Gou is practicing medicine in the clinic

The malignancy of esophageal cancer can range from high to low. Generally, the prognosis is good as long as there is no recurrence after surgery.

This refers to early-stage esophageal cancer.

If it reaches the middle and late stages, the malignancy of the disease is very high.

According to comprehensive clinical statistics, the five-year survival rate of esophageal cancer patients is less than 20%.

In other words, among one hundred esophageal cancer patients, at least 80 will not survive five years. This still refers to the case of active treatment.

In comparison, the treatment technology for early gastric cancer is more mature.

The structure of the esophagus is also very different from that of the stomach.

The surgery is more difficult.

If a section of the esophagus is cut off for anastomosis, it will affect the patient's postoperative quality of life.

The most common thing is that the anastomosis becomes narrowed, causing the patient to have difficulty swallowing. Esophageal fistulas may even occur.

Li Jingsheng dealt with these high-end customers one after another.

Those who signed the agreement were easy to solve.

Just talk to them about the examination plan or surgical treatment plan. Their willingness to sign a service agreement and pay high medical service fees is also based on their trust in Sunshine Clinic.

"Dr. Li, last time you helped me set my bones and cured my waist injury. This time I came to you to ask you to check on my wife. She has been getting blisters on her lips recently, and they are not easy to heal. I bought some watermelon cream, triamcinolone acetonide oral ointment and other medicines, but they have no effect.

I came to see you during the day, but the nurse told us that you would not come back until evening. "

The speaker was an old man in his sixties.

His hair is all white and he wears reading glasses.

Dressed neatly and in good spirits.

"Yes, on Tuesday, Thursday, and Saturday, I need to attend the outpatient clinic of the Second Hospital. I'm sorry to keep you waiting for so long."

Li Jingsheng apologized to them.

He looked at the old lady wearing a mask.

This old lady's hair must have been dyed, it's jet black with no white hair in sight. She also had her eyebrows drawn and her nails done. Even from a distance of one meter, you can smell the strong perfume.

A bit pungent.

They are all over sixty-five years old, and they are still dressed up in such a "flowery" way, which really makes people look strange.

Li Jingsheng has been a doctor for a long time and has seen all kinds of patients.

But I can look at this old lady with a normal heart.

After all, when I was in the emergency room, someone shoved eggplant, glass bottles, vibrators and other things into my rectum in the middle of the night.

Then he ran to the hospital and asked for help to take it out.

Another person shoveled a zucchini into it and got a perforation in his rectum. I really admire that big brother.

When I asked the elder brother why he did this, the answer was constipation.

The eldest brother wants to make the anal opening bigger.

Of course, this is the elder brother's one-sided statement. Anyway, as a doctor, you just take it as a joke and don't dig into it.

"Auntie, can you take off the mask and let me see your lips?"

Among the patients Li Jingsheng has treated, there are many patients with oral ulcers.

Patients with blisters on their lips are relatively rare.

Unless you are infected with eczema, syphilis and other infectious diseases, you may develop some red rashes and blisters on your lips.

"My lips are a bit afraid to see people now!"

Auntie is a lot older and a bit coy.

"It's okay. If you're sick, don't shy away from medical treatment. I'll check you out and see what's going on, and then I can give you appropriate treatment."

Li Jingsheng comforted her.

"Dr. Li's medical ethics are very good. What are you worried about? Just take it off! Besides, everyone will get sick sometimes, and no one will laugh at you."

The old man followed to comfort his wife.

The old lady took off her mask with some embarrassment, and saw erosion in two places on her lips. At first glance, it looks a bit like an ulcer after a blister.

However, due to his professional sensitivity, Li Jingsheng quickly discovered that this aunt's problem was not that simple after taking a closer look.

Because there is obvious thickening of the cuticle on the red edge of her lips.

The middle part of the lower lip looks obviously thickened and rough. There is an ulcer at this location.

"Open your mouth and let me take a look at your tongue and the lining of your mouth."

Li Jingsheng's expression became much more serious.

Perhaps the patients and their family members also felt the change in Li Jingsheng's expression, which was accompanied by a tense heart.

The old lady opened her mouth.

You can see her teeth are white. But if you look closely, you will see that many dental implants were made later.

Based on the conservative cost of a dental implant of 7,000 to 8,000 yuan, she spent no less than 100,000 yuan on oral care alone.

Dentistry is very profitable these days.

In some shady dental clinics, after patients enter, they would like to trick them into replacing all their teeth with dental implants.

Li Jingsheng looked at it carefully.

"Okay, that's enough."

No ulcers or blisters were found in the patient's mouth.

"There is nothing wrong with my mouth. I just have two ulcers on my lips. My old man said that the medicines in your clinic are very good. Please take the trouble to prescribe some medicine for me. As long as it can cure the disease, it doesn't matter if it is more expensive. It's best to weave I prescribe imported medicines.”

The old lady added another sentence.

After checking, she put the mask back on.

"Don't be in a hurry to wear a mask. I'm a little worried that your disease is not oral ulcers."

Li Jingsheng said with a slightly serious tone.

"What disease is that? It's just two small blisters. It shouldn't be a serious disease, right?"

The old lady's face changed.

Slightly whitish.

"Is your heart okay?"

When Li Jingsheng saw this situation, he didn't dare to say anything.

"Fortunately, I usually only have high blood pressure. I don't have diabetes or bronchitis."

She's quite proud.

When people reach this age, they are prone to this disease and that disease.

Hypertension is the most common disease of the elderly.

If not well controlled, high blood pressure is no less harmful than heart disease.

"Then your body is quite strong! You must have exercised a lot, right?"

Li Jingsheng said with a smile.

"That's not true. I have to go square dancing every day..."

The old lady talked about something she was interested in and started talking non-stop.

"Auntie, let me touch your lips and chin."

Li Jingsheng had no choice but to interrupt her while she finished speaking.

I touched her lips and found two small lumps on the inside of her lips.

Like two mung beans.

Very small.

Then he touched the lymph nodes in her neck and found swollen lymph nodes.

This cannot be used as a diagnostic criterion.

Because you usually eat foods that cause internal heat, you are prone to swollen lymph nodes.

When swollen lymph nodes are combined with small lumps and ulcers in the lip, the problem becomes serious.

In addition, the patient also suffered from hyperplasia and thickening of the stratum corneum at the red edge of the lips.

All signs indicate that what the old lady has is definitely not a mouth ulcer, but a relatively rare lip cancer.

Many people have heard of oral cancer, but rarely hear of lip cancer. (End of chapter)