My Medical Skills Give Me Experience Points-Chapter 475 - 212: The Greatest Contributor Revealed, Who in the World Does Not Know You Overnight_2

Chapter 475: Chapter 212: The Greatest Contributor Revealed, Who in the World Does Not Know You Overnight_2

Before, Zhou Can had not obtained dual certification, only the hospital leadership knew of his impressive abilities.

Now Zhou Can has the certification, which means he practices medicine legally and appropriately.

Building a renowned doctor in a hospital is never an overnight event. It involves continually promoting the achievements of young doctors with outstanding potential.

For example, some academic achievements, publishing influential papers, participating in important research projects, making outstanding contributions in certain medical fields, etc.

These accomplishments are promoted.

There is also the exceptional performance of the doctor in clinical diagnosis and treatment. For instance, providing constructive diagnostic opinions during consultations for major or difficult cases, or heavily participating or even completing the core part of complicated surgeries, etc.

A single brilliant deed may not establish a renowned doctor.

But through multiple brilliant deeds and continuous promotion of this doctor, the packaging effect will be especially great.

The reputation of that doctor will grow exponentially, like a snowball.

Until they ultimately become the flagship of a particular field in the hospital. Slightly lesser, they could also become a backbone in a specific medical field.

In this medical case, from diagnosing the cause to surgery, Zhou Can’s contributions are prominently showcased.

It’s a significant signal released by the hospital.

Starting to package Zhou Can, beginning to promote him.

Starting to move him from behind-the-scenes obscurity to the front line.

"This female patient turns out to have a ductal fistula, I really didn’t expect it! Initially, I was misled by a malignant tumor, I believe other doctors were the same."

Director Yang Qing, after reviewing the first case, realized abruptly and felt extremely conflicted.

This difficult case initially came under his registration, but he failed to diagnose the true cause. At that time, based on his experience, he believed that removing the entire left breast could completely cure this condition.

Moreover, fearing it was a malignant tumor and seeing that the female patient was so young, it would be a pity if the cancerous cells spread and metastasized.

Considering the patient’s life safety, he then provided a treatment plan to remove the left breast to save her life.

Ductal fistulas are relatively common in breast diseases.

But a ductal fistula hidden behind the nipple, it was his first knowledge of such a case.

A breast ductal fistula is caused by the long-term accumulation of substances in the breast duct leading to duct rupture, resulting in breast duct infection, causing an abscess under the areola. When the abscess grows too large and ruptures, it releases a small amount of pus.

Around the areola or near the nipple, there is a sinus tract. When the breast duct gets infected, it will spread to the sinus tract. If the sinus orifice closes and then gets re-infected, the sinus tract repeatedly ruptures and discharges pus.

This is why ductal fistulas are hard to cure.

Only by thoroughly cleaning this sinus tract, can it be prevented from recurring.

Otherwise, it will relapse repeatedly.

This female patient’s ductal fistula was unusual, and the conventional surgical methods couldn’t completely remove it.

Thus, even Director Yang Qing, a senior medical director, failed.

Breast diseases, surgical treatments face dilemmas; it’s difficult to distinguish lesions from normal tissues, and hard to precisely remove the lesions.

Many irresponsible doctors, due to limited skills.

After surgery, as the patient relapses repeatedly, they start to suspect that the patient’s condition might be malignant breast cancer, coupled with family and patient doubts about their medical skills. Finally, they opt for an irreversible solution, directly removing the entire breast.

Doing this, while it might cure the patient’s disease, will significantly impact their future life.

Because many patients with breast diseases are women.

Removing a breast, how unsightly would that look? They would feel a great sense of inferiority, believing they are no longer a complete woman. It’s even possible to be shunned by their husbands.

Thus, responsible doctors generally consider the patient’s postoperative quality of life.

"The second difficult case, the patient kept feeling discomfort in the stomach. After examination, it was diagnosed as gastric ptosis induced by pyloric obstruction. A well-known hospital performed surgery for pyloric obstruction. After surgery, the patient still felt discomfort in the stomach, and it seemed to worsen compared to before surgery. After further examination, it was diagnosed as bile reflux, and then they performed a second surgery to remove part of the stomach."

"After two surgeries, the patient still felt discomfort in the stomach and began to have eating difficulties. The patient worried about dying in that hospital if treatment continued, so they opted to seek treatment from other major hospitals. Doctors there, after examination, found that the patient had developed severe adhesions in the abdominal cavity after the two surgeries, and they dared not perform further surgical treatment."

"Hearing that Tuya Hospital was good at treating gastrointestinal diseases, the patient’s family brought them here for consultation. Director Xiao of Digestive Surgery saw the patient initially but couldn’t find the cause. Inviting Director Jia Qingfeng for a joint consultation also yielded no results. On Director Jia’s suggestion, they recommended Deputy Director Liu Qingzhi of General Surgery... After arduous consultations, Director Liu, together with resident doctor Zhou Can and attending physician Hee Hansheng, thought of many methods, finally determining the actual cause—an occult esophageal hernia. Under Deputy Director Liu Qingzhi’s guidance, Dr. Zhou Can performed an endoscopic surgery on the patient. The patient has now recovered and been discharged from the hospital, and the long-standing stubborn illness has finally been cured."

In this difficult case, the name of Zhou Can, a resident doctor, is again mentioned multiple times.

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