Practicing Medical Skills in a Small Clinic

Receiving the control handle of the endoscope, he did not hesitate any longer. He decisively consumed 941 life points to upgrade his insertion technique from Great Success Level to Mastery Level.

The insertion skill level also followed, stepping up from Deputy Chief Physician level to truly reaching Chief Physician level.

Because Xiao Linlin frequently performed colonoscopies for patients, coupled with a woman’s inherent dexterity, her real level of insertion technique reached the Great Success Level.

However, a woman’s rational thinking, courage, and hands-on ability are inherently weaker than a man’s.

Thus, although both her and Li Jingsheng’s colonoscopy techniques were at the Great Success level, she gradually got accustomed to asking Li Jingsheng for help.

Perhaps for women, even living to eighty years old, there’s still a lack of a sense of security, and when encountering difficulties, they can’t help but rely on men.

This habit has been cultivated over millions of years, since the inception of humanity.

Men’s bodies are much stronger, and in facing various dangers and warding off beasts, they are the absolute main force. They instinctively protect their women and children; it’s in their nature.

Li Jingsheng’s colonoscopy technology has now surpassed hers.

Especially in terms of skills, he has become much more proficient than her.

Spending the nine hundred plus life points he had accumulated all at once made him feel quite the pinch. He had wanted to save those life points to upgrade his diagnostic skills and medicinal prescriptions.

But in recent months, he had been frantically improving his bone-setting techniques and surgical skills.

He had no extra life points left for upgrading diagnostic and medicinal skills.

The result was that he became increasingly in demand at the Second Hospital, but often encountered difficult cases that he couldn’t handle at his own clinic.

For this, he was at a loss.

In the operating room, facing the expectant eyes of the Chief Physician, the silent support and full backing of the doctors and nurses on the team, and the lesions on the patient’s body, he simply had no choice.

He could only grit his teeth and charge forward with all his might.

The result was his rising status in orthopedic and cardiothoracic surgery, with more and more problems that he could solve.

His position in the surgical team was also rapidly rising.

He left the third and second assistants far behind and even surpassed the first assistant, becoming the most capable under the Chief Physician.

When faced with difficult separations that other doctors couldn’t handle, Li Jingsheng could succeed in separating the lesions.

Some areas that were extremely difficult to cut, as soon as Li Jingsheng stepped in, he could quickly cut through them.

Now, it’s the same with performing colonoscopies.

Tasks that Xiao Linlin found challenging, he could always complete successfully after taking over.

It was precisely because he was so reliable that Xiao Linlin repeatedly asked for his help.

At this moment, with the help of the nurse, the electronic colonoscope probe had been lubricated.

It parted the patient’s sphincter, entering the rectum.

"Be careful, the intestinal wall seems quite thin."

Xiao Linlin reminded nervously beside him.

Many people think that a colonoscope can examine the entire intestinal tract, but actually, it’s impossible. Reaching the ileum is already quite difficult to examine.

Mainly, it examines the rectum and the entire colon section.

The areas most prone to tumors are also in these two sections.

Rectal cancer and colon cancer are already well-known to many ordinary people.

Li Jingsheng controlled the colonoscope, moving forward bit by bit.

The night before the colonoscopy, doctors instruct patients to refrain from eating or drinking.

Simply relying on fasting to clear the intestines is unrealistic. At this time, the doctor gives the patient a good thing to take - a laxative.

For some patients, if their bowel motility is weak or the food they ate is relatively "tough," it may result in inadequate bowel clearance, ultimately leading to a failed colonoscopy.

The remedy is often an enema.

The process is not as painful as imagined and is entirely within the body’s tolerable range.

You can think of it as a diarrhea-like sensation, possibly even more comfortable than diarrhea.

Under the lens, they temporarily saw that the intestinal wall was fairly clean without any feces discovered.

The preparatory work from Gastroenterology was quite well done.

As the colonoscope moved forward, it rounded a bend and gradually entered the sigmoid colon, then all the way into the descending colon.

"Her intestinal function is really weak!"

After upgrading his insertion technique to the Mastery Level, Li Jingsheng found controlling the colonoscope to pass through was exceptionally easy.

Piercing the patient’s intestines is a mistake only beginners tend to make.

In his case, it almost doesn’t occur.

"Weak intestinal motility is usually caused by various factors. The most common issue is that a problem arises in the upper intestinal tract, leading to poorer motility further down the intestinal tract. You can think of it like, for example, if there is a large tumor or intestinal polyp in the ileum section, when intestinal fluid flows to this part, it encounters some resistance, but the intestine isn’t completely blocked; it can still pass by the tumor.

In such cases, once the intestinal fluid bypasses this section of the tumor, its speed slows down.

As it continues down the intestines, its speed will get slower and slower."

Xiao Linlin shared practical clinical experience with Li Jingsheng.

"Understood. It’s like a wave pushing another wave! Is it that the rear wave’s thrust being insufficient leads to the front wave receiving weaker and weaker thrust, is that what it means?"

Li Jingsheng asked with a smile.

"Yes, that’s exactly what it means, you’re very clever."

She nodded with a smile.

At this point, it seemed the colonoscope encountered a situation.

"Why is there still feces here? It seems blocked up ahead."

Li Jingsheng started cautiously manipulating the colonoscope to continue advancing.

Based on experience, there is likely a larger intestinal polyp, or even a tumor, ahead.