Chapter two hundred and eighty fifth serious condition
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"How is the situation?" Qin Chuan knew that Gao Zhanting had called him back, and the situation must not be good.n∈
"Hu Yemei has been suffering from pain and weakness in her left upper limb recently. She was treated for frozen shoulder in the village clinic for nearly half a month without any effect. In the past few days, her left limb has been twitching. Yao Sihai then brought Hu Yemei to our place. I
She had a neurological examination before. Nervous system examination: no edema in the fundus, left central facial and tongue paralysis, left upper limb muscle strength grade 2, lower limb muscle strength grade 5-, left side hypoesthesia, biceps
The tendon reflexes were active, Hoffmann's sign (+), Banski's sign on the left (±), and the right side (-). Head CT examination: right l/d intravenous drip. What do you think, Xiaochuan?" Gao Zhanting reasoned to call Qin Chuan
When she came back, it turned out that she was not very sure about Hu Yemei's diagnosis.
"Show me the CT results." It's not that Qin Chuan doesn't believe Gao Zhanting, it's just to check. Gao Zhanting obviously lacks confidence in his own judgment. Doctors are most afraid of this kind of simulated diagnosis. Because a misdiagnosis is very likely to cause
Causes the patient's disease to be delayed. The structure of the human brain is complex, and CT results are sometimes very difficult to judge. Although the examination equipment in the emergency department is fully functional, it is not much improved technically compared to current medical equipment.
The miniaturization has been done very well. Moreover, the instruments are also very complete.
Gao Zhanting was not dissatisfied with Qin Chuan's request. The reason why she asked Qin Chuan to come back was because she was a little unsure, and the patient was an old acquaintance of the emergency department. Gao Zhanting was worried that her judgment would be wrong.
Yao Sihai's hard-won happiness caused irreversible consequences.
Looking at the CT images, Qin Chuan frowned. The ability to diagnose diseases through images requires a lot of practice in diagnosing CT images, which can be slowly cultivated and trained. Doctors in the emergency department have more advantages than any other department in this regard.
Because the emergency department faces a large number of patients every day, a certain number of them require CT to assist in diagnosis. Therefore, doctors in the emergency department generally go through the process of "sea of questions" tactics to improve their capabilities.
Because Qin Chuan has the [Genius Doctor] system, he has better conditions than ordinary doctors. During the time when Qin Chuan was practicing his basic skills, reading pictures and diagnosing diseases was also a daily must-do exercise. After the "sea of questions" tactic, Qin Chuan
Through training, Qin Chuan developed the ability to distinguish differences.
The reason why Qin Chuan frowned was because he saw something was wrong with the CT scan. It did look like cerebral infarction. The symptoms shown by the patient now seemed to be very similar to cerebral infarction. But if Hu Yemei's condition continues to develop, maybe
Shows symptoms different from those of cerebral infarction.
"What's wrong?" When Gao Zhanting saw Qin Chuan frown, she knew that Qin Chuan probably couldn't tell that something was wrong.
"Sister Zhanting, although cerebral infarction may indeed cause the patient's current symptoms, the CT image of cerebral infarction still has some of its characteristics. Look at these places, there are some differences in the low-density shadows on the right parietal leaf. It doesn't seem to be too big.
It's like cerebral infarction, more like another disease." Qin Chuan pointed at the CT image.
"Do you think it's a brain tumor?" Gao Zhanting was a little surprised. She had considered this before, but she ignored it. Unexpectedly, Qin Chuan's judgment turned out to be a brain tumor.
"Yeah. Let's do a PET-CT and then an angiogram." Qin Chuan nodded.
Gao Zhanting nodded. Since there are objections, a comprehensive inspection should be carried out to determine the result.
Yao Sihai's heart sank when she saw Qin Chuan rushing back to the hospital. She knew that Hu Yemei's illness this time was definitely not simple. Others may not know that Yao Sihai stayed in the Central Hospital for such a long time.
He knows the doctors in the emergency department very well. Among the doctors in the emergency department, Qin Chuan is the most powerful. Although Gao Zhanting is not as dazzling as Qin Chuan, she is also an experienced doctor in the emergency department. Since she is not sure about the disease, she still needs help from Qin Chuan.
Sichuan, it means that Hu Yemei's illness was so serious that Gao Zhanting did not dare to make the decision without authorization.
"Doctor Qin, what happened to my guest?" Yao Sihai found Qin Chuan and asked anxiously.
"Uncle Yao, don't worry. There is no confirmed diagnosis yet. We are going to do an examination on Aunt Hu to confirm the condition." Qin Chuan couldn't bear to tell Yao Sihai what happened.
"Doctor Qin, don't worry. No matter how bad the outcome is, I am mentally prepared. Old people like Ye Mei and I can come together and live such a long happy life. I am already very grateful to God. No matter what
As a result, I have been mentally prepared, so I hope you can tell me the truth." Yao Sihai saw Qin Chuan's hesitation and strengthened his suspicion.
"Uncle Yao, since you said so, I won't hide it from you. You will know the result in the end anyway. I hope you can be mentally prepared. Aunt Hu's condition is not good. I suspect she has a brain tumor. Now
Although the final diagnosis has not yet been made, the possibility is very high. Therefore, you must be mentally prepared." Qin Chuan thought for a while and told Yao Sihai his diagnosis result.
Yao Sihai was stunned on the spot. Although he was prepared for the worse, when he heard such a result with his own ears, he was still completely stunned. How could Hu Yemei get such a disease? She is such a good woman,
How could he get such a disease?
Yao Sihai squatted down, holding his hair tightly with both hands. He was in great pain. He looked up at Qin Chuan and asked, "Doctor Qin, is it possible that you made a wrong diagnosis?"
"The next step of examination will be carried out soon. But I have seen so many CT films, and I am absolutely sure that Aunt Hu is very serious." Qin Chuan said with certainty.
"How could she get such a disease? How could such a good person get such a disease?" Yao Sihai cried in despair.
Qin Chuan looked at Yao Sihai with a somewhat unbearable look: "Maybe I'm wrong, don't worry, let's see what the results of our review are like. In addition, although the brain tumor is very serious, it is not incurable. We can still treat it
Control the patient's condition. Don't be too pessimistic."
Yao Sihai nodded: "I know, I know, even if I lose everything, I will cure Ye Mei. I can't live without her. I can't live without her."
Qin Chuan knew that the relationship between Yao Sihai and Hu Yemei was extremely deep, and the unforgettable alliance of many young people seemed so shallow under the love of these two old people.
Gao Zhanting came out: "Aunt Hu refuses to accept the examination. She wants Uncle Yao to go in."
Qin Chuan and Yao Sihai both turned their attention to Gao Zhanting.
"What's wrong?" Qin Chuan asked strangely.
"I don't know. She wants Uncle Yao to go in." Gao Zhanting also had confusion on her face.
Yao Sihai quickly walked into the ward.
"Sihai, I want to go back. I can't get used to staying in this hospital. I want to stay in our house with you." Hu Yemei obviously also saw that her condition was not simple. Otherwise Gao Zhanting wouldn't have looked so cool.
Seriously, ask her to re-examine.
"No, you are a patient now. How can you go back if your illness is not cured? Don't worry about spending money. Our house has been demolished and we can afford to treat you." Yao Sihai naturally refused.
"Sihai, you are a good person. It is a blessing for me to meet you in this life. I can't drag you down anymore. After the demolition, I have some money, but you have to live in the future! Now the land is gone
, if all the money for demolition is spent, what will you do in the future? Who will support you? I have already burdened you once, and I cannot burden you a second time." Hu Yemei couldn't help sobbing as she spoke.
stand up.
"Ye Mei, how can you say that? We are husband and wife. We have gone through the formalities at the Civil Affairs Bureau and are legally married. How can I ignore you when you are sick? Then am I, Yao Sihai, still a human being? If you are sick,
It's me, Yao Sihai, will you, Hu Yemei, ignore me? If you have a problem, can I still live?" Yao Sihai became angry and rarely lost his temper to Hu Yemei.
"Aunt Hu, actually, don't think too much. Although your condition is more serious, it is not impossible to treat. We will also try to reduce your medical expenses. So, you should just treat yourself with peace of mind." Qin Chuan comforted.
Gao Zhanting also quickly agreed: "That's right. Just listen to Dr. Qin. Do a detailed examination first to confirm what disease you have. Although money is very important, how can it be more important than people?"
"I don't want to drag the world down anymore." Hu Yemei seemed to have had a premonition of something.
Despite everyone's good talk, Hu Yemei still agreed to undergo further examination.
The examination results came out, and as expected, as Qin Chuan had diagnosed, Hu Yemei did not have a cerebral infarction, but a brain tumor. The situation was already serious. The lesions showed irregular enhancement, and Qin Chuan diagnosed it as a highly malignant astrocytoma (right)
.
GBM is more common in adults. Tumors often occur in the frontal and temporal lobes, with a wide range of infiltration, often passing through the corpus callosum to the opposite side, or squeezing surrounding tissues). The tumor body is often reddish-brown due to hemorrhage and necrosis. Vascular endothelial cells are obvious
Hyperplasia, swelling or solid cord-like appearance. The tumor develops rapidly and the prognosis is extremely poor.
"What should I do?" Yao Sihai panicked completely when he heard that Hu Yemei was suffering from a brain tumor.
"I didn't expect it to be glioblastoma multiforme. Uncle Yao, I hope you are mentally prepared in advance." Qin Chuan sighed.
Seeing Qin Chuan's downcast expression, Yao Sihai knew that things might be worse than he imagined. (To be continued, please search Piao Tian Literature for better and faster novels!
