……

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

If it's morning, there will be more patients waiting here.

Modern people live a fast-paced life and are busy with work, and it is easy to neglect their physical health. Some small problems become big problems when they are dragged on.

In addition, environmental pollution is becoming more and more serious, and garbage and harmful food are overflowing, resulting in 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 responsible for writing medical records for a while."

"Okay!"

Zhou Can learned to write medical records on the first day he entered the hospital, and he has been practicing for nearly a year, and he has already become proficient in writing medical records.

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

"Doctor He, can you start calling numbers?"

"Call it!"

"No. 1 Huang Fuqiu, No. 4 Clinic."

The voice of a female nurse came from the loudspeaker.

Soon, a middle-aged man walking with a pouting butt pushed the door in.

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

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

"Look at your good form, how are you feeling now?"

"Everything else is fine. Even when walking, the wound is still a little painful, and I can only sleep on my side or on my stomach. In the two days just after the operation, the stool was particularly painful......"

The patient gave a general description of what it was like after surgery.

"Okay, go to the back and take off your pants, I'll check it for you."

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

The patient's wound recovery was good.

The wound has scarred.

Dr. He prescribed him anti-inflammatory drugs and told him not to take a bath and to take the medicine on time. If you feel unwell, please come to the follow-up at any time.

A patient is done.

Zhou Can was slightly disappointed that he didn't earn any experience points.

However, he has also gained something, and he will be able to have a good reference for returning patients who have undergone hemorrhoidal surgery in the future.

Immediately after, a second patient walked in.

It was an old lady with sparse hair, a thin figure, and a large pustule on her wrist. The family member who accompanied her to seek treatment said that after being pricked by a bamboo stick, the patient removed the bamboo stick by himself and did not take it too seriously.

As a result, after a while, instead of healing, the wound became more red and swollen.

It wasn't until the recent start of suppuration that the patient developed symptoms of low-grade fever and severe pain, and then rushed to seek medical attention.

After a brief inquiry, Dr. Ho conducted a physical examination of the patient.

"I'm going to do a blood routine and ultrasound first, and then come to me with the test results."

He instructed Zhou Can to open two checklists with his name.

Thanks to the high development of modern science and technology, now the prescription of checklists and medicines can be entered into the computer. It is convenient to calculate and pay fees, and it is also convenient to check the file afterwards.

However, patients still have to take the slip to the queue.

After the patient left, Ho Hansheng spoke to him in a casual tone.

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

Zhou Can had already begun to think about the cause of the patient's abscess.

The patient's symptoms, the cause of the disease, he quickly went through it in his mind. Then, according to the medical knowledge learned, the pathological mechanism is analyzed and located.

"A low-grade fever should be an inflammatory response triggered by an abscess that causes bacteria to invade the bloodstream."

The human body has a complete set of immune mechanisms.

When the body's immune system detects an invasion of a foreign body or pathogen, it responds immediately. Phagocytes, lymphocytes, lymph nodes, spleen, etc. in the blood, one after another, will become warriors to protect the body and kill those pathogens.

Inflammation is actually a form of self-protection for the body.

"Severe pain in the arm and inability to sleep at night indicate that the abscess is still spreading and constantly destroying normal body tissues."

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 up."

This happens from time to time.

When an object such as a bamboo skewer or wooden thorn enters the flesh, it may be that it is stuck too tightly and only part of it is pulled out.

And 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 analyzing, he liked to mention 1 experience point.

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

He now has an excellent level of training, and he is accurate at the same time.

"What about the treatment?"

"Cut open the wound to drain pus, clean up the bamboo skewers or foreign bodies broken inside, clean the wound, suture and bandage, and then prescribe some anti-inflammatory drugs." Zhou Can finished the treatment plan he had thought of in one breath.

He Hansheng smiled slightly, "There is nothing wrong with the previous steps, and anti-inflammatory drugs need to be supplemented." In such cases, infusions should be given in the hospital until the patient's infection is under control before oral anti-inflammatory drugs are prescribed. The effect of infusion is faster and stronger than that of oral administration, which ensures that there are no accidents to the greatest extent. In addition, it can also keep abreast of the patient's condition when the patient comes to the hospital for infusion. ”

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

"Remember, safety comes first at all times. Doctors are a special profession that controls the lives and health of patients. Any negligence can lead to serious consequences. The doctor's parental heart means that the doctor should treat the patient as if he were his own child, and should consider it more comprehensively and carefully. ”

Dr. Ho admonished him earnestly.

At this moment, a third patient walked into the room.

This is a woman in her thirties, dressed stylishly, carrying a black shoulder bag, and looks quite good. Walking is no different from ordinary people, and the mental state is not bad. It doesn't look like it's sick.

"You may be seated! What is your problem? ”

Dr. Ho asked about the woman's illness in a gentle manner.

"Uh...... Well......" The woman lowered her head a little embarrassed, and her eyes didn't dare to look at people.

The face was also red.

"I don't shy away from the doctor, but it's okay to say it, there's nothing to be embarrassed about." Dr. Ho patiently comforted her.

After hesitating for a moment, she finally bit her lip and whispered, "I, I feel some swelling pain in my chest recently, and when I touch it with my hand, it seems that there is still a hard lump." These days, it is even more painful to raise your hand. ”

According to her delineation, Zhou Can immediately pondered.

If a hard lump occurs in a woman's chest, it is usually a disease such as breast hyperplasia.

"How long has it been since the lumps?"

"It's been almost two years since I found out. But in the past, it was only occasional swelling pain, so I ignored it. Recently, I noticed that the lump was getting bigger and bigger, and I was a little scared. I looked it up on the Internet and many people said it could be breast cancer......"

The woman was not so ashamed at this time.

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

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

It makes many adult women smell it.

"Married?"

"Married."

"Have you ever had a baby?"

"The child is almost eight years old."

"Wow, I can't see it, the children are so old, and you are still so young." Dr. He's joking praise immediately alleviated the woman's nervousness and anxiety.

The atmosphere in the clinic is also much more relaxed.

"Hehe, you've won the prize! Doctor, do you think my disease will be breast cancer? I didn't dare to tell my husband or children this time. ”

Her eyes were full of anticipation.

"Don't worry, no one can say right now. You'll start by going for an ultrasound to see how thick the gland is and if there are any nodules in the gland. If you have breast hyperplasia, it will be obviously painful when you come to menstruation, so you don't have too much psychological burden. ”

Dr. Ho not only has a profound medical background and rich experience in diagnosis and treatment, but also treats patients with great patience and does his best to comfort them.

The noble medical ethics displayed made Zhou Can on the side secretly admire.

The female patient lined up with a list for the examination.

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

There are easy to diagnose and some difficult to diagnose.

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

gave Zhou Can a good demonstration role.

At this time, the old lady with a large pustule on her arm came back after a check-up.

After reviewing her test results.

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

It is almost certain that the broken bamboo skewer is embedded deep in the muscle.

Surgery was scheduled for her.

I believe that he will be cured soon.

The patient with breast hyperplasia also came back from an ultrasound.

Fortunately, there are no ultrasound features such as calcification, blood flow, and unclear margins, and it is unlikely that malignant transformation is basically possible.

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

She gladly accepted.

This surgery is a simple first-level surgery that can be done on an outpatient basis.

However, it was not Dr. Ho who did the surgery.

The outpatient operating room is staffed by a surgeon from the Department of General Surgery. Unless it is a special case, the attending doctor will not perform the operation himself. Even if there is an occasional surgery that requires the patient to perform the surgery himself/herself, the patient will be hospitalized first and the surgery will be performed the next day or at another time.

Zhou Can looked at the time, 5:21.

It's almost time to get off work.

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

Current experience in pathological diagnosis, level 2, 98.6/100, excellent level of regulation and training.

This made him particularly depressed.

There is only 1.4 XP left to level up.

"God, another sick person! Amen! ”

Zhou Can prayed silently.

Earn 1 more XP and he's just 0.4 XP short. You can squeeze in time to read four cases after you go back, and you can ascend to this most important medical skill.