Practicing Medical Skills in a Small Clinic

"Haha, wasn’t it just that last time you were there, and I made you dig out the stool once? How come you’re still keeping track of that? I’m dealing with a rather special patient here. She has severe intestinal adhesion, but now there’s an issue, and she needs a colonoscopy. I’d like to ask you to help out, what do you think?"

Xiao Linlin’s colonoscopy skills are considered quite impressive.

Li Jingsheng learned to perform colonoscopies from her.

Now, he has become her savior instead.

"I can’t leave at the moment, there’s still several patients waiting in line, I’m afraid they’ll tear down my bone setting outpatient clinic."

Li Jingsheng was a bit troubled.

Conducting a colonoscopy is a technical task that requires the doctor to be extremely careful.

A bit of carelessness could puncture the patient’s intestines; once this happens, it’s an accident.

The handling would be highly troublesome.

Patients with severe intestinal adhesion have bowel walls that are more fragile than those of a normal person.

"Don’t I know how busy you are? How about sacrificing a bit of your break time after a meal at noon, come over and help me with this colonoscopy, okay?"

Xiao Linlin asked.

"No problem. Director Xiao wants it, so I must agree!"

Li Jingsheng had no reason to refuse.

Moreover, he thought improving his colonoscopy skills would greatly aid in enhancing his endoscopy techniques.

Endoscopic surgery is developing rapidly now, and is well-received by the market.

With less trauma, quick recovery, and higher safety compared to traditional surgery, these advantages make patients willing to spend more money on endoscopic surgery.

"Haha, good buddy, I knew you’d agree! Next time don’t call me Director Xiao, call me Sister Xiao, it’s much closer! I’ll wait for you then, don’t stand me up."

With that, she hung up the phone.

As she grew closer to Li Jingsheng.

Her manner of speaking became more casual.

Between men and women, this is usually the case; once familiar, jokes are inevitable.

Especially among colleagues.

As long as you don’t cross the line, generally nothing happens.

Though some doctors failed to adhere to the boundaries, eventually developing extramarital affairs and having secret meetups.

This sort of thing, in any case, requires mutual consent.

Li Jingsheng finished treating the morning’s patients and rushed to the cafeteria for lunch.

"I don’t need anyone to serve me food today, I can do it myself. You all head to the Orthopedics inpatient department to see if there’s anything you can help with. Be proactive, lend a hand. If I haven’t returned by the start of work in the afternoon, you all handle things first and reassure the patients."

Now that Li Jingsheng is a teacher, when busy, he can only ask students to help out.

It was quite similar to how Doctor Xu did things back then.

Like becoming a parent, only after you experience it do you realize the struggles of parents.

After instructing his subordinates, the phone rang again.

Upon checking, it was his girlfriend calling.

"Dear, are you off work yet? I’ve already prepared your meal, come quickly!"

"It’s rare for you all to have lunch right on time today! I’m on my way."

Just after walking a short distance, he heard his subordinate doctors quietly discussing.

It turns out the teacher isn’t dining with us today because he has a date with a lovely lady! By the sound of her voice, she must be a young woman, very pleasant-sounding, surely very beautiful.

Dummies, it’s Dr. Ou!

I really envy the teacher, finding such a beautiful teacher’s wife.

Li Jingsheng paid no attention to these subordinate doctors and rushed to the cafeteria, indeed seeing Ou Qinglan waving at him.

Because he’s now known in the hospital and has achieved a certain level of status.

He also secured a teaching title, striving to become an associate professor, with bright prospects ahead.

Hence, many doctors who know him greet him with smiles.

Li Jingsheng naturally responded to each one.

At Second Hospital, he has quite cordial relationships with many doctors. This is a public opinion base.

It’s also something he needs.

Sunshine Clinic operates within Second Hospital’s territory, and the more colleagues support him, the safer Sunshine Clinic is.

Nowadays, some petty people can’t help you succeed but can sabotage things.

The income at Sunshine Clinic is quite tempting. Although Li Jingsheng acts with extreme discretion, hardly appearing like a millionaire, it’s still easy for someone with intent to learn about his income.

At least to roughly estimate.

Currently, the person receiving the highest income at Second Hospital isn’t the lead General Surgery director, nor the dean, but Li Jingsheng.

And his income is legal income.

Although this year’s personal income tax will be quite alarming.

There’s no way to avoid it; legally paying taxes ensures steady progress.

Otherwise, like those celebrities and big influencers who were caught evading taxes, it doesn’t end well.

He cannot make such a foolish mistake.

"Qinglan, you’ve bought so many entrees for me again! I feel like there are only two women in the world who treat me best, one is my mom, the other is you."

Li Jingsheng praised her with a smile.

"Haha, seems like you’re sweet-talking today? Hurry and eat, my busy man."

She felt very pleased hearing this.

Between couples, sometimes saying sweet words is also a good thing.

It greatly helps in boosting affection and maintaining the stability of love.

"Didn’t you all have surgery this morning?"

"We did! Professor Wu led a bone cement surgery, and there was also a fracture surgery. They went relatively smoothly, so it’s rare to have a short shift today. Lately, I’ve been exhausted."

Their group’s strength is the weakest.

However, with Li Jingsheng’s influence moving the entire Orthopedics division, the number of patients coming for consultations increased significantly.

The second group of Orthopedics also received quite a few patients.

To be precise, they were all patients admitted by Professor Wu and his subordinate doctors.

The hospital has an initial diagnosis system: whichever doctor admits the patient is responsible for them throughout.

Sometimes, when a chief physician encounters a particularly severe patient during ward rounds, they might remark to their subordinate doctors, "Fortunately, this patient isn’t under my care."

This doesn’t mean the physician doing the ward round lacks medical ethics; it’s simply how the responsibility system in the hospital works.

During ward rounds, if the physician encounters a patient not under their care and notices issues, they would still help to correct them.

But they’d absolutely avoid taking on others’ difficult responsibilities.

"You know the doctors under me, right?"

"Yes, I know them!"

"If there’s anything you need during lunch breaks, don’t hesitate to ask them for help. I wouldn’t want you to get exhausted because I care. They also need more practice in the ward."

With one sentence, Li Jingsheng managed to exploit the lunch break of the five doctors under him.

If they heard it, they’d likely all wear bitter expressions.

"I’m a bit hesitant to bother them."

Ou Qinglan is a kind-hearted girl.

She also doesn’t like to trouble others.

"This isn’t bothering them; it’s my instruction. If anyone slacks off, just tell me in the evening, and I’ll deal with them."

Li Jingsheng now had some authority, and the five doctors under him indeed had to follow his orders.

On the surface, it seemed he was exploiting their rest time, but it was actually a form of honing and training for them.

Just like when Li Jingsheng was an intern and resident trainee, the senior doctors would always dump the dirtiest and most tiring work on him, saying, "Xiaoli, we’re cultivating you, helping improve your clinical skills, understand?"

Now it’s Li Jingsheng’s turn to exploit the five doctors under him.

"Being a teacher is great, making me want to become one myself! Won’t they hate you for this kind of exploitation?"

"Well, hate is hate! But they will eventually understand the teacher’s well-intentioned efforts."

After finishing their meal, Li Jingsheng bid farewell to Ou Qinglan and hurried to the Department of Gastroenterology.

Inside the endoscopy room, Xiao Linlin was already waiting for him.

She truly never misses a meeting.

"This patient has undergone abdominal tumor resection; it was a benign tumor. However, the first surgery wasn’t thorough, and it recurred, requiring another surgery. Therefore, her abdominal organs are surely severely adhesed."

That’s how surgery works.

With thoracic surgery, after the chest is opened, the organs within the thoracic cavity inevitably adhere.

Moreover, the more surgeries performed, the more severe the adhesions.

After thoracic surgery, some patients feel shortness of breath and tightness in the chest, unlike before. These are effects brought on by the surgery.

If possible, avoiding surgery can be the best choice.

However, with endoscopic surgery now available, this phenomenon has been mitigated to some extent.

For instance, gastroscopy doesn’t require opening the abdomen, thus avoiding postoperative adhesions caused by other organs being moved.

At present, this female patient is quite unfortunate.

Originally, it was just a benign tumor, but due to the doctor’s inadequate technique, it wasn’t removed thoroughly.

Ultimately, it recurred, requiring another surgery.

"She also had a cesarean section!"

"Yes, twice!"

Xiao Linlin stated.

"Women really have it tough."

Upon hearing this, Li Jingsheng could already imagine what condition the patient’s abdomen was in.

"What seems to be the problem now?"

"She’s been experiencing constipation recently, quite severely. We checked the stool routine, and it came back positive for occult blood. Initially, I suspected an intestinal ulcer, but after thorough investigation and multiple tests, I now suspect a potential tumor in the intestine."

She showed the examination data to Li Jingsheng.

Sometimes, tumors in the intestines are hard to detect using methods like ultrasound or CT.

Currently, colonoscopy remains the most reliable method for detecting intestinal polyps.

"Understood. Which segment of her intestine do you suspect the tumor might be in?"

"The ascending colon segment is the primary inspection target."

Xiao Linlin stated.

After carefully reviewing the patient’s data and exam results, including medical history and records, Li Jingsheng made a diagnosis.

Similarly, he also believed the possibility of an intestinal tumor was quite high for the patient.

Based on the current situation, it might likely be malignant.

"Has the anesthesia taken effect?"

"Yes!"

"Then let’s begin!"

Li Jingsheng didn’t waste time.

The technique of controlling the colonoscope is closely related to the insertion technique.

This is a crucial medical skill in endoscopy. After learning colonoscopy from Xiao Linlin, Li Jingsheng directly elevated the insertion skill to Great Success through added practice.

Handling routine colonoscopy exams is well within his capabilities.

The current patient’s situation is indeed very unique; along with the cesarean sections, she has had four abdominal surgeries in total. The degree of intestinal adhesion is worse than imagined.

His insertion technique is only at the Great Success Level, which may not suffice.

"Go on!"

Seeing him stand still, Xiao Linlin urged.

Li Jingsheng was contemplating whether to expend significant vitality to enhance this medical skill of insertion.