Chapter 621: Chapter 261 The Relationship Between Acupuncture and Puncture Techniques, It’s Not Easy Being a Specialist_3
Zhou Can reported the consultation results to Director Shang.
“Who diagnosed it?”
Director Shang asked.
“Do I even need to say? I bet it was definitely Dr. Zhou who diagnosed it.”
Xie Lin interjected with a smile.
“Hehe, Dr. Xie thinks too highly of me! When I arrived, they had already done the sputum culture test. However, my diagnostic opinion did have a certain impact.”
Zhou Can played a role in this diagnosis, but it would be an underestimation to say he was solely responsible, especially considering the chief physicians in the Cardiovascular Internal Medicine department.
They were merely confused by the sterile results from previous blood cultures and IV fluid cultures.
That’s why they couldn’t diagnose the patient’s illness in time.
With the sputum culture results being available, they would surely start considering septicemia.
“You always downplay your achievements. If you say you had a certain impact, that definitely means it was significant. You didn’t embarrass me, and you didn’t embarrass Digestive Internal Medicine, so that’s good enough. Next time another department invites me for a consultation, you will still go on my behalf.”
Director Shang had a taste of success and couldn’t get enough of it.
He indicated that he would let Zhou Can continue to replace him in consultations with other departments.
“Aren’t you afraid I’ll tarnish your good name and ruin your reputation?”
Zhou Can had worked with many senior teachers and had never seen such an ‘irresponsible’ superior.
He was like an apprentice who had yet to plete his training, yet the Sect Leader was eagerly sending him out to handle all sorts of important matters, treating him as if he were already a full-fledged disciple. Quite bold.
“I trust that you have the ability to do me credit, not shame. Besides, doesn’t everyone grow step by step? Even if there are occasional mistakes, isn’t that perfectly normal? In the future, just go confidently and without any mental burden.”
Director Shang gave him a safety net.
Even if he embarrassed himself, it wouldn’t be held against him.
“You’re back just in time. This patient’s condition is quite plex: splenomegaly, long-term irregular fever, night sweats. Treatment has been ineffective in two different hospitals, and the true cause of the illness is still unknown. Help us all weigh in on this.”
When Zhou Can entered, he saw the patient and the family members.
Although his chat with Director Shang and others seemed lengthy, it actually consisted of just a few short exchanges.
During this time, the patient and family members curiously observed Zhou Can.
They weren’t fools; based on what they heard from Director Shang and Xie Lin, they discerned that this young doctor who had just e in was very skilled. Capable of replacing Director Shang in consults with other departments.
His skills certainly wouldn’t be lacking.
Zhou Can picked up the patient’s test results and the photocopied medical history from the other hospital to review.
The first hospital was a county-level hospital that had conducted a blood test on the patient, with normal white blood cell counts. Various antibiotics were used for treatment, all ineffective. The patient’s systemic toxicity symptoms were minor, practically ruling out the possibility of bacterial infection.
The family watched the patient deteriorate despite treatment and began to doubt the medical standards of the county-level hospital, choosing to discharge voluntarily and seek treatment at a larger hospital.
The second hospital performed a chest X-ray on the patient, with a normal thoracic image.
The patient’s main plaints were fatigue, night sweats, weight loss, and long-term irregular fevers.
During the physical examination, the doctor discovered a lymph node the size of a silkworm pupa at the root of the patient’s left neck, of medium hardness, without any obvious pain for the patient.
An ultrasound revealed splenomegaly.
The patient’s erythrocyte sedimentation rate was 50mm/h at the end of the first hour. This erythrocyte sedimentation rate was quite fast.
Blood test data indicated a significant increase in globulin.
After an integrated diagnosis, the physicians at the larger hospital concluded that the patient likely had tuberculosis.
Hence, they started antituberculosis treatment with isoniazid, rifampicin, and streptomycin.
After more than a month of treatment, upon re-examination at the hospital, an ultrasound revealed multiple solid masses inside the spleen and enlarged abdominal lymph nodes. The re-examination diagnosis from this hospital suggested concurrent splenic tuberculosis.
Seeing the patient’s condition worsening without control and new problems arising, the family lost faith in the second hospital as well.
Ultimately, they hurried to Tuya Hospital for consultation.
It is, after all, a renowned hospital among provincial top-tier hospitals, well-known, and the patients came with great hopes.
Upon reaching this point, Zhou Can finally understood why even Director Shang was frowning over this case.
Patients like this, who have been treated ineffectively at two or three different hospitals, are usually particularly troublesome.
Being an expert really isn’t that easy.
Opening a special expert outpatient service means that at least forty percent of the patients seen every day are those who had ineffective treatments elsewhere.
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