Chapter 821 - 385: Giant Lymphadenopathy—Surgical Treatment Doesn’t Require Etiological Investigation

Chapter 821: Chapter 385: Giant Lymphadenopathy—Surgical Treatment Doesn’t Require Etiological Investigation

"It’s a female patient, her surname is Luo. She said she visited your clinic yesterday. Long-term fever, dizziness, fatigue. I checked her blood routine results; the anemia is quite severe."

As soon as Director Xue mentioned this, Li Jingsheng knew who it was.

Ah, it’s that woman who’s been running a fever for eight years!

Unexpectedly, she eventually came to the Second Hospital for treatment. Actually, with such a complex condition, if possible, she should visit a top-tier hospital like Renmin Hospital or Qiaobang Hospital.

But she did take good advice; at least she came to a large hospital and got an appointment with a specialist.

Even though this ’specialist’ is somewhat exaggerated.

At least the doctor is a chief physician.

It should be mentioned that while the Second Hospital is also a tier-three hospital, a large one, its chief physicians are at least two levels below those at Renmin Hospital.

There is a significant gap in medical skill, academic status, and social status.

Most of the chief physicians at Renmin Hospital can pursue a dual promotion track.

What is a dual promotion track?

It’s like Li Jingsheng, where both a medical title and an academic title increase simultaneously.

Is it okay to only advance along one line? Certainly it’s possible.

But the ceiling is generally locked.

Don’t even mention applying for outstanding young talents, laureates, Yangtze River Scholars, and such; even becoming a first-rate director or second-rate professor in the industry is extremely challenging.

Academically, most people reach the level of a second-rate professor, which is considered reaching the top.

A first-rate professor is somewhat akin to the special title that ancient cabinet ministers could further advance to. These are often also academicians.

General professors aren’t qualified to be named as first-rate professors.

Even many candidates for academicians are second-rate professors.

So, academically, reaching second-rate professor is essentially the peak. This is also a good reference standard when making a specialist appointment at a hospital.

If the introduction says second-rate professor and first-rate chief physician, then undoubtedly, they are extremely prestigious.

In large hospitals, this sort of specialist appointment starts at at least 300 yuan.

Many are 600 yuan, and a few might exceed 900 yuan.

Appointments costing 1,200 yuan are rare and usually indicate someone who no longer sees many patients and is likely an academician or candidate.

Spending over 1,000 yuan on appointments with them is definitely worth it for particularly difficult-to-treat cases.

Like the paralyzed female patient living in the courtyard of Li Jingsheng’s clinic, if her family was willing to take her to a top-tier hospital in Beijing or Shanghai and book a top-tier specialist appointment, the cause might have been identified long ago.

When booking such a top-tier specialist appointment, be sure to check the introduction, which usually indicates the area of diseases they excel in treating.

The one listed first is their most adept area.

The ones that follow may only be areas they’ve dabbled in.

If you don’t choose a specialist in the field relevant to your illness when making the appointment, spending a few hundred yuan might be in vain. The actual loss is certainly greater because other tests might be scheduled.

But since it’s not their specialty area, they might ultimately fail to diagnose the cause.

Thus, make sure to read the specialist’s personal introduction when booking an appointment.

Nowadays, online appointments are common and very convenient. Which doctor is skilled in which field of illness is clear at a glance.

Some doctors cover a broad area, with a long list of specialties in various fields of illness.

For common illnesses, you can choose such a doctor. If it’s a difficult and complicated case, be cautious not to make poor choices.

Jack of all trades, master of none, is not always correct.

At least, one person’s energy and time are limited, and no matter how talented, one cannot master multiple fields simultaneously.

Like Lian Tao, a dual-specialized chief, they’re a rarity.

"Dr. Li, have you remembered which patient it is?"

Director Xue could tell from Li Jingsheng’s expression that he remembered.

"Yes, I know who it is. Her condition is quite complicated. I advised her to have a routine urine test at a large hospital and, if possible, a groin lymph node aspiration biopsy for pathological examination."

"Both exams have already been completed. Dr. Li, please eat first, and once you’ve finished, we’ll discuss it further."

Director Xue had already prepared a packed meal for him.

"Haha, then I won’t be polite. It’s my first time getting a meal during a consultation; thank you, Director Xue, for the generous hospitality."

Li Jingsheng smiled, accepting the meal box and began eating without hesitation.

"Could you show me the test results first?"

He had almost completed the diagnosis for this patient.

A quick look at the test results should enable a swift final diagnosis.

"No problem! I know you’re a busy person; truly grateful you took time out of your hectic schedule to assist with this consultation! Next time, I’ll treat you to a good meal at the hospital, though for now, we can only provide you with a working lunch due to limitations."

Director Xue personally handed him the test results.

"Director Xue, please don’t be too polite. For us doctors, having a warm meal is already quite something. Besides, orthopedic surgery and orthopedic medicine are like brother departments; whenever possible, mutual support is almost expected."

The term ’brother departments,’ used by Li Jingsheng, instantly brought him closer to several doctors in the consultation room.

The looks they gave him turned more amiable.

He ate while examining the patient’s urine test results.

Protein+.

As expected, it was pretty much what he inferred; there was an issue with the patient’s urine.

The presence of proteinuria was the main reason for the patient’s emaciation and anemia. It’s hard to imagine she has had proteinuria for over eight years.