Chapter 158 Patients with Throat Cancer
In today's society, there are tens of millions of new cancer patients diagnosed every year, including tens of millions of men and nine million women, plus existing cancer patients. Even in our country alone, an average of 5.5 people die from cancer every minute.
Therefore, the Oncology Department of the Sixth Hospital came into being. Unlike the general internal medicine department, which was about to be submerged in the long river of history and eliminated by patients and hospitals, the number of patients in this emerging department has been increasing over time.
The Oncology Department of the Sixth Hospital has even grown from the original 2 wards to 6 wards today!
There are more than 20 chief and deputy chief physicians in the entire oncology department alone! There are even more attending physicians, residents, trainees, and interns...
Therefore, as the director of the Department of Oncology, Director Fan is very busy every day. Even the one-day-a-week inspection of each ward fills his entire morning schedule! Add to that various scientific research projects, surgical patients, outpatient clinics, and other work, and Director Fan simply cannot spare any time to teach students.
Only a few interns or trainees who help with chores will regularly help him deal with the chores.
Therefore, in this national hospital ranking competition, apart from the three classes he gave to people a while ago, Director Fan did not plan to teach other candidates alone. He even made up his mind that if the Academic Affairs Department arranged for someone to study in the Oncology Department, he would arrange for that person to study under the name of the chief physician of other departments...
until--
Director Fan received a call from the Academic Affairs Department this afternoon.
Director Fan, who was having lunch in the restaurant on the third floor of the operating room, took out a mobile phone from his trouser pocket, pressed the answer button, and was stunned.
Just last week.
Dr. Su from the Department of General Internal Medicine called him and said that the Academic Affairs Department was trying to get these candidates to undergo intensive training to bring honor to the Sixth Hospital, so he could not spare time to come to the operating room to perform acupuncture and moxibustion to stop bleeding on surgical patients.
This has caused the directors and deputy directors of various oncology departments, who have been accustomed to performing super-large tumor surgeries and using acupuncture to stop bleeding, to feel a little lost in recent times.
But Director Fan didn't expect...
All of a sudden, the Academic Affairs Department arranged for Su Tang to come to their department to study.
Director Fan sighed: “…………”
I tried hard to suppress the urge to tie people up in the operating room and give acupuncture to their oncology patients to stop bleeding every day.
In the end, he chose to take Su Tang as his disciple with a smile.
then……
After Su Tang finished lunch and put on her white coat again, she ran from the internal medicine building to the surgical building. When she pushed open the door of the oncology department, she was greeted by Director Fan, who was smiling like Maitreya Buddha.
Director Fan: "Doctor Xiao Su, I never thought that you would be assigned to our department by the Academic Affairs Department...it's fate."
"But now that you're here, there are still many things you can learn in our department. Lung cancer, esophageal cancer, breast cancer, etc. Our department can find patients with corresponding diseases. As long as you study hard, I believe that with Dr. Su's ability, you will definitely be able to win a place in the national competition!" Director Fan smiled and patted Su Tang on the shoulder.
As a doctor who had long been dealing with Su Tang during surgery, Director Fan had a good relationship with Su Tang. Even in the six wards of the Department of Oncology, all the chief doctors and deputy chief doctors who had undergone major surgeries in recent days and whose patients were more complicated and prone to heavy bleeding had had contact with Su Tang and were relatively familiar with him.
Su Tang touched his nose and said with a cheerful smile: "Director, what you said is true... I must study hard. This time when I came to the oncology department, I put in a very high spirit of study! I promise to study hard and learn the diseases in the oncology department as carefully as possible!"
There are dozens of common cancers in oncology.
But after all, the essence of cancer is the disorderly proliferation of tumor cells and invasion of healthy tissues of the human body.
As an internist and Chinese medicine practitioner, Su Tang cannot perform surgery on cancer patients, but learning about the different manifestations of various cancers in the human body, the tolerance of different cancer patients to chemotherapy and radioactive drugs, and referring to the performance of other anti-cancer drugs in patients, etc., can provide Su Tang with more treatment experience for cancer patients' rehabilitation in the future...
"Hahaha……"
Director Fan laughed heartily, and scanned the crowd around the department. Finally, he squinted at Su Tang and said with a smile, "In fact, when you come to the oncology department, in addition to learning various cancer treatment methods, the most important thing is to learn how to judge whether a patient has cancer."
"In our oncology department, we often see many patients who suspect they have cancer, but these patients may not actually have cancer. In addition to conventional methods of diagnosis such as tests and biopsies, we should also learn to use experience to judge the patient's condition."
Director Fan walked in front and waved to Su Tang, asking her to follow him to the oncology clinic. He said, "Because you are participating in the national competition this time, although there will be testers and imaging personnel, it is not necessarily that testers will be allowed to participate in every assessment. Moreover, there may be simulated patients in the examination room... In this case, can you really take a piece of tissue from the simulated patient for testing?"
Usually in the clinical department assessment, on-site terminology assessment, simulated patient assessment, standardized patient judgment, on-site practical assessment, etc., will all be the examination scope of these medical personnel.
In Director Fan's opinion, Su Tang, as a general internal medicine doctor, is much more capable than ordinary Chinese medicine practitioners or internal medicine doctors of the same age. Even the vast majority of ordinary attending physicians are not as good as Su Tang.
After all…
Ordinary attending physicians do not have the skills of acupuncture to stop bleeding.
Even Director Xiao of the Traditional Chinese Medicine Department has never been heard of as having such amazing abilities in all these years.
But the span between internal medicine and oncology is still a little bit large.
So in Director Fan's opinion, since the gap between the two departments is so large, and Su Tang has only been studying in the oncology department for a short time...
Then you should give priority to choosing skills that will be useful when you return to general internal medicine.
For example: chemotherapy and radiotherapy for different types of tumor patients. Different choices of drugs. How to judge the specific condition of a patient's cancer without the help of testers, etc.
Director Fan talked while walking, and introduced Su Tang to the 10 most common cancers in China today, and how to simply diagnose and differentiate these cancers, and which cancers have the highest mortality rates for women and men...
Soon, the surgical clinic and the surgical building, which were not too far away, had already been walked by Su Tang and Director Fan.
The two walked to the oncology clinic, opened the office with Director Fan's name on the wall, and quickly started their afternoon clinic work.
During this time, Su Tang also saw Jiang Haichao and his interns passing by the gate...
The other person was wearing a white coat, looking very busy, with two little tails hanging behind him. It was obvious at first glance that he was a student.
Su Tang blinked and sighed slightly: She didn't expect that one of the candidates, a doctor who had reached the title of associate chief physician, no longer needed to go to other departments for 24-hour high-pressure training like them.
Instead, they can continue to stay in the original department and teach interns and residents.
………………
In the afternoon, at the oncology clinic, Director Fan’s office.
Director Fan sat at the clinic table and examined each patient.
Every time he saw a patient, he would explain the relevant symptoms to Su Tang in detail.
If the patient is not a cancer patient, Director Fan will usually explain the disease to Su Tang on the spot. But if the patient is likely to be a cancer patient, then Director Fan will often ask the patient to get a check-up first, and then explain the disease to the patient or the patient's family depending on the situation.
At this moment, sitting in front of Director Fan was a fat middle-aged man. He was holding a test report in his hand. His face was pale and he coughed from time to time. He handed it to Director Fan with a nervous look on his face.
Director Fan looked at the examination report, nodded, and said to the middle-aged man and Su Tang, "Mr. Wang, don't worry. You don't have lung cancer... You probably have pneumonia caused by a fungal infection. Generally, this type of pneumonia doesn't have any symptoms in the early stages, and rarely does someone have a fever. The most common symptom is coughing and expectoration, like you are doing now."
"So I'll prescribe some medicine for you and give you an injection..." Director Fan smiled and comforted the anxious middle-aged man, while carefully explaining to Su Tang the symptoms of lung cancer patients and how to distinguish such lung cancer patients.
Cough, hemoptysis, chest pain, smoking history, etc. are all very important diagnostic evidence. Of course, there are also imaging test reports, which can serve as the most important judgment tool.
Su Tang listened and nodded seriously.
Although she already knew this basic knowledge, it did not prevent Su Tang from consolidating her learning under Director Fan.
then……
That afternoon, Su Tang quickly reviewed Director Fan's lecture on lung cancer, pancreatic cancer, breast cancer, cervical cancer, etc., and also listened to the basic treatment plans for these cancers in the oncology department.
"You've watched and listened for so long. I'm sure you have some ideas..." Director Fan smiled and said, "I like to give students some opportunities to get their hands dirty. Why don't you take a look at the next patient first while I sit by and listen?"
Since you are learning from him, he treats everyone equally, whether they are interns, regular trainees or candidates, and he must teach them well. Otherwise, wouldn’t it be a waste of their study time?
"Of course no problem." Su Tang rubbed his hands, his eyes lit up, he had been looking forward to it for a long time!
…………
Five minutes later.
Su Tang sat at the seat where Director Fan originally saw patients, while Director Fan sat on the inside of the wall. The two exchanged seats.
"Um...excuse me...can I come in?" A slightly thin young man who looked to be in his early 20s stood at the door cautiously and poked his head out, his voice hoarse.
The other person's face turned pale and he looked like he was about to fall down, which was a bit scary.
The whole person is like willow catkins floating in the wind, falling down at the slightest blow.
Su Tang was stunned for a moment, and then she wanted to stand up and help the person in.
As a result, before Su Tang stood up, a young man with a shaved head came in with the skinny young man. The young man supported the skinny young man with an expressionless face.
Su Tang: “……?”
"Doctor... do you think I'm going to die?" The thin young man leaned against the wall, his eyes red. "I think I have throat cancer... Listen to my voice, not only is it hoarse, but I also had difficulty swallowing this morning... Ahem, when I searched online, I found that patients with throat cancer usually have bad breath."
"Doctor, please smell it... I have bad breath now!"
The thin young man's face turned paler as he spoke, his fingers tightly gripping the wooden door, already immersed in his own emotions: "Difficulty swallowing, hoarse voice, bad breath, foreign body sensation in the throat... Doctor, do you think I have throat cancer? Does that mean I'm going to die soon? I heard that the mortality rate of throat cancer is very high..."
The thin young man shivered and shuddered, crying, "But I haven't graduated from college yet. If I die like this, my parents will be sad... They will definitely be very sad, doctor."
"Doctor, please save me, save me... I'm so scared! Wuwuwu~ I'm still a student, how could something like this happen?" The thin young man's voice was desperate and sad.