Practicing Medical Skills in a Small Clinic
Chapter 889 - 430: Polyposis, Director Lian Can’t Escape
Chapter 889: Chapter 430: Polyposis, Director Lian Can’t Escape
Lian Tao is an expert in Gastroenterology, he should have a way to improve his girlfriend’s intestinal condition.
"I’ve tried some treatment methods, but the effects haven’t been good. Her illness seems even more challenging than Crohn’s disease. Our human Western medicine has only been developing for over two hundred years, and our understanding of many diseases is very limited."
The development of medicine relies heavily on scientific advancement.
Human medical progress has actually been quite significant, having entered the microscopic world.
However, the deeper we research and develop in extreme directions, the difficulty increases exponentially. Years ago, even the gene sequencing of a single virus was enough to stump the world.
Now, new research achievements are constantly emerging in various microscopic fields of medicine.
For example, transport proteins, various enzymes, cell regeneration, cloning technology, etc., have all seen significant advancements.
"Aren’t you doing specialized Gastroenterology research? You could conduct some research on her condition!"
Li Jingsheng dared to make this suggestion because of his good relationship with Lian Tao.
Others making this suggestion would likely get scolded.
"It’s not that I haven’t thought about it, but the actual implementation is very difficult. I plan to first apply for some natural science research funding, and then shift to this area of research."
Ultimately, it’s a matter of money.
Conducting scientific research is extremely costly.
Securing each piece of natural science research funding is subject to rigorous review.
Lian Tao wants to obtain substantial funding to study ’colon conditions’, which requires presenting a lot of substantive findings to pass the review.
But even the first step, producing substantive findings, is incredibly difficult.
Regarding research on colon conditions, there have yet to be clear medical reports worldwide.
Lian Tao wants to achieve some research outcomes in this field, equivalent to pioneering work. Starting everything from scratch is unimaginable.
Li Jingsheng didn’t say anything more; every family has its troubles.
It’s better not to mind others’ business.
The endoscope is slowly advancing through the patient’s intestine.
As soon as the colon segment is entered, Li Jingsheng is astonished by the polyps visible everywhere.
"Oh my God, is this the den of polyps?"
Polyps of various sizes are distributed along the inner wall of the intestine.
"Her constitution is very special, her intestines are particularly prone to polyps."
This doesn’t surprise Lian Tao at all.
"No wonder you’re anxious to have someone perform an endoscopy on her. So many polyps are indeed quite alarming."
I really don’t know how her intestines could grow so many polyps.
Normally, it’s recommended to get an endoscopy around the age of forty.
She is still very young, yet her intestines are already full of polyps.
This definitely affects nutrient absorption and bowel movements, etc.
Li Jingsheng quickly discovers something new, despite the numerous polyps, their surfaces are smooth and don’t look like those that might become cancerous.
The world is vast, filled with wonders.
This is the first time Li Jingsheng has encountered a patient like this.
"Lele’s intestines used to tolerate standard endoscopies. But progressively, her intestines have become increasingly fragile, with declining tolerance to damage. Last year when she had an endoscopy, her tolerance level was around 1. This year, it has dropped to 0.9. The time left for me is running out."
Lian Tao’s tone is full of worry and helplessness.
Performing an endoscopy won’t solve the fundamental problem.
The cause of her condition, leading to increasingly fragile intestines, must be identified.
"After finishing the endoscopy surgery, show me all her examination records. I’ll do my utmost to help you identify the cause of the illness and try to cure her."
Li Jingsheng has always been loyal to true friends.
A couple of years ago, before being disheartened and not recognizing the true faces of fake friends, he was immensely loyal to all his friends.
"Good brother, just waiting for your words. You have a natural advantage in diagnosing complex cases, having your help gives me some hope."
Lian Tao is elated.
Others may not know how capable Li Jingsheng is, but he is well aware.
What he values most is Li Jingsheng’s speed of improvement, which is especially remarkable.
Rapid progress occurs every few periods.
Incomparable even to prodigies.
Because prodigies can’t match up.
For example, in endoscopic technology, during Li Jingsheng’s last simulation test, the destructive force was around 1, now it has dropped directly to 0.4.
It’s simply miraculous.
Lian Tao is seeking a master to perform an endoscopy for his girlfriend while he himself is striving to enhance his endoscopic skills.
But the progress is extremely slow.
After reaching a certain level, even a slight improvement becomes exceptionally challenging.
Li Jingsheng controls the endoscope to meticulously explore the entire colon segment; the number of polyps should far exceed a hundred.
There is a disease known as polyp disease.
According to relevant reports, a patient was found to have more than a hundred polyps in their intestines.
That’s already shocking.
But compared to the quantity of this female patient’s polyps, it’s like comparing small fry to a giant.
She could apply for a Guinness World Record.
Under his control, the endoscope begins to enter the ileum segment, and the risk significantly increases.
He becomes exceptionally cautious.
"Oh, her ileum is fine; not a single polyp has grown. Also, the ileum wall seems a bit thicker, and its toughness has improved."
Li Jingsheng feels deeply incredulous.
Her intestinal deterioration resembles a tree withering, spreading downward from the tip.
The most severe deterioration is in the rectal segment, followed by the colon segment.
Polyps almost completely fill the colon segment.
But in the ileum, after probing a small section, surprisingly no polyps were found. Between the colon and ileum, there was a clear demarcation.
"Yes, when we did her colonoscopy before, it was the same result."
Lian Tao nodded.
"Wow, found a polyp!"
Li Jingsheng discovered a polyp.
Some things are better left unsaid; good things seldom happen, bad things easily come true.
This polyp is markedly different from those in the colon.
Its base is quite broad, and there is a stalk at the top.
Moreover, its boundaries are not very clear.
Polyps are divided into adenomatous polyps and non-adenomatous polyps.
This one, based on his experience in dealing with tumors, Li Jingsheng could almost instantly determine it’s not benign.
Even if it’s benign now, without turning malignant, if it isn’t removed, there is a possibility it will turn malignant in three to five years.
"Brother Lian Tao, should we remove this for her?"
"Are you confident?"
"We can give it a try."
Li Jingsheng dared not say that nothing will go wrong.
All surgeries have risks, especially with a patient suffering from such intestinal illnesses.
Even a small procedural error could lead to catastrophic consequences.
"Then let’s remove it! This polyp seems to be quite bad. Sigh, I am just worried that her intestines could grow these potentially malignant tumorous polyps. Last time, the colonoscopy didn’t dare probe the ileum segment, it seems negligence was at play."
Lian Tao noted that the diameter of this polyp was quite large, surely surpassing one centimeter, indicating it wasn’t grown in a short period.
Li Jingsheng maneuvered the endoscope and deftly removed it.
The whole procedure was clean and efficient.
"This level of removal, well, seems no different from surgical directors in the operating room. Why do you always hide your skills like this? I must critique you, you shouldn’t always conceal your talents."
Lian Tao watched, stunned.
He was initially considering calling a Director from General Surgery over for help, but Li Jingsheng removed it in the blink of an eye.
From Lian Tao’s experience, he could immediately tell that Li Jingsheng had deep surgical expertise.
Not only was it completely removed, but it was very cleanly done, crucially without any intestinal perforation or cutting too deeply.
Despite the fact that her ileum’s section has a thickened intestinal wall, polyp removal remains fraught with danger.
The technical difficulty was very high.
Li Jingsheng smiled without responding.
He continued to maneuver the colonoscope deeper into the ileum.
Under normal circumstances, colonoscopy usually ends at the colon section.
Going further, difficulty and risks considerably increase; few colonoscope doctors dare to take this risk.
Li Jingsheng’s current insertion technique has reached the pinnacle, making this colonoscopy a great opportunity for practice.
Soon after, he found another small polyp.
Albeit small and without malignant tendencies, Li Jingsheng removed it as well.
Moments later, the ileum segment was basically checked.
No more polyps were found, but he had other discoveries that might serve as references for diagnosing her condition.
"Brother Lian Tao, what to do with her colon polyps?"
The total number definitely exceeds two hundred, possibly reaching three hundred.
Getting rid of them all is unrealistic.
Indeed, the renewal speed of intestinal mucosa is rapid.
Yet, no doctor would dare attempt such extensive damage.
"I looked at the polyps in the colon, the larger ones haven’t notably grown. Let’s hold off on removing them for now! This colonoscopy has great significance; at least two polyps in the ileum were found, one of which has a high possibility of becoming malignant."
Lian Tao concluded.
He directly made the decision for the female patient, almost acting as family.
He and Yu Lele essentially just need a piece of paper.
"The type of polyp in her colon should all be the same; shall we remove one for pathological examination?"
Li Jingsheng proposed.
Her colon having so many polyps is like the legendary polyposis disorder.
There’s another peculiarity.
The rectum is also prone to polyps since the incidence of colorectal cancer is quite high.
However, no polyps were found in her rectum.
"Okay, let’s remove one for pathology!"
Lian Tao agreed.
Li Jingsheng removed a relatively large colon polyp for pathological examination.
"These colon polyps are quite peculiar! How come they resemble jelly inside?"
"Have these never been removed before?"
"They have been, and pathology has been done. Examination showed no issues. The jelly-like substance examined was found to be very similar to intestinal fluid."
Lian Tao replied.
Li Jingsheng nodded, finishing the colonoscopy, and left the colonoscopy room.
Shortly thereafter, Lian Tao also came out.
"Jingsheng, you worked hard today. No need for gratitude words; you know my personality, not fond of formalities. Whatever happens in the future, I will definitely assist you wholeheartedly."
The favors owed by Lian Tao to Li Jingsheng were increasing.
This was precisely what Li Jingsheng hoped for.
If you find any errors (non-standard content, ads redirect, broken links, etc..), Please let us know so we can fix it as soon as possible.
ReportUse arrow keys (or A / D) to PREV/NEXT chapter
Loading comments…