Chapter 332
Chapter 332
Chapter 332
Gave the patient an electrocardiogram…
·Result: No myocarditis, no other heart problems.
Then the patient is well-indicated for gastroscopy.
“Go and pay… and come back for a gastroscope…”
“good.”
Where did the middle-aged man dare to delay, he quickly paid the money, and then went to prepare for an inspection.
Insert the gastroscope,
All the way through the mouth, throat, esophagus…
Easily, Lin Feng found a big sarcoma.
The esophageal cavity is severely reduced, and there is bleeding.
Even because of the problem of the gastroscope, there was friction, and then the bleeding became more serious.
Lin Feng looked at the sarcoma and directly concluded:
Esophageal cancer! !
Moreover, because the bleeding was a bit serious, Lin Feng did not dare to go deeper, so he could only barely check the nearby esophageal wall.
He found a few small swellings.
It looks like a small cancer tissue…
Withdraw the gastroscope.
“How is it? Doctor Lin?” the middle-aged man resisted the urge to nausea and vomited and asked anxiously.
Lin Feng has a serious face: “Unfortunately to tell you, this is a tumor… In my experience, it may be esophageal cancer!”
Lin Feng directly ruled out the fishbone problem.
Where the fishbone is there, a part of the disease may occur, forming a lump.
But it is not the same as a tumor mass. Lin Feng feels that this is not a fishbone mass.
“I have… cancer?”
The middle-aged man was dumbfounded on the spot.
The whole person’s head went blank all of a sudden!
“Dr. Lin, can I still help?” The middle-aged man clutched Lin Feng’s arm tightly with a pleading expression on his face.
“Don’t worry. For the time being, it is esophageal cancer, but I don’t know if it is real esophageal cancer. Even if it is esophageal cancer, if it does not spread and metastasize at an early stage, it can still be removed. There is hope of cure…”
But in fact, Lin Feng has already seen other signs of esophageal cancer through an esophageal microscope. If it is really esophageal cancer, it means that the esophageal cancer may already be advanced esophageal cancer.
Esophageal cancer is a common gastrointestinal tumor. my country is one of the areas with a high incidence of esophageal cancer in the world, with an average of 150,000 deaths each year.
“You make a phone call to your family… Then, I will make an order for you to have a “double contrast X-ray esophageal swallowed barium”. ”
This “double-contrast X-ray esophageal swallowed barium X-ray”, the gold standard for esophageal cancer, is also the simplest and most effective method.
It means: after swallowing paste barium sulfate (contrast agent), through the barium in the esophagus to the stomach and duodenum, the diagnosis method of upper gastrointestinal diseases can be found, and the characteristics of esophageal cancer can be found. Sexual change.
…
Next,
Stop bleeding first.
Finally, Lin Feng synthesized the patient’s condition and performed interventional hemostasis treatment first.
The conditions for surgical operation are not mature, because the bleeding site is where the cancer is. If the surgical operation may damage the cancer tissue, it may cause cancer implantation.
The interventional operation is convenient and quick, and the prognosis is fast. The patient has some money, and he doesn’t care about the money anymore, so he chose this interventional operation directly.
after an hour,
The interventional operation ended and the patient successfully stopped bleeding.
However, the patient’s treatment is not over yet, because more detailed examinations for esophageal cancer will continue.
…
at this time,
The wife of the middle-aged man also came to the hospital in a panic.
“How is esophageal cancer possible?”
The patient’s wife is a little sad and hesitated, because after all, men are the backbone of the family.
(At this time, the honest Bajiao wife did not know that her husband had been cheating for several years, and she had changed several juniors, because she was devoted to the education of her children.)
Lin Feng explained: “There are too many causes of esophageal cancer, such as eating a lot of sauerkraut, gathering nitrite, or drinking hot soup and tea…or genetics.”
There are too many causes, and there is no point in investigating this.
…
Next,
Do an in-depth examination for esophageal cancer.
·Blood routine
·Tumor markers
· “Esophageal swallowed barium X-ray double contrast radiography”
It took a total of 3 hours to perform barium imaging twice, and finally came out a result:
·Small niche shadow sign
·There are obvious irregular stenosis and filling defects, the tube wall is stiff, and the esophagus on the oral side above the stenosis has a certain degree of dilation.
obviously,
The tumor is already in the advanced stage!
and,
There are eight locations of esophageal cancer, which have spread to the stomach, duodenum, liver…
obviously,
The cancer has metastasized!
This situation is much worse than expected!
If the upper part of the esophagus, it may be removed by surgery.
But now… it’s all over the body.
There are no indications for surgery.
Can only be converted to chemotherapy and radiotherapy.
But in fact, whether it is radiotherapy or chemotherapy, the effect will not be good.
“I don’t want to die…!!!”
The middle-aged man completely collapsed after Lin Feng explained his condition to him.
“I made so much money…”
“I am still young……”
“I can still play with a lot of beautiful young women…”
“How could I die like this?”
He was frustrated and yelled constantly.
I didn’t notice the shocked look of the originally sad and honest wife of the “Yellow Face Po”.
“You…you…you unexpectedly…”
The wife was trembling with anger when she pointed at her husband.
The middle-aged man was emotionally cursed: “What’s wrong with me? I like young women. What’s wrong with you? You are the yellow-faced woman, who is at home every day and can’t dress up. I don’t even have the interest to look at it!… I can tell. Yes, I have packed 5 juniors, you just don’t know, you are mad at you…”
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After hearing this, the wife collapsed, squatting in the corner and crying…
Lin Feng: “……………………”
A family farce…
soon,
The middle-aged man was admitted to the oncology department and received professional nursing treatment…
But at this time, the whole hospital knew about his terminal cancer and the adoption of Xiaosan.
That night,
The middle-aged man suddenly vomited blood. The scene was very scary. The blood was sprayed on a nurse next to him, and it was sprayed all over the floor.
Arteries, ruptured again…
The blood pressure dropped directly to 80/40mmHg…
Shocked on the spot.
The oncology department gave emergency rescue and even called doctors from other departments.
0 .. 0
Various rescues,
Finally, it is estimated that there is no such lucky halo doctor as Lin Feng,
Direct ventricular fibrillation!
Then my heart stopped shortly!
The cardiopulmonary resuscitation lasted for 20 minutes, but the middle-aged man could not be rescued…
Died in the hospital bed.
After calling for a few hours, the patient’s wife arrived the next day and sent the patient to the crematorium for cremation with a blank face. (Generally, they are not sent home, but the hospital arranges to send them directly to the crematorium. The state is stricter to prevent the corpses from flowing out…)
…
the next day,
Lin Feng goes to work,
After hearing the news of the middle-aged man’s death last night, there was no sympathy at all.
On the contrary, she feels that the wife is a blessing in disguise, and she no longer needs to grieve for the death of her husband.
work,
Open…
The first patient…
“Wang*hua, please go to Clinic No. 3 for treatment…”
“Cough cough cough~~~~”
A young male patient walked into the consulting room with a cough.
He heard his voice before seeing him.
“Doctor Lin…cough cough…”
Lin Feng suddenly noticed the patient’s cough.
“Are you here to cough?”
Lin Feng looked at this patient, his complexion was ruddy and shiny, not in a sick state.
Only cough…
“Yes, Dr. Lin, I have been coughing for a year and it has not been well…”
Then, the young man began to introduce his medical history little by little.
·Wang Jiahua, 35 years old,
· Coughing occurred a year ago. It was the Chinese New Year in winter, the weather was relatively cold, and there was a cough and sputum…
·Afterwards, I went to Chinese medicine and Western medicine, and I took a lot of medicines, but they didn’t work… The coughing kept coming back and forth. After taking the medicine, it went better and worse…
·At present, the condition is getting worse and will be asthmatic…
. . . . . again.
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