My Medical Skills Give Me Experience Points

"I believe it's caused by a pituitary stalk lesion."

Zhou Can seemed very confident about this diagnosis.

Without Yang Chan needing to ask further, he explained, "Pituitary stalk lesions, in the course of clinical practice, are easily caused by germ cell tumors, and usually occur in children. Given that this patient is over thirty, germ cell tumors can essentially be ruled out. Analyzing her examination data and clinical signs, the likelihood of lymphocytic hypophysitis is relatively high."

After listening, Yang Chan pondered for over ten seconds, then nodded in semi-understanding.

"We are currently only suspecting lymphocytic hypophysitis, but we can't make a definitive diagnosis!"

Her ability to raise this point showed that she really thought about it and had gained a certain understanding of Zhou Can's diagnostic approach and the pathological analysis involved.

Zhang Bihua saw the obvious progress in her protégé and couldn't help but show a satisfied smile.

She glanced at Yang Chan and then at Zhou Can, her eyes seemingly filled with a hint of expectation, hoping that these two young people could engage in more interaction and cooperation.

More precisely, she hoped that Yang Chan could learn more from following Zhou Can.

"To definitively diagnose this condition, the best approach is a surgical biopsy, but the surgery is extremely difficult."

Zhou Can's surgical abilities were not to be underestimated.

He was even on par with many attending surgeons in general surgery.

Even he stated that the surgery was difficult, indicating that a pathological biopsy sample collection was practically impossible.

No doctor would dare take such a risk.

Especially considering the patient's current poor health, their tolerance for surgery would be enough to deter any surgeon.

"Then is there any other alternative?" Yang Chan inquired further.

"There's definitely an alternative! For example, we could forgo a biopsy and proceed directly with radiation therapy." Zhou Can's gaze shifted towards the family and the patient.

Many family members, upon hearing radiation therapy, inevitably associate it with cancer and severe side effects.

Indeed, radiation therapy does inflict certain damage on the body.

For example, it can cause hair loss, sore throat, nausea, vomiting, headaches, and fatigue.

"We won't do it, we won't!"

The family members immediately shook their heads, refusing.

"Actually, radiation therapy is not as frightening as you imagine. I suggest you could try it once, see how the treatment goes, and then decide whether to continue with it."

Director Zhang spoke up at this point.

She directly assisted Zhou Can in influencing the family and patient, demonstrating her approval of Zhou Can's diagnostic results.

"Thank you, Director Zhang, for your kindness, but we won't undergo this treatment. Because we had a relative who died after radiation therapy, and there are those in our village who deteriorated day by day after it, eventually passing away."

The family members were extremely resistant to radiation therapy and filled with fear.

Doctors could only give suggestions; if the family and patient disagreed, there was nothing that could be done.

Seeing she couldn't persuade them, Zhang Bihua's eyes flickered with a new idea.

She looked towards Zhou Can.

"What does Dr. Zhou think is the cause of the patient's amenorrhea?"

Zhou Can exchanged a glance with Director Zhang and immediately understood her intention.

It seemed that Director Zhang had her suspicions about the patient's condition and might have wanted to use this case to train the younger generation, which was why she called him over for a collaborative consultation.

"I believe the cause of secondary amenorrhea in the patient is not due to dilation and curettage but rather a pituitary disorder. To confirm this is not difficult; a direct examination of the thalamus-pituitary axis would suffice."

Zhou Can surmised that the patient's central diabetes insipidus and amenorrhea were both linked with pituitary dysfunction.

"What do the experts think?"

Zhang Bihua also knew that Zhou Can was young and less experienced; his words might not convince the family and the patient.

This required the support of other experts to validate Zhou Can's diagnostic findings.

"I think Dr. Zhou's diagnosis is probably correct." Director Jiang was the first to support Zhou Can's view.

"Carrying out a function test of the thalamus-pituitary axis is a good idea. As long as the results are out, we can determine whether the cause of amenorrhea is due to pituitary disorder."

Unexpectedly, Du Leng stepped forward to support Zhou Can's inspection plan.

As Zhou Can glanced over, Du Leng immediately diverted his gaze.

For this overseas-educated PhD, it was necessary to show his capabilities, wasn't it?

He couldn't just let Zhou Can alone earn acclaim.

Neurosurgery was his specialty, and he had been listening attentively to Zhou Can's analysis. Despite his apparent reluctance, he internally agreed with Zhou Can's diagnostic approach and suggestions.

By stepping out to support Zhou Can, he not only appeared magnanimous but also got a chance to be noticed.

It was as if Zhou Can had planted the peach trees, and he was picking the peaches.

"Would you be willing to undergo this examination?"

Director Zhang looked towards the family and the patient.

The patient was the kind of woman with little say, deferring to her husband on everything. She turned to her husband beside her.

"As long as we're not doing that radiation therapy, we're willing to go through with it."

The family consented to the examination.

Director Zhang wrote them a test request and urged them to proceed with it as soon as possible.

After the family and the patient left, Zhang Bihua looked towards Zhou Can.

"How does Dr. Zhou think this patient's blood sugar should be controlled?"

Taking measures to control the patient's blood sugar was the immediate priority.

Medication was already used yesterday, and treatment would definitely continue today.

Everyone knows Diabetes treatment merely requires insulin.

Director Zhang's question was obviously a test, asking for the specifics of the medication.

"I think regular administration of insulin glargine, combined with aspart insulin before meals for intensive therapy, should quickly bring this patient's blood sugar under control."

Zhou Can provided the answer.

However, in his mind, he was contemplating how to treat the patient's pituitary disorder.