Practicing Medical Skills in a Small Clinic novel Chapter 605

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.

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