Doctor: Picking Up Attributes in the Hospital-Chapter 372 - 338: Diagnosis—The First-Ever Male PSAS Patient! (Part 2)

Chapter 372: Chapter 338: Diagnosis—The First-Ever Male PSAS Patient! (Part 2)

Only during X activity in the human body, and for those brief seconds at its peak, does a peak value in neuroelectrophysiology appear.

Fluctuations in the neurophysiological center appear only during X activity; Hu Tu doesn’t believe any results and fluctuations can be detected in a patient at rest.

If there really are results, that means the young man in front of him is experiencing a constant state of X peak, something Hu Tu has never heard of before.

"Yes, especially the immediate feedback on nerves related to X activity in the lower abdomen, all need to be tested."

Zhao Heng nodded and said.

"Alright then."

Hu Tu nodded; since Zhao Heng requested it, he had no choice but to comply, even though he believed such testing would yield no results.

It’s known that many in the hospital say that besides the director and Director Gao, it’s Zhao Heng who calls the shots at Eastern Hospital.

Although such remarks are somewhat biased, as if disregarding the directors of other departments.

But the fact that these rumors spread indicates that Zhao Heng indeed holds significant influence now.

Of course, this influence was gradually earned by Zhao Heng demonstrating his capabilities, step by step. No matter if others feel envious or jealous, they can only watch.

Therefore, Hu Tu dared not slack off in responding to Zhao Heng’s requirements.

Before long, Hu Tu had adjusted the feedback system for testing the sacral nerve ganglia.

Pressing the button, the test commenced.

Almost immediately, the display screen—which was just a straight line a moment ago—showed a wildly fluctuating waveform the moment Hu Tu pressed the button.

The intensity of this waveform, its peak value, was something Hu Tu had never seen in all his years of neuroelectrophysiological testing.

If he hadn’t seen the young man lying motionless on the examination bed, he would have thought the man was rewarding himself—no, merely rewarding himself would not reach such a peak value. It was as if he were engaging in extreme X activity, or even like significant stimulation from drug use, to produce such neuroelectrophysiological activity peaks!

This...

Hu Tu stared blankly at the display screen, which looked like a wild dance of lines, completely at a loss for words to describe his feelings.

Could there truly be someone perpetually in a state of X peak high?!

In shock, Hu Tu looked at the young man lying on the examination bed as if he had discovered a new continent.

Standing to the side, Li Yang was hardly in a better state than Hu Tu.

Only Zhao Heng remained calm, seemingly having anticipated such astonishing data on the display screen!

"Dr. Zhao, is this PSAS? Persistent Sexual Arousal Syndrome? Isn’t this condition supposed to only occur in females?"

After pondering for a while, Hu Tu realized that the astonishing situation before him was PSAS, but this condition generally appears only in females. Thus, he hadn’t considered this aspect earlier.

"PSAS is more prevalent among females due to the unique structure of the female pelvis, but it’s not impossible for males to develop it. Ultimately, PSAS is still a neuro-related disorder."

Zhao Heng explained.

In clinical diagnostic thinking, one must boldly hypothesize and carefully verify.

In medicine, while technology is important, what is even more crucial is clinical thinking.

Clinical thinking refers to using knowledge from medical science, natural science, humanities, social sciences, and behavioral sciences, centered around the patient. Through adequate communication and exchange, it involves gathering medical history, conducting physical examinations, and necessary laboratory tests to obtain first-hand data. It combines other available best evidence and information.

By incorporating the patient’s family and cultural background, analyzing, integrating, analogizing, judging, and performing differential diagnosis based on the patient’s symptoms and other information, it formulates a personalized diagnosis, treatment, rehabilitation, and prevention plan, which is then executed and revised. This is the thought process and activity known as clinical thinking.

Though this process appears complex through explanation, in reality, it might come down to a few sentences. 𝚏𝕣𝐞𝗲𝐰𝕖𝐛𝐧𝕠𝕧𝚎𝚕.𝐜𝚘𝗺

Possible, impossible, verification.

Reaching a result may be simple, but the process is arduous.

Sometimes one can easily become stuck at a point due to cognitive blind spots and lack of information, which is the last scenario a doctor wishes to encounter.

"Indeed, in clinical practice, one must consider all possibilities; preconceived notions about what is possible or impossible cannot be allowed to prevail."

Hearing this, Li Yang, previously an experienced ER attending physician, couldn’t help but nod in strong agreement.

Zhao Heng is admired not only for his exceptional skills but also for his meticulous, agile, and observant clinical thinking.

While technical skills can be honed, such thinking truly is an individual’s innate talent.

Some individuals may possess high technical talent, but their thinking seems blocked in critical areas. They might excel in technical roles, yet when faced with roles requiring numerous judgments and decisions, they perform poorly.

This is why many clinical medicine PhDs, despite excelling in academics and writing excellent papers, struggle in real-world clinical work, eventually unable to even practice as doctors.

Some might call this operating below high expectations, but clinical work demands numerous judgments and choices, each potentially life-critical. Not everyone possesses the talent for this.

"Dr. Hu, can we conduct a full-cycle test here?"

Zhao Heng thought for a moment before asking Hu Tu.

"Certainly."

Hu Tu immediately nodded, now completely convinced by Zhao Heng. Initially, he had been skeptical of the hospital-wide high praise for Zhao Heng’s skills, thinking it might be exaggerated. But now, it’s evident there’s genuine ability.

Leaving the neuroelectrophysiology lab, Zhao Heng wore a solemn expression.

The diagnosis is clear, but as for the treatment, there’s no guiding start.

Even when dealing with a Brain-Eating Amoeba infection, at least there were traces to follow since it involved a definite parasitic organism in the body. The causative agent for the condition was explicit.

To cure the patient, one must find ways to combat the Brain-Eating Amoeba. Though the treatment process was challenging, the approach was straightforward.

Now, with this patient with Persistent Sexual Arousal Syndrome, a condition originally only seen in females now appearing in males, it’s exceedingly rare. Perhaps no such case exists globally.

No cases, no treatment experience; all treatment must begin from scratch, illustrating the considerable challenges involved.

"Dr. Zhao, where should we start with the subsequent treatment?"

Li Yang also asked Zhao Heng with a solemn expression.

"First, request some hydrophilic molecular anaesthetic gel from Sino. Manage the symptoms with that for now."

Zhao Heng thought for a moment before suggesting.

Though the anaesthetic gel is currently a relatively common material, there’s no domestic bio-medical work capable of producing the hydrophilic molecular version, and it must be imported.

This hydrophilic molecular anaesthetic gel was initially developed for space emergency use, but due to its efficacy, it’s deployed as a civilian product developed from space technology.

"The cost of such hydrophilic molecular anaesthetic gel isn’t low, and it’s not yet included in the healthcare reimbursement list."

Li Yang pointed out.

"Let’s use it for now and see if Sino can include this patient as a rare experimental case. This could significantly waive the fees."

Zhao Heng replied.

Any pharmaceutical firm has the quota to reduce or waive fees for certain new and imported medicines, primarily to test efficacy initially.

Having actual treatment cases and notable effects serves as a form of advertising to open the market. Most medical device companies operate this way.