Famous Among Top Surgeons in the 90s
Chapter 324 - Chapter 324 【324】Elusive Illness

Chapter 324: [(324)] Elusive Illness Chapter 324: [(324)] Elusive Illness Clinical patients often do this, unable to pinpoint exactly where their pain is.

When they say their leg hurts, they touch the entire leg, when they say their waist hurts, they touch their entire waist and even move to the front abdomen, and when they say their stomach hurts, it’s even more exaggerated, almost as if they want to touch every digestive organ inside their body.

With patients like these, the first step for a doctor is definitely to determine exactly which part of the body is in pain. There are many organs in the human digestive system, and without knowing which one has the problem, how can you treat it? But with patients who like to touch their whole stomach, if you perform palpation, they might feel pain wherever you press.

The patient says their stomach hurts, but the gastroscopy shows nothing. Dark stools?

“Have you done a fecal occult blood test? There’s only one plus.”

“Right, right, right, so that doctor said it’s not serious.”

The patient’s reply certainly shows they don’t understand the deeper meaning of the doctor’s words. Xie Wanying knows that when Teacher Tan says there’s one plus, it refers to a weakly positive fecal occult blood test, which may not necessarily indicate bleeding in the stomach, but could also be hemorrhoids or a minor intestinal bleed.

“What do you usually like to eat?”

Dietary habits are a major contributing factor to digestive tract diseases, so it’s important to ask in detail.

“I usually eat lunch boxes at work.”

“Do you drink alcohol?”

It’s rare for men not to drink alcohol or smoke. Alcohol and smoking are also high-risk factors for diseases.

“I rarely drink or smoke,” the patient denied.

The patient’s expression while answering the question doesn’t seem like they are lying. Smelling the air, there is no strong odor of smoke or alcohol on the patient.

At this point, the doctor stopped. The atmosphere in the room suddenly became delicately quiet.

The young man looked at the two doctors in front of him, unsure of what was happening, with a puzzled look in his eyes. Surely he hadn’t said anything wrong just now.

Xie Wanying’s pen paused on the medical record paper.

Teacher Tan beside her was in deep thought, and she was also anxiously pondering.

According to the previous consultation, the patient seemed to have no major issues. The gastroscopy was also done by the internal medicine doctor of this hospital, and there were no significant problems.

Could it be that the patient had mental issues? Were they overly anxious about their own health? Otherwise, why would they come to book an appointment with a senior surgeon after having experienced dark stools once without further recurrence, and after a gastroscopy revealed nothing?

Some young people fear death more than the elderly do, turning a trivial matter into a huge scare, insisting on consulting with a specialist for peace of mind. Such patients are not uncommon in outpatient clinics.

Seeing that the doctors remained silent, the young man, worried, explained, “My friend said that if the internist can’t solve it, maybe a surgeon can have a look.”

So that was the reason the patient suddenly came to see a surgeon.

It’s true that if internal medicine can’t help, one can turn to surgery, but seeking surgery requires an indication for it, like the need for an operation.

What can an experienced doctor do after hearing this? Neither crying nor laughing would be appropriate.

Without looking at Teacher Tan’s expression, Xie Wanying knew: Teacher Tan was completely exasperated.

As seconds ticked by, it was essential to explain the situation clearly to the patient.

Perhaps prescribe some digestive aids?

“Does your upper abdomen feel bloated?” Xie Wanying asked. After she spoke, she realized she had forgotten Teacher Sun’s admonition and shouldn’t have spoken up without instructions from him.

She glanced at Teacher Tan. Teacher Tan didn’t give her a look that meant to keep silent.

“Bloated,” the patient answered.

Bloating and stomach distension are common symptoms of digestive diseases, but one symptom alone cannot confirm anything. The patient shrugged after answering, believing the doctor’s question to be pointless, not realizing that the young female doctor facing him would suddenly ask, “Do you often eat hotpot?”

“I, I don’t eat it often.” The young man sounded a bit uneasy, as though he was aware that enjoying hotpot might not be the best for him.