Chapter 603: Chapter 255: Blood Pressure Drop Caused by Profuse Sweating, Dr. Huang Liang’s Submission_3
“Not acute cholecystitis?”
Huang Liang’s expression changed after hearing this.
He had guessed two diagnostic results, but unfortunately none of them were correct.
Zhou Can shook his head lightly.
“Just now, when I was conducting a physical examination on the patient, in addition to upper abdominal tenderness, there was also abdominal muscle tension. Moreover, several auxiliary examination data can also indirectly prove that the possibility of acute gland inflammation is greater. The pathogenesis mainly involves the activation of proenzymes within the acinar cells, triggering a series of chain reactions, which are greatly associated with the patient’s binge eating.”
Currently, Zhou Can’s level of pathological diagnosis is at the lower level of attending physicians, and he is progressing towards the mid-level of attending physicians.
He has the diagnostic bonus of emergency life-saving medical techniques.
Moreover, having studied under several director physicians, his diagnostic level is truly incomparable to that of a senior resident doctor like Huang Liang.
He can directly pinpoint the origin of the lesion through symptoms and examination data.
Other doctors with insufficient level and experience might encounter a phenomenon of seeing flowers through the fog.
“But the ultrasound didn’t show any significant abnormalities in the pancreas!”
Huang Liang still felt somewhat unwilling to give up.
“Check the ultrasound again now, and I believe it will reveal a significant enlargement of the pancreas.”
Zhou Can’s tone was filled with a subtle confidence.
Ultrasound data changes continually as the patient’s condition progresses. For some symptoms, it is quite necessary to perform the ultrasound examination multiple times.
Of course, such short-term repeated examinations might cause misunderstanding among patients and their families.
Doctors need to patiently explain and communicate well.
To make patients understand that the doctors are not trying to make unscrupulous profits from the examination fees, but to help clarify the cause of the disease, locate the lesion, and alleviate the patient’s pain.
After listening, Huang Liang pondered for about twenty to thirty seconds and finally made up his mind.
“Dr. Zhou just mentioned this, and you all heard it, so I plan to immediately submit an application for another ultrasound examination for the patient to recheck,” Huang Liang said to the family and the patient.
Such repeated examinations definitely require understanding and consent from the family and the patient.
“Okay, I trust Dr. Zhou’s expertise.”
The patient was clear-headed throughout, and Zhou Can’s performance was indeed different from Huang Liang and others. He possessed a sense of calm and confidence unique to chief physicians.
This is the so-called demeanor of a great leader.
It naturally made people truly convinced from the bottom of their hearts.
Huang Liang approved an abdominal ultrasound examination for the patient on the spot. Perhaps the bowel perforation patient from a few days ago had left a psychological shadow on him; after applying for the examination, he did not delay and personally accompanied the patient to undergo the examination.
In normal circumstances, having a physician present for an examination can bypass the queue.
Especially in the case of emergency patients, examination departments also hold the responsibility to prioritize these patients.
For example, patients with chest pain, upon entering the hospital, can directly access the green channel of the chest pain center.
Soon, the examination results came out.
Indeed, just as Zhou Can diagnosed, the patient had acute pancreatitis.
Through this episode, Huang Liang’s attitude towards Zhou Can completely changed. He finally set aside the last bit of arrogance in his heart and sincerely admired Zhou Can. Sometimes, the level of medical expertise is not so easy to distinguish.
But when the levels of the two doctors differ substantially, it is quite easy to determine who is superior.
In both diagnoses, Huang Liang was clearly not as capable as Zhou Can.
This point, regardless of what others said, was crystal clear to Huang Liang himself.
At this moment, Luo Jingyi, a graduate student under Director Shang, ran over and called out to Zhou Can from the doorway of the office.
“Dr. Zhou, Director Shang asked me to check with you if you have finished handing over your patients; the interventional surgery room is about to prepare for surgery.”
The fact that a chief physician proactively invited a resident doctor for surgery was an enviable treatment for Huang Liang.
At the same time, deep inside, he had an ever-greater respect for Zhou Can.
“Alright, alright, I’ll come with you right away.”
By now, Zhou Can had already gained experience; he usually handed over the patients under his care to Luo Shengsheng, the chief resident, or other doctors in the group before 8:50 a.m.
Because surgeries by Director Shang, Deputy Director Shi, or Dr. Huang Xinggui generally started around 9 a.m.