My Medical Skills Give Me Experience Points -
Chapter 514 - 225: Tu Ya's Hidden Protective Power, Senior Doctor Teaching Newcomers on the Job_2
So he scraped together some money and took a long-distance train to the Forbidden City. After visiting, if asked to draw the Forbidden City, he'd have a foundation to work from. The massive golden Phoebe zhennan wood with dragon and phoenix carvings, the antique-style rosewood cross-legged chairs, the six-panel screen filled with scholarly grace...
Zhou Can is now reading through the lifetime medical notes of Elder Liu, which is akin to absorbing the essence of Elder Liu's medical knowledge within a very short time.
The speed of his growth is terrifying.
The next day, he hurried to visit the Department of Internal Medicine he had long yearned for.
Yet his first stop wasn't the top-ranked Cardiovascular Internal Medicine nor the Neurology Department, but the seemingly unremarkable Digestive Internal Medicine within the department.
Director Tan of Internal Medicine has always maintained a good personal relationship with Zhou Can.
During holidays, Zhou Can would send messages or call Director Tan to extend his greetings.
Long ago, Director Tan had laid the ground rules with him.
Zhou Can could disregard the regular training process in Internal Medicine, and based on his own needs, flexibly arrange his training duration in each Internal Medicine division.
This delegation of authority was quite significant.
It's likely that in the entire Tuya Hospital, only Zhou Can would enjoy such treatment.
Zhou Can arrived early at the inpatient section of Digestive Internal Medicine.
Compared to surgery, the number of inpatients in Internal Medicine was always rising, not falling. Here, it was rare to see surgical patients; most were reliant on medication for treatment.
Zhou Can didn't rush to find doctors or nurses to ask where to report.
Because he was quite familiar with Digestive Internal Medicine, he knew where the offices were.
And it wasn't his first time here.
A doctor was taking measurements at the bedside of patient number 51, a gaunt middle-aged male patient, and asking whether the patient was feeling any discomfort?
The patient's condition seemed very poor.
Lips pallid, face devoid of color, the entire person appeared feeble and weak, lying in bed with eyes half-closed.
Family members anxiously watched by the bedside.
At a glance, Zhou Can determined that the patient was suffering from internal bleeding.
This was a progression after his Hemostasis Skill advanced to Level 5. He could make a rough judgment on whether a patient had internal bleeding based on complexion and certain symptoms.
He had diagnosed several patients in General Surgery with gastrointestinal bleeding.
The current patient exhibited all the typical signs.
The ability to preliminarily deduce a patient's condition by mere visual observation is quite similar to the ancient art of visual diagnosis.
However, most modern doctors study under the Western medical system, and their visual diagnostic abilities are nowhere near those of ancient Chinese physicians.
Modern doctors generally can only diagnose patients with some typical characteristics.
Such as liver palm, spider angiomas, lower extremity swelling with darkened skin, etc.
Zhou Can's ability to visually diagnose this patient's internal bleeding should be stronger than that of an average doctor. He relied on the rich experience recently accumulated in General Surgery, as well as his Level 5 Hemostasis Skill and Level 4 pathology diagnosis.
It is worth mentioning that last night, as he read through Elder Liu's medical notes, he was able to gain 1 Experience Point in pathology diagnosis for every case he read.
The doctor in charge measured the patient's temperature, checked the pulse, and gently pressed on different locations of the abdomen. The ori&gi!n@a+l s!our@ce+ is MVL-EMP+YR+.*
Which rendered Zhou Can speechless.
The family had already informed him of the patient's recent bloody stool, yet here he was leisurely measuring basic vital signs; the doctor in charge really wasn't in a hurry.
Internal medicine doctors are generally like this, even if a patient is on the verge of death, they still manage to perform various operations calmly and unhurriedly.
Only when the patient is in shock or unconscious will they swiftly undertake various lifesaving operations under the direction of a senior physician.
Sometimes their behavior is particularly akin to an animal's feint.
"The patient's internal bleeding must be severe. If they haven't had a colonoscopy yet, it's best to send them for one immediately," Zhou Can kindly reminded the doctor in charge, who appeared to be in his late twenties.
Considering the dark circles under his eyes, he probably faced many critical situations last night and was likely quite busy.
On the night shift, there wasn't even time for a nap.
"Colonoscopy, gastroscopy, capsule endoscopy have all been done. No bleeding point found! The patient has intermittent gastrointestinal bleeding... Hey, who are you?"
After answering a few questions, the doctor in charge may have realized the unfamiliarity of the voice and turned to see who was behind him.
Turned out, it was an extremely young and unfamiliar face.
Dressed in a white coat, which meant a doctor.
"Hello, I'm the new trainee Zhou Can, please take good care of me. If the patient's condition is dire and a colonoscopy has been performed without finding any problems, then hurry and send them to interventional radiology for digestive tract vascular imaging. It is recommended to specifically investigate the jejunum and ileum segments."
Zhou Can's 'rank' clearly far surpassed that of the doctor in charge.
With just a few glances and some information provided by the family and the doctor in charge, he had already roughly deduced the most likely location of bleeding.
He had dealt with too many cases of gastrointestinal bleeding; he had nearly seen it all.
"Xiao Zhou, is it? Do you, a new trainee, know any etiquette? Performing diagnostic tests on a patient isn't something you just decide to do; it must be based on a comprehensive assessment of the patient's etiology, symptoms, medical history, age, and any other underlying diseases. Newcomers should speak less, observe more, and do more, understand?"
The doctor in charge reprimanded him somewhat displeased.
In front of the patient, a new trainee advising a formal Resident Doctor on what tests to perform for the patient; who did this kid think he was?
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