141 Enlarged Spleen (6/6 for emptiness and loneliness)

This patient is really talkative, and basically tells the story of his tiger from childhood to adulthood. Liu Banxia and Wang Huan are also very patient listeners, sitting on the side and listening obediently.

It's past a little time to get off work, and Wang Huan is also here to accompany him.

The two patients I met today are both test-resistant, so you have to follow the patient's mood as much as possible. I was happy, I was checked, and everyone was happy.

In fact, this is also because there are not too many patients in the emergency department at the moment, otherwise the two of them would not have the time to coax them like this.

It's a little sad to say, no matter which department the doctor is, almost all of them go to work a little, and they don't get off work. The work at hand has to be dealt with, or who do you lose it to?

"Dr. Liu, the streptococcal test is negative. ”

was chatting happily, Liang Xiaolin ran in from outside.

Hearing Liang Xiaolin's words, the patient was happy, but Liu Banxia and Wang Huan frowned together.

"Doctor, I'm just a common cold. How can you be like this, you can't be unhappy just because you guessed wrong. The patient looked at the two of them and was a little unhappy.

Let's just say that we shouldn't do these messy inspections, and what can we do after the inspections? It's not that there are no problems, and the money is wasted? With this money, you can improve Huzi's food.

Now Wang Huan and Liu Banxia are really a little entangled, and the most likely streptococcal infection is negative. Is it really because I think too much after becoming a doctor, and it's just a common cold?

"Are you sick to your stomach?" Liu Banxia looked at the patient's hand pressing on the left side of his abdomen.

"Talking too much, right? Otherwise, you're hungry, and you're feeling a little swollen. Doctor, don't prescribe any more tests. We can't let me do gastroscopy or colonoscopy because of a wound, right? I'll go home and buy some cold medicine by myself. The patient hurriedly said.

"Can I give you a final physical examination?" asked Liu Banxia after a slight hesitation.

The patient glanced at him and nodded, if he hadn't felt that Liu Banxia really cared, he wouldn't have stayed here anymore. He had a hunch that after his physical examination was over, he would have to open an examination. It's a waste of money to say that you don't check anything.

After touching it slightly, Liu Banxia frowned, "Your body is lying on your side, right...... That's it, how do you feel when I press here?"

"It's a little itchy, and it's a little painful, what are you pressing me? Is it the stomach?" the patient asked curiously.

"The stomach isn't here. Brother Wang, you have the right hand, help me touch it and see if I can touch my spleen. Liu Banxia looked at Wang Huan.

Wang Huan was stunned for a moment, originally thinking about what the reason was, but now he has become serious. Leaned over and reached out to touch his left rib.

"I was able to feel the edge of my spleen. Wang Huan said.

Liu Banxia sighed in his heart, and he didn't know how to tell this big brother. Because Wang Huan said this, it has been proved that the patient's spleen is enlarged.

A normal human spleen cannot be touched, and even when it is enlarged, all that can be felt is an edge. The discovery of this symptom also gave Liu Banxia and Wang Huan a new judgment in their hearts. It's just that this result is not very pretty.

"Doctor, it doesn't look like a good thing with your expression. The patient did it.

"Can you still believe me for the last time?" Liu Banxia looked at him and asked seriously.

The patient hesitated for a moment and nodded.

"You'll also need to go to the oncology department. Liu Banxia said.

Liang Xiaolin was taken aback, no wonder Liu Banxia and Wang Huan were so cautious just now.

"Do I have a tumor?" and it grows on the spot you just touched?" the patient asked with some incomprehension, and he was also scared.

Liu Banxia hesitated a little and shook his head, "We now suspect that something is wrong with your lymphatic system, and it is precisely because of this that the first wound on your hand has not completely healed until now. ”

"But this is only a suspicion, everything is subject to the final examination results. You don't have to be psychologically burdened, and even if there is a situation, we will find it early. ”

The patient grinned, but did not laugh.

Although he didn't know much about these things, he knew that it was definitely not a good thing to be able to get the two doctors to treat them so carefully.

"Doctor, can you be sure this time?" the patient asked.

"I hope our judgment is wrong. Liu Banxia said.

The patient fell silent again, although Liu Banxia did not persuade him to go for an examination again, but he knew that something was wrong.

"I'll get in touch with the oncology department and let them take a good look. Wang Huan said.

Looking at the patient's expression, Liu Banxia originally planned to accompany him. After thinking about it for a while, I gave up, and some information also needs to be digested by the patient alone.

"How do you tell if it's really lymphoma?" asked Liang Xiaolin after the patient went to the oncology department.

"Swollen lymph nodes, leukocytosis, splenomegaly, and wounds that don't heal easily are all a bit eyebrow-raising. Let's hope you're wrong, after all, lymphoma is rarely benign. Liu Banxia said.

"Ah, then you said that his dog bit him, is it because he smells a tumor? Hasn't it been reported abroad, cats or dogs can distinguish the smell of tumors in humans? Liang Xiaolin said.

Liu Banxia was stunned and scratched his scalp. Not to mention, this guess is quite reliable. Judging from the patient's statement, his dog has always been well-behaved, but it was not a single time when he suddenly bit him.

I looked at the patient information on the computer again, and called Lu Gang.

In the past, he would not remember the patient's name, not because it was troublesome, but mainly because he did not want to have too much emotional contact with the patient.

But the patient has already been transferred, so it doesn't matter. If the diagnosis is really confirmed, it can only be controlled by chemotherapy.

"Shoutian, you are really careful enough. If it weren't for your persistence, it wouldn't be a good thing to say. Wang Huan said with emotion.

"Hey, I can't say I'm careful, the main thing is that this patient has been treated. I just didn't expect him to avoid rabies, maybe not lymphoma. I wasn't careful about the physical examination, so I should have checked it all at the beginning. Liu Banxia sighed.

"No, my mood has been affected, and I have to add a dish for myself in the evening. Brother Wang, how did you adapt to it?"

Wang Huan smiled bitterly and shook his head, "How else can I adapt? The first cancer patient I was diagnosed with was lung cancer, and I still remember it." Just like the one called Wang Xingxing, will you forget?"

Liu Banxia pinched his eyebrows, he really can't forget this. There is also the pregnant woman who died on the rescue table and the baby named Tong Tong who gave birth, I can't forget it.

Although these patients are just passers-by in life, they will leave a deep imprint.