Capítulo 733: Chapter 299: County Hospitals are not Necessarily Weak, Experts are Baffled_2
The phenomenon of turning the situation upside-down is also often present.
Zhou Can once saw a town-level orthopedics specialty hospital that even surpassed a provincial hospital. Patients from all over the country went there seeking treatment; its treatment fees were low, and its level of treatment in the field of bone injuries was very impressive.
Many major hospitals that couldn’t cure certain bone injuries, or needed conservative treatment, found success there.
Such miraculous town-level and county-level hospitals are few, but there are still some of them throughout the country. With solid skills, they managed to become well-known.
Zhou Can then reviewed the medical report and treatment plan from the second hospital.
After admitting the patient, the Provincial Children’s Hospital first conducted a routine urine test, which showed that urine protein was still at 3+ levels.
Such severe urine protein is commonly caused by diseases like Lupus Nephritis, glomerulonephritis, and Nephrotic Syndrome. This actually needs close attention. However, the doctors at the first maternity hospital either misdiagnosed or overlooked this test result, seemingly not paying enough attention to it.
The second hospital, Provincial Children’s Hospital, clearly had more experienced in diagnosis and treatment.
After discovering the urine protein was at 3+, they immediately tested for ANA, which turned out negative.
ANA stands for antinuclear antibodies, which is a generic term for a complex mixture of autoantibodies.
Its primary medical use is to screen for rheumatic diseases.
Such as Systemic lupus erythematosus, Scleroderma, Dry syndrome, Rheumatoid Arthritis.
Since the test result was negative, it essentially excluded the possibility of rheumatic diseases.
The experts at Provincial Children’s Hospital were quite remarkable; after that exclusion, they immediately conducted an ultrasound of the kidneys on the patient, suspecting there might be kidney abnormalities.
Unfortunately, the ultrasound showed no significant abnormalities.
The expert from Provincial Children’s Hospital conducted a thorough investigation, including a gastroscopy on the patient.
They probably somewhat looked down on the gastroscopy capabilities of that county maternity hospital. They didn’t trust the gastroscopy techniques of a county-level hospital.
This time the gastroscopy directly involved taking a biopsy of the gastric mucosa, which showed mild gastritis and occasional eosinophil infiltration.
Indeed, as a provincial hospital, whether it’s conducting gastroscopy, their examination approach is more in-depth and targeted.
Zhou Can found it interesting to review the patient’s treatment history and the diagnostic approaches of experts from other hospitals. It allowed him to deeply understand the diagnostic approaches of other experts, using their experiences to enhance Zhou Can’s own diagnostic capabilities.
This admitting doctor from the Provincial Children’s Hospital is definitely a highly skilled expert.
His diagnostic approach itself shows that.
Each test had a strong purpose.
It’s not as one might imagine, where all tests are performed first just to see. Each test had profound implications.
Without a deep understanding of pathology, without extensive diagnostic experience, it would not be possible to reach this stage.
Only now that Zhou Can’s own diagnostic skills have improved, can he discern the competency levels from the tests conducted by other doctors. Previously, whenever he saw other doctors repeatedly performing various tests, his first reaction was to internally scold them, thinking they were unethical doctors trying to make illicit money.
The patient had just completed the tests not many days ago, they were still medically relevant, why do them again?
In reality, not every doctor is unethical.
Not ruling out doctors like Du Leng, who only understand theory without practical experience, recklessly ordering various tests for patients. They lack purpose, just conducting tests for the sake of testing.
Whether it’s the former or the latter, Zhou Can’s improved diagnostic skills allow him to spot the difference almost instantly.
For example, this doctor from the Provincial Children’s Hospital, definitely a very high-level expert.
After completing the gastroscopy, the expert then conducted a colonoscopy on the patient.
The result suggested no abnormalities.
The expert tried to provide nutritional support treatment to the patient, but the results were very poor.
About a week later, the expert noticed that the treatment was ineffective and possibly invited other experts from their hospital to help consult.
Eventually, it was quite interesting.
After the consultation by the experts at the Provincial Children’s Hospital, they conducted another kidney ultrasound for the patient.
Zhou Can was puzzled; wasn’t it just over a week ago that they had conducted one and found no abnormalities? Why, after a consultation by the experts, did they perform another one?
Hey, really, this kidney ultrasound actually revealed a problem this time.
If it weren’t for this being a Provincial Children’s Hospital, Zhou Can would have thought this was just a money-extorting unethical hospital.
Because last time there were no problems, and just a few days later problems were detected. Isn’t that nonsense?
The second ultrasound showed mild dilation in both kidneys, the bladder was not filled, a pelvic effusion depth of 2.6cm was detected, rectal wall thickening, and a suspicious mass was found on the right side.
The results of the two kidney ultrasound tests showing such a big discrepancy.
Only one possibility exists, the doctor who conducted the first kidney ultrasound was a connected person, and had possibly obtained a fake certification.
In big hospitals, the medical technology departments are fraught with such connected individuals.
There really are such ‘amateur’ personnel present.
Any patient who comes across such unprofessional examination doctors can only consider themselves unlucky.
Who would expect that in a provincial hospital, an ultrasound could be performed by an unprofessional doctor?
In essence, medical imaging examinations do not require especially high professional knowledge. Those sort of half-hearted spoiled children, as long as they put in a little effort during university, can mostly handle it.
Of course, a doctor with real expertise in medical imaging not only conducts more professional examinations, but the chance of detecting hidden lesions is also higher.