Chapter 905 - 446: Great Gains and Director Bi’s Request

Chapter 905: Chapter 446: Great Gains and Director Bi’s Request

At a fold, he discovered a polyp with a diameter exceeding 0.5 cm.

Its base was substantial, and the surface faintly formed a stalk.

The boundaries were still fairly clear.

For such a case, there remains the possibility of malignancy.

Theoretically, clinically it is believed that polyps under 1 cm are not considered threatening. However, for a polyp to grow from zero to 0.5 cm, it takes at least two years.

Li Jingsheng believed that this polyp needed to be removed.

"Lian Tao, brother, I think it’s necessary to remove this polyp now. Could you find the family to come in for a discussion?"

"No problem, leave such minor matters to me."

Lian Tao could earn a benefit of four hundred yuan by assisting in a colonoscopy surgery, so he was highly motivated.

After going out to briefly communicate with the family, he brought them in.

"Please come take a look. A hidden polyp was discovered at this spot in your husband’s ascending colon, with a diameter nearly 0.6 cm. Its base is very wide, with a notable trend in enlargement, and a stalk is faintly forming here. Based on my clinical experience, such polyps have a high risk of cancerous transformation. It can be identified as early colon cancer.

Besides, given its size, it would take at least over two years.

According to your husband’s reports, the last time he had a colonoscopy was not long ago, perhaps just a month. This polyp could be due to two possibilities: one, it wasn’t detected in a standard colonoscopy due to its concealment; or two, an abnormal situation where it might have been very small during the previous check but grew significantly in a very short time.

This makes the problem even more serious.

In either case, I recommend the immediate removal of this polyp."

Li Jingsheng briefly explained the situation to the family.

This polyp can also be clearly seen.

"We trust you, go ahead and remove it! Since we’ve chosen to seek your service, we are placing our trust in you."

The family agreed to the removal.

The subsequent signing and charge increase became a natural course of action.

The removal of a polyp would definitely warrant an additional charge.

For a standard colonoscopy with polyp removal, if the patient can endure the pain, expenses would be around two to three thousand yuan.

Painless colonoscopy is to facilitate the surgery.

Mr. Wan’s family is very well-off, so money is not an issue.

In fact, for such problems, the money spent is trivial.

Otherwise, if the polyp becomes malignant, the subsequent treatment costs would be exorbitant.

And whether it can be cured still remains a question mark.

In dealing with all diseases, early treatment is the most cost-effective and least troublesome method. The longer it is dragged on, the more troublesome it becomes.

Li Jingsheng excised the patient’s polyp and performed electrocautery to stop the bleeding.

Whether it was mucosal resection or removal, or even hemostasis, all these left Lian Tao deeply impressed.

"Jingsheng, I thought you were just proficient in colonoscopy, but I didn’t expect your surgical skills to be this impressive. My original suggestion for you to accept high-end colonoscopy service was by far my wisest recommendation. This will benefit countless patients!"

Although Lian Tao’s words were somewhat exaggerated, for the patients, meeting a proficient doctor who excels both in internal and external skills is indeed a blessing.

It is also a very fortunate thing.

"I think being able to form a team with you, Yani, and Meng Luo is the wisest decision."

Li Jingsheng said with a smile.

Yani also smiled upon hearing this.

She loves being complimented.

Li Jingsheng’s recognition made her particularly happy.

"Having discovered a polyp with high malignancy potential, should we continue to check further?"

"I think it’s necessary."

Li Jingsheng replied seriously.

"The patient knows his own body best. When he reports abnormalities, it might either be hypochondria or indeed a problem. His body is quite obese, which undoubtedly increases the risk of disease.

Conducting a thorough colonoscopy for him is our duty and responsibility as well."

As the founder of the team and the actual chief surgeon, he must be responsible for the patient.

The colonoscopy continued.

After examining the entire colon, no new polyps were found.

Li Jingsheng continued to probe into the ileum and found a small polyp, estimated to be around 0.2 cm in diameter.

Generally, such polyps require no intervention.

Li Jingsheng carefully examined this polyp; its borders were clear, the surface smooth, and it exhibited normal reddish color.

He examined the position of this polyp, which shouldn’t cause significant discomfort to the patient.

The patient might not even be aware of it.

After thinking about it, Li Jingsheng decided to remove it.

After doing all this, the colonoscopy was basically concluded.

If it were a regular painless colonoscopy, it could indeed conclude here. A lot was gained as the examination was completed.

When retracting the scope, out of responsibility, Li Jingsheng still carefully checked the patient.

To see if there were any lesions that might have been missed?

No new issues were discovered, and the colonoscopy concluded.

The two polyps, large and small, were sent for examination.

After the patient woke up, they learned that a concealed early-stage cancerous polyp was found and felt very fortunate.

However, due to just waking up from anesthesia, the mind was still a bit groggy and needed more rest.

Arrangements for hospitalization were made by the People’s Hospital.

This is advantageous for the People’s Hospital, naturally willing to cooperate. Furthermore, Lian Tao is now part of Li Jingsheng’s team, he was involved in this colonoscopy, and admitting a patient isn’t very difficult.

The only issue is the shortage of beds.

Almost all major hospitals’ popular departments face this problem, which can only be coordinated by Lian Tao.

In fact, at Lian Tao’s level, adding an extra bed in his own department’s domain isn’t as difficult as imagined.

If needed, borrowing beds from brother departments is also feasible.

Moreover, the People’s Hospital has flexible temporary beds.

Resolving it is even easier.

Now we are waiting for the pathological biopsy results of the two polyps.

After the surgery, Li Jingsheng returned to the clinic, and it was time for income distribution.

The red envelope for Yani was six hundred, and Meng Luo received two hundred again.

Lian Tao got an extra two hundred as an introduction fee for Director Tian.

Although two hundred may not seem much, receiving fifty to sixty colonoscopy procedures a month still amounts to a considerable extra income.

For Director Tian, it’s merely about sharing patient information.

After finishing his tasks, Li Jingsheng took a bath, intending to rest early.

Lately, he’s been too busy; due to lack of sleep, his body started showing signs of weakened immunity.

Halfway through the bath, he heard the phone ringing.

Unable to answer, he quickly finished washing, got dressed, and checked who called.

It was Director Bi from the General Surgery department of the Second Hospital.

Last time, Li Jingsheng saved Director Bi, which instantly made their relationship much closer.

Director Bi is still on sick leave.

"Xiaoli, are you asleep?"

"Not yet! You’re still up this late? How is your health recently?"

"Haha, thanks for your concern. Because my condition was discovered promptly, the prognosis is quite good. I estimate that by next week I can return to my post and continue fighting. However, the neurosurgery department also mentioned that I can’t work as hard as before. Later, I might gradually train a batch of successors to further promote General Surgery."

Director Bi has dedicated his life to the operating room.

The majority of his time and energy contributed to the development of General Surgery.

He’s a senior worthy of respect.

"General Surgery is full of talents, I think your idea is very wise. What’s the saying? Children and grandchildren will have their own blessings! You have trained them very well, slowly adding responsibility to them. I believe they can take over your heavy burden and further strengthen General Surgery."

Li Jingsheng gained a deeper understanding of medical inheritance.

Initially, Doctor Xu passed on his Bone Setting skills to him, and after Doctor Xu collapsed, he was able to take over the heavy burden to continue providing services to patients.

Later, he was stabbed in the arm by a psychiatric patient, forcing him to rest.

During that time, if any doctors under him had mastered the skills, they could take on the heavy burden.

Hence, he increased the intensity of training for his subordinate doctors.

He developed more of a teacher’s mindset and attitude, possessing the artisanal spirit that a teacher should have.

"Haha, you know how to make people happy! I am aware of my own situation, General Surgery seems full of talents but currently lacks the kind of person who can bear the heavy responsibility. However, you have innate talent in various aspects. If you could develop in our General Surgery, with time, I’m confident you could become a leading figure. I have that faith."

Director Bi responded with a cheerful laugh.

"By the way, I’m calling because I have something to ask for your help."

"Whatever you need, just let me know."

Li Jingsheng’s tone also became serious and earnest.

"We admitted a patient in General Surgery who was transferred from the Gastroenterology department. Initially due to acute intestinal obstruction, surgery was performed. But since the operation, the patient has experienced a series of adverse reactions, making me very anxious. Chief surgeon He Qingzhi called me to report the situation earlier, but since I’m still recovering, I can’t return to work, hence I’m hoping you can help examine the patient."

Director Bi made a request.

After hearing it, Li Jingsheng silently sighed with resignation.

He gently refused, saying "You overestimate me, if Director He from General Surgery couldn’t handle the patient, I would be of no help at all."

General Surgery became the strongest department of the Second Hospital not just because of performing surgeries well, but also due to the doctors’ strong overall capabilities.

Especially several chief and deputy chief physicians, even the attending physicians have high expertise.

Li Jingsheng would never dare to overreach by making a fool of himself.

"No, no, no, I know you have unmatched capabilities in handling difficult cases. The patient’s condition is very serious, I’m worried about potential mishaps if not handled properly. Can you now go to the hospital to have a look? If we truly can’t solve it, I’ll think of another approach."

Director Bi’s voice nearly revealed a sense of plea.

For a General Surgery department chief and chief physician to seek help from a merely attending physician indicated the situation was indeed unmanageable.

Li Jingsheng, due to his proficiency in multiple medical fields, possessed unmatched advantages in diagnosing difficult cases.

"Alright, I’ll head over right now. But don’t pin too much hope."

Li Jingsheng agreed.