Chapter 237: White Lies, Finding Out the Cause of the Female Lawyer's Illness
In fact, most people are very honest, kind-hearted and simple.
This female patient had a strong sense of self-esteem and would rather starve than eat the meal Zhou Can sent her.
How great it would be if I hadn’t entrusted my work to the wrong person!
She was tortured and abused at such a young age. If she could escape from that devilish man in time, she might not have ended up like this.
In this age where there are more men than women, with her conditions, she can definitely find a reliable and good man and live a happy and fulfilling life.
Zhou Can comforted her with a few words and didn't say anything else.
After eating in the cafeteria, I brought her some packed food.
"Chen Xiaohong, I don't know if these dishes are to your liking. Until your mother comes, I'll have to put up with them for now."
Zhou Can put the food on her bedside table.
Although her current condition is very weak, she has no problem taking care of herself.
This is also the reason why the inpatient department agreed to admit her to the ward even though she had no one to accompany her.
"You... why did you actually buy me food? I, I don't have any money on me right now, can I give it to you later?"
The female patient was so moved that she was incoherent.
A doctor's obligation is to see and treat patients. He has no obligation to take care of patients.
"It hurts so much to mention money! When your illness is cured, I'll go to your hometown and have a chance. You can treat me to a good meal, then we'll be even, right? Eat now! If you skip a meal, do you know what will happen to the tumor in your stomach?"
Zhou Can asked her seriously.
"What will happen?"
She would get up, open the lunch box, and when she saw the hot food, her nose would suddenly feel sore and her eyes would fill with tears.
But I feel extremely warm in my heart.
She hasn't been cared for so much in a long time.
"Every time you skip a meal, the stomach tumor will grow by one tenth. If you skip ten meals, it will double in size."
Zhou Can seriously made up a white lie.
It is true that not eating will make your body weaker, your immunity will decrease, and cancer cells will spread faster.
As for the story that skipping ten meals would cause the tumor to double in size, that was purely fabricated by Zhou Can.
"It turns out that not eating can have such serious consequences!" She obviously believed it.
"The actual consequences may be more serious than this. So, in the future, you must eat on time and have a proper balance of nutrition. I tell you, when people live in this world, except for life and death, everything else is trivial. Your stomach tumor is only in stage II now. As long as you receive the right treatment in time, the effect will definitely be very ideal. Come on!"
Zhou Can encouraged her.
"Um!"
She bit her lip, trying hard not to cry.
Zhou Can walked towards bed 79.
At this time, there was a middle-aged woman who was about the same age as the female lawyer in front of the bed. Zhou Can didn't know if it was an illusion, but he actually sensed the aura of a doctor from this woman.
Is she also a medical worker?
"This is my good friend Cao Shan. She heard that I was hospitalized here, so she came to see me."
The female lawyer smiled and took the initiative to introduce the woman's identity to Zhou Can.
"Hello, Ms. Cao!"
Zhou Can greeted the middle-aged woman politely.
Cao Shan stood up and extended her hand, "Hello! Nice to meet you, a warm-hearted young doctor!" After the two shook hands politely, Zhou Can was about to ask the female lawyer if she had diarrhea.
Cao Shan lowered her voice and said, "I have never seen in medical journals or classics that fasting for ten meals will double the size of a tumor! The doctor paid for the patient's meals with his own money and even used white lies to trick her into eating. You are the most heartwarming doctor I have ever seen."
It turned out to be a colleague.
I just don’t know which hospital she is a doctor from?
It shouldn’t be a doctor from Tuya Hospital.
Otherwise, she should wear the hospital's work uniform.
"You are so kind!"
Zhou Can responded calmly and looked at the female lawyer again.
"Ms. Gong, I would like to ask if you have had diarrhea recently?"
Now that she has finished her meal, there should be nothing wrong with asking about this.
"I get diarrhea occasionally. Especially recently, I had diarrhea almost every other day. Later I bought some antidiarrheal medicine and it got much better."
She didn't mention this in her medical history.
Many patients ignore such problems.
People will only report diarrhea to the doctor if they have it.
And only persistent diarrhea will alert the patient. Patients will not take diarrhea once or twice a day seriously.
Zhou Can got the answer he wanted and without further delay, he hurried back to the ward to supplement the patient's information.
I have to go to the outpatient clinic with Director Shang at 1:00 p.m., so I have to make the most of my time.
"Another symptom of diarrhea. What is the real cause of this female lawyer's illness?"
Zhou Can racked his brains to guess the real cause of her illness.
As he pondered over it, a symptom that matched the cause of the disease suddenly flashed through his mind: portal vein thrombosis.
This is a relatively rare disease.
Portal vein thrombosis can occur in any segment of the portal vein.
In the vast majority of cases, the cause is unknown.
Based on current clinical experience, this disease may be associated with systemic or local infection of suppurative portal vein thrombosis, cholecystitis, adjacent lymphadenitis, pancreatitis and liver abscess.
Portal vein thrombosis has also been suggested to be associated with varicose veins.
The diagnosis of this disease is quite difficult.
Many older doctors may ignore its existence.
In theory, both ultrasound and CT scans can detect this disease. At least some experienced doctors can see some clues.
However, to confirm the diagnosis, angiography or MRI is required.
Angiography is usually the first choice.
Depending on the location, splenic portal vein angiography or superior mesenteric artery angiography can be performed. The venous phase of the angiography can confirm whether the patient has portal vein thrombosis.
Compared with common cardiovascular artery and cranial artery thrombosis, portal vein thrombosis is more like a silent killer.
After a blood clot occurs, some patients have strong endurance and may even wait a long time before going to the hospital for treatment.
There are also acute and severe cases. After thrombosis occurs, the patient is sent directly to the hospital for emergency treatment.
This type of patients will experience severe paroxysmal abdominal pain around the umbilicus, often accompanied by obvious nausea, vomiting, blood in the stool, hematemesis, diarrhea and other acute symptoms.
The female lawyer had been ill for at least a month and she seemed to have only some mild symptoms that were not particularly serious.
Zhou Can was not sure whether she had this disease.
I will be able to sit with Director Shang for consultation later and find a chance to discuss with him. Maybe I can get the answer.
At least the patient can be advised to undergo angiography.
When diagnosing such difficult and complicated diseases, hospitals will basically not consider whether the tests prescribed are excessive. As long as the attending physician believes that the relevant tests are helpful in diagnosing the cause of the disease and will not cause serious impact on the patient, then they can apply for it.
Zhou Can thought that it would take an entire afternoon to see patients in the outpatient clinic. Neither the gastric cancer patient in bed 77 nor the liver cirrhosis patient in bed 79 were in critical condition and their vital signs were stable, so there was no need to worry too much.
The patient in Bed 71 with esophageal anastomotic leakage and anastomotic segment occlusion is an unstable factor.
Zhou Can decided to be more diligent and go to the ward to check the situation first.
If there's nothing wrong, at least I can rest assured.
Arriving at the ward, the nurse was giving nutritional injections to the patient in bed 71. Intravenous nutrition was the only way for the patient to sustain life.
Because the section from his esophagus to his jejunum was blocked, he couldn't eat anything.
Even your own saliva has to be spit out in time.
Only the patient himself knows the pain involved.
Zhou Can's arrival made the patient in bed 71 and his family very happy, because Zhou Can's diagnosis of the patient in bed 73 was very accurate, which was enough to prove that Zhou Can's diagnostic skills were extremely high.
"Doctor Zhou, you are here!"
The family members have great respect for Zhou Can.
Because Zhou Can has demonstrated very high level of medical skills.
"Are you okay? The surgery can be arranged tomorrow. Be sure to cover yourself with a blanket when you sleep at night. Don't catch a cold."
Zhou Can instructed the family members.
While bending down to check on the patient's condition.
Not bad, except for physical weakness, the patient's vital signs are quite stable.
Theoretically speaking, the condition would not worsen immediately even if he stayed in the hospital for a few more days, let alone an entire afternoon.
After Zhou Can finished seeing the patient he was in charge of, he subconsciously looked at the other beds.
I promised Duan Zifu and Yu Xin that we are all doctors in the same group and should help each other when the other is not around.
Yu Xin's attitude towards him has now changed 180 degrees.
She is no longer the cold-faced woman she had before, acting as if someone owed her millions.
The patient in bed 73 who underwent pancreatic duct stone removal surgery was Zhou Can's key screening target.
After rehydration, the patient's condition improved.
But it still looks like the abdominal pain is unbearable.
"Doctor Zhou, my husband has had diarrhea more than ten times this morning and is completely exhausted. Is it really okay without medication?"
The family members asked Zhou Can.
Compared with Yu Xin, the family members are more willing to believe Zhou Can.
Almost all family members are like this. They trust whichever doctor has better medical skills.
"From his physical signs, he should be doing well at the moment. His third immune system seems to have been activated. I believe his condition will improve by 6 or 7 pm."
After checking the patient's condition, Zhou Can gave an explanation.
When the inactive macrophages are reactivated by the helper cells, they not only expand in size by more than double, but also move more quickly and release highly toxic substances that are terrifyingly lethal to Salmonella.
Salmonella is simply unable to defeat the macrophages at this time and will soon be completely killed and finally defeated and eliminated by the human immune system.
There was almost no suspense about the victory.
If the patient does not get better by tomorrow, medication must be used decisively.
Because that means the patient has serious complications, such as typhoid fever, sepsis and other serious diseases.
At this time, the body is equivalent to fighting on multiple fronts, and the defense system collapses directly.
Without drug intervention and treatment, the patient will die soon.
"Okay then! Let's just wait and see!"
The family members trusted Zhou Can's words and agreed to his proposal.
"Did you know? In fact, every time our human immune system is activated and successfully eliminates germs or diseases, the immune system is equivalent to getting a training session, and it will become stronger. At present, with the improvement of our country's medical level, all pediatricians have reached a consensus that when babies catch a cold, they should not be given medication immediately, especially antibiotics, which must not be abused."
"Instead, we try to use the baby's immune system and the antibodies contained in breast milk to fight the cold. As long as they can get through it, the baby's immune system will be stronger than before. After a few exercises like this, when the baby is weaned at one year old, they will be able to adapt well to the complex environment of this world."
"Your husband is an adult, but every time the immune system is exercised, it becomes stronger, and this rule will not change."
Zhou Can said to the family members.
Family members may not accept or understand these theories.
However, as a doctor, it is a good deed and a very meaningful thing to appropriately popularize some useful basic medical knowledge to family members.
The Chinese people now have a stronger and stronger awareness of health, which is the result of the joint efforts of doctors.
A little bit of popular science today, a little bit of popular science tomorrow, slowly, the people learn more and more medical knowledge. After they go back, they will spread the knowledge to their family and friends.
In this way, the health awareness of the whole nation was improved.
In the past, few people would exercise in the morning and evening, but now, there is almost a nationwide fitness trend.
There are more and more participants, and more and more people insist on exercising.
At present, the abuse of antibiotics has been brought under control to a certain extent.
Ordinary people with a little medical knowledge will no longer run to a small clinic for intravenous drips when they are sick, because they have understood the consequences of the abuse of antibiotics.
These are all good signs.
After checking on the patient in bed 73, Zhou Can looked at the family members.
"It is recommended that you also do a salmonella infection screening in time. This does not cost much and the inspection process is not painful. Otherwise, if there is a problem, it may cause great losses."
Zhou Can said to her.
"It's okay! I'm still fine! Besides, even if my husband is infected with salmonella, can't you just give him some fluids? There's no need for medicine or anything. I'm a healthy person, so if I really get infected, I can fight it."
The family members are unwilling to spend the extra money.
Politely rejected Zhou Can's proposal.
Zhou Can didn't say anything else.
If they continued to persuade him, the family members would think that he was doing it for the commission from the inspection.
In fact, he is just a regular trainee now, with a small commission. He only gets the basic salary every month.
I really doubt that the hospital’s three-year regular training program is just to save on labor costs.
When Zhou Can returned to the office, Director Shang did not come in person. Instead, he asked the nurse to call him and tell him to go to the Special Needs Specialist Clinic No. 1 in the outpatient department immediately if there was no urgent matter at hand.
Director Shang is in charge of the No. 1 special expert clinic in the Department of Gastroenterology, which shows that he is the strongest chief physician in the department in terms of both strength and status.
Zhou Can found the doctor in charge of the bed, told him something, and then hurried to the outpatient clinic.
The doctor in charge of the bed is nominally a chief physician, but in actual practice, it is common for the chief resident to hold this position.
The resident doctor was a very versatile person. When he heard Director Shang asking Zhou Can to go to the outpatient clinic to follow the consultation, in addition to envy, he also looked up to Zhou Can even more.
He agreed readily, allowing Zhou Can to study with peace of mind.
This kind of invisible status still makes Zhou Can feel very happy.
During his entire year as an intern, he was ordered around by the resident like a grandson. Sometimes he was even scolded.
Now, even the chief resident is very polite to him.
