Chapter 476: It's Not Like Lung Cancer
At ten o'clock, Yang Xi returned from the operating room.
As soon as he entered the ward, what he saw made him chuckle in his heart.
Why are there so many people gathered in the corridor?
Some patients recognized Yang Xi and immediately greeted him, and when the other patients saw this, they understood in their hearts, and followed closely to surround Yang Xi in the middle.
"Wait a minute, let me take a sip and catch my breath first. Yang Xi first glanced at the doctor's office, but didn't see Gao Yong, so he turned around and went to the director's office next door.
The door was hidden.
Yang Xi knocked on the door twice politely, and then pushed the door in.
Gao Yongzheng was staring at the CT film on the viewing lamp, and when he saw Yang Xi coming in, he greeted: "You just happened to come, I am really a little unsure about this film." ”
The patient sitting opposite quickly got up, gave Yang Xi a place to watch the film, and said politely: "You are Dr. Yang Xi, right?"
Yang Xi nodded, took out a cigarette, and smiled at the patient, "You won't mind, will you?"
The patient smiled and replied, "Of course, of course I don't mind." ”
Yang Xi smiled faintly, took out the lighter, lit the fire, lit a cigarette, and took the opportunity to summon the virtual interface of the system and start the intelligent diagnostic program.
"Have you taken a biopsy?" Yang Xi came to the viewing lamp, looked at it twice, and then snuffed out the cigarette in his hand.
On the CT scan, located at the upper edge of the left pericardium, a mass image the size of an egg is clearly visible, with relatively uniform density and burr-like edges, which is very consistent with the imaging characteristics of lung cancer.
The patient replied: "The doctor from the Third Hospital of the city said that my tumor is not a place, the tracheoscope cannot reach it, and I am afraid of hurting my heart if I puncture it from the outside, so I am advised to go for an examination called Pai. ”
“PET?”
The patient nodded again and again, and said, "Yes, it's Pater, only the central hospital in Jiangbei has this kind of equipment, and I have already made an appointment, but I won't be able to line up until next week." ”
Yang Xi turned to Gao Yong and said, "Boss, what do you think?"
Gao Yong took his eyes off the viewing light, shook his head slightly, and said, "I don't think it's like lung cancer." ”
Yang Xi praised Gao Yong in his heart, it is indeed not lung cancer, the intelligent diagnostic program gave two diagnoses, one is tuberculosis, the probability of diagnosis has reached 87%, and the other is pulmonary parasitic granuloma, the probability of diagnosis is 12%, and the possibility of lung cancer is not mentioned at all.
"The five lung cancer markers were not high, and the exfoliated cells test was also negative. Gao Yong said, handing Yang Xi a stack of copies of the examination report that the patient had brought. "And then there's this CT image, you can see the burrs on his edges, which are very regular, not like tumor infiltration, but like granulomas after inflammation. ”
Yang Xi nodded slowly in agreement.
Gao Yong continued: "I don't think it makes much sense to do PET, and at this stage, we must first rule out the possibility of tuberculosis. ”
Yang Xi unconsciously gave Gao Yong a thumbs up and said, "That's right, this disease is likely to be tuberculosis." Turning around, Yang Xi asked the patient again, "Is there anything wrong with your health recently?"
The patient pondered: "There is nothing bad about it, I can eat, drink and sleep, if it wasn't for the physical examination organized by the unit, I wouldn't have been able to find out this problem." ”
Gao Yong said: "If you think about it again, I don't believe you haven't even had a headache and brain fever." ”
The patient suddenly said: "Two months ago, I had a cold, and the fever was not high for more than a week, at most thirty-eight and a half degrees, but it was difficult to go away. ”
Yang Xi looked at Gao Yong, pursed his lips, and said, "That's it!"
Gao Yong sighed: "Your tumor is so bad that it doesn't grow in the right place, if you really do a puncture, I'm afraid it will be troublesome." ”
If it is really tuberculosis, it can only be explained that the patient has reached a balanced state through autoimmunity and Mycobacterium tuberculosis in the body, and puncture will inevitably destroy this equilibrium and bring adverse effects to the patient.
The patient didn't understand this, and asked in confusion, "How?"
Gao Yong said: "What I mean with Dr. Yang is that your disease is not like lung cancer, it is very likely to be tuberculosis. ”
Yang Xi snorted and added: "Is it tuberculosis that needs further examination, it may also be a parasitic disease, but lung cancer is ......" Yang Xi lowered his shoulder, smiled, and continued: "It's a pity that it has nothing to do with you!"
The patient was stunned on the spot, his expression extremely dull.
Gao Yong smiled: "What's wrong with you? ”
The patient suddenly covered his face with his hands, his shoulders twitched violently, and a wet patch oozed from between his fingers.
"I, I'm only forty years old...... My child had just started junior high school, and I ...... "The patient couldn't cry anymore and couldn't talk anymore."
Yang Xi picked up a pack of toilet paper from the table, handed it to the patient, patted the patient's shoulder at the same time, and sighed: "If you want to cry, cry for a while, it is estimated that you will not be able to be depressed during this time." ”
The patient tried his best to control his emotions and nodded in response: "Yes, the unit organized a physical examination, and I was found to have lung cancer...... I didn't dare to tell my wife and children, nor did I dare to tell my father and mother, so I could only carry the ...... alone Carrying ...... But I, but I really can't carry it alone!"
Gao Yong sighed with emotion: "You are really stupid and cute, this kind of thing, how can you carry it alone? Okay, don't be stupid in the future, I'll prescribe a few tests for you, you can stay in our hospital to do it, and you can ......go back to the third hospital of the city to do it."
The patient excitedly said, "I'm doing it here, I will never believe in the Third Hospital of the City again." ”
Gao Yong smiled: "That's not necessary, the overall level of the city's third court is still good......
The overall level is good, which means that the level of the specialty is a little worse?
Ah, hehe, that's what it means.
My boss Gao is a kind person, but I can't say anything that slanders my peers.
Yang Xi glanced at Gao Yong, yes, it's really hypocritical, say half and leave half, is it interesting?
Gao Yong gave Yang Xi a look back, wide enough, my boss Gao is cool enough.
The patient thanked him and left happily.
Taking advantage of the rare gap, Yang Xi asked the question in his heart.
"Boss, how many patients have you seen in the past two hours, why are there so many people piled up outside?"
Gao Yong smiled bitterly: "You ask me, who do I ask? I haven't been idle, I can't even squeeze out a cigarette, but I can't hold back a lot of it." ”
"Then you have to speed up a bit, don't you?"
Gao Yong threw over a patient registration form with his backhand and said, "Two hours, sixteen patient numbers, how fast does Lao Tzu have to go?"
Yang Xi knew that he had misunderstood Gao Yong, so he smiled and quickly changed the topic.
"With so many patients, how are the beds arranged?"
Gao Yong smirked and replied, "The evil beast is now all over the hospital to find us a place to arrange." ”