My Medical Skills Give Me Experience Points

Zhou Can was somewhat puzzled; the diagnosis of this case wasn’t particularly difficult, so why call together experts from both hospitals specifically to discuss it?
Even with his half-baked medical knowledge, he could easily diagnose that the patient most likely had venous thrombosis. He didn’t believe the experts at Xinxiang Women and Children’s Hospital were that incompetent.
“Director Zhang, what do you think could be the cause of this patient’s condition?” Professor Hu Wanjun asked.
“Um… The patient’s symptoms appear to be vascular-related. There are experts in each field, and I’m not very adept at this one.” Zhang Bihua said this ambiguously, then turned her head to look at a male doctor among the team of experts. “Director Shen Tu, you are an expert in Cardiovascular Internal Medicine, you should be more familiar with this kind of disease. Do you have any good suggestions?”
Zhou Can distinctly felt the atmosphere at the scene was somewhat peculiar.
Both Professor Hu Wanjun and Director Zhang Bihua could clearly diagnose the patient’s condition at a glance.
Yet both of them were evasive here.
After all, Zhou Can was a second-generation rich kid; his experience and mental maturity were far greater than that of the average person.
After sensing the abnormal atmosphere, he just kept his gaze steady, without speaking out of turn.
The drama at Xinxiang Women and Children’s Hospital was always substantial.
The day they straight up sent Director Tang to poach him in the resuscitation room was enough to reveal the style of the hospital.
If a doctor only knows how to treat illnesses, no matter the level of expertise, it’s difficult to achieve much.
You might even have trouble making ends meet in this field.
Besides dealing with complex interpersonal relationships, the ability to handle various situations is equally important.
For instance, during patient treatment, if a doctor misses the vein with the first injection. There’d certainly be a need for a second needle, and how to smartly explain this to the patient or their relatives is a real test of the doctor’s adaptability.
Explained well, the patient might just laugh it off, generously, even thinking they have a unique constitution.
Some patients might be too overweight, with thick layers of fat, making it indeed difficult to locate the veins.
Others have naturally small blood vessels, also hard to find.
If the doctor misses the vein with the first injection and, without explanation, tries again, the patient, even if not cursing out loud, would definitely curse in their heart.
If the doctor has low EQ and poor adaptability, emphasizing “I’ve been giving injections for so many years, and I’ve never seen a patient like you, who can’t even have decent veins.”
Chances are, upon hearing this, the patient would instantly jump up to give the doctor a piece of their mind—literally.
Right now, Xinxiang Women and Children’s Hospital invited these experts for a consultation, yet there was nothing particularly difficult about the case. The atmosphere was so odd that whoever spoke out of turn would probably be the unlucky one.
Director Shen Tuba was here representing the Cardiovascular Internal Medicine department of Tuya Hospital.
He was in his fifties, wore black-rimmed glasses, and was quite serious. Even when treating patients, he was very serious. Zhou Can had observed discreetly; Director Shen Tu never smiled when diagnosing patients.
No matter the patient, he always frowned and spoke in a very methodical manner.
“Then, let me throw out some ideas to get us started,” said Director Shen Tu without declining.
Shen Tu is actually a compound surname; his full name is Shen Tuba. Those unaware might think he was the brother of the mythical figure Shen Gongbao.
“The initial symptoms of this patient were pain in the left lower limb, which later developed into pain in both lower limbs. Pain in the limbs can be caused by disorders in parts such as the skin, muscle, nerves, blood vessels, joints, and bones. I’ve even seen patients with severe limb pain due to the kidneys entering the decompensation stage. Moreover, malignant tumors can also cause unexplained pain throughout various parts of the body.”
Director Shen Tu’s explanation was as meticulous as his persona.
“Neuralgic pain should match the distribution area of the nerve, often being spontaneous, characterized by sharp, stabbing, burning, or dragging pain. During a physical examination, neural tenderness might also be revealed. At the same time, symptoms like limb numbness and weakness may occur. Some of the patient’s painful symptoms are consistent with neuralgic pain.”
“However, the patient complains of muscle pain. In clinical practice, muscle pain is often located at the fascia, non-localized and spontaneous, and the pain is usually a dull ache that worsens with movement. There might also be tender points when pressing the muscle, muscle weakness, or even muscle atrophy. The patient’s pain is not a dull ache, and the relation between the pain and movement is unclear. She experiences acute pain upon standing after sitting or squatting for an extended period.”
“Additionally, after the patient was admitted for observation, the latest CK, electromyography, and muscle biopsy results showed no typical indications of muscle damage. Therefore, the common causes of muscle pain such as painful spasms, rhabdomyolysis, myositis, trichinosis, dermatomyositis, rheumatoid polymyalgia, and fibromyalgia syndrome can all be excluded.”
Each doctor has a different diagnostic approach.
Director Shen Tu’s diagnosis, like his character, was rigorous and extremely meticulous. He used a process of elimination for various causes.
In clinical practice, this diagnostic method is time-consuming and labor-intensive but has a lower chance of error.
If Zhou Can were to diagnose, he would adopt another approach: based on the patient’s symptoms, ultrasound results, and his clinical experience, he could directly diagnose the patient with a vascular condition, and more specifically, vein thrombosis.
In terms of efficiency, Zhou Can’s diagnostic method would be more effective.
And it’s not that Zhou Can’s speed in diagnosing necessarily led to errors. So far, he had not misdiagnosed a case.