Crazy Psychologist

Speaking of which, the female doctor just now has a really good figure, and her face is no bigger than a palm. Although she only wears makeup, she can be considered a natural beauty. It is really a waste to be a doctor in such a dark place.

"Ah, do you want this symbol?"

Muchun finally gave up hope of finding pen and paper, but forgot what he had said before.

This doctor doesn't treat patients seriously.

"Speaking of tumor markers, what else are there besides CEA? Although CEA can detect so many tumors, the proportion is not high. Are there any better markers?"

"Yes, what I mean is that we can still draw a few bloods anyway, so why not check a few more, it won't cost too much."

"Well, yes, money doesn't matter. You have medical insurance, right? I pay full medical insurance every year."

"Then add AFP."

Muchun checked another option on the computer.

"AFP is a liver cancer marker."

"You know, let's check it or not. It's the same as taking blood, so let's check it out. Although, your face is just a little yellowish, maybe it's because you don't wear makeup, or you chose the wrong color of foundation. ?”

Hearing what Muchun said, Mei Xiaonuan thought to herself, for a man who couldn't tell on the surface, but who only cared about a woman's appearance in his heart, a doctor who even knew the color of a girl's foundation must be a bit perverted.

If you tell this kind of doctor that you want to be tested for certain problems, you might be considered an easy target.

Huh, even if you want to date a doctor, you have to find someone with outstanding looks, at least at the level of a university hospital. There is no way he is the type in front of you.

But this doctor is easy to talk to. He says whatever he asks and doesn't say anything he doesn't ask.

However, I still can't speak.

"I'm probably a little tired recently. After all, I'm always pestered by others, which is very troublesome."

"Eh? There are many boys who like you, right?"

Mei Xiaonuan waved her hand and turned the bracelet on her wrist. This bracelet was just brought by her sister from France yesterday. If the bracelet itself was not beautiful and it was the most popular style at the moment, Mei Xiaonuan would not want to wear it.

"Ah, this bracelet is very beautiful. Isn't it super expensive?"

At first glance, he looks like a man with few dollars in his pocket.

Hum, if you want to be close to me, you should at least change into something nicer. A Decathlon short-sleeved sweatshirt underneath a white coat. It costs about 19 yuan a piece.

What kind of luxury goods does this kind of person know?

"It's not just boys, sometimes there are older men, and sometimes there are also very young boys."

"Hey, little boys are too troublesome, and old men are too smelly."

Mei Xiaonuan snickered, "It's true. Little boys are very annoying, and old men are very realistic, but they do stink."

"If you want to say it's clean and interesting, it's definitely the best at my age."

Sure enough, it's the same thing again. Men are like this. If you tell them that little boys are troublesome, they will say that I, a middle-aged warm man, know how to be gentle best.

If you complain that old men are boring, they will say that all the money in little boys’ pockets belongs to their parents and they have no economic freedom at all.

Today he takes you to eat, drink and have fun, but tomorrow he may ask you to pay for him to eat.

It's so boring. He was liked so quickly. It seems that this doctor is also very boring.

"Doctor, let's talk about that AFP. Isn't it a marker used to detect liver cancer?"

"Yes, it is precisely because primary hepatocellular carcinoma is the only tumor that can be diagnosed based only on a typical medical history, AFP elevation to a certain extent, and typical imaging findings.

All other tumors must obtain pathological diagnosis before they can be considered cancer. However, elevated AFP is not only seen in liver cancer. Tumors of gonadal origin, such as nonseminomatous germ cell tumors, endodermal sinus tumors, embryonal cell and polyembryoma carcinomas, mixed germ cell tumors, and some immature teratomas, may also have elevated AFP. In addition, some rare cancers, such as gastric hepatoid adenocarcinoma, also have elevated AFP.

Therefore, apart from CEA, AFP is also the most common tumor marker. If you draw blood, you can test it together. It won’t cost much more anyway. "

"It's not about money, it's just a small amount of money."

Mei Xiaonuan did not continue, for fear that the doctor would know that she was in good condition and would become more and more persistent.

She often encounters such things.

"So what else, I mean, what else is there for a more comprehensive blood test?"

"Ah, what else is there, that is a complete set of biochemical tests. First, liver function, including: total protein, albumin, globulin, white-to-globulin ratio, total bilirubin, direct and indirect bilirubin, and transaminase. Liver function test The purpose is to detect whether there is liver disease, the degree of liver damage, ascertain the cause of liver disease, determine the prognosis and identify the cause of jaundice.

Second, blood lipids. Including: total cholesterol, triglycerides, high- and low-density lipoproteins, and apolipoproteins.

Third, fasting blood sugar. By the way, did you come to the hospital on an empty stomach today? Have you had breakfast? "

Mei Xiaonuan shook her head and thought to herself, I often go to the hospital for such a boring question. Isn’t it usually necessary to have blood taken on an empty stomach? What should I eat for breakfast?

Next is kidney function, what we often call creatinine and urea nitrogen.

Then there are uric acid; lactate dehydrogenase. This lactate dehydrogenase is very important. It is present in almost all tissues. The heart, skeletal muscle and kidney are the most abundant, followed by the liver, spleen, pancreas, brain and lungs.

Finally, there are creatine, muscle enzymes and so on.

Ah, you don't need to know so much detail. I'll explain it to you when the test results come out. And there will be small rising or falling arrows on the report sheet, as well as normal reference values, so it's easy to understand.

On the contrary, even those who have not studied medicine cannot understand what I say now. "

"Doesn't this make you very professional, doctor?"

Mei Xiaonuan's heart softened. After all, Mu Chun had said so much, and the previous doctor didn't have the patience to explain to her.

Unexpectedly, Muchun turned the computer screen to Mei Xiaonuan's eyes and said, "Look, I read it accordingly."

Mei Xiaonuan smiled, this doctor is so stupid.

"By the way, are there any other tests?"

"I was just going to tell you that for women, regardless of whether they are sexually active or not, it is necessary to get an HPV test every one or two years after adulthood."

"What is an HPV test?"

"I wonder if you have ever been vaccinated?"

"And a vaccine?"

"Well, the HPV virus does not exist in the blood, but in the dermis and mucous membranes of the skin. So it is not a blood test."