Practicing Medical Skills in a Small Clinic
Chapter 804 - 376: There Must Be a Reason for Vascular Changes—Comprehensive Examination in One Step
Chapter 804: Chapter 376: There Must Be a Reason for Vascular Changes—Comprehensive Examination in One Step
"No!"
The family member shook their head.
Li Jingsheng’s original intention was to look at the initial examination data and then compare it with recent examination data to find some subtle changes.
The family did not keep the initial examination data, so he could only seek other breakthroughs.
If there had been a CT or an MRI of the brain when the illness first occurred, it would have provided a good comparison.
Even just a head ultrasound would have considerable diagnostic significance.
However, even eleven years ago, with the total cost over three hundred yuan, between needing to do exams and then get medicine, the likelihood of the patient having done a brain CT was extremely low.
At that time, the conditions of many hospitals were quite rudimentary.
Just like Li Jingsheng’s clinic, they also gradually added new equipment to improve over time.
Back then, many hospitals only had X-ray and ultrasound as imaging equipment.
If you look back at medical teaching cases from twenty years ago, you’ll find that biochemical and imaging tests at that time were very limited.
Li Jingsheng decided to check the materials after lunch to compare.
"Uncle, you go back to the car and rest first. I’ll check some related data afterward. I noticed from the recent examination data you brought that there’s one brain MRI and one head CT scan. Have you done an MR angiography check on top of the MRI scan?"
The accuracy of MRI is extremely high.
Moreover, it can image some deep cavity lesions with even better clarity than CT.
Even today, large hospitals still regard it as a top-choice imaging examination.
The vast majority of people have only heard of MRI exams; very few patients know that MRI imaging has a special method for checking blood vessels called MRA.
It mainly shows the blood vessels and the surrounding tissue, allowing doctors to observe vascular conditions very well.
It is particularly used for intracranial vascular examinations.
"Never done it."
The old man shook his head.
Getting an MRI exam is not cheap.
No one would repeat the test.
"Alright, go and rest first! I’ll check materials at noon and find a way to diagnose it with other doctors. It’s not easy for you coming all the way from another province, and if you encounter any difficulties, feel free to let me know. As long as it’s within my capability, I’ll do my best to help you solve it."
After advising them to leave, Li Jingsheng continued consulting.
Fortunately, after seeing two tricky patients early in the morning, there were no particularly difficult cases.
During lunch, he specifically searched online for intracranial vascular anatomical diagrams.
Because these are standardized teaching diagrams, they have limited reference value.
He planned to ask a teacher who teaches anatomy at the school.
At this time, Li Jingsheng himself was already a teacher.
He was an assistant to Professor Di in orthopedics at the Jiangli City Medical University Affiliated Hospital.
Ye Hui and others could be considered his students.
However, he still held an adjunct position at this medical college and had rarely gone there for lectures. He was not familiar with the faculty.
Therefore, he planned to ask a teacher from his alma mater for help with this.
Li Jingsheng rarely spoke in the class group chat.
Since classmates found out he’s doing well now, they constantly tried to get close and connect, making him quite annoyed.
Just appearing in the group chat occasionally drew several people trying to flatter and please him.
He opened the contact list and found the phone number of Teacher Yu, who was in charge of anatomy class, after a while.
Attempted to call.
"Hello, who is this?"
A slightly cool voice came from the other end of the phone.
"Hello, Teacher Yu, this is Li Jingsheng from Class 3117!"
"Oh, it’s you! I heard you’ve opened your own clinic now; how have you been?"
The teachers kept quite abreast of the news.
But they typically focused only on the students they often contacted, and those doing particularly well.
Li Jingsheng, without a doubt, became the epitome of a success story among them.
Struggling up from the mire, he became a successful individual envied by classmates.
"Thank you for your concern, aside from being quite busy with work, everything is going well. I’m reaching out today to ask if you could provide a few adult intracranial vascular anatomical diagrams. I’ve encountered a young female patient who traveled from another province..."
Li Jingsheng briefly explained the patient’s situation and the course of events.
Teacher Yu listened and did not refuse.
"Alright, add me on WeChat and I’ll find some real images to send to you later."
"Thank you!"
Li Jingsheng found that most teachers were very respectful figures.
Worthy of the title "engineers of the human soul."
"How is your health, Teacher Yu?"
Li Jingsheng asked.
"Aside from some issues with the lumbar and cervical spine, everything else is fine. You know these are occupational diseases that are hard to avoid."
"If you have the time, you could come to my clinic, and I could help with massage treatments. Unless it’s particularly severe, there usually are notable effects."
Li Jingsheng said sincerely.
When Teacher Yu taught him back then, she was only forty-five or forty-six, still in her prime.
Now she should be in her fifties.
It had been years since they last met, and he wondered if she had changed.
From her voice, it was still as powerful and firm.
"Hmm, if there’s a chance, I’ll come to see you. I saw on the news recently that you learned bone-setting techniques and are quite proficient. It’s hard to believe. Your mentor, and several teachers in the department were discussing this and thought you’re amazing and have brought pride to our alma mater."
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