And not all emergency patients are paid their arrears.

Because if the patients and their families default on their bills, the unlucky ones will be the medical staff in that department.

It is difficult to tell whether the patient has liver cancer just from this B-ultrasound film.

At least with Zhou Can's current level, after reading it, he felt that the patient's chance of getting liver cancer was very small.

If it’s not liver cancer, what kind of cancer is it?

There are too many cancers.

Excluding liver cancer, if there are cancer tumors in other parts of the body, the patient will feel some pain and strangeness.

Zhou Can looked at the patient's symptoms again.

The patient was then asked simple questions such as whether he had pain in other areas.

When patients report the onset of the disease, they sometimes experience pain in their back, which should be radiating pain.

At this point, liver cancer, abnormalities or severe pain in other parts of the body are basically ruled out, and then only the last situation is left.

The symptoms caused by this cancer site were merged into the duodenal ulcer.

I have had a gastroscopy and gastric cancer has been basically ruled out.

At this time, Zhou Can suddenly realized, could there be a problem with the gallbladder?

There are two reasons. The liver and gallbladder are blood brothers. If liver cirrhosis occurs, the gallbladder will be affected to some extent. However, liver cirrhosis is not directly related to gallbladder cancer.

The duodenum and gallbladder are very close, almost like cousins.

If there is a problem with the gallbladder, abdominal pain will occur. Jaundice is also relatively common.

However, patients with liver cirrhosis may also develop jaundice.

It means that the various symptoms overlap very accidentally.

It was precisely this coincidence that caused even Director Jia, an experienced doctor with extensive diagnosis and treatment experience, to miss the point.

Zhou Can carefully checked the B-ultrasound film again and found that the gallbladder had good sound transmission and no abnormal reflection.

However, because the gallbladder was not specifically photographed, Zhou Can could not clearly check the cyst wall and common bile duct.

The idea of ​​asking the patient to do another B-ultrasound is very tempting, but the family members will have doubts.

Moreover, Zhou Can himself does not give patients the right to apply for examinations.

This matter needs to be discussed with Director Jia or a regular doctor.

"I'll take the film to Director Jia for another look. If there are any questions, we will give you feedback in a timely manner."

Zhou Can went to Director Jia with the patient's B-ultrasound sheet.

Perhaps with Director Jia's level, he might be able to detect anomalies.

At least there are some abnormalities in the shape of the gallbladder so far.

Back in the outpatient clinic, Director Jia has already begun to see patients.

Although his number of special-needs specialists is limited in supply, he is famous and has too many people coming to seek treatment.

In order to prevent patients from waiting for a long time or even looking for scalpers to buy high-priced numbers, he often tries his best to add a few more patient numbers.

In addition, he often has medical appointments in the morning and surgeries in the afternoon, which makes his time very tight.

Zhou Can held the film and stood behind Director Jia, patiently waiting for the patient who was undergoing treatment to finish the treatment, and then showed the B-ultrasound sheet to Director Jia.

"Director Jia, I just went to the ward to carefully examine the patient's condition. The patient had both symptoms of jaundice and abdominal pain, and they have been expressed. There is an obvious mass in his abdomen, but there is no explanation. I suspect that the patient may have

There is a possibility of gallbladder disease or even cancer. It just happened to overlap with the symptoms of duodenal ulcer and liver cirrhosis, so it was not detected."

Zhou Can didn't dare to speak too harshly.

Because there is too little basis for diagnosis.

A medical diagnosis requires at least one solid diagnostic basis.

For example, B-ultrasound, MRI, CT, blood routine, urine routine, etc.

In the actual diagnosis and treatment process, doctors often need more than two solid diagnostic bases before they dare to give a preliminary diagnostic opinion.

What is the initial diagnosis opinion? It is the kind with a question mark after the diagnosis result.

"Gallbladder cancer?"

Director Jia took the B-ultrasound sheet and looked at it carefully.

Then his face became slightly more solemn, he picked up the magnifying glass and began to look carefully.

Qiu Hong, a young and beautiful doctor standing next to her, was initially dismissive of what Zhou Can said about gallbladder cancer. This was because she had a preconceived notion that Zhou Can was still acting.

However, when she noticed that Director Jia's face became serious little by little, and even took a magnifying glass to carefully check the B-ultrasound sheet, she began to murmur in her heart.

Is there really a problem?

Isn't this Guipei Sheng acting?

"There seems to be something wrong with the gallbladder. Qiu Hong, call the B-ultrasound examination room immediately to see if this patient's B-ultrasound film shows a clearer gallbladder."

Generally speaking, the imaging results of the examination are archived.

It does not mean that after printing it to the patient, the hospital will not keep it on file.

In some responsible large hospitals, doctors in the medical technology department may even archive multiple copies. The one actually printed to the patient may be just one, or only a part of it may be better.

Qiuhong hesitated for a moment, "Will your outpatient work be suspended for a while?"

"If this patient really has gallbladder cancer, it would be a big deal. It doesn't matter if the outpatient treatment is delayed a little. The big deal is, I won't take a break at noon and will work overtime for a while."

The work of a doctor is inherently more active.

When encountering a problem, the safety of the patient's life must be the top priority.

"Okay! I'll call and ask right away."

After she finished speaking, she looked up at Zhou Can.

"Dr. Zhou, inform the medical counselor outside not to call your number yet."

Qiu Hong's tone had obviously changed, and Zhou Can could feel it.

He opened the door, told the nurse outside, and returned to the clinic.

Medical guides are also nurses, and their status and salary are lower than those of department nurses.

Generally, medical counselors earn 4K a month, and department nurses earn at least 5K.

In terms of status, the guiding nurse was also filled with sadness.

In fact, it’s the same in every unit, such as the assistant police, the treatment and status are also worse than those of formal staff.

After Qiu Hong contacted the B-ultrasound department on the list, the other party quickly sent over all the patient's B-ultrasound films.

Sure enough, a very clear picture of the gallbladder was taken.

Director Jia felt as if he had found a treasure, and looked at it hurriedly with an excited expression, and looked at it very carefully.

"There is indeed a problem with the gallbladder, and the possibility of malignancy is very high. You must immediately notify the treating doctor to communicate with the family to see if a multi-slice spiral CT can be done. If necessary, an endoscopic ultrasound examination can be performed. The patient

The surgery arrangements are temporarily canceled.”

Director Jia realized the seriousness of the problem.

The patient's condition was not good to begin with, but now after Zhou Can's reminder, it was discovered that the patient may have gallbladder cancer.

The surgery must be canceled first.

Must be re-evaluated.

"The doctor who treats this patient seems to be Dr. Tang. I'll tell him right away." Qiu Hong made a phone call on the spot and didn't mention it.

After the communication is completed, notify the outside guide to continue calling.

Many of these patients took special leave and even traveled thousands of miles to seek treatment.

You definitely cannot cancel their registration.

What should be read must be read on the same day.

This is the professional ethics and sense of responsibility that doctors should have.

After experiencing this incident, Zhou Can's status has obviously improved a lot.

Director Jia looked at him with more kindness.

Qiu Hong's attitude towards him also changed subtly.

Strength is really a good thing, it can help Zhou Can quickly establish his position in new departments time and time again.

At this time, a young woman with a slightly pale face walked into the clinic.

The registration fee for a special-need expert account is several hundred yuan. If the patient does not have a difficult or complicated disease, he or she will choose a more economical and affordable general doctor's office when registering for this kind of account.

The woman came alone, without anyone accompanying her.
To be continued...