(Thanks to my friend Wolf Sky W, lazy confused monthly pass encouragement)

"Do you have a CT scan of your abdomen?"

After being silent for a while, Chen Hongyang asked.

"Wait a minute, come back and look at the parents' emotions first, and then let's ask the child's parents to see if we can find anything in the past medical history. Liu Banxia said with a wry smile.

This is a very helpless word, and it is also a very cowardly word, but it can only be done at the moment.

The waiting time was a little tormenting, and when the child's parents came back with the child, whether it was Liu Banxia or Chen Hongyang, their hearts were raised.

Because the child's parents are not good-looking, this is a very dangerous sign.

"I was in a hurry just now, let me introduce you to the two of you, this is the general resident of our emergency center, and Dr. Liu Banxia, who has been interviewed many times. Chen Hongyang said.

"Give me the CT scan, and then let's talk again to see if there are any oversights in our past medical history. Liu Banxia said.

"Doctor, it's hot again. The child's father said.

"When did he start to have a history of breathing pains and stomach pains? Did we go to the hospital for a check-up at that time?" asked Liu Banxia.

"When I was six years old, it's been more than two years now. The child's mother said.

"I thought he just wanted toys, but I didn't pay much attention to it at first. Later, I also went to the hospital for a check-up, and the doctor also took a CT at that time, saying that it may be due to the change of seasons caused by nasal allergies. ”

"Liu Yiqing, take the child's temperature again, and then I will do a heart-lung auscultation for the child. Liu Banxia said.

The child's parents didn't say anything, maybe Chen Hongyang's introduction to Liu Banxia just now played a role, or it may be that they are now showing their concern for the child by examining the child.

"Little friend, uncle will press your belly in a while, if you feel uncomfortable, tell your uncle, okay?" Liu Banxia sat on the side of the bed.

The little guy nodded, glanced at the infusion tube in his hand, and frowned.

"Haha, I heard them say that you are the most powerful child here, didn't you cry out of pain when you pricked the needle?" Liu Banxia asked with a smile.

The little guy, who was still a little uncomfortable, suddenly became arrogant, although he hadn't spoken yet, his eyebrows and eyes were also upturned.

Liu Banxia took the opportunity to observe the child's nostrils, and there were no symptoms of nasal discharge.

didn't dare to delay too much, and praised the little guy while giving him a physical examination.

It's just that after the examination, Liu Banxia's brows furrowed even tighter, the heart sound was normal, and the auscultation of the left lung was slightly different. But such lung sounds should not cause the child's current high fever to not go away.

"Is there anything else you feel uncomfortable with?" tell my uncle. Liu Banxia asked.

The little guy thought for a moment, raised his right hand and touched it on his chest.

"Doctor, have you found out what?" asked the child's mother.

"Don't worry, I'll take a look. Liu Yiqing, how is your body temperature?" Liu Banxia said.

"I took it twice and now my temperature is 38.8, which is a bit lower than just now. Liu Yiqing said.

"Then why was it so hot when we came back?" asked the child's mother.

"This may be a surprise to the body, but now it may also be that the drug is working. Don't worry, I'll take a look at the CT scan. Liu Banxia explained.

He still tends to have problems with his left lung, after all, the auscultation sound is a little abnormal. Of course, this abnormality can also occur in healthy people, and this is the only problem found so far.

The child's abdomen is soft and does not hurt anywhere. Now I have chest pain again, and I have to figure this thing out.

After looking at it for a while, Liu Banxia frowned, "Doctor Chen, do you see that there is a little dark feeling here?"

Hearing his words, Chen Hongyang hurriedly looked at the place of his finger, which seemed to be a little dark. But if you look closely, it doesn't seem to be any different.

Liu Banxia also rubbed his eyes, and then looked at the position of his finger just now, and there was a little shadow feeling. But after staring at it for a while, the shadow seemed to disappear again.

"Liu Yiqing, look at which doctor in or outside the heart has time now, invite one to help read the film. Liu Banxia said.

"Doctor, is there a problem with the lungs?" asked the child's father.

"Do you think the place where my finger is a little dark just now?" Liu Banxia asked rhetorically.

"It seems that there was one when you said it, but I didn't see it when I looked at it, and I couldn't understand it. The child's father said.

This feeling is very strange, Liu Banxia has also seen a lot of CT films, but he has never seen such a thing. If it's just that you feel this way, you may be dazzled, but others feel the same way.

After waiting for a while, Xu Guosheng in his heart rushed over.

"Dr. Xu, let's see if there's anything wrong with this film. Liu Banxia said.

Xu Guosheng looked at it carefully, his brows furrowed, "I didn't see any problems." ”

"Then take a look here, is it a little darker?" Liu Banxia pointed to the place where there was a visual error just now.

"Eh, don't say it, it's a little bit dark. But it's not too dark, is it not right when choosing the film?" asked Xu Guosheng after watching it for a while.

"If there are many places like this, it may be that the film was not selected well, but there is only this one. Liu Banxia said.

"The child had difficulty breathing, high fever, and chest pain after the examination. There was a history of painful breathing and coughing in the past, but the child's body temperature has dropped after using Tylenol. ”

"I went to the doctor because of nosebleeds, but it was because of the thinning of the nasal mucosa caused by regular use of fluticasone propionate, which should not be related to the child's main condition. ”

"It could really be a problem with the lungs, but the current situation is a bit difficult to verify. Xu Guosheng said.

"Even if you do MRI, the effect is the same as CT, and if you want to see clearly, you can only do thoracoscopic exploration, otherwise there is no other way. ”

"Doctor, how is that looking?" asked the child's mother, worried.

"It's an invasive test where we need to make a small hole outside the chest cavity and put the endoscope in it so that we can visualize the child's lungs. Liu Banxia said.

Hearing his words, the child's parents frowned. I understand, it turns out that this is the way of inspection.

"Although the child's symptoms have improved now, it is only the effect of the medication. Liu Banxia thought for a while and said.

"In my personal judgment, it was this disease that started two years ago. It's just that the child is still very young at that time, and he can't give a clear description of the pain area. ”

"In fact, it is the same now, basically when the child is uncomfortable, he will say that he has a stomachache. In addition, symptoms such as chest pain are dangerous for both adults and the body. ”

"Personally, I think I should still give my child a thoracoscopy, a two-year medical history, no matter what the disease is, if it drags on any longer, it will definitely become more serious. ”

"This time it was dyspnea and high fever, so the next attack will definitely be more ferocious. And you should also feel it in your usual life, is the number of times your child is uncomfortable more and more frequent?"

The child's father looked at the child's mother, and the child's mother nodded, "That's true, especially in the past six months." I always say it's uncomfortable, so the medicine is sprayed a little often. ”

"Doctor Chen, what is your opinion?" Liu Banxia looked at Chen Hongyang.

Chen Hongyang hesitated for a moment and nodded, "I also tend to do a thoracoscopy, only in this way can I observe it intuitively." ”

"It is true that the child's symptoms are recurring all the time, and if the root cause of such a disease cannot be identified, it will be uncontrollable when it really breaks out in the future. ”

Even if he is not sure whether it is a lung problem now, he is also inclined to the judgment of Liu Banxia and Xu Guosheng. Two years of medical history, this is really not short.

"Doctor, can you confirm the diagnosis?" the child's father asked.

Liu Banxia shook his head, "We need to take a look, but we can't be sure yet." Although the detection method of CT is very advanced, as you have just seen, that shadow may be a disease. ”

"But the shadow is so faint that we ignore it when we stare at it. If I were the only one who feels this way, I wouldn't recommend thoracoscopy to you. ”

"But thoracoscopy is not a very scary operation, it is to make a small hole in the chest. It is also a very popular operation method of minimally invasive surgery, and the impact will not be great. ”

"Okay, let's do it. Otherwise, the child is too miserable and sometimes can't sleep well at night. The child's father nodded vigorously.

Liu Banxia's mood was a little lighter, the work of the child's parents is the most difficult to do, especially this is still an invasive examination.

"Dr. Chen, do relevant examinations for the child, and then explain the situation of thoracoscopy carefully if it is involved, I will make an appointment with Chen Xuehai outside the heart and let him do it. Liu Banxia said.

"Okay, leave it to me here. Chen Hongyang nodded vigorously.

He is very grateful to Liu Banxia for this matter, Chen Xuehai is very busy now, and he has no time to do such an operation as laparoscopic exploration. But Liu Banxia told it like this, which also reflected the importance he attached to this child.

"I'll take this CT scan first and go to the doctor who is going to check on the child. The famous doctor in our hospital has been studying in the United States for several years. Liu Banxia said.

"Thank you, doctor, for worrying about you. The child's mother hurriedly said.

"We are all for the sake of the children, and I have mixed feelings now, hoping to find out the results, but also hoping that there will be no results. Liu Banxia said sincerely.

After saying that, he took the film and left here. I really have to talk to Chen Xuehai and ask him to add this operation.