Chapter 8 Upgraded Obsession
In the afternoon, He Hansheng took Zhou Can to the General Surgery Clinic Room 4. The corridor outside was crowded with patients waiting for follow-up visits and others seeking medical advice.
If it is morning, there will be more patients waiting here.
Nowadays, people live a fast-paced life and are busy at work, so they tend to neglect their health. Some minor problems may turn into major problems if they are not taken care of.
In addition, environmental pollution is becoming increasingly serious and the proliferation of junk and harmful foods has led to a high incidence of various diseases.
Tuya Hospital is operating at overload almost every day.
General surgery has become the hardest hit area after the emergency department.
"Xiao Zhou, you will be responsible for writing the medical records later."
"OK!"
Zhou Can learned how to write medical records on the first day he entered the hospital. After nearly a year of internship, he had already become proficient in writing medical records.
The nurse outside stood at the door and knocked.
"Doctor He, can you start calling the numbers now?"
"Scream!"
"Number one, Huang Fuqiu, Clinic Room 4."
The voice of a female nurse came from the loudspeaker.
Soon, a middle-aged man walking with his butt sticking out pushed the door open.
The man was holding a medical record and some examination materials in his hands.
"Doctor, I had hemorrhoid surgery last week and came here for a follow-up check."
"You seem to be in good condition. How do you feel now?"
"Everything else is fine. It's just that the wound still hurts a little when I walk, and I can only sleep on my side or on my stomach. In the first two days after the operation, it was extremely painful to defecate..."
The patient briefly described his condition after the operation.
"Okay, go to the back and take off your pants so I can check you out."
Dr. He took a quick look at the medical records and took the patient to the back for an examination.
The patient's wound healed well.
The wound has healed.
Dr. He prescribed him anti-inflammatory drugs and told him not to take a bath, take the medicine on time, and come back for a follow-up visit anytime if he feels unwell.
This is the end of seeing one patient.
Zhou Can was a little disappointed that he didn't earn any experience points.
But he did gain something. In the future, when he encounters patients coming back for hemorrhoid surgery, he will have a good reference.
Then the second patient came in.
This is an old lady with thin hair, a frail body, and a large abscess on her wrist. The family member who accompanied her to the hospital said that she was pricked by a bamboo stick, and the patient pulled out the stick by herself and did not take it seriously.
As a result, after a period of time, the wound not only did not heal, but became even more red and swollen.
It was not until recently that the wound began to fester and the patient developed symptoms of low-grade fever and severe pain that he came to seek medical treatment.
After a brief inquiry, Dr. He gave the patient a physical examination.
"Go get a blood test and a B-ultrasound first, then come back to me with the results."
He instructed Zhou Can to open two checklists in his name.
Thanks to the advanced technology, we can now enter the examination form and medicine prescription into the computer, which makes it convenient to calculate and pay, and to check the files afterwards.
However, patients still have to queue up with their slips.
After the patient left, He Hansheng talked to him in a chatty tone.
"Xiao Zhou, think about it, what is the cause of this patient's abscess? How should it be treated?"
Zhou Can had already started thinking about the cause of the patient's abscess.
He quickly reviewed the patient's symptoms and the causes of the disease in his mind, and then analyzed and located the pathological mechanism based on the medical knowledge he had learned.
"The low-grade fever should be caused by the abscess causing bacteria to invade the blood, triggering an inflammatory response."
The human body has a complete immune mechanism.
When the human immune system detects foreign matter or pathogens invading, it will respond immediately. The phagocytes, lymphocytes, lymph nodes, spleen, etc. in the blood, layer after layer of response mechanisms will become warriors to protect the body and kill those pathogens.
Inflammation is actually a form of self-protection by the body.
"The severe pain in my arm and the inability to sleep at night indicate that the abscess is still spreading and destroying normal body tissue."
After listening to Zhou Can's analysis, He Hansheng nodded slightly.
"I suspect there is still foreign matter in the patient's arm that has not been cleaned out."
This happens from time to time.
If an object such as a bamboo stick or wooden thorn is stuck in the flesh, it may be stuck too tightly and only part of it may be pulled out.
But the patient thought all the organs were pulled out.
Eventually the foreign body remains in the body, causing infection and suppuration.
[Pathological diagnosis experience value +1. ]
As soon as Zhou Can finished his analysis, he gained 1 experience point.
The pathological diagnosis of this patient is not difficult, and I estimate that anyone at an intern level can do it.
He now has an excellent level of regular training and is sure to get a place in the exam.
"What about the treatment plan?"
“Cut the wound open to drain the pus, clean out the broken bamboo sticks or foreign objects stuck inside, clean the wound, suture and bandage it, and then prescribe some anti-inflammatory drugs.” Zhou Can finished speaking about the treatment plan he had thought of in one breath.
He Hansheng smiled slightly. "There is nothing wrong with the previous steps. The anti-inflammatory drugs need to be supplemented. In this case, the patient should be given an infusion in the hospital. After the infection is under control, oral anti-inflammatory drugs can be prescribed. Infusion is faster and more effective than oral administration, and can guarantee the greatest degree of safety. In addition, the patient's condition can be understood in time when he comes to the hospital for infusion."
After listening to Dr. He’s instructions, Zhou Can nodded heavily.
"Remember, safety comes first at all times. Doctors are in a special profession, and they control the life and health of their patients. Any negligence may lead to serious consequences. Doctors should treat their patients like their own children, and should consider their patients more comprehensively and carefully."
Dr. He warned him earnestly.
At this time, the third patient seeking treatment walked into the ward.
This is a woman in her thirties, dressed fashionably, carrying a black shoulder bag, and looking pretty. She walks like a normal person and is in good spirits. She doesn't look sick.
"Please take a seat! What's your question?"
Dr. He asked about the woman's condition in a gentle tone.
“Uh… um…” The woman lowered her head in embarrassment, not daring to look at anyone.
His face turned red.
"It's okay to talk about your illness. There's nothing to be embarrassed about." Doctor He patiently comforted her.
After hesitating for a moment, she finally bit her lip and whispered, "I, I feel a little pain in my chest recently. When I touch it with my hand, there seems to be a lump. In the past few days, it hurts so much that it's difficult to raise my hand."
Zhou Can immediately started to figure it out based on her description.
When a woman's chest appears lumps, it is usually due to diseases such as breast hyperplasia.
"How long has the lump been there?"
"It's been almost two years since I discovered it. But before, it was just occasional swelling and pain, so I ignored it. Recently, I found that the lump is getting bigger and bigger, and I'm a little scared. I checked it online and many people said it might be breast cancer..."
The woman was no longer so embarrassed at this time.
When she mentioned the word breast cancer, there was deep fear in her eyes.
Indeed, breast cancer is known as one of the three major killers of women.
Many adult women are horrified by the sound of it.
"Are you married?"
"Married."
"Have you ever had a child?"
"The child is almost eight years old."
"Wow, I can't believe it! Your child is so big already, but you are still so young." Dr. He's joking compliment immediately relieved the woman's nervousness and anxiety.
The atmosphere in the clinic also became much more relaxed.
"Oh, you're too kind! Doctor, do you think I have breast cancer? I didn't dare tell my husband or children when I came for the checkup this time."
Her eyes were full of anticipation.
"Don't worry. No one can tell for sure right now. Go get an ultrasound first to check the thickness of the gland and whether there are any nodules inside the gland. If you have breast hyperplasia, you will usually feel obvious pain during your period. Don't worry too much."
Dr. He not only has a solid medical foundation and rich experience in diagnosis and treatment, but is also extremely patient in treating patients and does his utmost to comfort them.
The noble medical ethics displayed made Zhou Can standing by secretly admire him.
The female patient took the form and queued up for the examination.
In this way, more than twenty patients were seen one after another.
Some are easy to diagnose, while others are difficult.
Dr. He is patient, easy-going and rigorous with every patient.
It set a good example for Zhou Can.
At this time, the old lady with a big abscess on her arm came back after the examination.
After reviewing her test results.
As Zhou Can expected, the infection led to inflammation and low-grade fever. There was a two-centimeter-long shadow in the abscess.
It is basically certain that the broken bamboo stick is embedded deep in the muscle.
Surgery was arranged for her.
I believe you will recover soon.
The patient with breast hyperplasia also came back after the ultrasound examination.
Fortunately, there are no ultrasound features such as calcification, blood flow, and unclear edges, so the possibility of malignancy is basically low.
In view of the fact that her breast hyperplasia was quite serious and the tumor was large, Dr. He recommended that she go to the general surgery department to remove the tumor and then undergo a pathological test to prevent malignancy.
She accepted it with pleasure.
This surgery is a simple, first-level procedure and can be performed on an outpatient basis.
But it wasn't Dr. He who performed the surgery.
There are general surgery doctors on duty in the outpatient operating room. Unless there are special circumstances, the doctors will not perform the operation themselves. Even if they occasionally need to perform the operation themselves, they will arrange for the patient to be hospitalized first and have the operation the next day or at other times.
Zhou Can looked at the time, 5:21.
It's almost time to get off work.
And he gained a total of 8 experience points in the afternoon.
Current experience in pathological diagnosis, level 2, 98.6/100, excellent level of regular training.
This made him particularly depressed.
Only 1.4 experience points are needed to level up.
"Oh God, another patient! Amen!"
Zhou Can prayed silently.
If he earns another experience point, he will only need 0.4 experience points. He can squeeze out some time to read four cases after he returns, and this most important medical skill can be upgraded.
