Gou is practicing medicine in the clinic

Chapter 531: The mysterious man’s warning: the sprained right hand is an encephalopathy

For example, moldy rice, peanuts, and corn contain a large amount of fungi and the carcinogen aflatoxin.

Just eating a little bit of this can increase the risk of cancer a hundred or a thousand times.

More dangerous than smoking.

The child's father was obviously moved after listening to Li Jingsheng's explanation of the benefits of boiling the bones to inactivate them and then replanting them.

There are actually many ways to inactivate bones, and boiling is just one of them.

High-temperature water bath inactivation, liquid nitrogen freezing inactivation, radiation inactivation, ethanol inactivation... These methods are all used in clinical medicine. Because it was the first time for Li Jingsheng to try this kind of treatment on a patient, he chose to boil it for inactivation.

This is a relatively prudent approach.

"Dr. Li, you mentioned before that my daughter's bone cancer is in the rapid expansion stage. I wonder when we can arrange treatment for her?"

"I will be admitted to the hospital today and then do some necessary pre-operative examinations. The surgery should be arranged as soon as tomorrow afternoon."

Li Jingsheng never procrastinates in doing things.

Although the cancer cannot spread greatly in a day or two, the earlier the surgery, the more beneficial it will be.

The surgical site itself is not a high-risk site such as the head or chest.

"As you say, I will immediately call my wife and bring my daughter to go through the hospitalization procedures. I will leave my daughter's illness to your care."

After listening to his patient explanation, Mr. He had already made up his mind to choose treatment here.

Trust is very important.

……

Half a month later, the little girl was discharged from the hospital.

Mainly considering that her recovery period is very long, and every day she stays in the hospital will incur a considerable expense. After her surgical wound is basically healed, she can go home to recuperate, and then she will need regular check-ups.

He was sitting in the outpatient clinic when his cell phone rang.

This is a text message received.

He ignored it and received multiple messages of various kinds every day. After some patients were cured, they tried every means to find out their mobile phone numbers and send them messages to thank them.

There are also various types of information from classmates, fellow doctors, and friends.

The person who sent him messages most frequently was Ou Qinglan.

The two recently bought a house, and Li Jingsheng bought a new car. As the new year is approaching, the marriage talks have moved from the preparation stage to the formal stage.

I was busy until noon and went to the cafeteria to eat.

As usual, he took out his phone and checked the incoming messages.

Check them one by one and even reply.

"Be careful of the roadside stalls where you often eat, and watch the water glasses. Remember, remember!"

A piece of information without beginning or end.

It was sent from an unknown number.

Li Jingsheng frowned and tried to call the number back, but it was prompted that the phone was turned off.

Is it a prank or a friendly reminder?

He couldn't help but think about being hit by a truck a while ago. After asking a criminal investigation friend to investigate, the friend told him that many suspicious points had been discovered.

It is still under investigation.

Whether it is murder or not is yet to be determined.

The detective friend reminded him to pay attention to safety, because according to his experience, after the first murder failed, there will often be a second and third time until the murder is successful.

Everyone has only one life and is very precious.

After Li Jingsheng received this warning message, he took it very seriously.

I would rather trust it to have it than to trust it to have nothing.

As a doctor, I know how terrible food poisoning can be.

There are a variety of chemicals that can be mixed into food or drinking water to make them colorless and odorless. After eating, it will permanently damage the human body's nerves or other organs.

Eventually the eater becomes disabled or seriously injured.

Directly poisoning people to death is something most murderers with higher IQs would not do.

If the director of Jiupeng International Hospital really wanted to get rid of his competitor, with Jack's cunning, the poison would definitely be disabling. Li Jingsheng's motor function was damaged and he could no longer perform surgery.

The person who sent the text message warning knew that he often went to the roadside stall, which means that the information he had should be accurate.

……

After get off work, Li Jingsheng drove Ou Qinglan back to the clinic in his newly purchased car.

"My dear, let's eat kebabs again today! The taste is so satisfying. I haven't eaten in three days."

Ou Qinglan, like many girls, is a typical foodie.

Almost all junk food is their favorite.

What kind of milk tea, spicy, fried food, barbecue... They can't resist the delicious taste of these junk foods.

"Uh... why don't we go eat some other time!"

Li Jingsheng thought of the warning text message and did not dare to joke with his life.

"No! Today I was scrolling through Moments and saw a classmate from my hometown posting delicious food. The crispy kebabs almost made me cry."

"Okay, okay! Then let's eat somewhere else, don't go where we ate before."

Li Jingsheng couldn't resist his girlfriend's soft attack, so he had to agree to take her to eat.

Even if you don't take her with you, she will definitely go by yourself.

It will be even more unsafe then.

"Why don't you go there before? The taste there is very authentic."

"I heard that the barbecue there is unhygienic, and some people even use dead rat meat to pass it off as mutton skewers. Let's find another place! I know a barbecue restaurant that is very authentic, clean and hygienic. The owner has been running the restaurant for decades."

He did not tell anyone about the warning text message he received that someone was trying to harm him.

So that she wouldn't be frightened.

"Okay, it's up to you."

When Ou Qinglan heard that the barbecue stall might use dead rat meat to pass off as mutton skewers, she was immediately disgusted.

I was so kind on the spot that I was willing to eat somewhere else.

Li Jingsheng drove her to the barbecue restaurant behind the hospital and bought some mutton skewers, which finally helped her satisfy her craving.

Back at the clinic, Li Jingsheng saw that Tang Ping had not gotten off work yet, and Meng Luo was waiting for him to come back.

Then we go to the People's Hospital together to perform endoscopic surgery on the patient.

Now she performs endoscopic surgeries and endoscopic examinations with Li Jingsheng, which has become an important source of income for her. Even far more than her regular salary at the clinic.

As usual, Li Jingsheng was sitting in front of his work computer in the reception hall, checking the cases received by the clinic that day.

In order to ensure the quality of medical care, he requires every doctor in the clinic to write a medical record.

It's not as troublesome as the hospital's medical records.

The patients admitted to the clinic generally have relatively simple conditions. Just write down the patient's basic information, medical history, symptoms, physical examination results, final diagnosis of the cause, and treatment methods.

Basically, drug treatment is the main treatment.

A small number of patients require surgery.

In the clinic, currently only Li Jingsheng and Lin Xiaoran are operating on patients.

Since Lin Xiaoran joined, the general surgery department has gradually improved greatly.

It must be said that a good doctor is fully capable of running a department on his own.

After checking the medical records of the day, he was very satisfied.

Several doctors in the clinic have made great progress.

In terms of medical ethics and medical practice, they are all in line with Li Jingsheng's wishes. Including Wang Zongxiao, who was almost fired by him, now he has also shown extra points for medical ethics.

Li Jingsheng believes that medical ethics is more important than medical skills.

There is virtue but no skill, and one can slowly learn and improve. Having skills but no virtue is simply a cancer in the world, and countless patients will suffer.

……

Four days passed like this, and he brought a thermos cup to drink water every day.

And you won’t let the thermos cup out of your sight.

The past few days have been uneventful.

"Dr. Li, Professor Wu would like to invite you to the 5th Clinic for a joint consultation."

A visiting nurse ran over to him with a message.

As Li Jingsheng became more and more powerful in the field of orthopedic surgery, orthopedic surgeons often invited him for consultations.

Extraoral bone surgery and manual bone setting are originally from the same family.

Some patients with orthopedic injuries, especially those with fractures, often go to orthopedic surgery clinics first.

Because they don’t know that fracture injuries can also be treated through manual reduction.

When most patients hear that they have a fracture, the first thing they think of is the need for surgery.

The orthopedic surgeon who receives the patient will ask the patient to take a X-ray first.

If they think it can be restored manually, they will ask Li Jingsheng for consultation.

After all, most patients with fracture injuries have difficulty moving their bodies.

Li Jingsheng looked at the time, and it was already very close to twelve noon. Only about ten minutes left.

"Yan Yu, I'll leave the rest of the patient to you. He has a sprained ankle. Don't be too heavy when resetting it."

Today, two of the four doctors under Li Jingsheng have the ability to conduct independent consultations.

Ye Hui and Liu Xian have both reached a certain level in the field of manual bone setting.

Jin Yanyu's level is not bad, but his character still needs a lot of polishing.

Li Jingsheng has always taken him with him to teach him through words and deeds.

Among the four, Dr. Chen is an old man and has made the slowest progress. We are still far away from independent medical consultation.

However, by playing steadily and steadily, he gradually mastered each manual reset technique. I believe that if he maintains this attitude of diligent study and practice for five to eight years, he should be able to reach a good level.

His talent is not as good as the other three, so he can only take the path of making up for his shortcomings through hard work.

Li Jingsheng hurriedly came to Clinic Room 5 where Professor Wu was consulting.

A male patient in his forties sat next to the consultation table, with his family members standing behind him.

No obvious trauma was seen on the patient.

Based on Li Jingsheng's experience, fractures and injuries can be seen at a glance.

"Professor Wu, which patient needs consultation?"

"That's him! He has a sprained right arm. It's been more than a month now. He still feels pain and is unable to grasp objects. A film was taken and no obvious fractures were found. You are an expert in this field. Please help him take a look. "

Professor Wu's appearance is actually pretty good.

His hair is always meticulously styled, he wears glasses, and his clothes are basically a shirt and tie.

Even if he is wearing a white coat, he still looks like a scholar.

But doctors and nurses in the orthopedic surgery department all know that among the chief physicians, Professor Wu has the worst medical skills.

Professor Wu is average in both diagnostic and surgical abilities.

It's not bad in terms of academics.

Otherwise, he wouldn't be able to get a senior professional title. Li Jingsheng took the patient's film and looked at it, and then carefully asked about the patient's medical history and symptoms.

One and a half months ago, the patient twisted his right hand behind his back while taking a bath to scrub his back, resulting in a sprain. I didn't pay much attention to it at the time, but it still hurts and my right hand is weak.

"Can you raise your right hand?"

"can!"

The patient raised his right hand on the spot and everything seemed normal.

"Can you straighten your fingers?"

Li Jingsheng discovered at a glance that four fingers on the patient's right hand were slightly bent.

Other doctors may not be able to see anything. He has long studied human bones and treated patients with various bone injuries, but he could tell at a glance that the patient's right finger flexion and extension was likely to be impaired.

It just looks unnatural.

"I can straighten it, but it's very laborious."

The patient also secretly admired Li Jingsheng's observation skills. Because he did not describe the symptoms of difficulty in flexing and extending the five fingers of his right hand.

"Stretch it straight for me to see."

Li Jingsheng asked the patient to stretch out the five fingers of his right hand.

As a result, the patient gritted his teeth and could barely straighten his fingers.

"Hold this finger of mine."

Li Jingsheng extended his index finger for the patient to grasp.

The patient had significant difficulty grasping, rather than weakness as he stated.

Mainly it is more difficult when the fingers are bent.

After gripping it, it feels weak.

"Take off your coat and let me check the bones of your right hand."

Li Jingsheng has superb bone touching skills and rich diagnostic experience. He can basically diagnose the disease with just a touch.

After palpation of the bone and further inspection.

He found that the patient mainly had difficulty in flexing and extending the five fingers of his right hand and had weakness in grasping. However, the flexion and extension of the wrist, elbow, and shoulder joints of the right hand were normal.

In addition, he also made a major discovery: the patient's right thenar muscle, hypothenar muscle, and forearm muscles all had mild atrophy.

Everything about the patient's left hand was normal.

Both lower limbs are also normal.

"Your illness doesn't look like a bone disease or injury. It's probably a neurological problem. I suggest you get an MRI of your head."

After Li Jingsheng made the diagnosis, he basically ruled out the possibility of the patient's bone injuries.

"Isn't it possible? I obviously sprained my right hand while taking a shower. How could the nerves in my head be injured?"

The patient obviously did not agree with Li Jingsheng's diagnosis.

Professor Wu also found this diagnosis a bit strange.

If it weren't for Li Jingsheng's ability to diagnose difficult and complicated diseases, Professor Wu would have really suspected that he had misdiagnosed.

"How can I say this! For example, this is a powder keg. If you want to ignite it, you can either light the powder keg itself directly, or you can pull a fuse and ignite the fuse. If you sprain your right hand while taking a shower, maybe it's just a The fuse that ignites the disease.”

Li Jingsheng explained to the patient.

"Dr. Li is our authoritative expert in orthopedic surgery. His endoscopic surgery is world-famous and he is at the leading level internationally. He said that your problem may be a neurological problem. I suggest you follow his advice and have a head scan Check out the MRI results."

Professor Wu is definitely on Li Jingsheng's side at this time.

He invited the people here.

If you dare to speak against Li Jingsheng, you are basically trying to discredit Li Jingsheng in front of the patients.

It will be difficult to invite Li Jingsheng next time.

Although Professor Wu is a romantic person and a lot of age, he thinks about which beautiful woman he will go out with at night every day. But he is still very good at dealing with people.

It's not a bad thing for men to love beautiful women.

Professor Wu has always maintained a good image, so why is he not dressing up for beautiful women?

Just like men and women in love, they will pay special attention to their image.

It's just that Professor Wu's love period was relatively long, while others only dated for three or four years before getting married.

But he is married and still dating different beauties every day.

"Okay, now that I'm here, I'll definitely listen to your doctor."

The patient consented to a head MRI.

After Li Jingsheng came out of Clinic 5, he went straight to the cafeteria to eat.

Professor Wu is quite interesting.

Asking him for consultation is considered asking him for help. Instead of asking him to make the trip in vain, he took the initiative to buy a pickled fish for Li Jingsheng and delivered it to his dining table.

This kind of pickled fish is impossible to buy in the hospital.

You can only buy it at restaurants outside.

The price is also relatively expensive, costing 58 yuan per serving.

"Dr. Li, Xiao Ou, please eat slowly!"

After Professor Wu delivered the fish, he left very wisely.

Didn't stay here as a light bulb.

He had had an interest in Ou Qinglan before, but after Li Jingsheng rose to power, Professor Wu had always treated Ou Qinglan well and never had an interest in her again.

This also shows that Professor Wu has a strong desire to survive.

Although she loves beautiful women, she is very measured in her actions. He would never mess with anyone he couldn't afford to mess with, but would try his best to make friends with them.

After dinner, Li Jingsheng thought that there would be several endoscopies and surgeries in the evening, so he went directly back to the outpatient room. I want to finish dealing with the patients at hand as soon as possible.

At this moment, there was no one in the clinic.

Li Li, Doctor Chen, and Jin Yanyu all went to eat.

There is a break of more than an hour at noon.

That kid Jin Yanyu also followed Li Jingsheng's example and went on a date with Ye Hui at noon.

Judging from Ye Hui's attitude towards him, it was only a matter of time before he was taken down.

Li Jingsheng picked up the thermos cup and instinctively opened it to drink water.

"Ok?"

He found that the lid of the thermos cup was tight.

Even though it was just a small abnormality, it immediately made him suspicious.

Because he needs to talk a lot during the consultation and needs constant hydration. For convenience of drinking water, the cup lid will be screwed very loosely.

I was invited to a consultation by Professor Wu before, but because it was urgent, I didn’t bring a thermos cup with me.

Now that the lid of the thermos cup was screwed so tightly, he was immediately on high alert.

He carefully put the cup back on the spot.

First, he called Li Li and others to ask if they had touched his thermos cup.

Sometimes they would also take the initiative to help Li Jingsheng fill up his water glass.

The answer was no.

Li Jingsheng realized something was wrong and immediately called his friend who was a criminal investigator.

"Officer Lou, just now, I found that my thermos cup may have been tampered with. I suspect someone poisoned it, but I'm not sure. What should I do next?"

Calling the police can easily alert someone.

And it's possible that he remembered it incorrectly and made a big mistake.

"Put that cup away and don't move it again, so as not to damage the fingerprints on it. I'll come and take it away so that I can check the fingerprints on it and whether the water in the cup is poisonous."

Officer Lou is extremely sensitive to the criminal case itself.

He is a good friend with Li Jingsheng. Now if someone wants to murder such a good doctor, he will never agree.

"Can you please come here without wearing a police uniform? I'm worried about alerting others."

"Don't worry, I just eat this bowl of rice. How can I be so stupid? I usually wear casual clothes. Come over here right away. Is there any surveillance video in your clinic?"

"Have!"

Li Jingsheng replied.

In order to prevent medical disturbances, hospitals have installed surveillance cameras everywhere.

Now it has helped a lot.

"Find an acquaintance to secretly make a copy of the surveillance, and I'll take it with you."

"it is good!"

Li Jingsheng's status in the Second Hospital is not low, and the security department is very fond of him. Adjusting the monitoring is just a piece of cake.

After the security department made a copy of the surveillance, they personally sent it to him.

Not long after, his detective friend also arrived.

The two did not communicate much at the scene. Officer Lou, wearing plain clothes, took away the evidence in a tacit understanding and took it back for testing.

The afternoon consultation continued, and Li Jingsheng was not greatly affected.

But he became more careful about what he ate and drank.

Just before four o'clock in the afternoon, the patient that Professor Wu invited him to consult came directly over with the MRI report.

"Professor Li, as you diagnosed, it seems that there is a tumor in my head."

The patient is now convinced by him.

Just the name Li Jingsheng was called made Li Jingsheng very embarrassed.

He is still only a lecturer, not even an associate professor.

However, he did not argue too much, but took the patient's examination film and the report to review.

The patient had multiple cystic and solid round-like long T lesions in the parenchyma of the frontal and parietal lobes of the left brain. The border looks fairly clear and smooth.

The signal within the lesion was not very uniform, and there were nodular liquefaction lesions.

In terms of neurology diagnosis, Li Jingsheng's level is average.

However, this diagnosis result can still be seen at a glance as an intracranial tumor.

What kind of tumor it is needs pathological examination to know.

It feels a bit like an astrocytoma.

"You may need surgery to cure this!"

Li Jingsheng said to the patient.

"Can you do it for me?"

The patient's blind trust in Li Jingsheng made Li Jingsheng smile bitterly.

"I'm just an orthopedic surgeon and I can't do craniotomy. You need to go to the neurosurgery for surgery."

"We still need to open the skull! Oh, isn't this the end of the world? Okay, why is there a tumor growing in the head?"

When the patient heard that he was going to have a craniotomy, his face changed. (End of chapter)

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