From small clinic to medical empire

Chapter 30 Syphilitic mucosal plaques

"Doctor, I'm really not sick! Don't believe me, I'll give you two steps?"

"Old Wang, what are you doing, talking about cross talk here? Director Zhang is very good, please lie down!"

"I'm afraid only if I have a level!"

"What do you say?"

"Uh...it's nothing. Let me see. Is it okay? Let's talk about it first. I have seen it in this Haoran oral cavity. I don't want to go to other hospitals. It's oral ulcers. Don't make a fuss!"

……

After tossing and tossing for a long time, Wang Weiguo finally lay back on the examination chair.

He comforted himself in his heart that this was a small clinic in the community, and it would definitely not be possible to detect it!
This must be the case, how can it be so easy to diagnose, the doctors in the Third City Hospital all said that their symptoms are not typical, and it is difficult to diagnose, and the doctors in this kind of corner are definitely not good!

Thinking of this, Wang Weiguo finally relaxed and let Zhang Zifan check.

A so-called "mouth ulcer" is a grayish-white, slightly raised patch located at the base of the tongue.

"Director, does it look like white spots?" Yuan Qiang asked from the side.

The so-called leukoplakia is a white lesion on the oral mucosa, which is common in middle-aged men and is generally related to smoking and other factors.

Some scholars believe that leukoplakia is a precancerous lesion, and some people advocate that it should be regarded as carcinoma in situ.

But in any case, this disease must be taken seriously and treated early.

"Have you palpated?"

Zhang Zifan raised his head and asked with a strange expression.

Yuan Qiang regained his energy and studied with Director Zhang for a period of time, but he didn't show much, well, except for playing wild blood C.

Dr. Liu saw this patient for the first time today, and he didn't notice anything unusual, but Yuan Qiang happened to come over to borrow filling materials to spot it.

After all, he is a graduate student of Haizhou University. Although he did not graduate successfully in the end, Yuan Qiang's theoretical foundation is still good. He suddenly thought of diseases such as leukoplakia and carried out a detailed examination.

Hearing Zhang Zifan's inquiry, Yuan Qiang quickly said: "Well, I checked carefully, and the shape and texture are very similar to white spots, and the base is a bit hard, and the pain is obvious when touched by the patient!"

Looking at Yuan Qiang's expression of "Come and praise me, Director", Zhang Zifan shook his head, speechless.

"Doctor, what are white spots? Is it serious? Is my Lao Wang okay?" Nie Meifang asked quickly.

Zhang Zifan pondered for a while, and said, "Let's do a blood test first!"

As he said that, Zhang Zifan gave the patient a laboratory test sheet, which contained four items before the operation.

When Nie Meifang went to pay the money, Zhang Zifan suddenly asked Wang Weiguo in a low voice: "Mr. Wang, have you had a physical examination recently? Do you know your physical condition? Don't hide it!"

Wang Weiguo looked at Zhang Zifan's young face, gritted his teeth and said, "No, I'm healthy!"

Soon Nie Meifang returned after paying the fee, and took Wang Weiguo to the laboratory to draw blood.

When the patient and his family members walked away, Zhang Zifan immediately jumped up.

"Yuan Qiang, you kid didn't mess around with your hands, did you?"

"No...no...after I checked the white spot, I threw the gloves into the medical trash can."

Yuan Qiang was taken aback. Director Zhang is usually very calm and personal in his work, and he was so surprised only when he was playing Yasuo.

Zhang Zifan nodded and said: "That's good, go wash your hands properly and remember to use the disinfection machine over there at Shi Xiaoya!"

"Director, what's going on?" Dr. Liu was also confused.

"The white one, where is the normal white spot, have you noticed the dark red infiltration around it?"

Zhang Zifan shook his head, and said uncertainly: "I suspect this is a syphilis mucosal spot, or a syphilis leukoplakia!"

"What? Syphilis?" Yuan Qiang and Liu Jianming were dumbfounded.

"Keep your voice down, the blood test hasn't come out yet, I'm just skeptical."

Zhang Zifan shook his head, just now he asked Wang Weiguo alone while Nie Meifang was away, just to know if he had any thoughts on his mind.

If he already knew that he had syphilis, was undergoing treatment, and consciously isolated himself from his wife for protection, Zhang Zifan actually didn't want to get involved in this troubled water.

This is a paradox in medical ethics. Protecting patient privacy and preventing disease transmission must be weighed against each other.

In the "AIDS Prevention and Control Regulations", it is clearly stipulated that "without the consent of the person or his guardian, no unit or individual shall disclose the names, addresses, workplaces, portraits, medical history materials and other information of HIV-infected persons, AIDS patients and their family members. information from which their specific identity may be inferred."

In other words, as an adult, as long as she does not agree, the doctor does not have the right to inform her spouse according to law.

Of course, syphilis is not as scary as AIDS, but their nature is similar.

……

"Boom-boom-"

About 10 minutes later, a sound of arguing and smashing things came from the direction of the laboratory.

Zhang Zifan frowned and hurried over with Yuan Qiang and Liu Jianming.

"What kind of broken clinic are you! You are messing around and extorting money!"

At this time, Wang Weiguo had long lost the demeanor of a successful man in a suit and leather shoes before. His eyes were red and his clothes were disheveled. He held up a chair and kept smashing the glass of the laboratory.

However, the laboratory produced by the system cannot be smashed by a middle-aged man who lacks exercise.

Wang Weiguo was out of breath after beating for a long time, but kept cursing non-stop.

Nie Meifang didn't seem to know the situation yet, and persuaded from the side: "Old Wang, don't be impulsive, the test is not accurate, let's go to a big hospital!"

Yuan Qiang and Liu Jianming are both young people. They are very convinced of Zhang Zifan's medical skills and have a sense of belonging to the clinic. Now when they see someone vandalizing, they immediately take off their white coats and want to come forward to help.

Zhang Zifan stopped them, "Don't be impulsive, call the police!"

With that said, he rushed into the laboratory to check if Liu Jia and Wang Jingjing were okay.

Liu Jia was so frightened that she hugged her head and shrank in the corner screaming.

On the contrary, Wang Jingjing was calmer, while moving the instrument by the window back, while trying to persuade the patient through the glass.

Zhang Zifan pulled her back and said, "It doesn't matter if the instrument is broken. You are all mine and cannot be hurt."

Wang Jingjing froze for a moment, her eyes were a little moist.

She said: "Director Zhang, we used the RPR method, and the results were obtained in 10 minutes. This patient went crazy when he saw the positive results!"

RPR is a non-specific rapid syphilis serum test. Compared with TPPA method, the probability of false positive will be higher.

But seeing Wang Weiguo's hysterical appearance, Zhang Zifan knew in his heart that this was definitely not a false positive.

"Honey, we are all high-class people. We can't come to such a shabby clinic for medical treatment. These people will give you random diagnoses of any disease just for money."

After smashing for a while, Wang Weiguo wanted to drag his wife away.

As for the test report, he had already shredded it immediately, without giving Nie Meifang a chance to see it.

And even if Nie Meifang saw it, she didn't even know what RPR (+) meant.

Wang Weiguo himself only knew about it because he was treated in the Department of Dermatology and Venereology of the Third City Hospital.

At that time, he went to see a doctor because of genital symptoms. He never expected that a small roadside clinic would actually detect his disease through oral ulcers!

……

Zhang Zifan was very angry when he stopped in front of Wang Weiguo and Nie Meifang.

For Wang Weiguo, a middle-aged man who looks pious, Zhang Zifan has no interest in knowing how much disorder he has in his private life behind his back.

Even as a doctor, it is acceptable to protect his privacy within reasonable limits.

But now, he smashed his own clinic. Although he didn't cause property damage, he frightened his employees, so can he just walk away?

As a medical worker, or as an ordinary person, how can the dignity be trampled on like this!
Not to mention that he slanders himself and his clinic in this way. If he does not fight back, it will be a major blow to the reputation of the clinic after it is spread.

Although he had called the police, Zhang Zifan knew that this would not solve the problem.

Since the laboratory is facing the toilet, there is no surveillance installed here, and Wang Weiguo's odd jobs did not leave any traces, so it is impossible to be dealt with by the police.

What's more, a local successful person like him has more or less energy, even if he really smashes a few pieces of glass in the clinic, he will lose some money at most.

Things can never be left alone.

At this time, Zhang Zifan remembered a shield hanging on the wall of the dental clinic on the second floor.

(End of this chapter)