My Medical Skills Give Me Experience Points

Chapter 243: Controversy, the Stubborn Auntie is Inviting Trouble



"Alright then! I've waited for over a year, I don't mind one more day. Thank you for taking this so seriously." The woman nodded in agreement.

Discovering the cause of the illness was the most exhilarating news for her.

It gave her hope.

After enduring for so long, she finally saw the light.

"Xiao Qiu, help the patient back to the temporary bed. Everyone else, go about your duties!"

After Director Shang communicated with the patient's family, he directly tasked Qiu Chengyu with menial duties.

In two days, Zhou Can had established a relatively stable position in Digestive Internal Medicine. Both in Director Shang's heart and in Huang Xinggui's eyes, he was no longer treated like a common resident.

Director Shang didn't say it out loud, but his appreciation for Zhou Can was reflected in some of the details.

"I need to coordinate and arrange the surgery. Zhou Can, can you take care of this patient?"

He thought the attending physicians had already been assigned.

Unexpectedly, another patient was handed over to Zhou Can.

"Sure! I can handle four patients without a problem." Zhou Can had already been assigned four patients so far.

The task wasn't too hard, but it wasn't easy either.

Generally speaking, there aren't many critical patients in Digestive Internal Medicine, and managing ten beds wouldn't be too stressful. The workload was definitely not trivial. Just writing medical records, changing prescriptions, and ward rounds were enough to keep one extremely busy.

It's hard to imagine how some hospitals expect a resident to manage 20 or 30 beds.

Normally, it's simply not possible for one person to handle it all.

The quality of care would significantly drop, and relying on templates for medical records would almost certainly happen.

"By the way, could we discuss the condition of the lawyer, the patient in bed 79, now?" Zhou Can had already identified the cause of the woman's illness but was busy all afternoon and hadn't had the chance to discuss it with Director Shang.

"Oh! You've already made significant progress in diagnosing that patient?"

Hearing this, Director Shang was both surprised and delighted.

This resident is really something, no wonder every department he rotates through is eager to keep him.

"This morning after taking over the patient, I was curious about how her liver cirrhosis developed. Later, I incidentally discovered she occasionally experienced diarrhea..."

Zhou Can went through his diagnostic thought process.

"In summary, I suspect the patient has portal vein thrombosis. If we could perform a splenic portal vein angiography, we would be able to diagnose whether it is truly this condition!"

Generally, deciding which tests to perform is up to the attending physician.

Zhou Can, as a resident managing the patient's bed, had the right to suggest but not to decide.

"If it really were this disease, the symptoms wouldn't be so mild. Portal vein thrombosis usually progresses very rapidly, and if it also involves the mesenteric veins, the patient often dies within a very short time. According to her description, she's had abdominal discomfort, loss of appetite, and fatigue for at least a month, which is far too mild compared to the symptoms of portal vein thrombosis."

Director Shang did not agree with Zhou Can's diagnostic suggestion.

Portal vein thrombosis is like a fierce tiger, yet the disease fitting the patient's symptoms is mild like a lamb.

The two styles are wildly different.

"At that time, I also considered this issue. Later, I thought it over carefully and noted that the patient might belong to the type where portal thrombosis forms slowly. This type of thrombosis can form collateral circulation, and the portal vein might reopen, although it would still eventually progress to portal hypertension. But it's much milder than typical portal thrombosis. The time span can also be extremely long."

Zhou Can had already pondered this issue.

Following thrombosis, the transformation of multiple chambers in the portal system is also a common phenomenon.

The human body is much more resilient than we can imagine.

It's like a super fortress, with various alert and defense mechanisms.

But when one part is breached by the enemy, other parts can automatically take over some of the functions of that part, ensuring the body isn't too fragile.

Humans have a history of at least 650,000 years.

Throughout these long years, the ability to survive to this day and become the dominant species on Earth shows the incredible resilience of human life. The body's various defense mechanisms are also very comprehensive.

Many people think the human body is simple—just two eyes, a nose, and a mouth.

Underneath the skin lies muscle, and within the thoracic and abdominal cavities, there are various organs.

It all seems straightforward, nothing extraordinary.

However, human organs, even an individual cell, hold many unsolved scientific mysteries. For instance, the human body naturally carries various proto-oncogenes while also carrying tumor suppressor genes.

Meaning, from the moment we are born, cancer accompanies each of us.

But the vast majority of people's tumor suppressor genes effectively care for the body, overpowering all proto-oncogenes. When a cell tries to rebel, wanting to mutate and become a cancer cell, the tumor suppressor genes can utterly obliterate it right in the cradle.

And it's 100% precise, leaving no room for exceptions.

Only when someone's tumor suppressor genes fail or disappear is there a risk of cancer.

And even then, it's just a risk.

It doesn't mean they will definitely develop cancer.

The wonder of the human body isn't limited to just the relationship between proto-oncogenes and tumor suppressor genes. Even our seemingly ordinary skin possesses abilities beyond our wildest dreams.


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