However, CT only shows that the end of the bile duct is blocked, causing cholestasis and inflammation, and further investigation is needed to determine the cause of the blockage.

"Solve the problem of cholestasis with puncture and drainage, then use drugs to control inflammation and infection, and when the symptoms are relieved, I recommend cholangiogram to check the cause of the blockage and inflammation." Su Yihuan explained the next treatment plan to the patient.

"I've always been healthy and haven't been hospitalized for decades, so why do I have inflammation of my bile ducts for no apparent reason?" He seemed rather surprised by his illness.

"You asked an important point: cholangitis really doesn't happen 'for no reason', and the bile ducts don't block for 'no reason', so the cause of the obstruction must be investigated." "In your opinion, what is the cause of the blockage?" "Generally speaking, most bile duct obstructions are caused by stones at the end of the bile ducts, but from your CT images, you don't see any obvious gallstones or bile duct stones, so it doesn't seem like a stone is causing ......."

Speaking of this, Su Yihuan paused in particular, "Coupled with the results of the previous blood draw, your tumor index is several times higher than the normal value, so it cannot be ruled out that the bile duct obstruction caused by the tumor ......"

"Tumor?! How can it be? His high-pitched tone showed disbelief and unease.

"It's just my suspicion, don't worry too much, everything should wait for the inspection to be done." Although all clues made Su Yihuan suspect that the blockage was caused by a tumor, he did not want to increase the pressure on the patient until the diagnosis was confirmed.

As he was about to leave the room, the patient who was bleeding from his stomach stopped him: "Doctor, can you take a step to speak?" I just heard your conversation with the gentleman next door, and it seems that his illness may also be caused by a tumor.

I've heard that hospitals usually put patients with the same disease together, in other words, have you decided that I have a high probability of getting stomach cancer? ”

Su Yihuan knew that in the process of waiting for the results, the sense of uncertainty would make people think crankily, but he asked a question that I had never thought about.

"The arrangement of beds was pure coincidence! Don't overthink it, I'll let you know as soon as I get the result. ”

During the outpatient clinic that afternoon, another patient with bile duct inflammation came to the consultation room and knocked on the door: "Sorry to disturb your visit." I'm still worried about the tumor, could you please explain it again? ”

Maybe it is to understand the patient's fear of the word "tumor", or it may be that Su Yihuan did not speak carefully enough during the ward round.

Therefore, she took the time to draw a diagram of the anatomical structure related to the biliary tract, so that the patient could understand the current disease and the direction of treatment in a pictorial way.

"I've checked on the Internet, and the probability of bile duct cancer is very low, at least lower than stomach cancer, right?" After listening to Su Yihuan's explanation, he finally knew more about his condition, but he also asked this clueless sentence incidentally.

"These are two different diseases, what is there to compare?" Su Yihuan asked him rhetorically about the purpose of asking this question.

"I talked to the patient in the next bed, and he's not sure if he has stomach cancer. I mean...... Compared to him, my chances of getting cancer are much smaller, right? He slurred these words.

"It's enough for you to take care of yourself, what's your business with other people's illnesses?" Su Yihuan only felt angry and funny to interrupt him. Institutions

Over the next few days, both patients recovered very well.

The patient with stomach bleeding has returned to normal eating, and if he had not waited for the results of the pathology report, he would have been discharged from the hospital long ago; The jaundice and fever of cholangitis patients have also improved significantly after bile drainage and medication, and the next step is to wait for cholangiogram.

Perhaps because of illness, the two often watched TV together in the leisure room of the ward, and one night Su Yihuan even met the two of them to buy dinner opposite the hospital.

"We are veritable 'Freemasonry'!" One of them saw Su Yihuan coming to check the room, and he was still joking.

"We have made an appointment to have a meal together to celebrate after we are discharged from the hospital, and you must also enjoy it when the time comes!" This may be regarded as a kind of "shared suffering", and the two brothers seem to have established a deep relationship in just a few days.

The next day, the patient with cholangitis underwent a bile duct photograph, which proved Su Yihuan's previous suspicions: a tumor was seen growing at the outlet of the bile duct under endoscopy, although there was no official pathological section report to confirm it, but from the perspective of experience, most of the tumors growing in this position were malignant.

His strong emotional reaction was to be expected, after all, it was a matter of life and death, and he was about to undergo a rather major abdominal operation.

After discussing the condition and treatment plan with other clinicians, the patient suspected of stomach cancer next door was not in the ward at this time, and another patient pointed to the bed next door to inquire about Su Yihuan. "What about him? Is his report out? It must be cancer, right? "Here we go again! It's enough to mind your own business! "It's about the patient's privacy, and I don't want to answer that question.

"I'm younger than him, I have a more normal lifestyle, and the probability of getting cancer should be much lower. As a result, I had such a rare tumor, I guess he couldn't escape......"

After explaining the necessary condition, listening to his meaningless muttering, Su Yihuan turned around and left, not quite wanting to deal with it.

"Before, the two of them would cheer each other on and encourage each other that their luck would not be so bad, but they didn't expect to hear the bad news first, so it was difficult to accept it for a while......"

Perhaps seeing that he was a little unhappy, his wife hurriedly rushed out to explain, "There was a friend who could comfort each other and share the pressure, but now my hopes have been disappointed, so maybe emotionally, I also hope that another person will be like him!" These words speak to his true inner world. Two friends who have no grievances and no hatred, and even seem to have a good relationship, because their fortunes are not going well, they subconsciously hope that the other party will also suffer misfortune, so that they can make themselves feel better......

It's a true portrayal of complex human nature.

"Would you like to go downstairs and sit down?" Su Yihuan heard that the patient next door was coming back from a walk, and warmly invited that person to come along.

"Go yourself! I'm not in the mood. He lay lazily on the bed and did not move.

"What's wrong? Are the results of the test done in the morning okay? ”

"The doctor said I had a tumor at the end of my bile duct, and it was most likely malignant, and all my hopes were in vain. I hope your pathology report will have a good result soon, and I wish you a 'long life'.