This doctor has a system

Chapter 298 287.A ha
"How was the chat?" Zhang Yumeng's mother asked her daughter, "It's useless to chat on the phone all day long. You have to meet people."

"For example, your dad and I didn't meet very often at that time. He went to the northwest at that time, and we relied on letters to communicate. It was only after we got married that I found out that he was a big idiot."

"Can you have some quality? I'm still here!" Dad Zhang was a little unhappy.

"I was also very popular at the time, right? The little girl in the factory was obsessed with me, and I haven't even disliked you yet!"

"That's because they don't know that you are a person who has no romantic qualities at all!"

"I don't seem to have any romantic qualities." Zhang Yumeng said, "He knows how to send roses every time. It feels so down-to-earth."

She is a little fairy. Every time she is with Hu Jiaran, she always feels that she has fallen into the world and becomes not refined at all.

"I know it's good to send flowers." Zhang's mother comforted her daughter, "Let's not ask too much."

She asked someone to make some inquiries and felt that the boy named Hu Jiaran was in good condition. Although his appearance was not outstanding, he was not ugly either. He seemed to be the leader of a team at a young age.

She felt that she was completely worthy of her daughter, who was prettier, had a more stable job, and their family background was better.

"You have to see each other's true side."

"It's already very real." Zhang Yumeng complained to her mother, "You don't know, I took him to a couple's restaurant for dinner today, and he ate all the food like a hungry wolf."

"After I left the house, I said I wasn't full and took me to eat a big bowl of braised noodles."

The noodle restaurant was so noisy that she couldn't get used to it.

Zhang's mother was a little helpless. They only had a daughter, and they usually raised her too delicately. Her daughter seemed a little unclear about what normal life was like.

"I think the boy is a nice guy. You must get to know each other better."

"How was the date? Mr. Hu." Qi Nannan happened to meet Hu Jiaran who had returned.

"How did you know that I went on a date?" Hu Jiaran was very puzzled.

"I'm looking for you to sign. That's what Yue Penghui told me." Qi Nannan replied, "Tell me, how is it? When will we break up completely?"

"What can I do? He must be obsessed with me." Hu Jiaran said, "That guy, when he saw me, he was like me. We had a very good chat, and she admired me very much."

"Really?" Qi Nannan expressed disbelief.

"Why did I lie to you?" Hu Jiaran spread his hands, "But I don't think I'm in sync with her. When I'm with her, I always feel like I'm a bit rustic."

"I'm thinking about changing it."

"Scumbag!" Qi Nannan scolded him.

"What scumbag? Do you know what a scumbag is?"

"The rich second generation, those who drive big G are the scumbags. I am obviously not one of them, and I have not deceived my feelings. I have always behaved very truthfully." Hu Jiaran yawned, "What do you want to sign? Wait. Tomorrow."

"I'm going to the lab tomorrow to check on the progress. Come find me then."

Qi Nannan came to the laboratory early the next morning. Hu Jiaran hadn't arrived yet. She walked around the laboratory. She couldn't help but gently killed dozens of mice.

"I like to hear the snapping sound," she told an employee with a smile on her face. "The sound of a cervical vertebra dislocation is absolutely amazing!"

The latter smiled apologetically, feeling a chill in his heart.

"She is the rat-killing madman in the laboratory before." An old employee secretly told him, "It seems that she worked in the same hospital as Hu and the boss before. I heard that she made some mistakes and resigned."

"Isn't it a murder?" The new employee's heart skipped a beat.

"Are you stupid? If you had killed someone, you would have been arrested a long time ago!" The old employee was speechless. "I guess you may have tortured the patient to death unintentionally."

"Looking at a little girl who is white and fat, why..."

"Is your report wrong?" Hu Jiaran carefully looked at the document handed over by Qi Nannan.

"What's wrong?" Qi Nannan was anxious, "I have everything verified. Every item can be checked. There can be no mistakes."

"Did you quote an incorrect amount for the fee?" Hu Jiaran blinked at her, who was stunned for a moment, "No, what do you mean?"

"Are you stupid?" Hu Jiaran was a little speechless, "You just work? Are your consumables and stuff like that without any loss? You can report it."

"No, I'm careful."

"Let's go quickly." Hu Jiaran signed for her quickly. He didn't want to talk to such a retarded person.

……

"I feel a little chest tightness. There is no problem when I sit, but it becomes a little obvious when I do strenuous activities." A 37-year-old male patient was describing his condition to Gao Feng.

Dang Hongyu is a mathematics teacher at the primary school next door. He started to feel uncomfortable three months ago. At first, he felt something was wrong. He thought he was angry with his students.

Being a teacher now is very different from before. Children nowadays are not allowed to be beaten or scolded. Some students are just naughty and unwilling to work hard on their studies.

Dang Hongyu was anxious in his eyes, but he had no good solution. Sometimes he would encounter unreasonable parents, and he could only sulk alone.

"Teacher Dang, you seem to be out of breath." A teacher in the office said to him, "It didn't seem like this before."

"Is there any?" Dang Hongyu didn't care at the time.

As time went on, he gradually felt obvious discomfort. He felt tired and breathless as soon as he went up the stairs. His family was a little worried and asked him to come to the hospital quickly.

He is the teacher of the son of the head nurse of the Department of General Medicine, so the head nurse brought him here.

"Do you have any fever, cough, chest pain, or hemoptysis?" Gao Feng asked.

"If you move a lot, you will have a little cough, but nothing else."

Gao Feng picked up the stethoscope and listened. The heart rate was about 90 beats per minute and regular. No obvious noise was heard.

"Hey, why have the breath sounds in the right lower lung disappeared?"

"Director Gao, do you have any questions?" Dang Hongyu was a little nervous.

A normal person's lungs should have soft sounds during auscultation, and it is impossible for breath sounds to disappear.

This condition can occur in pneumothorax, pleural effusion, chronic obstructive pulmonary disease, severe bronchial asthma, severe pneumonia, tuberculosis, lung tumors and other diseases.

However, combined with Dang Hongyu's condition, chronic obstructive pulmonary disease and severe bronchial asthma were basically ruled out. He had no history of this.The chances of severe pneumonia and tuberculosis should also be very small. Most patients with these two diseases will have symptoms of fever, cough, and sputum production.

Then we must focus on ruling out pneumothorax, pleural effusion, and lung tumors.

Next, Gao Feng performed a percussion on the patient's chest and found that there was dullness in the right lower lung, which should be light in normal people. "It should be a large amount of pleural effusion."

Percussion for pneumothorax usually produces a drum sound. Sound is common in lung tumors, but it is not absolute.

"Well, you go for a chest CT examination." Gao Feng considered this, this is essential, chest CT is of great significance in diagnosing lung diseases.

After taking the CT scan, you can clearly distinguish between pleural effusion and pneumothorax, which is also of great help in the diagnosis of lung tumors. This is why respiratory doctors always like to ask you to take a CT scan when you go to the hospital.

It is really good, whoever uses it will know.

The results you may get after tinkering with a stethoscope for a long time may not be accurate, but if you can get a chest CT, the doctor will have a clear idea of ​​whether it is diagnosis or treatment.

Dang Hongyu ran all the way. While waiting in the imaging department, he checked online what Gao Feng said and was frightened half to death.

According to a certain article, he felt that he wouldn't live for three months, so he didn't even need to look at it. He could just go home and wait to die.

The CT report suggested: a large amount of pleural effusion on the right side.

"Go to the hospital. We need to drain out the fluid and send it for examination." Gao Feng directly issued a hospitalization certificate to Dang Hongyu. According to his experience, this should not be a minor illness.

Due to the large amount of pleural effusion on the right side, Dang Hongyu's right lung has been compressed. Even though Gao Feng's imaging reading skills are very advanced, he can't see any problems.

Only after the pleural effusion is drained and the right lung is recruited and then a chest CT is done, 123 can be seen.

Moreover, the drained pleural effusion can be sent to pathology and examination in time. The pathology department can centrifuge and slice it to see if malignant tumor cells can be found.The laboratory department can perform pleural effusion culture, acid-fast staining, and ADA, which are also of great significance to the subsequent diagnosis.

"Don't worry, let's check it out first." The head nurse felt that Dang Hongyu's mood was a bit wrong and hurriedly comforted him.

Obviously this is useless. Teachers are inherently attentive, and patients teach mathematics, so they must be thinking a lot in their hearts. Before the results come out, they will be under a lot of psychological pressure.

"My dad has lung cancer. He is also a teacher. He used to use chalk. The doctor said he has pneumoconiosis." Dang Hongyu said to Gao Feng, "Lung cancer may also be related to this."

"I no longer use chalk now, and I don't smoke, so I still think about..." He sighed after finishing speaking.

Smoking is indeed a high-risk factor for lung cancer, but the incidence of lung cancer among non-smokers is not low. Research shows that there is no obvious correlation between the occurrence of lung adenocarcinoma and smoking.

Gao Feng didn't say anything. He was not good at comforting people either.

As the drainage tube was inserted and the drainage bag was connected, dark red pleural effusion flowed out.

Bu Zhengyang's face suddenly turned ugly.

"director…"

"Let's send it to the pathology department for testing first." Gao Feng interrupted.

Generally speaking, pleural effusion will have several colors, such as light yellow, which is common in pleural effusion caused by tuberculous pleurisy or heart failure.

There are also chylo-colored ones, which are seen in chylothorax or thoracic duct obstruction.

Bloody ones are common in tumors, spontaneous bleeding, trauma, etc.

Dang Hongyu actually developed bloody pleural effusion, which made people feel that the situation was not good.

His wife saw the doctors' faces suddenly darken, and felt panic in her heart. However, she was still relatively rational and did not dare to say anything in front of the patient.

"Director Gao, old Dang..." As soon as he went out, Dang Hongyu's wife called Gao Feng.

"Now we have to wait for the pathological results. Before that, we should not have too much psychological pressure." Gao Feng said softly, "But... you can let your family stay with you for a while. After all, it may not be a minor illness. You can come and see your children."

"I understand." Dang Hongyu's wife burst into tears.

In fact, according to the current situation, the patient is very likely to have lung cancer. Gao Feng now particularly hopes that he will have better luck.

However, it was obvious that the final result was not based on human will. The doctor from the pathology department called the next day: Tumor cells were found in the pleural effusion, adenocarcinoma was likely, and immunohistochemistry was in progress.

"Go and talk to your family. I'd better not go." Gao Feng said to Bu Zhengyang. He really didn't know how to deal with such a young patient with malignant tumors.

-

"Why are you here?" Zhang Yumeng was a little unhappy. A man was late for a date!

"The laboratory is too busy. I need to check the progress of all groups today." Hu Jiaran apologized.

"Do you think you are important to the laboratory?" Zhang Yumeng asked.

"That's pretty important."

"I spent some time in the psychological counseling department, and the teachers said that if a person feels that his job is extremely important and believes that he is irreplaceable, this is a sign of mental illness."

"Nonsense." Hu Jiaran thought she was talking nonsense, "Let's go to the movies today."

"There don't seem to be any good movies to watch now, right?" Zhang Yumeng took out her phone and looked at it, "No, let's go to a concert. There is a troupe performing at the Grand Theater today."

"Okay, I usually like to listen to music." Hu Jiaran readily agreed.

"Oh, you also like listening to music?" Zhang Yumeng's eyes lit up. The two of them finally had some common interests.It seems that we need to get along more deeply, otherwise we would not be able to discover this.

"Yes, music is played in my office every day, and I also bought a membership to Penguin Music." Hu Jiaran said, "I prefer the song Lang's Temptation."

"The Temptation of the Wolf? Piano music? I don't think I've heard it before."

After a few minutes, Zhang Yumeng finally understood the song Lang's Temptation.

"Miss!"

"Why don't you say A ha?" Hu Jiaran patted her shoulder, "How easy it is to remember the lyrics. I've listened to them twice and still can't remember them?"

How did you get into graduate school with this IQ?

I was wrong. I shouldn't have believed that I could have any common interests with him. Zhang Yumeng silently reflected in her heart.

Looking at the man who was dozing off next to her, she made up her mind: I must fundamentally change this man!

"You're funny." Zhang's mother felt that her daughter's thoughts were cute. "It's as difficult to change a man as it is to change the world."

After she finished speaking, she looked at her husband. Dad Zhang quickly stood up and went back to the bedroom. Based on his understanding of his wife, the next step should be criticism of him.

As long as I can't hear it, it's all in vain.

(End of this chapter)