The ambulance stopped at the emergency room door, and a patient got out of the ambulance and sat on a wheelchair in the hospital. It can be seen that the patient's condition is not serious.
Xie Wanying walked up to the patient and found that the patient's face was very familiar: Yes, it's the school beauty Li Yaxi that Li Qi'an mentioned.
Why do you have to be hospitalized again? And this time you are not in the second general surgery department but transferred to the hepatobiliary surgery department?
"This is her medical record." The nurse who brought the patient gave the medical record to Xie Wanying.
After taking the medical record, Xie Wanying opened it and reviewed the attached examination report and the referral opinion written by the doctor.
The latest CT scan showed that there was a problem with the patient's pancreas.
This result made Xie Wanying blink, and she remembered that she had asked Li Qi'an to observe this patient more than two months ago. Perhaps, she had the idea of not asking Li Qi'an to take on too much work when he started learning, but why did she ask Li Qi'an to observe this patient instead of other patients? It turned out that she had predicted that this patient's condition was serious.
Pancreatic cancer is called the king of cancer because it is extremely difficult to detect. When it is discovered, the patients are basically in the middle or late stages of the disease.
First of all, many clinical symptoms of pancreatic cancer are too confusing to be identified with other diseases.
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For example, this patient came to the Second Department of General Surgery for a checkup and was suspected of having problems with his stomach and duodenum. Upper gastrointestinal symptoms may be one of the early symptoms of pancreatic cancer. However, doctors generally do not suspect the pancreas first. This is because pancreatic cancer patients are much less common than other digestive tract tumors. The high-risk age is men in their 40s, and Li Yaxi does not meet these conditions at all.
When the patient was hospitalized, the doctor was not irresponsible and prescribed a full-body examination to rule out other causes of the disease.
Li Yaxi had a routine B-ultrasound of the liver, gallbladder and pancreas. Unlike the liver and gallbladder, the positive detection rate of B-ultrasound for early pancreatic cancer is extremely low. There are often such patients who had a B-ultrasound examination three months ago and everything was normal, but three months later, they were diagnosed with pancreatic tumors and were dying.
Should I do a CT scan? Sorry, it is also difficult to detect early pancreatic cancer with a conventional CT scan. A multi-layer thin-layer enhanced CT scan is required. Without a particularly experienced imaging doctor to perform this examination on the patient, it is impossible to detect it.
Therefore, even if the patient can be diagnosed with pancreatic tumor now, it must have been with the advice of an expert, because it is not yet in the late stage.
When the nurse who was handing over the patient was about to leave, she gently squeezed Xie Wanying's arm and gave her a hint with her eyes.
Xie Wanying said she received a reminder: the patient does not know what disease he has for the time being.
If a young college student is told that he has terminal cancer, the blow will be like the collapse of the heavens and the earth, completely destroying the patient's spirit.
After folding the medical record, Xie Wanying stuffed it into her white coat pocket and pressed it down with a stethoscope to prevent it from accidentally falling out and being seen by the patient.
The emergency nurse here helped to bring an oxygen bag and connected the oxygen tube so that the patient could continue to breathe oxygen on the way to the inpatient department.
Li Yaxi, who was sitting in a wheelchair, was obviously much thinner than she was two months ago. The medical record stated that it was because of this unexplained weight loss that she went for another checkup. It was likely that nothing was found at first, but it was unknown who directed her to do a CT scan, which finally revealed the disease.
Apart from that, the patient was in good spirits, not much different from two months ago. He probably thought he was just coming to the hospital for a quick checkup, as evidenced by his somewhat high posture.
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