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"How's it going?" Qin Chuan knew that Gao Zhanting called him back, and the situation was definitely not good. Pen "Fun" Pavilion www.biquge.info

"Hu Yemei has been suffering from pain and weakness in her left upper limb recently, and she has been treated for frozen shoulder in the village infirmary for nearly half a month without any effect, and she has had convulsions on her left limb in the past few days. Yao Sihai brought Hu Yemei to us. I had a neurological exam on her before. Neurological examination: no edema in fundus**, left central facial tongue paralysis, left upper limb muscle strength grade 2, lower limb muscle strength grade 5-, left sensory loss, active biceps tendon reflex, Hoffmann's sign (+), left Babinski's sign (±), right (-). CT examination of the brain: right parietal lobe-shaped hypodense foci, impression of cerebral infarction. Cerebral thrombomimetic thrombosis was given 20ml/d intravenous drip. Ogawa, what do you think? The reason why Gao Zhanting called Qin Chuan back was that she was not too sure of Hu Yemei's diagnosis.

"Show me the CT results." Qin Chuan didn't believe Gao Zhanting, just to check it. Gao Zhanting obviously lacked confidence in her own judgment. Doctors are most afraid of this kind of diagnosis that simulates two mouths. Because of a misdiagnosis, it is very likely to cause a delay in the patient's disease. The structure of the human brain is complex, and it is sometimes very difficult to judge the CT results. Although the examination equipment in the emergency department is very functional, it is not much improved in technology compared with the current medical equipment, but it has done a very good job in miniaturization. Moreover, the equipment is also very complete.

Gao Zhanting did not have any displeasure with Qin Chuan's request, the reason why she called Qin Chuan back was because she was a little uncertain, and this patient was an old acquaintance to the emergency department. Gao Zhanting was worried that her judgment would cause irreparable consequences to Yao Sihai's hard-won happiness.

Looking at the CT chart, Qin Chuan frowned. The ability to read pictures and diagnose diseases requires a lot of CT diagnostic exercises to be slowly cultivated and exercised. Doctors in the emergency department have an advantage over any other department in this regard. Because there are a large number of patients in the emergency department every day, a certain number of patients need to be diagnosed by CT. Therefore, the doctors in the emergency department have generally experienced the process of improving their strength through the "sea of questions" tactics.

Because Qin Chuan has the [Genius Famous Doctor] system, he has better conditions than ordinary doctors. During the period when Qin Chuan was exercising his basic skills, looking at pictures to diagnose diseases was also a daily exercise that he had to exercise. After the training of the "Sea of Questions" tactics, Qin Chuan has developed the ability to distinguish differences.

The reason why Qin Chuan frowned was because he saw that something was wrong with the CT. It does look like a cerebral infarction. The symptoms present in patients now also appear to be very similar to those of cerebral infarction. However, if Hu Yemei's condition continues to progress, she may show symptoms different from those of cerebral infarction.

"What's wrong?" Gao Zhanting frowned when she saw Qin Chuan, and knew that Qin Chuan should not be able to see that something was wrong.

"Sister Zhan Ting, although cerebral infarction may indeed cause the patient's current symptoms, the CT image of cerebral infarction still has some of its characteristics. You look at these places, the right parietal leaf Zhuang low-density shade, there are some differences. It doesn't seem to be much like a cerebral infarction and more like another disease. Qin Chuan pointed to the CT chart.

"You think it's a brain tumor?" Gao Zhanting was a little surprised. She had considered this before, but she ignored this idea. Unexpectedly, Qin Chuan's judgment turned out to be a brain tumor.

"Hmm. Let's do a PET-CT. Another angiogram. Qin Chuan nodded.

Gao Zhanting nodded, since there was an objection, a comprehensive inspection should be carried out to determine the result.

When Yao Sihai saw Qin Chuan hurrying back to the hospital, her heart was already sinking, and she knew that Hu Yemei's illness this time was definitely not simple. Others may not know that Yao Sihai has been in the central hospital for so long and knows the doctors in the emergency department well. Doctors in the emergency department. Qin Chuan is the most powerful. And although Gao Zhanting is not as dazzling as Qin Chuan, she is also the old doctor in the emergency department. Since she was not sure about the disease and had to ask Qin Chuan for help, it showed that Hu Yemei's illness was so serious that Gao Zhanting did not dare to make her own decisions.

"Doctor Qin, what's going on with my cousin?" Yao Sihai found Qin Chuan and asked anxiously.

"Uncle Yao. Don't worry. No diagnosis has been confirmed. We are going to give Aunt Hu a test to confirm her condition. Qin Chuan couldn't bear to tell Yao Sihai about it.

"Doctor Qin, don't worry. No matter how bad the result is, I am mentally prepared. An old man like me and Ye Mei was able to come together and live happily ever after such a long time. I'm so grateful to God. Whatever the outcome, I'm mentally prepared, so I hope you'll tell me the truth. Yao Sihai saw that Qin Chuan was a little hesitant, and his suspicions were even more firm.

"Uncle Yao, since you said so, I won't hide it from you. You'll know the outcome in the end anyway. I hope you can be prepared, Aunt Hu's situation is not good. I suspect she has a brain tumor. Although there is no final diagnosis yet, it is very likely. So, you have to be mentally prepared. Qin Chuan thought about it, and still told Yao Sihai about his diagnosis.

Yao Sihai was stunned on the spot, although he was prepared for the worst, when he heard such a result with his own ears, he was still completely stunned. How could Hu Yemei get such a disease? She was such a good woman, how could he get such a disease?

Yao Sihai squatted down, grabbed his hair tightly with both hands, was in great pain, looked up at Qin Chuan and asked, "Doctor Qin, is it possible that you have made a wrong diagnosis?" ”

"The next step of the inspection is coming soon. But I have watched so many CT films, and I can be absolutely sure that Aunt Hu should be very serious. Qin Chuan said affirmatively.

"How could she get such a disease? How could someone as good as her get such a disease? Yao Sihai cried in despair.

Qin Chuan looked at Yao Sihai and couldn't bear it: "Maybe I'm wrong, don't worry, let's see what the results of our review are." In addition, although the brain tumor is serious, it is not incurable. We can still control the patient's condition through treatment. Don't be too pessimistic. ”

Yao Sihai nodded: "I know, I know, even if the family is bankrupt, I will cure Ye Mei." I can't live without her. I can't live without her. ”

Qin Chuan knew that the relationship between Yao Sihai and Hu Yemei was extremely deep, and many young people's vows and unforgettable hearts seemed so shallow under the love of these two old people.

Gao Zhanting walked out: "Aunt Hu refuses to accept the inspection. She asked Uncle Yao to go in. ”

Qin Chuan and Yao Sihai set their eyes on Gao Zhanting together.

"What's wrong?" Qin Chuan asked very strangely.

"I don't know. She asked Uncle Yao to go in. Gao Zhanting's face was also confused.

Yao Sihai hurriedly walked into the ward.

"Sihai, I want to go back. I'm not used to being in this hospital. I want to stay with you in our house. Hu Yemei obviously also saw that her condition was not simple. Otherwise, Gao Zhanting would not have asked her to re-examine with a serious face.

"No, you're a patient now. If the disease is not cured, how can I go back? Don't worry about spending money, our house has been demolished, and it's enough for you to see a doctor. Yao Sihai naturally resolutely refused.

"Sihai, you are a good person. It is a blessing in my life to be able to meet you in my life. I can't drag you down any longer. It's demolished, you have some money, but you have to live in the future! Now that the land is gone, if the money for demolition is also spent, what will you do in the future? Who's going to feed you? I've dragged you down once, and I can't drag you down a second time. Hu Yemei couldn't help sobbing as she spoke.

"Ye Mei, how can you say that? We are husband and wife. We went through the formalities at the Civil Affairs Bureau, and we were legally husband and wife. You're sick now, how can I leave it alone? So am I, Yao Sihai, still human? If it's me Yao Sihai who is sick, will you Hu Yemei care? If you have three long and two short, will I still be able to live? Yao Sihai got angry and lost his temper with Hu Yemei rarely.

"Aunt Hu, in fact, don't think too much, although your condition is more serious, it is not impossible to treat it. We will also try to minimize your medical costs. So, you should treat it with peace of mind. Qin Chuan comforted.

Gao Zhanting also hurriedly echoed: "That's right." You just listen to Dr. Qin. Do a detailed examination first to confirm what your disease is. Money is important, but how can it be more important than people? ”

"I don't want to drag the world down anymore." Hu Yemei also seems to have a premonition of something.

Despite everyone's bad talk, Hu Yemei still agreed to undergo further examination.

The results of the examination came out, and sure enough, as Qin Chuan diagnosed, Hu Yemei was not a cerebral infarction, but a brain tumor. The situation is already quite serious. The lesion was irregularly enhanced, and Qin Chuan was diagnosed with a tumor of the right parietal lobe. Grade 6 glioblastoma multiforme (GBM) was confirmed to be a highly malignant astrocytoma.

GBM is more common in adults. Tumors often occur in the frontal and temporal lobes, have extensive invasions, and often cross the corpus callosum to the contralateral side, or squeeze the surrounding tissues). Tumors are often reddish-brown due to hemorrhagic necrosis. Vascular endothelial cells are markedly proliferated, enlarged, or solid cord-like. Tumors develop rapidly and the prognosis is extremely poor.

"What should I do?" As soon as he heard that Hu Yemei was suffering from a brain tumor, Yao Sihai was completely panicked.

"I didn't expect it to be glioblastoma multiforme. Uncle Yao, I hope you are mentally prepared in advance. Qin Chuan sighed.

Yao Sihai saw Qin Chuan's depressed expression and knew that things might be even worse than he imagined. (To be continued.) )

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