The patient's plea was touching.
Xie Wanying thought: The doctor would be in a difficult position in such a situation.
Glance out of the corner of your eye to see what Teacher Tan will decide.
When she looked at the teacher, she seemed to inadvertently catch the teacher's sidelong glance back at her.
The teacher's look made her feel a little guilty.
"Lie down for examination." Tan Kelin covered the medical record page with his finger and said to the patient.
Following the order, Xie Wanying pulled open the white curtain beside the examination bed.
The two sons helped the old lady lie down on the examination bed.
"Check her first." Tan Kelin ordered the students.
...
...
After receiving the teacher's instructions, Xie Wanying turned around and came to the examination bed, took out the stethoscope from her pocket, and put it on the patient's heart, lungs and abdomen to listen. After listening, she put on gloves and did palpation.
Since the patient had undergone relevant examinations in other hospitals, they mainly touched the affected area to save time.
First, palpate superficially, put your right hand together and flatten it, and use the fingertips to gently touch the patient's affected side. This is the left colon area. Since the left colon cavity is narrow, tumors are prone to acute and chronic intestinal obstruction, which is exactly in line with the characteristics of this elderly patient's condition.
Elderly patients, when they were young, had nothing to eat during the famine. Now that they are old and their economy is better, their children are filial, and they eat more high-fat food than before. The elderly did not keep their mouths shut, and their children did not study medicine and did not understand, so they just thought that feeding the elderly more was filial piety, but they did not know that high fat is one of the main risk factors for left-sided colon cancer.
When we found that the old man was getting thinner and thinner the more he ate, and had difficulty defecating and even vomited, we knew something was wrong and rushed him to the hospital. After a checkup, it was found to be in the middle or late stage of the disease.
This kind of thing is common in clinical practice, where family members have good intentions but do bad things. This shows that national health education and the increasingly developed economic living conditions are completely mismatched.
Xie Wanying searched for the mass in the patient's abdominal cavity with her fingertips.
Although this tumor was not small as shown in the CT scans in other hospitals, the tumor in the left colon itself is difficult to feel. The old lady was thin but her abdomen was not thin and it was bulging when she lay flat. It was not easy to feel the tumor deep inside this patient's body.
If superficial palpation doesn't work, switch to deep palpation. Put the second, third, and fourth fingers of your right hand together and press the tips deep into the patient's abdomen. Finally, you can feel a mass, which is very deep. Gently slide your fingers left and right, up and down, and feel the surrounding area of the mass.
The location is too deep. Xie Wanying thought: No wonder the patient was misdiagnosed at a small hospital near home several times when he sought medical treatment. The doctor thought it was just a common gastrointestinal disease and did not ask the patient to continue the examination. The patient even vomited, and the emergency doctor at the second-class hospital thought it was gastritis. It was not until it turned into intestinal obstruction that they realized the seriousness of the matter and transferred to a third-class hospital.
At this point, the patient's two sons said helplessly: "I don't know how the previous doctor diagnosed the disease. If he had known it was a tumor earlier, he would have found someone to remove it immediately. As a result, it was delayed for more than half a year."
Half a year can make a big difference. Early-stage tumors and mid- to late-stage tumors cannot be generalized.
It is precisely because of such experiences and word of mouth that ordinary people now like to go to the top three hospitals.
Some diseases are easily misdiagnosed in clinic, such as the case of the old lady. If the doctor asks the patient to do too many tests, he will be scolded by the patient. For example, if an elderly patient like this has a little stomach pain and vomiting and asks for a gastroscopy, the old lady will probably not agree to it because she thinks it is scary to have a tube inserted in her mouth and anus.
Ordinary people don't understand and think that the doctors are not good enough. In fact, doctors have long said that instead of waiting until you get sick to get treated, it is better to have regular health checkups. All diseases can be detected early. Early detection and early treatment will make everyone happy.
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