Practicing Medical Skills in a Small Clinic novel Chapter 359

Chapter 359: Chapter 186: Director Yang’s Gratitude and Advancing Side by Side (Part 3)

Lian Tao described the condition and medical history of this tricky case.

When encountering patients with prolonged fever and cough, doctors tend to be very cautious.

A slight misstep might reveal a major illness.

"Have you checked the chest X-ray and CT scan?"

Li Jingsheng could only get this much information, which wasn’t enough to offer any useful opinion.

Director Yang was eating grilled steak while listening to the conversation between the two.

"The chest X-ray suggested a mass in the right lower lung. The CT scan suggested a cavity-type mass in the right lower lung, with no mediastinal enlarged lymph nodes and no pleural effusion. Director Yang’s diagnosis leans towards marginal lung cancer, with enlargement in the right lower lung hilum. At first, I also thought it was likely lung cancer, but after repeatedly deliberating, I felt it didn’t seem like lung cancer.

From some of your conversations, I can sense that you have some insight into thoracic surgery diagnosis, so I’d like to ask for your opinion."

Actually, pulmonary medicine diagnosis is equivalent to a diagnosis in thoracic medicine.

Thoracic surgery diagnosis corresponds to a surgical field associated with thoracic medicine.

Most doctors only delve into one field, or even just a smaller subfield within pulmonary or thoracic surgery. For instance, some doctors specialize in bronchitis.

Some doctors specialize in pulmonary nodules.

The benefit of doing so is that it allows the doctor to advance further in this subfield, making diagnostic skills, medication use, or surgery more refined.

A remarkable pulmonary medicine expert specializes in rhinitis, an elderly female professor who is 67 years old.

She has been researching rhinitis for over thirty years, and later she only needs to listen to a patient say two sentences, then shine a small flashlight on the patient’s throat and nasal cavity to swiftly diagnose. Her medication is also extremely effective, a drug costing 2.8 yuan per box directly cured a patient’s chronic rhinitis that had persisted for over ten years.

This patient had spent nearly 30,000 yuan at a large local hospital without being cured.

That’s the level of skill.

Lian Tao has a sort of "madness" when researching difficult cases.

He won’t rest until the cause is found.

It’s just that he clearly feels a lack of knowledge, a shortcoming, when encountering such cross-departmental difficult diseases.

This is entirely normal.

There are no all-round experts, neither domestically nor globally, not a single one.

All clinical medical experts, at most, excel in two fields at best.

The vast majority only master one field, or even just a subfield.

"Can I see the case data? Ideally, I’d like to see the patient. But don’t expect too much from me, I’m just at a halfway level."

Li Jingsheng is quite interested in researching these challenging cases.

Apart from his natural love for medicine, it’s also because each successful diagnosis of a difficult case substantially boosts his medical skills.

"I was just waiting for you to say that! Haha, although we hit it off instantly and admire each other, it’s still late at night. I felt a bit embarrassed to ask you to help me diagnose the patient. After we finish this late-night snack, I’ll take you to the pulmonary medicine ward at the People’s Hospital. The patient is currently hospitalized there for treatment."

"Sure, I don’t have any plans for the night anyway."

Li Jingsheng readily agreed.

Since there was serious work to do, all three consciously quickened the pace of their meal.

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