Practicing Medical Skills in a Small Clinic

On the chest X-ray, you can see a round lesion with clear boundaries.

The lung lesion is located in the peripheral area, showing lobulation.

It’s basically confirmed as a solitary lesion, with a rather large diameter, approaching 4cm.

The center of the lesion is evenly calcified.

This film, he found very diagnostically significant. He took a photo of it on the spot with his phone.

"Dr. Li, how is it? I didn’t get a tumor, right?"

The patient asked nervously, having not even buttoned up his clothes properly.

There are still plenty of patients afraid of dying!

"Uh... the situation should be fine. I found a calcified lesion when taking the X-ray, and it’s quite large, nearly 4cm."

Li Jingsheng gently informed the patient of his diagnosis.

This patient’s lesion is very likely a tumor.

But judging by intuition, it doesn’t seem malignant.

Without a pathological examination, he couldn’t be sure of the lesion’s nature.

Also, this patient’s condition definitely requires surgery for treatment.

Often, some fake doctors would deceive patients, saying tumors could shrink on their own or even disappear. They say medication or injecting drugs into the tumor would cure it.

No incision, no surgery.

Yet some patients still believe them.

The outcome is predictable.

Currently, in tumor treatment, indeed many methods have been researched, including targeted drugs, and even a few specific drugs for certain cancers.

But the mainstream treatment method remains surgical removal.

Followed by radiotherapy or chemotherapy to achieve a cure.

This has been the most mature traditional treatment method since humans discovered tumors.

There has accumulated quite rich treatment experience.

Far more reliable than injecting drugs into tumors as the fake doctors say.

Also, the recently invented extremely low-temperature method to freeze and then break up the tumor has made some breakthroughs. It’s expected to be clinically applied soon.

Overall, the means of treating tumors are increasing.

Experience has become richer.

"As long as it’s a calcified lesion, I’m just afraid it’s a tumor! Thankfully, thankfully, it’s a bit of a relief in misfortune."

After listening, the patient looked relieved.

It really makes one feel a bit like crying and laughing.

Li Jingsheng couldn’t bear to tell him the truth.

Afraid he wouldn’t be able to handle it, would be scared sick.

Beside him, Siying serving as Li Jingsheng’s assistant had a strange expression, and Li Jingsheng glared at her.

She didn’t have much work experience, and coupled with her youth, she didn’t realize a small action might bring consequences.

Receiving Li Jingsheng’s warning, she turned her face away, not daring to say a word.

"Can you treat it here?"

The patient asked somewhat urgently again.

"Let’s discuss outside!"

Li Jingsheng took the patient back to the consultation desk.

"The more ideal treatment for your lesion is surgical removal. If you’re willing to have this surgery at the Second Hospital, I can help arrange it."

"Is the Second Hospital a reputable hospital? You can’t trick me!"

The patient looked slightly alarmed hearing about surgery.

Overall, still quite relaxed.

"The largest hospital in the southern city is the Second Hospital, which is a public hospital. There’s absolutely no need to worry about its reputation. I’m considering your trust in me, and I’m worried you might go online and ask those online doctors, eventually being deceived into a problematic hospital. That’s why I thought to arrange this for you. It’s up to you."

Li Jingsheng explained seriously.

The patient hesitated for a moment but finally agreed, "Alright, I’ll listen to you. I’ll leave this to you, and once I’m cured, I’ll definitely come to thank you."

"You can go directly to the thoracic department of the Second Hospital and find Director Zhang. If his appointments are full today, you can say I referred you to him. He should be able to squeeze you in."

After gaining a certain reputation at the Second Hospital, arranging for patient admission had become easier.

The Second Hospital itself needed patients.

The thoracic department’s Director Zhang had long been interested in recruiting Li Jingsheng.

When they met, they would chat enthusiastically for a few sentences.

Now, introducing a patient there, Director Zhang should be quite pleased.

Moreover, once the hospital leadership found out, their concern over the Sunshine Clinic would turn to goodwill.

Because Li Jingsheng introduced patients from his clinic to them, it was a gesture of loyalty to the Second Hospital.

The patient exited happily.

Li Jingsheng didn’t write him any notes.

Not being familiar with the patient, too much enthusiasm might be inappropriate.

Many patients and family members tend to be suspicious, sometimes feeling if the doctor treats them well, there’s something ulterior.

In fact, what could a doctor possibly gain?

Watching the patient leave, Siying couldn’t help but ask, "Master, why didn’t you tell him he has a tumor? I looked at the X-ray, and the likelihood of it being a tumor is significant."

"For someone supposedly clever in daily matters, why are you so clueless about human nature? Patients fear having tumors. You tell him he has a tumor, you’ll want to scare him half to death?"

Li Jingsheng scolded her.

She stuck out her fragrant tongue and nodded with an enlightened expression, "I didn’t think about it that way. You often instruct me not to deceive patients and family members. I just thought of telling him the truth. And moreover, judging by that film, the likelihood of it being a benign tumor is quite high."

Her medical talent was high.

Her comprehension and learning abilities were strong. She also had a solid theoretical foundation.

Furthermore, she had met Li Jingsheng, such an admirable teacher, and progressed at a rapid pace.

"Don’t be so dogmatic! Not deceiving patients and family members doesn’t mean you can’t express it gently! As a doctor, you mustn’t be single-minded, or you’ll find complaints from patients and their relatives daily, and you might even cause trouble."

Li Jingsheng felt she was good in every respect except having a bit of a diligent student’s mindset.

She learned exactly as the teacher taught, not daring to question the material.

When many medical students start clinical work, they’re basically like this, walking on eggshells, strictly following teacher-taught procedures.

Or following textbook procedures.

As a result, in fierce competition, they are often surpassed by other bold medical students who dare to leap out of norms in diagnosis or treatment.

However, such bold, rule-breaking medical students are ultimately few.

Because supporting boldness requires strong real skills and capabilities.

Careless actions are indeed unacceptable.