On the 4th, a young couple entered, the man was tall and fat, and the woman was emaciated and sickly.

As soon as the two of them came in, the man said to Liu Qingqing: "Doctor, give me a gastroscope." ”

Liu Qingqing asked, "What's wrong?" ”

The man said impatiently: "Just ask you to have a gastroscopy!" ”

His attitude towards the sky obviously looked down on Liu Qingqing, a little doctor-------

Liu Qingqing is not incomprehensible, after all, she is just an ordinary number, and many patients are used to finding a small doctor to open a checklist first, do the examination, and then take the inspection report to the expert number.

On the one hand, there are only a dozen expert numbers in tertiary hospitals every day, and there are many people who see patients, and it is difficult to hang up.

On the other hand, there are too many people coming to see patients in tertiary hospitals, and the examinations are too busy, and examinations such as CT and MRI need to be booked, and they will definitely not be completed in one day.

The key is that the patient needs to do what tests, and also need to tell the "little doctor" what is going on with her, and what kind of disease she probably has, so that she can prescribe a targeted checklist!

The health bureau's inspection of tertiary hospitals is very strict, and there is a fine for indiscriminate inspection!

Liu Qingqing glanced at the female patient, saw that her face was haggard, her head was full of sweat, she was holding her stomach with one hand, and sometimes she rubbed it a few times, so she asked, "Do you have a stomachache?" ”

"Yes." The female patient said weakly, "The day before yesterday, I was greedy and ate a piece of watermelon, but my stomach was very uncomfortable in the middle of the night, and I even had back pain, and I couldn't sleep because of the pain. ”

"Oh?" Liu Qingqing glanced at her stomach, superficial gastritis, not too serious, "Have you taken medicine?" ”

"I ate a little omeprazole and aluminum carbonate during the day yesterday------- but last night it still hurt a lot------ "The female patient was also weak when she spoke, and her slender eyes revealed fear.

Her husband was impatient and said rudely, "What are you talking about? What's the use of you telling her! Hey, doctor, you just give her a gastroscopy, nothing else. ”

------- Liu Qingqing was despised by the female patient's husband again.

But for the sake of female patients,

Liu Qingqing can't be so hasty.

"Has this happened before?"

"Yes." The female patient said, "I remember several times, once I ate a whole pomelo with a red heart, and the stomach felt as if it had been cut, and the pain was so painful that I couldn't walk, and tears were about to fall out." ”

The husband of the female patient seemed to be about to collapse and complained: "How can you say hello, you know that your stomach is not good, and the weather is so cold, and you still have to eat such cold things!" ”

The female patient was a little upset when she heard her husband complain, and the corners of her mouth were crooked, but she did not have the strength to refute.

Liu Qingqing thought: According to her description, she should go to the Department of Gastroenterology, why did she hang up in surgery!

Her husband said: "Hey, doctor, let me tell you the truth, her mother and her sister are both stomach cancer, and their family has a family history of stomach cancer, so this time we want to do a gastroscopy and have an in-depth examination, so that she can rest assured!" ”

Two stomach cancers in one family!

Liu Qingqing couldn't help but be shocked, "Have you checked Helicobacter pylori?" ”

Helicobacter pylori lives in the pyloric part of the human stomach and is one of the most common bacterial pathogens.

This bacterial infection first causes chronic gastritis, which leads to stomach ulcers and gastric atrophy, and in severe cases, stomach cancer.

On October 27, 2017, the World Health Organization's International Agency for Research on Cancer (IARC) published a preliminary list of carcinogens, and Helicobacter pylori (infection) was included in the list of a class of carcinogens

The female patient said, "I checked it in the community before, and then I prescribed some medicines, took it for a while, and found out that I was pregnant, and then I didn't dare to take it." ”

"And after that, has there been a recheck after that?"

"Not yet. Check it out for me this time, too. ”

"Yes." Liu Qingqing pondered that she could check for Helicobacter pylori at the same time as she did a gastroscopy, in view of the fact that Helicobacter pylori disease can be transmitted among family members and friends through eating together, Liu Qingqing asked again: "Have your husband and your children also been checked?" ”

The man said: "Why should I check, my body is very good, there is no stomach pain, there is no discomfort, and there is no family history of stomach cancer in my family." ”

Liu Qingqing said: "It's best for all of your family members to check it, because eating together at home will cause Helicobacter pylori infection, and Helicobacter pylori is a type of carcinogen that causes stomach cancer." You can check this online. ”

Liu Qingqing knew that the man didn't trust her, so she simply suggested that he check it on the Internet, and thought that the female patient's gastritis was not so serious, but looking at the way she was in pain, why did it seem to be very bad?

To be honest, the patient doesn't know where her stomach is, and sometimes when other organs hurt, she thinks it's stomach pain.

What's more, I just ate something bad, so I threw the pot with other organ problems on my stomach. UU reads books

It is precisely because everyone's onset is different, and various symptoms are often entangled at the onset of the disease, so it is easy to cause misdiagnosis and missed diagnosis.

Since this female patient has been called for surgery, and Liu Qingqing has called her number again, she will definitely be responsible for the female patient.

Liu Qingqing said, "You lie on the diagnosis and treatment bed, I'll show you." "She's going to palpate her.

Needless to say, the female patient's husband was disgusted again, "It's troublesome, can't you just prescribe a gastroscopy order?" I'm still in a hurry to get back to work! ”

In this regard, Liu Qingqing didn't care about him, what should he do or what he should do.

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