Practicing Medical Skills in a Small Clinic
Chapter 896 - 437: Dangerous Aneurysm, First Colonoscopy Business
Chapter 896: Chapter 437: Dangerous Aneurysm, First Colonoscopy Business
He tried to gently press the stethoscope on the patient’s neck.
It was exactly at the location of the lump.
With the pulse of the carotid artery, the lump emitted a strange "zzzz" sound.
A bit like the sound of "lalala."
It felt like a balloon being stretched to the limit, making a sound.
Moreover, this sound was very rhythmic, only occurring with the arterial pulse. When the artery stopped pulsing, the strange sound disappeared.
Li Jingsheng listened attentively.
It could be basically determined that this lump did not make sounds during the heart’s relaxation period.
Only during the heart’s contraction did it make that strange sound.
"If it’s a tumor, it can’t sync with the heart. Only an aneurysm closely relates to the heart."
Li Jingsheng immediately made a judgment.
He could be almost certain that this lump was an aneurysm.
Such a large aneurysm, especially in such a critical location as the neck—if it ruptures, the consequences could be unimaginable.
The patient’s neck pain escalating from mild to severe is itself a serious warning sign.
Thinking of this, Li Jingsheng couldn’t help but break out in a cold sweat.
This lump could rupture at any moment.
An aneurysm is like a ticking time bomb within the body, ready to explode at any time.
"Dr. Li, did you detect any issues? This isn’t cancer, right?"
The patient appeared quite nervous.
In this situation, maintaining the patient’s emotional stability is crucial. Excessive emotional agitation could easily cause blood pressure to rise rapidly, and then the aneurysm, already near rupture, could easily burst.
"Rest assured, from my years of medical practice, I can assure you this lump is definitely not cancer."
Li Jingsheng first offered the patient some reassurance.
The patient’s expression noticeably relaxed.
This was exactly the effect Li Jingsheng wanted.
"Is your home far from my clinic?"
"It’s a bit far, why do you ask?"
"Nothing important, just asking casually. Did you come by bus?"
"I drove myself, the car is parked right outside your clinic."
She didn’t understand why Li Jingsheng was asking her questions unrelated to the illness.
Out of politeness and respect, she answered truthfully.
"Are you married?"
"Oh dear, you wouldn’t still be single, looking for a girlfriend, would you?"
She covered her mouth, showing a slightly shy smile.
"I’m already married! But for someone as outstanding as you, I can introduce my female classmates to you."
"Haha, let’s talk about that some other day. Can your husband come over now?"
Li Jingsheng tried to keep the atmosphere light.
By the grace of heaven, he truly had no intentions towards this female patient.
"He’s at work! Why should he come over?"
Even a slow person would sense something was off.
"The lump on your neck might be a sign of a vascular problem. I can’t perform this examination here, and you need to go to a big hospital for a checkup. But this examination requires a family member to accompany and sign the paperwork. A spouse is the primary family member and has the right to sign, so I suggest you call him over now and go directly to the hospital."
Li Jingsheng tried to speak gently to avoid alarming her.
"I see! Shouldn’t I drive directly to the hospital, register first, and then have him rush to the hospital?"
"You should not drive now. Call your husband and wait in my clinic for him to arrive. I’ll brief him on some precautions once he’s here. You’re already sick; don’t worry about disturbing his work. After all, isn’t a husband meant to solve problems during critical moments?"
Her current condition is very dangerous.
But he couldn’t directly tell her; he had to get her to cooperate while keeping the truth from her, which wasn’t easy.
Fortunately, this female patient trusted Li Jingsheng a lot.
"Alright, I’ll call him now."
The female patient took her phone to the relaxation area to make a call.
A moment later, she finished the call and came over.
"Dr. Li, I’ve just spoken to my husband, and he’s taking leave to come over."
"Your husband really loves you! Did you bring your ID card?"
"Yes, I did!"
"That’s great, just wait over there for your husband. You can read a newspaper or browse videos on your phone."
Li Jingsheng arranged everything for her before continuing to see other patients.
Less than half an hour later, a rather handsome young man rushed into the consultation hall.
After a brief chat with the woman, the two headed straight to Li Jingsheng’s consultation desk.
"Doctor, what illness does my wife have? Is it serious?"
"You’re her husband, right?"
"Yes, he’s my husband."
The woman held her husband’s arm, acting all cuddly.
"Not only is he good-looking, but also so considerate to his wife; no wonder you’re so happy!" Li Jingsheng praised the man lavishly. "Your wife has a lump on her neck; my preliminary examination suggests a vascular anomaly. She was about to drive to the hospital herself, which I felt wasn’t safe, so I asked you to come over."
Now take her to the hospital to register for a vascular examination.
The only thing to watch out for is not letting her drive and ensuring she stays calm."
Li Jingsheng roughly explained the precautions.
Not letting her drive just now was because her condition is very dangerous.
If she encounters an emergency on the road and brakes suddenly, the stress could cause the aneurysm to rupture.
"So, which department should we contact?"
"General Surgery or Cardiovascular Surgery, both should be fine. I’ll write a brief for you, which you can show directly to the admitting doctor."
Li Jingsheng wrote the diagnostic approach and handed it to the patient’s husband.
The young couple thanked him and left together.
If all goes well, this female patient will definitely need hospitalization for surgery.
This time he did not refer the patient to the Second Hospital but let them choose themselves.
...
Around eleven o’clock, Lian Tao from the People’s Hospital called him.
"Jingsheng, are you busy today?"
"The usual, did your girlfriend have any post-op anomalies?"
A colonoscopy normally allows for a quick recovery and discharge.
However, Lian Tao’s girlfriend has a special case; her intestines are not in great condition and cutting three polyps can easily lead to unexpected issues.
"The recovery is quite good. Mainly thanks to your excellent colonoscopy skills."
Lian Tao praised him with a smile.
"By the way, did you mention that matter to your hospital leaders yesterday? I have a patient here looking to schedule a high-safety colonoscopy, and he’s willing to pay extra. He’ll pay three thousand for a pure colonoscopy; do you want it?"
Just yesterday he discussed collaboration with Director Tian from the Gastroenterology Department at the People’s Hospital, and today there’s work recommended for him. No doubt, this is Lian Tao helping him to get more work.
Three thousand for a pure colonoscopy essentially means earning two thousand six while lying down.
With such a good opportunity, naturally Li Jingsheng wouldn’t refuse.
"I discussed it with our head. His suggestion is to set up an endoscopy room within the clinic. But I find it quite challenging, and it won’t be easy to implement in a short time.
In the meantime, borrowing your hospital’s facilities and equipment is the most convenient solution."
Talking to a good friend, Li Jingsheng never hides.
He says whatever he needs to say.
"Your head really is meticulous. But to be fair, setting up an endoscopy room in your clinic, although challenging and requires significant investment, I believe, if successful, would be excellent. Indeed, it would be more advantageous than borrowing any hospital’s facilities."
Lian Tao also supports him in establishing an endoscopy room at the clinic.
"Take this job, would you? Start off, and it’ll be easier to get more work later."
It’s clear that Lian Tao genuinely cares for him, thinking of him in every way.
"Alright, then I’ll take it! Otherwise, I wouldn’t do justice to your efforts. When should it be done?"
"If possible, arrange bowel prep for the patient today, and we can do the colonoscopy in the evening."
"Is he having painless or regular?"
Li Jingsheng considered recruiting Yani for this task.
With such top-tier talent, he really wants them on his team.
If the patient opts for a painless colonoscopy, the fee can be higher. Thus, sharing more with Yani would be possible.
"Of course, regular! This patient is a seventy-one-year-old man with two physical businesses and considerable wealth. However, his temper is a bit odd, like with the colonoscopy; he keeps having diarrhea recently without finding the cause. Worried about something bad, he wants a colonoscopy.
He wants to witness it personally and demands safety guarantees.
I thought, eh, isn’t this the perfect patient for you? So I recommended you to him.
He’s certainly not lacking in money, agreed without a second thought.
Since he’s so wealthy, wouldn’t a painless colonoscopy be more comfortable? After all, having a regular colonoscopy is somewhat unpleasant.
Unexpectedly, he firmly refused a painless colonoscopy and insisted on staying awake to watch his own intestinal condition."
When mentioning this patient, Lian Tao was quite exasperated.
Rich people often have unique personalities.
It’s inevitable; successful people generally have more ideas than ordinary ones, which is understandable.
"He wants to see his own intestinal condition, wouldn’t a video be the same?"
"How could it be the same? Other than trusting himself, this patient trusts no one."
"Alright, then I’ll come over after work in the evening."
Li Jingsheng was quite pleased.
He quickly secured the first job.
During lunch, he utilized the rare free time to call Yani.
No other reason, just to ask for her help.
"Hello! Dr. Li, are you urging for a decision? I haven’t decided yet!"
"No rush on that, I’m patient to wait. I have a colonoscopy scheduled for tonight, since I’m assembling a temporary team, I have a nurse but need an anesthesiologist. Can you come and help? It’s also a chance for you to learn more about me and our future work collaboration."
Li Jingsheng stated directly.
"Well... alright! I’ll come see you later, what time in the afternoon?"
"Around six o’clock you can come to my Sunshine Clinic. If you’re close to the People’s Hospital, feel free to go there too."
"I’ll come to your clinic first to meet you. It’s not far from your place anyway."
"Alright! Welcome, Ms. Yani, to my clinic."
Li Jingsheng invited her successfully, revealing a smile.
As long as there’s a first collaboration, there will surely be more cooperation in the future.
It’s also a chance to assess her anesthetic skills.
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