583 Diagnosis (1/2)

”Tell me if it's painful.” Ling Ran provided abdominal palpation to a patient.

Compared to technology such as B-scans, old-fashioned palpation could still provide a lot of information. It was hence still widely used in body check-ups.

Of course, X-rays, palpation, and other techniques did not share an either-or relationship. Most of the time, the doctors were the ones who chose to use those techniques.

Ling Ran now had Master Level Physical Examination Skills. His accuracy in diagnosing through performing abdominal palpation was even higher than doing a B-Scan. In that case, he did not need to hog the facilities.

The patient was lying on the examination table. He was happily looking at Ling Ran as he said, ”It doesn't hurt. How can it possibly hurt?”

”If you feel any pain, don't endure it. You have to tell us whether it is a sharp pain, a bloating pain, or any other pain.” Yu Yuan who was at the side of the examination table stood on top of a small stool and reminded the patient for the nth time.

The patient gave a disdainful glance at her as he snorted through his nose and looked again at Ling Ran.

”Is it painful over here?” Ling Ran had his own understanding of performing physical examinations now. The method and steps that he adopted were slightly different than before.

The patient only inhaled deeply and said after Ling Ran reminded him, ”It's not that painful.”

”You have to tell me even if there is only a bit of pain. Do you feel any pain after meals?”

”Sometimes.”

”Is it one or two hours after your meal?”

”Yes. How did you guess it? Doctor Ling, you're so impressive…”

”Stomach ulcer.” Ling Ran did not wait for him to finish. He interrupted him and said, ”I will fill up a form for you to take two other examinations. Go and get a definite diagnosis. Your stomach ulcer is not that serious at the moment, but we should use some methods to treat it.”

At this moment, the man who was lying on the examination table was stunned, he quickly said, ”I work out three to four times a week, how can I fall sick?”

Ling Ran glanced at him in puzzlement and asked, ”Why can't you get sick if you work out?”

”Well working out… working out is good for the body.”

”When it's time to fall sick, you will still fall sick.” Ling Ran filled up the form and reminded him. ”Being anxious, fatigue, improper food intake, change in weather, or even smoking and drinking would trigger and cause serious stomach ulcers. You need to pay more attention and not underestimate it.”

Yu Yuan added. ”If we don't treat it well, it will be troublesome once the stomach ulcer bleeds or perforates. We may even need to remove your stomach. Also, there may be a risk that it will turn into a malignant tumor.”

”Cancer?” The man who was receiving the checkup yelled in surprise.

”There's no cancer at the moment. But there is a risk,” Yu Yuan said, ”This is to make you take care of your stomach ulcer. If you take care of it well, there will be no problem, understand?”

The man asked with great unease, ”Will I really get cancer?”

”There is a risk for stomach ulcers to experience field cancerization, but the probability is low. It is generally below 3%.” Ling Ran had enough Energy Serums and always took them when he studied. He had read quite extensively on internal medicine, so he could remember the content that should be remembered.

”I can't afford to have a three out of a hundred chance... ” The man was not at all consoled. He gloomily jumped down from the examination table and asked, ”What should I do now?”

”I recommend you to consult a gastroenterologist.” Ling Ran referred him to another doctor.

He could actually prescribe medication for stomach ulcer patients, but he was, after all, not a specialist. Also, a urea breath test might be needed to confirm whether a person had a stomach ulcer or some other related disease. They might even need to receive an esophagogastroduodenoscopy. If that were the case, then it was not something that the current volunteer medical consultation can do.

Making referrals was something that the Emergency Department always did, but it was a bit more troublesome now.

Ling Ran passed the form to the patient and asked Yu Yuan to do the explanation. The young nurse at the side, Wang Jia, did not wait for any directions; she had already invited the next patient to come forward.

Ling Ran did the same thing as he did for the previous patients. When he performed a physical examination, he asked questions and provide a basic judgment.

Ling Ran's diagnostic skills were not high, and his experience in providing consultation was close to zero, but it was more than enough for him to perform consultation in a community hospital like this.

They were not like the patients who came to Yun Hua Hospital. They usually had serious illnesses, and hence would need to be treated carefully and prudently. The consultation in Bazhaixiang itself was just physical examinations, and most of the patients were normal healthy people who had some illnesses which were not serious, and most of those illnesses were common.