Chapter 856 - 403: Securing a Ticket to Survival, the Big Guy’s Adverse Situation

Chapter 856: Chapter 403: Securing a Ticket to Survival, the Big Guy’s Adverse Situation

Adenoma is very distinctive.

The vast majority of adenomas are benign, grow slowly, and are easy to treat. Generally, adenomas are unlikely to become malignant.

But once it becomes malignant, it’s no longer human.

Breast cancer is the second leading killer of women.

As for pancreatic cancer, it’s notoriously known as the king of cancers, feared by all.

This patient’s condition is extremely unusual.

After repeated deliberations by Li Jingsheng and the latest examination results, it’s almost certain that the liver initially underwent changes and quite possibly a malignant tumor.

However, primary malignant tumors in the liver are often large.

Actually, even benign liver tumors are often sizable.

Li Jingsheng examined the patient’s chest and abdomen. Although there is barrel chest, the abdomen seems normal. No lumps were felt.

Among malignant liver tumors, cholangiocarcinoma and cystadenocarcinoma exhibit slow growth and liver metastasis.

Li Jingsheng suspects that the patient might first have cholangiocarcinoma, followed by liver metastasis.

However, when cholangiocarcinoma develops to a certain extent, an upper abdominal mass can often be palpated.

Additionally, obvious symptoms like fever and jaundice may appear.

This patient’s most peculiar feature is the absence of obvious jaundice symptoms.

Worried about the patient’s death, Lian Tao urgently brought in an expert from the oncology department for a consultation overnight.

Soon, a middle-aged male doctor, bald-headed and chubby, arrived.

His appearance was quite ordinary.

"Allow me to introduce, this is Dr. Li Jingsheng from the Second Hospital, and this is Director Meng Zeran from the oncology department of our People’s Hospital."

Lian Tao introduced the two.

"Hello! I’ve recently been hearing about Dr. Li’s renowned bone-setting skills."

"Oh, that’s just an inferior skill unworthy of mention. Director Meng is the true prestigious expert. I saw your name in the new edition of the tumor immunology textbook."

Li Jingsheng truly has seen this big name before.

Those who compile textbooks or medical books are generally experts or have a high reputation in the industry, possessing exceptional skills.

This is one of the supreme honors in the hearts of countless doctors.

Medical technology develops rapidly, many theories from ten years ago are wrong or have been eliminated, so compiling and updating textbooks is extremely important.

"Haha, it seems Dr. Li has a wide range of interests! When compiling the textbook, I hoped to spread medical skills to more future generations. We got caught up chatting and nearly forgot the serious matter, let’s discuss the patient’s condition first."

Director Meng Zeran laughed heartily.

It indicated that Li Jingsheng’s flattering remark just now had made him very pleased.

Actually, Meng Zeran was not the chief editor of that textbook but one of the committee members.

Textbook compilation usually requires dozens of experts.

The chief editors can be as few as around two or as many as five or six.

The number of committee members is much larger.

In terms of influence, the chief editors undoubtedly have much more weight.

Nevertheless, participating in textbook compilation is still one of Meng Zeran’s proudest accomplishments.

After reviewing the patient’s situation, the group sat in the break room discussing the patient’s etiology.

"Jingsheng, could you introduce your diagnostic approach? Director Meng has extremely rich experience in the field of tumors, especially liver and gallbladder diagnostics."

Li Jingsheng briefly explained his diagnostic approach.

After hearing it, Meng Zeran said nothing, instead carefully examining the patient’s blood routine and urinalysis results.

"White blood cells, neutrophils, and C-reactive protein are elevated to a certain extent, although not very pronounced, but they are higher than normal. Dr. Li believes there is a problem with the liver, but I can’t be sure. However, if we were to say the patient’s bile duct is problematic, I support this opinion."

After hearing Meng Zeran’s opinion, Lian Tao was somewhat puzzled, saying, "But there are no obvious tumors found in the patient’s abdomen and the symptoms are not obvious, almost nonexistent."

The patient has neither ascites nor enlarged liver, nor significant upper abdominal pain, fever, chills, etc.

Lian Tao himself is a chief physician in the field of digestive medicine.

Although he specializes in gastroenterology, the gallbladder also belongs to the digestive organs.

Don’t underestimate the gallbladder; its function is significant.

For instance, it emulsifies fat through the intestine-liver circulation, facilitating reabsorption in the small intestine.

After eating greasy food, one may feel uncomfortable.

If the gallbladder and liver weren’t quietly working, secreting and concentrating bile, reducing surface tension of fats, one couldn’t imagine the series of consequences.

Lian Tao had also suspected the patient’s bile duct might be problematic. But the patient showed no symptoms, and the chest X-ray didn’t reveal any tumor-like abnormalities, so he eventually ruled out the idea of gallbladder problems in his diagnosis.

"Director Lian, you must have encountered patients with cholangitis, right?"

"Occasionally, yes."

Lian Tao nodded in confirmation.

"Are there symptoms in early cholangitis?"

Director Meng Zeran smilingly asked.

"Uh... this depends. Some patients may have fever, jaundice, etc. Some patients have no symptoms."

"This patient belongs to that rare group. Based on my experience, not only do the patient’s bile ducts have problems, but there is also likely a malignant tumor, most likely a cellular cancer."

Director Meng Zeran confidently spoke for a reason.

"I recommend we immediately carry out tumor marker tests on the patient. Once clarified, we can conduct ultrasound endoscopy. If the patient’s condition permits and the family agrees, PET-CT scans can be considered."

It felt like these experts were indeed aggressive in ordering tests.

As long as the cause could be found, nothing else mattered.

In contrast, Li Jingsheng, running a clinic, seemed somewhat petty, always considering the patient and family.

Diagnosing at the clinic, conducting a hundred-yuan ultrasound or X-ray examination required him to work meticulously on their mindset.

If the fees are too high, the patient might not return next time, which would be a significant loss for the clinic.

...

Upon examination, it was ultimately determined that the patient had cholangiocarcinoma with liver metastasis. However, the overall assessment of the situation was still considered optimistic.

It can only be said that this patient’s life is truly resilient.

Li Jingsheng also received the long-desired massive life value reward, 1000 points.

The diagnosis of this case was truly exhausting.

Enough to stump a whole bunch of experts.

The main issue was the prolonged course of the disease, which greatly increased the difficulty of diagnosis.

This is somewhat similar to police solving a case; if too much time has passed since the event, clues have disappeared, making cracking the case very difficult.

Who would have thought that the primary focus in this case of respiratory and heart failure was actually the bile duct.

Li Jingsheng initially believed the liver was the primary focus, ultimately discovering bile duct cell cancer had metastasized to the liver.

Sometimes, when organs are close together, interconnected, it’s not necessarily a good thing.

Like the liver of this patient, it was completely caught in collateral damage.

The successful diagnosis of this case benefited every doctor involved in the consultation greatly.

Medicine is like this, a long journey, where one can only continually accumulate experience to save future generations from detours.

After identifying the cause, they discussed with the family and agreed to operate on the patient.

The surgery was scheduled for the next day.

The specifics of the surgery were unclear to Li Jingsheng. He heard from Lian Tao that the anesthetist and the chief surgeon had a fight but was eventually convinced by the chief surgeon.

Thus, the surgery was able to proceed smoothly.

On the third day post-surgery, good news came again, the patient’s vitals had not deteriorated and were becoming stable.

However, this was merely a lifeline for the patient.

If heart and respiratory failure are not resolved, it’s only a matter of time before this life cannot be saved.

Li Jingsheng deepened his relationship with Director Rong through this consultation. He also met a new chief physician, and a chief physician of oncology, which he was not too familiar with.

Every expansion of connections suggests he may have more opportunities in the future.

...

Day by day, time flew by swiftly.

The medical business of Sunshine Clinic became busier than before, attracting more patients.

Slandered and discredited by Limin Clinic’s owner, instead of bringing Li Jingsheng down, actually made Sunshine Clinic stronger.

Li Jingsheng was aware of this aspect of the medical business.

He dared not massively recruit doctors and nurses but decided to maintain the status quo for now.

If encountering particularly outstanding doctors or nurses, he wouldn’t mind bringing them in.

Anyway, there is no shortage of slots.

The biggest beneficiary would be his clinic’s pharmaceutical business.

The online pharmacy business grew more than doubled.

The offline pharmacy business didn’t grow much, but the local drug procurement business quietly climbed.

After this incident, the citizens appeared to have increasingly recognized Li Jingsheng and the Sunshine Clinic, trusting them more.

On this day, Li Jingsheng was seeing patients at the second hospital.

His arm has now basically initially healed. Stitches were removed, and he could perform some simple strength actions.

However, the wound’s full recovery still needs time, and he dared not attempt overly forceful actions.

Being a doctor himself, with quite some proficiency in surgery, he naturally understands the wound recovery period.

This period, his handful of doctors got ample training opportunities.

Including Yang Luqing receiving some training opportunities.

Only, that day when Li Jingsheng was stabbed, Lu Qing’s indifferent, cowardly display like a thorn continues to wedge between the two.

Granted, that kind of dangerous situation he wasn’t obliged to rush to rescue Li Jingsheng.

Since his life was a life too.

People are selfish.

But if people only talk about interest and not feelings, it lacks a trace of humanity.

Liu Xian hasn’t yet returned to work.

He himself wants to return but was rebuked by Li Jingsheng, not allowed back. He’s made to rest at home for a week.

And assigned Liu Xian some learning tasks.

Any fool can see that Li Jingsheng started giving special care to Liu Xian.

"Teacher, what would you like for lunch today? I’ll go queue and get it for you now."

Yang Luqing is desperately trying to make amends, rebuild the relationship with Li Jingsheng.

He is well aware that without Li Jingsheng’s forgiveness, he might end up in an unfortunate situation.

"No need, no need, my girlfriend got it for me! Thank you!"

Li Jingsheng treated him very politely.

The more this happens, the more distressed Lu Qing feels.

Once, the teacher treated him like family.

"Ye Hui, let me get lunch for you!"

Yang Luqing faced setbacks in his career, and he sought achievements in love.

He and Jin Yanyu are both pursuing Ye Hui, the competition between them never ceases.

But now the situation is increasingly unfavorable for him.

Since the stabbing incident with Li Jingsheng occurred, due to Lu Qing’s cowardly and selfish behavior, colleagues seem to belittle him.

Although no one says it out loud, Lu Qing can feel it.

"I’ll get it myself!"

Ye Hui directly rejected him.

Lu Qing felt a burst of distress again.

He silently walked out of the consulting room, heading towards the cafeteria with a low spirit.