Chapter 920 - 461: Congratulations, It’s a Happy Occasion—Not a Trauma with Bleeding

Chapter 920: Chapter 461: Congratulations, It’s a Happy Occasion—Not a Trauma with Bleeding

Since Li Jingsheng marketed his services as high-end medical care, he naturally had to ensure safety and reliability.

Different patients needed different pre-colonoscopy tests.

He noticed that this female entrepreneur had more abdominal fat; even lying flat, her lower belly was still quite prominent.

While examining her, Li Jingsheng used the sensitivity of his fingertips to preliminarily screen, as much as possible, for risks such as masses.

Strangely, when he gently pressed her lower abdomen, he felt what seemed like a rather large mass below her navel.

It felt on the soft side, not very hard.

He immediately realized it was very likely the woman’s uterus.

Under normal circumstances, unless the uterus was contracting, it was hard to feel its presence from the abdomen.

Carefully feeling it, there seemed to be a faint pulse.

Theoretically speaking, basically anywhere there is an artery, there will be a pulse.

But to actually feel a pulse, it’s usually only at larger arteries.

For example, at the radial artery, femoral artery, dorsalis pedis artery, carotid artery, and so on.

Feeling a pulse in the abdomen was unexpected; inwardly, Li Jingsheng wondered if his tactile sense had improved again and become even more sensitive.

He started consciously palpating other parts of the patient’s body.

At some of the larger arterial sites, he could feel a pulse, but at smaller arterial vessels, he couldn’t feel one.

"There isn’t any major artery at this spot either!"

Normally, arteries lie in relatively deep parts of the body. This is also a way the body protects important blood vessels.

Li Jingsheng felt somewhat puzzled.

He once again palpated the area just below the navel; it was the same as before—if he focused, he could feel a faint beating sensation, very similar to a pulse.

Or rather, this was a pulse.

Seeing Li Jingsheng repeatedly palpate just below her navel, Ye Qingqing did not think he was trying to take advantage of her or anything like that.

Instead, she asked, a bit nervously, "Dr. Li, is there anything wrong with my body?"

"Hard to say for now. I can feel a very weak arterial pulsation at this spot. Don’t talk yet, try to relax, I’ll examine you a bit more carefully."

This was the first time Li Jingsheng had encountered something like this.

Being a doctor truly meant learning for a lifetime; any situation was possible.

Even an eighty- or ninety-year-old doctor, having practiced medicine all their life, wouldn’t dare claim they’d seen every disease. They would still run into conditions they couldn’t handle from time to time, or rare diseases they were seeing for the first time.

Some odd diseases were really beyond imagination.

After carefully feeling for a while, Li Jingsheng’s brow furrowed even tighter.

Because he found that the arterial pulsation in Ye Qingqing’s lower abdomen seemed a bit fast.

His right hand was still pressing on Ye Qingqing’s lower abdomen, while his left hand rested on the cun-guan-chi positions at her right wrist.

This is where a TCM doctor feels the pulse; it’s easy to sense the radial artery beating at the wrist.

In fact, three arteries pass here: the radial artery, ulnar artery, and posterior interosseous artery.

What Li Jingsheng wanted was a comparison.

"No doubt about it, the arterial pulsation in the lower abdomen is much faster."

He muttered to himself, stared carefully at Ye Qingqing’s abdomen, then carefully studied her face.

She was wearing makeup, the heavier kind.

"Ms. Ye, if I may be blunt, have you had any symptoms like vomiting lately, or changes in taste?"

he asked.

"I haven’t been vomiting. As for changes in taste, I think there has been. I used to like my food quite oily, but recently I find greasy things tasteless, and instead prefer lighter dishes. Especially pickled vegetables and the like—they really whet my appetite."

She thought for a moment and answered seriously.

"Sister Tang, go get two pregnancy test strips."

After saying this, Li Jingsheng looked at Ye Qingqing.

"Alright, that’s it for the abdominal exam for now. Take these test strips and test your first-morning urine tomorrow."

"You—what do you mean?"

Ye Qingqing was completely stunned.

She had originally come to book a high-end colonoscopy, but after Li Jingsheng examined her, he was actually asking her to take a pregnancy test.

"I’m just following standard procedure to rule out early pregnancy. Because the time you’ve been feeling unwell is about a bit over twenty days. If you really are pregnant, it would still be very early, probably just over a month.

Right now, the simpler and easier test is a home pregnancy test with first-morning urine.

After that, you’ll still need a blood test at the hospital."

Li Jingsheng didn’t dare jump to conclusions.

Everything had to be based on test results.

Otherwise, if he said something wrong now, it would be easy to get slapped in the face later.

"That should be impossible, right!"

Ye Qingqing straightened her clothes and sat up, her mind working over how likely this was.

Li Jingsheng had already left the room.

Tang Ping came in with two boxes of pregnancy test strips.

"The instructions are on the box. It’s best to use your first-morning urine, drop it onto the test window. Once you get the result, just contact Dr. Li."

Tang Ping handed the strips to Ye Qingqing and briefly explained how to use them.

"Don’t you have any other testing methods here? I really don’t think I could be pregnant!"

She had absolutely no mental preparation for this outcome.

At this moment, she didn’t look like a strong career woman at all.

"Our clinic has Doppler ultrasound, which can also detect pregnancy. But in early pregnancy it’s hard to see anything from the outside of the abdomen; the probe needs to go inside. We’ve never done that kind of exam here. If you really want it, you can go to a big hospital; it’s safer and more professional there."

Li Jingsheng doesn’t make just any kind of money.

He could earn a hundred yuan from doing an ultrasound, but at such an early stage of pregnancy it’s not easy to scan someone like her.

Besides, that’s not really his specialty.

"Then can I still get the colonoscopy done?"

"If you’re not pregnant, then yes. If you are, definitely not. After you do the urine test tomorrow, you’d better also go to the hospital for a blood test. Before doing a colonoscopy, I’d definitely need to check your coagulation function and other indicators."

Li Jingsheng guessed that there was a high chance she was pregnant.

It’s just that some women don’t have any obvious reactions after getting pregnant, and with no experience in this area themselves, they naturally don’t realize they’re pregnant.

Some women even only find out they’re pregnant when they’re almost due.

...

The next day, around a little past ten in the morning, Ye Qingqing came over.

There was a trace of barely concealed joy on her face.

"Dr. Li, I really can’t thank you enough! Luckily you did such a careful exam and helped me find out about the early pregnancy. I used a pregnancy test strip this morning, and there were two red lines. I rushed to the People’s Hospital, and after they checked, I really am pregnant. It’s already eight weeks, almost two months. I... since I’ve never been pregnant before, it never even crossed my mind.

Now that I know I’m really pregnant, I’m just so happy.

This banner is just a small token of appreciation from me, please accept it."

She smiled as she presented the silk banner to Li Jingsheng.

"Thank you, thank you! You’re too polite, I was only doing what a doctor is supposed to do."

Li Jingsheng took the banner and thanked her repeatedly.

He had already received a great many banners, so it didn’t feel particularly special anymore.

Now that his medical skills kept improving, getting banners had become almost an everyday occurrence.

As for Ye Qingqing being pregnant, he had already reached a preliminary diagnostic conclusion yesterday.

So he wasn’t surprised at all now.

When Ye Qingqing left, she was determined to recommend Li Jingsheng to any new friends around her who needed a doctor.

That outcome made Li Jingsheng especially happy.

The patients in the waiting area saw with their own eyes that Ye Qingqing brought a banner to Li Jingsheng and expressed her gratitude, and they trusted him even more.

For a while, the atmosphere in the clinic became particularly good.

Patients’ trust in their doctor is extremely important.

Especially for a small private clinic, building mutual trust between doctor and patient is much harder than in a big hospital.

Because of the trust from patients and their families, Li Jingsheng’s diagnostic efficiency clearly improved a lot. Before twelve o’clock, he had already finished seeing all the morning appointments.

He planned to grab some food first, then find time to visit Xiang Cangsong’s home.

Ever since Xiang Cangsong started working as security at Sunshine Clinic, he had been conscientious and responsible, and Li Jingsheng had taken note of that.

If there was a chance, he definitely wanted to help his family.

As long as he could get his wife back on her feet, that would be the greatest help to their family.

"Dr. Li, could you take a look at my child?"

A young couple in their early thirties walked up to Li Jingsheng’s desk with a six- or seven-year-old boy.

They hadn’t originally registered to see Li Jingsheng, but seeing that he had finished up, they seized the opportunity to come over and ask.

"What’s wrong with the child?"

Li Jingsheng sized up the little boy. He looked quite normal, and nothing seemed obviously wrong.

"He fell down last week and keeps saying his head hurts a bit. We took him to the hospital for a checkup, and the doctor said they found fluid in his head."

"Why didn’t you keep him in the hospital for treatment?"

As soon as Li Jingsheng heard that the child had intracranial fluid and had also been injured in a fall, he immediately realized the boy’s problem might be more serious than it sounded.

The likelihood of intracranial hemorrhage was very high.

That’s extremely dangerous.

"They didn’t say we needed to be hospitalized, just told us to observe him for a while. So we took him home. We heard people say you’re very skilled here, very responsible toward patients, and your fees are low, so we specially brought him over today."

The parents were clearly very young, yet had almost no safety awareness.

With intracranial bleeding and fluid in the brain, they actually took the child home; their hearts were really too big.

What’s even worse was that medical institution called the Chengnan Wangjiang Road Community Health Service Station. The admitting doctor there did a color ultrasound for the child and clearly found cerebral edema and intracranial fluid, yet did not give any responsible advice.

Instead, they told the family to take the child home and observe.

Fortunately, nothing had happened to the child; otherwise that admitting doctor would definitely bear some responsibility.

Li Jingsheng took the ultrasound report and looked it over.

Then he stood up and examined the boy’s head.

He didn’t see any obvious external injuries.

"Little guy, which part did you hit last time?"

He asked the boy.

"Here!"

The boy pointed at the back of his head.

After looking, Li Jingsheng still couldn’t find any obvious external injury, bruising, or hematoma.

"Does your head hurt now?"

He asked the boy.

"Sometimes it hurts a little."

"From what I can see, this doesn’t really look like bleeding from the fall."

Li Jingsheng looked over at the two parents.