Chapter 982: Am I good at making phone calls? (big chapter)(2/2)
What does it mean?
The diagnosis and treatment ability of internal medicine doctors is stronger than that of surgeons, after all, they have specialized in their profession.
But at this time, Chen Cang made his diagnosis ability not inferior to that of an internal physician.
Of course, Chen Cang's ability to watch movies naturally surpassed that of "movie doctor!"
At this time, the doctor in the radiology department couldn't help but say, "Doctor Chen, you are so awesome!"
"It's better than those who watch movies like me! Are there any skills?"
Chen Cang coughed and said, "There is nothing else, I am only proficient."
...
...
After pretending to be a pussy, Chen Cang quickly took Li Yue to the CT machine to "get" the patient.
After all, the old man has no family help, so they can only do it.
But the radiologists stayed there and always felt that they had heard this sentence but couldn't remember it.
After pushing the old man out, Zhao Kai seemed to have relieved some of the pain and couldn't help saying, "Doctor, what's wrong with me?"
Pushing the bed, Chen Cang said: "Don't worry, it's acute pancreatitis and biliary obstruction, so the stomach hurts and nausea and vomiting, so there's no need to worry."
After hearing Chen Cang's words, Zhao Kai not only did not relax, but instead sighed.
Suddenly, he said slowly: "Hey... I actually know my situation. I have eaten less for more than a year. Over the past year, I have lost 20 or 30 kilograms."
"Doctor, don't lie to me. When my wife was alive, she was a doctor. I also learned a lot. I feel that I may have a bad disease."
"Actually, just leave. To be honest, I'm not afraid. It's rare to be seventy years old. I'm at my age and I have enjoyed all the happiness and everything I should see!"
Chen Cang heard the old man's slow speech without interrupting him.
The old man’s speaking rules are very clear and his education is quite high.
However, this sad mood is not desirable, and Chen Cang simply changed the topic: "Uncle, you should be quite educated, what are you doing?"
The old man was originally sighing, but when he heard Chen Cang's questions, he couldn't help but be stunned for a moment, slowed down and said, "I have never lived in vain in my life. I have seen the surrender of young Japan, and I have also seen Lao Jiang go to the Bay. Later, I went to the scene to see the founding of the People's Republic of China. At that time... I was so excited!"
"Follow the Chairman, after having a full meal, everyone started... Later, during the reform and opening up, I was brave and followed the wind to open a soda factory in Langfang. Orange-flavored soda. At that time, we had a lot of soda in our country, including Arctic Ocean, Shanhaiguan... and the formula was shared, and there was no patent. In the 1990s, Pepsi and Coca-Cola purchased it..."
An old man who is about to be 77 years old was born in 1933 and is truly a witness to the New China.
Listening to the old man's words, Chen Cang and Li Yue thought in their minds that it might be a matter of signing in a while.
It is risky for a 77-year-old man to have a gastroscopy. If his family is not around, who will sign it?
The old man should be able to do it too?
Generally speaking, although the law stipulates, you can sign with your immediate family!
However, the patient himself, especially a 77-year-old who is at risk like the elderly, even if he signs and has problems, his family members will still come to make trouble.
In other words, sometimes, the patient himself only has the right to disagree with the surgery and does not have the right to decide on the surgery.
The elderly now have acute pancreatitis, acute biliary obstruction, plus duodenal instussusception, which may have tumors.
Perhaps many people don’t understand why patients can cause acute pancreatitis.
This actually involves an anatomical issue!
80% of the common bile duct and pancreatic duct are opened together in the ampulla of the vater and enter the duodenum after convergence!
However, at this time, high pressure in the duodenal cavity causes duodenal fluid to flow back into the pancreatic duct, activates trypsin and produces acute pancreatitis.
Therefore, this leads to acute biliary obstruction and acute pancreatitis.
In fact, this is like an autoimmune disease.
Your own immune cells kill your own tissues and cells.
And this pancreatitis is the digestive juice that digests the pancreas, causing lesions.
In fact, this situation in the human body is really complicated.
After returning, nurse Yang Jie said directly: "I contacted the police station, but... I still can't come now, what should I do?"
One sentence made Li Yue and Chen Cang feel a little anxious!
I won't come yet.
At this time, the test results were also released.
Chen Cang took it and took a look: "White cell count 17,200/l; aspartate aminotransferase level 183u/l; alanine aminotransferase level 81u/l; bilirubin level; amylase level 3686u/l."
Basically, the condition can be clearly diagnosed.
But...the most important case is acute pancreatitis, biliary obstruction and gastroduodenal instussy caused by gastric cancer.
Family conversations are necessary.
Chen Cang couldn't help but say, "What's the phone number? I'll call!"
Chapter completed!