When doctors have a simulated operating room

The two elders smiled at each other and went back to work slowly.

…

Emergency Department of Union Hospital.

Zhang Yi went straight to the doctor's office as soon as he arrived.

After not seeing each other for more than ten days, the nurses at the front desk were a little uncomfortable to see a handsome guy in front of them.

Take a closer look! !

Hey!

This guy turned out to be Zhang Yi! !

"Oh! Zhang Yi, you are finally back. I feel better when I see you."

"Hurry up! Spread the word, our hospital hunk is back!"

"Great, Zhang Yi is back, and my joy of seeing handsome guys every day is back~"

Faced with the flattery of the nurses at the front desk, Zhang Yi could only smile helplessly.

He greeted them and walked quickly to the office.

These women are crazy about him day by day, but there is no way, who makes him handsome~

At this time, it was the time to go to work in the morning, and many people had come to the office one after another.

Seeing Zhang Yi appear at the door, everyone's eyes lit up!

The boss is back! !

"Zhang Yi!"

"Boss, you are finally back! We have been waiting for you to come back so that you can tell us stories!"

"How is it, Zhang Yi? Tell us about your adventures in the United States!"

"Zhang Yi, did you know that you were reported by a local newspaper on the first day you arrived in the United States? You were seen saving people at the airport."

As soon as Zhang Yi came in, people in the office immediately surrounded him and chattered about various trivial things in the past half month.

Zhang Yi looked around and asked:

"Where is Chen Fang? Hasn't he come to work yet?"

The next second, the faces of several doctors around him changed immediately~!

"Humph! You're thinking about Chen Fang right after you got back?!"

"Tsk tsk tsk! I told you two that something was wrong~ Are you two having an affair?!"

"Why are you in such a hurry to find Chen Fang? Are you thinking about him? Haha~"

"Go away, what nonsense are you talking about? I wanted to ask him how the patient from yesterday was doing!"

Zhang Yi waved his hands at the people who were making trouble. They just love to gossip all day long.

At this time, Mao Xiaoyuan yawned and walked into the office with a sleepy face:

"Oh? Zhang Yi, Chen Fang hasn't come to work yet. As for the patient you mentioned, the condition has improved a lot."

Zhang Yi looked at him: "Were you on duty last night?"

"Yes, otherwise where would I get the dark circles under my eyes."

"Show me the case? What did the boy's parents say? When will the surgery be performed?"

Mao Xiaoyuan handed the medical record to Zhang Yi and explained:

"I was just waiting for you to come back. Yesterday, Chen Fang suspected that it was a problem with insulin and went to check it out. Hey, it turned out to be true!

This child actually has a problem with insulin secretion. He immediately went to do an enhanced CT scan of the abdomen. Here are the CT results. "

As he said, Mao Xiaoyuan turned on the computer and found Liang Yu's enhanced dynamic CT scan from the case in the computer.

The black and white image showed that the boy's pancreas and stomach did have a high-density mass with a diameter of 1.5 cm. The outline was clear and looked very much like pancreatic cancer.

Insulin is a protein hormone secreted by the pancreas. It is the only hormone in the body that can lower blood sugar.

If it is found that there is a problem with insulin secretion, then there must be a problem with the pancreas.

So once the CT scan is taken to the pancreas, the cause and effect will be roughly understood.

This little boy does not have epilepsy, nor does it have ordinary hypoglycemia.

It is an insulinoma!

Hypoglycemia caused by excessive secretion of beta hormones in the pancreas produces Whipple's triad.

That is: hypoglycemia symptoms, coma and psychoneurological symptoms, which are prone to occur after fasting or labor.

Especially the neural reaction, because of repeated hypoglycemia, the cerebral cortex is further suppressed, and the most serious is temporal lobe epilepsy, which is very similar to a major epileptic seizure.

This is why the family thought the child was "epilepsy" for more than two years.

It is impossible to blame them. The symptoms are indeed very similar to epilepsy.

However, it can only be said that the little boy is lucky and has a good fate, so he is so lucky to live until now...

Collapse of the case,

Zhang Yi looked up and asked:

"Where is the little boy's bed? I'll go check it out first."

"We're trying to get bed number 5, but his family is a little hard to deal with. You'd better be careful with what you say. Yesterday, Chen Fang thought it was diabetes at first, so he told the family first.

But later he suspected it was insulinoma, and he spent a lot of money on several tests, so the family was a little unhappy.

They've been arguing for a long time. Anyway, you should communicate well with them, don't run into the gun."

"Okay."

Zhang Yi nodded, put on a white coat, and turned to the emergency room.

In front of bed number 5, before Zhang Yi got close, he saw an old lady with silver hair feeding the little boy.

Family members are not allowed to enter and leave the emergency room at will, but sometimes when the nurses are too busy at mealtime, family members can still come in to feed him or something.

Seeing a doctor in a white coat coming over, Liang Yu's grandmother looked up, turned around with no expression on her face, and continued to feed him.

"Good boy, let's go home after dinner. The doctors in the big hospital are nothing special. They said it was hypoglycemia, but then they lied to us and said it was a tumor, so we have to spend more money and have surgery!

Let's go home and get treatment! Grandma feeds you brown sugar water every day, be obedient."

Zhang Yi knew that the old lady was being weird again.

He was too lazy to care, and lowered his head to look at Liang Yu's pancreas, the entire abdominal cavity and the lymph nodes throughout the body.

Fortunately, the tumor cells have not metastasized, and surgery and drug treatment are enough to cure it.

From this point of view, the little boy's luck is really too good!

Although he took anti-epileptic drugs by mistake every time he had an attack, he also alleviated his condition because he drank brown sugar water.

The tumor cells have not spread in more than two years.

This luck, it's really not destined to end.

"Old lady, where is the child's father? I am Zhang Yi, a doctor in the emergency department. I want to talk to the child's father about the child's illness and surgery."

The old lady glanced at Zhang Yi and chuckled:

"Surgery?"

Then she looked Zhang Yi up and down:

"You? You talk to us about surgery?? Haha! Forget it, I have seen that young doctors in your Union Hospital are not reliable!

The same thing happened to the Chen doctor yesterday. He clearly said it was hypoglycemia, but a little later he said it was a tumor?

You are such a big hospital, but you still want to cheat us low-level people's money??

Hypoglycemia is hypoglycemia! What? You can't make money so you have to cheat us to do surgery!

I won't!

We will discharge my grandson today and take him back to my hometown for treatment!"

"I am..."

Zhang Yi just opened his mouth to speak, but another family member who was feeding breakfast next to him couldn't stand it anymore.

The old lady stood with her hands on her hips and yelled at the old lady:

"Who are you talking about?! Do you know who Dr. Zhang is? He has such a high medical ethics, but he would cheat you out of your money??

It's really funny. He has won glory for the country, and foreigners have invited him to perform surgeries, but he would still cheat you out of your money?

Who are you? How much money do you have to be cheated by others! It's really funny~!

Dr. Zhang is so busy, but he can still come to see you and perform surgery in person. Just be happy!"