Chapter 11 The Aunt You Can't Provoke
Why did the most backward hemostasis technique become the most popular one?
After his hemostasis skills reached level three, he did not stop practicing.
Every time the rat was dissected, a lot of bleeding would occur. If the bleeding was not stopped in time, the rat would bleed to death after five or six wounds.
In line with the principle of not wasting props, he could only stop the bleeding while dissecting.
After the hemostasis technique is upgraded to level three, the accuracy of hemostasis basically reaches 100%, and a bleeding point can be stopped in one second.
More than 600 experience points may seem scary, but in fact you only need to click more than 3,200 times.
"All four basic surgical skills have been upgraded to level three as we wished, and we are sure to secure the qualification for regular training. If we can upgrade pathological diagnosis to level three, it will be perfect."
Zhou Can did not stay up late again. Instead, he dealt with the garbage, took a shower and went to bed.
Staying up late before an exam is a big taboo.
…
The next morning, all the interns got up early to prepare for the regular training examination.
We had already signed up two weeks ago.
Zhou Can applied for general surgery.
However, according to Tuya's previous practice, the hospital has the final say on which department she will be assigned to.
He got up relatively early today, washed, and went to the toilet. It was almost 7 o'clock when he was done.
The regular training recruitment starts at 8 o'clock, so there is still plenty of time.
He quickly took out 1,000 cases of surgical pathology diagnoses and began to read.
"The patient, Ms. Ma, 43 years old, found a bean-sized lump in her left breast while taking a shower in February this year. She had no discomfort at the time, so she didn't pay much attention to it. In July this year, she found that the lump continued to grow and had become the size of a walnut. The patient felt pain in her left breast during her menstrual period and was worried about cancer, so she went to a local hospital for treatment. Upon examination, the patient had no symptoms such as high fever, low fever, chest pain, cough, nipple discharge, and bloody secretions. She had no obvious weight loss, and her appetite and sleep were basically normal..."
Judging from these symptoms, the patient should only have a benign tumor.
However, pathological diagnosis requires the integration of multiple pieces of information. The examination results are particularly important.
"On palpation, the mass is 5*5*4cm, hard, and not smooth on the surface."
Seeing this, Zhou Can's heart skipped a beat.
There is a vague feeling of foreboding.
"The blood routine test was basically normal, and the urine and stool routine tests showed no abnormalities. X-ray examination, chest X-ray and chest radiograph showed abnormalities. Mammography showed that the mass on the upper outer limit of the left breast was irregular in shape, with a high density in the central area."
It's over, this female patient is most likely suffering from a malignant tumor.
If you can see a doctor as soon as you find the lump, the result may be much better.
The vast majority of serious illnesses are caused by patients letting minor illnesses develop into major ones.
"Ultrasound showed a homogeneous mass in the upper outer quadrant of the left breast. It may become malignant."
All the test results were getting worse and worse.
"The patient has breast cancer without a doubt."
[Pathological diagnosis experience value +0.1. ]
Zhou Can got 0.1 experience points, but he couldn't be happy at all.
It's such a pity for this female patient.
It would be great if it could be treated earlier.
Then, looking at the treatment results, the patient was diagnosed with cancer after a puncture biopsy. Further testing showed that the cancer cells had spread to surrounding tissues and organs, and the opportunity for surgery was lost.
After chemotherapy, the patient eventually died on October 17 of that year.
When I encounter similar patients in the future, I will make sure they receive treatment as soon as possible.
He looked up at the time. It was 7:34.
No time to read, I have to rush to the hospital.
Those "old men" and "menopausal women" in the hospital's personnel department are all heartless people. If you are late for regular training recruitment, you probably won't even be allowed in.
I rushed all the way to the hospital cafeteria to have breakfast, then walked around the outpatient hall to see if I could seize the last chance to diagnose another patient.
His pathology diagnosis experience points were only 0.9 away from advancing.
I really feel unwilling to accept this!
There was already a long queue in front of the smart registration machine in the outpatient hall, and the hall was very noisy.
He didn't dare to just ask any patient about his symptoms or medical history.
Afraid of being beaten by family members.
Nowadays, what patients and their families hate most are medical agents and scalpers.
If you meet someone with a bad temper, he will punch you right away, which is not worth it.
Real medical scammers have developed a keen eye and good eloquence. They know which patients or family members to target, so they are less likely to be scammed.
Zhou Can looked around but couldn't find a suitable patient.
Look at the time, it's already 7:47.
It only takes three minutes to get from the outpatient hall to the teaching and research building.
There are still ten minutes left, so hurry up.
Finally he locked onto an old lady standing at the back of the line.
Through observation, it was found that the middle-aged woman showed a painful expression from time to time and frequently looked at the smart registration machine at the front of the line.
She should be very anxious.
There is no male family member accompanying the patient, so the chance of being beaten is very small.
Zhou Can walked up and asked with a smile, "Auntie, do you have a stomachache?"
The aunt glared at him, her face full of displeasure. "Who are you calling auntie? Am I that old? Go away, go away. I'm irritated."
The makeup on this old lady's face was falling off quickly, and the wrinkles at the corners of her mouth and eyes were all visible.
Very fierce.
Zhou Can was so scared that he didn't dare to say anything more and quickly walked away.
Soon, he found another target.
This is a young man in his twenties, fair-skinned and very frail. He should be a rookie who has just entered the society.
"Brother, are you seeing a doctor?"
"Um."
The young man looked at him timidly.
"What's wrong with you?"
Zhou Can was overjoyed. He finally met someone who was easy to talk to.
The final 0.9 experience points have been found.
"Uh... I'm registering for my mother."
Zhou Can felt disappointed.
I finally found someone who was easy to talk to, but it turned out not to be the patient himself.
"Security, security, that man is a medical fraud, it's him. He just asked me about my condition, and now he's asking that young man about his condition. He must be a medical fraud..."
The old lady yelled at the patrolling security guard.
Zhou Can's face was filled with black lines. Don't mess with the auntie.
Especially sick aunts.
The hospital also hates medical agents, who not only lead to the outflow of patients, but also harm patients, seriously damage their interests and ruin the reputation of Tuya Hospital.
The two security guards immediately took off their batons and rushed over.
"Which hospital's medical agent are you from? Be honest!"
"Follow us to the security department!"
Zhou Can is about to attend the regular training recruitment, so he doesn't have time to go to the security department with them.
Show your internship certificate immediately.
"I am an intern at this hospital, not a medical agent."
After the two security guards looked at his ID, their expressions eased a little.
"Oh, so he's an intern. No wonder he came here to ask patients all kinds of questions. Fortunately, I was alert and didn't get hurt. Everyone should keep their eyes open and don't be fooled by interns into using him as a training ground. "
The aunt cursed at the top of her voice.
Many people stared at Zhou Can with extremely unfriendly eyes.
I don't know what disease this lady has. She just called me auntie, why is she so hateful?
Zhou Can didn't dare to cause any adverse impact on the hospital because of this matter.
Otherwise, someone from the medical department would come to your door.
Although she felt very aggrieved, she still had to put on a smile and explain to the patients waiting in line around her, "I am just doing a research project, please don't misunderstand me."
The way people looked at him was not so cold anymore.
Zhou Can quickly ran away.
After being made such a fuss by that vicious old lady, if you go and ask other patients about it, they will probably not be in a good mood.
Walking out of the outpatient hall, he took out his cell phone and checked the time.
Five minutes left.
Look again.
A middle-aged man who had just got out of a taxi caught his attention.
The middle-aged man was about fifty years old, wearing black trousers, a blue shirt, and no tie, and carrying a black handbag.
Judging from his demeanor, he is most likely a boss or a company executive.
At first glance he noticed that the man's face was a little pale.
This also applies to lips.
He was walking normally and in good spirits, but his brows were slightly furrowed.
With his keen intuition as a doctor, Zhou Can felt that the man must be sick.