This young doctor had quite a surprise for her. Doing things modestly and low-key, but also decisive and generous, the key is that this young man's diagnosis level is extremely high.

So high that even she, a top expert in obstetrics and gynecology, couldn't help but applaud him.

From Zhou Can coming over to the final diagnosis, there was no urine spot in the whole process.

It's crisp and clean, and the diagnosis is extremely clear.

I don't know how many times stronger than those bells and whistles 'flower boxing and legs'.

Compared with those pompous and vain young doctors, Zhou Can is simply a breath of fresh air. It makes people feel like they are bright.

"I'm not sure, but I'm just extrapolating from some of the patient's conditions and my personal clinical experience. I believe that her primary lesion may be in the stomach, and I mainly argue from four aspects. First, the formation of a tumor is not a day or two, but requires a long period of gestation to break through the body's multiple immune protections before it can finally grow into a tumor. Her ovarian tumors were not only numerous, but also small in size, indicating that the possibility of tumor cells spreading from other places to the ovaries is very high. ”

Zhou Can explained his dialectical thinking unhurriedly.

"Second, there are only a few types of ovarian tumors that tend to occur in young women. For example, endodermal sinus tumors, germinocytomas, and teratomas. However, her ovarian tumor is not one of these types, and the probability of metastasis from other places has increased again. ”

"Thirdly, the patient's pain area is in the stomach, and ovarian tumors generally only cause pain in the lower abdomen. Depending on the metastasis of the tumor, top-to-bottom metastases or parallel metastases are more common. Therefore, I think that if a tumor occurs in the stomach and is not detected in time, it is more likely to metastasize to the ovaries. For example, Krugan erecoma is a metastasis that originates from a tumor of the gastrointestinal tract. ”

"Finally, the patient had symptoms such as nausea, vomiting, regurgitation, etc., which also indirectly confirmed that she had a stomach problem. Gastric tumors are generally easy to be ignored by patients, with high concealment and low probability of detection. Very many patients with stomach tumors are already at an advanced stage once they are discovered. ”

Zhou Can stated the basis of his assertions one by one.

After listening, if it weren't for the inappropriate occasion, Director Zhang Bihua wanted to applaud him.

"Dr. Zhou's diagnosis and analysis, I think you have also heard it. If you want, I'll make an appointment for you to have a gastroscopy right away to check your stomach. If the primary lesion is really in the stomach, you need to be prepared for the worst. ”

Director Zhang Bihua first vaccinated the family members and patients.

Waiting for the worst outcome to come out can make them mentally prepared.

"We agreed to a gastroscopy. Director Zhang, please save my daughter, she is still so young, and the children have not been weaned yet......" The girl's mother said as she choked up so much that she couldn't say any more.

Tears were rolling in his eyes.

Female patients are more likely to be fearful and flustered.

This kind of catastrophe is unbearable for any sick person.

"Don't cry, don't cry, the disease is not terrible, as long as we are strong, optimistic, and brave, we have a chance to overcome it." Director Zhang Bihua hurriedly comforted the female patient's mother.

Yang Chan also took out a pack of tissues, took out one and handed it to her family.

I made an appointment with the patient for a gastroscopy and asked her to go for a gastroscopy immediately.

Xinxiang Women's and Children's Hospital has experienced a sharp decline in diagnosis and treatment business, and there are few patients, and there is almost no need to queue up for various examinations. It will be done very quickly and get the test results.

At this moment, Dr. Tian did not accompany the experts of Tuya Hospital in the consultation hall, but sat in an office on the second floor and observed the situation in the outpatient hall through the window.

Seriously, inviting the experts from Tuya Hospital to come over for an outpatient visit, he was quite nervous in his heart.

Both nervous and expectant.

He is more afraid that the higher the expectations, the greater the disappointment.

So far, the arrival of experts has not brought the expected popularity. The outpatient hall is still deserted.

For any director, it must be uncomfortable to watch a good hospital get worse and worse under his own management.

Dean Tian has a deep sense of guilt in his heart, and his biggest hope now is to restore Xinxiang Women's and Children's Hospital to its original level. It's just that anything is easier said than done.

A bowl that shatters it only in an instant.

To make a bowl, dozens of processes are required. From the selection of the tire mud, to the preparation of the ingredients of the mud tire, and then to the manufacture of the bowl blank, and then it is fired, then glazed, and fired a second time.

Any one of these process mistakes may cause firing failure.

After several generations of hard work, it took more than 70 years for Xinxiang Women's and Children's Hospital to have a hard-won situation. As a result, because of a medical accident, the hospital was on the verge of closure, which is really sad.

President Tian was anxious to save Xinxiang Women's and Children's Hospital, and at this time, Zhou Can's outstanding performance made him pay more attention.

It's like seeing a ray of light in the darkness.

"What's the origin of that young doctor? It looks like it's pretty powerful. ”

The assistant who was standing behind Dean Tian shook his head, "I don't know this young doctor either, I only know those famous people in Tuya Hospital." There is also the returnee doctor Du Leng. There were not a few hospitals that grabbed Du Leng, a special talent, and Du Leng plunged into Tuya Hospital. He deserves to be a high-IQ and highly educated talent, and it seems that he made the right choice at the beginning. It's only been less than two years, and he's already been promoted to an attending physician. ”

Graduated from an overseas prestigious university and has a doctorate degree, which is enough to make Du Leng far easier to become famous than ordinary medical students.

There are not a few hospitals that pay attention to him.

It's just that at this moment, he is somewhat dwarfed by Zhou Can.

Zhou Can really diagnosed a difficult case, and Du Liang was still talking there, and there was no substantial progress.

Don't look at the patients and family members who gathered around Du Leng's table with adoring expressions, but these people didn't come to the hospital to listen to the doctor's lectures. If Du Leng could not cure their disease, he would soon be abandoned.

Zhou Can helped the two chief physicians diagnose the case and prepared to return to his seat.

Yang Chan stared at him and said with a wink.

"I haven't seen you for more than a year, and I didn't expect your diagnostic ability to be improved to such a height. And I found that your basic medical knowledge is much more profound than before, and I remember that this used to be your weakness. ”

was praised by her so much, but Zhou Can was indifferent.

"Delusion, that's all your delusion, you know?"

Zhou Can was modest on his lips, but he was extremely happy in his heart.

Basic medical knowledge has always been Zhou Can's weakness, and it can be regarded as raising his eyebrows in front of her once.

After hundreds of days and nights of hard study, the benefits of making up for the shortage of basic medical knowledge have gradually begun to appear.

Whether in the operating room, outpatient room, or inpatient ward, the use of basic medical knowledge is essential.

Any medicine you use must be supported by solid basic medical knowledge.

Otherwise, the prescribed drug is likely to not achieve the desired effect. It may even lead to trouble.

Yang Chan snorted and ignored him.

However, judging from her expression, she obviously didn't believe Zhou Can's words.

After Zhou Can and Deputy Director Shi returned to their seats, they continued to be cold.

This is how patients see a doctor, and the head effect is obvious.

Given the choice, almost all patients will be given priority to a reputable doctor.

At this time, Du Leng had already completed the diagnosis of two patients.

It's not that he necessarily found out the disease, but he talked to the patient, prescribed an examination, and asked the patient to do laboratory tests and examinations. At this time, a very obese woman, accompanied by her family, came over with difficulty.

She really felt like the ground was shaking when she walked.

It was as if the ground was trembling slightly.

It is conservatively estimated that this woman is at least two hundred and seventy or eighty pounds.

It is estimated that she may not be able to see her hands when she eats, and she looks down to see her toes, which is even more of a luxury.

People who are fat like this, regardless of men and women, must first find the reason from themselves.

The excessive spoiling of parents, their own indulgence in eating, and their reluctance to diet after being overweight will eventually grow into a super fat person.

"Finally, a patient came to see us."

Deputy Director Shi stared at the overweight woman, with a hint of expectation on his face.

Obesity is actually a disease.

It is easy to go from thrift to luxury, and it is difficult to go from luxury to thrift.

It is easier for obese people to grow from thin to fat, eat and drink with their bellies open, and lack of exercise, they can quickly find fat people. But to change from fat to thin, it takes more than ten times the effort.

The process was very arduous.

This is also the reason why diet pills on the market sell so well.

People who take diet pills know that they are harmful to their health, but they still pay a high price to buy them at home. In order to change from fat to thin.

Especially women, being too obese will damage their image, become ugly, find a job, and fall in love will all suffer setbacks.

"Dr. Du, please help our daughter to see, when she was sleeping, she fell asleep and suddenly stopped breathing. It's particularly scary. The fat woman did not go to their table, but to Du Leng's table.

This kind of disease of sudden apnea is actually better to see the respiratory department.

However, people are here for the name of Dr. returnees, and Zhou Can and Deputy Director Shi really have only envy.

"The name of Dr. returnee is really popular."

Deputy Director Shi whispered a little sourly.

"Otherwise, why do many people want to study abroad and pay for it?"

Zhou Can never thought that international students must be powerful.

For overseas students, he maintains a normal heart.

People who are really admitted to prestigious schools by virtue of their strength, study hard overseas, and get the corresponding degree, this kind of overseas student is really capable. Belong to the world's top talents.

If they want to return to China after completing their studies, the foreign civil affairs bureau will be very enthusiastic to retain them.

There is another one, which is to spend money to gild abroad, and some also study for a year or two, mixed with a graduate degree.

Because it is too difficult for this type of student to take the postgraduate examination in China.

By upgrading your academic qualifications through this curve, it is easier to obtain a graduate degree. Then I will return to China to find a job, enter a large factory, a large state-owned enterprise.

This kind of person has a lot of academic qualifications, and his ability may not be as good as that of a serious undergraduate student in China.

Judging from Du Leng's current performance, it should belong to the former.

does have a certain amount of real talent, but because his personality is too proud, and he has a strong sense of superiority after returning to China, he is not very pragmatic.

It feels more like a showcase.

The super-obese female patient glanced at the plastic stool at the table. She hesitated.

Standing for a long time was very taxing on her body, and after walking so far, she had long wanted to sit down and rest.

It's just that this thin plastic stool can't withstand her 'oppression'.

"Find a sturdy chair for the woman and send it, it's a trivial matter to break the stool when it will be crushed, and if someone falls and is injured, several people may not be able to help her!"

Dean Tian has been standing in this office on the second floor, watching the situation in the outpatient hall.

When he saw that the female patient wanted to sit on the plastic stool, he was immediately frightened.

Fortunately, the female nurse at the scene was very clever, and quickly dissuaded the obese woman to let her stand for a while, and immediately found a way to find a chair for her.

Soon, the nurses at the hospital brought an iron chair.

It looks pretty sturdy.

The fat woman sat down with her help, and the people around her looked worried, and everyone was worried about the chair, afraid of being crushed by her.

In fact, the chair made a "crunch" sound as she sat on it.

Du Leng was the first time to receive this kind of super fat man, and he was obviously intimidated by the other party's 'momentum', and he looked a little unconfident.

"Hello, can you tell me when you started to have a sudden pause in breathing while you fell asleep?"

"I don't remember much, but it started three or four years ago! I also took her to a big hospital for a lot of examinations and took some medicine, but it didn't work. ”

The family members were a couple of about 50 years old, and the man put the information bag in his hand in front of Du Leng.

There are various checklists inside.

Du Leng took it out and looked at it.

"Her sudden pause in breathing during sleep is probably related to her obesity rather than a neurological problem. As a result of excessive obesity, it leads to a decrease in the cross-sectional area of the pharynx and a marked increase in neck circumference. As fat deposits in her neck, it eventually causes the upper airway to become narrower and narrower

。 After falling asleep, the muscle tone of the pharynx changes, causing her airway to become blocked and her breathing to pause. ”

After reading the examination materials, Du Leng gave the patient a general examination, and then gave a conclusion.

It is undeniable that his medical knowledge is quite profound and his level is not bad.

The reason given was very reasonable, and even the surrounding doctors and nurses nodded their heads again and again.

Only this time, the family doesn't seem to be buying it.

"Dr. Du, the reason you mentioned is what the doctors there said when we were treating patients in other hospitals. And surgery has been done to improve the airway. My daughter's condition has improved somewhat, but she still has apnea sometimes. ”

The family recounted.

"I didn't see that you have surgery-related information and medical records in this bag!" Du Leng just swept through the information in the information bag, if there was a patient's surgical record, he would have seen it a long time ago.

"Hmm...... It has been more than four years since the operation was performed, and the relevant information has long been lost. ”

The woman's mother hurriedly explained beside her.

"That's right! I'll help her see again! ”

Du Leng tinkered for a while, obviously unable to find a second cause other than obesity.

"Otherwise, I'll prescribe a contrast-enhanced CT and bronchoscopy for her. Wait until the test results are available before making a further diagnosis. It is also possible that the results of the surgery are not as expected, or that the body continues to gain weight after the surgery, causing the airway to re-narrow. ”

Out of trust in him, the family readily agreed.

So I opened an application for an inspection and went to do an inspection.

Zhou Can and Deputy Director Shi didn't have a single patient, so they were so idle that they kept watching Du Leng diagnose this woman just now.

Judging from the family's description of the condition, as well as the woman's wheezing sound when walking, and her old and thick neck, Zhou Can felt that the woman's apnea during sleep was probably not related to the airway.

There are many reasons for this symptom, and if you are only confused by the superficial symptoms of obesity, it will be like holding a candle and not knowing yourself.

When she finishes her bronchoscopy, she will see the results.

Whether it was the previous gastroscopy for the ovarian tumor patient or the bronchoscopy for the obese woman, fasting for four to six hours was required.

Bronchoscopy is usually done with local anesthesia, which is a low risk.

It is estimated that the results will not be available until the afternoon.

(End of chapter)