Chapter 737: Chapter 300: Twists and Turns, Pathological Diagnosis Promoted to Level Five_3
Too small tumors are actually difficult to determine whether they are benign or malignant.
A biopsy is needed to clarify.
The common practice for doctors is to instruct patients to have regular check-ups and closely monitor the growth of the tumor.
Why does it involve humanity?
Because after all, the tumor is not occurring in the doctor’s own body. When the tumor is still small, observing whether it continues to deteriorate completely complies with medical rules. However, to remove it without clear understanding of its nature.
What if it turns out to be a false tumor after surgery?
Furthermore, a biopsy means taking samples, which will definitely stimulate the tumor.
Some tumors are difficult to sample.
Asking doctors to take a great risk to do this, the outcome might be thankless. Naturally, no doctor wants to do it.
Zhou Can frowned, pondering hard.
The diagnosis has actually reached a deadlock.
At this time, Director Zhang finished treating her patients and stood up and walked over.
She had been quietly paying attention to Zhou Can.
She also knew that Zhou Can was facing a high-difficulty dilemma passed around by Dr. Du and Director Dai.
Zhou Can dared to take responsibility, not afraid of being embarrassed if the diagnosis failed. Such a spirit and courage to risk for the treatment of patients is very valuable.
"Dr. Zhou, if this patient’s disease is really difficult to diagnose, you can admit them for in-hospital observation and then diagnose further; there might be some findings! After all, this patient had been treated at the Provincial Children’s Hospital for a long time, and the experts there couldn’t cure this difficult disease."
Zhang Bihua not only intended to speak well for Zhou Can but also advised Zhou Can not to rush when facing such patients.
You can first admit for hospitalization and solve it slowly.
Haste makes waste.
Even the most prestigious hospitals can’t necessarily diagnose all outpatients’ causes on the spot.
Many undiagnosed difficult cases are arranged to be admitted for observation. It’s best if a diagnosis can be found, if not, then we can only tell the family and the patient that we have tried our best.
"Thank you for your concern, Director Zhang, I’ll try again. If still undiagnosed, I’ll discuss with the family about hospitalization." Zhou Can gratefully nodded to Zhang Bihua.
He stood up and handed over the examination data for Zhang Bihua to review.
Since Director Zhang was here, it goes without saying that she was helping him with the consultation.
No need to state it explicitly.
"At first, I thought the patient had urinary tuberculosis, but after thorough screening, we can largely rule out this disease. The possibility of parasitic infection is also largely ruled out."
Zhou Can shared his diagnostic thoughts with Director Zhang.
After Director Zhang reviewed all the examination data and combined it with Zhou Can’s diagnostic thoughts, she advised, "This child’s cause of the disease is elusive, indeed very difficult to diagnose. You can try starting from the patient’s initial symptoms of vomiting and diarrhea, and have the patient admitted to the hospital."
Being able to securely hold the title as head of obstetrics at Tu Ya Hospital, Zhang Bihua’s diagnostic level is undoubtedly high.
Her words enlightened Zhou Can.
Right, I’ve gotten accustomed to unconventional approaches, not following the standard diagnostic routes. How can I overlook the initial two symptoms?
The greater principles are often the simplest.
Martial arts masters often say that no technique can be superior to having a technique.
Universal principles are interconnected; the logic is the same.
Medical diagnosis is similar to practicing martial arts techniques. Starting is imitating others’ techniques, mastering them, becoming proficient, and eventually integrating one’s own flair, becoming flexible.
In medical diagnostics, Zhou Can often takes an unconventional approach, using different diagnostic angles and thoughts, roughly akin to the second stage in martial arts.
Once proficient and deeply understanding, start integrating one’s own elements.
Eventually resulting in a unique diagnostic method and distinctive diagnostic thinking.
Now, Director Zhang’s words awakened him like a revelation, inspiring a great epiphany.
It wasn’t an accumulation of diagnostic experience or deeper understanding of a certain disease, but a major breakthrough in diagnostic thinking and methods.
This is an elevation in level.
His path in pathological diagnosis has stepped into the first phase of ’simplicity in the grand path’.
[Your pathological diagnostic thinking and methods have qualitatively leaped, gaining +10000 Experience Points, congratulations on your pathological diagnosis technique advancing to level five. Current level five 1/100000, junior associate chief physician.]
The last time he received a 1000 Experience Points reward, he felt it was groundbreaking.
Because often, the reward for medical experience points is at most 100 each time.
Never thought he would break the upper limit again.
A fundamental improvement in diagnostic thinking directly advanced his pathological diagnostic technique by one level.
This is probably an unprecedented upgrade in medical skills.
Although his diagnostic experience and medical knowledge might not yet meet the level five standards, the system has forcefully advanced him to level five.
Such enlightenment is a rare opportunity.
Next time it might be very difficult to experience again.
Zhou Can believes that medical practice and martial arts increasingly resemble each other, sharing many commonalities. Many ancient Chinese doctors came from martial arts families.
Martial arts consist of techniques and mental strategies.
His diagnostic thinking achieving a significant breakthrough is quite akin to stepping to a new level in understanding martial arts.
After advancing to level five in pathological diagnosis, Zhou Can found that diagnosing this child’s disease gave him a distinctly different experience. Looking back at the patient’s disease, areas that were originally obscure and confusing became clear and understandable.