Practicing Medical Skills in a Small Clinic

The tumor won’t appear again.

"It’s just a feeling! I’ve done some colonoscopies before, and it’s not uncommon to find feces in the intestine during the examination. But this patient’s situation seems very unusual to me. The tumor found indeed is quite large, but it’s growing laterally, making it impossible to block much feces in the intestine. Moreover, the blood traces found earlier were both bright red and darkened in color.

So I suspect there might be pathological segments further up."

Li Jingsheng’s medical talent gradually revealed itself.

His thinking was meticulous, his observations were detailed, and he was good at reasoning. Now, based on the slightest clues, he came up with a diagnosis different from Director Xiao’s.

"Be careful! Keep investigating!"

She agreed after listening.

This is also for the patient’s responsibility.

The patient entrusted them with the colonoscopy, an expression of trust.

Doctors often do their best.

Even those who seem to lay flat and drift, when conducting examinations, will do their utmost. At most, they’re just somewhat lazy, preferring slacking and idle moments.

When encountering dirty or tiring tasks, they’ll push them away if they can.

This doesn’t mean that the laid-back doctors are derelict during treatment.

Such doctors exist but are often quickly removed, or if they have connections, directly reassigned to administrative departments.

After all, being negligent during patient treatment can easily lead to accidents.

If something truly happens, who will take the blame?

The senior doctors aren’t that foolish, and the department directors definitely won’t take responsibility.

Reassigning people is the most ideal solution.

Li Jingsheng continued manipulating the colonoscope to explore further.

At this moment, the probe had entered the transverse colon, with dangers lurking frequently. Xiao Linlin and Nurse Tang beside him were constantly sweating bullets.

The patient’s intestinal situation was terrible, not merely due to weak peristalsis.

Li Jingsheng found when a patient has a significant pathological change in an organ, it often implies that the organ has several underlying issues.

They just haven’t caught the patient’s attention.

The preventative approach to healthcare is correct.

When the body sends out alerts, they shouldn’t be ignored but should be paid attention to, rectifying them timely.

This ensures the body continues to function smoothly.

It’s somewhat like a machine; initially, it’s just a loose screw. If ignored, when the screw falls off, the risk intensifies.

Then, it might lead to major obstacles or even a complete halt.

The same applies to humans.

Even conditions deemed most hazardous by doctors, like heart attacks or strokes, the body also sends out various distress signals before onset.

Having nearly finished examining the entire colon, yet still no issues were found.

Not even an ulcer.

"Brother, convinced this time, right? I’ve done numerous colonoscopies, and if there’s a tumor in one place, it’s rare to find another elsewhere. Unlike polyps, which grow everywhere."

Xiao Linlin watched as Li Jingsheng navigated the treacherous examination of the transverse colon.

She was deeply impressed by Li Jingsheng’s colonoscopy skills.

Almost watching Li Jingsheng grow firsthand.

The first time doing a colonoscopy, Li Jingsheng seemed quite inexperienced, yet with talent in operations.

Skillfully proficient.

However, she didn’t know that Li Jingsheng already possessed advanced insertion skills back then.

The application of insertion techniques in clinical practice is quite widespread.

Especially as minimally invasive, interventional, and endoscopic techniques rapidly developed, insertion became one of the most vital techniques beyond basic surgery.

"Honestly, I’m not convinced, I want to probe further."

Li Jingsheng is quite obstinate.

"Are you crazy? Further ahead leads to the ileum." She exclaimed.

"The lesion may very well be inside the ileum."

Li Jingsheng stated firmly.

"This is gambler’s thinking, highly inadvisable. I disagree, the colonoscopy is sufficient, withdraw now."

Xiao Linlin issued the order.

Here, she held absolute authority.

Li Jingsheng was just a guest she invited.

He couldn’t refuse her command.

Yet he wasn’t willing to give up so easily, thus dilly-dallying.

"Nurse Tang, could you press on the patient’s upper abdomen for me?"

He was unwilling to give up.

The judgment should be correct.

Some liquid feces found earlier in the transverse colon indicated it was coming from above.

Judging from the color, it must be from the ileum.

But mere feces surely couldn’t convince Xiao Linlin.

When she’s getting along with Li Jingsheng, she might let him call her sister. But in face of such high-risk clinical operations, she’d grow cold and ruthless, exceptionally strict.

Because this concerns the patient’s life safety, permitting no triviality.

Nurse Tang looked at Xiao Linlin.

"Press it! Carefully, otherwise, my brother won’t give up."

Xiao Linlin agreed.

Seemingly aware of what situation Li Jingsheng anticipated.

"Alright, let me help you press."

Xiao Linlin walked over to personally press the patient’s abdomen. The purpose of doing so was to promote intestinal peristalsis, causing any bleeding point or blood in the ileum to move downward.

Li Jingsheng fixed his eyes on the screen.

"Blood, it’s blood traces. Sister Xiao, look quickly, it’s blood traces."

He saw a thin streak of bright red blood trace entering the transverse colon, clearly captured by the electronic colonoscope’s probe.

"Your probe didn’t puncture the patient’s intestine, did it?"

Xiao Linlin asked anxiously.

"I didn’t even move, you ordered not to probe further, would I dare to move?"

Li Jingsheng felt aggrieved.

She examined the streak of blood and her brows knitted.

The intestine wasn’t punctured, where did this streak of fresh blood come from?

It must be flowing out from the ileum segment; could Li Jingsheng’s judgment be correct, with more lesions further ahead?

She hesitated.

The patient’s intestinal situation was dire, each probe forward would increase the risk significantly.

At this moment, she faced a choice.

Either permit Li Jingsheng to continue probing, or pass off lightly, ending here.

After all, issues had been detected, providing a satisfactory explanation to the patient.

Moreover, probing up to the colon’s end and finding no issues, they’ve fulfilled the patient’s trust quite adequately.