Chapter 413
Chapter 411: Chapter 190: Keep On Acting, It Turns Out He Wasn’t Acting_3
For instance, B-ultrasonography, MRI, CT, blood routine, urine routine, and so on.
In the actual diagnostic process, doctors often need two or more solid diagnostic bases before daring to give a preliminary diagnosis opinion.
What is a preliminary diagnosis opinion? It’s the kind that ends with a question mark.
“Gallbladder cancer?”
Director Jia took the B-ultrasound report and first looked at it carefully.
Then his face became slightly more solemn, he picked up a magnifying glass and began to examine it closely.
The young and beautiful female doctor Qiu Hong, who stood beside him, initially looked down on Zhou Can’s gallbladder cancer diagnosis, because she had a preconceived notion and thought that Zhou Can was just acting.
However, when she noticed that Director Jia’s expression turned more serious bit by bit, and even took out a magnifying glass to scrutinize the B-ultrasound report, she started to feel doubts.
Could it really be a problem?
Was this resident not just acting?
“The gallbladder does seem to have issues. Qiu Hong, immediately call the B-ultrasound room and check if there are clearer images of this patient’s gallbladder.”
Generally speaking, imaging results are archived.
It’s not that the hospital no longer has records after printing for the patients.
Some responsible major hospitals might even archive multiple images. What’s actually printed for the patients might be just one, or just part of a selection of better ones.
Qiu Hong hesitated for a moment, “Should we pause your outpatient work for now?”
“If this patient really does have gallbladder cancer, then it’s a big deal. It’s okay to postpone the outpatient cases for a bit. If needs be, I’ll skip my lunch break and work a bit longer.”
Doctors’ work is quite flexible.
When problems arise, the priority is certainly the safety of the patient’s life.
“Okay! I’ll make the call right away.”
After she finished speaking, she looked up at Zhou Can.
“Dr. Zhou, notify the guide nurse outside to not call the next patient.”
Qiu Hong’s tone had clearly changed, and Zhou Can could feel it.
He opened the door, instructed the guide nurse outside, and then returned to the examination room.
Guide nurses also belong to the nursing staff, but their status and pay are lower than that of department nurses.
Generally, guide nurses earn 4K a month, whereas department nurses earn at least 5K.
In terms of status, guide nurses also have their own grievances.
In fact, in any organization, it’s similar; for example, assistant police officers’ treatment and status are also lower than that of formal permanent staff.
After contacting the B-ultrasound department on the report, they quickly sent over all the patient’s B-ultrasound images.
Indeed, there were some very clear images of the gallbladder area.
Director Jia, as if he had found a treasure, eagerly and carefully examined them with excitement.
“The gallbladder does have issues, and the possibility of malignancy is quite high. We must immediately notify the attending physician and the patient’s family to discuss the possibility of performing a multiphase spiral CT scan. If necessary, we can also add an endoscopic ultrasonography. The patient’s surgery should be canceled for now.”
Director Jia realized the seriousness of the problem.
The patient’s condition was already not great, and now, following Zhou Can’s reminder, the possibility of gallbladder cancer had been discovered.
The surgery must definitely be canceled.
A reevaluation is necessary.
“The patient’s attending physician seems to be Doctor Tang, I’ll speak to him right away.” Qiu Hong’s immediate phone communication is not mentioned.
After finishing the communication, she notified the guide nurse to continue calling patients.
Many of these patients had taken time off work, or even traveled a long distance for consultation.
Their appointments certainly could not be canceled.
All the patients that needed to be seen had to be finished within the day.
This is the professionalism and sense of responsibility that a doctor should possess.
After this event, Zhou Can’s status clearly rose quite a bit.
Director Jia’s look towards him became even more cordial.
Qiu Hong’s attitude towards him also subtly changed.
Strength is truly a valuable asset; it can help Zhou Can quickly establish his position in the new department time after time.
At this moment, a young woman with a somewhat pale face walked into the examination room.
A special expert appointment can cost hundreds of yuan in fees, and general patients, unless it’s for complex and varied diseases, would choose to see a regular doctor for more economical options.
The woman came alone, without anyone accompanying her.
“Old Jia, hello, I’ve heard that you’re particularly skilled in treating gastrointestinal illnesses, so I specially came from another province to see you.”
“Miss, please have a seat and tell us about your condition. Here, Director Jia will definitely take good care of you!” Qiu Hong comforted her warmly.
The girl looked to be around twenty-four or twenty-five, quite young and fashionably dressed.
But her complexion looked very poor.
“Thank you!”
After she sat down, she began to discuss her condition.
“I don’t know what’s been going on recently, I’ve been having chronic diarrhea, and yesterday it got even worse—eating anything made me vomit, it was extremely uncomfortable. I got examined at a local hospital, and they said I might have enteritis. They prescribed me some medication, but it hasn’t been very effective.”
She handed over her test results to Director Jia for examination.
Basically, patients who come to see a specialist like this have already had tests or possibly treatment in other hospitals.
So, they typically have one thing in common—they come with reports from other hospitals seeking consultation.
After receiving the reports, Director Jia carefully examined them one by one.
“Did you have any long-term discomfort before the diarrhea started?”
Rome wasn’t built in a day.
Some more serious diseases don’t happen instantaneously. They accumulate slowly and eventually erupt like a volcano.
Her condition was both vomiting and diarrhea, which could also be triggered by a cold.
Experienced doctors will check one by one when diagnosing patients.
Not jumping to conclusions right away.
The more skilled the expert, the more comprehensive the considerations. So never question whether an expert’s skill level is the problem.
Maybe he is just considering things more thoroughly for you.
“I didn’t have any other symptoms, just long-term constipation. Probably for over two years. I searched on Baidu and it said that eating more vegetables and fruits could help, so I tried dietary therapy. It indeed relieved the issue somewhat, but the constipation persisted.”
She was a bit embarrassed when talking about constipation.
After hearing her, Director Jia nodded and took down detailed notes on her medical record.
Zhou Can began to think about what exactly the young female patient might be suffering from.