My Medical Skills Give Me Experience Points

It's likely that the expert only performed an abdominal ultrasound last time and felt that it was somewhat limited.

The description of the lesion site during the examination was not clear enough.

Therefore, a CT scan was performed this time.

The results indicated an enlarged liver with fatty liver disease, a still enlarged spleen, and a low-density lesion in the left adnexal region.

Seeing these results, Zhou Can sighed inwardly, thinking that without numerous high-tech medical diagnostic instruments, the expert's diagnostic level might as well be pushed back to primitive society.

Take this female patient, for example. The expert only performed an abdominal ultrasound last time without detecting her fatty liver and ovarian abnormalities.

The CT results suggested a low-density lesion in the left adnexal region, which in fact turned out to be an ovarian tumor or cyst.

This time, fearing humiliation, the external hospital expert performed a liver biopsy and sent it for pathological examination.

The examination results showed mild cloudy swelling of the liver cells, visible small focal steatosis, and scattered pinpoint necrosis.

The bile duct region showed mild dilation with extensive lymphocyte infiltration.

There was slight damage to the peripheral hepatic lobular plate.

Lymphocytic infiltration was also found inside the hepatic sinusoids.

The final diagnosis given by the external hospital expert was chronic hepatitis, fatty liver, and gallbladder polyps.

The patient was treated again with liver protection and anti-infection therapies.

She was hospitalized for nearly four months, and after her condition improved, she was discharged.

During this period, her fever was never properly treated.

It transitioned from high fever to low-grade fever and remained a low fever even at discharge.

After discharge, she continued liver protection treatment.

Once home, the patient frequently experienced fevers at night, sometimes reaching over 38 degrees Celsius.

So, half a year passed, and inexplicably, the patient began experiencing redness in both eyes, blurred vision, a constant buzzing in the right ear along with a severe decrease in hearing, and nasal congestion.

Her mother, seeing that her daughter's condition had not improved and had worsened compared to the initial symptoms, was worried.

Concerned about encountering more serious issues with the same expert, she switched to another hospital.

But the doctors at that hospital couldn't determine the cause even after three days.

Thus, the girl's mother had no choice but to seek out the external hospital expert again.

This time, the expert was quite euphemistic in his conversation, mentioning that in his decades of practice, he had never encountered such a perplexing disease. Given the girl's deteriorating condition, he recommended the family consider seeking further advice from Tuya Hospital or another major hospital.

This ploy was much like that of Golden Basin Foot Washing City.

The expert had exhausted all his knowledge yet still could not cure the girl's illness. Continuing treatment could ultimately lead to severe consequences, certainly tarnishing his reputation.

Therefore, the expert from the external hospital advised the family to seek consultations from other hospital specialists.

Such practices are common among many doctors.

The girl's mother originally thought about securing an expert appointment at Tuya Hospital, but it was incredibly difficult to snatch one.

Just then, she heard that many experts from Tuya Hospital would be visiting Xinxiang Women and Children's Hospital, so she quickly brought her child there.

Initially, upon seeing Professor Zhang Bihua from obstetrics and a doctoral graduate from a prestigious overseas university, the mother was quite pleased. She thought she had finally come to the right place.

Unfortunately, Du Leng ordered many tests for her daughter and extensively explained various medical specialties related to diseases.

It was only then that she realized this returnee doctor was all theory but seriously lacking in practical diagnostic skills.

"Director Zhang, can my daughter's illness be cured?"

Having heard of Zhang Bihua's reputation, the girl's mother was almost in despair regarding her daughter's condition.

"Don't worry too much. No matter how difficult the disease is, as long as we identify the true cause, targeted medication can remove the disease. We have many experts here, backed by the strong medical capacity of Tuya Hospital. Even if today's attending experts can't determine the cause, we will request a specialized consultation from the headquarters' experts to do our utmost to cure your daughter."

Zhang Bihua comforted the nearly distraught mother gently.

"Yang Chan, please conduct a physical examination on the patient."

Considering that the patient was a young female, it was best for a female doctor to conduct her physical examination.

Yang Chan conducted a physical examination on the patient.

The body temperature was 38 degrees, indicating obvious fever. Pulse rate was 115 beats/min, blood pressure at 110/80mmhg, a soft lymph node was palpable on the right groin which was movable. Conjunctiva of both eyes was mildly congested without any swelling or edema, and sclera was normal, without jaundice.

Throat was mildly congested, left tonsil was swollen with a purulent covering, and the gag reflex was present.

The patient had weakness in both lower limbs, unstable standing, and pain on both sides and soles of her feet.

Additionally, the patient had some hearing impairment.

"Considering symptoms like your daughter's instability and weakness in lower limbs, we need conduct an electromyography to examine the peripheral nerves of the upper and lower limbs, auditory and sympathetic nerves of the lower limbs. Regarding ear and throat issues, Dr. Du has already performed a sinus CT scan which showed inflammation in the right ethmoid sinus and bilateral maxillary sinuses. The MRI of the head indicated thickened mucosa in both maxillary and ethmoid sinuses, bilateral otomastoiditis..."

After reviewing all medical records and having Yang Chan complete a comprehensive physical examination, Director Zhang offered a further diagnostic opinion.

In fact, Du Leng had already had all relevant exams done.

This included the sinus CT and head MRI, among others.

After finishing his explanation, Director Zhang looked at the other two experts.

"Director Jiang, Director Shi, do you have anything to add?"

This patient's condition, having persisted for over two years, had led to multiple pathological changes in her body, making her condition extremely complicated.