Chapter 910 - 451: The Importance of Making the Right Choice and Receiving the First Plaque

Chapter 910: Chapter 451: The Importance of Making the Right Choice and Receiving the First Plaque

If the necrotic area in a patient is not in the small intestine, but in the limbs, any surgeon would know what to do.

For example, if a finger suffers from severe frostbite.

Seeing it start to turn black and unsalvageable, the doctor would unhesitatingly advise the family and patient to choose amputation. There would be no hesitation.

Now, moving to the small intestine, Director He is hesitant, mainly for two reasons: it’s difficult to determine if the intestine is completely necrotic, and the small intestine is too important in the organ of nutrient absorption.

It really can’t be cut easily.

The diseased segment of the intestine was cut out, then an end-to-end anastomosis was performed.

Director He personally performed the anastomosis.

Though Director He may have seemed a bit ’green’ in diagnosing this patient, the surgical skills he displayed during the intestinal anastomosis made Li Jingsheng deeply respect him.

The method of intestinal anastomosis is quite similar to vascular anastomosis.

It is not easy.

Currently, there are two methods of anastomosis: hand sewing and using an anastomotic device.

Manual suturing is still the mainstream approach.

Because hand sewing is more reliable, more flexible, and has a better survival rate guarantee. Moreover, after intestinal healing, the anastomosis site is less prone to stricture.

The advantage of the anastomotic device is that it saves time and effort and is more efficient.

"Alright, after the abdominal cavity is cleaned, do drainage, and then close the cavity!"

Director He completed the anastomosis, checked it without error.

He instructed his subordinate doctors to close the abdominal cavity.

He himself carefully examined the cut intestine.

"Dr. Li does have some skills; judging from the inside, this segment of the intestine is basically beyond saving."

"When I felt it, it indeed had no vitality. When the pathology results come out, the condition might become clearer. This patient is still in a very dangerous condition, showing signs of multiple organ failure, and probably needs systemic supportive treatment."

Li Jingsheng is not particularly skilled in critical care medicine.

This patient gave him the feeling that it could progress to critical condition at any moment.

...

In the blink of an eye, three days had passed.

The pathological results of this patient’s intestinal biopsy finally came out.

It was consistent with Li Jingsheng’s diagnosis: the patient had acute hemorrhagic necrotizing enteritis.

If it weren’t for Li Jingsheng’s insistence at the time, the patient’s condition now would definitely be particularly dire.

He was sitting in the clinic, performing manual repositioning and bone setting for orthopedic patients, when Director He rushed in.

His face was filled with excitement.

"Dr. Li, it’s all thanks to your insistence that the intestinal obstruction surgery patient is doing well. Today, they have started to urinate. Although the volume is not much, there is urine now, and all the abnormal data are starting to fall. When the pathology results came out, I knew that if it weren’t for your insistence, the ileostomy I performed at that time would most likely have been deadly."

He Qingzhi had a face of lingering fear.

"At that time, the patient’s condition was indeed quite dangerous. I wasn’t completely sure either. I just thought the patient was still very young, only in their twenties, and if anything were to happen, it could ruin the entire family. Now everything is moving in a positive direction, which is a great thing; we and the patient, family are all delighted."

The greatest joy in treating a patient is seeing the condition improve post-treatment.

Especially for a patient who was almost doomed, after the most brilliant, most decisive treatment, the condition improves; that’s truly fighting with King Yama for life.

"I came not for anything else, but because I couldn’t contain my inner excitement and joy and wanted to tell you this news. Also, if Dr. Li is free tonight, I’d like to invite you to dinner to properly thank you."

Director He successfully treated such a critical patient, which is a great achievement.

It will be helpful for his future competition for the head of the department.

Currently, Director Bi is recuperating, so curing such a critical patient holds even more significance.

"Tonight might be difficult; I have to go to the People’s Hospital after work. Let’s do it another day, perhaps when this patient recovers and is discharged. I’ll invite you to dinner. Being able to perform surgery with you and witnessing your high-level anastomosis, I’ve gained a lot."

Li Jingsheng’s collaboration with Professor Wang Weiwei and Professor Luo Binggang is ongoing.

It’s just that due to his busy work schedule, he hasn’t had much time to go and join the research.

Now it’s at the critical stage, and he, as an important member, definitely needs to make time to participate more.

Otherwise, it will seriously affect the progress of the research.

And it would be unfair to the key training from these two top experts in Cardiovascular Medicine.

"Alright, it’s a deal then. When the patient recovers and is discharged, we’ll meet up for a drink. You’re busy, I’ll be off then."

He Qingzhi walked a few steps and then turned back, asking, "Dr. Li, can I still consult you for help with uncertain conditions next time?" When he made this request, He Qingzhi seemed a bit anxious.

He looked at Li Jingsheng with slight nervousness.

"Of course, as long as I have time, I’d be happy to assist you. Discussing complex and critical cases is my passion."

Li Jingsheng nodded with a smile in agreement.

"Ha ha, no wonder you can excel across departments. With such a passion, it’s hard not to be formidable. Goodbye."

He Qingzhi left with a hearty laugh.

Li Jingsheng’s willingness to help him with complex cases again made him particularly happy.

...

On this day, Li Jingsheng was consulting patients at the clinic.

Outside, someone unexpectedly set off firecrackers at the entrance of the clinic. Jiangli City has not completely banned the use of fireworks, but generally, setting them off indiscriminately in the streets is not allowed.

Because it’s easy to cause injury to others.

There are many safety hazards, and the pollution to the urban environment is quite severe.

"Siying, go check what’s going on outside!"

Li Jingsheng feared most that something would happen to a patient after treatment at the clinic, leading to family members causing a scene at the clinic entrance with wreaths and firecrackers.

He had just cleared the final payment for purchasing the clinic yesterday and was planning to go all out.

Nothing must go wrong.

As soon as Han Siying reached the reception hall entrance, she saw two men carrying a large plaque inside.

Security guard Xiang Cangsong followed behind with a look of helplessness.

Judging from this scene, Xiang Cangsong must have tried to persuade these two but failed.

"This is the reception hall, what are you trying to do?"

Han Siying stopped the two men.

"Miss, there’s a misunderstanding. I’m here to thank Dr. Li for saving me. I specially commissioned a plaque to express my gratitude to him."

Mr. Wan seemed to have just been discharged and, accompanied by his wife, entered the reception hall.

"Dr. Li, do you remember me? I came for a high-end colonoscopy a while ago..."

Li Jingsheng, who was prescribing for a patient, looked up upon hearing the words towards the entrance.

"Oh, it’s Mr. Wan! Of course, I remember you. How’s your condition after the surgery?" Li Jingsheng inquired about Mr. Wan’s condition.

"I feel much better. Didn’t I mention before that I always felt uncomfortable after meals? I haven’t felt that discomfort again after the surgery. Had it not been for you doing another colonoscopy, those two polyps would have eventually killed me."

Mr. Wan’s discomfort wasn’t imagined; there truly was a problem.

The pathological results for those two polyps had already come out.

The smaller one was an inflammatory hyperplastic polyp; the larger one was identified as carcinoma in situ.

Li Jingsheng helped him eliminate this threat, essentially saving his life.

"Bring the plaque in!"

Mr. Wan waved to the two men who carried the plaque into the reception hall.

On it were four golden characters: "Benevolent Heart and Skillful Hands."

The lower right corner noted the donor and the reason for gifting the plaque.

He had received so many thank-you banners and letters that his hands were tired from receiving them.

But this was his first plaque.

"Thank you, thank you! You are so considerate!"

Li Jingsheng accepted the plaque.

"Dr. Li, may I take a picture with you to capture this moment?"

"No problem."

Li Jingsheng immediately got up and stood in front of the plaque to pose with Mr. Wan and his wife for a photo.

[Life Points +1000.]

Receiving a hundred thank-you banners added a hundred life points, but a plaque could add a thousand. That’s incredible.

With this bonus, Li Jingsheng couldn’t stop smiling.

"Dr. Li, could you come to my house for lunch today at noon? You saved my husband, and I’ve already bought the ingredients—I want to express my gratitude in the simplest way."

After interacting with Li Jingsheng twice, Mr. Wan’s wife had gotten to know him a bit.

The invitation was heartfelt and deep-seated gratitude.

"Your kind invitation is received, but the clinic has too many patients, and I can’t leave. You’ve already touched and moved me by gifting such a large plaque."

Li Jingsheng declined the offer for the meal.

It wasn’t due to being stiff, but rather he genuinely couldn’t make it.

Additionally, he didn’t want to trouble the patients and their families.

"Then I’ll make the meal and bring it to your clinic for everyone to enjoy together, how about that?"

Mr. Wan’s wife was determined to express her gratitude.

"It’s too much trouble; it’s really not necessary."

"What trouble? Let’s take it as a yes! Young lady, could you tally the number of people in your clinic for me? Once it’s ready, I’ll send it over. But I should first warn you, if it doesn’t suit your taste, you’ll have to make do."

"Alright, alright. On behalf of everyone at Sunshine Clinic, thank you both for your kindness. Seeing patients recover is the greatest solace to us doctors and nurses. No further tokens are necessary."

Li Jingsheng reluctantly agreed.

Not letting them make the meal, Mrs. Wan definitely wouldn’t give up.

Li Jingsheng lately had received two hefty life point rewards. He considered saving a bit more, so he could upgrade Fang Yao’s two medical techniques one more level.

Treating people involves more than just surgery; bone setting is important, and prescriptions are just as vital.

His prescription skills started to lag behind his level.

At noon, Mr. Wan and his wife indeed brought delicious food to the clinic.

Including the security guard Xiang Cangsong and those temporary workers packing shipments, everyone got a portion.

Having learned about Xiang Cangsong’s family situation, Mr. Wan and his wife gave Xiang Cangsong not just double the meals, but also visited his bedridden wife, offering a cash red envelope of one thousand yuan.