My Medical Skills Give Me Experience Points Chapter 1188 - 469: Airway Obstruction, All Diagnoses Correct_3
Previously on My Medical Skills Give Me Experience Points...
With this, the overall absorption surface now astonishingly spans over 200 square meters.
Just think about it—what an incredible scale!
Typical homes that many of us occupy exceed 100 square meters, so this matches the footprint of two compact three-bedroom dwellings.
Moving ahead with the inspection, the fifth and sixth segments of the youngster's small intestine show swelling and a granular texture, along with spots of bleeding on the surface of the mucosa.
Even an ulcer appeared in the sixth segment of the small intestine.
Its size remains small, roughly 2.5mm by 2.5mm, topped by a white layer, while the mucosa displays clear congestion.
At this point, further examination proves unnecessary; celiac disease stands confirmed as the diagnosis.
"Pinpointing the root of the condition is fantastic—just handle it as celiac disease. Wishing that kid a swift recovery."
After going over the test outcomes, Zhou Can let out a breath of relief.
Whenever he pinpoints a patient's condition successfully, or watches someone heal and leave the hospital post-treatment, a profound sense of joy and fulfillment washes over him.
Studying medicine aims precisely at easing the suffering of those in need.
Take this young patient, for instance—countless specialists had probed and managed his case, yet the symptoms kept returning. By the time his family arrived at Tuya Hospital for evaluation, desperation likely gripped their hearts.
This mirrors the harsh reality faced by countless patients and their loved ones.
Once a condition fails to improve across visits to two or three medical centers, hope fades away. They start viewing the ailment as profoundly complex and nearly impossible to conquer.
Zhou Can had barely sent off his response to one inquiry when Director Tang Fei's call came through directly.
Line connected.
"Has Dr. Zhou wrapped up the operation?"
"Yeah, surgery's done—I’m grabbing a meal in the cafeteria."
"Any ideas on how to treat this youngster?"
The Pediatrics department can handle celiac disease treatment without issue.
This condition proves toughest in terms of identification. In particular, unusual presentations often get mistaken for duodenal ulcers or cases of enteritis.
The capsule endoscopy did reveal an ulcer in the sixth small intestine segment.
That said, approaching it purely as an ulcer would yield little benefit.
Director Tang Fei sought Zhou Can's input on therapy out of genuine regard for his expertise.
"Not much beyond the basics—the crucial part is sticking rigidly to a gluten-free regimen, and since the patient shows hardly any diarrhea, hormones probably aren't required. Finally, talk thoroughly with the relatives to ready them for ongoing care and follow-up checks."
Zhou Can truly offered no unique recommendations.
Credit for various approaches, skills, and insights in managing celiac disease goes to multiple chief doctors in Digestive Internal Medicine. During his rotation there, Zhou Can received abundant advice from them, shared without reservation.
Director Tang Fei embraced all of Zhou Can's therapeutic recommendations.
Right after his chat with Director Tang Fei, a private note arrived from Director Le of Cardiothoracic Surgery.
Post-checkup, the individual who underwent esophageal cardia cancer surgery along with total gastrectomy showed findings. As Zhou Can had predicted, intense discomfort stemmed from bile and pancreatic secretions flowing back, damaging the esophageal lining.
The underlying issue stands clear, yet with the procedure already performed, fixing it poses significant challenges.
"Addressing her condition likely calls for another operation. Still, it would mainly ease symptoms, not eradicate the problem entirely."
That was Zhou Can's response to Director Le.
This operation's shortcomings stemmed wholly from Director Le's plan lacking thoroughness. In conducting a total gastrectomy, had the risk of post-op bile and pancreatic reflux been anticipated, a buffer zone could have been preserved, opting for a more intricate alternative technique.