Start with the 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, and now he was even more frightened and trembling: “Doctor, isn’t that tube X going to hurt to death when it enters my throat?” ”

“Don’t worry, painless gastroscope, 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, stomach ulcer, and there may be bleeding, and there is a risk of perforation if it is 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, this kind of small examination is going to alarm me?” ”

Zhou Yuan snorted.

Although there are several master-level major surgeries, Zhou Yuan is not all-powerful, and other aspects 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 quickly poured it down, “Eh, my stomach doesn’t seem to hurt so much!” ”

“Put this tooth pad on and lie on your left side.” Zhou Yuandao.

Yang Wei lay down neatly and obediently opened his mouth.

“Don’t be nervous, if you are nervous, your throat will be locked and you won’t be able to insert it.” He Jianyi tinkered with the gastroscope and reminded.

Yang Wei’s mood improved after the stomach pain was relieved: “Understood!” But this is 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 tooth 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 enters the esophagus, does not affect the trachea, inhales through the nose, exhales through the mouth.” Zhou Yuan reminded next to him.

Ten minutes later, the gastroscopy is completed.

He Jianyi and Zhou Yuan went outside the ward alone.

“Your guess?” He Jianyi.

“Stomach cancer.”

He Jian nodded: “The probability is stomach cancer, moreover, it may also be advanced stomach cancer.” ”

Zhou Yuan was stunned and glanced inside 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 abdominal ultrasound results.

He Jianyi handed it to Zhou Yuan: “You come on.” ”

Zhou Yuan nodded, glanced at it a few times, and analyzed: “First of all, a bulging tumor appears in the stomach cavity. The tumor grows protruding into the cavity and appears uneven. The tumor has infiltrated the mucosal layer, submucosa, and muscular layer, and the serosal layer has undergone minor invasion. ”

“Ulcers appear in the stomach at the same time, and obvious ulcers can be seen protruding into the cavity, distributed in volcanic craters. Diffuse hypoecho appears at the base, which is poorly demarcated from the surrounding normal tissue. ”

“What about the stomach wall?” He Jianyi looked grim and asked.

“The stomach wall is diffusely irregularly thickened, the sense of layering disappears, and only two layers can be distinguished from the five-layer structure. The stomach cavity is small and cannot be filled! ”

The pathological basis of gastric cancer starts from the mucosa and gradually invades the submucosa, muscular layer and serosal layer, resulting in different degrees of thickening of the stomach wall and corresponding disappearance of each layer structure.

Now the five-layer structure has become two layers, which can basically be determined to be stomach cancer, and it is middle and advanced stomach cancer.

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

“The sound and image of the organ and the interface are very blurry, the demarcation is not clear, and there is some adhesion between the adjacent two interfaces!”

Zhou Yuan raised his head, his expression a little solemn: “Teacher, the only good news is that most of the stomach cancer is distributed in the stomach body and has not been transferred to the neighboring organs on a large scale.” This is a near-advanced form of stomach cancer. ”

He Jianyi sighed: “Who went in to announce?” ”

“Teacher, let’s go together.” Zhou Yuan said.

At the age of thirty-seven, a good age in life, suddenly knowing that he had advanced stomach cancer 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! Recently I wrote a new novel, and I must ensure that it is updated! ”

Zhou Yuan was stunned 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 often do this, doctor, prescribe me some painkillers! I’ll go back after eating! ”

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.

In general, ordinary minor ailmentologists will speak out to the patient’s face.

Such a situation of avoiding patients may be very unoptimistic.

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

Yang Wei’s wife froze and turned her head to look into the ward.

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

But when he found that his wife looked over, Yang Wei immediately laughed and whistled as if he didn’t care.

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

——

The fourth more is sent, and the fifth change is started! Ask for a monthly pass, and twenty monthly passes break a thousand!