"Misdiagnosis?" Zhang
Ming raised his eyebrows and glanced at Xia with slanted eyes.
Don't fool me, young man.
Misdiagnosis can be large or small.
Early detection, it is okay not to cause any pain to the patient, once the misdiagnosis, delay the treatment time, anything happens to the patient, the hospital is responsible, Zhang Ming is 50 years old.
Retirement in 10 years.
He also didn't want to ruin his career because of a misdiagnosis.
"You said the patient didn't have appendicitis, so what was she?"
said Summer.
"Wait, Director. He
ran out and found the patient's boyfriend, who asked him a few quick questions.
"Does the patient have Xi habitual diarrhea or constipation?"
the boyfriend nodded.
"Yes.
"The two of us never cook, we eat takeout every day, she likes spicy food, and occasionally has diarrhea. "
In recent months, the number of diarrhea has become more frequent.
"But it's not very serious, does diarrhea have anything to do with appendicitis?"
He said to his boyfriend quickly.
"Now we suspect that the patient is not appendicitis and needs to do the next step of the examination, however, we have given the patient pain relief and the person has been rescued, so you can rest assured that you are here and waiting for the results. When
things were urgent, I spoke very quickly, and before my boyfriend came to his senses, Summer immediately returned to the emergency room.
"Director. "
I suspect the patient has colon cancer. "
Immediately give the patient a colonoscopy and a specialist consultation. "
Bowel cancer?
Everyone in the emergency room was dumbfounded.
"Appendicitis turns into colon cancer?"
"That's a bit of a stretch."
"Brother Tian, is it really fake?" Cai
ultrasound clearly saw that the appendix was swollen, coupled with the patient's stomach pain, all the symptoms were consistent with the symptoms of acute appendicitis, how could it become colon cancer?
In
addition, the patient's white blood cells were normal and did not improve, so she was not diagnosed with appendicitis.
"As for the swelling of the appendix, it should be colon cancer that affects the changes in the appendix. Summer's
words made the emergency room silent.
Everyone looked at each other.
In the end, everyone's eyes fell on Zhang Ming.
The final decision rests with Zhang Ming.
On one side is the patient, and on the other side is his most trusted apprentice.
Tangled ......
3 seconds later, Zhang Ming said quickly: "Immediately do a color ultrasound for the patient, I will take a look at the appendix, and in addition, notify Director Qian of the anorectal department and ask Director Qian to come down for consultation." "
Prepare for the colonoscopy. "
The emergency room is busy.
Zhang Ming personally did an abdominal color ultrasound for the patient, he didn't believe in summer, it was because he believed in summer, he needed to make sure that the patient was not in danger of perforation, once the appendicitis was perforated, it would be fatal.
"There was no intestinal perforation.
"The patient can hold on a little longer and arrange an anorectal examination immediately. "
Colonoscopy generally needs to be booked three days in advance, take digestible food within three days, 24 hours before colonoscopy, try to eat as little as possible, eat some liquids, and prescribe an intestinal laxative to empty the intestines.
But the emergency department couldn't wait for three days.
Two nurses take turns to help the patient quickly clear the bowel.
At this time, Director Qian of the anorectal department came down.
Director Qian is very young, in his early 40s, he is a handsome guy in the provincial hospital, with a mouthful of white teeth like a spring breeze, as soon as he enters the emergency room, it seems to have come to April in the world.
"Someone called me just now, saying that I was called to go to the doctor, I said that my takeaway is here, and I will go again after eating, and as soon as the nurse mentioned Director Zhang, I immediately lost the takeaway and hurried over. "
Eating, where is Director Zhang important. "
Everyone is an old acquaintance, Zhang Ming has been in the provincial hospital for a long time, has deep qualifications, and the younger doctors respect him very much.
Zhang Ming smiled.
"It just so happens that I didn't eat either, after seeing this patient, I invite you, let's eat together." "
I called you over because there was a patient. "
The patient complained of abdominal pain, which was an ultrasound of her abdomen.
Zhang Ming handed the list to Director Qian.
As a doctor, there is no need to say much about some introductions, and when you look at the film, you can see what it is at a glance.
Glancing at the film, Director Qian smiled.
"Isn't this
appendicitis?" "Do you need to call me for diagnosis for appendicitis?"
Zhang Ming nodded, and said with a straight face: "My initial expectation is also appendicitis, but my little apprentice said that patients often have diarrhea, and appendicitis may be misdiagnosed, and it may be colon cancer." "
Little apprentice?"
Director Qian raised his eyebrows and swept his gaze towards Xia.
Eyes lit up.
"Ha, isn't this the famous Xi doctor summer?"
"This Xi doctor is the Internet celebrity of our provincial hospital, I have seen his video, bold and careful, it is really good."
"But...... Just having diarrhea to judge colon cancer is a bit of a child's play.
"The patient is only 25 years old, and today's young people can't cook, so they eat takeout every day, where is the health of takeout? Diarrhea is also normal, so it is a bit arbitrary to judge that it is bowel cancer,
right?" Director Qian smiled.
Diarrhea is cancer, and there are more people suffering from cancer.
Director Qian disagreed.
Xia didn't refute anything, his attitude was indifferent, and he said to Director Qian.
"Since you're here, let's help with the consultation. "
The nurse is ready to do the colonoscopy. "
A 130 cm long, bendable fiber tube with a light source and a miniature electronic video camera at the end slowly enters the large intestine and eventually reaches the end.
The nurses are slow to make sure every detail is clear.
Image rendering.
Director Qian and Zhang Ming didn't talk nonsense, the two looked towards the image together, and at the same time discussed what to eat for a while.
"Recently, Joy City has opened a new Haidilao, Director Zhang likes to eat hot pot, right?"
"I'll treat you to a treat, bring your little apprentice." "
What class is Director Zhang today? I'm on the day shift, I can wait until I get off work, and I can still drink some, but I have to go to work in the afternoon, and I can't drink at noon."
Zhang Ming stared at the screen while chatting with Director Qian.
"I'm also working the day shift today, so I can have a drink after work. "
Wait!!!
" Suddenly, Zhang Ming shouted and said to the nurse: "
The camera backs back." In
the image, a small black object appeared, the object was clinging to the wall of the large intestine, from the outside, it looked like a small tumor, the tumor had turned black in color, and it was tightly attached to the intestine.
"Did you see the little money?"
Director Qian's deep voice came.
He pushed the gold-rimmed glasses and said with a solemn expression: "The tumor has turned black and needs to be biopsied immediately, but ......" "
It should be colon cancer." In
an instant, all eyes fell on Summer.
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