Chapter 224 Are you drunk? Director Zhang called in person

"Orthopedic surgery generally rarely studies urological cases. Doesn't this patient have pain in his right waist and lower limbs? Has his pelvis been checked?"

Li Jingsheng feels that starting from pain, we should be able to make some different discoveries.

"I haven't checked! It's not closely related to the pelvis. It's probably the pain caused by the compression caused by the enlargement of the kidneys. I've encountered many cases of this kind of situation in clinical practice."

Dr. Tan Shuilin has his own opinion.

Doctors prescribe examinations based on their own diagnostic ideas.

Only those examinations that are of reference value and diagnostic significance will be applied to the patient.

Regardless of the ins and outs, just formulating a lot of examinations, either he is a novice doctor, or he has a problem with his medical ethics, or he has set task targets and failed to complete them.

While the two were talking, they had already arrived in the ward.

Since it was already past midnight, the lights in the ward had already been turned off, and the patients and their accompanying family members were already resting.

"37 beds Chen Guixiang!"

"Dr. Tan, are you going to give me an examination or an injection?"

The patient is less than 40 years old, and may have very light sleep due to physical ailments.

As soon as they entered the ward, the female patient woke up.

Her husband was lying on the edge of the bed to rest.

In fact, the accompanying bed next to the hospital bed can be pulled out as long as you scan the QR code and pay the fee.

The accompanying bed in the second hospital is 15 yuan/night.

Family members may not know that this service exists, or they may be reluctant to spend the money.

Seeing the doctor coming, her husband quickly stood up and got out of the way.

"Let's check you out! How do you feel now?"

"After you helped me take the medicine, I stopped vomiting, but my stomach is still very bloated, and my right leg and buttocks all hurt, like pins and needles."

The female patient showed obvious shortness of breath when speaking.

It seems her lung infection is not under control!

Li Jingsheng's intra-breath diagnosis level is considered to be very high. Just by standing nearby and listening, you can know the condition of her lungs.

"Can you lie on your side? Let me check your pelvis and leg bones!"

Li Jingsheng knew that there was no way to persuade Dr. Tan Shuilin to prescribe a pelvic examination for the patient.

You can try the bone palpation technique now.

"Husband, help me turn over."

There should be no big problem for a woman to turn over, but enlargement of her waist and kidneys will cause her pain and discomfort.

The male family members came over to help her turn over and lie on her side.

It can be seen that she looked in pain when she turned over.

"If it hurts during the examination, just remind me."

If Li Jingsheng hadn't seen the patient's husband who was an honest man, he would not have dared to perform this bone examination on her.

The examination began quickly. Li Jingsheng first touched the side of the patient's pelvis.

The bones of the hip are easiest to feel.

"How long have you been feeling pain on your right side?"

"It's been almost a month!"

"Did you have any slight pain a month ago?"

As soon as Li Jingsheng touched it, he immediately noticed that there was something wrong with her pelvic bone.

He had a vivid memory of the feeling like a dead tree, which was undoubtedly a malignant bone tumor.

"It seems to be true! It may have been a long time ago. In the past, it only hurt occasionally, and it would get better soon. And it's not as painful as it is now."

The female patient recalled it carefully and said.

"Let me look at your leg bones again!"

Li Jingsheng did not touch her hip joint, but skipped directly and touched the patient's kneecap and femoral head.

Still the same dead wood and bones.

"Okay, the examination is ready. Dr. Tan will let your husband know the results later. You should have a good rest!"

Li Jingsheng motioned to Dr. Tan to speak outside.

Tan Shuilin looked at him and didn't do much examination. He just touched the patient's hip, knee and part of the femur.

Is the inspection over so soon?

Dr. Li said he was here to gain knowledge, but it seemed a bit like he was just taking a quick tour!

After the two walked out of the ward, Li Jingsheng had basically sorted out the diagnostic ideas in his mind.

"Dr. Tan, I suggest you immediately apply for a pelvic and femoral examination on this patient. It is likely to be a malignant tumor."

Just when Dr. Tan Shuilin felt that this doctor named Li was superficial and not at all practical, Li Jingsheng spoke.

"Malignant tumor?"

Tan Shuilin was stunned.

"It shouldn't be possible, right?"

It was hard for him to believe this result.

Furthermore, Li Jingsheng's entire stay in the ward took no more than three minutes, and the examinations he performed were very limited.

"It's very simple, just check it out. The patient's pain is neither pain caused by kidney compression nor sciatica, but cancer pain. I suspect that there may have been spread of malignant tumors in her lungs. It may even be the original cause.

The lesions were in the lungs and slowly spread to the kidneys, pelvis and other places."

Li Jingsheng was not too sure about this either.

But when he felt that the patient's bones looked like dead wood, he then thought of the patient's right hip, severe pain in the lower limbs for unknown reasons, lung infection, enlarged kidneys, etc. These combinations suggested the possibility of cancer.

Very high sex.

"This... Doctor Li, first of all, thank you for coming over late at night to consult on this case, but you said the patient had a malignant tumor, which surprised me. I will report the situation to the superior doctor tomorrow and see if I can apply for the patient according to your wishes.

A pelvic X-ray examination. If you can write down the general diagnosis idea, it will be easier for me to report to the superior doctor! Is it convenient for you to see?"

Tan Shuilin felt that this young doctor in the orthopedic surgery department was simply fooling around.

A doctor's diagnosis is not a child's play.

If you suspect it's a malignant tumor, you can't confirm it just by touching it with your hands, right?

"No problem, I'll borrow some paper and pen from you."

Li Jingsheng readily agreed.

I roughly wrote down my diagnostic ideas.

"I strongly recommend that patients get a pelvic X-ray as soon as possible, preferably a lung CT or MRI."

"The lungs have been checked once, and it is confirmed that it is a lung infection. I am already being treated with anti-infective drugs."

Dr. Tan Shuilin really wanted to roll his eyes after hearing this.

Lung CT, or even MRI, should you just do it?

A lung CT costs more than 200 yuan, which is a very expensive price for families in need.

It is even more unnecessary to think about MRI, as the patient’s family will not agree at all.

Moreover, the patient has been hospitalized for almost four days, and his condition has not improved significantly. His trust in the doctors at the Second Hospital is declining.

He smelled a trace of alcohol coming from Li Jingsheng when he spoke, and seriously suspected that the orthopedic surgeon was drunk and went to the hospital in the middle of the night to show off his presence.

"Let me also write down my phone number! I won't be at work tomorrow. When you report to your superior doctor, if you have any questions, you can call me at any time."

Li Jingsheng is a steady person.

After thinking about it, I wrote my personal mobile phone number at the back.

"Sorry to bother you, Dr. Tan. Goodbye!"

Li Jingsheng was relieved that he had diagnosed both difficult cases.

Since it was already late at night, it was not easy to get a taxi on the road.

He didn't even consider it at the entrance of the hospital.

The fare, which usually costs up to ten yuan, was quoted at fifty yuan. It was only less than three kilometers, and the walk only took about thirty minutes.

Fortunately, an ordinary Volkswagen Bora slowed down next to him.
To be continued...