Start as an Emergency Physician

After the abdominal ultrasound, while waiting for the results, Zhou Yuan pushed Yang Wei to prepare for gastroscopy.

Yang Wei was already in pain, but now he was even more frightened: "Doctor, isn't that tube X going to hurt to death when it enters my throat?"

"Don't worry, painless gastroscopy, I'll give you anesthesia later. "

After a while, He Jianyi arrived.

"Teacher. Zhou Yuan shouted.

He Jianyi was invited by Zhou Yuan.

Although gastroscopy is not a high-level technique, the patient's condition is more complicated, with stomach ulcers and possible bleeding, and there is a risk of perforation if not grasped well.

This kind of thing is more appropriate to leave it to the experienced He Jianyi.

He Jianyi was a little surprised: "Why, major surgery can be done, but this kind of small examination is going to alarm me?"

Zhou Yuan snorted haha.

Although there are several master-level major surgeries, Zhou Yuan is not omnipotent, and other aspects still need to be slowly improved.

"Drink it. Zhou Yuan handed the anesthetic to Yang Wei.

Yang Wei was stunned: "Isn't it an injection?"

However, Yang Wei still poured it down quickly, "Eh, my stomach doesn't seem to hurt so much!"

"Put this pad on and lie on your left side. Zhou Yuandao.

Yang Wei lay down neatly and opened his mouth obediently.

"Don't be nervous, if you're nervous, your throat will lock and you won't be able to plug it in. He Jianyi tinkered with the gastroscope and reminded.

Yang Wei's mood also improved after the stomach pain was relieved: "I understand, but it's my first time, you have to be lighter!".

He Jian shook his hand and said, "You better stop talking." "

He Jianyi slowly passed the gastroscope through the middle of the dental pad and probed into Yang Wei's esophagus, who opened his mouth wide and was so frightened that he didn't dare to breathe.

"The gastroscope goes into the esophagus, which does not affect the trachea, inhale through the nose and exhale through the mouth. Zhou Yuan reminded beside him.

Ten minutes later, the gastroscopy was completed.

He Jianyi and Zhou Yuan went outside the ward alone.

"Your guess?"

"Stomach cancer. "

He Jian nodded: "There is a high probability that it is stomach cancer, and it may also be advanced stomach cancer." "

Zhou Yuan was stunned for a moment, and glanced at the ward: "How is it possible! The patient is only thirty-seven years old!".

"Let's look at the results of the abdominal ultrasound. He Jianyi sighed.

After waiting for a while, Zhang Ling took the results of the abdominal ultrasound.

He Jianyi handed it to Zhou Yuan: "You come." "

Zhou Yuan nodded, looked at it a few times, and analyzed: "First of all, a bulging tumor appeared in the stomach cavity. The tumor protrudes into the cavity and appears uneven. The tumor has infiltrated the mucosa, submucosa, and muscular, and the serous layer has been invaded in a small area. "

"Ulcers appeared in the stomach at the same time, and obvious ulcers could be seen protruding into the cavity and distributed as craters. The basal base is diffuse hypoechoic, with a blurred demarcation from surrounding normal tissue. "

"What about the stomach wall?" He Jian asked with a grim face.

"The stomach wall is diffuse and irregularly thickened, the sense of hierarchy disappears, and only two layers can be distinguished from the five-layer structure. The stomach cavity is narrow and cannot be filled!".

The pathological basis of gastric cancer is to start from the mucosa and gradually invade the submucosa, muscular layer and serous layer, resulting in different degrees of thickening of the gastric wall and the corresponding disappearance of the structure of each layer.

Now that the five-layer structure has become two-layered, it can basically be determined that it is gastric cancer, and it is mid-to-advanced gastric cancer.

"What about the interface between the tumor and adjacent organs?" He Jianyi can only pray now that it is not advanced stomach cancer.

"The sound image between the organ and the interface is very blurry, the demarcation is not clear, and there is some adhesion between the two adjacent interfaces!".

Zhou Yuan raised his head, his expression was a little solemn: "Teacher, the only good news is that most of the stomach cancer is distributed in the stomach body, and there is no large-scale metastasis to the adjacent organs. This is near-advanced stomach cancer. "

He Jianyi sighed: "Who went in to announce?".

"Teacher, let's go together. Zhou Yuan said.

At the age of thirty-seven, the best age in life, he suddenly knew that he had advanced stomach cancer, which was a heavy blow to him personally and his family.

Moreover, it was three families that were hit.

Pushing the door in, Yang Wei was chatting with his wife.

"Wife, listen to me, I don't have time to eat! I recently wrote a new novel, and I must make sure to update it!".

Zhou Yuan was stunned for a moment and said, "Writer?".

Yang Wei smiled modestly: "Haha, yes, yes!".

"Does it still hurt?" Zhou Yuan asked.

"It still hurts, it hurts a lot! But it's okay, I do it a lot, doctor, prescribe me some painkillers! I'll go back when I'm done!".

Zhou Yuan was silent for a few seconds and beckoned to Yang Wei's wife.

He Jianyi and Zhou Yuan walked out of the ward again, leaving Yang Wei alone.

"Doctor, what's going on!".

Yang Wei's wife was very nervous.

Generally speaking, the average minor doctor will tell it in front of the patient.

In a situation like this, the situation of avoiding patients may not be optimistic.

"Your husband has stomach cancer and is about to develop advanced stomach cancer. He Jianyi announced with an apologetic face.

Yang Wei's wife was stunned and turned her head to look at the ward.

After his wife left, Yang Wei in the ward no longer pretended to be relaxed, grinning in pain, almost out of breath.

But when he found that his wife had seen it, Yang Wei immediately laughed and whistled as if he didn't care.

"Doctor, save my husband! He is only thirty-seven years old, and we still have a pair of children to raise, I can't live without him!" Yang Wei's wife broke down and cried on the spot.

——

The fourth shift is sent, and the fifth shift begins! Ask for a monthly pass, and there are still 20 monthly passes to break 1,000!