radiothebook Chapter 435
Chapter 435
Chapter 435
finally,
Under Lin Feng’s arrangement, the patient Wang Jian went to the anorectal group of the emergency department for a “rectoscopy”.
The rectum is very short, connected to the steel door, and relatively thick, so it is relatively simple and quick to make a proctoscope.
(Digression: In proctoscope surgery, sometimes the entire rectum will be lifted out of the steel door, about ten or twenty centimeters or so, bloody, most people may not be able to bear it, so I won’t take the picture.)
…
Anorectal group,
After the colonoscopist applied lubrication to the patient, he extended the rectal scope into the steel door.
Accompanied by Wang Jian’s soreness,
The anorectal doctor saw something in the rectum.
In addition to some filthy things, I also saw the walls of the rectum, with a lot of bulges, and there was a feeling of broken ulcers.
Cancer tissue! !
At least seven or eight cancer tissues!
In addition to cancerous tissue protrusions, there are densely packed, disgusting polyps that make people phobias of density.
The display screen is in front of Wang Jian.
He also looked over curiously.
At this look, I almost didn’t feel sick and vomited.
Wang Jian’s face was pale and trembling: “Is this the image from my intestines?”
The anorectal doctor saw a lot of big scenes, very calm: “Yes, it’s your rectum… how did you do it? This rectal cancer is so serious, why didn’t you see the doctor before?”
Wang Jian was very flustered: “Doctor, you said…this is cancer…”
Anorectal doctor: “These relatively small, tender ones are polyps, and the larger ones are cancerous tissues… Obviously, you should have been sick for a long time, and these cancers should have developed from polyps. You should Come to the hospital earlier…”
Wang Jian’s face was pale and muddled.
cancer!
I actually have cancer!
He cried and asked, “Doctor, is there any cure for my illness?”
Anorectal doctor: “There are two ways, one is to cut it off directly, one hundred dollars…there is another, chemotherapy and radiotherapy together…”
Wang Jianyixi.
There is still a hundred ways?
Asked quickly; “Surgery? Can it be cured?”
Anorectal doctor: “If the cancer has not spread to other tissues, you can cut off the entire rectum, maybe there is hope for a radical cure… But! The rectum is connected to the sphincter, so you need to cut off the sphincter together, and you may even pull it off at that time. There is no way to control the excrement… then you need to bring a dung bag with you to hold it…¨々…”
Puff~~~~
Wang Jian almost spit out old blood.
Can’t control shit?
Play shit anytime?
Such a life, it’s better to die! !
The anorectal doctor didn’t tell him that many patients who underwent this operation committed suicide later.
Wang Jian: “What about radiotherapy and chemotherapy?”
Anorectal Doctor: “Then it will cost a lot of money, more than 100,000 yuan a month, without a cap…”
One more sentence was not said: “There is no cure, it will take a long time of chemotherapy and radiotherapy…”
Wang Jian: “……………………”
His family conditions are not good. He is from a rural area, so how can he have the money to do this.
At this moment, he really regretted that, why didn’t he see the doctor early, and the result was that the polyp turned into cancer as soon as he delayed!
Wang Jian was silent.
He didn’t say thank you to the doctor, nor did he say hello to Lin Feng, so he left the hospital…
later,
Unwilling to give up, he went to the Jishui Hospital, and the Jishui Hospital also gave him a proctoscope. The result was the same-“rectal cancer”, and a pathological biopsy was done to confirm that it was cancer. The treatment plan given is the same as that of Doctor Harmony Anorectal.
At this time, Wang Jian gave up…
…
Lin Feng came to rest when he had a meal and rest at noon.
It was only then that I realized that the patient with rectal cancer (Wang Jian) did not go to him.
Then I found the anorectal doctor and learned from the anorectal doctor that the patient left without greeting.
Lin Feng shook his head.
No more attention.
…
…
2 kilometers away,
Lao Zhang, 54 years old.
Half a month ago, I met an old Liu who had just moved into a small courtyard.
The two sides met late and became familiar in a few days.
Lao Liu likes to eat fruits and buys a lot of fruits at once. If he likes to eat, he eats a lot. If he doesn’t like to eat, he leaves a lot. The fruits are too long to be thrown away, so he eats spoiled fruits.
Then,
Lao Liu Lao Zhang, a friend who had acute gastroenteritis, was admitted to the hospital and was hospitalized.
Lao Zhang also went to the hospital to see Lao Liu. At that time, the doctor analyzed that the fruit was broken after being left for too long, or the food was unhygienic, or expired and deteriorated, or it might be irregular eating…
Lao Zhang was aside and heard clearly.
So, from that day on, Lao Zheng began to control his diet. He didn’t dare to eat fruits and cold dishes, and he didn’t dare to drink cold drinks. All leftovers were thrown out, and he insisted on washing his hands before and after eating.
As a result, 10 days ago, he started daily diarrhea.
Go to the pharmacy to buy medicine, but it doesn’t work.
“No, I obviously pay attention to hygiene?”
“All are clean, not expired, eat and wash your hands…”
“Why do you still have diarrhea?”
Lao Zhang feels really wronged!
It’s okay for others to eat indiscriminately. Instead, I pay so much attention to hygiene and I often have diarrhea.
On this day, he had diarrhea again, there was really no choice but to go to the hospital.
The nearest hospital: Harmony Hospital!
Call the emergency department.
Fortunately, it was Lin Feng’s account.
…
Lin Feng’s first patient in the afternoon happened to be Lao Zhang.
“Doctor Lin, help me see what’s going on with me? I have had diarrhea every day for the past ten days…”
Lao Zhang grumbled.
Ten days?
Lin Feng knew that his condition was not mild when he heard it.
Consider “chronic diarrhea.”
The cause of chronic diarrhea is more complicated than that of acute diarrhea, and there are too many factors.
Lin Feng: “To be specific…”
Lao Zhang: “It’s like this. I usually pay attention to hygiene when I eat. I don’t eat anything that has deteriorated, overnight or expired. I don’t eat anything. I wash my hands before meals, but I get diarrhea… Then I went to the pharmacy to prescribe the medicine, but it didn’t work… ”
Lin Feng listened.
·Judgment: The probability of gastroenteritis caused by viruses and bacteria is greatly reduced.
Then we have to consider other factors:
·Insects: such as pear-shaped flagellosis, schistosomiasis…
·Tumors: such as colorectal cancer, colonic adenomatosis, small intestinal malignant lymphoma…seven or eight
· Stomach and hepatobiliary and pancreatic diseases: atrophic gastritis, chronic hepatitis, cirrhosis, chronic pancreatitis, chronic cholecystitis.
·Hyperthyroidism
·diabetes……
·Systemic lupus erythematosus…
·Food and drug allergy…
·……
In a word, abdominal symptoms are very troublesome!
It’s as complicated as finding an exit in a maze.
Lin Feng: “Does it have abdominal pain?”
Lao Zhang: “No…”
High probability to rule out inflammation…
Lin Feng: “Did you have diabetes before?”
Lao Zhang: “No…”
High probability to rule out diabetes…
Lin Feng: “Any other medical history?”
(Obtained) Lao Zhang: “There is only high blood pressure, but I have been taking medicine seriously, and I don’t have time for a day…”
Speaking of taking medicine for this high blood pressure, Lao Zhang witnessed an old friend who died after taking medicine irregularly. So he pays great attention to this aspect.
(Old friend:?? Why Lao Zhang, your old friend always has problems?)
It took 5 minutes,
Lin Feng patiently asked many questions.
finally,
Lin Feng: “Aber, your situation is a bit complicated. I will give you a blood test, parasite antibodies, tumor markers, thyroid B ultrasound, chest and abdomen CT…”
Explain one by one.
Finally, Lin Feng said: “Aber, because there are many inspection items, so it is more expensive. If you want to save money, you can pick a few of them…but separate inspections may take more time…”
When Lao Zhang heard this, he waved his hand proudly.
“I have a lot of money, pensions, and my son also give me a lot. You don’t need to save money with me, just check them all… and I believe you too, Dr. Lin…”
Lin Feng smiled.
“Okay, I will bill you now.”
…….