My Medical Skills Give Me Experience Points

Chapter 1386 550: Cause of Illness Identified—From Doubt to Belief (2)

Zhou Can explained the connection between the legs and the heart to the patient.

The patient and Brother Wei found their knowledge greatly expanded.

As for Director Xue Yan, the nurses, and other doctors, they looked at Zhou Can with eyes full of admiration. The knowledge from books is something everyone has studied; some forget it after learning, while others remember it but cannot apply it flexibly in clinical settings.

However, Zhou Can was able to use it flexibly and effortlessly.

His clinical diagnostic thinking envied every medical staff present.

"So, human legs are like a second heart, that's astonishing! But my legs don't have any issues; how did it lead to heart failure?"

The patient is currently in his second year of high school and is evidently very eager to learn, having presumably acquired quite a lot of knowledge.

Yet, listening to Zhou Can's explanation, he still felt incredibly amazed and his perspective broadened.

"This comes back to you. Usually, when reading and studying, you sit for the whole day, exercising very little. Moreover, you're in a phase of physical growth, and the lack of exercise and training in your lower limbs has led to severe muscle relaxation and atrophy in your lower limbs. This requires you to persist in exercising every day, allowing them to gradually return to normal levels. By then, your second heart will basically be restored to function."

"Do not underestimate the role of the second heart. If it can work normally, it can greatly reduce the work pressure on the heart and promote blood circulation throughout the body. Conversely, if it has serious problems, the heart performs the work of two, and over time, the heart becomes unable to bear it, suffering from severe strain, becoming weak and powerless. In such cases, it cannot perform the work of two, leading to the left ventricular ejection fraction being lower than the normal value."

"Then, because it wasn't corrected in time, and the real cause wasn't found, the heart remained in this abnormal working state, eventually leading to complete heart failure over time."

Sometimes Zhou Can treats patients like unmotivated children, feeling both sympathy and frustration.

Regret for their misfortune, anger for their lack of effort, this is the true mindset of most doctors at work.

Seeing patients fall ill, even their lives at risk, the doctors feel very sad. Yet some patients couldn't care less about maintaining their health when they were healthy. Advise them to smoke less, drink less, and stay up late, and they'd hardly listen!

It's like they think doctors are exaggerating.

Only when they fall ill do they realize the doctor's warnings were wise. Unfortunately, by then it's too late, and there are no more chances.

"So... can my illness be treated?"

The patient already regarded Zhou Can as a Divine Doctor, and his trust in Zhou Can reached unprecedented heights. Having the real cause identified gave him hope for recovery.

At least he's finally understood the reason for this strange illness.

"It can be treated! I'll develop a treatment plan for you, mainly focusing on your exercise. If you can't stick with the exercising and once again neglect your health when you start studying, then I'm powerless. Studying seriously is a good thing, but you must balance work and rest. While studying, you must also care for your health, understand?"

Zhou Can thought treating this illness wasn't too difficult.

The only challenge is when the patient doesn't cooperate and refuses to persist in exercise.

"Rest assured, this time I'll definitely listen to you. After falling ill this time, my studies were delayed, and it made me realize that haste leads to failure. I will deeply learn from this lesson, even if I attend work after graduation, I will always remember this lesson."

The patient made his stance clear to Zhou Can.

This young man is determined and resilient, and he's sure to keep his promise.

Zhou Can nodded with relief and went back to the office with Director Xue Yan to discuss the treatment plan for this young man.

The treatment plan was developed overnight, minimizing medication use, with physical assistance as the main approach. However, due to the patient's current severe heart failure, medication is necessary.

The medications can only be gradually reduced once the patient begins to recover.

Drugs are inherently harmful; especially Western medicine often contains hormone components. Their side effects are significant and their impact profound.

The body can easily develop dependency on medication.

Besides, after long-term use of the same drug, resistance can develop, making the body's absorption poor and leading to a significant decline in drug efficacy.

...

The next morning, Zhou Can conducted rounds in the Emergency Department early, then particularly went to the Cardiothoracic Surgery Department to check on the young man's treatment progress.

For now, a specific electric pressing tool was used on the patient's legs' calf muscles to assist the patient's lower limb gastrocnemius in consistently contracting and relaxing. It's equivalent to calf massage.

The patient's complexion visibly improved, and his breathing was no longer as rapid and labored.

These are all good signs.

Without even needing an exam, Zhou Can could sense that the patient's heart failure symptoms had significantly alleviated.

"In a while, you can get out of bed and walk downstairs, with Brother Wei accompanying you. Where is he?"

Zhou Can hadn't seen Brother Wei after being here for a while.

Apparently, he hasn't stayed close to his employer for an extended period; has that fellow gone to the restroom due to constipation?

"Um... Brother Wei took leave from me and went for a check-up."

The patient hesitated for a few seconds but ultimately chose not to deceive Zhou Can, speaking the truth.

"Yesterday he was fine, why suddenly fall ill?"

Zhou Can furrowed his brow; this patient not having anyone to accompany him was not okay.

"Oh, didn't you advise him the day before yesterday to get a liver check-up? Perhaps he thought you were too young and not skilled, so he didn't take it seriously. Yesterday, having seen you successfully identify my disease cause, he started to have faith in your medical skills. Worried about his own health conditions, this morning after buying me breakfast and helping me wash up, he went to the Hepatology Department to queue for a consultation."

The patient might have felt it's a bit unkind to reveal unflattering facts about the bodyguard.

But he couldn't lie to Zhou Can, so he spoke somewhat awkwardly.

"So that's how it is. Then while you have no one accompanying you, don't leave here alone. You can move around by your bed, exercise your legs, and enhance the muscle strength of your calves."

Zhou Can smiled wryly after hearing that.

Brother Wei truly is interesting; urged to check his liver the day before yesterday but he didn't care.

Now he's rushing early in the morning to queue for his check-up.

This is how people are, so realistic.

"Alright! Dr. Zhou, do you think Brother Wei's liver indeed has issues? How did you determine his liver had problems? I'm purely curious, amazed by the wonders of medicine. Especially your medical skills, which truly opened my eyes."

The patient asked inquisitively.

"There's nothing particularly mysterious about this. On my first observation of him, I noticed liver palms symptoms to some extent, and then saw red spider nevi on his neck, and there were more than one, so I concluded that his liver probably has issues."

Zhou Can did not think his skills were particularly extraordinary.

"There are many medical techniques that might seem miraculous to you ordinary people, but they are merely the accumulation of medical experience. Because we deal with a large number of patients daily, after accumulation over generations of doctors, we develop the skill to identify a clear illness with just a glance."

"Understood! Thank you for patiently explaining to me. Coming to Tuya Hospital for treatment was another one of the right choices I've made, gaining a lot of knowledge, and most importantly, my illness finally has the hope of being cured."

Patients expressed sincere gratitude to Zhou Can.

"If my condition truly required heart transplantation, wouldn't that mean it still couldn't be cured?"

This question is actually a bit tricky to answer, considering the experts in the capital city. Those experts considered the transplantation option because they truly had no other options.