My Medical Skills Give Me Experience Points Chapter 1481 - 595: A Doctor Can Only Advise, But At This Moment He Is Just a Father

~4 minute read · 989 words
Previously on My Medical Skills Give Me Experience Points...
Experts praise Dr. Zhou Can's exceptional diagnostic skills, revealing his hidden expertise beyond emergency and cardiothoracic surgery. After ruling out several potential diagnoses for Lin Yuxi's condition, Zhou Can suggests Malignant Histiocytosis, a rare and dangerous disease. Despite initial skepticism from Director Qu, who points out Zhou Can's past misdiagnosis, Director Tang Fei and Director Zhuang defend him, highlighting his high accuracy and a subsequent successful surgery thatDirector Qu was unaware of.

"That little boy was clearly diagnosed with a brain tumor, and the symptoms also pointed to a brain disorder. How could it be related to the cardiovascular system?" Director Qu’s wrinkled face was flushed with anger.

Embarrassment, shame, and unwillingness made it unbearable for her aged face.

These old experts value their face above all else.

Lin Jinzhi just listened quietly without speaking. However, from his expression, it was clear that he had more trust in Zhou Can.

"The brain tumor was merely a benign meningioma and wasn’t significantly large, causing no substantial harm to the patient’s brain. Further examination showed that an artery supplying blood to the head and neck had congenital stenosis, which led to insufficient blood supply to the little boy’s brain. Especially when he turned his head, it compressed and stretched the narrowed section of the artery, aggravating the tension in blood supply, which resulted in frequent fainting. Dr. Zhou placed a stent in the artery, expanding the narrowed section, allowing the boy to recover and be discharged."

Director Zhuang was also quite curious about the cause of this little boy’s condition at that time.

So he made a special inquiry.

Unexpectedly, he gained quite a bit from it.

After listening to his detailed explanation, Director Qu fell silent, looking dejected.

"Alright, let’s continue researching Aixi’s condition! Dr. Zhou, tell us your reasoning for suspecting Evil Group Disease."

Director Tang Fei, observing that Director Qu’s face had turned from red to pale, was worried about her health.

She quickly spoke up to divert the topic for the sake of departmental unity.

Continuing to discuss that little boy’s meningioma would only embarrass Director Qu further.

She was also puzzled as to why some experts were so hostile towards Zhou Can, even though many doctors in the department got along well with him.

People, well, the older they get, the more peculiar they become.

Moreover, many senior experts have an inherent protective awareness of their authority and achievements. When young doctors unexpectedly surpass them in their fields of expertise, it makes them feel threatened and envious.

Ultimately, this resulted in hostility and opposition towards Zhou Can.

This is just a normal phenomenon.

As Zhou Can’s capabilities continued to grow, they would eventually bow their heads and accept his rise and excellence.

To be honest, at Zhou Can’s age, many newly graduated doctoral medical students might still struggle with simple suturing. Taking ages to tie a knot, they would still get scolded by senior doctors when cutting the thread.

There are plenty of intern and resident trainees in clinical settings who can’t even cut a stitch properly.

No need to mention interns rotating through departments; it is almost like a preliminary, cursory encounter with clinical practice. They mostly do menial tasks with very low technical content. Many interns do the most learning by writing medical records and running errands.

As for entering the operating room, forget interns; even resident trainees have to depend on their luck.

If they encounter a good mentor, they might get a chance to observe in the operating room.

The vast majority of resident trainees are treated as laborers without opportunities to grow or learn core skills because the departments are not foolish and know that you are rotating for only two to three months, so rather than invest resources in training you, they focus on training their own department doctors.

This speaks to the importance of selecting the right department for residency training.

For example, Zhou Can initially joined the Emergency Department as his home department.

Under normal circumstances, the home department provides substantial training opportunities for its resident trainees.

When it comes to rotating to other departments, it’s all about luck.

If you are someone exceptional like Zhou Can, or top-degree talents like Du Leng, you will be favored in any department. Ordinary resident trainees rotating to other departments, especially surgical ones, might not even get a chance to enter the operating room.

They won’t even let you hold the retractor.

Seeing that Director Qu quieted down, Zhou Can did not address her further.

Instead, he spoke aloud, "The symptoms of intestinal malignant histiocytosis are variable. I have encountered this type of case in both Digestive Surgery and Internal Medicine. It often presents with an acute onset and aggressive course, usually accompanied by prolonged high fever, and progressive failure, jaundice, and bleeding appear. To confirm if Lin Aixi has Evil Group Disease, there’s another way — check if there’s an enlargement of her liver, spleen, and lymph nodes."

"Furthermore, her reduced blood count also aligns with this disease. Based on the currently presented symptoms, many of them highly align with this disease. In addition, the Provincial Children’s Hospital’s use of antibiotics and corticosteroids had no effect, indirectly proving the high possibility of Evil Group Disease."

Zhou Can pointed out several reasons for the strong suspicion of this disease.

These are all rich clinical experiences and profound medical knowledge that require flexible application in clinical practice to pinpoint the root of the ailment effortlessly.

"I have already examined Aixi, and there is indeed an enlargement in her liver area. The right upper abdomen even shows asymmetrical enlargement visible to the naked eye. The lymph nodes are also enlarged, especially the axillary lymph nodes, which are particularly prominent."

Director Tang Fei said.

Upon hearing this, the cause of the child’s illness was directly linked to Evil Group Disease.

"I have come into contact with two cases of Evil Group Disease, and it is quite rare in clinical practice. In the cases I encountered, no abdominal mass was found. Evil group cells have a characteristic of appearing mainly as scattered, uneven distribution," a senior expert raised an objection.

"The symptoms are variable; I don’t think the scattered, uneven distribution should be the sole gold standard."