My medical skills add experience

Chapter 286 A Major Breakthrough in Pathological Diagnosis, Special Medical Skills and a Heart of Compassion
Man is steel, woman is water.

Women can control men because they know how to overcome strength with softness.No matter how strong a tough man of steel meets a beautiful woman with wisdom, he will turn into soft fingers.

It is undeniable that the female reporter has successfully won Zhou Can's favor for her by using her superb communication skills.

At least Zhou Can looked at her no longer so cold and heartless.

It's just that she wants to let Zhou Can accept her interview like this, and I'm afraid she will still be disappointed.

"The law doesn't stipulate that citizens must be interviewed by reporters, right? You have the right to interview me, and I have the right to refuse. I am not a prince. Why do some girls always think they are princesses when they meet me?"

Zhou Can teased.

"You are too much! I always thought that the doctor's sharpness is the scalpel, but now I know that the doctor's mouth is stronger than the knife!" She found that the young doctor's bickering ability was too strong.

If the fight continued, she would be abused even worse.

She simply used the woman's ability to overcome strength with softness again, and while attacking Zhou Can coquettishly, she stopped bickering with Zhou Can.

Instead, they decided to change tactics.

"Doctor Zhou, I think you must have some misunderstandings about our journalist profession. We journalists are not the kind of journalists you think we want to grab attention and dig news. There is no limit. Look, this is my press card. It's serious. He passed the exam! Only those profit-seeking paparazzi have no professional ethics."

She was going to explain her identity and position clearly first.

It can be seen from this that she is very smart.

Because she can keenly judge where the misunderstanding is from Zhou Can's resistance to her.

Because of Su Qianqian being blackmailed and secretly photographed by the paparazzi many times, Zhou Can really has some bad views on the profession of journalists.

After listening to her explanation now, my heart has been shaken.

Industry specializing in surgery.

Interlaced like mountains.

He really didn't know that paparazzi and reporters were originally two concepts.

This is probably equivalent to the difference between a doctor and a plastic surgeon!
There are many aesthetic doctors who do not have the qualifications to practice medicine, but they dare to use the knife on others, do double eyelids, rhinoplasty, liposuction, bone padding, bone cutting, all dare to do it.

Even in some formal plastic surgery hospitals, there are only some doctors who have medical licenses, and other personnel do not have the qualifications to practice medicine.

Paparazzi are more like whistleblowers than regular reporters.

However, there are also many paparazzi who have network resources in this area, and even are journalists themselves.

"I want to dig deeper into this news thread, because I think it is very warning. Think about it, if this girl could have found out the real cause of the disease when she first fell ill two years ago, the tragedy that followed would not have happened. "

The reason given by the female reporter made Zhou Can's view of her more positive.

"What do you want to know?"

Zhou Can obviously loosened up.

"Haha, it's not easy to finally gain your initial trust. Let's get to know each other formally. My name is Mu Bi, a TV reporter from Satellite TV."

The female reporter successfully captured the fortified city of Zhou Can, and she laughed heartily with joy.

You could tell she was very happy.

A person's heart can be seen from a person's laughter.The laughter of the villain is always a creepy sneer or a sinister laugh, or a schadenfreude smirk.

The most frightening thing is the type who smiles on the surface and doesn't laugh at the flesh. This kind of people should be especially careful, because they are often vicious and vicious in their hearts, so bad that they lose humanity.

A person with a big nerve and a bold personality often has a cheerful laugh.

Just like this female reporter, her laughter is hearty and contagious. Her heart should be sunny, straightforward, and her thoughts are decent.

"No wonder you are so eloquent, it turned out to be a cicada change!"

After Zhou Can heard her name, his expression was strange.

"I'm stupid, I don't read much, can you explain why?"

She tilted her head, looking puzzled.

Zhou Can found that she had a very good temper, no matter what she said, she never saw her angry.

Maybe it's because of my job that I have developed my ability in this area.

Because TV reporters often have to interview all kinds of people, if they have a bad temper, they will get angry when they are ridiculed, and the interview will not be able to continue.

"There are very few people with the surname Mu. I saw on your press card that it says Mu, which literally means evening. In ancient times, it was used to describe a person with a small body, a square head, a wide forehead, and a lot of writing. Planting cicadas. Later, because it looks good, it is used to describe the head of a beautiful woman, which is how the scorpion Emei came about. When the sun goes down in the evening, it is also the time when the cicadas sing the most cheerfully."

"Your parents named you Twilight, doesn't it mean a cicada that chirps non-stop in the evening? And you have fully demonstrated this specialty just now, and you have persuaded me with your three-inch tongue. I would like to accept your interview."

Zhou Can gave an explanation.

"Ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhmhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhious you educated people?"

She squeezed her fist, but instead of hitting Zhou Can, she hit her smooth forehead twice.

"Hehe, I didn't mean to scold you, but to praise you for being eloquent."

Looking at this cute female reporter, Zhou Can was also amused by her.

Just now because of the female patient's terminal cancer made his heart heavy, but now he feels much more comfortable.

But deep in his heart, the idea of ​​wanting to conquer cancer has sprouted.

At present, the two recognized means of dealing with cancer are surgery, drug therapy, and radiotherapy.

Surgery must be performed at an early stage of cancer, and some cancers cannot be operated on even at an early stage.

Drug treatment is mainly chemotherapy, and there are better therapeutic drugs on the market, that is, targeted drugs.However, treatment with targeted drugs is expensive and can only target specific therapeutic targets.For EGFR gene sensitive mutation, Oak gene fusion, HER-2 gene amplification and so on.

In addition, there are cancer immune drugs under study that can turn T cells into super soldiers.

It has better prospects than targeted drugs, and its treatment direction is more advanced.

Targeted medicine is the treatment concept of western medicine, while cancer immunotherapy is a newly developed cancer treatment concept based on the combination of immunology of traditional Chinese medicine and western medicine.

If the drug research is successful, perhaps in the future various cancers will become as easy to cure as a cold.

In addition, the cancer vaccine being researched by Western pharmaceutical giants is also attracting attention.

In short, the medical level of human beings is improving rapidly.

For example, gene sequencing was unimaginable in ancient times.

"Doctor Zhou, the little girl has been scolded by you, can I start the interview now?"

She brought the conversation back to work.

Taking advantage of the absence of patients coming to Zhou Can's table for consultation, he seized the time to complete the interview.

"Excuse me! It's only limited to medicine, other sensitive issues, or issues that will provoke disputes, please don't speak up."

Zhou Can is also refreshing.

"I want to hear you explain the entire course of this female patient's disease, as well as the experience and lessons that should be learned from this case." She chatted with the girl for a long time before, and took photos of the girl's medical records for storage.

Now as long as she gets some professional case analysis and summary from Zhou Can, she can write a good press release.

"First of all, I'm just a young trainee with limited medical knowledge. If something is wrong and a joke is caused, I will not be responsible."

"OK, no problem."

Twilight nodded in agreement.

"Looking at the progress of this female patient's disease for nearly two years, it can be divided into three stages. In the first stage, in August two years ago, she developed symptoms such as fever, nasal congestion, and runny nose due to cold. This is the same as The symptoms of a cold were very similar. At that time, her body temperature reached 8 degrees, which was still in the low-grade range. The examination found that liver enzymes increased, EB virus antibodies increased, and multiple lymph nodes throughout the body were swollen. The doctor prescribed her to protect the liver, protect the liver, and fight the disease. Poison treatment, the condition improved for a short time. But soon high fever, cough and other symptoms reappeared."

"If we can pay attention to this stage, we should be able to prevent the disease from progressing to lymphoma. Unfortunately, lymphoma is very difficult to diagnose, especially in the early stage, which can easily confuse doctors."

Zhou Can believes that the presence of multiple lymph nodes all over the body at this stage has already indicated that lymphoma has begun to occur.

Or in the bud.

It is also the most difficult stage to diagnose.

The analysis of this case also taught him a lot of useful clinical experience.

"About three months after the first hospitalization, the patient was admitted to the hospital again because of problems such as hepatomegaly, fatty liver, splenomegaly, and ovarian cysts. It can be found that only in the past three months, the patient's condition has improved. It progressed from the initial cold symptoms to the extent that multiple organs were involved in the whole body. After that, the patient was hospitalized for more than a month, and after being discharged from the hospital, he still had a constant fever, and the treatment was interrupted from time to time. This process lasted for almost a whole year."

Zhou Can felt that this period of time was the most important treatment opportunity for the girl.

It's a pity that the condition continued to deteriorate due to the negligence and shallow opinion of the expert from the outer hospital, as well as the patient's lack of attention.During this year, lymphoma has taken root and sprouted to invade multiple organs and body tissues throughout the body.

As long as it can be found, there is an opportunity for surgery or targeted treatment.

Sometimes, family members and patients really can't be too superstitious about a certain expert.

If a disease does not improve after a long period of time, or if it is intermittent, good and bad, then you must be particularly vigilant.It's time to transfer to another hospital, and it's time to find another expert.

In short, you can't hang yourself on a tree.

"Then this year belongs to the second stage?"

Mu Jie asked while making notes.

She is very smart, and the recording equipment is also turned on. She can record Zhou Can's explanation, and when she goes back to write a press release, she can take it out and listen to it twice.to ensure that there are no misunderstandings.

"This year belongs to the process of developing from the first stage to the second stage. The real second stage is that 14 months after the onset of the disease, she developed tinnitus on the right side, hearing loss, nasal congestion, and was hospitalized again. At this time, The lymphoma has invaded all major organs of the body and has had serious effects. In particular, a mild granuloma was found in her eyes."

"Did you know? The medical definition of granuloma is that due to tissue infection, trauma, foreign bodies, etc., the local inflammatory response of the wound is aggravated, the proliferation and differentiation of cells increase, and the formation of excessive granulation tissue forms a protruding granuloma. But the actual In general, the emergence of granuloma requires high vigilance, it is more like the vanguard of cancer."

Zhou Can shared his clinical experience as much as possible.

So that after this news report, more people can be alert to granuloma and no longer be confused by this cute disease name.

Just like a beautiful woman may be deceiving, a soft and cute little tiger may be particularly vicious.

Don't be fooled by the surface of things.

"I will focus on this point in the article, and popularize the dangers of granuloma."

Mu Que understood Zhou Can's thoughts very well, and even easily knew Zhou Can's intention to focus on granuloma.

"In the second stage, if we can find out the real cause instead of just staring at the granuloma, there may still be a chance of cure. Unfortunately, the diagnosis of the patient after hospitalization was double granulomatous uveitis. The treatment is also very conservative. Just use prednisolone, azathioprine and other drugs to treat conjunctivitis."

Zhou Can felt very sad when he said this.

It is said that it is not too late to remedy the situation.

But the treatment method of the expert from the outer court really made people speechless.

If it wasn't for the professional rules not allowing it, Zhou Can really wanted to expose that outer court expert.Such a sensible little girl was delayed by that bastard expert, it was murder.

"The third stage is 19 months after the onset of the disease. This time, it was due to pain on both sides and soles of the feet, and I was unable to stand still. At this stage, the lymphoma had invaded the central nervous system, and the disease was terminally ill. Doctors can only listen to fate. From this case analysis, I think there is a certain relationship between Epstein-Barr virus infection and lymphoma. If a patient is found to be infected with Epstein-Barr virus and cannot be cured for a long time, and has a persistent low-grade fever or intermittent low-grade fever, he must be particularly vigilant against lymphoma. "

After Zhou Can analyzed the entire course of the disease, he made a final summary to warn patients and doctors.

[For the first time you summarize and analyze a super-difficult case, and realize the relevant pathological mechanism, the pathological experience value reward +1000. 】

[Congratulations on your acquisition of special medical skills, a heart of benevolence.The effect is unknown, the current experience value is 1/100000. 】

When Zhou Can finished summarizing the case, he unexpectedly got two surprises.

Pathological diagnosis experience reward +1000, this is the richest experience reward he has ever received.

It may be because the system judged that he had a qualitative improvement in pathological diagnosis, so he generously rewarded him with 1000 experience points.

A comprehensive analysis and summary of this extremely difficult case will benefit Zhou Can greatly.

He could clearly feel that his vision, pathological diagnosis, method of analyzing pathology, and pattern had all stepped up to a new level.

If I have to describe it, when diagnosing diseases in the past, my eyes were always fixed on a certain point, and my eyes and thinking were relatively narrow.Even if he has reverse thinking that ordinary people don't have, he still can only hold his feet and look in one direction.

After the improvement of diagnostic thinking and structure, he really learned to climb to the top and see the overall situation.

I learned to analyze comprehensively and look at problems from multiple directions.

This kind of diagnostic thinking that expands from point to area, and then to the overall situation, can only be understood by a few extremely excellent chief physicians.

His current level of pathological diagnosis is only at the attending level, but it is really not easy to realize this.

It also makes him have an advantage over many doctors in the future diagnosis.

This advantage is quite large.

With his reverse thinking, I can hardly imagine it.It is certain that if he diagnoses new difficult diseases now, he will definitely be stronger than before.

And the strength is likely to double.

Accepting this female reporter's interview, in addition to being rewarded for pathological diagnosis, Zhou Can also accidentally obtained a new special medical skill.

Although I don't know what is the use of this medical skill?

However, it is certain that one hundred thousand experience points are required to be promoted to the next level of special medical skills once obtained, which is definitely a top-notch medical skill at the director level.

The usefulness of this medical skill will definitely be gradually discovered in the process of practicing medicine in the future.

He was in no hurry.

It's like getting a blind box in a lottery. It doesn't really matter what it is.

The grade of the blind box is very high, and the value is definitely not much lower.

If there is a worthless item in it, it will lose the grade of a blind box.

Based on Zhou Can's understanding of the medical experience point system, this guy's character is very tough, and it has never happened before to use a gimmick to fool people.

"Okay, the interview is over for now. If there is anything I don't understand, or if I don't understand it comprehensively, I will ask you next time. Can you leave me a private mobile phone number?"

The female reporter, Mu Bi, put away her notebook and recorder.

(End of this chapter)