Doctor of Healing

Chapter 575 Free is the most expensive
When the screen changed, the patient came back, Director Zou spoke to Ji Xiang, and Ji Xiang opened the software system to directly see the CT image just completed on the computer.

Generally speaking, abdominal discomfort is not suitable for CT.

Even if there is a tumor, as long as it is not too large, it will be difficult to see it on the film because of the superimposed intestinal tract and gas accumulation in the intestinal tract.

Especially for many surgeons with poor film reading ability, this kind of examination is meaningless.

Director Zou was sitting in front of the computer, and Ji Xiang was standing beside him, holding the mouse and sliding the wheels.

As the impact went down, Ji Xiang suddenly stopped.

The lens of the camera also freezes and zooms in. One of the two film crews took a close-up of Ji Xiang, while the other aimed at the computer screen.

A small image of white flowers suddenly appeared in the patient's right mid-abdomen. The density was different from the surrounding area, but it was too small to be obvious.

From the perspective of ordinary people, nothing can be seen at all, and even from the perspective of ordinary doctors, the abnormality of the image cannot be understood.

But Director Bai and Director Liu in front of the screen were slightly taken aback.

There is actually something in the patient's intestines!

The two of them had confidence in Ji Xiang's diagnosis, but when they actually saw this scene, they were both slightly surprised at the same time.

"What's that?" Director Liu asked with a frown.

"It looks like Meckel's diverticulum in location, but not in density."

"Didn't you have a colonoscopy?" Director Liu asked in a daze.

"Cut." Director Bai glanced at Director Liu contemptuously, "Xiaoji said in advance that there may be problems with the inspection by the supervisor of the lower-level hospital. You see, I knew it. And you noticed that Xiaoji asked about the medical history? Is it weird?"

"weird?"

"He specifically asked the patient if he had had a capsule gastroscopy, or if he was in the south, where the economy is developed, and the popularity of capsule gastroscopy is very good. We can't do it here, and not many people know about it, let alone popularize it."

Director Liu was speechless.

He also knew that there might be problems with gastroenteroscopy examinations in lower-level hospitals, and patients might even go to black clinics that cheat money and don't even have a doctor's qualification certificate.

"Hey." Director Liu heyed, did not continue talking, but concentrated on looking at the screen.

On the screen, Ji Xiang and Director Zou began to mutter something in a low voice.Even if the camera is very close, you can't hear what they are talking about.

Moreover, the camera is slightly off, and lip experts cannot interpret it.

However, the content of this section was not long, and then Director Zou began to ask the doctor again.

This time the consultation is obviously more detailed than the previous ones. It is not a full-scale inquiry, but a targeted inquiry.

Generally speaking, it is not possible to ask inductive questions during a medical consultation. In this way, there will be a certain subjective driving force, which increases the probability of getting a wrong diagnosis.

But now there are objective images. Director Zou asked about the treatment process of the patient in the local hospital and which hospital had the gastrointestinal endoscopy.

It is astonishing that the patient did not have a gastroenteroscopy at the local county hospital, but was planning to go to the county hospital one day to see a doctor. The local gastroenterology hospital put up a banner saying that in order to benefit the township, the gastroenteroscopy was offered at a special price of 50 yuan. Yuan.

Because it is cheap, the examination was completed at the gastrointestinal hospital. After the examination, it was diagnosed with inflammation, and antibiotics were prescribed for 7 days.

For this medical history, everyone is very helpless.

"I have encountered a similar situation." Director Liu smiled, looked sideways at Director Bai and said, "Three years ago, I had an old man with kidney cancer. He recovered well after the operation and was discharged from the hospital smoothly. After discharge The next day I received a call from his daughter, and I panicked."

"I thought it was a problem with the operation, and I was taken aback."

"Partial or total nephrectomy?" Director Bai asked.

Director Liu blushed slightly, but soon returned to normal, "The whole kidney was cut."

"Promise." Director Bai said contemptuously, "It's a fart problem to cut the whole kidney."

Partial nephrectomy is far more difficult than total kidney resection. One side of the kidney is removed directly. As long as the ligation is good, it is impossible to sew two needles, and no bleeding will be enough.

"Listen to me." Director Liu immediately continued the topic, "I asked about the situation, and the patient's daughter said that she had been nursing her father in the hospital recently, and she felt a little uncomfortable in the gastrointestinal tract, and she was planning to come to our hospital for a gastroenteroscopy. But on the way, I saw an advertisement for a gastrointestinal hospital offering free gastrointestinal endoscopy."

"The free one is the most expensive." Director Bai hit the nail on the head.

"After finishing the treatment, I told her that there were precancerous lesions and needed acupuncture treatment." Director Liu couldn't help but said with a smile, "So, the patient's family members were in a panic and called me immediately to ask what to do."

Director Bai did not continue to ask.

As simple as a similar situation is, come to the Second Affiliated Hospital to check another one, treat the disease if you are sick, and solve your doubts if you are not sick.

"It is said that the free gastrointestinal endoscopy was not disinfected, so the pipe was cleaned with tap water." Director Bai said something "off-topic".

"Many don't get tested for hepatitis B, AIDS, and syphilis. You're so brave. Have you ever encountered a patient infected by this?" Director Liu asked.

Director Bai didn't continue the small talk, this topic didn't mean anything to him at all.

He looked at Director Ji Xiang and Director Zou on the screen, and the next diagnosis and treatment plan had been determined on that side - another gastrointestinal endoscopy.

So, it's time to hear and see again, the animation content.

This seamless connection directly fast-forwarded to the content of the patient's gastrointestinal endoscopy.

Sure enough, Meckel's diverticulum was found, and polypoid hyperplasia and superficial ulcers and... albuginea were found in the intestinal lumen.

"Too many antibiotics are used." Director Bai said with a frown, "This is troublesome now."

"What kind of bacteria do you think the white film is caused by?" Director Liu asked.

Generally speaking, there are a large number of flora in the intestinal tract, and the flora interact with each other to achieve a stable living environment.

Under the premise of external force intervention, the flora may be out of balance, and some bacteria will grow preferentially.

Once a white film is found on the surface of the intestine, it means that the patient's flora is very imbalanced, which cannot be solved by surgical removal of Meckel's diverticulum.

"Small" operations become more complicated.

"It's usually Clostridium difficile." Director Bai said.

"..." Director Liu spread his hands.

As soon as the screen changed, back to the consultation room, Ji Xiang and Director Zou were talking about something.

Director Liu didn't panic when he learned the result, but instead had a certain sense of victory.

The patient sat in front of Director Zou with a little anxiety.

Director Zou explained the situation first, and briefly described the harm of flora imbalance.

"Meckel's diverticulum can be removed, which is a relatively simple minor operation, but the intestinal flora is covered with albuginea, which makes it more troublesome to treat."

"Director, then..." The patient looked at Director Zou speechlessly. He hesitated for a while and asked, "Will it be expensive? It will cost a lot."

"That's not true. The next step of treatment requires making fecal capsules, which you take orally for a period of time."

"!!!"

(End of this chapter)