My Medical Skills Give Me Experience Points

However, a hematoma of this degree is not enough to compress the patient's pharynx or the base of the tongue.

Nausea and vomiting caused by the hematoma can essentially be ruled out.

The patient's throat appears normal, with no signs of lesions. Only the side compressed by the lipoma shows significant tooth loss.

The coating on the tongue is off-white, with a tinge of dull yellow.

"Alright!"

Zhou Can signals the patient that he can close his mouth now.

No desired answer was found inside the mouth. He carefully lifted the gauze from the facial wound. The stitching of the wound was done by him personally using the Scarless Suturing Method, and some flap repairs were also conducted.

It appears normal.

There are no signs of infection such as wound swelling, and the patient's temperature did not rise, indicating that the possibility of a wound infection is very small.

"It really is strange, the wound is fine, no problems found inside the mouth either. So where could the issue be?" Spotanerror?VisittheoriginalpostonM&VLEMPY&R.

Considering the patient also has symptoms of abdominal distension, diarrhea, and overall fatigue, Zhou Can begins to consider a diagnosis beyond the local area of the wound, based on all symptoms.

There are too many possible causes for all the aforementioned symptoms.

For example, a common cold or food poisoning can cause vomiting, nausea, diarrhea, and fatigue.

The human body is like a delicate machine; failure in any part can lead to severe adverse reactions.

"What he's experiencing is likely a syndrome following the removal of the lipoma! This condition has a high incidence rate of up to 30%, presenting stubborn diarrheas, abdominal distension, nausea, vomiting, aversion to fats, and other digestive symptoms, as well as malnutrition symptoms such as overall fatigue, pale complexion, and lethargic demeanor. Currently, there is no effective treatment for this syndrome."

After deep contemplation, Dr. Liu gave the diagnosis.

"What's the cause?"

This was the first time Zhou Can had encountered such a situation.

It wasn't the first time he had removed a superficial lipoma, and there hadn't been any cases of post-surgery syndrome before.

However, this time the lipoma removed was gigantic and it was located in the facial region, so the situation was far more complex than any minor surgery previously encountered.

"The pathological mechanism is not clear; it may have something to do with tumor cells. Removal of large lipomas, whether in the cranial cavity, thoracoabdominal cavity, important organs, or close to those regions, can easily lead to numerous adverse symptoms. This syndrome is inevitable and can only be treated with corrective measures."

Dr. Liu issued some medical orders on the spot.

And asked to have blood drawn for testing, ordering a complete blood count to avoid misdiagnosis.

After leaving the ward, Zhou Can and Dr. Liu went out to eat together.

It was already approaching one o'clock.

The work of a doctor is quite exhausting; meal times are often irregular. This is especially true for doctors in the operating room and emergency room, including anesthesiologists.

Sometimes, to continue saving patients, working for over ten hours consecutively is common.

This is also why many doctors, despite being medically trained, end up diagnosed with cancer at a young age, in their forties.

Sometimes, these diseases are really brought on by abuse.

Skipping meals past meal times is unbearable for the stomach and intestines, prone to developing gastric diseases and ulcers. Working late at night, poor rest, and irregular lives cause even greater damage to the body.

So, being a doctor is an incredibly tough job with high risks.

"Dr. Liu, was the complication with the lipoma patient unavoidable during surgery?"

Zhou Can asked with some reluctance.

After carefully reviewing the procedure many times, there were areas that could be improved, but there were no major errors.

How did the patient develop the syndrome?

Identifying the cause to avoid it in the future was Zhou Can's utmost concern.

"According to my surgical experience and case reports both domestic and international, such post-surgery syndromes are unavoidable. It has nothing to do with the doctor's skill but rather the symptoms triggered by the tumor itself."

Dr. Liu explained to him in a calm tone.

"Wasn't the tumor completely removed? How can it still cause trouble?"

Zhou Can was even more puzzled.

His medical knowledge was shallow, and his diagnostic experience could not be considered rich. At least compared to those seasoned doctors with forty to fifty years of experience, he was far behind.

"Ever heard the phrase 'pull one hair and move the whole body'? There's a classic domino game, right? Remove one domino, and it creates a chain reaction that causes all the dominos to fall."

Dr. Liu gave an example to explain why some post-surgery syndromes are unavoidable.

"That lipoma grew for many years, and it might even have been there since the patient was born. It has formed a delicate balance with the patient's body. Removing it means disrupting that balance, which is why the patient experiences a range of adverse reactions. Remember, never treat a lesion as a superfluous part of the body during any surgery."

"Just like that lipoma, you should consider it an organ of the body. It grew so large that it has become a significant organ on the patient's body."

Dr. Liu's explanation was enlightening for Zhou Can.

Such knowledge could only be gained through profound experience from seasoned experts; it cannot be learned from textbooks.

No medical reference or database would record such theoretical knowledge.

Because it does not comply with standard medical content.

It's like the difference between official history and unofficial history.

Unofficial history can reveal intriguing content that official history does not record.