Chapter 280: The Disease That Even Experts Fear, True Medical Skills Must Be Learned from the Patients_3
Zhou Can couldn't help but sigh that if it were an average family, they would probably have stayed home and taken some traditional Chinese medicine, opting for conservative treatment.
Because many families cannot afford the overwhelming medical expenses.
After ineffective treatments at major hospitals, they would assume that going to other hospitals would yield the same outcomes.
So they would choose to leave it to fate.
Directors Jiang and Shi both shook their heads.
The case was too complex and challenging; with their level of expertise, they were truly intimidated and unable to provide any constructive suggestions.
"Dr. Zhou, what about you? Do you have any good ideas?"
Because Zhou Can had performed exceptionally in the diagnosis of two cases, Zhang Bihua held his opinions in high regard.
"May I feel her neck?"
Zhou Can made an off-topic request.
Just now, when Yang Chan was performing a physical examination on the patient, he had been watching from the side.
Under such circumstances, even if he wanted to feel the patient's neck, he had to consider the appropriateness due to gender differences. It would be problematic if it led to misunderstandings.
"Of course, one should not conceal their ailment from a doctor. Dr. Zhou, please feel free to examine my daughter."
The family member had been secretly observing the situation with Director Zhang while getting the diagnosis from Du Leng.
Zhou Can had stood out tremendously in the diagnosis of the obese woman, offering advice that was even more astute than the specialists. This left a deep impression on the female family member.
Her trust in Zhou Can was quite substantial.
"Thank you for your trust and understanding!"
Zhou Can approached the female patient, his expression slightly solemn.
"If it hurts when I touch you, you can tell me right away."
He spoke to the female patient.
"Okay!"
Her voice was very delicate, clearly lacking strength.
After giving instructions, Zhou Can reached out to feel her slender neck. The skin was very tender, which was to his advantage in detecting if there were any lumps underneath.
He felt from the side of her neck towards the throat area and its surroundings.
"Ah... it hurts, it hurts..."
The female patient suddenly cried out in pain.
Zhou Can nodded, as if he had anticipated this.
"Just bear with it for a moment; I'll try to be as gentle as possible. I want to check the size of the tumor and see if there are any others nearby."
What he had felt earlier was actually her pharynx.
After some exploration, he did not find any other lumps or anything new.
"Dr. Zhou suspects a tumor in her pharynx?"
Director Zhang asked in surprise.
The female patient and her mother grew more admiring of the young doctor's medical skills.
"In her throat, there should be a lump, possibly not large. I recommend further examination and to take a biopsy of the tumor for pathological testing. It feels like there's a good chance of lymphoma."
Zhou Can said with a very assured tone.
Lymphomas can be exceptionally covert and very difficult to detect. Especially lymphangiomas, with the smallest lymph vessels possibly being less than 1 millimeter in diameter, might not even be detected by MRI.
Director Zhang looked towards the family member.
"Do you think we can proceed with a tumor check in her pharynx?"
"Of course, of course. Dr. Zhou is really impressive, to be able to identify a possible tumor in my daughter's throat without any instruments."
The family member complimented Zhou Can.
For her, no amount of testing mattered as long as her daughter's condition could be diagnosed.
Wealthy families never worry about how much medical expenses cost; their only concern is whether the illness can be cured.
In fact, the wealthier people are, the more they are aware of risks, and they tend to have very comprehensive insurance coverage.
In case of a serious illness, after reimbursements from health care and commercial insurances, they don't have to pay much out of pocket.
On the other hand, the impoverished struggle with modest wages to make ends meet, and operating on a shoestring budget is the norm. They simply cannot afford the not-so-cheap commercial insurances.
When facing serious illness, they often end up having to sell their house or car for treatment.
The number of those impoverished by illness is not small.
The patient went for an examination.
"Dr. Zhou's clinical experience and diagnostic ability are impressive!" Gao Jian said with a tinge of bitterness to Zhou Can.
Needless to say, he was completely defeated in diagnosing these difficult cases.
Zhou Can continued to achieve and had significant diagnostic successes, whereas he, a top student from Imperial Capital Medical University, despite nearly two years of specialized training in Internal Medicine under Tu Ya, didn't even get a chance to speak.
It wasn't that he didn't want to, but rather his abilities were limited and he couldn't offer any constructive suggestions.
"Don't overpraise me too much, Dr. Gao; I have no weaknesses apart from being unable to take compliments," Zhou Can responded self-deprecatingly, eliciting smiles from everyone.
"Xiao Gao, let's go. Dr. Zhou's strength comes from practice. I'm telling you, diagnosing patients is the best way to learn."
Director Jiang said to Gao Jian.
After saying this, he cast a meaningful glance at Du Leng's table, which had gone from bustling to eerily quiet.