Novel Bin Chapter 757: 【757】The patient does not know
Xie Wanying walked up to the patient and found that the patient\'s face was very familiar: By the way, it was Li Yaxi, the school flower Li Qi\'an said.
Why are you coming to the hospital again? And this time I didn\'t go to the second general surgery and was transferred to hepatobiliary surgery?
"This is her medical record." The nurse who brought the patient gave the medical record to Xie Wanying.
took over the medical record, and Xie Wanying opened it to review the attached examination report and the referral opinion written by the doctor.
The latest CT scan revealed that there was a problem with the patient\'s pancreas.
This result made Xie Wanying blink, remembering that she had asked Li Qi\'an to observe this patient more than two months ago. Perhaps, she had the idea that when Li Qi\'an began to study, the task should not be too heavy, but why didn\'t she ask Li Qi\'an to observe other patients, but it was this person. It turned out that in her intuition, she predicted that the patient\'s condition was not serious.
Pancreatic cancer is called the king of cancer because it is too difficult to find. When it is found, all patients are basically in the middle and late stages.
First of all, many clinical symptoms of pancreatic cancer are too confusing to identify with other diseases.
Like this patient, he was suspected of having a gastroduodenal problem in the second general examination. Upper gastrointestinal symptoms may be one of the early symptoms of pancreatic cancer. But most doctors don\'t suspect the pancreas first. This is because pancreatic cancer patients are much rarer than other gastrointestinal cancer patients. The high incidence age is men in their 40s, and Li Yaxi does not meet these conditions at all.
When the patient was hospitalized, the doctor was not irresponsible, and prescribed a general examination to the patient to rule out other causes.
Li Yaxi had a routine b-ultrasound of the liver, gallbladder and pancreas. Unlike the liver and gallbladder, the b-ultrasound positive detection rate of early pancreatic cancer is extremely low. There are often such patients, the B-ultrasound was normal three months ago, and the pancreatic tumor was dying after three months.
Do ct? Sorry, routine CT is also difficult to detect early pancreatic cancer. Multi-layer thin-layer enhanced CT scans are required, and it is impossible to find out if there is no particularly experienced imaging doctor to perform this examination on the patient.
Therefore, even if the patient can be found to be a pancreatic tumor now, it must have been pointed out by an expert, because it is not an advanced stage.
When the nurse who handed over the patient was about to leave, she lightly pinched Xie Wanying\'s arm and gave a hint with her eyes.
Xie Wanying said that she received a reminder: the patient does not know what disease he has for the time being.
Young, college student, if you are informed that you are going to die of cancer. This blow will be like a shattering of the sky, completely destroying the spirit of the patient.
Folded the medical record, Xie Wanying pressed it with a stethoscope when she stuffed it into the pocket of her white coat, so as not to accidentally fall out and be seen by the patient.
The emergency nurse here helped bring an oxygen bag and connected the oxygen tube, so that the patient can continue to inhale oxygen on the way to the inpatient department.
Li Yaxi, who was in a wheelchair, was significantly thinner than two months ago. It was written in the medical records that it was because of this unexplained weight loss that she had to go for another examination. At the beginning, 80% of the cases may not be found again. I don\'t know which expert instructed her to do a CT scan, and she was found out.
In addition, the patient\'s spirit is quite good, and it has not changed from two months ago. He may think that he is coming to the hospital again for a check-up, but his posture is still a little high.