My Medical Skills Give Me Experience Points

A seemingly common cold unexpectedly brought a huge disaster to this young and beautiful girl.

It made her sick for two whole years.

With today's medical standards, even a severe cold is not a big deal. Just by buying medicine from any roadside pharmacy, one can quickly recover after taking it.

However, this girl has been sick since she was seventeen.

Seventeen or eighteen is the age when the body's resistance is the strongest, its functions are thriving, and it is full of vitality.

Zhou Can realized that this girl's body must have experienced immune decline or deficiency, allowing such a minor cold to crush her body's defense system.

Almost all difficult diseases share a common characteristic: patients do not get better despite treatment in multiple hospitals.

Many difficult cases start with minor ailments; they are adept at masquerading as minor enough to make patients let their guard down—like mild fever, slight pain, or mild symptoms of physical discomfort.

They are like a weed that proliferates the more you cut it; the more you try to handle it, the more it grows, eventually becoming a disaster that completely crushes the patient's body and takes their life.

Diseases that start as severe are terrifying, but because the lesions are obvious, they are easier to diagnose.

The biggest challenge is in the treatment.

The difficulty with such difficult cases lies in not being able to find the real cause of the disease. Once the cause is identified, it can be the key to the disease, and perhaps a few cents worth of medicine can cure the illness.

Many patients who have sought specialist consultations can attest that seeing a regular doctor and undergoing all sorts of tests, consuming baskets of expensive medicines, does not improve the condition.

Then someone recommends seeing a certain specialist.

Hey, this specialist didn't require any other tests and prescribed a medicine that costs fifty cents after a diagnostic.

The patient wonders, is this specialist reliable?

Could he be a quack?

At home, trying the medication according to medical advice, an unbelievable thing happened a week later.

The body felt significantly better.

Continuing the medication, the previously incurable disease was healed in half a month. From then on, this patient tells everyone how great it is to see a specialist.

Only regretting not consulting this specialist at the very onset of the illness.

Thus enduring a load of costly and useless medications and undergoing numerous unnecessary tests, treated like a guinea pig by ordinary doctors—it's indeed too wrongful.

This patient is undoubtedly lucky.

He found a specialist who happens to be proficient in treating his particular disease.

Otherwise, it's hard to say what the outcome would have been.

Patients whose mild conditions are treated into severe ones are not few.

It's unbelievable to say that a simple cold in this female patient took two years to treat and still wasn't cured.

Zhou Can carefully reviewed the patient's medical records.

Senior doctors are very pleased with these young doctors eager to learn.

The patient's erythrocyte sedimentation rate was 39mm/first hour. Glutamic Aminotransferase was 170 U/L, Aspartate Aminotransferase was 137 U/L, alkaline phosphatase even reached 320 U/L...

After reviewing the test report, Zhou Can immediately suspected there was an issue with the patient's lymphatic system.

The patient underwent anti-infection treatment with erythromycin at the first hospital, and the effect was very poor.

Later, she had a bone marrow biopsy and abdominal ultrasound at another hospital.

Since these tests were performed at another hospital, Du Leng had the patient undergo another bone biopsy; the family's restraint from swearing was indeed good.

The bone biopsy showed active proliferation.

The abdominal ultrasound indicated gallbladder polyps.

Splenomegaly.

Lymph node enlargement at the hepatic portal.

As Zhou Can predicted, there was an issue with the lymphatic system.

He continued to review the tests done by the external hospital.

Later, the lymph node enlargement at the hepatic portal was identified, the external hospital's specialist also ordered a lymph node ultrasound for the inguinal region.

The results showed enlarged lymph nodes in bilateral cervical, axillary, and inguinal areas.

The enlargement of lymph nodes in so many areas suggests a likely systemic disease.

The problem was more severe than expected.

If it were just inflammation, commonly, only bilateral cervical lymph nodes might enlarge.

Colds can be both cold-wind and hot-wind types.

Hot-wind is inflammation combined with the invasion of pathogenic wind, constituting dual ailments.

The specialist in the external hospital followed the clue of lymph node enlargement and performed an inguinal lymph node biopsy for the patient.

The result was reactive proliferation, and immunohistochemistry showed increased T, B, and tissue cells.

This largely locked in the possibility of a viral infection.

The external hospital's specialist treated the patient with liver protection and antiviral therapy.

This is symptomatic treatment, common in medical practice.

The patient's condition improved after treatment. Unfortunately, the improvement was short-lived; less than ten days later, the patient developed a fever again, reaching over 40 degrees Celsius, accompanied by coughing.

The family urgently sent the patient back to the hospital for treatment, still consulting the same expert.

Since the last treatment had some effect, the family's trust in that expert was very high.

After seeing the patient, the expert immediately ordered a routine blood test.

The blood testesis showed increased lymphocyte percentage to 47%, bone marrow biopsy found no abnormalities, and tested AST, 43 U/L. AST is Aspartate Aminotransferase.

ALP, the alkaline phosphatase, also was tested, reaching 141 U/L.

Subsequently, the expert ordered blood and sputum cultures, still suspecting viral or bacterial infection.

After gaining little from these tests, the external hospital's expert was somewhat confused and decisively applied for an abdominal CT for the patient.