Practicing Medical Skills in a Small Clinic novel Chapter 480

Chapter 480: Chapter 227: A Tumor Invisible to CT, Angiography

Fortunately, with four employees and him as the boss each handling their duties, they were able to complete the tasks on time.

As long as there aren’t too many patients, there’s generally no need for overtime.

Selling medicine and such doesn’t really take much time.

Just then, Li Jingsheng’s phone rang several times.

It was the sound of WeChat notifications.

Upon checking, it turned out to be from Director Lian Tao.

"I performed two more abdominal ultrasounds on the patient; one was done by myself, and there was no abnormality found in the pancreas."

"The CT and enhanced abdominal aorta and pancreas scan only showed multiple low-density lesions of varying sizes in the liver’s right, left, and tail lobes, with no signs of pancreatic lesions."

It seems Director Lian Tao still suspects there’s an issue with the patient’s pancreas!

Li Jingsheng had the same suspicion.

The patient’s inexplicable and continuous weight loss could either be due to a malignant tumor or diabetes. An issue with the pancreas would lead to poor absorption in the body.

Don’t be fooled by the pancreas’ small size, only fourteen or fifteen centimeters long and three or four centimeters wide, but it’s a very important digestive organ in the human body.

It helps the body digest fats, proteins, and glucose.

When it has problems, not only can it impair the body’s digestive capabilities, it can even be fatal.

Among all digestive organs, it is a very special existence.

If we liken the digestive organs to martial arts practitioners, it could be described as skillful both internally and externally.

Its exocrine function mainly involves the secretion of amylase, protease, and other substances by the pancreatic acini and ducts needed for digestion, including some important digestive fluids.

Its endocrine function primarily involves the secretion of glucagon for blood sugar control and insulin to regulate blood sugar levels.

From this, we can see that it plays an extremely important role in controlling the body’s digestive function as well as in regulating and managing blood sugar.

The patient’s stool is normal, indicating a low likelihood of an intestinal issue.

Liver function is normal as well.

The urinalysis is also normal.

This indeed raises suspicion that there’s an issue with the pancreas.

However, the patient’s fasting blood sugar is normal, and two abdominal ultrasounds suggest the pancreas is normal.

So where exactly is the problem?

The enhanced abdominal CT did not show any pancreatic lesions, but it did reveal low-density lesions in the liver, definitely indicating a problem.

"Why not do a vascular imaging?"

Li Jingsheng sent a reply to Lian Tao.

"Isn’t there some girl inviting you to dinner?"

Ou Qinglan saw Li Jingsheng holding his phone, looking quite engrossed, even leaving her momentarily ignored, and she felt a bit jealous.

Actually, she was quite good, belonging to the non-jealous type.

"The People’s Hospital doctors aren’t impressive? We ordinary third-level hospital doctors can only look up to them. Was it the other person who sought you out for discussion? Or did you take the initiative?"

In Ou Qinglan’s view, the People’s Hospital is undoubtedly top-notch.

"Hey, I noticed that Dr. Ou also has a gossipy side! He reached out to me for discussion; we’re friends, and he’s a male doctor."

"I didn’t ask if the other person was male or female, and besides, I’m not that petty."

Though she said that, Li Jingsheng’s voluntary disclosure about the other person’s gender still made her happy and reassured.

She was really worried that it would be a young, beautiful female doctor from the People’s Hospital, discussing the case with Li Jingsheng and gradually becoming a couple.

Ou Qinglan is very confident in her looks, but in terms of medical skills, she’s currently just a master’s student in residency training.

Her medical skills are quite average.

While they were talking, Lian Tao replied again.

"Do you also think we should do a vascular imaging?"

"Definitely!"

Li Jingsheng replied.

"You can do a percutaneous femoral artery selective angiography."

He added another line.

After sending this message, even Li Jingsheng felt surprised. When did he become so capable?