Chapter 622: Chapter 262: This is a Malignant Tumor, Send Him to Jail
“Patients have enlarged abdominal lymph nodes, along with cervical lymph node tuberculosis, I think there’s some basis for the second hospital’s diagnosis of concurrent splenic tuberculosis during the re-examination.”
Zhou Can said thoughtfully.
“Dr. Zhou also thinks it’s concurrent splenic tuberculosis? I also believe the diagnosis is solid and we should continue the tuberculosis treatment. Since tuberculosis itself is a hard-to-treat chronic disease, it requires long-term medication to see effects.”
The attending physician Huang Xinggui spoke.
The treatment duration for many diseases is very long; tuberculosis generally involves taking medication for more than six months. Some severely ill patients even need to take medication for one to two years.
“Uh… I just think that the re-examination diagnosis from the second hospital has some foundation, but I do not agree with the result. The initial diagnosis very much resembles tuberculosis, but the patient now occasionally experiences pain in the bones and joints, a symptom that is actually quite alarming. During my orthopedics rotation, I encountered two cases of bone and joint pain of unknown causes, both of which were ultimately diagnosed as malignant tumors.”
Zhou Can has trained in multiple departments, following attending physicians, and the benefits are gradually beginning to show.
As the saying goes, broad exposure leads to broad knowledge.
He accompanies senior doctors in diagnosing and treating patients, and learns a wealth from their shared extensive knowledge.
Though the total time spent in residency is less than two years, the accumulation of various medical knowledge and clinical experience acquired is already considerable.
Especially in diagnosing and treating complicated and miscellaneous diseases, integrating the diagnostic and treatment experience and knowledge from multiple departments allows his diagnostic level to far surpass that of ordinary doctors. This advantage is such that even many associate and chief physicians cannot compare with him.
This is also why many chief physicians, once famous, still make efforts to cross-train in other departments or even other hospitals.
Because they can clearly feel their lack of knowledge in daily medical practices.
Especially when lacking medical knowledge and clinical experience in certain areas, it becomes their weak spot, seriously undermining their diagnostic and treatment levels.
“Doctor, are you saying my illness could be a malignant tumor?”
The patient immediately tensed up.
“That’s not necessarily the case, I just think it is necessary to do an additional CT scan to check the spleen area again. The ultrasound you had at the previous hospital showed multiple solid occupancies, which actually seem to include hypoechoic or low-density areas from the imaging, though it wasn’t very clear.”
Without conclusive examination evidence, he certainly wouldn’t speculate rashly with the patient.
Having suspicions about possible diseases is not problematic at all.
The essence of a doctor diagnosing a patient is to distinguish false from true. Review and filter through suspected diseases one by one, ultimately identifying the true cause and then providing appropriate treatment.
Ultrasound utilizes sound waves for imaging, whereas CT involves the use of rays for multi-layered scanning and imaging of the body.
Different tissues and organs in the body absorb X-rays to varying extents, eventually forming images of differing densities. CT makes use of this principle to examine various organs of the body, offering higher resolution in discerning diseases in organs compared to regular X-ray examinations and providing more radiological information, thus having a greater role in disease diagnosis.
Many people believe CT examination is an upgraded version of X-ray examination, which isn’t entirely correct.
X-ray scanning is a planar projection examination of a certain part of the body, while CT is a continuous multi-layer scanning of a specific area. The imaging principles are different.
To investigate whether an organ has a low-density area, CT is an excellent examination method.
In medicine, considering the patient’s financial capacity, doctors often choose two lower-cost examinations, ultrasound and CT, for clinical diagnosis. The results of these two examinations can be mutually referenced and are very significant in medical diagnosis.
“Xiao Zhou’s diagnostic skills are getting better! His diagnosis is basically the same as mine. Here is the CT scan request form I have prepared; take it to pay and have the examination. After getting the results, you don’t need to queue up again, just come directly to find me. I won’t be here this afternoon, if it’s past the time, you can find me in the Digestive Internal Medicine inpatient department. If I am unavailable, you can consult Dr. Zhou just the same.”
Director Shang is really pushing Zhou Can to the front.
Such an honor, Zhou Can wanted to protest a bit, but eventually, his lips moved, and he swallowed his words.
Seeing the examination request form prepared by Director Shang, Zhou Can realized that Director Shang had already figured it out. He was deliberately training several of their students in diagnostic skills.
“Alright, thank you! Thank you, Dr. Zhou!”
The family members took the examination request form, thanked Director Shang, and then thanked Zhou Can separately.
These two family members are too realistic.
In fact, Huang Xinggui also contributed to this diagnosis session, yet they did not thank him.
People always only care about things that are closely related to their own interests.
Director Shang specifically mentioned that if he wasn’t available, the patients had to consult Zhou Can with their results.
So, the family members must maintain a good relationship with Zhou Can.
After the patients left, Huang Xinggui still somewhat puzzled asked, “Director Shang, the patient’s symptoms and existing test results clearly indicate tuberculosis! Why do you and Zhou Can suspect the patient might have a tumor?”
The other three graduate students were also quite perplexed.
Qiu Chengyu looked at Zhou Can with a very complex expression.
He watched as Zhou Can rapidly ascended from a doorman’s position on the first day to his current status.