"You take this and pay the fee, and then after you do the inspection, you can just come here with the results of the examination. After the examination, you can skip the queue and just tell the nurse outside that you will be let in. ”

Make a test request form and give it to the patient.

In the past, you had to wait in a long line to pay a fee, and you couldn't pay it for half a day.

Nowadays, with the rapid development of mobile payment, payment has become very convenient.

Hospitals no longer see long queues to pay.

"Thank you!"

After thanking the family, they got up and walked out with their daughter.

Zhou Can opened the door for them and sent people out.

The next patient was welcomed in again.

The outpatient clinic is always so busy.

Many people think that it costs hundreds of hours to see a special needs expert, and at least they have to conduct a detailed consultation for an hour.

In fact, when encountering a disease that is familiar to the medical specialist, it may not be done in ten minutes.

If the incurable disease cannot be diagnosed on the spot, the patient will be sent away according to the situation, or hospitalized for observation for further detailed diagnosis.

Therefore, there is really no need to register as an expert for ordinary diseases.

A few dollars can also be used to treat the disease.

The tests and treatment plans are basically the same as those of specialists.

"Director Shang, please help me take a look! I feel like I'm going to die! ”

The patient was an old man over 70 years old, with a ruddy complexion and a fat body.

Pushed into the examination room in a wheelchair by a woman in her forties.

When the patient came in, he snorted with a pained expression.

"Don't worry, when you come to me, I will definitely give you a good treatment. I listen to your voice quite a lot, and I don't look like someone who is seriously ill! While comforting the patient, Director Shang carried out a preliminary visual examination of the patient.

It is also called a visit.

This is the first diagnosis that all doctors must make after seeing a patient.

"There is no big problem, but recently I always feel stomach pain and bloating, and after a while after eating, it seems to be gushing out of the mouth again, but it is uncomfortable."

The old man snorted and introduced his symptoms.

The previous patient had abdominal distension and occasional mild abdominal pain that would result in a feeling of fullness after a few bites of food.

Symptoms in this patient do not appear in the abdomen, but directly in the stomach.

After Zhou Can heard the symptoms, he looked at this interesting old man.

But he was muttering in his heart, this old man was full of energy, his face was ruddy, and he didn't look like a serious illness no matter how he looked at it.

However, no one can say for sure, and you will only know until you have done an inspection.

Employees in many units do physical examinations, and this often happens. Looking at a very healthy person, the patient himself did not have any serious symptoms, and his colleagues around him thought that he was in good health.

The results showed that liver cancer was in the middle and advanced stages, rectal cancer, and so on.

Zhou Can has seen many such examples.

Therefore, it is difficult to diagnose whether the other person is seriously ill just by looking at it with his or her eyes.

While recording the patient's symptoms, Director Shang asked about the patient's medical history and whether there were any other symptoms.

It is understood that in addition to stomach bloating, stomach pain, and food reflux, patients occasionally have low back pain.

As for the patient's wheelchair, it was a work injury many years ago.

At that time, there was an accident at the factory, which caused paralysis of the lower limbs. Since then, he has been in a wheelchair. The old man also received a large amount of compensation. At that time, the house price was not expensive, and the old man used the compensation money to build his own façade house and housing.

I think that I will not be able to work in the future, but I can get rent by renting out the façade and housing.

This way, you don't have to worry about not having money to eat in the future.

In fact, God was very merciful and favored this unfortunate old man.

The location of his self-built façade house has gradually become a commercial center, and he has saved a lot of money by collecting rent over the years. The house is riding the east wind of the rising real estate, and the market value has been rising.

In addition to bringing the old man an annual rental income of 2.78 million, this self-built house itself is worth more than 7 million.

Therefore, the old man's financial resources do not have to worry at all.

The middle-aged woman who pushed him to see the doctor was not the old man's daughter, nor was she a relative.

Rather, it was a nanny hired by the old man.

According to the old man, his wife had been dead for several years. Only one daughter is married far away. The daughter and son-in-law's family are very rich and run more than a dozen supermarket chains, and they want to take him over to live with him, but he is unwilling.

I feel more comfortable living alone.

Come to think of it, a seventy-year-old person hired a forty-year-old female nanny to wait for her 24 hours a day, and his small life must be quite comfortable.

Life is guaranteed, there is no shortage of money to spend, life is comfortable, and the old man is naturally afraid of death.

My body was a little troubled, so I hurried to the hospital.

This time, I had stomach pain and bloating, and I directly hung up a special expert number.

Anyway, age is here, spend some money to buy a health, he is willing to do it.

"Director Shang, just say it bluntly, is my disease stomach cancer? If it's cancer, I'm not going to toss. ”

After the old man finished talking about his situation, he couldn't help but get nervous again when he saw Director Shang muttering and not speaking.

The female nanny leaned down and approached the old man to comfort him gently.

"Your lucky stars are shining, you will be fine, just put your heart in your stomach! Even if something goes wrong, I will always stay by your side and take care of you. ”

In front of so many doctors, the tone and demeanor of the nanny and the old man were very intimate. If there is no one, I am afraid that I will be more presumptuous.

Zhou Can has seen some similar lace news on TV and online.

The female nanny covets the property of the male employer, tries to please the male employer, and then marries him, transforming from a nanny to a hostess. Then use various methods to get the male employer to transfer the property to her name.

When the time comes, as soon as the male employer dies, she owns the property on her own.

Even, there are some female nannies who are even more ruthless. When the real estate and money are in hand, there are those who directly tear their faces with the male employer.

Zhou Can couldn't help but feel worried about this old man.

Looking at this situation, the old man is afraid that he will be sad to pass the beauty pass. Most of them will be deceived.

"Huihui, you're still good to me." The old man was very satisfied with the female nanny's statement.

Director Shang did not take the examination of several young doctors this time, and directly opened an application for examination and asked the patient to go for an examination.

After sending the patient away, he motioned to Zhou Can not let the patient in first.

"Do you know what that patient is?"

Director Shang asked all the doctors under him.

"Doctor Huang, tell me about it."

This time, I asked the attending physician directly to the assistant doctor, which showed that the patient's disease is difficult to diagnose.

"It should be stomach ulcers, gastritis and other diseases!" Huang Xinggui apparently had secretly diagnosed the patient's illness a long time ago.

Based on the symptoms described by the patient, it does resemble gastritis.

"What about your diagnosis?"

Director Shang quietly asked a few young doctors.

"I don't dare to jump to conclusions, I have to look at the examination report to make a diagnosis."

Qiu Chengyu's answer is basically equivalent to admitting that he has no way to diagnose the patient's disease.

If you make a mistake, you can easily get slapped in the face.

This vague statement is most advantageous.

"I think it's gastritis!" Xie Lin's diagnosis is consistent with Huang Xinggui's.

"I think it could be a duodenal problem." Luo Jingyi can pull any disease to the duodenum, and it is estimated that he had a grudge against the duodenum in his previous life.

Zhou Can was the last to speak.

This time it was not that he really wanted to be the last to speak, but that the old man's illness was very difficult to diagnose.

It's hard to draw conclusions just by relying on some symptoms without any medical evidence.

"Doctor Zhou, I believe you have already diagnosed the disease of the previous patient. The latter patient's disease is challenging, tell me about your diagnosis! ”

Director Shang asked him with an interested face.

In this case, Zhou Can is not easy to sweep Director Shang's interest.

I had to reply stubbornly, "When you and Luo Jingyi were doing a physical examination on the patient just now, I noticed that the patient had unusual eczema. And his paralyzed lower ankles were a little swollen. I thought it was the patient's chaotic private life with the female nanny that caused eczema. I thought about it for a while, probably not. ”

These words made the two young female doctors blush.

Although they are all twenty-five or sixteen-year-old girls, they may have been in love for a long time, but hearing this sensitive topic still makes them feel embarrassed.

"Combined with the patient's occasional low back pain, as well as symptoms such as stomach bloating, stomach pain, and food reflux, I suspect that the patient is likely to have eosinophilic gastroenteritis."

This is a fairly rare disease.

Patients will show symptoms of a variety of gastrointestinal disorders and experience various physical discomforts.

This abnormal invasion of eosinophils causes an inflammatory-like response in the gastrointestinal tract. However, it is different from ordinary inflammation.

It is possible to diagnose only if the diagnosis and treatment is extremely experienced, or if the diagnostician is meticulous, has a deep knowledge of medical knowledge in this area, and has rich clinical experience.

"The clinical manifestations of this disease include three types: mucosa, myometrial and serous. The patient does not present with intestinal obstruction, and the myometrial type can be ruled out. The patient also does not have a bulging abdomen, and ascites is mild, and the serous type can be ruled out. The patient's main manifestations were abdominal pain, nausea, vomiting, and mild diarrhea, so I would venture to speculate that he was likely to be infiltrated with the mucosa of the digestive tract and belonged to the mucosal type. ”

Zhou Can further made a diagnosis and analysis of the patient's disease type.

Interlocking, logical and rigorous, the medical knowledge revealed is also extremely profound, which makes other doctors admire him very much.

Especially the two young female graduate students, when they looked at Zhou Can, their eyes were shining.

Huang Xinggui, the attending physician, was full of amazement.

It was only at this moment that he was surprised to find that Zhou Can's diagnosis level seemed to be even more sophisticated than his main treatment.

Originally, I thought that Zhou Can's diagnosis and treatment level was at the level of a resident doctor at most.

Now it seems that he really underestimated him.

They didn't know about Zhou Can's brilliant achievements in other departments. Especially in the last month of general surgery, it was really a big kill, and successfully helped Liu Lao diagnose a number of ultra-difficult cases of incurable diseases.

You must know that many of those cases are patients who have been seen by experts and famous doctors in many hospitals, but the cause has not been found.

The results were all diagnosed by Zhou Can.

When he was still an intern, Zhou Can had an extraordinary talent in pathological diagnosis.

After nearly two years of training and learning, rich experience in clinical diagnosis and treatment, so many chief physicians have taught each other. In addition, he later frantically supplemented basic medical knowledge.

Eventually, his diagnosis level continued to rise.

Now, on the surface, it is the main level. The actual ability is not weaker than that of the deputy chief physician.

Even in the diagnosis of some incurable diseases, his Qingqi diagnostic ideas are even better than those of the chief physician.

"Teacher, did you say that Dr. Zhou's diagnosis was correct? I sound like that! ”

Xie Lin was full of curiosity about this young trainee, but also gave birth to a trace of admiration.

The old man's pathology is quite complex, and the symptoms are extremely ordinary.

Diagnosis is very difficult.

She thought that the patient might have gastritis, which was the same as the diagnosis of the attending physician Huang Xinggui, but she was not confident at all.

It's like looking for a job, it's just an ordinary education, and the work experience is very small. One company said it could give her a salary of 20,000 a month. In this case, people with a slightly more normal mind will put a question mark in their minds.

"My initial diagnosis was gastroenteritis, but after listening to Dr. Zhou's analysis, I very much agree with Dr. Zhou's opinion. It is likely that the patient's disease is really eosinophilic gastroenteritis rather than simply common gastroenteritis. ”

Director Shang is honest enough.

Even in front of the students, there is no concealment, or gold on the face.

Instead, he honestly told the student that his original diagnosis was only gastroenteritis, and he could not diagnose it as accurately as Zhou Can.

"Dr. Zhou's diagnostic ability is so strong! I'll have to learn from you in the future. ”

Xie Lin looked at him with adoration.

When she found out that Zhou Can's diagnosis was more accurate than that of the teacher, the shock in her heart was beyond imagination.

"Hey, I'm just a blind cat who bumped into a dead mouse, just in time. Besides, the final diagnosis will not be known until the patient has completed the examination. Now it's just a matter of discussion. ”

Zhou Can didn't dare to steal the limelight in front of Director Shang.

Humility is the most appropriate response.

"Anyway, I just think you're awesome. In the future, I must learn more from you and ask for more advice. By the way, the teacher said that you have diagnosed the disease of the first patient, can you tell us what kind of disease the young girl has? ”

She took the opportunity to ask about the first patient's diagnosis.

This time, the other two graduate students also pricked up their ears.

They are also curious to know the answers.

"Uh...... I would like to begin by stating that my diagnosis is not necessarily correct, it is just a personal opinion. The first patient's symptoms, combined with the information available to her, resemble atrophic gastritis caused by H. pylori infection. ”

Zhou Can gave his own diagnostic conclusion.

This disease is more common.

Especially in a well-known hospital like Tuya, it is often able to receive such patients.

Helicobacter pylori is also a major killer of stomach cancer.

"It turned out to be this disease, no wonder you can prescribe three tests in one go! Oops, I suddenly realized that after studying with my teacher for so long, I still didn't know anything. ”

Xie Lin patted her head lightly, and she was cute.

made Zhou Can and the others all laugh.

A young girl who looks good can indeed bring a certain amount of happiness to a man when she sells cuteness.

The reason why this world is beautiful and why men will not want to return is precisely because of the happiness that female compatriots bring to male compatriots.

The world is cold and ambiguous, and when it comes to the extreme, it is nothing more than a love word between a man and a woman.

To this philosophical saying, one more sentence should be added, if there is a lack of women in the world of flowers, there will be only the world and no flowers.

"Dr. Zhou, can you tell me how you diagnosed that young female patient with Helicobacter pylori infection?"

Luo Jingyi has always been very quiet and shy, and she hardly speaks except for answering Director Shang's questions.

At this moment, he couldn't hold back the strong curiosity in his heart, so he took the initiative to ask Zhou Can a question.

"Maybe my nose is better! She opened her mouth and yawned, although she blocked it with her hand, but the bad taste in her mouth after Helicobacter pylori infection was still very obvious. At that time, I listened to her symptoms and combined her medical history and other information, and then I determined that she was most likely infected with Helicobacter pylori. ”

After Zhou Can finished answering, he hesitated.

He continued, "I think her mother should also get tested for H. pylori." The smell when she spoke was worse than that of her daughter. ”

This kind of thing must not be said in front of the patient.

Because it hurts people's self-esteem.

Now only a few of them doctors discussed, but Zhou Can didn't have any concerns.

Helicobacter pylori is somewhat contagious.

Especially as a family, it is easy to infect each other because they eat together every day. Not to mention couples. Basically, as long as one party has the disease, the other party can't escape.

(End of chapter)