My Medical Skills Give Me Experience Points

Chapter 1128 - 445: Ganglion Cyst, Recruiting a Deputy Chief

The female patient didn't know what Zhou Can intended to do, but out of trust in the doctor, she cooperated without making a sound.

However, a hint of pain occasionally appeared on her face.

After pressing for about ten seconds, Zhou Can suddenly increased the pressure.

"Ouch!"

The female patient let out a cry of pain.

Zhou Can timely released her hand.

"Take another look at the bump on your hand!"

Hearing this, she raised her arm and looked down.

"Ah… Where did the bump go?"

She looked extremely surprised, her eyes widened, staring incredulously at her own arm.

"This is too magical!" Luo Shishen also widened his eyes, watching the scene before him.

"Could it be, could it be a ganglion cyst? This condition often occurs on the back of the wrist, the popliteal fossa, and other areas. It's considered a benign tumor. Surgical treatment is an option."

Yang Zhi's knowledge clearly exceeded Luo Shishen's.

He immediately identified the nature of the disease.

"Doctor, do I still need surgery?" The female patient was both surprised and delighted, rubbing the area where the bump had been, unable to believe it.

"Your ganglion cyst seems to be a very benign type. Judging from my personal diagnosis experience, surgery shouldn't be necessary. Taking some medication and applying an ointment should suffice."

Zhou Can told her.

"Really? That's wonderful! I was really afraid of having surgery. I was just thinking as I came in that if there were ugly surgical scars left on the back of my hand, I wouldn't be able to wear short sleeves and skirts in the summer."

Hearing she didn't need surgery, she was extremely happy.

"While waiting in line outside, I heard other patients say there's a young doctor with the surname Zhou in the emergency department with excellent medical skills. Seeing is believing; now I'm convinced. Without asking, I know that Dr. Zhou must be you."

The female patient's compliment made Zhou Can feel quite pleased.

"The sea of medicine is boundless, and there's no end to learning. I certainly don't deserve the term 'excellent medical skills.' At most, I've just encountered more diseases. This condition, generally, is caused by soft tissue damage leading to a benign lesion. In medical terms, it's characterized as a benign tumor located near joints, tendons, or ligaments. So, even though it's been pressed down now, if you don't take care of it, it could reappear."

Zhou Can advised her on the precautions while prescribing medication for her.

Then, amidst the female patient's profuse thanks, Ma Xiaolan escorted her out.

The female patient straightforwardly expressed that the long wait was worth it. It's likely that for a long time, she would voluntarily promote the emergency department of Tuya Hospital.

Especially when family or friends need surgery, she will surely recommend Dr. Zhou in Tuya Hospital's emergency department at the first opportunity.

Ma Xiaolan soon brought in the second patient, a male in his thirties, who needed to have necrotic bone removed from his facial bone.

From the patient's lateral X-ray of the left mandibular bone, it was found that the lesion was confined to a certain area with clear boundaries, and a large number of necrotic bones of varying sizes had formed in the necrotic area.

This surgery requires care to avoid blood vessels and nerves around the lesion, excising the necrotic bone and all tissue affected by the lesion.

Technically demanding and high-risk, this is a moderately difficult Level 2 surgery.

For most senior resident doctors in surgery, procedures of this level are already extremely challenging. Without extensive surgical experience, completing it easily is difficult. Generally, only those at the chief level would dare to conduct such surgery independently.

Zhou Can, having the ability to host solo even Level 3 high-difficulty surgeries, considered this level of surgery a mere trifle.

"Doctor Yang, if you were to do the surgery, where would you choose to make the incision?"

He began assessing Doctor Yang again.

Admittedly, this situation was quite odd. A lower-level resident doctor was testing a chief-level surgeon.

Yet the assessed party was naturally pleased to partake in the evaluation.

"This type of surgery isn't part of my department's project, so I'm not very specialized. However, for surgical safety and convenience, I would choose an intraoral incision."

Yang Zhi had not performed well on the first case assessment.

This time, he mustered all his efforts.

"Great minds think alike! I plan to make a small transverse incision in the vestibular fold inside the patient's mouth, which is right here."

Zhou Can was clearly satisfied with his answer this time.

"Luo Shishen, remember that for this type of surgery, if the patient exhibits systemic failure symptoms, you must first correct those symptoms and incise the lesion to drain it. Do not rashly proceed with surgery, or it can easily cause severe postoperative complications, leading to rapid systemic failure, with unpredictable consequences."

He patiently taught Luo Shishen relevant surgical knowledge.

Luo Shishen took out a small notebook, quickly jotting things down.

Good memory is no match for a poor pen.

Medical students should take more notes and should not be lazy. There's so much to learn; if you don't take notes, you might forget it even if you remember it at the time.

The surgery soon commenced.

"If the extent of necrotic bone in the mandible is large, you should make a routine submandibular incision rather than stick to the rule with an intraoral incision. Especially female patients who love beauty may request to avoid scars as much as possible, but you cannot agree. Our principle in performing surgery for patients is that safety comes first. Only after ensuring safety do we consider aesthetics."