Chapter 886 - 427: Enhanced Predictive Ability—It’s Definitely Cancer

Chapter 886: Chapter 427: Enhanced Predictive Ability—It’s Definitely Cancer

The two were discussing the patient’s cause of illness when the lean doctor under Director Lin came over.

He knocked on the door standing at the entrance.

"Director Lin, the results of the patient’s stool and urine tests are out."

"Okay, you go ahead with your work!"

Director Lin nodded to his doctor and then clicked on the computer, indeed seeing the patient’s latest test results.

Urinalysis is normal.

The stool test is positive for occult blood.

This indicates the patient has blood in their stool.

Director Lin’s heart couldn’t help but skip a beat twice.

"Dr. Li, it seems this patient really needs an abdominal CT scan, perhaps we should invite Director Xiao from Gastroenterology for a consultation."

"An abdominal CT scan with both plain and enhanced modes is definitely necessary. The stool test showing positive for occult blood without the patient reporting black or bloody stools suggests the symptoms might be mild. We could also ask the patient further about symptoms in this area. Personally, I’m concerned it might be a malignant tumor."

Li Jingsheng sighed silently.

Sometimes the more you fear something coming, the more it actually happens.

This patient’s family wasn’t financially poor initially, but with the burden of heavy mortgage and car loans, and spending a significant amount on children’s education, it is a serious added pressure.

Underneath such high stress for long periods, anxiety, insomnia, work pressure, and life stress weigh heavily like mountains.

The patient’s mood has been continuously suppressed, which is very detrimental to the body.

Then, due to high stress, relying on tobacco and alcohol to relieve pressure further damages the body.

Even a body made of iron couldn’t withstand such destruction.

Now we hope it is discovered early, and there is an opportunity for surgery.

At this moment, the emergency department called over.

"Dr. Li, the epiglottitis patient now has a more swollen epiglottis, ready for tracheotomy and intubation, but the patient firmly refuses. You need to come over quickly."

It was Director Yan who personally called.

With more patients, there are more issues.

The female patient’s condition is very dangerous, and Li Jingsheng referred her to the emergency department. As a result, she is now at risk for her life, yet she refuses to cooperate with the treatment.

It seems Director Yan is just short of swearing.

The patient referred to vascular surgery is more troublesome, and looking at the current situation, the chances of discovering a malignant tumor are very high.

By then, when the family learns the truth, it will likely feel like their world has fallen apart.

Li Jingsheng hurried to the emergency department, where Director Yan was accompanied by nurses and his doctors at Han Xiaoqing’s bedside.

The patient had been moved into the rescue room.

The nurse was making efforts to persuade Han Xiaoqing.

However, sometimes what the nurse says doesn’t work.

Many patients and families inherently underestimate nurses, thinking they are just there to give injections and know nothing.

In reality, nurses know as much medical knowledge as doctors.

It’s just the division of work differs; nurses are more like dutiful wives doing more behind-the-scenes work.

Doctors are more visible, undertaking tasks remembered by patients and families.

Such as performing surgery, prescribing medications, diagnosing, etc.

Relatively speaking, nurses have much less authority, hence their status remains low.

Sometimes, even after nurses plead patiently and speak hundreds of words, just one sentence from a doctor might prove effective.

"Han Xiaoqing, what’s the matter? You’re risking your life here yet still refuse to cooperate with the doctors for tracheotomy?"

When Li Jingsheng entered the rescue room, he noticed her face was already cyanotic.

This is a symptom of hypoxia.

She could no longer speak.

She could only shake her head at Li Jingsheng, her eyes filled with plea and grievance, even tears glistened in her eyes.

She wrote a sentence on paper.

"Please wait a little longer, I believe I can get through this!"

Faced with such a stubborn patient, the medical staff were rather speechless, but mostly helpless.

If the patient disagrees, as long as the family signs, it is possible to restrain them for forced surgery.

Doctors usually do not proceed like this.

"Open your mouth, let me check."

Li Jingsheng was contemplating how to persuade this patient.

The best approach is to start from the actual situation of the condition.

Han Xiaoqing opened her mouth, and Li Jingsheng shone a flashlight, pressing the tongue with a spatula to observe her epiglottis.

The color is not as red.

The gap in the center of the epiglottis has become smaller.

If the swelling continues, the patient will certainly face asphyxia.

After careful observation, Li Jingsheng silently assessed.

The swelling has not increased much since morning, suggesting the swelling of epiglottitis has significantly slowed, indicating effective control.

The color is less red, and based on his clinical experience often indicates the inflammation is starting to recede and improve.

Although the gap in the patient’s epiglottis has already been pressed to a very small and rather dangerous extent, it has not reached an extreme level.

Faced with the pleading look in her eyes, Li Jingsheng understood clearly; she would rather risk her life than agree easily to a tracheotomy due to the fear of losing her career as a host.

She is a freelance host, unlike those TV hosts.

Her risk management ability is much weaker.

If a tracheotomy is performed, she definitely won’t be able to take any work for a long time.

By that time, the little market she worked so hard to establish will be taken by other hosts. She would need to open up new markets again, a process that would be extremely arduous.

Moreover, if she undergoes a tracheotomy, she’s worried about the impact on her appearance and voice, reducing her competitiveness, making it even tougher.

Precisely because of such severe impacts, she insisted on holding out, refusing to undergo the tracheotomy until the last moment.

"Director Yan, I just checked her epiglottis and throat situation; the hematoma should have reached its peak and shouldn’t swell further. Han Xiaoqing is a freelance host who has worked hard to establish her current business foundation, indeed it’s quite difficult. How about this, I will delay my return to the orthopedic outpatient clinic by an hour and stay here. If her epiglottis really blocks the airway completely, I will immediately perform a tracheotomy and intubation on her.

If you have other matters, please go ahead.

If you are worried, you can stay here and watch for a while."

Li Jingsheng said this because he was quite familiar with Director Yan.

Moreover, his skills have already been acknowledged by Director Yan.

"With you here, what is there for me to worry? I entrust this patient to you; if a cut is needed, make the cut. Compared to life, career is nothing!" Director Yan saw Li Jingsheng standing by the patient’s side and knew further persuasion was useless.

Cursing, he simply left.

As he left, he instructed doctors and nurses to cooperate with Li Jingsheng’s work.

He trusted Li Jingsheng’s surgical ability and medical skills but was concerned that Li Jingsheng might be too sentimental.

It’s said that mercy to the enemy is cruelty to oneself.

A doctor being too merciful and accommodating to a patient is also a cruelty to themselves, easily stirring up trouble.

If the patient doesn’t have issues, everyone celebrates, speaking highly and expressing gratitude towards the doctor.

Once an issue occurs, they will immediately turn against the doctor.

Then come complaints and lawsuits, treating the doctor like an enemy.

Li Jingsheng stayed by the bedside, ready at any moment to perform a tracheotomy for the patient for her rescue.

Time was passing second by second.

Every second seemed extraordinarily long and difficult.

He was closely monitoring the patient’s breathing condition.

Approximately half an hour later, the patient needed to open her mouth wide to breathe.

Nurses and doctors in the emergency rescue room were stamping their feet anxiously, but since Li Jingsheng, the ’emperor,’ wasn’t anxious, their urgency as ’eunuchs’ was in vain.

Close to forty minutes in, the patient’s breathing seemed less urgent.

Another ten minutes passed, the patient’s breathing condition continued to improve, and her complexion visibly improved.

Cyanosis began to improve.

Previously, even oxygen inhalation was useless.

Due to severe narrowing of the airway, she was having difficulty breathing. Oxygen inhalation could improve symptoms but couldn’t completely meet her body’s oxygen needs.

At this point, the anxious nurses and doctors in the rescue room all secretly breathed a sigh of relief.

[Life Value +1000.]

Li Jingsheng’s life value skyrocketed by one thousand instantly.

With such a large sum of life value, plus the remaining accumulated over recent days, he could upgrade the implantation technique to a higher realm.

"Han Xiaoqing seems to have passed this hurdle!"

Li Jingsheng stood up, checked her throat and epiglottis again; the swelling had stopped.

The color of the epiglottis looked better than before.

Moreover, the gap in the middle of the epiglottis appeared to have widened a bit.

This indicates that the patient’s epiglottis is starting to reduce swelling.

She delayed coming to the hospital when it was quite severe; otherwise, she wouldn’t need to go through such a dangerous ordeal.

Through this clinical accumulation, he gained new insights into recognizing and handling danger.

In clinical diagnosis and treatment, doctors often set a high safety red line to avoid issues. Without waiting for disease to reach the actual danger line, they will decisively take measures as soon as there is a trend or sign.

It’s like killing danger in the cradle.

Doing so is normally beneficial for both doctors and patients.

But in Han Xiaoqing’s situation, the implementation of treatment measures would cause significant harm to the patient. It’s okay to adjust the safety line a bit lower.

At least, today’s persistence, to Li Jingsheng, holds great significance.

It helped the patient retain the job she might have lost.

Also avoided unnecessary treatment measures.

"Do rest well, your epiglottis has started to reduce swelling; as long as it’s maintained, you’ll be able to breathe normally by tonight at the latest."

Finishing his advice, Li Jingsheng exchanged a few words with the rescue room’s medical staff and then hurriedly left.

To help Han Xiaoqing take a chance, he sacrificed one hour of private time.

This means he might need to work overtime by more than an hour after work at night.

Returning to the manipulation outpatient clinic, working diligently goes without saying.

After work, he received news from two departments.

From Director Lin’s side, he received a message stating that the patient’s abdominal ultrasound found multiple hypo-echoic areas in varying sizes in the liver, with halo-like echoes visible around them.

This is a very bad test result.

Looking at the patient’s CT result, multiple low-density areas in the liver.

It’s basically determinable that the patient very likely has liver cancer.