Practicing Medical Skills in a Small Clinic

There might also be an occurrence of intestinal torsion.

The patient is currently under general anesthesia.

Normally, if it’s just a regular colonoscopy, there’s actually no need for anesthesia.

Only painless colonoscopies generally require general anesthesia, and the preoperative assessment requirements are much higher.

There are two types of people who choose painless colonoscopy: one is those who fear pain and opt for general anesthesia, and the other is those whom doctors predict might have something like intestinal polyps, which can be removed along with the colonoscopy.

This patient belongs to the latter category.

"It seems like there’s bleeding."

Li Jingsheng felt a tightness in his chest, and his expression became even more serious.

Xiao Linlin was closely watching the screen.

A mountain-like tumor appeared in view.

"This tumor is growing laterally, and its proliferation is particularly strong. It is rapidly expanding in this direction. There is an ulcer point on the tumor, and it’s currently bleeding."

Li Jingsheng reported on his findings.

Xiao Linlin had already seen it.

"Has it turned malignant yet?"

She was somewhat uncertain and asked for Li Jingsheng’s opinion.

"I feel it hasn’t turned malignant yet, but the probability of malignancy for this type of tumor is very high. Normally, an intestinal tumor might take three to five years or even longer to turn malignant. However, this tumor is very invasive, its evil nature is exposed, and if not operated on in time, it will definitely turn malignant in a very short period."

As Li Jingsheng’s clinical experience increased, he became more precise in predicting various types of tumors.

If not extremely precise, it’s at least pretty close.

He’s especially skilled with bone tumors.

Basically, just by touching, he can know the nature of a tumor.

The Bone Touching Skill is advancing to the next level, currently at a well-honed stage.

In fact, knowing the general nature of a tumor just by feeling through the skin isn’t exclusive to him. Many experienced experts possess this skill.

Especially experts in thyroid and breast departments, due to frequently encountering patients with thyroid tumors, nodules, breast hyperplasia, and nodules, can basically determine the type just by feeling.

"It should still be possible to operate on it now. Although the boundaries are unclear, it seems their infiltration depth into the intestine is very shallow. It should only have infiltrated up to the mucosal layer and submucosal layer at this point, not yet reaching the muscle layer. Surgery should be able to thoroughly clear it."

The intestine has four layers.

The innermost two layers are the mucosal layer and submucosal layer.

Lymph and blood vessels are densely packed in the submucosal layer.

This tumor’s rapid proliferation requires a large intake of nutrients.

It was precisely the nutrients absorbed from the submucosal layer that accelerated its proliferation, causing it to expand fiercely toward both ends and infiltrate deeper into the intestine.

If this colonoscopy wasn’t performed this time, this tumor would soon become malignant.

Many intestinal tumors, once discovered, are already at mid to late stages, often having spread and metastasized.

Even removing that segment of the intestine might not necessarily cure it.

At most, it could just extend survival time.

"This can only be transferred to the gastrointestinal surgery department for elective surgery. Discovering it is a silver lining in misfortune."

Xiao Linlin felt happy for the patient.

Doctors are the ones who most hope for their patients to recover healthily.

The vast majority of doctors especially enjoy seeing patients leave the hospital healthy and happy.

This is the greatest reward for doctors.

"Director Xiao!"

"Call me Sister Xiao!"

Xiao Linlin was in a good mood because they successfully detected the patient’s lesion.

"Sister Xiao! I think the colonoscopy shouldn’t end yet, we need to keep checking further."

Li Jingsheng teased a bit.

She flirtatiously rolled her eyes at him, causing the nurse next to them to giggle.

No one would have thought that Director Xiao, who usually seemed cold and serious, was so approachable and easygoing with this young orthopedic doctor.

One couldn’t see any hierarchical relationship between them, just a sibling-like casualness.

"Haven’t we already discovered the issue? As you saw earlier, many areas of the patient’s intestines are as thin as paper. What if they get perforated?" Xiao Linlin, like most department directors, prefers to play it safe.

She absolutely refuses to take reckless risks and cause complications.

The condition has already been identified. Further probing could lead to issues, and who could bear such responsibility then?

"I have a feeling that there might be more lesions in her intestines. If I’m careful, it shouldn’t cause a perforation. If I encounter uncertain situations, I will promptly stop the examination."

Li Jingsheng explained his reasoning.

"Why do you think there are other lesions? Based on my clinical experience, if a tumor is discovered in one place and it’s in the early stage without cancerous transformation, generally, there won’t be tumors elsewhere."

Xiao Linlin still didn’t easily agree.

Tumors are quite intriguing.

From mutation to taking root, it involves a long and risky process.

When a malignant tumor cell successfully takes root somewhere in the body and begins to proliferate quietly, the body at this point seems to gain a different kind of immunity.

Other normal cells are less likely to mutate into tumors.

It’s somewhat like the old saying that one mountain cannot contain two tigers.

However, it’s not absolute. Some unfortunate patients are diagnosed with multiple cancers simultaneously.

Based on clinical experience, for example, now that a large tumor is found at the junction between the descending colon and transverse colon of this female patient, normally, the rest of her intestines are safe.