Practicing Medical Skills in a Small Clinic novel Chapter 690

Chapter 690: Chapter 318: Skills Forced by Necessity—A Young Man Ignorant of His Own Limits

Doctors are often asked such questions by patients, but typically, they don’t give a direct answer.

No one can guarantee such outcomes.

However, based on experience, doctors know that tumors take time to grow. Advising patients to have a check-up every six months is actually a confident decision.

It’s essentially predicting that the tumor won’t grow.

Which means surgery might not be necessary.

Moreover, even if it does grow, it’s unlikely to grow significantly within six months. It shouldn’t go from the size of a sesame seed to the size of a fist under normal circumstances.

If it truly grows from the size of a sesame seed to a diameter of one centimeter within six months, it’s still not too late to operate then.

In reality, many imaging tests can’t detect tumors smaller than 5 millimeters.

Clinically, tumors under 1 cm are considered microtumors.

Doctors will conduct a comprehensive evaluation, and if they think the threat isn’t significant, they might suggest the patient avoid surgery.

Because all surgeries come with risks.

Moreover, some surgeries carry particularly high risks.

Additionally, tumors have a trait where the more they are stimulated, the more likely they are to grow rapidly.

Some patients, who might have faced no major issues if they hadn’t undergone surgery, find themselves deteriorating within months or half a year post-operation. There are many such real cases.

In the operating room, the surgery was progressing tensely.

"Xiaoli, why did you determine that it’s very likely to be a benign tumor based solely on an X-ray chest film?"

Director Zhang curiously asked.

"It’s a comprehensive diagnosis from many aspects! For example, the clear boundaries, the size and shape of the tumor, the symptoms the patient reports, the patient’s medical history, age, occupation, living environment, etc., all contribute to a comprehensive diagnosis. In the entire diagnostic process, the X-ray is actually just a small part of the diagnostic basis."

Li Jingsheng openly shared his diagnostic method.

"This diagnostic ability is something you all should learn from, including Old He, as you all lack this broad comprehensive diagnostic awareness. Old He might have some awareness, but his acuity is far from enough."

Director Zhang was diligently assisting in the advancement of his subordinate doctors.

They were very fortunate to encounter such an excellent department director. He served as both a mentor and a friend, guiding their treatment approaches thoughtfully, fostering good habits in considering patients’ long-term well-being.

Moreover, when he discovers commendable qualities in a particular doctor, he encourages others to learn from them.

Such a department director is truly a great teacher and friend.

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