Old medical experts are like a living encyclopedia of medical history.
Their many theories are not found in medical books, yet they make sense.
And they truly exist in practice.
"So what you're saying is, a mole, a tumor, or even an extra finger that grows, all belong to an organ of the body. It's just that this organ is not present in normal people and is a unique organ only found in patients, is that correct?"
Zhou Can had a moment of enlightenment.
Listening to your words is better than ten years of studying.
The unique theory spoken by the elder sparked a new understanding of diseases in him.
It was as if a new window had been opened.
"Your comprehension is very strong, exactly that's what I mean. An extra finger, or even a third hand or a third leg, are easily recognized by doctors as an organ on the patient. However, a tumor or an intradermal mole is often mistakenly regarded by doctors as merely a lesion. This is a misconception in diagnosis and treatment."
The elder smiled and nodded slightly.
"When you practice medicine independently later, you must consider these factors. Before excising a tumor, think about its relationship with the surrounding organs of the body and its effect on the body. This helps in treating the patient's diseases correctly. The lipoma patient we saw just now would benefit more from being transferred to internal medicine in a couple of days."
Internal Medicine and General Surgery are two completely different types of medical departments.
Internal medicine excels far beyond surgery in studies of pathology and pharmacology. For the patient who experiences postoperative syndrome, transferring to internal medicine would be more beneficial.
Considering a tumor as an organ is quite a novel idea.
Zhou Can quietly pondered over the new theory he had learned.
After finishing their meal and taking a brief rest, the two entered the operating room again.
The battle continued.
They had to quickly resolve all the surgical patients accumulated in the General Surgery Department.
The intense surgery began once again.
This was a patient in his thirties, with pus flowing from the ear, a lump behind and below the jaw angle, pressing increased the secretion from the ear, and secondary infection caused symptoms of pain and fever.
It was Zhou Can's first time encountering such a case.
General Surgery is the most diverse department, likely to receive any type of patient.
"This condition is called a parotid fistula, and surgery to clean the fistula is necessary for a cure."
The elder explained to Zhou Can, Wu Ziyu, and others.
"When diagnosing this disease, in addition to the symptoms of pus in the ear and a lump behind the jaw, the patient often feels a rotten smell in their mouth. During surgery, the second, third, and fourth branchial cleft fistulas are found in front of the sternocleidomastoid muscle."
This type of disease is relatively rare.
Zhou Can carefully observed the patient, understanding the patient's condition and symptoms.
To accumulate experience for his future independent practice.
In fact, before every surgery, he had seen the patients' medical records and learned about their conditions and causes.
For this parotid fistula patient, he specially researched quite a bit of information for learning.
"Sometimes, the fistula on the patient's body is very fine, as thin as the tip of a needle or a small depression, which is easily overlooked. Even without pressing, there's often a little secretion from the area. This is also why the patient feels a foul smell in their mouth."
The elder continued explaining.
Zhou Can was still the chief surgeon for the operation, with the elder guiding on the side.
"For parotid fistula surgery, besides being extremely cautious during the operation, it is also necessary to be wary of postoperative edema on the pharyngeal side wall and peripharyngeal hematoma causing breathing difficulties. Close monitoring, postoperative care, and inpatient management should be performed. If problems are found, they must be dealt with timely, otherwise, they can lead to irreparable severe consequences."
That irreparable severe consequence is actually death.
But in front of patients, doctors often speak more implicitly.
This is common in all professions.
It's like consulting a lawyer for a lawsuit; if the lawyer listens to the case and says it's worth a try and the chances of winning are quite high, then basically, you can win the case.
If the lawyer mentions that the litigation period will be long, then you need to be cautious.
Perhaps it's a subtle hint that the chances of winning the case are not high. If you do proceed with the lawsuit, it's mostly lost.
Doctors speaking to patients are even more implicit than lawyers.
For example, after a physical examination, doctors with furrowed brows saying, "Be cautious, the situation is bad, very bad," often indicate malignant tumors or other terminal illnesses.
At that time, if there's still a chance for surgery or the treatment opportunity hasn't been missed, then hurry up and treat.
Postponing further is most likely detrimental.
Zhou Can was assisting the anesthetist in administering anesthesia to the patient.
Soon, the anesthesia was successfully implemented.
Zhou Can earned 1 Anesthesia Experience Point.
Compared to the reward of 100 points, earning only 1 point made Zhou Can somewhat unsatisfied. However, he knew that the opportunities to get a 100-point reward were not frequent.
Being able to grab one or two times a day is quite good.
Opportunities to receive such rewards in anesthesia are even rarer.
Perhaps later, Zhou Can could spend a month or two in postgraduate training in anesthesia, following Doctor Feng, to get more opportunities to earn the 100-point Anesthesia Experience Point rewards.
Surgeons need at least a month of postgraduate training in anesthesia, which is to deeply learn anesthesia knowledge, understand the entire process of anesthesia operation, and its precautions.
In particular, the practical experience that anesthetists provide in supporting and securing patient vital signs is extremely valuable.
In terms of life support, if Intensive Care Medicine Department was to trace its roots, anesthesia would be its mentor.