Chapter 884 - 425: No Doubt About the Venous Thrombosis, Director Lin Wants to Make a Turnaround

Chapter 884: Chapter 425: No Doubt About the Venous Thrombosis, Director Lin Wants to Make a Turnaround

There are many diseases that can cause muscle pain, such as rhabdomyolysis, painful spasms, myositis, dermatomyositis, polymyalgia rheumatica, fibromyalgia syndrome, and so on.

Even leptospirosis can cause similar severe muscle pain.

Clinically, the pain from muscular dystrophy is also quite common.

This patient’s temperature is normal, and there are no other symptoms, with the cause starting from an injury, making the likelihood of leptospirosis very small.

In terms of nutrition, the patient does not have muscular dystrophy.

The patient also does not have symptoms such as rashes, oral ulcers, or joint pain.

Li Jingsheng decided to start from the reddened vein.

Recalling the previous examination of the patient’s right hand and the left lower limb calf area, hard cord-like lumps were found. However, they are distinctly different from the ’stone block’ texture felt during muscle spasms.

After much consideration, it’s most likely that a thrombus has formed inside the vein.

Especially in the lower limb, it’s very prone to forming deep vein thrombosis.

During the physical examination of the patient just now, varicose veins were not found, indicating that the patient’s vascular health is pretty good. At least no obvious lesions were found.

If the patient really has venous thrombosis, it’s very likely due to the injury.

Normally, injuries at most cause hematomas and generally don’t form venous thrombosis.

The situation can only be further diagnosed after the patient completes the ultrasound scan.

Less than an hour later, the patient returned with the ultrasound results.

Thrombus formation was found in the left superficial femoral vein, bilateral popliteal veins, upper segment of the posterior tibial vein, and the tibiofibular trunk.

Thrombus formation in the left calf’s internal superficial vein.

No abnormalities were found in the lower limb arteries.

No wonder the lumps felt cord-like; so many venous thrombi have formed.

It’s simply terrifying.

Needless to say, the right hand surely has formed venous thrombosis as well.

The thrombosis in the right upper limb likely migrated there from the left lower limb.

From the current symptoms and condition of the patient, an attempt can be made to use low-molecular-weight heparin injections. If the symptoms are significantly alleviated, then continued medication treatment is possible.

Such vascular diseases cannot be treated by the orthopedic department.

After all, it’s not their specialty, randomly admitting patients—if treated well, it’s okay, but if a problem arises, the department leaders will have to face criticism.

Now the cause of the patient’s pain has been identified.

However, why the thrombus formed still requires further investigation.

Ordinary people are inevitably prone to knocks and falls.

If everyday life knee injuries lead to venous thrombosis, it would be quite frightening.

Li Jingsheng’s clinic is really busy; since the patient’s cause of pain is clear, further investigation will be left for other doctors to handle.

The second hospital, though small, has everything.

It actually has a dedicated vascular surgery department, but because of poor business, this department is even worse than the endocrinology department.

Hardly two patients are admitted all day long.

"Let me write you a note, you go to the fourth floor of building two to find Director Lin of the vascular surgery department."

Li Jingsheng said to the patient.

This is just because Li Jingsheng is kind-hearted and considering the heavy economic burden of the patient’s family, he helps write this note.

Otherwise, the normal procedure would be to have the patient register for the vascular surgery department themselves to find a doctor.

Registering for the director’s number costs at least 32 yuan.

There’s no such privilege of not needing to queue.

Originally, for such lower limb and upper limb venous thrombosis, it can be treated in the vascular surgery department. It can also be addressed by general surgery.

General surgery is the progenitor of the surgical department; it is like the Daoist way that begets one, one becomes two, two becomes three, three begets all things.

All surgeries are actually derived and developed from general surgery.

There are still many big hospitals’ general surgery departments that encompass various conditions, capable of performing most operations.

Li Jingsheng introducing the patient to vascular surgery is both supporting the vascular surgery department and helping the patient choose a more suitable department.

The second hospital’s general surgery is developing very well.

Having one more patient or one fewer patient doesn’t matter. For the vascular surgery department, admitting one patient might mean the day’s business isn’t doomed.

...

Li Jingsheng was busy until after twelve noon, only then hurriedly rushing to the cafeteria to eat.

Handled a total of forty-one patients this morning, which is considered pretty good.

Also, thanks to the rapid growth of Ye Hui, Yang Luqing, and others, who can assist, Li Jingsheng was able to handle so many patients in the morning.

Simple joint dislocations and relocations can basically be entrusted to the students.

All five students can get some opportunity for practice.

Yang Luqing sat on the sidelines for a while, later repeatedly approached Li Jingsheng to show goodwill, but never apologized or admitted fault. Li Jingsheng considered this a way to give this young man some lessons.

Not directly banishing Yang Luqing just because he did not save him in critical moments.

Not even kicking him out of the manual repositioning clinic.

Although Yang Luqing behaved very timid and cowardly in front of thugs, his talent in learning manual bone setting is quite good, and he is very responsible with patients. Besides, his character is not bad.

After appropriate probing, Li Jingsheng still teaches him manual bone setting positioning and provides him with opportunities for hands-on practice.

But to acquire the core bone setting skills, he will probably have to resolve the knot between him and Li Jingsheng.

Or have something that can impress Li Jingsheng.

So far, only Ye Hui has been taught the Bone Touching Skill.

It must be said that after mastering the Bone Touching Skill, it greatly aids in the bone-setting technique.

Ye Hui hasn’t been studying the Bone Touching Skill for very long, just over a month, but her bone-setting skills have already far surpassed the others.

Currently, Li Jingsheng is secretly evaluating Liu Xian.

As long as there are no major issues, Liu Xian should be the second person to be taught the Bone Touching Skill.

As for Jin Yanyu, he needs more polishing.

The young man’s aristocratic demeanor is still a bit heavy, and he tends to act ostentatiously.

If this were a TV show or a novel, Jin Yanyu would probably be the type of wealthy or official second generation whose family falls on hard times, experiences a period of hardship, and then becomes practical and steady.

And eventually, the protagonist who makes a comeback.

Usually, a person like him, passionate and full of chivalry, wouldn’t go too wrong.

Senior apprentice Dr. Chen at the orthopedic clinic, is now down-to-earth, practicing a basic bone-setting technique daily. If he can persevere, there’s hope to compensate for his shortcomings with diligence.

Li Jingsheng had just entered the canteen when he saw Ou Qinglan waving at him.

In the crowd, whether sitting or standing, she was always a beautiful sight to behold.

"Qinglan, have you waited long?"

Li Jingsheng gazed deeply at her pretty face, his eyes filled with warmth and genuine affection.

As for gratitude, it wasn’t necessary.

In the near future, she would become Li Jingsheng’s wife.

By then, they would be family.

Between family members, there’s no need for politeness and thanks. Because all the dedication is selfless, it is love.

"Not too long! Waiting for you is actually a kind of happiness. Eat up!"

Her casual remark stirred the softest chord deep within Li Jingsheng’s heart.

The most important thing between people is the bond between two hearts.

"How are things, no tough cases to handle today?"

Li Jingsheng asked about her work.

"That would be a miracle. Professor Wu has always been supportive of me, you know that. I’ve already admitted two difficult and complex patients this morning, waiting for you, the hero, to help me out."

She never feared or worried when faced with difficult cases.

Because she had an incredibly capable boyfriend behind her.

"No problem, after we finish eating, I’ll go to the ward with you."

Li Jingsheng readily agreed.

Spoiling his girlfriend was within his capabilities.

As they were eating, a male doctor in his mid-forties approached.

"May I sit here?"

The male doctor smiled as he asked Li Jingsheng.

"Of course, please sit!"

Li Jingsheng moved his tray over, showing goodwill.

"I’m glad to meet you, Dr. Li. I’m Lin Zhengwei from Vascular Surgery."

The man sat down and extended his right hand to Li Jingsheng.

"Ah... You, you are Director Lin! Please forgive my rudeness!"

Li Jingsheng quickly put down his spoon and shook hands with him using both of his hands. It was a gesture. As a junior in the medical field, with a lower rank, he should show some modesty.

After shaking hands, Director Lin looked at Ou Qinglan. "Dr. Ou, may I borrow your boyfriend for a few minutes, please forgive me."

"I don’t mind, go ahead and talk as you need."

Ou Qinglan felt somewhat overwhelmed. She was just a junior resident doctor, for a director-level doctor to be so courteous towards him, this sense of status was very gratifying to her.

Of course, she knew that Director Lin was being so polite to her out of respect for Li Jingsheng.

"Dr. Li, thank you for helping our Vascular Surgery department by referring a hospitalized patient to me. However, the cause of this patient’s condition is quite obscure, and I’m a bit worried about being unable to address it!"

Director Lin himself was in his mid-forties and had become the director of a department.

His career was quite successful.

Even though the department’s performance was poor, he was essentially a leader without a team, this did not affect his rank.

"Is it difficult to diagnose the cause of thrombosis?"

Li Jingsheng got straight to the point and asked.

"Exactly! This patient’s condition doesn’t seem as simple as it appears. Although it has been determined that there are venous thromboses in the right upper limb and the left lower limb, and the symptoms have significantly improved after medication, the underlying cause is quite complex. I know Dr. Li is outstanding at diagnosing complex cases; could you find some time amidst your busy schedule to consult with me?"

Director Lin had very mixed feelings.

He wanted to take on this case, but with limited expertise, he was worried about potential problems.

This is why he thought of asking Li Jingsheng for help.

Connecting with Li Jingsheng had long been his goal.

The Internal Medicine Department and Endocrinology Department have already shown significant improvement after collaborating with Li Jingsheng. The Orthopedic Surgery Department, with Li Jingsheng’s involvement, has now begun to soar. It has advanced from a second-tier department towards becoming a first-tier one.

If all goes well, within a year or two at most, the Orthopedic Surgery Department’s performance might surpass that of Cardiothoracic Surgery and Neurosurgery, directly becoming a first-tier department second only to General Surgery.

Director Lin also wanted to progress; he dreamed of it.

But to curry favor with Li Jingsheng without any reason was not something he’d flatteringly do.