My Medical Skills Give Me Experience Points Chapter 1183 - 467: Peering Through the Fog to See the Essence, Testing Three Antibodies_3
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The family's assessment might lack precision, potentially sparking some doubts in Zhou Can regarding the illness's root cause.
"Their kid has been looked after by a nanny all along. The little one suffered from leg swelling for over six months, only alerting them when a big serving of meatballs triggered nausea and vomiting— that's when the nanny finally reported the health issue. Yet, they didn't fault the nanny for missing the edema sooner. Moreover, after two months at the Provincial Children’s Hospital, they fully supported the medical team. Seeing little progress, they simply moved to another facility without lashing out at anyone."
"In our chats, they never badmouthed the Provincial Children’s Hospital's skills. They openly shared that the child's condition could be quite uncommon and urged us to handle it with utmost attention. Ideally, pinpoint the source, but if not, they'd head to the capital for further care. Since switching to us, they've embraced all tests without hesitation."
Director Tang Fei offered a glowing review of the parents.
Much of Zhou Can's unease began to fade away.
"Director Tang, with no strangers around, I'll speak plainly. I'm strongly leaning toward celiac disease for the child. True, the signs aren't classic, but piecing together the full picture, celiac disease tops the list of suspects."
Upon hearing Zhou Can's verdict, Director Tang Fei's expression flickered with surprise, a trace of letdown in her gaze.
She'd pinned great hopes on him, eager for his insights to crack the mystery of the boy's ailment.
Zhou Can's call of celiac disease caught her off guard.
"I floated this idea among fellow specialists too. But the mismatch in symptoms nagged at us, and we've leaned on duodenal swelling plus profound low albumin levels for diagnosis so far."
During those expert huddles, they'd dismissed celiac disease outright.
No one questioned these pros' know-how, particularly in multi-specialist reviews where mistakes seldom slip through.
"You're right—the standout diarrhea symptom is absent. Still, reviewing the consult notes, the initial puking stemmed from piling on meatballs, akin to overloading on meat. Plus, the boy's meals stay well-rounded; meat always comes with wheat staples. Celiac disease stems from wheat intake amid a built-in immune glitch."
Zhou Can laid out his reasoning step by step.
"So why no issues from prior wheat exposure?"
Director Tang Fei fired back keenly.
"Past tolerance doesn't rule out the condition. It's inherently a slow-burn illness, and the child's robust health pushed back the flare-up. There's also a solid test to nail it down."
Determination shone in Zhou Can's steady eyes.
His knack for diagnosis outshone peers, a gift evident since his intern days.
Surgery-wise, the Experience Points system boosts him, though his raw aptitude holds strong too.
"What test?"
Director Tang Fei pressed on.
"Run fresh blood work and scans on the child for anti-gliadin, anti-endomysial, and anti-transglutaminase antibodies."
Zhou Can recommended screening for all three antibodies at once.
This approach would swiftly verify the hunch.