Chapter 901 - 442: Someone Above, Patients Without Bowel Sounds

Chapter 901: Chapter 442: Someone Above, Patients Without Bowel Sounds

"Xiaoli, your clinic’s application for the endoscopy medical project is finally showing some promise. Initially, my plan was for the Second Hospital to endorse your clinic, essentially setting up a service point at your location. However, since the new regulations were introduced, this approach is no longer viable."

Dean Fu did not hide this from him.

Although the Second Hospital holds a monopoly in the southern part of the city, it doesn’t wield absolute power.

Many actions are conducted in accordance with procedures.

No matter how big an individual or organization is, they cannot overrule the law.

"I understand. You must have asked many people for help and used a lot of connections to assist me with this. If the policy doesn’t permit it, there’s nothing anyone can do. I certainly appreciate your help and will remember it."

Li Jingsheng accepted this outcome.

Anyway, he had alternative plans.

Like yesterday, conducting examinations for patients at the People’s Hospital was quite good.

If an emergency were to occur in the hospital, the equipment is well-prepared, and patients can be sent for immediate rescue.

The conditions at his small clinic surely cannot compare.

Moreover, the approval and construction of an endoscopy room not only involve complex procedures but also require a significant amount of funding.

"Although the first method is not feasible, your situation is unique. Sunshine Clinic has left a good impression with many leaders in the higher supervisory departments. Plus, there’s a senior leader willing to speak on your behalf, taking on some risk to propose a special case solution for you, so this matter can still be accomplished."

Dean Fu’s words excited and delighted Li Jingsheng instantly.

Sunshine Clinic has consistently upheld the benevolent intentions and original mission of a healer, maintaining a very positive image.

It’s not surprising that senior leaders have a favorable impression.

The majority of leaders are not just about ’pointing fingers’; they also have a sense of justice and do their utmost to fulfill their duties.

They are sure to support and endorse clinics like Sunshine Clinic with a good reputation.

The stronger a region’s medical institution, the more everyone benefits.

This includes the leadership cadres and their families, who will immediately enjoy quality healthcare if something happens.

Conversely, if it’s just a case of saving face without substance, local medical institutions will be quite poor.

Not to sound grim, but if they suddenly fall sick one day, they’d have to travel elsewhere for medical assistance.

If it’s an acute illness, they might face a dire outcome.

Who could be the senior leader speaking on Li Jingsheng’s behalf and taking risks to help him?

He should definitely find a way to express his gratitude when he gets the chance.

"How exactly will this be accomplished?"

Li Jingsheng excitedly asked.

"The requirement from the higher-ups is to ensure your team has the qualifications for endoscopic examinations and procedures. Then, you should lead the team to collaborate with some major hospitals and initially try to conduct this business. Once the timing is right, the upper management will review and evaluate the endoscopic work your team has done. If it demonstrates the capability and reaches an excellent high standard, they can make an exception for you."

Dean Fu provided a solution.

Isn’t this just the method Li Jingsheng had envisioned?

Looks like the higher leadership values practical experience as well.

"That’s great. I’ve already formed an initial medical team, which includes an excellent chief physician, so qualification shouldn’t be a problem."

Li Jingsheng brought Lian Tao into the team, and being a chief physician, he couldn’t possibly be unqualified to perform endoscopies.

"Young man, you act fast! It seems you are quite confident in this matter, aren’t you?"

Dean Fu, experienced and astute, immediately understood what was happening.

At their level, many things are as clear as day.

"Hehe, confidence is indeed necessary. Now that we have a team, negotiating a collaboration with the People’s Hospital shouldn’t be a difficult task. Could our Second Hospital possibly lend support and collaborate with my team on this as well? I assure you, I will bear all the risks myself and will not involve the Second Hospital."

Li Jingsheng was not overly reserved in front of Dean Fu.

Dean Fu was like a superior and a mentor to him, and they had a good relationship, so it was better to be straightforward.

"Haha, you certainly know how to strike while the iron is hot. As long as you settle matters with the relevant departments, the hospital won’t obstruct you. Work hard, I have high hopes for you. I always thought you were just a grassroots individual with no backing. I didn’t expect a senior leader to support you like this. You’ve hidden your talents well!"

Dean Fu commented with implication.

"Who is this senior leader you mentioned? Forgive me for being candid, but my family background is really humble with absolutely no connections."

Li Jingsheng was eager to know who this senior leader was.

"I dare not reveal anything recklessly. You’ll find out eventually. That’s it for now!"

Dean Fu was unwilling to disclose the person’s name.

This left Li Jingsheng feeling a bit frustrated.

He couldn’t possibly guess.

He knew quite a few senior leaders, like Director Jia from the Health Department, and a good old friend, Xie Guiqiu... As for who was supporting him behind the scenes, he truly didn’t know.

Since he couldn’t guess, he decided not to waste energy on it.

Li Jingsheng began contemplating approaching Director Xiao Linlin from the Gastroenterology Department to discuss collaboration opportunities.

The demand for such business in the Second Hospital should be fairly strong.

He believed that Xiao Linlin would be more than willing to work with him.

After all, sometimes she would directly refuse difficult colonoscopy cases.

It was only when there was a particularly important patient, without options, that she would seek Li Jingsheng’s assistance.

But frequently asking Li Jingsheng for help wasn’t ideal.

She would feel uncomfortable as well.

Now, with Li Jingsheng launching a high-end colonoscopy service, she could directly recommend such patients to him.

She would also benefit in some way.

With Li Jingsheng’s principled approach, he certainly wouldn’t let her refer patients for nothing.

It happened to be right after work, and Xiao Linlin was probably still around.

Li Jingsheng planned to find her and have a chat.

It’s not too late to contact the two patients recommended by Director Tian once we’re done chatting.

Even for a regular colonoscopy, there is a bowel preparation involved.

Starting the day before the examination, you can only consume liquids, and have to drink several large cups of doctor-prescribed bowel-cleansing medication.

The purpose is to cleanse the bowels thoroughly.

Normally, after taking the bowel-cleansing medication, you will have diarrhea about a dozen times. It’s only considered adequate when what’s expelled is clear water.

If the bowels aren’t thoroughly cleansed, it will affect the results of the colonoscopy examination.

Generally, after taking the medication, some people react slowly and don’t show symptoms of diarrhea immediately. But with that much water intake, you will definitely feel bloated. There’s no need to worry too much about it.

Most people start showing frequent bowel movement reactions the next morning.

Li Jingsheng went straight to the inpatient department of the gastroenterology unit and indeed saw Xiao Linlin busy at work.

"Director Xiao, busy are you!"

Xiao Linlin looked up.

"Oh, it’s Dr. Li! I’ll be done here soon, just teaching them how to listen to bowel sounds."

There has been a significant increase in business at the gastroenterology unit recently.

It’s unavoidable to recruit more staff and expand the medical team.

The hospital strongly supports each department in growing and becoming more robust; as long as the performance is achieved, requests for adding doctors and nurses are readily approved by the leadership.

Procurement of new equipment and an increase in bed space are slightly more complicated.

In short, everything depends on merit.

Two young doctors have been recruited to learn how to listen to bowel sounds.

Listening to bowel sounds on patients varies with different types of patients.

This requires summarization through clinical practice.

The two young new doctors curiously glanced at Li Jingsheng.

They only knew that Li Jingsheng holds significant standing in the gastroenterology unit, and Director Xiao often invites him for private discussions in the office.

Moreover, they see Li Jingsheng greeted with great enthusiasm.

"No problem, no rush."

Li Jingsheng stood by and watched.

Xiao Linlin listened for a moment and slightly frowned.

"Strange, I can hardly hear his bowel sounds. Dr. Li has profound expertise in gastroenterology, could you have a listen?"

Xiao Linlin sought his help.

In the presence of the patient and their family, it’s not suitable for her as the chief physician to directly ask Li Jingsheng for assistance.

"What kind of issue is he hospitalized for?"

Li Jingsheng took the stethoscope and performed an auscultation on the patient.

Bowel sounds are the result of movement in the intestines where gas and fluid flow within, creating an intermittent rumbling noise.

If it’s a normal person, four to five bowel sounds can be heard within a minute.

If you’re hungry, you can even hear your own stomach growling.

That is the typical sound of bowel movement.

Absence of bowel sounds is definitely abnormal.

"Recently, I’ve constantly felt a bit bloated in the abdomen, but otherwise, there haven’t been any issues. I had an X-ray here at the hospital, and nothing came up, so Director Xiao suggested I be hospitalized for observation for a couple of days."

The patient was a middle-aged man.

He looked around fifty-seven or fifty-eight years old, with very noticeable bags under his eyes and a faintly authoritative expression.

He may not necessarily be a government official, but he seems to hold some power or oversee a group of people to some extent.

Li Jingsheng didn’t immediately listen for bowel sounds but pressed the patient’s abdomen with his hand.

No obvious masses or similar were discovered.

"Does it hurt when your abdomen is pressed?"

Li Jingsheng asked.

"No pain!"

"Any difficulty with bowel movements?"

"Not really."

The patient appeared very cooperative, responding to every question without fail.

Li Jingsheng nodded and attempted to listen to the bowel sounds of the patient.

Indeed, the results matched Xiao Linlin’s assessment; there was no bowel sound that could be heard.

Not even the faintest bowel sound was detectable.

"When were you admitted to the hospital?"

"I was admitted this morning."

"Have you eaten anything?"

"Of course, I had lunch."

"Is your appetite similar to usual, or has it decreased?"

"It seems similar, but after eating it feels a bit bloated. We might say it feels like overeating. Honestly, I never eat too much."

The patient told him.

"Okay, let me listen to it again."

Li Jingsheng proceeded with another auscultation of the bowel sounds on the patient.

The main auscultation areas are the lower right abdomen and the navel region. These are also the key areas any doctor listens to for bowel sounds.