Soon, the mobile phone vibrate, and Shi Zhonghua sent the patient's medical records.

Wu Mian turned on his phone and smiled bitterly. Shi Zhonghua is not a doctor after all, and he has no idea what is important and what is not important in the description of the medical record.

He had copies of his inpatient records, not a single page had been lost, and he had sent them all to himself. Some unnecessary information was also sent.

Wu Mian watched it, Shi Zhonghua sent it, and at Wu Mian's hand speed, he watched it for nearly 10 minutes before he finished reading.

"Secretary Shi is also very attentive. Chu Zhixi said, "Brother, what's the situation." ”

"The patient has a problem. Wu Mian took the mobile phone very seriously and said while looking through the test sheet.

"Isn't it diagnosed?"

"It's not a diagnosis, it's a suspicion. The patient underwent colonoscopy twice, saw a mass, and took a biopsy of the pathological tissue, but no cancer cells were seen. Moreover, the patient's CA125 was elevated, and the cancer hospital diagnosed colon cancer, followed by a question mark. ”

The diagnosis is a diagnosis with a "?", which is highly suspected by doctors but not supported by objective test results.

"Oh, then go check it out. Chu Zhixi didn't continue to ask questions, holding his mobile phone and chatting with Zhang Lan about something. Wu Mian looked up and saw that the two of them were talking with great interest, and Chu Zhixi occasionally gestured in front of him, as if talking about the size of clothes.

It's okay, Wu Mian smiled.

If I sat here by myself, I really wouldn't have a lot to say to my mother. It would be nice if the girl could give birth to a little girl in the future, but don't have a son, there's no use for fart. When it comes to taking care of the elderly, it has to be a girl.

Wu Mian thought to himself and got up and left the ward.

The medical records sent by Shi Zhonghua were somewhat interesting, and Wu Mian pondered as he walked.

The patient, a 26-year-old woman, had a sudden episode of unexplained intermittent vague pain in her left lower quadrant 2 years ago, which worsened during defecation, and she was able to feel a mass in her left lower quadrant, which disappeared after defecation.

If you look at these alone, most people will think that it is a fecal mass, and the medical records describe that the patient thought so at the time. But is there one more suspicious point? Patients emphasize that the stool is not formed.

She didn't pay attention at the time? It is a small problem that has a bad intestine.

Half a year ago, the patient suddenly began to have intermittent bloody stools? Going to the Provincial Cancer Hospital for examination? Elevated tumor marker CA125 and significant stenosis of the sigmoid colon on colonoscopy? The endoscope has been unable to pass, and the suspicion of sigmoid colon cancer is high.

Elevated tumor markers? Typical stenosis seen on the endoscope? No wonder the doctors at the cancer hospital would judge that it was colon cancer. The intestinal lumen is blocked like this, if it is not cancer, what else can it be.

But the strange thing is that the cancer hospital did a needle biopsy when it saw the tumor for the first time, and the pathology reported that no tumor cells were found.

So a big tumor, should the diameter be 3cm-5cm? Wu Mian didn't believe it.

But this is an objective fact? If the disease progresses to this point, it can only be judged to be a false negative, after all, if the needle is inserted to puncture and take a biopsy of pathological tissue, it is very likely that only normal tissue will be penetrated.

All clinical evidence points to colon cancer, even if the pathological examination is negative, the diagnosis still does not change? At most, add a "?" after it.

But Wu Mian lowered his head, recalling the course of the illness written in the medical record again and again? I always felt that something was wrong.

What is wrong? Wu Mian couldn't tell.

The colonoscopy has seen a mass, and the mass is very large? The colonoscopy could not be passed smoothly.

What does this mean that Wu Mian is clear and the tumor marker CA125 is elevated at the same time? Supposedly, there should not be any problems with the diagnosis of the Provincial Cancer Hospital.

But Wu Mian just felt that something was wrong.

Wu Mian lowered his head? Walk out of the Sword Association Hospital? Someone walked over to him, "Section Chief Wu." ”

"Oh?" Wu Mian looked up and saw that it was Wei Dabao, so he smiled.

"I finished the matter, and Wang Chengfa finally bowed with a dark face and admitted his mistake. Wei Dabao briefly recounted.

"Oh, trouble. Wu Mian said.

Wei Dabao saw him greet absentmindedly and continued to walk forward, without the slightest idea of staying and talking to himself, he couldn't help but be stunned.

"Section Chief Wu, where is the film?" Wei Dabao had nothing to say.

"Give it to me, I'll put it in the car. Wu Mian said.

"You're ......"

"There was a public servant in the district who was diagnosed with colon cancer and was about to jump off the building. Wu Mian said, "I think something is wrong, go and see the situation." ”

"Is the diagnosis clear?" Wei Dabao guessed that as long as he talked about the patient's condition, Section Chief Wu would not let him go, so he leaned in and asked.

"The colonoscopy saw that the tumor was very clear, and the pathology was taken by needle biopsy. Wu Mian said as he walked, "But the pathological examination is negative." ”

"Pathology can still be believed. Wei Dabao said disdainfully.

"Oh, why do you say that?" Wu Mian asked.

"Section Chief Wu, let me tell you something. Wei Dabao began to gossip, "I used to be not in the emergency department, but working in the upstairs ward. We also accept patients with advanced lung cancer or any cancer that has metastasized to the thoracic cavity and causes a large amount of pleural effusion. It should be regarded as hospice care, and the patient should not be allowed to die at home without any medicine. ”

"Well, indeed. Wu Mian nodded.

"And the countrymen are particular about it...... It's not the countrymen, it's the same for the city people. Wei Dabao continued, "Many people usually don't respect filial piety, and when the time comes, all that filial piety comes up and is shown to others." It is good that they can be sent to the hospital, and many of them are suffocated at home, and then buried in a grand manner. ”

"Section Chief Wu, you said, if you are not filial when you are alive, you can't see the dead buried in the scenery, isn't it for the living. Wei Dabao habitually nagged a few words.

"Talk about it. Wu Mian said in a deep voice.

I have seen a lot of this kind of thing, and I have long seen it, Wei Dabao said a little wordy.

"Uh-huh. Wei Dabao replied again and again, "The patient has a large amount of pleural effusion, and our Bajingzi Traditional Chinese Medicine Hospital does not have a chest bottle, so we can only do thoracentesis to extract the pleural fluid." Pull it out and gasp for a day or two, and a short one for an hour or two. ”

"Well, what about later. ”

"Wasn't there a document a few years ago, and all the tissues taken out had to be examined for pathology. Wei Dabao said, "The pleural fluid drawn out of the chest cavity should also be done." ”

"Exfoliated cell examination, as it should be. Wu Mian said.

"You think it's right, but I sent 10 specimens from terminally ill cancer patients in a row within half a year, and the pathology department of our hospital couldn't find anything. Wei Dabao said.

"Huh. Wu Mian smiled, but didn't say much.

"Later, a patient's family asked me what the disease was, and don't let the old man go unclear. I asked them to take the pleural fluid to the provincial capital for examination, and the result was positive. ”

"Section Chief Wu, you are not angry!" Wei Dabao said.