

"Ruijin Hospital is a very good tertiary hospital, ranking extremely high. Your resignation date was three days ago. Why did you resign?"

Li Jingsheng felt very incredible.

"Just to join you. Really, I don't have any impure purpose. It's just that after learning about Sunshine Clinic and your personal deeds, I feel that your Sunshine Medical team must be very good. I want to fight and make progress together with you. "

Dr. Lin said frankly.

"This... is really unbelievable. But I believe in you. And my Sunshine Clinic needs doctors with excellent medical skills and high medical ethics to join. Don't worry about your bright future and high income, just come here and join our Sunshine Clinic. In the future, Aren’t you afraid of regrets?”

It is very difficult to get into some of the top three majors.

I have never seen any doctor resign on his own initiative.

"I don't regret it. I am not short of money now, and my demand for quality of life is not high. But I hate endless scientific research, endless books to teach, and endless papers to write. I yearn for the freedom like you. It doesn’t matter if the salary is low, as long as you can improve your medical skills. There is another important reason. I admire you very much. I am attracted by your personal charm."

Dr. Lin explained why he joined Sunshine Clinic.

"They say good birds choose trees to roost in. I just want to find a tree where I can rest comfortably."

he added.

"Have you brought your documents?"

Although it is a bit counterintuitive for such talents to take the initiative to invest, Li Jingsheng welcomes it.

What he lacks most is top talent.

"I definitely brought it with me!"

Dr. Lin took the documents out of the bag one by one.

"Graduation certificate, medical qualification certificate, practice certificate... they are all here, you can check them at will." (End of Chapter)