Doctor Started a Plug-in

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This young couple who sent the elderly is not a native of Beijing.

The old man is called Zhao Kai. He is 77 years old this year. His wife left 7-8 years ago and lives alone.

There are 2 children and 2 women, both in Beijing.

The old man was able when he was young, and he also made a lot of money when he opened a factory in Langfang.

I also tossed a few houses in Beijing and caught up with the good times.

The previous houses were all small square meters, and a family of 6 people could not live at all. At that time, it was not popular for large flats. The old people bought a community, two houses on one floor, which will undoubtedly be a lot more convenient.

I really want to say that there is money, not so rich.

Later, when the child got married, the house was given to the child, and he still left the old house.

As soon as it was an old community, the son and the girl didn’t look down on it either. At the same time, he knew what was in his heart. The child was too old to love him.

After the wife left, the old man simply cleaned up the house, vacated a house and rented it out, otherwise it was not popular, and it was troublesome.

However, this renting caused trouble. First, the boss came back and cried, saying that the grandson and grandson went abroad to study abroad, and the new house bought at home had to be repaid and the economy was tense.

The old man was soft-hearted, thinking that it would be them when he got older anyway, so he let the tenant call the rent directly to his son.

The old 2 is also understood, and the two girls are here.

There was a fuss, and the Old Master was helpless. Only two sons could only rent for one year, taking turns.

Once this involves money, it is a big problem.

In the first 2 years, the old man was still living alone, and an Old Friend was about to introduce him to his wife.

He said that this person, old age can not be too lonely, a person is easy to go early.

After such a discussion, a few Old Friend were ready to introduce an old lady to the old man.

Such a thing, at first old man also refused, after all… feeling the same as 2 marriage.

The results got along and found out that it was quite good, so the two did not receive the certificate, and the couple lived together and the days ceased.

But after being known by several children, he came to Zhao Kai and said.

“Dad, people are greedy for our house, but our community is a good location, extremely expensive land, one demolition and one square meter of 20 to 10000!”

“Yes, you can’t get a certificate. There are three sons in the old lady’s family. It is said that there is one who has not been married yet. When the time comes to rely on our family?”

“Yes! Dad, you can’t be confused!”

“Yes, how sad my mother is understood!”

These four people talked and made trouble again, forcing the old lady in her 4s to forcibly cry, and left all night.

The angry Zhao Kai reprimanded everyone: “Your group of bastards, I was forced to die early, right? When it is best to die, just when the house is demolished, can you still get a demolition money?”

For this reason, the old man was seriously ill.

But after this incident, the old man and the children were also alienated.

In other words, children also took the opportunity to alienate from the elderly.

However, Zhao Kai has also learned shrewdly since then. He has a business pension and a corporate pension, and he has a lot of money in a month.

He couldn’t use it by himself, but this time he held it in his hands.

After all, it’s too old to be too old, and the old people still make a lot of sense.

Zhao Kai is still able to jump and jump, but these children are afraid that they won’t get stuck.

……

……

The police contacted the family, but they did not come late.

But the inspection results of the old man came out.

Chen Cang pushed the elderly to do abdominal CT. As soon as the results came out, Chen Cang was diagnosed with acute pancreatitis.

The CT scan of the abdomen showed that there was a well-defined mass in the second part of the ten-two finger, the volume of the pancreas increased, and the main pancreatic duct was slightly expanded.

This result puzzled both Chen Cang and Li Yue!

Pancreatitis is certain, but… what is this mass?

Tumor?

Unlike!

Li Yue frowned, looking at the Doctor of Department of Radiology: “What is the situation? Tumor?”

Dr. Department of Radiology frowned: “It’s not like that, if the tumor is… so big?”

After seeing it, Chen Cang suddenly said, “Dr. Wang, please sweep a few more layers on top!”

After hearing the Doctor of Department of Radiology, it was suddenly nodded!

It didn’t take long for the results to come out!

Stomach also seems to have abnormal morphology, but the specifics are not quite clear at all.

CTNMRI These are not 10000, and what you can see is limited.

Chen Cang looked at a dozen or so films on the computer and suddenly fell into contemplation!

At this time, Chen Cang was pleasantly surprised, because he discovered something amazing!

Perfection Level’s abdomen imaging + human 4D model diagram produced a magical response!

Chen Cang could actually combine the structure of each floor on the film to surrender the situation in the abdominal cavity of Patient.

this moment!

Chen Cang almost jumped up excitedly.

He stared at the 4D map carefully, and then used the information from each CT to continually redo it to form an upper abdominal structure. Hopefully!

at this time!

Time passes by.

Chen Cang looked at this strangely shaped gastrointestinal tract and suddenly thought of a special disease!

Ten 2 A nest of fingers and stomach!

This kind of gastrointestinal intussusception is very rare.

At this time, Li Yue looked at Chen Cang with a look of joy, and Unable to Bear asked: “Little Chen, do you see what happened?”

Chen Cang nodded: “Well, guess it, but Patient needs a gastroscope to confirm it.”

Hearing Chen Cang’s words, the two turned around and stared at Chen Cang: “Oh? What happened?”

Chen Cang pointed directly at a few films on the computer and said, “Look, look at these five together.”

“This may be an atypical manifestation of intussusception of the stomach 2 fingers, also known as the bulbous syndrome, which is a rare disease!

Look here! In fact, it is caused by the prolapse of the pedicled stomach wall disease into the ten 2 fingers. “

Everyone was stunned to hear this rare disease.

Dr. Department of Radiology has also heard of this disease, but it really is not much.

But Li Yue is different. As an experienced surgeon, Li Yue frowned and asked: “But, I know the bulbous syndrome, but why do I oppress Vater’s ampulla? Also, what is this protrusion?”

Chen Cang heard Li Yue’s words, took a deep breath, and said sharply: “If I didn’t guess wrong… It may be a tumor. Look carefully. This thing is actually different from the signal at the tail. I doubt this. It’s a tumor in the tail.”

“And this is also the culprit causing many situations in the Patient!”

“Gastrointestinal intussusception caused by gastric cancer tends to appear in the distal part of the stomach, mainly in the gastric antrum, and is rare in the stomach body, fundus, and anastomosis.

However, the downward pull of the intussusception on the wall of the ten 2 fingers may twist and hinder the ampulla of Vater.

The telescoping head reaches the second part of the ten 2 fingers, so that the Patient has a special shape!

This results in compression of the ampulla of Vater and is associated with acute pancreatitis and biliary obstruction. “

Chen Cang’s words directly made Li Yue and the Department of Radiology Doctor somewhat absent-minded!

In fact, every imaging doctor is a “modeler”!

They combined the flat CT scans of each plane and needed to form an anatomical structure in their minds.

This not only requires a lot of reading skills!

It also requires an excellent anatomical foundation, sense of space, etc…

Soon after, the two people watched back and forth twice, Li Yue’s eyebrows also spread out, if it really said to Chen Cang, everything could be explained!

As an emergency surgeon, this diagnostic ability is really too strong!

There is a saying in the medical circle:

What is the best performance of the surgeon?

The answer is: Become a physician!

What does that mean?

The diagnosis and treatment capabilities of a physician are stronger than those of a surgeon. After all, the surgical profession has expertise.

But Chen Cang, at this time, simply made his diagnostic ability inferior to that of a physician.

Of course, Chen Cang’s ability to watch film also surpassed “watching film doctor!”

At this time, the Doctor of Department of Radiology, Unable to Bear, said, “Dr. Chen, you are too powerful!”

“Greater than my professional watching film! Any tips?”

Chen Cang cough cough said: “Without him, only skilled.”

……

……

Pretending to be a force, Chen Cang quickly took Li Yue to the CT machine to “take” the Patient.

After all, the elderly don’t have family members to help them, they can only do it.

But the Department of Radiology only stayed there, always feeling that I had heard this sentence, but I couldn’t remember it.

After pushing the old man out, Zhao Kai seemed to relieve some pain. Unable to bear said, “Doctor, what’s wrong with me?”

Pushing the bed, Chen Cang said: “Don’t worry, it’s acute pancreatitis and biliary obstruction, so your stomach hurts, and you feel nausea and vomiting. Don’t worry.”

After hearing Chen Cang’s words, instead of relaxing, Kai Kai was sighed.

Suddenly said slowly: “Hey… In fact, I know that I have been eating less than a year, and I have lost 20-30 pounds in this year.”

“Doctor, don’t lie to me. When my wife was alive, I was a doctor. I also knew a lot. I felt that I might have a bad illness.”

“Actually, let’s go. I’m honest, I’m not afraid. People are 70 years old and rare. At my age, I should enjoy the blessing and see all the things I should see!”

Chen Cang heard the old man talking slowly and did not interrupt.

The old man speaks very clearly, and his education level is quite high.

However, this sad emotion is undesirable. Chen Cang simply changed the topic: “Uncle, you should be quite cultural, do you do and so on?”

The old man sighed in sigh. He heard Chen Cang’s question and was involuntarily stupefied. He calmed down and said, “My son, I haven’t lived in vain in this life. I have seen Xiao Yueben surrender and I have seen old Jiang Gowan. , And later the People’s Republic of China came to the scene to see the establishment of the People’s Republic of China. At that time… I was so excited!”

“Following the chairman, I have eaten enough, and everyone started… Later, during the reform and opening up, I was courageous and followed the wind and went to Langfang to open a soda factory. The orange-flavored soda. We have a lot of soda in our country, Arctic Ocean, Mountain and Sea Trial… And the formula is shared, there is no patent, in 9 years, 100 things, Coca-Cola was acquired…”

An old man about to be 7 17 years old, born in 1933, is really a witness to the new China.

Listening to the old man’s words, Chen Cang and Li Yue thought that it might be a matter of signing for a while.

77-year-old man is risky to have a gastroscope. The family is not here. Who will sign it?

Should the elderly be okay?

Generally speaking, although the law stipulates, you can sign with your immediate family!

However, the Patient himself, especially the 77-year-old at risk like an old man, even if it was signed, something went wrong and the family members still found trouble.

In other words, in fact, sometimes the Patient only has the right to disagree with the operation, but not the right to decide on the operation.

The elderly now have acute pancreatitis, as well as acute biliary obstruction, plus only 2 fingers intussusception, there may be tumors.

Perhaps many people do not understand why Patient can cause acute pancreatitis.

This actually involves an anatomical problem!

The common bile duct and pancreatic duct jointly open up to 80% of the ampulla of Vater, and after confluence enters the ten 2 finger!

However, at this time, the high pressure in the lumen of the ten-two intestine caused the backflow of ten intestine fluid into the pancreatic duct, which activated pancreatin to produce acute pancreatitis.

Therefore, in this way, it leads to acute biliary obstruction and acute pancreatitis.

In fact, this is the same as autoimmune diseases.

Your own immune cells kill your own tissues and cells.

This pancreatitis is when your own digestive juice digests your pancreas, causing disease.

In fact, this situation of the human body is really complicated.

After returning, nurse Yang Jie directly said: “I contacted the police station, but… I still can’t come, what should I do?”

In a word, Li Yue and Chen Cang said something anxious!

When will it not come?

At this time, the test results also came out.

Chen Cang 接过来一看：“白细胞计数17200μL；天冬氨酸氨基转移酶水平183UL；丙氨酸氨基转移酶水平81UL；胆红素水平3.60mgdL；淀粉酶水平3686UL。”

Basically, the condition can be diagnosed clearly.

But… the most important situation is acute pancreatitis caused by gastric cancer, biliary obstruction, and gastric intussusception.

Family talks must be conducted.

Chen Cang unable to bear said: “How many calls, I’ll call!”

Yang Jie reported the eldest son by phone.

Chen Cang called directly.

After the phone was connected, Chen Cang directly said: “Hello, you are the son of Mr. Zhao Kai, Zhao Zhiteng? There is one thing I have to talk to you. Your father is in a dangerous situation. There may be a tumor, but not now. Need to improve gastroscopy and medical examination, you have to come over!”

After hearing the stomach cancer, the man was stunned for a moment: “Okay, Doctor, I will immediately!”

Chen Cang froze!

Such a good talk?

He has suffocated the big move and prepared to make a long speech, but didn’t expect… so simple?

Later, Chen Cang made 3 or 4 phone calls next to each other, and all of them were notified. As a result, after learning that the old man had stomach cancer, they all came!

Chen Cang was stunned!

Could it be… I hung up when I called?

Hang up the phone, Chen Cang shrugged: “All must come!”

Even the people around were stunned.

Yang Jie was even speechless: “I’m better than you said, but why not come?”

At this time, the young man in the tenant said: “Because the doctor said that the old man has cancer, so…”

Suddenly, everyone was stunned!

This sentence is meaningful…

……

ps: 2 in one, ask for votes~