Chapter 190 If you continue to act, it turns out he is not acting.

Author: Jiangbian Yuweng

Chapter 190 If you continue to act, it turns out he is not acting.

This ability to diagnose patients' hidden diseases in advance through naked eye observation and intuition was extremely popular in ancient times. Almost all skilled Chinese medicine doctors can do it.

It's called telescope.

Traditional Chinese medicine treats people with the four most basic methods of diagnosis: looking, smelling, asking, and feeling.

Inspection comes first.

It is the oldest of the four diagnostic methods of traditional Chinese medicine.

By observing the patient's complexion, skin color, nails, tongue coating, body shape, etc., the most intuitive first diagnostic impression can be given. The type of disease can be roughly delineated to facilitate subsequent lesion diagnosis and pathological diagnosis.

Zhou Can’s three-month training in critical care medicine was beyond imagination.

He didn't realize it at first, but now that he has entered training in other departments, he has discovered that the three months of study in the Department of Critical Care Medicine has been of immeasurable help to his medical practice.

Whether it is rescuing critically ill patients, pathological diagnosis, encountering emergencies during surgery, etc., he can be more confident than others.

Vice President Ye personally extended his training time in the Department of Critical Care Medicine for two months, which can be said to be a well-intentioned move.

For example, not long ago, when I went for a ward round, the patient in bed 3, even Director Jia didn't find out that the patient had cancer, but Zhou Can did.

Of course, this is still only Zhou Can’s preliminary diagnosis.

It can also be called conjecture.

Whether the patient really has cancer requires further verification.

It is impossible for Zhou Can to directly tell Director Jia without any evidence that the patient may have cancer, right?

Today was the first time the two of them had interacted with each other, and Director Jia's trust in him was still very limited.

If you want Director Jia to approve his diagnostic opinion, you must provide reliable diagnostic evidence, and it is best to point directly to the area where the lesion is located.

According to Zhou Can's experience, if you diagnose this very difficult recessive disease, you will most likely receive an additional reward of 100 pathological diagnosis experience points.

"Dr. Zhou, I guess your girlfriend must be very beautiful! Very charming!" Qiu Hong suddenly smiled and said something puzzling to Zhou Can.

"Why do you say that?"

Zhou Can asked her puzzledly.

If Su Qianqian wasn't beautiful, there probably wouldn't be any woman in the world who could use the word beautiful.

"Looking at how distracted you are, I guess you must be thinking about your girlfriend, right?"

Qiu Hong joked in a joking tone.

She doesn't mean anything malicious, but is full of good intentions.

Because Zhou Can seemed a little perfunctory when he answered Director Jia just now. Director Jia's face was actually a little unhappy.

She has followed Director Jia for five years and has a good understanding of Director Jia's temperament and character.

It was a deliberate attempt to help Zhou Can explain.

I also deliberately reminded Zhou Can not to desert.

"Haha, Senior Sister Qiu is so humorous. I was not thinking about my girlfriend when I deserted just now, but about the patient in bed 3. I feel that the patient does not have a simple duodenal ulcer."

Zhou Can is also a smart person and will know what is going on as soon as he hears it.

He secretly glanced at Director Jia's slightly cold face and quickly explained the reason for his absent-mindedness.

"The patient's duodenal ulcer is indeed very serious. He has had a history of nearly 20 years, how can it be simple?"

she responded.

"No, no, no, I mean the patient may have other diseases!"

Zhou Can could only express his doubts in advance.

Director Jia cannot be allowed to misunderstand that he is a person who is idle and does not concentrate on his studies.

A small thing that seems insignificant.

But it may cause his image in Director Jia's mind to be greatly damaged.

You may not be able to see through someone in your lifetime, but one thing can really make you look down on someone.

"Other diseases? Liver cirrhosis and chronic superficial gastritis, Director Jia has already diagnosed them!"

she asked doubtfully.

Qiu Hong had just met Zhou Can, and she didn't know whether he was deliberately looking for an excuse to explain to Director Jia the reason for his desertion just now, or whether he had actually diagnosed the patient with other diseases.

She prefers the former.

I think Zhou Can is just making an excuse to avoid giving Director Jia a bad impression.

After having this idea, her feelings towards Zhou Can suddenly changed a lot.

People who like to be clever are generally not very popular.

"I mean other diseases, like cancer!"

Zhou Can really can't stop talking without surprising.

This time even Director Jia looked at him again.

Qiu Hong curled her lips, with a trace of disdain on her pretty face. She didn't expect that Director Jia's new student was so exaggerated. You could just find an excuse, but now in order to sensationalize him, he actually directly said that the patient had cancer.

Fortunately, the family members are not here, otherwise there might have been a quarrel.

"Director Jia, can I ask you for twenty minutes of leave? I want to check the patient's examination report. If the patient really has cancer, I'm afraid the feasibility of the surgical plan needs to be re-evaluated. The patient is so old.

, there are extremely high surgical risks. I see that the operation time you have set for the patient is 1 p.m., and I will wait until noon to check. I am afraid that it will be too late."

Zhou Can explained the reason in detail.

The tone is sincere and the expression is sincere.

Qiu Hong almost laughed out loud. She said it as if it was true. It would be a pity that the new Dr. Zhou would not act.

Her good impression of Zhou Can also disappeared.

"Go ahead!"

Director Jia readily agreed.

Zhou Can stopped talking nonsense and quickly returned to the inpatient department and went to bed 3 to check the patient's examination report.

"The patient has a history of smoking for nearly fifty years. His father died of typhoid fever 20 years ago, and his mother died of a mass in her abdomen 10 years ago. Because no pathological examination was performed, the nature of the mass is unknown."

In other words, the patient's mother most likely also died of cancer.

The patient himself was hospitalized and underwent routine examinations such as X-ray barium meal examination, gastroscopy, blood and stool tests.

In addition, a B-ultrasound examination of the liver was also performed.

"The upper boundary of the liver is 6 intercostals, the oblique diameter of the right lobe is 13.5cm, the mid-clavicular line is 2cm thick and 1.5cm long under the costal margin, the left lobe is 7cm thick and 8cm long, the subxiphoid is 4cm thick and 3cm long, and the intrahepatic light spots are thickened.

, enhanced, the echo distribution is still uniform, and the blood vessel course is not clear..."

B-ultrasound is mainly an examination of the liver.

At present, the possibility of liver cancer cannot be ruled out.

Because the liver has no pain-sensing nerves, it is called the silent organ.

Many liver cancer patients are in the advanced stage once diagnosed.

Before this, there were almost no obvious symptoms.

Zhou Can squinted and looked at the B-ultrasound film carefully.

It is undeniable that the diagnostic basis of the Western medicine system is mainly based on comprehensive dialectics based on various examination results.

At this point, a wave of Chinese medicine must be promoted.

An experienced Chinese medicine practitioner can quickly get a clear picture of the patient's condition by just pressing a ruler on the patient's wrist. It is comparable to a full-body physical examination performed by Western medicine doctors on the patient.

Why are people reluctant to enter the hospital now? Once you enter, regardless of whether you are sick or not, you will go through a series of routine examinations.

If you need to be hospitalized, more tests will be done.

A few hundred dollars or thousands of dollars were just gone.

After queuing for a whole day, I was lucky to get the test results before the doctor got off work.

Although Traditional Chinese Medicine doctors used to charge fees for medical treatment, they were often very cheap.

There are many traditional Chinese medicine doctors who have high medical ethics. When they see poor people, they even pay for the medicine themselves.

Looking at the current Western medicine system, if you don’t have money, you can basically wait to die.

Don’t be so naive as to think that public hospitals can handle outstanding bills anyway and treat them first and pay later.

Those are all emergency patients.
To be continued...