【My medical skills can add experience points】【】
This young doctor brought her quite a surprise. He is humble and low-key in his work, but decisive and generous. The key is that this young man has a very high level of diagnosis.
So high that even she, a top expert in obstetrics and gynecology, couldn't help applauding him.
From Zhou Can walking over to giving the diagnosis result at the end, there was no urine spot in the whole process.
It is crisp and neat, and the diagnostic thinking is extremely clear.
I don't know how many times stronger than those fancy 'fancy fists and legs'.
Compared with those flamboyant and vain young doctors, Zhou Can is a breath of fresh air. It makes people feel bright.
"I'm not sure, and it's just an inference based on some of the patient's conditions and my personal clinical experience. I believe that her primary lesion may be in the stomach, and I mainly demonstrate it from four aspects. First, the formation of a tumor is not a single process. Two days, but it takes a long time to conceive and break through the body's multiple immune protection to finally grow into a tumor. Her ovarian tumors are not only large in number, but also small in size, indicating that the possibility of tumor cells spreading from it to the ovary is very high .”
Zhou Can calmly explained his dialectical thinking.
"Second, there are only a few types of ovarian tumors that are likely to occur in young women. For example, endodermal sinus tumor, dysgerminoma, and teratoma. But her ovarian tumor is not these types, and it is metastasized from other places. The odds are rising again."
"Third, the patient's pain area is in the stomach, and ovarian tumors generally only cause pain in the lower abdomen. According to the characteristics of tumor metastasis, it is more common to metastasize from top to bottom or parallel. Therefore, I think that after a tumor occurs in the stomach, If it is not detected in time, the possibility of eventually metastasizing to the ovary is greater. For example, Krukenberg’s tumor is a metastatic tumor derived from gastrointestinal tumors.”
"The last point is that the patient has symptoms such as nausea, vomiting, and reflux, which indirectly proves that there is a problem with her stomach. Stomach tumors are generally easy to be ignored by patients, with high concealment and low chance of detection. Discovery is already late."
Zhou Can stated the basis of his conclusion one by one.
After listening, Director Zhang Bihua would have applauded him if the occasion hadn't been inappropriate.
"You must have heard Dr. Zhou's diagnosis and analysis. If you want, I will immediately order you a gastroscope to check the stomach. If the primary lesion is really in the stomach, you need to be prepared for the worst."
Director Zhang Bihua first vaccinated family members and patients.
Even if the worst result comes out later, they can be mentally prepared.
"We agree to have a gastroscopy. Director Zhang, please save my daughter. She is still so young and the child has not been weaned yet..." The girl's mother was so choked up that she couldn't continue.
Tears are rolling in the eyes.
Female patients are more afraid and flustered.
It is unbearable for this kind of disaster to happen to any patient.
"Don't cry, don't cry, the disease is not terrible, as long as we are strong, optimistic, and brave, we have a chance to overcome it." Director Zhang Bihua hurriedly comforted the female patient's mother.
Yang Chan also took out a pack of tissues, took out one and handed it to the family.
I made an appointment for a gastroscopy for the patient, and asked her to go for a gastroscopy immediately without mentioning it.
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【My medical skills can add experience points】【】
The Xinxiang Maternity and Children's Hospital has shrunk sharply due to the sharp shrinkage of its diagnosis and treatment business. There are very few patients, and there is almost no need to queue up for various examinations. It can be done quickly and the inspection results can be obtained.
At this moment, Dean Tian did not accompany the experts of Tuya Hospital in the consultation hall, but sat in an office on the second floor and observed the situation in the outpatient hall through the window.
To be honest, he was quite uneasy when he invited the experts from Tuya Hospital to come to the outpatient clinic.
Both nervous and looking forward to it.
He is more afraid that the higher the expectation, the greater the disappointment.
So far, the arrival of the experts has not brought the expected popularity. The outpatient hall is still deserted.
For any dean, watching a good hospital become worse and worse under his own management would definitely make him feel uncomfortable.
Dean Tian has a deep sense of guilt in his heart, and his greatest hope now is to restore the Xinxiang Women's and Children's Hospital to its original level. It's just that everything is easy to do badly and difficult to do well.
A bowl, it only takes a moment to break it.
Dozens of processes are required to make a bowl. From selecting the mud, to preparing the ingredients of the mud, and then to making the bowl blank, firing it, then glazing it, and firing it again.
Any process error in it may cause firing failure.
After several generations of hard work, Xinxiang Maternity and Children's Hospital took more than 70 years to achieve the hard-won situation. As a result, because of a medical accident, this hospital was on the verge of bankruptcy, which is really distressing.
Dean Tian was eager to save Xinxiang Maternity and Children's Hospital, so Zhou Can's outstanding performance at this time attracted his attention even more.
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It was like seeing a ray of light in the dark.
"What is the background of that young doctor? It seems to be very powerful."
The hospital assistant standing behind Dean Tian shook his head, "I don't know this young doctor either, I only know those famous people in Tuya Hospital. And there is the returnee doctor Du Leng. The hospital that robbed Du Leng of this special talent Not a few, Du Liang plunged into Tuya Hospital headlong. He is worthy of high IQ, highly educated talents, it seems that his original choice was right. In less than two years, he has been promoted to attending physician .”
Graduating from a prestigious overseas school and having a doctoral degree are enough to make Du Lengyuan more famous than ordinary medical students.
There are not a few hospitals that pay attention to him.
It's just that at this moment, compared with Zhou Can, he is somewhat dwarfed by comparison.
Zhou Can actually diagnosed a relatively difficult case, while Du Liangliang was still talking and making no substantial progress.
Don't look at the expressions of admiration on the faces of the patients and family members surrounding Du Leng's table, but these people didn't come to the hospital to listen to the doctor's lectures. If Du Leng can't cure their diseases, they will be abandoned soon.
Zhou Can helped the two chief physicians diagnose the case and was about to return to his seat.
Yang Chan stared at him, blinked and said.
"I haven't seen you for more than a year. I didn't expect that your diagnostic ability has improved to such a high level. And I found that your basic medical knowledge is much more profound than before. I remember that this was your weakness before."
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【My medical skills can add experience points】【】
Being praised so much by her, Zhou Can was indifferent.
"Illusion, it's all your illusion, understand?"
Zhou Can said modestly, but he was extremely happy in his heart.
Basic medical knowledge has always been Zhou Can's weak point, but it can be counted as a proud moment in front of her.
Hundreds of people studied hard day and night to make up for the lack of basic medical knowledge, and the benefits gradually began to appear.
Whether in the operating room, outpatient room, or inpatient ward, the application of basic medical knowledge is essential.
To use any medicine casually, it must be supported by solid basic medical knowledge.
Otherwise, the medicine prescribed may not have the desired effect. There may even be trouble.
Yang Chan snorted and ignored him.
But judging from her expression, she obviously didn't believe Zhou Can's words.
After Zhou Can and Deputy Director Shi returned to their seats, they continued to experience the cold.
This is how patients see a doctor, and the head effect is obvious.
Given the choice, almost all patients will give priority to seeking treatment from reputable doctors.
At this time, Du Leng had completed the diagnosis of two patients.
It's not that he must have found out the disease, but he talked about it to the patient, prescribed an examination, and asked the patient to do laboratory tests and examinations. At this time, a very obese woman walked over with difficulty accompanied by her family.
She really felt like the ground was shaking when she walked.
It was as if the ground was trembling slightly.
It is conservatively estimated that this woman weighs at least two hundred and seventy-eight catties.
People who are so fat, regardless of gender, must first find the reason from themselves.
Parents' excessive pampering, self-indulgence in diet, and unwillingness to go on a diet after being overweight will eventually grow into a super fat person.
"Finally, a patient came to see us."
Deputy Director Shi stared at the overweight woman with a hint of expectation on his face.
Obesity is actually a disease.
It is easy to go from frugal to extravagant, but difficult to go from extravagant to frugal.
It is easier for an obese person to grow from a thin person to a fat person. If you eat and drink with an open belly, and lack of exercise, you can quickly become a fat person. But if you want to change from a fat person back to a thin person, you need to pay more than ten times the effort.
The process is very difficult.
This is also the reason why weight loss pills on the market are so popular.
People who take diet pills know that they are harmful to their health, but they still buy them at a high price and take them home. To change from fat to skinny.
Especially for women, being too obese will damage their image, make them ugly, find a job, and fall in love will all suffer setbacks.
"Dr. Du, please help our daughter. When she was sleeping, she fell asleep and stopped breathing suddenly. It was very scary." The obese woman did not go to their table, but to Du Leng's table forward.
This kind of disease with sudden pause of breathing is actually better to see a respiratory department.
However, they came here for the title of Dr. Returnee, and Zhou Can and Deputy Director Shi really only envied him.
"The name of Dr. Returnee is really popular."
Deputy Director Shi said in a sour voice.
"Otherwise, why do many people want to study abroad and spend money?"
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【My medical skills can add experience points】【】
Zhou Can never thought that foreign students must be good.
He treats overseas students with a normal mind.
People who are really admitted to prestigious schools based on their strength have studied hard overseas and obtained corresponding degrees. This kind of overseas students are really capable. Belonging to world-class top talents.
They want to go back to China after they finish their studies, and foreign bureaucrats will be very enthusiastic to keep them.
There is another kind, which is to spend money to go abroad for gilding, and some of them just study for a year or two, and get a postgraduate degree.
Because it is too difficult for this type of students to take the postgraduate entrance examination in China.
It is relatively easy to obtain a postgraduate degree through this curve-based way of increasing academic qualifications. Then go back to China to find a job, enter a big factory, a big state-owned enterprise.
This kind of person has a lot of academic qualifications, and his ability may not be as good as that of serious undergraduates in China.
Judging from Du Leng's current performance, it should belong to the former.
It is true that he has some real talents and learning, but because of his overly proud personality and his strong sense of superiority after returning to China, he is not very pragmatic.
It feels more like a flower shelf.
The super obese female patient glanced at the plastic stool in front of the consulting table. She hesitated.
Standing for a long time is very exhausting for her body. After walking so far, she has long wanted to sit down and rest.
It's just that this thin plastic stool might not be able to withstand her 'oppression'.
"Find a strong chair for that woman and send it. It will be a trivial matter if the stool is crushed later. If someone falls and hurts, several people may not be able to support her!"
Dean Tian has been standing in this office on the second floor watching the situation in the outpatient hall.
Seeing that the female patient wanted to sit on the plastic stool, he was immediately frightened.
Fortunately, the female nurse at the scene was very clever, and quickly dissuaded the obese woman from letting her stand for a while, and immediately tried to find a chair for her.
Soon, the hospital nurse brought an iron chair.
Looks pretty solid.
The obese woman sat down with support, and the people around looked worried for a while. Everyone was worried about the chair, afraid of being crushed by her.
In fact, the chair "creaked" when she sat on it.
It was the first time that Du Leng received treatment for such a super fat man, and he was obviously intimidated by the other party's 'imposing manner', and he acted a little unconfident.
"Hi, can you tell me when did you suddenly stop breathing while falling asleep?"
"I don't really remember, it probably started three or four years ago! I also took her to a big hospital for a lot of examinations and took some medicine, but it didn't work."
The family members were a couple in their fifties. The man put the information bag in front of Du Leng.
There are various checklists inside.
Du Leng took it out and checked it again.
"She experienced a sudden pause in breathing during sleep, which is probably related to her obesity, rather than neurological problems. Due to excessive obesity, the cross-sectional area of the pharynx will decrease and the neck circumference will increase significantly. With her Fat deposits in the neck, which can eventually cause the upper airways to become narrower and narrower
. As she fell asleep, the tone of the muscles in the pharynx changed, causing her airway to be blocked and her breathing to stop. "
After reading the examination materials, Du Leng gave the patient a general examination, and then gave a conclusion.
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【My medical skills can add experience points】【】
It is undeniable that his medical knowledge is quite profound, and his level is not bad.
The reason given was so reasonable that even the doctors and nurses around nodded their heads.
Only this time, the family members didn't seem to buy it.
"Dr. Du, the reason you mentioned is what the doctors there said when we were diagnosed and treated in other hospitals. And surgery has been done to improve the airway. My daughter's condition has improved to a certain extent, but sometimes she still suffers from apnea. UU reading www.uukanshu.com”
The family said.
"I didn't see that there are surgery-related materials and medical records in your information bag!" Du Leng just scanned through the information in the information bag. If there were patients' operation records, he would have seen them a long time ago.
"Hmm... The operation has been done for more than four years, and the relevant information has long been lost."
The woman's mother hurriedly explained beside her.
"That's right! I'll help her look again!"
Du Leng fiddled with it for a while, but obviously couldn't find a second cause other than obesity.
"How about this, I will prescribe an enhanced CT and bronchoscopy for her. I will make a further diagnosis after the test results come out. It is also possible that the effect of the operation did not meet expectations, or the body continued to gain weight after the operation, causing the airway to re-open. narrowing is possible.”
Out of trust in him, the family readily agreed.
So I opened an inspection application and went to do the inspection.
Zhou Can and Deputy Director Shi didn't have a single patient to seek medical treatment, so they were too busy to panic. They had been watching Du Leng treat this woman just now.
Judging from the illness described by the family members, as well as the gasping sound of the woman when she was walking, and her thick neck, Zhou Can felt that the woman's apnea during sleep probably had little to do with the airway.
There are many reasons that can cause this symptom. If you are only confused by the superficial obesity symptoms, it will be like holding a candle.
When she finishes the bronchoscopy, the results will be clear.
Whether it is the previous gastroscopy for the ovarian tumor patient or the bronchoscopy for this obese woman, you need to fast for four to six hours.
Local anesthesia is generally used for bronchoscopy, and the risk is low.
It is estimated that the results will not be available until the afternoon.