Love Healing Manual

Chapter 135 Esophageal Cancer

The air conditioner in the outpatient room was blowing warmly, filling the entire department with warmth. Lin Ze, wearing a white coat, was taking on the role of attending physician for the first time. The whole department was undergoing a wonderful change, especially the subtle rhythm.

Everyone in it can feel it.

Every doctor has their own rhythm and style. Some are more cautious and meticulous, speaking slowly and deliberately, often taking a long time to think before saying a word, making it impossible for patients to guess what the doctor is thinking.

Director Shinjima embodies this style.

The style of Tomura, whom he mentored, was more gentle. He would ask patients a lot of questions, including not only their past medical history and lifestyle habits, but also their occupation, striving to find out every possible cause of the illness.

According to him, the causes of diseases caused by different occupations can vary subtly in many ways. Although they are the same disease, the internal treatments need to be differentiated.

In contrast.

Lin Ze's style was particularly efficient, which was most noticeable to Dr. Horie, who was standing next to him.

He spoke calmly and concisely, issuing commands swiftly, accompanied by his magnetic voice and precise movements.

If I had to describe it, it didn't feel like a patient's examination. Dr. Horie felt that Lin Ze was in control of the entire department, leading the entire department, like a conductor at a concert, getting everyone to help him play the perfect notes.

Several patients in a row.

She became increasingly aware of this rhythm, and even unconsciously became immersed in it.

The efficiency of diagnosis and treatment is much higher than before.

In front of Lin Ze's chair sat a thin man with sunken cheeks. He unbuckled his belt, revealing his abdomen. After Lin Ze simply said "palpation," Dr. Horie immediately understood and pulled the patient's pants down again without hesitation.

The other person's black and white checkered underwear was also partially exposed.

But this doesn't matter to doctors; there's no such thing as gender barriers between patients and doctors.

Abdominal palpation is the most commonly used examination method in gastroenterology. Before the examination, you need to be fasting, not wear tight clothing, and not wear metal jewelry that comes into contact with your skin.

"Relax." Lin Ze's hand moved down from the patient's upper right abdomen, indicating that the patient should avoid being too tense, because his abdominal muscles were tense at this time, which would affect the examination.

"Hiss..." After adjusting his position, the patient suddenly felt a distinct pain in the area that had been pressed.

"Describe what your stomach pain usually feels like."

"I often feel like there are pliers twisting and pulling the flesh inside my stomach."

Do you drink alcohol regularly?

"rare."

"Is the pain spreading to other areas, such as the shoulder? Have you had a fever?"

"No, not really, just abdominal pain."

What about around the navel?

"I feel a bloating and pain."

"Miyagi, take note of irritable bowel syndrome. The cramps are around the navel, and the diarrhea and constipation alternate. Enteritis cannot be ruled out."

As Lin Ze spoke, Miyagi Suzuo next to him typed at an extremely fast pace, without stopping for a moment.

So, clear lines of text appeared on the medical record.

The specific symptoms, diagnosis results, and supporting evidence were all fully explained.

Chizuru Sano took out the printed medical record, quickly backed it up, and began asking about the patient's basic information, address, and contact information, which she then stored in the archives of the University of Tokyo Hospital.

Lin Ze took the backup medical record, pulled out a pen from his breast pocket, and signed Dr. Hucun's name.

It was then handed over to Dr. Horie.

“Your irritable bowel syndrome is related to your daily emotions, so please remember to control your emotions and pay attention to your diet. You can’t eat any greasy food, not even a little bit. I’ll prescribe two doses of medication for you, and you can come back for a follow-up check-up in two weeks,” Horie Yuzu wrote, then looked up and asked, “Do you still need the medication for constipation?”

"No more."

"Well."

At the same time, just as the patient got up, Lin Ze pressed the button to end the consultation, and the announcement of the next patient's name rang out at the door of the department.

The diagnosis and treatment were conducted very quickly.

Actually.

As an intern, normally speaking, even with talent, Lin Ze should be far from being able to achieve this level.

His accurate judgment and questioning, without any hesitation or ambiguity, demonstrate an unwavering confidence in his own assessment, as if he were certain of the patient's illness.

It doesn't require complicated inquiries about lifestyle habits to determine the cause of a disease, thus improving accuracy.

Horie Yuzu sometimes even feared that Lin Ze might have made a misjudgment, which could lead to a medical accident.

However, as a doctor who had also worked in the department for several years, Horie Yuzu felt that Lin Ze's judgment was not wrong.

In the brief interval between patients entering, Horie Yuzu couldn't help but look up at Lin Ze beside her. From his calm profile, she seemed to be trying to find some subtle signs of nervousness, in order to confirm that he was just using composure to hide his actual panic.

She was disappointed.

"Lin Ze, did you learn these things before? From your master?" Dr. Horie finally couldn't help but ask.

Lin Ze pondered for a few seconds, then lowered his face.

He didn't really want to tell a huge lie, although no one would dare to verify his lie with Professor Hishida, but based on Lin Ze's honest nature, he still chose to give a vague answer.

“Dr. Niijima taught in more detail,” he said shrewdly.

"Ok."

Do truly exceptionally talented prodigies exist in this world? They certainly do.

Dr. Horie's heart was filled with ripples of emotion, and she tried to find some reasons to justify Lin Ze's behavior.

As students at the University of Tokyo's Faculty of Medicine, each one is truly one in a million, yet the differences between individuals remain significant.

In every graduating class of the medical school, there are always one or two outstanding individuals who are so dazzling that others dare not even try to catch up.

A few years later.

Those people will take a completely different path from ordinary students.

They may become top talents in the field of medical research, or they may leave Japan and enjoy international renown.

These people were different from others from the very beginning. In a pond, some people are fish, and some people are golden scales.

It is impossible to understand using ordinary human thinking.

But with such a living example right beside her, Horie Yuzu still found it unbelievable.

Tomura is already one of the most capable people she has ever met. He has gained Dr. Niijima's trust in just a few years since joining the department. If nothing unexpected happens, he will one day take over the position of director.

However, Horie Yu clearly remembers that it took Dr. Tomura, who was once the best performer in the department, a year to be able to treat patients independently, and it was only after three years that Director Niijima dared to hand over the entire department to him.

Is there really such a big difference between geniuses?

"Doctor...?" The sudden question interrupted Horie Yuzu's thoughts.

The man who walked in was wearing old work clothes with his trousers rolled up, and looked to be in his forties.

Horie Yuzu's gaze lingered on his cheeks, noticing his unkempt beard and sunken eye sockets. His eyes seemed listless, and he appeared quite timid.

Although a doctor wouldn't judge a book by its cover, Dr. Horie was still taken aback. With that kind of appearance, if the other person wore a raincoat and walked a few steps in a dark alley at night, occasionally revealing a pair of deep-set eyes, it would easily make people think of a murderer in the rain.

"Please sit down," Lin Ze gestured for the man to sit in the chair in front of him. "Oh, Oura Yu, right?" "Yes, doctor. Can we do the examination quickly? I have young children waiting at home." The man scratched his equally messy hair.

"Even if it's quick, we need to do all the necessary tests first. Please sit down."

"Thank you, doctor."

The man named Oura Yu was very reserved, and as soon as he sat down, Lin Ze and Horikawa Yu, who were nearby, smelled a foul odor.

Both of them frowned slightly, but they didn't show it too obviously.

Yuzu Horikawa couldn't help but think that this smell must have come from not showering for a whole month.

However, Lin Ze's reaction was not because of that; the reason he frowned was quite simple.

The smell emanating from the patient, Oura Yu, was appalling to him, and it wasn't due to personal hygiene issues.

Lin Ze was extremely sensitive to this stench; it smelled like cancer!
It was precisely because of his exceptional talent that Lin Ze was so certain about the patient who had just come to the consultation room, so he didn't need to ask about every little detail. As for Oura Yu, the smell was a rotten, fishy stench, a level of pungent odor that even Lin Ze had never encountered before.

He had seen cancer patients before; there were simply too many like him in the hospital.

The unbearable stench irritated his nasal cavity, and Lin Ze couldn't help but wonder just how ill Oura Yu was.

"Describe your specific symptoms first, so I can hear them," Lin Ze said patiently, his expression softening considerably.

“Okay, doctor, I’ve been feeling like there’s something growing in my throat lately. I can feel it when I swallow,” said Oura Yu, stretching his neck and pointing to a spot. “It’s a little better when I’m swallowing food, but if I don’t eat for a long time, the choking sensation becomes more and more obvious, and I sometimes cough up sticky white phlegm.”

His voice was deep and hoarse, like a wire saw tearing through wood.

"Hmm, brush your hair back," Lin Ze said without hesitation, pressing his hand against the corner of the other person's eye and examining it carefully. After a moment, he commanded, "Flashlight."

“…Oh!” Horie Yuzu was stunned for a moment, then quickly handed over the flashlight after realizing what was happening.

With the sound of a switch being flipped, a powerful beam of light burst forth.

"Open your mouth," Lin Ze said to the patient.

Suddenly, the bright light shone into Daiura Yu's mouth. He thought Lin Ze wanted to check for inflammation in his throat, so he tried to move his throat muscles to let the other person see deeper.

But Lin Ze's purpose was not there at all.

Based on Oura Yuna's pale face, lethargy, anemia, a feeling of something stuck in her throat, and most importantly, a foul odor, there are three possible diagnostic approaches.

On the bright side, it could be chronic bronchitis, an upper respiratory tract infection, iron deficiency anemia, or allergic pharyngitis.

However, the likelihood of esophageal cancer is greater.

Tracing back to the basis of the judgment based on the answer, the patient's account of the events completely matched the symptoms of esophageal cancer, and the hoarseness was very likely caused by the cancer invading the recurrent laryngeal nerve.

After carefully examining the inside of his mouth for a while, Lin Ze felt even more heavy-hearted.

Do you usually experience muscle soreness? Have you had a fever recently?

After turning off the flashlight, he asked questions earnestly.

"I have a fever right now," Oura Yu's lips were dry and shriveled, with visible dead skin. "It's been going on for a long time. I feel dizzy even when I sleep, and I'm constantly sweating. Doctor, this should be caused by inflammation, right?"

"It's hard to say right now. Let me diagnose you first. Take off your coat and lift up your clothes."

"Ok."

It's quite obvious that Oura Yu doesn't understand his condition at all, or rather, he doesn't care that much about it. This was evident from the moment he asked if he could go home earlier when he first came in.

Lin Ze felt that if his prediction was correct, the patient wouldn't be able to leave anytime soon, and several complicated examinations would need to be done before the hospitalization procedures would be completed.

The people in the department watched as the man stood up, took off his coat, found a spot to put it aside, and then picked up the clothes covered in tiny bits of trash, exposing his chest.

"A little higher." Lin Ze had already placed his stethoscope on it.

After a moment, he seemed to remember something and turned to Miyagi Suzuo and Sano Chizuru, saying, "You two come over here and watch my treatment process."

"Huh?" Sano Chizuru was taken aback.

She and her classmate Gongcheng exchanged a glance, not understanding what Lin Ze meant.

"Come here," Dr. Horie said from the side.

"That medical record work?"

"Don't worry about it for now. There will be plenty of time to record it later. Taking good care of this patient is the most important task," Lin Ze said earnestly.

Generally, having other doctors gather around to help or provide advice is actually a very dangerous signal; this is practically the unspoken message for doctors.

Oura Yu looked somewhat puzzled, but when she saw the two young female doctors approaching, she quickly lowered her gaze.

He gradually realized that something was wrong.

"Tell me where I touch you and you feel pain."

"Understood, doctor."

Then, Lin Ze pressed his strong hands repeatedly on different locations, searching for signs of illness related to the symptoms. When the patient visibly frowned and couldn't help but cry out, he placed the stethoscope on the patient again to listen to the echoes within the internal organs.

Yuzu Horikawa knew this was a rare opportunity for the interns, so she gave up her spot so that Suzuo Miyagi and Chizuru Sano could observe the patient's condition.

She whispered in their ears, "Pay attention to the patient's outward appearance and specific symptoms."

Lin Ze's examination this time was particularly thorough, not only to demonstrate to the two team members who did not have much clinical experience, but also because it was very important to make the whole process reasonable.

otherwise.

If he were to be diagnosed with a possible esophageal cancer now, it would seem rather shocking.

If you're going to pretend, at least make it convincing, so as not to arouse suspicion again.

Lin Ze gave a passionate performance, using almost all the routine examination methods in gastroenterology.

A long time passed.

Lin Ze finally took off his stethoscope and let Daipu You put his clothes back on.

The other party seemed a bit impatient with the unusually long examination process, probably because they really had urgent business to attend to at home.

Therefore, immediately after the palpation, I asked, "Is the examination finished now?"

"Well, my initial suspicion is that there's something growing in the digestive tract. It could be a polyp or a tumor. There are several ways to confirm this," Lin Ze said, trying to keep his tone calm as he looked at the patient. "A gastroscopy, X-ray, or chest CT scan can all screen for abnormalities. It mainly depends on your situation—"

"Wait, what did you say I have in my throat?" Oura Yu looked shocked and stood up abruptly.

He stared wide-eyed at Lin Ze in disbelief.

Oura Yu only felt that she had a slight fever and inflammation in her throat, which she thought could be completely resolved by taking some medicine.

How could you suspect there's something growing in your throat...? In that case, wouldn't surgery be necessary?!

Looking at the young and handsome doctor sitting in the main consultation seat, whose age alone made him seem unreliable.

Oura Yu simply couldn't convince himself to believe the other party.

Then, he said excitedly, "You're not wrong about the diagnosis, are you? How could that be?"

however.

"Mr. Oura Yu, please calm down," Lin Ze said calmly.

(End of this chapter)