Chapter 982: Am I good at making phone calls? (big chapter)(1/2)
This young couple who sent the old man was not from the capital.
The old man is Zhao Kai, who is 77 years old this year. His wife left seven or eight years ago and lived alone.
There are two children and two daughters, both in the capital.
The old man was also capable when he was young, and he also earned a lot of money when he opened a factory in Langfang.
I also tossed several houses in the capital, and caught up with the good times.
In the past, the houses were all small square meters, and the family of six could not live in them at all. At that time, there was no large flat floor. The elderly bought a community with two houses on one floor, which undoubtedly made it much more convenient.
If you really want to say that you are rich, you are not that rich.
Later, when the child got married, the house was given to the child, and he left the old house to live in.
First, it was an old community, and his son and girl looked down upon him. Second, he knew that when the child grew up, he didn't like to guard him.
After my wife left, the old man simply cleaned up the house and rented it out, otherwise he would not be too arrogant and would be in trouble.
But when I rented it out, I got into trouble. First, the boss came back and cried, saying that my grandson went abroad to study and had to pay back the loan for the new house I bought at home, and the economy was in a tight situation.
The old man was soft-hearted and thought that he would be them when he got old anyway, so he asked the tenant to call the rent directly to his son.
The second brother also knew about this, and the two girls came.
After a quarrel, the old man had no choice but to charge the rent for each of his two sons for one year.
Once this involves money, it is a big problem.
Two years ago, the old man lived a boring life alone, and an old friend was about to introduce him to an old man.
He said that this person should not be too lonely when he is old, as it is easy for him to leave early.
After discussing this, a few old friends were about to introduce an old lady to the old man.
At the beginning, the old man refused such a thing, after all... it felt like a second marriage.
As a result, they found that it was quite good after getting along, so the two of them didn't get a marriage certificate and lived together, but their lives were still calm.
But after a few children found out, they came back and said to Zhao Kai.
"Dad, I'm just greedy for our house. Our community is a good area, every inch of land is valuable, and every square meter is about 200,000 yuan per square meter!"
"Yes, you can't get a marriage certificate. The old lady has three sons in her family. It is said that one of them is not married yet. What should I do if I rely on our family?"
"Yes! Dad, you can't be confused!"
"That's right, my mom is so sad when she finds out!"
These four people talked and made the old lady in her seventies cry and left overnight.
Zhao Kai was so angry that he scolded everyone loudly: "You bastards have forced me to die long ago, right? It's best to die when the house is demolished, so can you get a demolition payment, right?"
Because of this, the old man was seriously ill.
However, after this incident, the elderly and children became distant.
Or the children also took the opportunity to get alienated from the elderly.
However, Zhao Kai has also learned from now on. He has a commercial pension and a corporate pension, which is quite a lot of money per month.
He couldn't use it alone, but this time he held it in his hand.
After all, what the older generation says is very reasonable.
Now Zhao Kai can still jump, jump and move, but these children are afraid that they will not be able to get rid of them if they stick to each other.
...
...
The police contacted the family, but did not come too late.
But the old man's inspection results came out.
Chen Cang pushed the old man to do abdomen CT, but as soon as he came out, Chen Cang was diagnosed with acute pancreatitis.
Abdominal CT scan showed that there was a clear boundary mass in the second part of the duodenum, the pancreas increased in volume and the main pancreatic duct slightly expanded.
This result made Chen Cang and Li Yue a little confused!
Pancreatitis is certain, but... what is this tumor?
Tumor?
Not like it!
Li Yue frowned and looked at the doctor in the radiology department: "What's the situation? The tumor?"
The radiologist frowned: "It doesn't look like it. If the tumor is...so big?"
After seeing this, Chen Cang suddenly said, "Doctor Wang, please sweep a few more layers on it!"
The doctor in the radiology department nodded immediately after hearing this!
Not long after, the result came out!
There seems to be morphological abnormalities in the stomach, but it is not clear what is going on.
CT nuclear magnetic field is not omnipotent, and the things you can see are limited.
Chen Cang looked at more than a dozen movies on the computer and fell into deep thought!
At this moment, Chen Cang was surprised because he discovered something magical!
Perfect abdominal imaging + four-dimensional model diagram of the human body produced a magical response!
Chen Cang could actually combine the structure of each layer on the film to fulfill the situation in the patient's abdominal cavity.
This moment!
Chen Cang almost jumped up excitedly.
He stared at the four-dimensional picture carefully, and then used the information feedback from each ct to continuously rework it, forming a structure of the upper abdomen to fulfill his wish!
This time!
Time passes by minute by minute.
Chen Cang looked at this strange-shaped gastrointestinal tract and suddenly thought of a special disease!
A splicing of the duodenum and stomach!
This gastrointestinal insufflation is very rare.
At this time, Li Yue looked at Chen Cang and looked happy, and couldn't help asking: "Xiao Chen, what did you see?"
Chen Cang nodded: "Well, I guessed some, but the patient needs to do a gastroscopy to confirm it."
Hearing Chen Cang's words, the two of them turned around and stared at Chen Cang: "Oh? What's going on?"
Chen Cang pointed directly at several movies on the computer and said, "You see, watch these five together."
"This may be an atypical manifestation of gastroduodenal instussusception, also known as globular flap syndrome, which is a rare disease!
Look here! It is actually caused by the prolapse of the pedicled stomach wall lesions into the duodenum."
When everyone heard about this rare disease, they were stunned.
Radiologists have also heard of this disease, but they really don’t know much about it.
But Li Yue is different. As an experienced surgeon, Li Yue frowned and asked, "But, I know the bulbous flap syndrome, but why does it press on the ampulla of vater? Also, what is the bulge?"
Chen Cang heard Li Yue's words, took a deep breath, and said with a sharp look: "If I was not wrong... it might be a tumor. If you look closely, this thing is actually different from the signal at the tail. I suspect it is a tumor at the tail."
"And this is also the culprit that causes many situations in patients!"
"Gastric-duodenal instussification caused by gastric cancer tends to occur in the distal part of the stomach, mainly in the antrum of the stomach, and is less common in the stomach body, the fundus and the anastomosis.
But the downward traction of intussusception to the duodenal wall may distort and hinder the ampulla of the vater.
The intussed head reaches the second part of the duodenum, so that the patient forms a special shape!
This leads to ampulla compression in vater and is associated with acute pancreatitis and biliary obstruction.”
Chen Cang's words made Li Yue and the radiologist a little confused!
In fact, every imaging doctor is a "modeler"!
They combine flat ct planks and need to form an anatomical structure diagram in their minds.
This not only requires a lot of movie reading skills!
It also requires excellent anatomical foundation, spatial sense, etc.
Soon, after the two of them looked back and forth twice, Li Yue's eyebrows also stretched out. If they were really what Chen Cang said, everything would be explained!
As an emergency surgeon, this diagnostic ability is really too strong!
There is a saying in the medical circle:
What is the best performance of a surgeon?
The answer is: Become a physician!
To be continued...