Chapter 899 - 440: The Upper Beam Is Crooked, so the Lower Beam Is Askew; Black Stripe

Chapter 899: Chapter 440: The Upper Beam Is Crooked, so the Lower Beam Is Askew; Black Stripe

The price is already extremely expensive for the average person.

After all, it’s just a regular colonoscopy.

At some hospitals, a regular colonoscopy can be done for just three to five hundred yuan, while his fee is almost ten times that.

"The price is fine, safety is the most important."

Mr. Lan readily accepted this price.

For truly wealthy individuals, three thousand yuan might just be a meal’s cost.

Some spoiled heirs or young wealthy individuals making fast money spend two to three thousand yuan just on takeout. To such people, money is not money, it’s merely a number.

Li Jingsheng’s requirements for wealth are not high, he is satisfied as long as he can achieve initial financial independence.

With Sunshine Clinic’s current earning capability, this requirement definitely needs to be adjusted.

As long as nothing goes wrong and it can develop steadily, becoming truly wealthy is just around the corner.

With money, he can do a lot of things.

Recruit and absorb more top-notch medical staff. Buy equipment, venues, conduct research, etc.

To turn Sunshine Clinic into a world-class clinic, funds are definitely indispensable.

He basically does not consider things like financing.

Financing would mean having more than one person in charge, which would severely affect his decision-making.

Relying on his own abilities, accumulating slowly, although the development is not as fast, it is stable.

And he can always ensure that he’s the master of his own territory.

Li Jingsheng handed the prepared agreement to Mr. Lan for review.

"Secretary Yang, please check it."

Mr. Lan casually handed the agreement to his female secretary.

The two family members stood beside, without voicing any opinions.

"The content of the agreement doesn’t have any major issues, it ensures the rights of both parties."

"Then please sign your names. Not only does the patient himself need to sign, but the family members must also sign." Li Jingsheng motioned for Meng Luo to bring out a pen, letting the patient sign first.

The agreement is in two copies, one for each party.

"If polyps are found during the examination, do they need to be removed?"

"We’ll make a temporary decision at that time!"

"Okay. Let me clarify in advance, this three thousand yuan is just for the simple colonoscopy fee. If a polyp removal surgery is needed later, there will be additional charges. Of course, I sincerely hope that there are no polyps or other abnormalities in your intestines."

Li Jingsheng and the patient signed the service agreement.

In terms of procedures, there are no issues anymore.

"Dr. Li, I am entrusting my old Mr. Lan to you."

The wealthy lady said to Li Jingsheng.

"Rest assured, we will definitely provide the highest quality service. You can wait outside the endoscopy room, if there is anything, we will discuss it with you at any time."

Pushing the patient into the colonoscopy room, Li Jingsheng presided.

But Lian Tao also accompanied alongside ’advising’.

Yani played the role of anesthesiologist.

The usual medication for colonoscopy is intravenous, and the risk is very low. It’s not like full anesthesia or spinal, epidural anesthesia, etc.

Yani’s main role is still closely monitoring the patient’s physical changes, ensuring patient safety during the colonoscopy.

Meng Luo serves as the assistant to handle the scope.

The colonoscopy soon began, the patient requested to have the head end adjusted upwards to be able to see the screen of the colonoscope.

Li Jingsheng maneuvered the colonoscope little by little into the patient’s intestines.

Because the patient is quite obese, with abundant belly fat, the intestines also became quite fat.

Such people are referred to as having overstuffed bowels.

Obesity is not a good thing, but rather an enemy to health.

"Do you usually have difficulty in bowel movements?"

Li Jingsheng finished examining the rectum and colon and asked the patient.

No polyps were found.

A colonoscopy examines more than just polyps; it can also detect colitis, intussusception, tumors, intestinal ischemia, cysts, hemangiomas, etc.

"Yes!"

After acknowledging, the patient’s gaze towards Li Jingsheng clearly bore a bit more trust.

Such persons, besides believing in themselves, trust no one else.

If they lived in ancient times, they might have been powerful figures like Cao Cao.

One can tell from how his wife and children dare not freely interject; he surely exercises great power at home, dictatorial.

It’s not really about male chauvinism.

People with this kind of personality often belong to one of two extremes: either being domineering at home, causing family members to live in fear, not daring to disobey them. Every now and then resorting to violence and verbal abuse.

The other kind achieves success professionally, gets wealthy, complements this with career accomplishments, treats family well.

"Do you feel mild swelling pain at the left side of the navel when defecating?"

"Hey, young man has some skill! You’ve got it right, I do have this symptom."

The patient gained even more trust in Li Jingsheng’s medical skills.

"At present, the rectum and colon look fine. Difficulty in defecation is related to partial narrowing of the intestines. Pain in the left abdomen when exerting during defecation might be due to a small hemangioma at this location."

I personally believe there isn’t much risk in leaving it untreated.

If treatment is needed, you can go to General Surgery for further examination to see which treatment plan is suitable."

Li Jingsheng explained some basic situations to the patient.

This patient’s physique is relatively obese; performing a colonoscopy is more challenging than with ordinary people.

Due to obesity causing excessive abdominal fat, intestinal narrowing, and even the possibility of intestinal deformity or electrolyte imbalance, all these could affect the colonoscopy.

Spending three thousand to have Li Jingsheng perform this colonoscopy was a very correct choice.

It also allowed Li Jingsheng to successfully open his account.

Yani’s current performance is quite average, it’s hard to determine her skill level.

The true capability of a doctor often shines through when faced with challenging illnesses or sudden emergencies.

Li Jingsheng is fairly satisfied with her performance.

However, there aren’t any standout moments.

"Alright, thank you for your hard work! If there’s nothing wrong, can we remove the scope now?"

During the colonoscopy, the patient stared intently at the screen.

Whether he could understand it was unclear.

The narrowing of the intestines, the patient might be able to discern.

Yet, rich experience is still required.

A professional doctor like Li Jingsheng can easily identify it.

"I recommend checking the ileum segment further. Due to your obesity, colonoscopy is quite challenging. I guess even when you do have colonoscopies, the ileum segment is rarely checked."

Li Jingsheng suggested this, not just offhandedly.

There’s a saying that goes, "If the upper beam is not straight, the lower beam will be crooked."

This theory has certain referential significance in colonoscopy.

At least based on his diagnostic experience, when a patient’s rectum or colon exhibits abnormalities, if the patient is obese, constipated, has diarrhea, or occult blood in stool symptoms, the upper part of the intestines also warrants investigation.

Sometimes, it’s even necessary to perform gastroscopy to examine the stomach, duodenum, and other areas.

"The doctor has talked to me about this issue. They say my colonoscopy is indeed more difficult, which increases the risk. They advised that if I’m not experiencing any obvious discomfort, the ileum segment may not need to be checked. A close gastroenterology expert friend also told me that based on their experience, problems in the small intestine are generally rare."

The patient seemed uninterested in Li Jingsheng’s suggestion.

It is clear that he is more concerned about the safety of the colonoscopy.

He is cautious about choosing any examination with higher risk.

"If I can ensure the safety of the colonoscopy, are you willing to check the ileum?"

Li Jingsheng asked.

"Hmm, that’s fine."

The patient agreed.

"Alright, I will proceed with caution; if there’s any significant risk, I will stop immediately."

Li Jingsheng continued to operate the colonoscope.

The patient showed a pained expression.

This is a normal phenomenon during colonoscopies.

If it were a painless colonoscopy, these reactions wouldn’t occur. The person would be asleep and wake up without much discomfort.

Unless the doctor, lacking skill, injures or punctures the intestines.

When the scope reached the ileum segment, progress became more difficult.

The cavity of the small intestine isn’t as spacious as that of the large intestine.

"Eh? This doesn’t look like normal intestinal tissue."

Li Jingsheng made a significant discovery.

The normal inner wall of the intestine is pink or mucous white.

At this location, there’s a black streak about three centimeters long, with a noticeable bulge.

It seems like a blood vessel in the intestinal wall has proliferated and mutated.

"It’s certainly not normal intestinal tissue, even if it’s a blood vessel, it shouldn’t be black."

Lian Tao also spoke from the side.

Despite Lian Tao being knowledgeable, it was his first time seeing such a black streak on an intestinal wall.

No one knows what it is.

"It feels hard."

After further examination, Li Jingsheng remarked.

The patient was fixated on the screen.

"In this area, do you usually experience any symptoms, such as pain?"

Li Jingsheng accurately pinpointed the upper abdominal location for the patient to identify.

"Seems like no symptoms. In my twenties, there was a period when I experienced stomach pain, but it gradually improved. Back then, due to poverty while studying, I didn’t see a doctor."

The patient provided some information.

"What was the cause of the stomach pain back then? Was it after eating something or due to an injury?"

Li Jingsheng immediately pursued the medical history.

"I’m really uncertain about that. Because I was poor at that time, I wasn’t particular about food, as long as I could fill my stomach. Since I now have no symptoms, this black streak shouldn’t be a concern, right?"

The patient didn’t want complications.

Almost all patients have this mindset.

As long as there are no symptoms, they generally don’t feel the need to address it.

"It feels hard, and we don’t know what it is. If you’re willing, I can take a specimen for biopsy to clarify its nature."

Modern science is highly advanced.

Biopsy can identify the composition of tissue samples.

It can reveal any cancerous changes or infections.

"Alright, you can take a specimen to check."

The patient agreed.

Li Jingsheng took a specimen on the spot and sent it for examination.

The result will take at least until tomorrow to come back.

After finishing the colonoscopy, no other findings were noted.

"Overall, your intestinal condition is quite good. Continue to maintain a reasonable and healthy diet, and if possible, try to lose a bit of weight."

Li Jingsheng removed the colonoscope.

And provided some advice.