Judging from her description, chronic ulcerative colitis is more likely.

There is also a risk of intestinal polyps and bowel cancer.

Considering that she is still very young, only in her twenties, which is the same age as a flower, the risk of bowel cancer is low.

In addition, she was treated at a local hospital and diagnosed with enteritis.

However, the effect is not good after taking the drug.

In addition, she is now experiencing vomiting symptoms, even if it is really enteritis, it is an extremely dangerous type.

"Qiu Hong, give her a physical examination first."

Director Jia may have considered that the other party was a female patient, so he asked the female doctor Qiu Hong to give her a physical examination.

In fact, in the eyes of doctors, there is really no distinction between men and women.

Female patients have a high probability of encountering a male doctor according to an ECG. There are also breast diseases, and there are also many male doctors who sit in for consultation. During the physical examination, the female patient is asked to lift her blouse and the doctor palpates and visually examines her.

Depending on the hospital's requirements, a female nurse or doctor will be present.

If there were only male doctors and female patients, if the patients said that the male doctors were insulting her, they would not be able to wash themselves by jumping into the Yellow River.

In addition, female patients can be accompanied by their husbands or other relatives.

In the outpatient room, family members can enter.

Only the operating room, examination room, and intensive care ward are not allowed to enter the family.

In principle, family members are not allowed to enter the emergency room, depending on the situation, but after the rescue is completed, or the doctor feels it necessary to let the family members encourage the patient and stimulate the patient's desire to survive.

I will take the initiative to invite family members in.

The physical exam is actually much more complicated than you think. It includes axillary body temperature measurement, calculation of respiratory rate, measurement of blood pressure in the right upper limb more than three times, observation of the patient's complexion, development, nutrition, auscultation of bowel sounds and other items.

It's not as simple as pressing twice on a patient's painful part on TV.

Taking advantage of the time when Qiu Hong gave the patient a physical examination, Zhou Can picked up the patient's examination report and checked it.

The first thing to look at is the results of a routine blood test.

After the appearance of diseases in the human body, at least more than 70% of the diseases will be mapped to a greater or lesser extent in the blood picture.

The woman's white blood cell count was markedly elevated, and her red blood cells and hemoglobin were lower than normal. There is also a marked decrease in hematocrit and a rapid increase in erythrocyte sedimentation. Mucin is increased and albumin is decreased.

The results of a blood test alone confirmed that she was sick.

There are so many blood abnormalities, from the doctor's professional point of view, this disease will not be a minor disease.

Enteritis can only be considered a minor illness.

So, what would be a more serious disease than enteritis?

Intestinal perforation should be ruled out, as intestinal perforation is often associated with intra-abdominal infection, and symptoms are much more severe.

Patients may also experience excruciating pain, accompanied by high fever and even chills.

Zhou Can then checked the stool examination, which showed red and white blood cells, and the occult blood test was positive.

Most of the disease is in the intestines.

CT examination found no obvious abscess in the abdominal cavity.

Based on these tests, the diagnosis is made of common enteritis. The treatment plan and diagnosis prescribed by her local hospital were all correct.

"Zhou Can, have you found anything?"

Director Jia's title for Zhou Can has changed unconsciously.

From Xiao Zhou to Zhou Can.

I don't know if it's because it's a bit disrespectful to call Xiao Zhou in front of the patient, or because Zhou Can discovered the hidden disease of the patient in the third bed, he feels that Zhou Can should be given a certain amount of respect.

All in all, it's a good sign.

At least when Director Jia called the beautiful doctor Qiuhong, he didn't call her Xiaoqiu, but directly called her by her name.

"It's hard to say right now, there are too few inspection materials. It can only be roughly inferred that the disease should occur in the intestines, and it may be enteritis, but it is definitely not ordinary enteritis. ”

Zhou Can gave his own diagnostic opinion.

Let him give the diagnosis result directly, it must be difficult for some strong people.

It's good that he's able to narrow down the disease over and over again.

"Yes, your diagnostic thinking is not as impetuous as most young people, and it is very down-to-earth. You're better than I thought you would. ”

Director Jia praised him for the first time.

And in front of the patient.

It shows that he is very satisfied with Zhou Can's performance.

"The specific cause of her must be a colonoscopy to be further determined." Director Jia's words are also for patients.

"Is it possible to do without a colonoscopy? I heard that it was terrifying, I was afraid of pain, and I was even more afraid of the colonoscopy piercing the intestines! "Patients are very reluctant to have colonoscopy.

At the local hospital, the doctor probably had already discussed with her for a colonoscopy.

"You're going to have a colonoscopy, and there's a little bit of risk. If you really don't want to do a colonoscopy, then give you a barium enema examination! However, I personally recommend that a colonoscopy be more intuitive. ”

Director Jia said to her.

"Hmm...... Don't do it, don't do it. My little sister had a colonoscopy in the hospital and was in pain for many days. Unless I get a painless colonoscopy, that's okay to consider. ”

She seemed a little childish.

In fact, most of these girls are kind-hearted, self-motivated, and cheerful.

At least they are more open when they encounter difficulties.

The ability to withstand pressure is much stronger than that of the average girl.

"You girl, now that you're sick, do you care so much about the pain caused by the examination? Painless colonoscopy needs to be booked, at least half a year, and you can't delay your illness for a day. Also, the cost of painless colonoscopy is also much more expensive, so why bother. ”

Director Jia shook his head helplessly.

Today's young people are very individual, and their thinking is too different from that of the older generation.

Eventually, after the patient completed the physical examination, Director Jia prescribed her an application for a barium enema examination.

She dragged her frail body to pay the fee and get check-ups.

It looks very worrying, he is so sick, but he has no parents and family to accompany him.

I don't know what her family is like.

Some young people, who are very sensible, in order not to worry their parents and not to increase the burden on their parents, when they work hard, whether they are sick or have a major setback at work, they all carry it alone.

It's pitiful and sad to look at.

……

It was close to half past ten in the morning, and Qiu Hong's mobile phone rang.

"Doctor Tang, are the results of the examination of the third bed patient out?"

Qiu Hong took the initiative to ask.

It turned out to be a call from the treating doctor of the third patient.

"Ah...... It's gallbladder cancer! Dr. Zhou, the new person in our department, is really a god. Her beautiful face was full of shock, and she was extremely surprised that Zhou Can was able to predict the discovery of the patient's hidden disease.

[Pathological diagnosis experience value +1.]

[You have successfully diagnosed a difficult recessive disease, and the experience value of pathological diagnosis is +100.]

101 points of pathological diagnosis experience value were received at once, which turned Zhou Canle over.

His efforts have finally been richly rewarded.

The pathological diagnosis is now at the fourth level, and the main treatment is at the inferior level. In order to reach the level of deputy chief physician, you need to earn 10,000 experience points. If he could only earn 1 point at a time, he didn't know that he would be able to raise this medical skill to the level of deputy director in the Year of the Monkey.

After ending the call, her eyes when she looked at Zhou Can completely changed.

"Teacher, Dr. Tang called just now and said it was ......" Without waiting for her to finish, Director Jia waved his hand. I heard it all. Zhou Can, this kid, really has two hits. ”

After he finished praising Zhou Can, he sighed slightly.

"Alas, gallbladder cancer is known as the king of cancers, and the prognosis is very poor. This patient's condition is really terrible, and I am afraid that the opportunity for surgery has been lost. I'll see the results of the MRI after I'm done with the outpatient clinic! ”

Director Jia felt sorry for this patient.

If only gallbladder cancer had been detected earlier, it is likely that it has metastasized.

The prognosis of pancreatic cancer and gallbladder cancer is particularly poor.

These two cancers are known as the king of cancers, and each is more dangerous than the other.

They have one thing in common, they are very easy to infiltrate the surrounding organs and tissues. And it's surrounded by vital body tissues.

As long as it is detected a little later, it will directly lead to the loss of the patient's chance of surgery.

Cancer cells replicate themselves, allowing them to spread rapidly throughout the body. It's fine if you don't have surgery, but if you don't get it clean, they will grow wildly.

The time from diagnosis to death is often very short.

Gallbladder cancer is a malignant epithelial tumor with a very high degree of malignancy. According to different pathological mechanisms, it can be divided into adenocarcinoma, squamous cell carcinoma, adenosquamous cell carcinoma, mesenchymal tissue-derived tumors, neuroendocrine-derived tumors, etc.

Either type, it's a life of death.

The five-year survival rate for gallbladder cancer generally does not exceed 10%.

The patient is very old, in his seventies, and if he has a mine at home, he can try to re-evaluate the surgical options and risks. Otherwise, conscientious doctors will basically tell the family that if they really want treatment, then be prepared to have both people and money.

"Senior Brother Zhou, I'm curious, how did you find out that the third bed patient has cancer?" Qiu Hong's beautiful eyes stared at Zhou Can.

Her title to Zhou Can has changed from a strange doctor Zhou to a junior brother of Zhou.

It was only at this moment that she took the initiative to accept Zhou Can calling her senior sister.

"Just observe! During the ward rounds, I saw that the patient's complexion, eyes, hands, and facial complexion were not right. At that time, I suspected that it was cancer. Later, I asked Director Jia for leave, and after carefully reading the inspection report, I used the elimination method to finally lock the gallbladder. ”

Zhou Can generously shared his diagnostic experience.

"The main thing is that the patient's cancer symptoms are just covered by his cirrhosis and duodenal ulcer. Otherwise, it's easy to spot. ”

robbed Director Jia of the limelight, so he naturally wanted to give others a step.

Experts are also human beings, and there are times when they are blind or overlooked.

"Qiuhong, you don't know yet! When Zhou Can was training in other departments, he was also very famous, and those chief physicians highly praised him, and they all wanted to keep them in their own departments. ”

Director Jia's news is quite well-informed.

Zhou Can's deeds in other departments were all known to him.

If you want to say that Zhou Can gradually became famous, it probably ended with the cultivation of gods. At that time, it had already attracted the attention of Vice President Ye, so there was special care during the planning and training of the intensive care medicine department.

Now, with the help of Director Xueyan, Zhou Can is frantically making up for the shortcomings of basic medical knowledge.

Nearly two months have passed, and the initial results have been achieved.

The knowledge shortcomings in the fields of immunity and digestion have been filled in a lot.

This time, we were able to accurately locate the cancer of the third patient to the gallbladder, indicating that the initial results have been achieved.

At that moment, two groups of patients walked into the examination room at the same time.

The young woman who walked behind was the woman who had been initially diagnosed with enteritis.

She's back from a barium enema.

"Old Jia, the results of the inspection are out, please help me take a look again!"

While handing the test results to Director Jia, she smiled apologetically at another patient who came to see her.

"The barium shadow shows signs of jumping...... This disease is troublesome! ”

After Director Jia saw it, his brows were furrowed.

It shows that her disease is very difficult to treat.

After reading the barium results, Zhou Can's heart trembled slightly, her symptoms were already highly similar to enteritis, and now the barium shadow showed signs of jumping, which could basically be diagnosed as ulcerative colitis.

But combined with her electrolyte test results, this is not ordinary ulcerative colitis, but probably a very fatal Crohn's disease.

The CT results can already give a glimpse of the clues.

Proliferative lesions that run through the layers of the intestinal wall, involving the mesentery and regional lymph nodes, are confined to the small intestine and colon.

The lesions are characterized by a segmental distribution.

It is spaced from the normal intestinal segment and has a clear boundary, which is characterized by a skipping zone.

All signs have pointed to Crohn's disease, which is known as the 'green cancer'.

The disease is not really cancer, but with current medical technology, patients need lifelong medication. The cost is also quite high.

If you use imported medicine, the cost is about 15,000 to 20,000 yuan per time.

I need to get an IV every two months.

Such an expensive medical bill, and having to come every two months, is an absolute disaster for an average young girl.

"Just say it, I can handle it."

The girl was quite brave, and after seeing Director Jia's expression and listening to his tone, she already knew that the result was very bad.

Director Jia groaned and was organizing the language.

When doctors communicate with patients, they will most likely take care of the patient's feelings as much as possible.

"It's okay, you can say it! I don't have much in my family anyway, my parents divorced when I was very young, and my grandmother and grandfather brought me up. Now that my grandparents are no longer in the world, even if I have cancer, I don't have anything special to remember in this world. So, I'm okay with any outcome. ”

I can't imagine these words coming out of the mouth of a young girl in her twenties.

Hearing this, looking at her expression, Zhou Can felt special sympathy.

Unfortunately, his medical skills are still very limited, and no doctor has been able to cure Crohn's disease until now.

The only way is to take medication for life.

Western medicine has been developed for so many years, and it has become very advanced in many fields such as diagnosis, surgery, medication, and pathological mechanisms. Traditional Chinese medicine, which has lasted for thousands of years, as well as witch doctors in the Western world, have been directly wiped out by it.

But many chronic diseases are incurable.

According to statistics, at least more than 80% of chronic diseases are incurable.

Wasn't it shocking to hear this?

Take a tumor as an example, after being cut, it will still grow back.

Medically it is called relapse.

Why is cancer curable when it is detected at an early stage? It is not actually a cure, but relies on the body's immune mechanism to defeat the disease.

In the middle and advanced stages of cancer, like a fire in a mountain forest, it has shown a trend of burning the prairies, and the body's immune mechanism is either destroyed or it is no longer an opponent of the disease.

Therefore, at this time, surgery, radiotherapy and chemotherapy, the final result is basically left to fate.

Western medicine treats the symptoms, and Chinese medicine treats the root cause.

The principle of TCM treatment is to balance yin and yang. Perhaps one day, the world will highly recognize Chinese medicine, and let Chinese medicine become the mainstream medicine in the world, and Western medicine will become an auxiliary treatment.

But when that day comes, Chinese medicine may no longer be the strongest in China, but may be a developed country in the West.

Because they are likely to perceive the value of Chinese medicine, they have already begun to lay out.

There are not many famous Chinese medicine doctors left in Huaxia now, and many famous Chinese medicine doctors have been directly poached by foreign heavy money.

This is very frustrating and frustrating.

Fortunately, the move abroad has attracted the attention of relevant parties, and various policies to protect and develop traditional Chinese medicine have begun.

Compared with the period from the end of the Qing Dynasty to the modern war, when Chinese medicine was seriously declining and being excluded, the current situation of Chinese medicine is much better.

"Girl, your disease is called Crohn's disease, which is an inflammatory disease of the intestines of unknown cause. Theoretically, it can occur anywhere in the gastrointestinal tract, but it is more common in the terminal ileum and right colon. The clinical manifestations are abdominal pain, diarrhea, intestinal obstruction, accompanied by extraintestinal manifestations such as fever and nutritional disorders. Your symptoms of anemia, constipation, and even vomiting after eating are all related to the disease. ”

Director Jia announced the diagnosis to her.

She had obviously never heard of this disease, and asked a little blankly, "Can this disease be cured?" Is it cancer? ”

(End of chapter)