My Medical Skills Give Me Experience Points Chapter 1216 - 480: Pseudopregnancy and Operating on Incurable Patients (Part 2)

~4 minute read · 899 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can diagnoses a pregnant woman injured in a car accident with pseudopregnancy, noting that the detected fetal heart rate matches the mother's pulse, a rare occurrence. Despite the woman's fierce denial and her boyfriend's support, he recommends blood hCG testing and abdominal Doppler ultrasound for confirmation. Advising against admitting her to the delivery room until verified, Zhou Can earns valuable pathological diagnosis experience points and returns to his surgeries. After his afternoon procedures, he overhears colleagues discussing the patient's case.

"Hey, did everyone hear? Earlier today in the Emergency Department, we handled a pregnant lady hurt in a vehicle crash, but surprise—she wasn’t expecting at all. The nurses in the group are saying it’s the wildest thing they’ve ever encountered. Dr. Zhou was the one who spotted it right away!"

Ma Xiaolan has a habit of praising Zhou Can, whether on purpose or not.

Speaking plainly, one could call her a cunning type.

That said, her motives remained honest enough. Though she came across as rough with fellow doctors and patients alike, firing off cutting remarks, she didn’t harbor malice. Zhou Can had quietly noticed during shifts that she occasionally revealed a compassionate streak in certain moments.

"What nursing group is that? Do I belong to it?"

Qiao Yu caught wind of this odd story for the first time and immediately sparked with interest.

"That’s Nursing Group 1 from our Emergency Department. You’re definitely part of it."

Ma Xiaolan answered as she flicked through the chat logs.

Once Qiao Yu launched WeChat, she spotted the nurses chatting about the incident too.

"No kidding, it’s legit! Staring at her swollen abdomen, I’d never have guessed it was just pseudocyesis. What a bizarre world. Dr. Zhou, tell us all how you figured it out!"

Qiao Yu’s sparkling gaze shifted toward Zhou Can.

"It was nothing special, really. The patient got an ultrasound that revealed a shadow bigger than ten centimeters across, thought to be a gestational sac. Yet, there was no sign of a fetus. When the Obstetrics docs arrived, plus our own Emergency team, everyone checked and claimed to detect a fetal heartbeat. Then I realized the so-called fetal pulse synced perfectly with the woman’s own heartbeat, leading me to conclude it was pseudopregnancy."

Smiling, Zhou Can explained the steps of his diagnosis to the group.

Sharing this also served to offer them valuable insights into diagnostics.

"So, did she end up having surgery?"

Yang Zhi, typically quiet and a bit slow on the uptake, inquired.

He stood apart from those cheating husbands out there, never once flirting with the younger women in the department—doctors or nurses.

But don’t mistake him for some passionless fellow.

At team meals set up by Zhou Can, Yang Zhi would entertain Ma Xiaolan and Qiao Yu with a string of risqué tales around the dinner table.

"Nope, no surgery. She refused to accept what our hospital said and insisted on switching to another facility for care."

Ma Xiaolan shot back.

The patient carried both syphilis and HIV; fingers crossed the next hospital’s team catches that detail.

Tuya Hospital couldn’t stop a transfer if the patient demanded one.

After all, people get to pick their treatment spot.

...

Evening cafeteria meal done, Zhou Can dashed over to Cardiothoracic Surgery.

He pondered whether fatigue was playing tricks on his mind.

A nagging feeling hit him repeatedly—like eyes lurking in the dark, fixed on his every move.

Lately, no one had crossed him, though clashes with relatives or patients at work were inevitable.

Certain relatives posed outlandish queries or pushed demands that just couldn’t fly.

Other patients, after operations, clearly healed or got much better, still insisted the physician failed to fix them and sparked fresh problems.

Explain all you want, but some folks simply tune out.

Such cases usually boil down to one thing: rigid mindsets and narrow views.

Now and then, dealing with these obstinate types, Zhou Can grew irritated and fired off, "If you feel our hospital wronged you, go ahead and request a medical review. Should fault lie with us, we’ll own up without shirking."

Against these kinds, holding your ground is essential.

Stay quiet, and they’ll peg you as timid or at fault, ramping up their nerve to stir up ward mayhem. The barrage of gripes leaves the Medical Affairs folks with pounding headaches.

At times, their scheming leads to fresh complaints right after procedures.

Or they stir drama on purpose to dodge bills.

So, trying to talk sense into them rarely works.

As the proverb goes: No way to rouse someone feigning sleep.

Back in his resident days, Zhou Can ran into especially pesky patients who settled only after the hospital shaved off a bit from their fees.

Heading to Cardiothoracic Surgery, that eerie tingle persisted along his spine, yet he resisted turning around.

Alerting a potential tail by glancing back wouldn’t help.

If tomorrow allows, swinging by Security for camera footage might yield answers.

Reaching Cardiothoracic Surgery, Zhou Can’s initial move was assessing the blood pneumothorax case.

Things looked promising, with clear progress across the board.

Bubbles in the closed drainage bottle had dropped off sharply.

Hemorrhage appeared to be tapering off steadily.

A little oozing lingered, all the same.

Left lung breath sounds grew louder, a welcome sign.

Should healing proceed like this, the patient could pull through and head home shortly, skipping any thoracotomy.

Ward visit over, he headed back to the office and signed into his intranet profile.

Director Xue, Vice Director Hee, and the rest had forwarded more tough cases his way—seven altogether, not overwhelming. He’d handled as many as eleven referrals previously.

These covered fresh admits to Cardiothoracic Surgery, post-op snag patients, and those tricky on surgical paths.

Primarily those three types.