My Medical Skills Give Me Experience Points

Today, Zhou Can's status has even surpassed that of Huang Xinggui, the attending physician.

Whether sending Zhou Can to replace Director Shang in seeing patients at Cardiovascular Internal Medicine or just now instructing patients to seek Zhou Can for further diagnosis if Director Shang cannot be found, all these indicate that Zhou Can's standing in Director Shang's heart has greatly exceeded that of Huang Xinggui.

It must be known that before Zhou Can arrived, Huang Xinggui was an extremely relied upon arm of Director Shang.

Xie Lin and Luo Jingyi, two female graduate students, would also seek out Zhou Can privately whenever they encountered difficult issues.

Not for any other reason, but because Zhou Can was close in age to them, easy to talk to, and could also resolve their doubts every time.

"Xiao Zhou, clear up their confusion."

Director Shang picked up his teacup to drink some tea.

All teachers are good at being lazy, never doing anything themselves if it can be done by their subordinate doctors.

Perhaps the example of Zhuge Liang from ancient times, who personally attended to everything and was worked to death, left a deep impression on people.

"There are three points in my diagnostic approach! First, the patient's repeat B-ultrasound showed a low-density area in the spleen, which, although not very obvious, is a concerning signal for someone with tuberculosis and should be cautiously noted. Second, the patient reports occasional generalized bone and joint pain. This kind of unexplained pain is equally dangerous, often a precursor to leukemia or malignant tumors."

Zhou Can was not secretive and shared his diagnostic approach with everyone.

"The last point, the patient's bone marrow features increased proliferation activities, with a myeloid to erythroid ratio of 7:1, a value slightly higher than the normal range which is easy to overlook. However, in many malignant diseases, this ratio only becomes frighteningly high at severe stages. In the early phases, it's usually not very noticeable."

After mentioning these three diagnostic points, everyone listened in full agreement.

Huang Xinggui was even more enlightened, saying, "I see, I see, Dr. Zhou not only has a solid foundation in medicine but also pays great attention to detail, and moreover, he can integrate multi-disciplinary clinical experiences in medicine. Today, I am utterly convinced."

"Hehe, Doctor Huang, your flattery has made me several ounces lighter on my feet!"

Excessive modesty is akin to pride.

Sometimes over-humility can be irritating to others.

A little humor can also be quite good.

It seemed to be the first time someone complimented Zhou Can on having a solid foundation in medicine.

It also indicated that Zhou Can had made significant progress in his medical knowledge over the past two years.

After this patient left, Zhou Can continued diagnosing new patients.

The appointment slots released by Director Shang during each clinic are usually fixed, but there are always some patients who, knowing when he holds his clinics, manage to find various ways to get an extra appointment.

The clinic was busy until nearly noon, around twelve o'clock, when they were getting ready to finish up for the day, and the patient with the splenic enlargement came back after completing the tests.

"Professor Shang, the CT results are out, please have a look."

This patient was quite remarkable, having managed to get a CT scan done in about an hour.

Director Shang took the films, and the CT results were much clearer than the B-ultrasound.

It was evident at a glance that there were multiple low-density areas in the spleen.

"The situation doesn't look good, I suggest an exploratory laparotomy to further confirm the diagnosis. It is very likely that the spleen will need to be removed to save the patient's life."

Director Shang's statement this time was very serious.

His tone was solemn, and his expression was grim.

At his level, he would not lightly tell a patient that an organ needs to be removed. Only when he deems the situation extremely dangerous would he do so.

"Professor Shang, may I ask what disease my mother-in-law has?"

The patient's daughter-in-law seemed relatively composed, while the patient's son was nervously supporting his mother and looked very anxious.

"We can basically determine that there are tumors within the spleen, and not just one. The issue is that they are hidden and the presence of the tumors was obscured by lymphatic tuberculosis, which is why the previous two hospitals failed to detect them. Taking advantage of the relatively small size of the tumors now, surgery is the best way to save her life. The spleen is surrounded by vital organs, and the dense lymphatic tissues make it extremely easy for malignant tumor cells to spread. Once it spreads, it will be troublesome."

Director Shang tried hard to persuade the family and the patient to agree to this exploratory laparotomy.

If necessary, the spleen would be directly removed.

This surgery would surely have a certain impact on the patient's body, but it's much better than dying from cancer later on.

Without this surgery, in two to three years, the tumors in the spleen might spread throughout the body.

By then, not only will the patient live in great pain, but she will also lose the opportunity for surgery.

The only option would be to attempt to alleviate the pain with medication and improve the quality of life in the final stages.

"Is my mother-in-law not suffering from tuberculosis? How did it turn into a splenic tumor?"

The family members were still struggling to accept this fact.

"Tuberculosis leading to malignant tumor genetic mutations is also very possible. The older the patient, the more likely genetic mutations will occur. She is currently dealing with two diseases: tuberculosis and a large number of small tumors within the spleen."

Director Shang explained to them.

Doctors generally do not directly mention the word "cancer" in front of patients.

They use terms like malignant tumors or that the situation is very bad or very serious instead.

Cancer gene mutations are significant causes of cancer.

Throughout a lifetime, cells constantly renew themselves. Each new cell's creation is accompanied by the replication of DNA and the transfer of genetic information.

Human beings produce over 10 billion new cells each day, which inevitably leads to a certain proportion of erroneous cells. Some of these faulty cells die, while others acquire the ability for unlimited life and replication. These are the origins of "cancer cells."