Yes, you can do your gastroscopy."

"Oh...... Okay!"

The camera reached through the mouth, and before I could go deeper, I saw the entire narrow esophagus, and there was a lot of blood in it.

After cleaning up the footage, I looked down again, and sure enough, I saw the lump.

The size of the lump at this time is not large, which makes the people in the operating room feel strange.

"The lump didn't bleed much, could it be that there was a problem under the esophagus?" Could it be that it is a large blood transfusion for a stomach ulcer, not a problem of the esophagus?"

Wu Jiang shook his head and said:

"But the esophagus is fine, why is there a lump? It must be esophageal cancer, maybe the bleeding point is under this lump, we can't see it?"

Lin Yi glanced at Wu Jiang:

"You're half right, the bleeding spot is indeed underneath."

The gastroscopist was stunned:

"What should I do now, Dr. Lin? Do you want to go any further? But what if it causes more bleeding?"

Lin Yi shook his head calmly:

"No, bring me the scalpel, I'm going to make an incision in my chest."

"Huh?! Isn't it, a bleeding esophageal cancer, you need surgery?"

"Do you want to have an incision to remove the bleeding esophagus? Do esophageal cardia anastomosis directly?"

"Don't make any noise, just do what I say, or this person will die!"

Lin Yi said directly, and the operating room instantly fell silent.

Soon, Lin Yi made a two-centimeter-diameter incision in the fifth intercostal space.

Just enough to fit in the thoracoscope and other instruments.

Everyone looked at Lin Yi's operation and wanted to learn, but they just didn't know what Lin Yi was going to do.

If it was to be fitted with an artificial esophagus, then he didn't tell someone to get the equipment.

"Help with the thoracoscope."

"Okay."

"Go inside, near the heart, near the esophageal mass in the gastroscope."

"Okay." Wu Jiang was Lin Yi's assistant, and his hands were also very flexible.

Lin Yi observed as he spoke.

At this time, after the chest cavity was opened, everyone found that there was a lot of articles inside!

There is blood in the chest cavity!

What's going on?

How can esophageal cancer bleed into the chest cavity on this side of the heart?

And the fluid inside has turned dark, and it looks like blood and inflammatory exudate, and it has been for a month or two.

"Go inside!"

"Good!"

At this time, the people in the operating room also understood that this patient was probably not a simple esophageal cancer.

But there is another reason.

"Stop, don't move!"

When approaching the location of the lump, Lin Yi asked Wu Jiang to stop.

"Tweezers."

Lin Yi gently picked up the surrounding tissues with tweezers, and everyone found that blood flowed out of it with a slight movement!

"What's going on?"

Everyone was stunned, only Lin Yi said indifferently:

"Rinse off the jutsu field."

"Tissue forceps."

After rinsing it off, the vision is clearer again.

Lin Yi carefully exposed the outside of the esophageal mass.

The mass in the esophagus is not only swollen in the inner wall of the esophagus, but also in the outer wall.

Shu Ye couldn't see it very clearly, but when Lin Yi lifted the lump slightly.

That's when everyone found out!

The culprit of the bleeding turned out to be ......

It's actually a fish bone!!

Oh, my God!

It's been a fish bone for a long time!

Oops, I thought it was esophageal cancer!

"1 Hemostat for me."

Now that the problem is revealed, it's easy to solve now.

First, the main blood supply vessels in the upper esophagus, the thyroid artery branch and the carotid artery branch, are clamped.

Then gently pinch out the fish bone that punctured the blood vessel.

As soon as it was clamped out, blood gushed out again.

In less than a few seconds, the entire field was covered.

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But fortunately, the upper artery is clamped, and the problem is not big.

"Rinse, bring the bipolar electrocoagulation knife."

Wu Jiang's movements were very quick, and he immediately handed over the electrocoagulation knife after cleaning up the field.

"Boom!"

The electrocoagulation knife burns the blood vessels and seals the wound at the same time.

"Alright, stop the bleeding, and clean the fluid in the chest cavity again."

Lin Yi said as he released the hemostat that clamped the upper artery blood vessels.

Blood flow was restored, but there was no further bleeding in the area where the fish bone was stuck.

The surgery was successful!

"Brother Yi...... You're so good, you can find the problem!"

Wu Jiang looked at Lin Yi with admiration and asked.

This is too godly, isn't it?

Lin Yi looked at Wu Jiang and said with a smile:

"Wu Jiang, you know that this person has pneumonia, right?"

Wu Jiang nodded: "I know, I saw it on the chest X-ray."

After finishing speaking, Wu Jiang immediately reacted!

"Oh! I get it! Do you have a chest x-ray that he was bleeding from a fish bone puncture and not esophageal cancer?!"

Lin Yi nodded.

Wu Jiang suddenly realized:

"Oops! I didn't think that the inflammation for no reason could be seen, and the blood and inflammatory exudate flowed into the chest cavity and caused a lung infection, so it was found that there was pneumonia during the examination!"

"I should have thought of it too! Any disease is related, the patient's cough symptoms are not obvious, there is a low-grade fever, there is pneumonia, why didn't I think of it!"

"First of all, pneumonia will definitely not appear for no reason, since the gastroscope can't enter and I don't know the real cause of the esophageal mass, then we have to find the cause elsewhere."

"And then this lump can't be blindly identified as esophageal cancer!"

"Hey! I was sloppy!"

Wu Jiang clapped his hands, looking like he wanted to know earlier.

The other people in the operating room, including the gastroscopist, also looked at Lin Yi with shocked eyes.

Dr. Lin is too good to be so sure that the esophageal bleeding is not due to esophageal cancer, but something is stuck in it.

"Okay, be careful to insert a gastric tube and send the patient to the department, and then ask him to notify the family to pay the fee when he wakes up."

"There is also a lump on his esophagus that is also caused by tissue inflammation caused by fish bones, and anti-inflammatory treatment must be done in the next few days. Add another drain to your chest to prevent the accumulation of exudate."

Lin Yi began to take off his gloves as he commanded.

"Okay, I see."

After the operation, Lin Yao was finally able to rest for a while.

But it wasn't long before another patient came in.

The door to the examination room was opened, and it was a young man looking at a young man in his twenties.

He was accompanied by a girl his own age.

The girl carefully helped him into the examination room.

"What's uncomfortable?"

Wu Jiang glanced at the young man and said.

I saw that the young man's face was gloomy, and his whole face was still a little puffy.

Looking at the complexion, I feel that the situation is not very good.

"Doctor...... I always feel tightness in my chest, nausea and vomiting, and diarrhea......

The guy was helped to sit on a chair and reported his condition.

When Wu Jiang heard this, he consciously considered the disease of the digestive tract.

"Does it hurt to have a stomach?"

Wu Jiang asked.

"Stomach pain? My stomach feels fine, but I just don't feel well...... I also feel like I can't breathe."

"Out of breath?"

This made Wu Jiang a little confused.

One will be nauseous and want to vomit, one will have diarrhea, and the other will be out of breath.

Although it is true that the face is sick, nausea, vomiting, diarrhea, and breathlessness?

Wu Jiang looked at Lin Yi.

Brother Yi, why don't you ask.

Lin Yi took over the conversation and asked:

"Other than that, are you dizzy?"

"Sometimes it's a little bit later."

Lin Yi turned his gaze

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Xiang Wujiang: "Let's measure the individual's mild blood pressure first."

Wu Jiang nodded and began to measure the young man's blood pressure.

The girl who came with the patient was very worried and asked:

"Doctor, what's wrong with him? Nothing will happen, will it?"

Wu Jiang saw that the patient was so young, and thought that there would be no serious illness in general, so he replied:

"Don't worry, we'll know the results when we're done. Besides, he's so young, there's usually nothing wrong with him."

After saying this, Wu Jiang saw Lin Yi signaling to him.

Even if Wu Jiangdang realized that he might have said the wrong thing......

Looking at Lin Yi's eyes, could it be that this patient is very serious?

"Well, family, let me ask him how long he has been doing this? When did you start nausea, vomiting, and breathless?"

The girl thought for a moment and said:

"The first time I felt nauseous and wanted to vomit was probably half a year ago, right? We went for a check-up and did a gastroscopy, and we didn't find any problems."

Wu Jiang was stunned: "Is the gastroscope okay?"

"Yes."

That's weird, nausea and vomiting, but the gastroscopy came out and there was no problem.

Then it shouldn't be a stomach problem.

Wu Jiang frowned and thought for a while, then looked at Lin Yi again.

I saw that Lin Yi's eyes also faintly revealed a trace of surprise and worry.

But Wu Jiang thought about it carefully, there are many diseases that cause nausea, vomiting and diarrhea, and most of them are gastrointestinal diseases.

Could it be that the young man in front of him is not a stomach problem, but an intestinal problem?

After thinking about it for a while and no result, Wu Jiang felt that he had really said the wrong thing just now.

This guy may really be some kind of incurable terminal disease!

"Blood pressure 150/106hg, body temperature 37.4."

After a minute, the blood pressure and body temperature came out.

High blood pressure and a little low fever.

After listening to the results, Lin Yi asked again:

"Breathlessness also started half a year ago?"

The young man nodded:

"Yes, I work during the day and occasionally run takeout at night.

It started almost half a year ago, and when I delivered food at night, I felt very tired and dizzy when I ran from the gate to deliver food to people in the community, but it was uncomfortable.

I don't know what the reason is, and then the feeling of nausea and vomiting has become more and more serious in the past six months.

Also, when you urinate, it's very dark."

Dyspnea on exertion, combined with dark urine?

"How deep? Dark yellow or brown or blood-red?"

"Between brown and blood red, in fact, the urine color has always been a little dark before, and it was only yesterday that between brown and blood red......

As soon as he heard such a deep urine color, Wu Jiang next to him also became nervous.

Dark urine isn't a good thing.

"Lie there, I'll give you a check-up." Lin Yi said as he began to put on his gloves.

The girl hurriedly helped the guy to the hospital bed in the consultation room.

Lin Yi lifted the clothes on the patient's chest and began to auscultate with a stethoscope, and then palpated the chest and abdomen.

Although Lin Yi already knew what the situation was with this guy.

But the patient and other doctors didn't know, so Lin Yi could only complete the examination as soon as possible to get the diagnosis.

In addition to the examination of the chest and abdomen, Lin Yi also looked at the patient's face, and checked the pupils, cheeks, and limbs.

Afterwards, Lin Yi helped the patient up again and said:

"I see that you have tenderness in your right lower abdomen, that location is the kidney, has your right lower abdomen hurt before?"

The guy nodded: "Yes, it hurt before, but I didn't care much about it, and it didn't hurt if I endured it."

Lin Yi sighed and continued:

"If you have any problems, you should come to the hospital early, do you know about early examination and early treatment?"

"Also, I see that you have a little anemic face, have you felt very weak in the past six months? Or are there any other cases of inexplicable bleeding?"

The guy nodded again and again:

"Yes, yes, yes

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！ I don't know if it's anemia, but I feel dizzy and out of breath after the trot, and I have to sit or lie down to rest."

"And the last time I cut a toenail and accidentally scissors the flesh, a very small wound, it may not have hurt at all before, but last time it not only bleeds but also didn't heal for two days."

"I...... Doctor...... What the hell is wrong with me? Am I getting some kind of cancer?"

Wu Jiang didn't dare to answer abruptly, but turned his gaze to Lin Yi.

Lin Yi was silent for a moment and then said:

"Well, we can't give you a definite answer yet, so we'll have to check it out first. First of all, you are a little anaemic, so the blood routine, red blood cells, platelets, and some other infectious diseases are to be checked."

"In addition, I see that your entire face and limbs are a little swollen, it is edema, plus you also have dark urine, my preliminary guess is related to the kidneys."

"Therefore, electrolytes, thyroid function, liver and kidney function and urine tests are also mandatory. Also, you have difficulty breathing on exertion, so you have to do a chest CT scan as well."

"Then there is the abdominal ultrasound to see if there is any problem with the various organs in the abdomen. I won't prescribe other gastroscopy and digestive tract examinations for you first, and I'll see after the results of these tests come out."

"Don't worry, I haven't issued any extra tests, and all the tests I have done so far are mandatory. When these results are in, let's decide what to do next, and if it's not a big deal, then it's best."

"That...... How much does it cost to do these tests?"

The patient looked at Lin Yi with an embarrassed face.

Lin Yi glanced up at him and the girl next to him and said:

"Maybe seven or eight hundred, nine hundred at most."

"Okay, then...... Then I'll check it out first."

After saying that, the patient was helped out of the consultation room by the girl.

Wu Jiang immediately asked:

"How about Lin Yi, what kind of illness do you suspect?

Is hyperthyroidism or a problem with the kidneys?

At first, I thought it was a minor illness, but the more I asked, the more I realized that it was not easy."

I saw Lin Yi say with a solemn face:

"I observed that he had dry skin, slight edema, anemia and blood clotting problems, chest tightness and respiratory symptoms in addition to digestive symptoms."

"It tastes a little big in my mouth when I speak."

"And most importantly, dark urine, and the color is somewhere between brown and hematuria."

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