My Medical Skills Give Me Experience Points-Chapter 285 - 146: Complimenting is a Technical Task, Making a Contribution Right After Joining_2

Chapter 285 -146: Complimenting is a Technical Task, Making a Contribution Right After Joining_2

The highest art of flattery is to speak to the heart of the listener

and to receive their profound affirmation.

“Based on the abnormal points in the post-operative electroencephalogram and the CT scan results, I believe there are only two possibilities for the exacerbation of the patient’s epilepsy. The first is a brain hemorrhage. The second is the presence of other undetected lesions.”

Cerebrovascular malformations tend to be multiple, not singular.

Experienced doctors often require examination starting from the patient’s cervical arteries and veins, moving upwards.

“Very well said!”

Director Wen truly admired Zhou Can’s diagnostic opinion from the bottom of his heart.

Had Dr. Zou or Dr. Tang Li presented this diagnosis, he wouldn’t think much of it,

since they are experienced attending physicians.

Do not be fooled by their disparity in interventional procedure skills; their academic and diagnostic prowess is by no means inferior,

even ranking among the top among the attending physicians in neurosurgery.

For a resident to possess such keen diagnostic ability is truly remarkable.

“Dr. Zhou, I really didn’t see it coming. Not only are you skilled in surgical procedures, but your diagnostic level also surpasses us. We three must learn more from you in the future.”

The three graduate students all smiled at Zhou Can in unison.

This was an overture of goodwill.

“Identifying the two causes is indeed commendable. However, to cure the patient’s epilepsy, we must pinpoint the exact lesion. Can Dr. Zhou provide a more precise diagnosis?”

Dr. Zou’s words were like a hidden blade.

For a resident to diagnose the general causes is already quite difficult.

Expecting Zhou Can to respond with greater precision was practically setting him up to make a fool of himself.

As an attending physician suppressed by Zhou Can in the operating room and now upstaged by him in the internal case discussion,

Dr. Zou inevitably harbored some unfriendly thoughts.

Suppressing newcomers has always been a favorite pastime of the old guard.

“I am inexperienced and less knowledgeable, far less than you seasoned seniors. I dare not make wild speculations.”

Zhou Can counterattacked deftly, pushing away the pressure with a light couple of phrases.

Then, he changed the direction of the conversation.

“Dr. Zou asks this question, so he must already have the answer. Why not share it with us novices for the sake of learning?”

He turned the tables on Dr. Zou.

Dr. Zou’s status was much higher than his, and he really couldn’t refuse the question as easily.

“Uh… well! Personally, I believe the chances of vascular abnormalities in other regions are higher.”

Dr. Zou stuttered, revealing his unpreparedness.

Clearly, he had no precise diagnostic result.

All he could offer now was a vague answer.

“Dr. Zou, I heard that by examining the electroencephalogram, the general area of pathology can be determined. Could you tell us which part of the vessels has developed an abnormality and how severe is it?”

A graduate student asked.

This guy certainly had no intention of siding with Zhou Can against Dr. Zou.

He was merely driven by a strong desire to learn.

“Well… uh… I personally think it should be near the position of the thalamus! As for whether the vascular abnormality is severe, everything depends on the inspection results.”

Dr. Zou’s answer came with a significant lack of confidence.

Moreover, it was still vague and imprecise.

If surgery was considered for treating the patient, this diagnosis was utterly useless.

The location of the lesion unclear, the condition of the pathology uncertain, nearly all guesswork. Could such a diagnosis meet the criteria for surgery?

“The pathology being located in the thalamus can be basically ruled out. Based on my treatment experience, a vascular abnormality causing epilepsy has never been seen in the position of the thalamus. The thalamus is more an endocrine organ. Manifestations of pathology there typically only lead to systemic endocrine disorders or significant changes.”

Director Wen flatly dismissed Dr. Zou’s diagnostic results.

Leaving no room for argument.

Medicine is inherently rigorous, cautious, and cannot afford to be ambiguous.

“Everyone, take a closer look at the cerebral angiography done before the patient’s surgery. See if the lesion can be located. Of course, the postoperative hematoma mentioned by Dr. Zhou is also very possible, and the postoperative CT scans can be reviewed and scrutinized as well.”

Director Wen gave the group a general direction.

However, the specific location and etiology of the lesion were still undetermined.

The group discussed, each offering their input.

Zhou Can studied the patient’s films while carefully recalling the specific symptoms and various presentations.

Finally, he came to a startling conclusion.

“Director Wen, is it possible that the patient has a cavernous hemangioma?”

Zhou Can looked up and asked.

“Not ruled out!”

Director Wen, not a deity, at most has more abundant diagnostic experience and deeper medical knowledge in cerebrovascular and neurological aspects than them.

“Cavernous hemangioma is a cryptic vascular disorder that is difficult to detect even with CT, or even the most advanced digital subtraction angiography. To investigate this, I think it’s necessary to request an MRI scan of the patient’s head.”

Zhou Can believed that the possibility of a cavernous hemangioma was very high.

Conversely, the presence of intracranial arteriovenous aneurysms could be essentially excluded.

If there were still any arteriovenous aneurysms, no matter how small, they should have been detected by now.

“The hospital’s MRI resources are quite scarce, and the cost of the examination is quite high. Would the family be able to accept it?” Dr. Tang Li asked worriedly. “During rounds, the family of the patient in bed 22 was difficult to speak to. Now the patient’s condition has not improved after the surgery but worsened with increased seizures. It’s somewhat far-fetched to explain this as a postoperative complication. The family has extreme distrust in us.”