Practicing Medical Skills in a Small Clinic

Chapter 740: Chapter 343: Minor Illness, Is This a False Accusation?

"Dr. Li, I need to explain something to you. I didn’t come for my IV yesterday because my brother got into a fight and was arrested. I was busy trying to help him."

After hesitating for a moment, he took the initiative to explain to Li Jingsheng.

Most people have a grateful heart.

The young man named Xie Junjie was no exception.

He seemed shy, but not coming for the IV yesterday was equivalent to disrespecting the doctor’s hard work.

He knew that Li Jingsheng would definitely be upset, so he mustered the courage to explain.

"Did you manage to get your brother out?"

"No. He injured someone and also damaged a lot of items in the clinic. Now, the owner wants to hold him legally responsible." Xie Junjie shook his head, feeling somewhat downcast.

"Which clinic did he vandalize?"

"It was the Limin Clinic where I was being treated. My brother was angry and went to reason with the owner, which ended up with him hitting someone."

Indeed, it was his brother who vandalized the Limin Clinic.

Encountering such an illicit clinic can indeed be infuriating.

It all depends on how the police define it now.

If it’s classified as the crime of picking quarrels and provoking trouble, then his brother might actually need to serve time.

However, given the circumstances, even if sentenced, it should be a lighter penalty.

We’ll have to see how it gets resolved in the end.

He usually doesn’t interfere in others’ personal matters.

After comforting Xie Junjie with a few words, he directly prescribed medication for him and handed it over to the nurse for IV administration.

Li Jingsheng continued to diagnose other patients.

A middle-aged male patient sat down beside his consultation desk.

This man appeared somewhat thin, with a slightly pale complexion.

"Dr. Li, I’ve come specifically to see you."

"Thank you for your trust. What seems to be the issue?"

Li Jingsheng always felt quite happy hearing patients specifically come to him for treatment.

"I’ve been having constant diarrhea recently, with blood in the stool, and I’m afraid it might be something serious. My kid will graduate from high school next year, my wife is an accountant but can only take on odd jobs to take care of the elderly at home. I have elderly parents to honor and a minor child to support. Please, do everything you can to help me. If it is cancer, please prescribe affordable medication to extend my life a bit longer so I can earn more for them."

The patient first shared his hardships to earnestly appeal for Li Jingsheng’s careful diagnosis.

Li Jingsheng glanced at the man’s registered medical information, 41 years old.

He was at the prime age where one supports both the old and the young.

This age group indeed bears heavy burdens.

Successful in their careers, supporting a family might be easy, yet work pressure is often immense.

"Brother, don’t think like that. Even if it were a serious illness, it can be treated. You need to trust in today’s medical advances. Moreover, you’re still so young, your whole family especially needs you."

Li Jingsheng began a detailed inquiry with this 41-year-old brother.

After a thorough inquiry, the patient’s diarrhea wasn’t severe, abdominal palpation tests were not obvious, and there were no palpable masses.

Considering the presence of bright red blood in his stool, it suggested possible bleeding in the rectum or colon.

He performed a digital rectal exam on the patient.

No abnormalities were found.

Conditions like hemorrhoids and anal fissures were largely ruled out.

"Brother, I suggest you go for a colonoscopy at the hospital. Based on my experience, this isn’t likely a major illness. There might be issues like intestinal polyps or ulcers. But don’t delay because bleeding symptoms are already present. Without timely intervention, it can quickly become severe or even lead to cancer.

A colonic polyp can take five or six years to become malignant or even longer.

But when it ruptures and bleeds, due to the special intestinal environment, the wound heals very slowly. The constant movement of the intestines repeatedly irritates it, which can turn it into a malignant tumor within months."

Li Jingsheng, after a comprehensive diagnosis using the symptoms, stool shape, frequency of diarrhea, and timing of blood in the stool described by the patient, believed the likelihood of it being a major illness was minimal.

The patient’s blood pressure was normal, body temperature too.

If it were colon cancer, there might be accompanying symptoms like low-grade fever.

Clinically, patients with persistent low-grade fevers are most likely to hit the jackpot.

Because fever actually indicates that the immune system is working overtime. You can think of it as working late hours.

It requires mobilizing energy stored in the body’s cells to generate heat.

Prolonged low-grade fevers mean the immune system is overdrawn.

This alone increases the risk of immune system collapse.

Just like when a person is overly exhausted, symptoms like fatigue, weakness, drowsiness, and hunger appear.

The human immune system is extremely complex.

In a long-term overdraft state, parts of the immune mechanism can end up overloaded or stop working. This is when immune vulnerabilities appear, giving diseases an opening.

Diseases come knocking on the door.

So, when someone has a persistent low-grade fever, it’s a signal to be wary. It could be a sign of a serious illness.

This brother’s temperature was normal, his diet normal; it was just diarrhea and rectal bleeding. Though frightening, it might be a minor issue.

Li Jingsheng personally believed it was most likely a polyp.

The colon is already at the near-end part of the lower digestive tract. The chances of ulcers here are relatively small, but polyps are most prevalent.

Ulcers more commonly occur in the stomach, duodenum, and ileum.

This is due to the nature of their roles.

Food enters the stomach through the esophagus, where it begins grinding and digesting.

Stomach acid contains strong acids and has potent digestive capabilities. Excess stomach acid entering the duodenum etc., together with possible damage carried by food debris, can destroy the mucous layer, leading to inflammation, and then ulcers.

According to Li Jingsheng’s clinical experience, ulcers are more likely to occur in the upper digestive tract and ileum.

Polyps are more likely to appear in the rectum, colon, and other parts.

The color of the blood in the stool can roughly indicate the site of bleeding.

If the stool is black, it’s likely from the upper digestive tract or the upper ileum. If the bleeding is bright red, it’s more likely from the anus, rectum, or colon.

Because the longer the blood is exposed to air, the darker it gets.

This guy left happily after hearing it’s not a serious illness.

He indicated he would go for a colonoscopy the next day at the hospital.

Li Jingsheng told him that he needed to make an appointment for a colonoscopy, and he had to fast the night before.

Otherwise, he wouldn’t be able to have it done even if he went to the hospital.

At this moment, Li Jingsheng’s phone rang. He picked it up and checked the caller ID, it was an unknown number.

"Hello!"

After answering, Li Jingsheng greeted proactively.

But there was no sound on the other end.

"Hello, can you hear me?"

He raised his voice.

Worried it might be a patient calling for emergency help.

Sunshine Clinic used to have poor business early on, running at a loss, so they advertised his phone number for external communication.

There is still a batch of the earliest loyal fans of Sunshine Clinic who keep his number.

For ordinary inquiries like buying medicine, he would often ask them to call the clinic’s hotline.

Since they are the earliest customer group, he would warmly answer questions regarding illnesses.

It’s a special treatment for these people.

There was still no sound from the other end of the phone.

This made Li Jingsheng a bit worried, in case the person calling suddenly fell ill, collapsed on the ground, and couldn’t make a sound, he definitely needed to figure out the person’s exact location, then quickly notify the police and 120.

Just as he wanted to ask more, the call was suddenly hung up.

He tried to call back, but it was hung up again.

He frowned.

"Master, what’s going on?"

Han Siying asked from the side.

"This person is quite strange, called but didn’t speak. I was a bit worried whether the person suddenly got seriously ill and couldn’t speak."

Li Jingsheng replied.

"It might also be a phishing call, or the person accidentally pocket-dialed your number."

"Probably not. I called back twice, and it was hung up both times."

"Give me the number, I’ll try calling back with my phone and we’ll find out."

Han Siying, though young and inexperienced, had a quick mind and plenty of ideas.

Li Jingsheng gave her the number, and then she dialed it with her phone.

This time, it connected.

"Hello!"

A middle-aged man’s voice came through, sounding a bit hoarse.

"Is this Huang Qiushui?" Han Siying made up a name casually.

"No, you have the wrong number."

After saying this, the other person hung up.

Han Siying looked at Li Jingsheng, "Master, don’t worry, the voice sounded normal, no sign of illness."

Li Jingsheng decided to let it go.

But he still felt the person’s behavior was baffling.

By around six in the evening, Li Jingsheng’s phone rang again, it was the same number calling.

He answered it again.

"Hello, who are you looking for?"

"Listen up, kid, you mind your own business and others will mind theirs; it’s best if you watch your mouth, or you won’t even know how you die."

It was the same middle-aged man’s voice, sounding particularly vicious.

"Did I offend you somehow?"

Li Jingsheng felt confused, he’d been quietly working hard at the clinic or the second hospital, making money discreetly, and hadn’t crossed anyone.

The way the angry voice spoke made it seem like he stole his wife.

"You know damn well what you did. Next time you meddle, I’ll make sure to burn paper for you, damn it!"

With that, the other party hung up.

Li Jingsheng was insulted for no reason and felt utterly confused.

After pondering the person’s words, he realized he must have offended him somehow.

He tried to copy the number and then opened WeChat to add a new friend.

After searching, a WeChat name popped up.

"Ferryman!"

That was the person’s online name.

The personal signature said, "Limin Clinic, assisting you in regaining health."

Damn!

So, it was a call from Limin Clinic.

Li Jingsheng was puzzled about who he had offended.

There was no connection between Limin Clinic and him, except for that guy named Xie Junjie.

Xie Junjie’s brother had smashed Limin Clinic and beat up the boss, but how could that be Li Jingsheng’s fault?

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