When doctors have a simulated operating room

The old man was very angry, but he was very angry.

"Hmm? You agreed so quickly?"

Jin Zhenglun agreed so quickly that Zhang Yi was still a little slow to react.

The process of treating children with cleft lip and palate, did you agree just like that?

Union Hospital is such a busy hospital.

Basically, all the difficult and complicated diseases in the country, those that are difficult to treat, are sent to Union Hospital.

Even an ordinary outpatient clinic basically has to wait for several months to see a doctor.

How could he agree to it so easily? ?

"That's right! Doctor Zhang, what you did is a good thing. Since it's a good thing, our hospital will help if we can.

Don't worry, I will arrange for someone to make this set of procedures for children with cleft lip and palate, so that these children can see the doctor separately!"

This is simply too kind to refuse.

Zhang Yi had no choice but to nod and say:

"Thank you, Dean Jin, but I still say the same thing, give me another two or three months to hand over."

Jin Zhenglun was a little worried:

"Then...then when the time comes..."

"Dean Jin, since I have already promised you, I will definitely not break my promise. Don't worry, at most three months, if you have arranged it, I will report to Union Hospital."

Jin Zhenglun grinned, and immediately shook Zhang Yi's hand in excitement and said:

"Oh! It's really not easy! I have finally invited you after four or five visits!

Don't worry, the treatment we give at Union Hospital will definitely be better than any other hospital in China!"

The lunch was quite harmonious.

As long as Zhang Yi agrees, it will be worth his personal trip.

…

Emergency Department.

In the middle of the day, a male patient with dysphagia and black stools for more than a month came.

His complexion was a little bad, very pale, and he looked like he was anemic.

His figure was OK, 170 cm tall and about 140 catties.

The doctor on duty at noon was Chen Fang.

When I heard that this patient had dysphagia and black stools, it was naturally related to the digestive tract, and most likely the upper digestive tract.

First, blood was drawn for examination. The patient happened to have not eaten breakfast, so a gastroscopy could be arranged. By the way, the doctor of the gastroenterology department was notified for consultation.

There were also electrocardiograms and chest X-rays.

If the dysphagia occurred in an elderly patient, esophageal cancer should be considered first.

But the male patient in front of him was only in his early thirties.

Shouldn't he have cancer?

Chen Fang wondered, but it was hard to say without the final result.

Soon the doctor of the gastroenterology department came over.

"What's going on?"

Chen Fang: "Male patient, 30 years old, dysphagia and black stool for more than two months. He said that no matter what he eats, he always feels something blocking his throat, whether he eats liquid food or hard food."

The gastroenterologist frowned and said immediately:

"Progressive dysphagia? Be alert to esophageal cancer."

Chen Fang also nodded, and he meant the same thing.

Soon the patient's examination form came out.

Gastroscopy showed that the lumen was severely narrowed, and there was a mass in the lower part of the esophagus, and there was slight bleeding.

Seeing the mass, the gastroenterologist shook his head and said: "I'm afraid it's esophageal cancer, and it may be in the middle and late stages. Have the results of the electrocardiogram and blood routine come out?"

"It's out, here."

The other items of the electrocardiogram and blood routine were fine, but the hemoglobin was low, only 90g/L (120-150g/L for men).

This person is indeed a little mildly anemic.

The chest X-ray showed that the patient had pneumonia, but it was not serious.

Suddenly, there was a call from the gastroscopy department.

"Hello, emergency department."

"Yes, the patient was sent here by the emergency department."

"Ah? Not finished? OK, I see."

After Chen Fang hung up the phone, he explained to the doctor in the gastroenterology department:

"Just now, when we were doing the gastroscopy, we didn't finish it because the tumor on the esophagus of this patient would bleed with a slight touch, and the bleeding was quite heavy. They didn't dare to probe inside anymore, fearing that it would cause heavy bleeding."

The gastroenterologist nodded and said:

"Okay, I see. At present, the preliminary diagnosis is esophageal cancer, and it is likely to be in the middle and late stages! Let him do a pathological classification to see what kind of cancer it is."

According to the results of the gastroscopy examination form, it does look like esophageal cancer.

And the patient's symptoms are also quite obvious, plus he usually likes to drink strong tea and eat spicy food.

This has stimulated the esophageal wall for a long time, so this result has occurred.

Oh!

Typical case of illness coming from the mouth!

Chen Fang went over to explain the situation to the patient.

Result

The patient didn't believe it!

"Are you sure? I'm so young and I have esophageal cancer? Or in the middle and late stages?"

The patient didn't believe it and was very angry.

Chen Fang also understood the patient's feelings and patiently explained:

"This is the examination form. You can see that the gastroscopy shows that there is a mass in the lower part of your esophagus and bleeding.

This bleeding is why you have always had black stools in the past two months.

Blood turns black when it is discharged after being digested by the stomach and intestines.

The mass on the esophageal ulcer is also the reason why you have difficulty swallowing in the past two months."

The patient looked at Chen Fang doubtfully, and then looked at the examination form in his hand.

After a few seconds, he threw the examination form away and yelled:

"Impossible! How can I get cancer at such a young age!"

The voice was so loud that it even attracted the attention of other patients.

"Don't get excited yet. This is just a preliminary diagnosis. We still need to do pathological typing. Don't get excited yet."

"Cancer is so damn exciting, how can I not get excited?! No! I don't believe it! I'm so young and haven't even gotten married yet, and I have cancer? I don't believe it!"

The patient got up and put on his clothes. Damn it, he didn't want to see this crappy disease anymore!

Or go to another hospital for another check-up.

"Hey patient, where are you going? Your tumor is very serious. It's easy to bleed if you touch it a little. You can't run around!"

Chen Fang chased him from behind, but the man didn't listen. He walked and said:

"Damn, it's really strange. I didn't come to the hospital and nothing happened. As soon as I came to the hospital, they said I had cancer?"

Just at this time, Zhang Yi, who had finished lunch with Jin Zhenglun, came back.

He didn't pay attention and bumped into the patient.

Zhang Yi hurriedly said: "Sorry, sorry, I didn't bump into you, did I?"

The patient glared at Zhang Yi and said nothing, then turned around and left.

Then Chen Fang's voice came from behind:

"Oh, Zhang Yi, stop this patient quickly. He won't treat esophageal cancer and insists on leaving!"

"Esophageal cancer?"

"Yes, the mass on his esophagus is very large and the stenosis is very serious. The people in the gastroscopy room said that the mass bleeds when touched, and they dare not probe inside."

If this kind of patient is sent home, it is easy for something bad to happen.

If he eats something at home and causes heavy bleeding, then he is doomed.

As a result, the two turned back to look for him, but he was gone.

There were many people in the hospital, and people were coming and going. This patient ran very fast.

He disappeared in one turn!

"What can we do? If he bleeds heavily at home, I'm afraid it will be too late to save him!"