Chapter 1: Bad News

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A New Era of Doom.

Monday, May 11, 2020.

At eight o'clock in the morning, Zhou Shen (shēn) took a bus to the Sixth Courtyard on Yishan Road in the magic capital for a physical examination.

In recent days, he has noticed that a set of red numbers often appears in front of his eyes.

At first, it was [90], yesterday it became [89], and after waking up this morning, the number turned out to be [88], which made him feel inexplicably nervous and frightened.

He wondered if he had vision at first?

However, the numbers do not appear all the time, but only appear when you need to look at them a little, so the possibility of visual hallucinations is ruled out.

Later, I wondered if it was caused by too much fatigue recently.

It's possible.

As an ordinary student who graduated from a second college, his work is hard work, 996 is commonplace, 30 days last month, he took a total of 1 day off, and he must always pay attention to the work group to understand the progress of the project.

As a 30-year-old working man, if you don't work hard, you may be eliminated at any time.

According to news reports, this year's college graduates are estimated to be close to 9 million, and according to statistics, the number of fresh graduates will remain high in the next ten or twenty years, and the demographic dividend will not really end until after 2040.

He really can't roll up those dividends.

"Except when I was in college, I don't think I had a detailed medical examination in many years, right?"

When queuing up to take his blood pressure and pulse, Zhou Shen thought to himself.

In fact, the company has a free physical examination every year, but because he is a hepatitis B virus carrier (HBV), which is commonly known as "Xiao Sanyang", he cheated when he first joined the company.

Although the state stipulates that employers are not allowed to refuse employment on the grounds that they are carriers of the hepatitis B virus, even the physical examination of employment in many places does not allow hepatitis B testing.

But the reality is that the employer will fire you with just an excuse, and it doesn't have to be in the name of HBV, what can you do?

So cheating is also a thing that there is no way to do.

Otherwise, you won't even be able to find a job.

There are more than 80 million hepatitis B virus carriers in China, and these people are invisibly discriminated against in their work, life and social interactions, causing many people to avoid medical treatment and dare not mention that they have hepatitis B in front of others.

He has also been looking forward to it countless times in his heart, hoping to develop a drug to eliminate the hepatitis B virus as soon as possible.

However, he had long learned that hepatitis B virus is a DNA virus that is difficult to conquer and belongs to the lifetime series.

And...... Good medicine is not necessarily a good commodity.

……

Blood pressure, pulse, height and weight are measured.

The blood pressure and pulse are in the normal range, and the weight is a bit low, and the height of 175 is only 110 pounds.

Next, blood tests are taken to check blood routine, liver and kidney function, blood sugar and lipids.

A middle-aged male doctor in his fifties looked at the computer and typed and asked, "Is there any family history of genetic diseases?" ”

Zhou Shen originally wanted to hide it, but after thinking about it, he said: "Hepatitis B." ”

The doctor entered the genetic history into the computer and asked, "When was the last time you had a checkup?" ”

Zhou Shen said: "It's been a few years. ”

The doctor was a little dissatisfied and said, "If you know you have hepatitis B, why don't you have regular checkups?" ”

Zhou Shen smiled helplessly and didn't speak.

Because I am worried about the discrimination of others, I usually don't mention it, and I rarely go for special examinations, and even if I do, I will do a liver function test at most.

In fact, not only him, but most people are indifferent to their bodies, and often wait until the symptoms affect their normal life before going to the hospital when they are forced to do so.

Then the doctor helped him prescribe a bunch of checklists, in addition to blood routine, liver and kidney function, blood sugar and lipids, plus DNA virus test, alpha-fetoprotein, B-ultrasound and so on.

"At three o'clock in the afternoon, go to the No. 11~15 machine in the hall on the first floor to get the test report."

"Got it! Thank you. ”

After drawing blood, Zhou Shen pressed the blood collection hole on his arm with a cotton ball bat, and took the color ultrasound sheet to line up for an abdominal color ultrasound examination.

It may be the reason for Monday, there are a lot of people who do color ultrasound, and it is not easy to get him.

At the request of the female doctor, Zhou Shen lay on the examination table and lifted his clothes, exposing his lower abdomen and chest.

"Go up."

Zhou Shen's buttocks moved upwards and placed his abdomen just under the female doctor's hand.

"That's it!"

The female doctor picked up the bottle and poured some slimy glue on his stomach, then picked up the abdominal probe and rolled back and forth on his lower abdomen while looking at the images on the computer.

After a while, the female doctor suddenly let out a puzzled voice.

"Huh?"

Zhou Shen asked, "What's the matter, doctor?" ”

The female doctor did not answer, but asked, "Do you know what your physical condition is?" ”

When Zhou Shen heard the female doctor's tone, he felt an inexplicable "chuckle" in his heart, raised his head and asked a little nervously: "I don't know, what's wrong?" ”

"Don't move, lie down first......"

The female doctor continued to examine after speaking.

After that, nothing was said until the end.

After the examination, Zhou Shen wiped the glue on his chest with a tissue and asked, "Doctor, is there anything wrong?" ”

The female doctor said very calmly: "When the report comes out, go and ask the doctor!" ”

Zhou Shen had no choice but to ask, "How long will it take for the report to come out?" ”

"I'll pick it up in the lobby on the first floor in half an hour."

"Okay, thank you doctor......"

Zhou Shen stood in the hall on the first floor with apprehension and waited.

During the period, the apprentice called and asked about the project plan, Zhou Shen explained to him, and after the phone call, he came to the machine, took out the registration list and scanned it, and the machine quickly spit out the color ultrasound diagnosis report.

He glanced at it, and the top was all kinds of data, which he couldn't understand, and the color ultrasound graphics below couldn't understand either, so he looked directly at the ultrasound description below.

The ultrasound description is densely written.

[LIVER: THE SHAPE AND SIZE OF THE LIVER SECTION ARE NORMAL, THE ECHO OF THE LIVER PARENCHYMA IS UNEVEN, THE DUCT STRUCTURE AND BLOOD FLOW ARE CLEAR, AND THE STRONG ECHOGENIC PLAQUE WITH A LENGTH DIAMETER OF 1.02CM CAN BE SEEN IN THE RIGHT LOBE OF THE LIVER, WHICH IS NOT LOCATED IN THE LUMEN. Moderately echogenic nodules with a size of about 0.83×0.65 cm can be seen in the right lobe of the liver, with clear boundaries ......]

[Gallbladder: the shape and size of the section are normal, the wall is thin and smooth, and a medium echo mass of about 8mm can be seen on the attached wall, without sound and shadow, and there is no movement when the body position is changed. 】

[Bile ducts, pancreas, and spleen, normal.] 】

Zhou Shen quickly read the ultrasound description, although he didn't understand the meaning of those professional terms, but it was obvious that there was a problem, and he couldn't help but start to get nervous.

He hurriedly looked at the ultrasound prompt below.

[There are multiple hypoechoic nodules in the left lobe of the liver, the nature of which is to be investigated (consider metastasizing to Ca), and further examination is recommended.] 】

[Medium echogenic nodules in the right lobe of the liver, nature to be investigated (calcified plaques?) )】

[Gallbladder polyps. 】

[The spleen is not big. 】

[The pancreas is not large. 】

[Further examination is recommended.] 】

Zhou Shen hurriedly took out his mobile phone, opened the Qiandu search engine, and typed: What does multiple hypoechoic nodules in the left lobe of the liver mean?

HomeThe chief physician of a tertiary hospital answered: [Multiple hypoechoic nodules in the liver usually refer to multiple neoplastic lesions in the liver, including liver cysts, fatty liver, cirrhosis nodules, hemangiomas, adenomas, focal nodular hyperplasia of the liver, liver cancer, metastatic cancer, bile duct cancer, etc.......]

Seeing the "neoplastic lesion", a rush of blood rushed to Zhou Shentianlinggai.

There was a burst of blackness in front of him, and the phone almost didn't fall to the ground.

"No...... No, it must be a mistake! ”

He swallowed the fear in his heart, put away his mobile phone and the report sheet, and then walked towards the physical examination center on the second floor as if he had lost his soul.

The physician at the physical examination center took the report and looked at it, and his brows furrowed instantly.

Zhou Shen was like a prisoner waiting for the death sentence to be announced, he didn't dare to ask anything, and looked at the doctor deadly.

The doctor then took out the phone and dialed out, and after saying a few words, he handed the report to Zhou Shen, and said with a serious expression: "You go and hang up an expert number in the infectious disease department, and then go to the infectious disease department on the fifth floor to find Director Zhang, he is a liver disease expert, and he just happened to come over for consultation today." ”

"Doctor... I'm ......"

Zhou Shen's lips trembled twice, wanting to ask something, but in the end, he didn't ask anything, turned around and left the physical examination department mechanically.

After hanging up the expert number, he went to the infectious disease department outpatient clinic on the fifth floor.

Zhang Yuqing, the chief expert with gray hair and a kind eyebrow, took the color ultrasound and looked at it, then subconsciously held the frame of his glasses with his hand, turned his head and asked softly: "Young man, did you come alone, where are your parents?" If it's not far from home, let them come to the hospital. ”

When Zhou Shen heard this, his heart suddenly sank to the bottom, and he endured great fear, and said in a pitch-changing voice: "My parents have passed away, if you have anything to say, I have checked the information on the Internet...... Knowing what the data on the test sheet means, is liver cancer, right? ”

In the end, Zhou Shen almost cried.

"Uh... Well...... this."

Director Zhang Yuqing hesitated for a moment and said: "According to the report, you may have liver cancer, and there is a certain probability that it has spread." However, further examination is required, perhaps ......"

Director Zhang Yuqing spoke very cautiously, using uncertain words such as "possible" and "certain probability".

However, Zhou Shen was still stunned when he heard "diffusion", and he couldn't hear anything clearly about the rest of the words, and his ears were buzzing.

Even if he doesn't understand medicine, he knows that advanced cancer will spread.

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