Chapter 286: A major breakthrough in pathological diagnosis, special medical skills and compassion
Men are steel and women are water.
Women can control men because they know how to overcome strength with softness. Even the strongest man will become as soft as a finger when he meets a beautiful woman with wisdom.
It is undeniable that the female reporter has successfully gained Zhou Can's favor by using her superb communication skills.
At least Zhou Can's eyes when he looked at her were no longer so cold and ruthless.
But if she wanted Zhou Can to accept her interview, she was afraid that she would still be disappointed.
"There is no law that requires citizens to accept interviews with reporters, right? You have the right to interview me, and I have the right to refuse. I am not a prince, so why do some girls always think they are princesses when they meet me?"
Zhou Can teased.
"You are too much! I always thought a doctor's skill lies in his scalpel , but now I know that a doctor's mouth is more powerful than the knife!" She found that this young doctor was very good at bickering.
If she continues to fight, she will be abused even more miserably.
She simply used her woman's ability to overcome hardness with softness again, and while she fought back at Zhou Can with a coquettish look, she stopped arguing with him.
Instead, it decided to change strategy.
"Doctor Zhou, I think you must have some misunderstanding about our profession as a journalist. We journalists are not the kind that you think are just trying to attract attention and dig up news without any bottom line. Look, this is my journalist card, which I obtained through a serious examination! Only those profit-seeking paparazzi have no professional ethics."
She was preparing to explain her identity and position clearly first.
This shows that she is very smart.
Because she could keenly judge where the misunderstanding lay from Zhou Can's resistance to her.
Zhou Can does have a negative opinion of the profession of journalist because of the fact that Su Qianqian was blackmailed and secretly photographed by paparazzi many times.
Now after listening to her explanation, I feel a little shaken.
Every profession has its own specialization.
Different fields are like different mountains.
He really didn't know that paparazzi and reporter are two different concepts.
This is probably equivalent to the difference between a doctor and a plastic surgeon!
There are many cosmetic doctors who do not have the qualifications to practice medicine, but they dare to operate on others, performing double eyelid surgeries, rhinoplasty, liposuction, bone padding, and bone shaving. They dare to do it all.
Even in some regular plastic surgery hospitals, only some doctors have medical licenses, and the rest do not have the qualifications to practice medicine.
Paparazzi are more like whistleblowers than regular journalists.
However, there are also many paparazzi who have connections in this area, and some are even reporters themselves.
"I want to dig deeper into this news thread because I think it has great warning significance. Just think about it, if the real cause of this girl's illness could have been found out when she first fell ill two years ago, the tragedy that followed would not have happened."
The reason given by the female reporter made Zhou Can's view of her more positive.
"What do you want to know?"
Zhou Can was obviously relaxed.
"Haha, I finally gained your initial trust. It wasn't easy. Let's get to know each other formally. My name is Mu Ming, and I'm a TV reporter for the satellite TV station."
The female reporter successfully conquered Zhou Can's strong city, and she laughed heartily with joy.
You can see that she is very happy.
You can tell a person's character from his laughter. The laughter of a mean person is always a creepy, sinister laugh or a sly laugh, or a gloating smirk.
The most terrifying type is the type who smiles on the outside but does not smile on the inside. You have to be especially careful with this kind of people, as they are often vicious and cruel at heart, so bad that they have lost all humanity.
People who are carefree and bold often have a cheerful laugh.
Just like this female reporter, she has a hearty and infectious laugh. She must be sunny, straightforward and have upright thoughts.
"No wonder you are so eloquent, it turns out you are a cicada!"
Zhou Can looked strange when he heard her name.
"I'm stupid and I haven't read much. Can you explain why?"
She tilted her head, looking confused.
Zhou Can found that she had a very good temper and never got angry no matter what he said.
Perhaps because of my profession, I have developed this ability.
Because TV reporters often have to interview all kinds of people. If they have a bad temper, they will get angry when being ridiculed and the interview will not be able to continue.
"There aren't many people with the last name Mu. I saw that it's written on your press card. It literally means evening. In ancient times, the word 螓 was used to describe a kind of cicada that was small, square-headed, broad-browed and colorful. Later, because it looked pretty, it was used to describe a beautiful woman's head. That's how the phrase 螓首娥眉 came about. When the sun sets in the evening, that's when the cicadas chirp most happily."
"Your parents named you Mu Chen, which means the cicada that chirps non-stop in the evening. And you have just fully demonstrated this talent. You have persuaded me with your eloquence and made me willing to accept your interview."
Zhou Can gave an explanation.
"Ah... you've scolded me in a roundabout way again! You educated people are the ones who know how to scold others, but they still don't realize that they are being scolded."
She clenched her pink fist, but instead of hitting Zhou Can, she hit her own smooth forehead twice.
"Haha, I don't mean to scold you, but to praise you for your eloquence."
Zhou Can looked at this cute female reporter and was also amused by her.
He was feeling heavy-hearted just now because the female patient was in the advanced stage of cancer, but now he feels much better.
However, deep down in his heart, he had already developed the idea of conquering cancer.
Currently, the two most recognized methods for treating cancer are surgery, drug therapy, and radiotherapy.
Surgery must be performed in the early stages of cancer, and some cancers cannot be operated on even in the early stages.
Drug treatment is mainly chemotherapy. There are better treatment drugs on the market, that is, targeted drugs. However, the treatment cost of using targeted drugs is expensive, and they can only target specific treatment targets, such as EGFR gene sensitive mutations, Oker gene fusions, HER-2 gene amplification, etc.
In addition, there are cancer immunotherapy drugs being studied that can transform T cells into super soldiers.
It has better prospects than targeted drugs and its treatment direction is more advanced.
Targeted drugs are a treatment concept based on Western medicine, while cancer immunotherapy drugs are a newly developed cancer treatment concept that draws on the immunology of traditional Chinese medicine and combines it with Western medicine.
If this drug is successfully developed, perhaps in the future various cancers will become as easily cured as the common cold.
In addition, the cancer vaccines being researched by Western pharmaceutical giants are also attracting much attention.
In short, human medical level is advancing rapidly.
For example, gene sequencing was simply unimaginable in ancient times.
"Doctor Zhou, I've been scolded by you. Can we start the interview now?"
She turned the conversation back to work.
While there are no patients coming to Zhou Can's table for treatment, he quickly took the opportunity to do the interview.
"Excuse me! Please limit yourself to medical matters. Please do not ask other sensitive questions or questions that may provoke disputes."
Zhou Can was quite straightforward.
"I would like to hear your explanation of the entire course of this female patient's illness, as well as the experiences and lessons that should be learned from this case." She had talked with the girl for a long time before, and took photos of the girl's medical records for safekeeping.
Now, if she can get some professional case analysis and summary from Zhou Can, she will be able to write a good press release.
"First of all, I am just a resident intern with limited medical knowledge. If I say something wrong and cause a joke, I will not be responsible."
"Okay, no problem."
Mu Ming nodded in agreement.
"The course of this female patient's illness, which lasted nearly two years, can be divided into three stages. In the first stage, in August two years ago, she developed fever, nasal congestion, runny nose and other symptoms due to catching a cold. These are very similar to the symptoms of a cold. At that time, her body temperature reached 38.7 degrees, which is still in the low fever range. Examination revealed elevated liver enzymes, elevated Epstein-Barr virus antibodies, and swollen lymph nodes throughout the body. The doctor prescribed her liver protection and antiviral drugs, and her condition improved briefly. But soon she developed high fever, cough and other symptoms again."
"If we can pay attention to this stage, we should be able to avoid the disease from progressing to lymphoma. Unfortunately, lymphoma is very difficult to diagnose, especially in the early stages, which can easily confuse doctors."
Zhou Can believes that the appearance of swollen lymph nodes in multiple parts of the body at this stage itself indicates that lymphoma has begun to develop.
Or in its infancy.
This is also the most difficult stage to diagnose.
The analysis of this case also enabled him to learn a lot of useful clinical experience.
"About three months after the first hospitalization, the patient was hospitalized again due to liver enlargement, fatty liver, spleen enlargement, ovarian cysts and other problems. It can be seen that in just the past three months, the patient's condition has progressed from the initial cold symptoms to the extent of multiple organ involvement. After that, the patient was hospitalized for more than a month, and after being discharged from the hospital, he continued to have a fever and intermittent treatment from time to time. This process lasted for almost a whole year."
Zhou Can felt that this period of time was the best opportunity for treatment that the girl should seize.
Unfortunately, due to the negligence and superficial views of the external hospital expert and the patient's own lack of attention, the condition continued to deteriorate. During this year, the lymphoma took root and sprouted, and invaded multiple organs and tissues throughout the body.
As long as it can be discovered, there is a chance for surgery or targeted treatment.
Sometimes, family members and patients really shouldn't be too superstitious about a particular expert.
If a disease does not improve after a long period of treatment, or if the condition is intermittent, sometimes getting better and sometimes getting worse, then you must be particularly vigilant. If you need to transfer to another hospital, transfer to another hospital, or find another specialist.
In short, you can't hang yourself on a tree.
"So does this one year belong to the second stage?"
Mu Ming asked while taking notes.
She was very smart and turned on the recording device to record Zhou Can's explanation. When she went back to write the press release, she could listen to it twice to ensure that there were no misunderstandings.
"This year was a process of progression from the first stage to the second stage. The real second stage was 14 months after the onset of the disease, when she developed right-sided tinnitus, hearing loss, and nasal congestion, and was hospitalized again for treatment. At this time, the lymphoma had already invaded all major organs of the body and had a serious impact. In particular, a mild granuloma was found during an examination of her eyes."
"Did you know? The medical definition of granuloma is that due to tissue infection, trauma, foreign bodies, etc., the local inflammatory response of the wound is aggravated, cell proliferation and differentiation are increased, and excessive granulation tissue is formed to form a protruding granuloma. But in fact, the appearance of granuloma requires high vigilance, it is more like a vanguard of cancer."
Zhou Can shares his clinical experience as much as possible.
So that after this news report, more people can be alert to granuloma and no longer be confused by this cute name of the disease.
Just like a beautiful woman may be deceiving, a soft and cute little tiger may be particularly vicious.
Don't be fooled by the surface of things.
"I will emphasize this point in the article and explain the dangers of granuloma."
Mu Ming understood Zhou Can's thoughts very well and easily knew Zhou Can's intention of emphasizing granuloma.
"In the second stage, if we can find out the real cause instead of just focusing on the granuloma, there may still be a chance of cure. Unfortunately, the patient was diagnosed with bilateral granulomatous uveitis after hospitalization. The treatment at this stage was also very conservative. Only drugs such as prednisolone and azathioprine were used to treat conjunctivitis."
When talking about this, Zhou Can felt particularly sad.
They say it is never too late to mend.
But the treatment methods of the expert from other hospital are really speechless.
If professional rules did not allow it, Zhou Can really wanted to expose the expert from the external hospital. Such a sensible little girl was delayed by that bastard expert. It was simply murder.
"The third stage is 19 months after the onset of the disease. This time, the patient was suffering from pain on both sides and soles of both feet and could no longer stand. At this stage, lymphoma had already invaded the central nervous system and was incurable. All he could do was leave it to fate. Based on this case analysis, I believe that there is a certain connection between Epstein-Barr virus infection and lymphoma. If a patient is found to be infected with Epstein-Barr virus and cannot be cured for a long time, and has a persistent or intermittent low-grade fever, he or she must be particularly alert to lymphoma."
After analyzing the entire course of the disease, Zhou Can made a final summary to warn patients and doctors.
[You summarized and analyzed a very difficult case for the first time, and figured out the related pathological mechanism. Pathology experience points reward +1000. ]
[Congratulations on obtaining the special medical skill, benevolence. The effect is unknown, and the current experience value is 1/100000. ]
When Zhou Can finished summarizing the case, he unexpectedly got two big surprises.
The pathology diagnosis experience value reward was +1000, which was the most generous experience value reward he had ever received.
Perhaps it was because the system judged that he had made a qualitative improvement in pathological diagnosis that it generously gave him a reward of 1,000 experience points.
Comprehensively analyzing and summarizing this extremely difficult case was indeed of great benefit to Zhou Can.
He could clearly feel that his vision, methods of diagnosing and analyzing pathology, and pattern had all reached a new level.
If I must describe it, when diagnosing diseases in the past, his eyes were always fixed on a certain point, and his vision and thinking were relatively narrow. Even if he had reverse thinking that ordinary people did not have, he could only tiptoe and look in one direction.
After this improvement in diagnostic thinking and perspective, he truly learned to climb to the top and take in the overall picture.
I have learned to analyze comprehensively and look at problems from multiple angles.
Only a few extremely outstanding chief physicians can understand this diagnostic thinking that expands from point to surface and then to the overall situation.
His current pathological diagnosis level is only at the attending physician level, but it is really not easy for him to realize this.
This will also give him an advantage over many doctors in future diagnosis.
This advantage is quite big.
Combined with his reverse thinking, it is simply unimaginable. It is certain that he will be better than before in diagnosing new and difficult diseases.
And the strength is likely to double.
In addition to receiving a reward for pathological diagnosis, Zhou Can also unexpectedly acquired a new special medical skill through the interview with the female reporter.
Although I don’t know what the use of this medical skill is?
But what is certain is that this special medical skill requires 100,000 experience points to advance to the next level once acquired, and it is definitely a director-level, top-notch medical skill.
The usefulness of this medical skill will definitely be gradually discovered in the course of medical practice in the future.
He is not in a hurry at all.
It’s like winning a blind box in a lottery. It doesn’t really matter what’s in it.
The blind box is of very high quality and its value is definitely not low.
If you put a worthless item inside, the quality of the blind box will be reduced.
Based on Zhou Can's understanding of the medical experience value system, this guy is a very tough person. He has never used a gimmick to fool people.
"Okay, the interview is over for now. If there's anything I don't understand or don't fully understand, I'll ask you next time. Can you please leave me your private cell phone number?"
Female reporter Mu Ying put away her notebook and recorder.
