My Medical Skills Give Me Experience Points

Nearly five o'clock, Director Yin finally finished the outpatient clinic.

Zhou Can hurried to the door and knocked.

When Yin Hua looked up and saw Zhou Can, he was slightly startled.

"Xiao Zhou!"

"Director Yin, you mentioned last time that I could consult you anytime if I had questions. I really did come with a thick skin to bother you."

Zhou Can walked in with a smile.

"Welcome! Have you been waiting outside for a long time?"

Director Yin's attitude was very enthusiastic.

Looking at his expression, he genuinely welcomed Zhou Can to come and consult.

"I didn't wait too long, just about half an hour. But it's really not easy to find you. I'm not familiar with the Neurology Department, and I had to ask around to find your office. Fortunately, I met Gao Jian, and he brought me here."

Zhou Can didn't act like an outsider at all.

He walked over, picked up Director Yin Hua's empty tea cup, and actively refilled it with water.

A small gesture like this instantly narrowed the distance between him and Yin Hua.

Usually, only students would refill their teacher's tea cup promptly.

It is a sign of respect.

And it also implied eagerness to please.

"Next time you come to find me, on Mondays, Wednesdays, and Fridays, I'm in the clinic here. On Tuesdays and Thursdays during the day shift, I'm mostly in the inpatient department office, or the minimally invasive surgery room. You can definitely find me in these three places. If you really can't find me, just call my phone, do you have my number?"

Eager to please, but it was effective.

Director Yin Hua took the initiative to give him his phone number.

This treatment is not something everyone gets.

"I don't have your number, could you give it to me so I can note it down?"

Zhou Can took out his mobile phone, ready.

Director Yin gave him his personal mobile number, and Zhou Can noted it down. Contacting him would be much more convenient in the future.

Doctors of their caliber, to avoid unnecessary trouble, generally do not give their mobile number to irrelevant people.

"What issue did you want to consult about? I still need to go to the inpatient department for rounds soon, so let's make it quick!"

Director Yin is really very busy.

Others seeking medical treatment from him not only have to pay an 800 yuan registration fee but also wait in line.

Zhou Can, because of earning his appreciation, managed to avoid these troubles.

"I encountered a patient who has been paralyzed for several years due to a miscarriage. However, despite visiting various renowned doctors, the cause has not been diagnosed. You are a top expert in neurology and have vast experience, so I wanted to ask for your help."

Zhou Can opened Qiu Jie's medical report and then placed his phone in front of Director Yin.

"Her medical reports are all here."

Director Yin looked at them and immediately showed a slightly peculiar expression on his face.

Zhou Can also noticed the change in Director Yin's expression.

"This patient consulted me three years ago. As soon as you mentioned that her paralysis was due to a miscarriage, I had some ideas. Such patients are indeed rare, it's hard to find one in a hundred thousand miscarriage cases."

Thinking about it, Li Lao and his wife live in this city, how could they possibly not come to Tuya Hospital for treatment?

Once at Tuya Hospital, such neurological difficult cases would definitely end up consulting Director Yin.

Although he had diagnosed Qiu Jie three years ago, he still carefully opened and enlarged each of her medical reports for review.

He examined them very carefully.

"This patient named Qiu Jie left a deep impression on me. She attempted suicide on the second day of her hospitalization, fortunately, the nurse discovered it in time. I didn't expect that three years have passed and her condition still hasn't been diagnosed."

Director Yin sighed.

Hospitals actually quite fear patient deaths.

Even if it is a normal death, it would raise the hospital's mortality rate. Not to mention a patient who commits suicide.

It would create a certain negative impact on the hospital and they would have to bear responsibility for inadequate management.

"When I diagnosed this patient, she had just had a miscarriage. At that time, my diagnostic skills and experience were inferior to what they are now. Reflecting on it, I realized I'd fallen into a misconception. I believed her paralysis was caused by a prolonged shock leading to extensive lesions, compounded by concurrent infections and other complications."

"During the examination, I noticed her muscle spindles were more sensitive to stretch reflex than normal, especially the flexor muscles of the upper limbs and the extensor muscles of the lower limbs. The initial resistance was high, followed by a rapid decrease, a cliff-like decline. Based on these subtle findings, I diagnosed her with natural paralysis caused by lesions and concurrent infections, and thought it was untreatable."

Three years have passed, and Director Yin still remembers the incident clearly.

That's how it is with doctors; when they encounter challenging cases, they tend to remember them for a lifetime.

One reason is that such cases rarely repeat themselves, and another is the immense effort expended during the diagnosis process, making the memory especially vivid.

"Do you have any new findings now?"

Zhou Can asked.

Three years had passed, and Director Yin's diagnostic skills and experience had improved significantly.

Perhaps there could be new findings.

"Still no major findings. However, this report from Imperial Hospital gave me some ideas. They conducted electromyography on this female patient, Qiu Jie. We at Tu Ya can also do electromyography, but our equipment isn't advanced enough to be as precise as theirs. Look, the electromyographic test shows that the conductivity gradually starts to decay from here. There is still a faint signal at the root of the thigh, and I believe if the lesion in this patient can be identified, there could be a chance for improvement."

Zhou Can understood the basic issues from the electromyogram.

But for the more profound issues, or those requiring a combination of extensive experience and medical knowledge, it was difficult for him to discern.

It's somewhat like a picture; some people can see two faces while others see seven or even more.

Based on some subtle clues from the medical report and the patient's symptoms, being able to identify anomalies that other doctors miss is what defines a true expert.

Zhou Can already had remarkable diagnostic talent, and with Director Yin Hua's hint, his eyes brightened slightly.

"You mean, if the electromyographic signal can reach the root of the thigh, it implies that the patient's nerves have not entirely degenerated. Only the nerve signals have significantly weakened, failing to reach the further end of the lower limbs. Also, because the signal is very weak when it reaches the root of the thigh, it can't possibly trigger any motor response."

As long as the nerves aren't dead, there's still a chance.

Since nerve cells are the only cells that cannot regenerate and are difficult to treat once dead.

"Smart!"

Director Yin gave him a thumbs up.

This kid's talent and comprehension were indeed very high.

He got it immediately.

"The gradual decay of the patient's electromyographic signals, instead of a cliff-like fall, based on my experience, isn't much different from the result of nerve death. It's like an aging wire, whose conductivity is severely compromised. Unless you replace it with a new wire, there's no solution."

Director Yin shook his head in resignation.

This patient was simply untreatable.

The nerves in the lower limbs are considerably complex, and it's doubtful any doctor could replace them with new ones.

Yet, Zhou Can looked as if bewitched, frowning and staring vacantly at a corner without speaking.

Noticing Zhou Can's lack of response, Director Yin looked up and couldn't help but chuckle silently.

This youngster truly had some of his old style.

In his early days, he would delve deeply into medical problems, sometimes to the point of obsession. Through relentless effort, he achieved his current status.

Director Yin didn't interrupt Zhou Can's pondering.

Instead, he continued to review the patient's information, looking for more insights.

After about fifteen minutes, Director Yin had to check on other patients. He was about to get up, leaving Zhou Can to continue his contemplation.

At that moment, Zhou Can seemed to have a breakthrough.

"That's it, yes, it might very well be."

He muttered to himself, his eyes shining, his face flush with excitement.

"Did you make a new discovery?"

Having seen Zhou Can's unique diagnostic approach, Director Yin didn't underestimate him just because he was a resident in training.

Indeed, Director Yin so admired Zhou Can that he was willing to facilitate his learning.

It was also because Zhou Can demonstrated a unique way of thinking in diagnostics.

"I think this patient can still be treated. Her electromyographic signals are gradually weakening—do you think it could be related to the blood supply?" Zhou Can asked, clearly having made a significant diagnostic discovery.

Why would one examine an electrocardiogram for a paralyzed patient?

It's actually to check the blood supply.