Practicing Medical Skills in a Small Clinic
Chapter 890 - 431: Two Clues, Family’s Regret
Chapter 890: Chapter 431: Two Clues, Family’s Regret
If nothing unexpected happens, Lian Tao will have to ask Li Jingsheng to help his girlfriend with a colonoscopy next time.
"Come on, I’ll go to the office first and get Lele’s examination documents for you. To help her treat this disease, I’ve specially prepared more documents and consulted many experts for joint consultations. Unfortunately, there’s been no progress at all."
Speaking of his girlfriend’s condition, Lian Tao’s face was full of worry.
As a dual-specialty chief physician and a top young expert, not being able to cure the illness of the woman he loves is the most painful thing.
He followed Lian Tao to his office.
Indeed, as Lian Tao said, he prepared multiple documents.
Even the films are printed on film.
"I’ll take it back and study it thoroughly, treat it as a hobby. See you."
Li Jingsheng came over to help him with a colonoscopy, didn’t ask for any reward, and left without even having a cup of tea.
"Why the rush? We haven’t had supper for a long time, it’s just the right time to invite you for a drink."
Lian Tao stopped him.
"Come on, your girlfriend just had a colonoscopy surgery, spend more time with her. I figure your heart has flown to her already, drinking without your heart won’t be satisfying."
Li Jingsheng teased him with a smile, waved his hand, "If my diagnosis makes progress, I’ll send you a voice message."
Lian Tao’s thoughts were uncovered by him, and he also smiled.
"Then I’ll leave you be, take care on your way."
The girlfriend just finished a colonoscopy, and the condition was found to have worsened, Lian Tao would certainly have to personally comfort and protect her.
...
Li Jingsheng returned to the clinic, finished handling the clinic’s affairs, and took Yu Lele’s documents to seriously read them through.
This disease has not just been one or two months, but happened many years ago.
The disease course is very long.
There were no obvious inducements in the early stages, and the symptoms were not obvious.
Then the symptoms gradually worsened, and until now, the intestines have become thin and fragile, truly becoming ’powder intestines’.
After initially reviewing the documents, Li Jingsheng had no clue at all.
The most difficult diseases in the human body are those related to the intestines.
Other parts of the body have diseases, many are incurable due to malignant tumors or organ failure. However, intestinal diseases often have no discernible cause, or the manner of occurring is extremely bizarre.
For example, intestinal biochemistry, Crohn’s disease, enteric fistulas, intestinal sclerosis, and more.
Without any leads for now, Li Jingsheng could only put it aside, waiting for a suitable opportunity, and come back to diagnose it once he finds a discovery.
Currently, he has two clues.
The first one, the patient’s intestinal lesion started from the rectum and gradually spread upwards.
Because the condition of the rectum is the most severe, the colon ranks second, the ileum ranks third...
The higher it goes, the milder the patient’s intestinal lesion becomes.
The second one, the patient’s colon is full of polyps, probably can investigate polyp-related diseases or related conditions.
He planned to find an opportunity to check related documents, see if he can find a breakthrough from this clue.
...
The next day, Li Jingsheng went to work at the hospital, and as soon as he arrived at the clinic, the wife of the patient who injured their left leg, causing venous thrombosis, was waiting at the door.
Holding some examination reports in her hands, not even the large black-framed glasses could hide her full face of pallor and sadness.
Sometimes, discovering a serious illness is really just a day’s difference, it can plunge a family from a somewhat decent life into crisis.
"Dr. Li, sorry to trouble you again!"
She saw Li Jingsheng coming to work and immediately greeted him.
Attempted to force a smile, but couldn’t manage it.
Finally, instead, she let out a sob and cried.
"Don’t cry, don’t cry, your family needs you to hold on, to shelter your husband and children from the wind and rain."
While comforting her, Li Jingsheng went inside and got tissues to wipe her tears.
That kind of woman, who likes to fake-cry over nothing or cry loudly, actually rarely elicits sympathy from others.
This female family member, however, silently shed tears out of inner pain, making people feel very uncomfortable watching it.
"My husband just injured his foot, no bleeding, no fracture, how come it’s gotten this serious? The day before yesterday, a thoracic surgeon looked at the film, followed up with a liver puncture biopsy, the result came out yesterday afternoon, and I was dumbfounded.
Such a healthy person, who usually seems very healthy, how suddenly does he have liver cancer?
Dr. Li, I’m begging you, please save my husband, I’ll pay whatever it costs.
This family can’t do without him.
Yesterday, I was already trying to sell our car and house to scrape together the money.
So very regretful.
Before, when the family was healthy, I’d never considered these things. Never thought that a family member would fall seriously ill. We took out loans to buy a house, and that’s not all, also took loans to buy a car. And when it came to the child’s education and development, I thought the child can’t lose at the starting line, enrolling the child in expensive private schools, signing up for training classes.
To satisfy my vanity, I’ve kept the family debt at a high level.
Never thought it would bring great pressure on my husband.
Yesterday, I thought about it all night, I couldn’t sleep at all, my husband is still so young and already has liver cancer, it’s all because I forced it on him! I... sob sob..."
As she spoke, she could no longer hold back, and wept bitterly.
There’s no medicine for regret in life.
As the saying goes, if one lacks foresight, they must have immediate worries.
Many families, like hers, appear glamorous and prosperous on the surface.
In big cities, they have cars and houses, prioritize the most expensive education options for their children.
Little do they know, behind this glamor, the family debt has reached an extremely high level. The family’s ability to withstand risks is also extremely fragile.
Just like during the pandemic, many people experienced unemployment, salary cuts, couldn’t pay the bank loans, and houses,"
Not only did the down payment go to waste, but the years of loan repayment were also in vain. After the house is auctioned, they still have to pay money back to the bank.
It’s truly a dire situation.
Not to mention the car loan.
Some people clearly don’t have the income to support such a lifestyle, yet they want to enjoy a glamorous life ahead of time, even taking car loans with high interest rates that could buy two cars.
"It’s very unfortunate that your husband has this disease. Life pressure can have an impact, but probably not a decisive factor. You shouldn’t blame yourself too much. Now that it’s happened, you need to muster up the courage to face it."
Li Jingsheng said this, somewhat against his true belief.
Because the occurrence of cancer is closely related to depression.
Maintaining a calm mindset and always having a good mood, along with learning to relieve stress, acts as the best medicine in the world.
Many illnesses are caused by poor mood.
Such as long-term depression, sadness, anger, etc., which can easily lead to significant physical changes.
Especially cancer.
"Is this your husband’s examination report? Let me take a look for you."
Li Jingsheng proactively requested the patient’s information.
The pathology results from the liver biopsy showed poorly differentiated adenocarcinoma.
Upon seeing this result, Li Jingsheng felt a thud in his heart.
Originally, the patient even if had liver cancer, as long as it was in the early stages, it could be cured through surgery and chemotherapy.
Being adenocarcinoma, particularly poorly differentiated adenocarcinoma, indicates that the liver is likely not the primary site.
In simpler terms, the liver is not the initial scene.
This cancer cell likely came from another site.
Considering the patient’s positive fecal occult blood test, indicating digestive tract bleeding, the primary site is suspected to be in the gastrointestinal tract.
"Has a magnetic resonance cholangiopancreatography (MRCP) been done?"
Li Jingsheng asked the female family member.
Firstly, there is a need to rule out issues with the pancreas and bile duct.
The liver and gallbladder, when afflicted—particularly with cancer—are most prone to ’share the same calamity.’
"Yes, the report seems to be with the doctor. I also have it on my phone."
The woman opened the medical app on her phone and saw the imaging results.
No masses were found in the pancreas.
No significant abnormalities in the bile duct.
Li Jingsheng focused directly on the stomach and intestines.
"The gastroscopy has been done, right?"
"Yes. Here are the endoscopy results, the doctor said it’s superficial gastritis, not a severe issue."
The female family member hurriedly opened the corresponding reports for Li Jingsheng to see.
No major issues with the stomach.
Superficial gastritis, under normal circumstances, shouldn’t cause bleeding unless ulcers develop.
So the blood in the stool is likely coming from the intestines.
"Has there been a colonoscopy done?"
"Director Xiao from Gastroenterology came for a consultation yesterday. After reviewing my husband’s case, Director Xiao feared my husband couldn’t handle the colonoscopy, so it wasn’t done. Today, a CT colonography is planned."
With the patient’s condition, regular colonoscopy is daunting for doctors.
If something goes wrong, the consequences are severe for the doctor.
The more dire the patient’s situation, the more cautious the doctors are.
Some procedures’ margin for error is virtually zero.
"Wait until your husband has the virtual colonoscopy, then we’ll talk. Don’t be too pessimistic yet. Many cancer patients do receive treatment and remain disease-free, and they’re not a few."
Li Jingsheng said reassuringly.
Cured cancer patients do exist but are rare.
The five-year survival rate of most cancers is alarmingly low.
Many patients only live for months or at most a year or two.
"Dr. Li, could I have your contact number? We don’t understand anything, and now my husband has been diagnosed with cancer, I feel lost. My husband trusts you tremendously, and after interacting with you twice, I trust you very much too.
We’d like to consult you for any doubts.
My husband’s condition is severe, and we can’t afford any missteps in treatment.
Your medical skills are exceptional, and your heart is kind, asking you about treatment plans gives me peace of mind."
What she said is indeed the truth.
Some patients, due to encountering incompetent or unethical doctors, end up using incorrect treatment methods, missing out on better treatment opportunities.
For instance, myocardial infarction patients who should have had a bypass end up with intervention and stents instead.
Although the blocked arteries are cleared, a series of tricky issues arise.
Ultimately, patients trying to cure end up going through many detours.
Li Jingsheng gave his phone number to the female family member and encouraged her that everything would be alright.
She returned to the ward to care for her husband.
By around eleven o’clock, she called.
"Dr. Li, are you still in the manual repositioning consultation room? My husband’s CT virtual colonoscopy is done. I’d like your help to review it."
"I’m in the manual repositioning consultation room; just send me the results."
Li Jingsheng knew that she might want to deliver the results personally.
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