Practicing Medical Skills in a Small Clinic

This type of substance is classified as highly carcinogenic.

This also leads to a certain potential risk of developing tumors from eating leftover food.

Including many people’s favorites such as pickles, preserved vegetables, smoked fish, and cured meats, all of which can increase the risk of tumors.

Li Jingsheng, during his training at the First Hospital, encountered a real-life case like this. The patients were a couple, both not very old, the husband was thirty-eight, and the wife was a year younger, thirty-seven.

They didn’t have any bad habits, just loved eating pickled vegetables.

They felt unhappy if they didn’t eat them even for a day.

That’s how it was, they ate pickled vegetables from their wedding day until now, until they started feeling unwell and decided to get a check-up at the hospital.

As a result, both were diagnosed with malignant tumors.

The husband had stage II colon cancer, and the wife had advanced stomach cancer.

This is a tragedy.

No one dares to say for sure that their simultaneous cancer diagnosis was definitely caused by eating pickled vegetables, but eating them does indeed increase the risk of tumors.

"Boss, was that patient really suffering from a lung tumor just now?"

Wang Zongxiao asked.

"Most likely, yes."

Li Jingsheng, based on experience, imaging studies, the patient’s symptoms, and disease progression, could basically determine that the patient had a lung tumor.

The likelihood of it being malignant is extremely high.

And it is very likely already in the middle-to-late stages.

"Only thirty years old, what a pity."

Wang Zongxiao shook his head.

"Didn’t he have an examination at the hospital before? How did they miss it then?"

"Weren’t you also working in a big hospital for many years? Why are you asking me that?"

Li Jingsheng gave him a side-eye.

"Even with a lung CT, some tumors might not be detected. It’s possible that the tumor hadn’t developed yet at that time, or it was still very small."

Tumors smaller than 1cm are hard to detect with normal imaging tests.

The main issue is that the patient went for a check-up five years ago.

For patients with high tumor risk or diagnosed tumors, a follow-up check every three or six months is usually needed.

Not ignoring it for several years.

While they were talking, the next patient sat down beside Li Jingsheng’s desk with a terrified look.

This one also wasn’t very old, looking just over forty.

A man in this age is considered to be in his prime.

The man in front of him had rather fair skin yet sallow complexion and was somewhat frail. This indicated he rarely did any physical labor and lacked physical exercise.

This type of patient’s body is much weaker than those who regularly do physical work.

"Dr. Li, I’m also having some difficulty breathing lately, and the coughing is quite severe. I even noticed some blood in it yesterday. Could I possibly have lung cancer?"

The man’s tone was filled with terror.

Evidently, the previous patient was potentially diagnosed with a malignant tumor, which filled him with extreme fear.

His symptoms were very similar to the previous patient’s.

Even more severe in some ways.

Because there was already blood streaking in the sputum he coughed up.

"Don’t panic, the likelihood of having a malignant tumor is not high. If you don’t smoke, and aren’t frequently exposed to second-hand smoke or dust, developing lung cancer is quite unlikely. The probability is about the same as winning the lottery jackpot."

Li Jingsheng reassured the patient.

Han Siying, standing by the side, pursed her lips and secretly smiled.

Sometimes, a patient’s behavior can indeed be quite endearing.

"I don’t smoke, just play games occasionally. When I was younger, I used to frequent internet cafes for gaming, and a lot of people smoked there, so I probably inhaled quite a bit of second-hand smoke."

The man spoke with some regret about inhaling second-hand smoke.

"Judging from your words, you should know the harms of second-hand smoke!"

Li Jingsheng queried.

"Recently, I’ve been coughing a lot, and it’s hard to breathe, so I’m scared it might be something bad. I didn’t dare go to a big hospital for a check-up, but I did search online for some information. I also consulted online doctors; they told me I need to go to the hospital as soon as possible and even recommended two good hospitals. I told a friend about this yesterday, he said most online doctors aren’t trustworthy.

They’re often like medical touts, just guiding people to their affiliated hospitals for examinations and treatments.

He advised me against blindly trusting them and suggested finding a reliable hospital.

Recently, I saw a lot of people online praising your clinic, stating that Dr. Li Jingsheng has won multiple awards in medical skill competitions. So, I came early this morning.

Sure enough, this place is crowded. From the conversations of the patients in line, I’ve heard them say your clinic offers excellent medical skills and ethics.

I came late and had to wait a long time, but finally, it’s my turn."

The patient recounted his quest for diagnosis in one breath.

"The main symptoms are coughing and difficulty breathing, right?"

"Correct. My sputum has shown blood streaks in the last couple of days."

He added another detail.

"Siying, take his basic vitals."

Li Jingsheng instructed Han Siying, then looked at the patient.

"How long have these symptoms been appearing?"

"Almost two or three months now, maybe a little longer. I didn’t pay much attention at first, but as it seemed to worsen recently, I thought I’d better see a doctor."

"Let me listen to your heart and lung sounds, just relax and breathe normally."

Li Jingsheng listened to his heart and lung sounds.

His eyebrows furrowed slightly.

This patient indeed had issues with his lungs.

There were distinct wheezing sounds, and during respiratory distress or coughing, a cyanotic complexion could even appear.

"Is it okay if we take an X-ray?"

"Sure!"

The patient came alone and appeared to fully trust Li Jingsheng as he readily agreed to the examination.

Li Jingsheng took an X-ray for him.