Chapter 123: This person needs a full body examination
Speaking of which, the female doctor's figure just now is really good, and her face is only the size of a palm, although she is only wearing makeup, but ...... It can be regarded as a natural beauty, and it is a waste to be a doctor in such a shady place.
"Ah, don't you want this marker?"
Mu Chun finally gave up hope of finding the pen and paper, but forgot where he said before.
This doctor is not serious.
"When it comes to tumor markers, what else is there besides CEA, although this CEA can find so many tumors, but the proportion is not high, is there a better marker."
"Yes, I mean it's the same way to draw a few bloods anyway, so it's better to check a few more, and it won't cost too much."
"Well, yes, it doesn't matter if you have money, you have health insurance, don't you, I pay for medical insurance in full every year."
"Then add AFP."
Mu Chun ticked another option on the computer.
"AFP is a marker for liver cancer."
"You know, then check it or not, it's the same blood draw, check it all, although, your face is just a little yellowish, maybe there is no makeup, or the color of the foundation is wrong?"
Hearing Mu Chun say this, Mei Xiaonuan thought to herself, she is another man who can't see it on the surface, and only thinks about a woman's appearance in her heart, a doctor even understands the color of a girl's foundation, this is a bit perverted.
If you talk to this kind of doctor and say that you want to test for that kind of problem, you will think that you are an easy person to associate with.
Hmph, even if you want to find a doctor, you have to find someone with outstanding appearance, at least the level of the university-affiliated hospital, how can it not be the type in front of you.
But this doctor is good at talking, asking what to say, and not asking and not asking.
However, I still can't open my mouth.
"I'm probably a little tired lately, after all, I'm always pestered by people, and it's very troublesome."
"Huh? There are a lot of boys who like you. ”
Mei Xiaonuan waved her hand and turned the bracelet on her wrist, this bracelet was brought by her sister from France yesterday, if it weren't for the beauty of the bracelet itself, and it was the most popular style at the moment, Mei Xiaonuan didn't want to wear it.
"Ah, this bracelet is very beautiful, isn't it super expensive?"
At first glance, he is a man with few dollars in his pocket.
Hmph, if you want to be close to me, at least change into a good-looking outfit, wearing a Decathlon short-sleeved sweatshirt under a white coat, estimated at 19 yuan a piece.
This kind of person knows what luxury.
"It's not just boys, sometimes it's some old men, and sometimes it's really young."
"Eh, the little boy is too troublesome, and the old man is too stinky."
Mei Xiaonuan snickered, "It's true." The little boy is very annoying, and the old man is very realistic, but it really stinks. ”
"If you want to say clean and interesting, it must be the best at my age."
Sure enough, it's this set again, men are like this, and when they say that little boys are troublesome, they will say, or I, a middle-aged warm man, know how to be gentle the most.
If you complain that old men are boring, they will say that the money in the pockets of young boys is all their parents' and they have no financial freedom at all.
Take you to eat, drink and be merry today, and tomorrow you may have to pay for him to eat.
It's really boring, and I was liked so quickly, and it seems that this doctor is also not interesting.
"Doctor, let's talk about that AFP, isn't it a marker for liver cancer screening?"
"Yes, it is because primary hepatocellular carcinoma is the only tumor that can be diagnosed based on a typical medical history, a certain range of AFP elevations, and typical imaging findings.
All other tumors must obtain a pathological diagnosis before they can be recognized as cancer. However, elevated AFP is not limited to liver cancer. Tumors of gonadal origin, such as nonseminoma germ cell tumors, endodermal sinus tumors, embryonal cell carcinomas, and polyembryoma cancers, mixed germ cell tumors, and some immature teratomas, may also have elevated AFP. In addition, some rare cancers, such as gastric hepatic adenocarcinoma, can also have elevated AFP.
Therefore, in addition to CEA, AFP is also the most common tumor marker, and if you take blood, you can test it together, and it won't be much more anyway. ”
"It's not about the money, it's a little money......"
Mei Xiaonuan didn't continue, for fear that the doctor would know that her conditions were good, and he would become more and more stubborn.
She has not encountered such things uncommonly.
"So what's more, I mean, what's left for a more comprehensive blood test?"
"Ah, besides, that's a full set of biochemical tests. First, liver function, including: total protein, albumin, globulin, leukoglobulin, total bilirubin, direct and indirect bilirubin, aminotransferases. The purpose of liver function tests is to detect the presence of liver disease, the degree of liver damage, identify the cause of liver disease, determine the prognosis, and identify the cause of jaundice.
Second, blood lipids. Includes: total cholesterol, triglycerides, HDL, apolipoprotein.
Third, fasting blood glucose. By the way, did you come to the hospital today on an empty stomach? Have you ever had breakfast? ”
Mei Xiaonuan shook her head, thinking, such a boring question, I often go to the hospital, don't you have to have an empty stomach for blood drawing, what kind of breakfast.
Next is kidney function, which we often refer to as creatinine and urea nitrogen.
And then there's, uric acid; Lactate dehydrogenase, this lactate dehydrogenase is very important, it is found in almost all tissues, the heart, skeletal muscle and kidneys are the most abundant, followed by the liver, spleen, pancreas, brain, lungs.
Finally, there is creatine, muscle enzymes, and so on.
Ah, you don't need to know so much detail, I'll explain it for you when the test results come out, and there will be small arrows rising or falling on the report sheet, as well as normal reference values, so it's easy to understand.
On the contrary, I am talking so much now, even people who have not studied medicine will not understand it. ”
"Doesn't it seem that you are very professional, doctor!"
Mei Xiaonuan's heart softened, after all, Mu Chun said so much, and the previous doctor didn't have so much patience to explain to her.
Who knew that Mu Chun turned the computer screen to Mei Xiaonuan's eyes, "Look, I'm reading it." ”
Mei Xiaonuan chuckled, this doctor is so stupid.
"By the way, any other checks?"
"I was just about to tell you, if you are a woman, whether you live or not, it is necessary to get an HPV test every one or two years after adulthood."
"What is an HPV test?"
"I wonder if you've ever been vaccinated?"
"And vaccines?"
"Well, the HPV virus is not present in the blood, but in the dermis layer of the skin and mucous membranes of the skin. So it's not a blood test. ”