Practicing Medical Skills in a Small Clinic

Chapter 605: Chapter 278: Surging to First Place, Super Long Diarrhea

If treating the patient as having antral gastritis, the consequences can be very serious.

Because the disease course has already progressed for a long time, the patient is currently even experiencing massive hematemesis. Treating him for antral gastritis only allows two possibilities. The first is no improvement in the condition, leading to death.

The second is temporary improvement, cancer metastasis, loss of surgical opportunity, and eventual death.

This is the horror of missed diagnosis and misdiagnosis.

Every year, a large number of patients and families sue the hospital, some possibly due to family misunderstanding or not clearly hearing the doctor’s meaning during communication, muddle-headedly signing the paperwork.

Then after treatment, they find sexual function lost, severe sequelae, or lifelong medication needed... In the end, the patient feels unable to accept this outcome and turns back to sue the hospital.

There are also cases of non-standard practices by doctors during diagnosis and treatment where issues indeed exist.

For these, there’s nothing more to say; just follow the procedures for compensation.

Xiao Linlin now completely treats Li Jingsheng like a god.

"Dr. Li, which surgical method is better for treatment options?"

"Theoretically, several surgical methods can work. But considering the patient’s physical condition, lesion location and size, depth, choosing laparoscopic surgery might be more ideal. Post-surgery, radiotherapy is the preferred choice because he is extremely thin, and the side effects of chemotherapy are too severe for him—it’d be hard for him to tolerate."

Li Jingsheng provided a specific treatment plan.

This patient’s treatment isn’t considered difficult.

The main issue is that the diagnosis is rather challenging.

Because the possibility of misdiagnosis is very high.

"Done, submitted!"

Xiao Linlin submitted the results and began to meticulously analyze the entire diagnostic process of Li Jingsheng.

Gastroscopy is the most reliable method for diagnosing gastric cancer.

But yet, who could have thought that even the most reliable method has unreliable times.

This cancerous change in the antrum occurs in the deeper layers, because the stomach wall mucosa is quite special. When cancerous changes occur in the deeper layers, the mucosa is affected, showing inflammation symptoms. It doesn’t even look like an ulcer.

During specimen biopsy, to minimize harm to the patient, only surface tissue cells were biopsied.

Both tests allowed the cunning gastric cancer to escape smoothly.

Among ten doctors, at least nine will fall into this trap.

"Director Xiao, congratulations, you made it to first place!"

Vice Dean Jin turned his head to look at Xiao Linlin in the back row.

She was busily summarizing the diagnostic experience of this case when she heard this, looked up at the screen.

Instantly, she opened her mouth wide and wanted to scream.

Quickly covered it.

Her face was filled with excitement and joy.

"This is too unreal, it’s like a dream! Oh my, I can’t imagine making it to first place. If this is a dream, I don’t want to wake up!"

She spoke with quite a sense of humor, her expressions and words filled with comedic joy.

Listening to it, could hardly suppress a smile.

"There should only be the final question left, you must stay calm. Dr. Li, please assist Director Xiao as much as possible, once she really wins an award, your reward is indispensable."

Vice Dean Jin is perceptive, naturally knowing Director Xiao making it to first place cannot be separated from Li Jingsheng’s help.

Frankly speaking, Li Jingsheng shone exceptionally in this skill contest, far exceeding his expectations.

Initially thought, if Li Jingsheng could win a bronze or silver medal in the bone-setting competition, it’d be quite good.

Unexpectedly, Li Jingsheng directly won a gold medal in the hematological diseases field upon entering.

Later, even when Doctor Xu collapsed, Jiupeng International Hospital had a super bone-setting expert participating, and the Jiang and Luo bone-setting families also appeared, Vice Dean Jin almost dared not hope for much.

Yet Li Jingsheng managed to secure first place, even rendered Jiupeng International Hospital’s super expert ineffective.

At this moment, Vice Dean Jin understood why multiple senior medical directors all successively befriended, greeted, and sought help from Li Jingsheng after getting on board. Why Director Hua continually supported Li Jingsheng, persuading the hospital’s top management to agree on his specialized clinic admission.

At that time, offering such generous conditions to a small clinic doctor, Vice Dean Jin and several hospital executives firmly disagreed.

Later, unable to resist Dean Fu’s insistence, saying it’s the introduction of special talents, should not be restricted by norms.

After more than an hour of argument, it was finally decided.

Thinking about it now, Dean Fu indeed has profound foresight, seeing far beyond what he, as Vice Dean, can compare.

"Well, the second round of the gastroenterology contest is now over. According to backend statistics, only eight people had the correct diagnosis. The final diagnosis for the patient was early-stage stomach cancer."

One hundred seventy-eight hospitals participated in the skill contest, and basically every hospital has this department.

Large tertiary hospitals like Qiaobang and People’s Hospital even subdivide categories.

They can be divided into hepatobiliary medicine, gastroenterology, biliary and pancreatic diseases, early-stage gastrointestinal cancer, and other sub-departments.

Even if some specialist hospitals may not have gastroenterology, and some hospitals consider their gastroenterology weak, don’t dare sign up for the contest. Even if seven out of ten participate, there’re over a hundred hospitals joining this round of contest.

Yet only eight people’s diagnostic results are correct.

This shows how terrifying the rate of misdiagnosis and missed diagnosis of this disease is.

Facing such serious illness, seeking diagnosis from experts at large hospitals becomes very necessary.

Many doctors participating in this round of competition felt their faces burning.