My medical skills add experience

Chapter 8 The obsession with upgrading

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In the afternoon, He Hansheng took Zhou Can into the No. 4 outpatient room of the Puwai Hospital.The corridor outside was crowded with patients waiting for treatment.Some are follow-up consultations, and some are seeking treatment.

If it is in the morning, there will be more waiting patients here.

Modern people live a fast-paced life and are busy with work, often neglecting their health.Some small problems drag on and become big problems.

In addition, environmental pollution is becoming more and more serious, and garbage and harmful food are flooding, leading to a high incidence of various diseases.

Tuya Hospital is overloaded almost every day.

General surgery has become the hardest hit area after the emergency department.

"Xiao Zhou, you will be in charge of writing the medical records later."

"Row!"

Zhou Can learned to write medical records on the first day he entered the hospital. After nearly a year of internship, he has already become familiar with writing medical records.

The guiding nurse outside stood at the door and knocked on the door.

"Doctor He, can I start calling your number?"

"Call!"

"No. 4 Huang Fuqiu, consultation room No. [-]."

A nurse's voice came from the speakers.

Soon, a middle-aged man walking with his butt up pushed the door open.

The man held a medical record and some examination materials in his hand.

"Doctor, I had hemorrhoid surgery last week, and now I'm here for a review."

"You look pretty good, how do you feel now?"

"Everything else is fine. It's just that the wound still hurts when I walk, and I can only sleep on my side or on my stomach. In the two days after the operation, it was very painful to defecate..."

The patient briefly described the postoperative situation.

"Okay, take off your pants at the back, let me check for you."

Dr. He took a rough look at the medical records and took the patient to the back for an examination.

The patient's wound healed well.

The wound has healed.

Dr. He prescribed anti-inflammatory drugs for him, and told him not to take baths, but to take the drugs on time.Come back anytime if you feel unwell.

A patient is finished with this.

Zhou Can was a little disappointed that he couldn't earn any experience points.

However, he has also gained something. In the future, he will have a good reference for the follow-up patients who have undergone hemorrhoid surgery.

Then, a second patient walked in.

This is an old lady with thinning hair, with a thin figure and a large pustule on her wrist.The family member who accompanied her to see a doctor said that she was stabbed by a bamboo stick. At that time, the patient pulled out the bamboo stick without taking it seriously.

As a result, after a period of time, the wound not only did not heal, but became more red and swollen.

It wasn't until recently that suppuration began, and the patient had symptoms of low-grade fever and severe pain, that's when he rushed to seek medical advice.

After some simple inquiries, Dr. He gave the patient a physical examination.

"First do a routine blood test and a B-ultrasound, and then come to me with the test results."

He directed Zhou Can to make two checklists in his name.

Thanks to the highly developed modern technology, it is now possible to write checklists and prescribe medicines into computers.It is convenient to calculate and pay fees, and it is also convenient to check files afterwards.

However, patients still have to queue up with a note.

After the patient left, He Hansheng talked to him in a chatty tone.

"Xiao Zhou, think about it, what is the cause of this patient's abscess just now? How to treat it?"

Zhou Can had already started thinking about the cause of the patient's abscess.

He quickly went through the patient's symptoms and causes of the disease in his mind.Then, according to the acquired medical knowledge, analyze and locate the pathological mechanism.

"The low-grade fever should be an inflammatory response caused by bacteria invading the blood due to the abscess."

The human body has a complete set of immune mechanisms.

When the human immune system detects foreign matter or pathogen invasion, it will respond immediately.The phagocytes, lymphocytes, lymph nodes, spleen, etc. in the blood, with multiple response mechanisms, will become warriors to protect the body and kill those pathogens.

Inflammation is actually a self-protection of the body.

"Severe pain in the arm, sleepless nights, indicating that the abscess is still spreading and destroying normal body tissue."

After listening to Zhou Can's analysis, He Hansheng nodded slightly.

"I suspect that there is still a foreign object in the patient's arm that has not been cleaned."

This happens from time to time.

Objects such as bamboo sticks or wooden thorns penetrated into the flesh, and only part of it may be pulled out because it was stuck too tightly.

But the patient thought it was all pulled out.

Eventually the foreign body remains in the body, causing the infection to suppurate.

[Pathological diagnosis experience value +1. 】

As soon as Zhou Can finished the analysis, he happily raised 1 experience point.

The pathological diagnosis of this patient is not difficult, and it is estimated that the practice level can be competent.

He now has an excellent level of regular training, so he is sure to be sure.

"What about the treatment plan?"

"Incision the wound to drain the pus, clean up the broken bamboo sticks or foreign objects inside, clean the wound, suture it, bandage it, and prescribe some anti-inflammatory drugs." Zhou Can finished the treatment plan he had planned in one breath.

He Hansheng smiled slightly, "There is nothing wrong with the previous steps. Anti-inflammatory drugs need to be supplemented. In this case, infusion should be given in the hospital, and oral anti-inflammatory drugs should be prescribed after the patient's infection is under control. The effect of infusion is faster than oral administration. It is stronger and can ensure no accidents to the greatest extent. In addition, it can keep abreast of the patient's condition when the patient comes to the hospital for infusion."

After listening to Dr. He's instructions, Zhou Can nodded heavily.

"Remember, safety comes first at all times. A doctor is a special profession, and he is in control of the patient's life and health. Any negligence may lead to serious consequences. A doctor's parental heart means that a doctor should treat himself Treat patients like children, and consider them more comprehensively and meticulously."

Doctor He warned him earnestly.

At this time, the third patient came into the ward.

This is a woman in her 30s, stylishly dressed, wearing a black shoulder bag, and looks pretty good.Walking is no different from ordinary people, and the mental state is not bad.Doesn't look sick.

"Please sit down! What's your problem?"

Dr. He asked about the woman's condition in a gentle tone.

"Uh...um..." The woman lowered her head in embarrassment, not daring to look at anyone.

His face also turned red.

"I don't hide my illness from the doctor, but it's okay to say it, and there's nothing to be ashamed of." Dr. He comforted her patiently.

After hesitating for a moment, she finally bit her lip and said in a low voice, "I, I feel some pain in my chest recently. When I touch it with my hand, it seems that there is still a hard lump. The pain has been so painful these days that it is difficult to lift my hand."

Zhou Can immediately figured it out based on her drawing skills.

Lumps in female breasts are usually due to diseases such as breast hyperplasia.

"How long has the lump been there?"

"It has been almost two years since I discovered it. But it used to be occasional pain, so I ignored it. Recently, I found that the lump was getting bigger and bigger, and I was a little scared. I checked it online, and many people said it was possible. It's breast cancer..."

The woman was no longer ashamed.

When she mentioned the word breast cancer, there was deep fear in her eyes.

Indeed, breast cancer is known as one of the three major killers of women.

Let a lot of adult women smell the pale.

"Married?"

"Married."

"Have you ever had a baby?"

"The child is almost eight years old."

"Wow, can't you tell, the children are so old, and you are still so young." Dr. He's compliment as if in a joke, immediately relieved the woman's nervousness and anxiety a lot.

The atmosphere in the clinic is also much more relaxed.

"Hehe, you're so proud of me! Doctor, do you think my disease could be breast cancer? I didn't dare to tell my husband or my child when I came for the check-up this time."

Her eyes were full of anticipation.

"Don't worry, no one can tell right now. Go for an ultrasound first to check the thickness of the glands and whether there are nodules in the glands. Breast hyperplasia usually causes obvious pain during menstruation. Don't worry too much. Big psychological burden."

Dr. He not only has profound medical knowledge and rich experience in diagnosis and treatment, but also treats patients with great patience and tries his best to comfort them.

Zhou Can secretly admired the noble medical ethics displayed.

The female patient queued up for an examination with a list.

In this way, more than 20 patients have been treated one after another.

Some are easy to diagnose and some are difficult to diagnose.

Dr. He is patient, easy-going, and rigorous with each patient.

It gave Zhou Can a good example.

At this time, the old lady with a large pustule on her arm came back from her examination.

Check out her test results.

As Zhou Can expected, the infection led to inflammation and a low-grade fever.There is a two-centimeter long shadow inside the pustule.

It is basically certain that the broken bamboo stick is embedded deep in the muscle.

Surgery was arranged for her.

I believe it will be cured soon.

The patient with breast hyperplasia also came back from the ultrasound examination.

Fortunately, there were no ultrasound features such as calcification, blood flow, and unclear margins. Basically, the possibility of malignant transformation is unlikely.

In view of her severe breast hyperplasia and the large size of the tumor, Dr. He suggested that she go to general surgery to remove the tumor, and then do a pathological test to prevent malignancy.

She readily accepted.

This operation is a simple first-level operation and can be done on an outpatient basis.

But it wasn't Dr. He who performed the surgery.

General surgery surgeons are on duty in the outpatient operating room.It is not a special case, and the attending doctor generally does not operate in person.Even if occasionally there is an operation that needs to be performed by myself, the patient will be arranged to be hospitalized first, and the operation will be performed the next day or at another time.

Zhou Can looked at the time, it was 5:21.

I'll be off work soon.

And he gained a total of 8 experience points in one afternoon.

Current experience in pathological diagnosis, level two, 98.6/100, excellent level of regular training.

This makes him very depressed.

You can upgrade with only 1.4 experience points.

"God, another patient! Amen!"

Zhou Can prayed silently.

If he earns another 1 experience point, he will only be short of 0.4 experience points.If you can spare time to read the four cases after you go back, you will be able to improve this most important medical skill.

(End of this chapter)