Doctor of Healing
Page 429
"Hematemesis? Hematemesis? It shouldn't be. Patients with aortic dissection will die immediately once they rupture, but the blood should be in the body."
The emergency physician listened to Ji Xiang's analysis, and really felt that these doctors were so boring. When he saw the news, someone asked why. How many years have passed, and he also asked why when he told Ji Xiang.
"Someone asked about it. It happened that there was a classmate who worked as a forensic doctor. He said that the fish he ate the day before yesterday stuck in his throat, pierced the trachea, and stuck in the aorta. So..."
The emergency physician shrugged.
"It's just a coincidence that we can encounter everything when we are doctors, and we have long been familiar with it."
"Oh." Ji Xiang was slightly dissatisfied with the emergency physician's answer.
"There was an earthquake a few years ago, magnitude 3.3. A friend of mine was on duty, and all the patients who were able to move ran down. The nurse called her, but she turned over and continued to sleep. She said that there were still patients who could not move in the ward, how could she run?"
The emergency physician's train of thought was wild, and he talked about earthquakes in one breath.
Just when a patient came to see a doctor, Ji Xiang got rid of her.
After half an hour, Lin Jiu came back first.
"Doctor Lin, what's the matter?" Ji Xiang asked, "Where's Teacher Meng?"
"Dr. Meng looked at the patient and was doing an examination. After the examination, he was pushed to the orthopedics department."
"Nothing else?"
"The patient committed suicide again on the way to the examination just now. He smashed the glass in the corridor, and his face was cut and bled a lot. If the nurse hadn't pulled her leg, she probably would have jumped down."
"!!!"
"The fracture of the femoral shaft has pierced the skin. It is estimated that an emergency operation will be required tonight." Lin Jiuze said.
"It's a bit of a hassle to be admitted to the orthopedics department." Ji Xiang sighed.
"It's probably because she wants to die very hard, and she has to be tied up even if she is admitted to the ward."
"Why?" Ji Xiang said to himself.
"Colleagues from two companies went there. I heard them chatting. It seemed that the patient had a boyfriend who was out of town, and she had two sexual friends in the office building. I don't know how her boyfriend found out..."
"If you find out, you will find out. If we can break up, why should we die?" Ji Xiang sighed.
"Her boyfriend secretly read the chat history. It is said that there are texts and videos in it. It was so exciting that her boyfriend couldn't hold back. He picked out the wonderful plot and posted it on Moments while she was sleeping."
"..."
Posting to Moments, this guy's is equivalent to social death.
Even listening to it, Ji Xiang felt awkward and inexplicable.
"Not only Moments, but her boyfriend also posted it in all groups, and finally muted the phone, put on clothes and returned to his own city."
"When did you find out?"
"The patient got up early the next morning and saw countless messages on his mobile phone. He was stunned at the time. It was said that the girlfriend of one of the two P friends in the same office building called, and then it was like this."
Jixiang is indifferent to such gossip.
These things are boring and boring to him.Ji Xiang didn't feel curious, but felt very troublesome.
When admitting emergency patients, one has to deal with the constant attempts of the patients to commit suicide by jumping off the building and various ways of committing suicide... If they really die, when the family rushes over, they will not mention the past, but will only talk about the hospital's problems.
The back of this pot is a bit black.
Chapter 658 Postoperative Hemoptysis
Mo Chenggui is having surgery with Colonel Wang.
For them, the operation has been done for a lifetime, and they can really do it with their eyes closed.
"Old Mo, Xiaoji is back, and he hasn't forgotten us." Senior Colonel Wang pressed the button of the closer with a "click", and the bag was cut, and one operation ended.
"Cough, cough, cough~" Mo Chenggui coughed twice, and said, "I didn't expect Xiaoji to bring us a gift, this kid...cough, cough, not bad."
"Are you talking about you, are you seventy or eighty years old? Why are you still coughing and have never been good?" Colonel Wang despised his old partner, "I will retire in a few years and go to Hainan as soon as possible. My mother had been coughing before going to Hainan a few years ago, and she died immediately after getting off the plane." good."
"Colonel Wang, is it so amazing? Hainan is really so good?" the nurse asked.
"Yes, it's a bit of an exaggeration to say that you don't cough immediately, but my mother's cough has reduced by 90%, and the cough will stop after a few days." Colonel Wang said, "Cold and dry, these are the triggers of bronchitis. Yes Already!"
"Do you know where the exiled prisoners were during the Qing Dynasty?"
"Looks like Ning Guta?" The nurse asked tentatively.
"Yes, it is Ninggu Pagoda." Colonel Wang said, "It's right next to my school."
"..." The nurse was startled.
"Ning'an County, there are various ancient buildings from the Qing Dynasty and the Jin Dynasty. You tell me, the old Maozi exiled prisoners in Siberia, and the Qing Dynasty is the Ninggu Tower. In the old saying, this is a place of bitter cold in the extreme north."
"What's so good about this kind of broken land, and there is no outlet to the sea. Every time the Northeast is revitalized, housing prices in Hainan will rise once."
This shit has long since lost its teeth, but Mo Chenggui was quite emotional when he said it at this time.
He has been coughing all the time recently, and Mo Chenggui hasn't checked it. It must be caused by tracheitis, bronchitis, etc. It's nothing to worry about coughing in winter.
"Professor Mo, Colonel Wang, what did Ji Xiang bring you?" the nurse asked.
"Neymar's signed jersey was worn by Neymar!" Colonel Wang said triumphantly.
He can talk about this for the rest of his life.
If he catches up with a gossip wine table, he can be talked about by Jixiang from the first day he entered the department, until he has achieved fruitful results and peaches and plums are all over the world.
The little nurse was a little envious, blinked her eyes a few times, but said nothing. It seemed that she also wanted Neymar's signed jersey, and it didn't matter whether she wore it or not.
Unfortunately, Ji Xiang does not remember her.
"Cough, cough, Colonel Wang, don't show off, hurry up and operate." Mo Chenggui said.
Of course, the operation went smoothly, and after more than a dozen bags were removed, the two stepped off the stage.
Just as Mo Chenggui was about to say something, a violent cough suddenly interrupted his words.
After coughing, Mo Chenggui took off his mask.
"Old Mo, in the operating room, although the operation is said to have been completed, please behave yourself." Senior Colonel Wang began to comment on Mo Chenggui's actions.
Mo Chenggui was usually strict in his work, and he often said that Colonel Wang didn't wear a hat and his mask didn't block his nose when he entered the door.
After more than ten years, I finally found an opportunity to say a few words about him. Of course, Senior Colonel Wang couldn't give up.
If you miss this village, Colonel Wang doesn't even know if there will be another store.
But Mo Chenggui didn't speak, and stared blankly at the mask.
Colonel Wang realized something, his heart was suspended, and he walked over to take a look.
bright red!
I fuck! !
Old Mo coughed up blood! ! !
The two characters of lung cancer appeared in Colonel Wang's mind, and gradually became larger, and each word quickly began to ooze blood, tick-tock, seeping very deeply.
The operating room suddenly fell silent.
"What are you two doing? Hurry up and change your clothes, I'm going to disinfect." The nurse came in and urged Mo Chenggui and Senior Colonel Wang when they saw that they were still there.
Colonel Wang snatched the mask, took another deep look, rolled the mask into a ball, and stuffed it into the pocket of the isolation suit.
"Old Mo, change your clothes and go for a CT with me."
Mo Chenggui was silent.
He seemed to be stupid, he didn't say a word, his eyes were a little hollow, and his face was a little pale.
What the blood on the mask means can't be hidden from a doctor.
If it's not tuberculosis or rupture of capillaries in the upper respiratory tract, it's lung cancer.
Moreover, it was still in the advanced stage of lung cancer and hemoptysis began.
"Let's go."
Before the little nurse could understand what happened, Colonel Wang grabbed Mo Chenggui's arm and dragged him to change clothes.
"It's weird." The little nurse said contemptuously, "It was fine when I just had the operation, what's wrong with it."
……
After changing their clothes, the two returned to the Second Affiliated Courtyard.
Colonel Wang was not polite at all, he dragged Mo Chenggui directly to the CT room, and jumped in line to send Mo Chenggui to the CT machine.
"Colonel Wang, what's wrong with Professor Mo?" The operator in the CT room asked, "Cold? Lobar pneumonia?"
Colonel Wang didn't speak, but took out Mo Chenggui's mask and looked at it again and again.
White foamy sputum, mixed with blood in the sputum, not blood streaks, but blood clots, basically ruled out the possibility of capillary rupture and bleeding caused by dryness of the upper respiratory tract.
The more I watched, the more worried I became, the doctor in the CT room beside me was still chattering, Colonel Wang really wanted to cover his mouth with a mask.
After the examination was finished soon, Mo Chenggui came to the operating room to take a look at his film while the next patient was on the machine.
Colonel Wang didn't stop him either.
They are all doctors, and they have treated no less than a thousand cancer patients. The more Mo Chenggui is not allowed to look at them at this time, the more he thinks about east and west, south and north.
Anyway, it's basically Mingqi, so it's better to let him watch it together.
On the machine, the movie appeared frame by frame, and Mo Chenggui and Colonel Wang soon fell into an ice cave.Even the doctor in the CT room who kept talking fell silent, not daring to say a word of nonsense.
A 3cm tumor in the lower lobe of the right lung appeared in front of my eyes, with small burrs on the edge. This is lung cancer!
And it was discovered after hemoptysis, even if the operation is done, the effect will not be good.
Colonel Wang squinted his eyes to look at other places, and there were many small nodules in his lungs.
Oh shit!
I've been smoking all my life and I'm fine, why did Lao Mo get lung cancer first!
Could it be that he was caused by inhaling his own second-hand smoke?
Colonel Wang's mind was froze, and countless thoughts popped up. It seemed that he had thought a lot, but he seemed to have thought of nothing.
"Please help me type out the film." Mo Chenggui was very calm. He tried his best to control his voice, but the last word "来" still drifted away, and his voice trembled.
"Professor Mo, good." The doctor in the CT room said quickly.
He didn't dare to talk nonsense, he felt a faint feeling of sadness in his heart, and he didn't bother about the inspection report, so he typed out the film and put it in a bag to hand to Mo Chenggui.
"Old Mo, come with me for a blood test, I don't think so." Senior Colonel Wang said.
Mo Chenggui's face twitched, trying to force a smile but he failed, the muscles on his face trembled.
Chapter 659 From now on, you will cut the purse by yourself
As the evening approached, Colonel Wang held the tumor marker report in front of Mo Chenggui and said tremblingly, "Look at what I said, the tumor markers are nothing, nothing! You can see for yourself!"
"Colonel Wang, being fine doesn't mean that there is no tumor. I am a doctor with a high level, you know, don't do useless work." Mo Chenggui said softly.
After 7 or 8 hours of mental struggle, Mo Chenggui has become numb. If there is a problem, solve it first. Worrying is useless.
I have said similar words to countless patients all my life, and now it is really my turn.
Normal values for tumor markers do not mean that there is no tumor, this is a fact.
Colonel Wang's words can only fool ordinary people, but they can't fool old clinicians like Mo Chenggui at all.
Mo Chenggui knew exactly what happened.
The space-occupying lesion in the right lower lung has burrs on the edge, and it can almost be concluded that it is lung cancer.The specific squamous cell carcinoma or adenocarcinoma depends on the pathological results after surgery.
The only good thing is that no round metastases were seen in the lung lobes.
If the lungs are full of metastases, then there is no need to treat them at all.
With heavy steps, Mo Chenggui walked to the fire escape and sat down.
"Colonel Wang, give me a cigarette."
"Old Mo." Colonel Wang looked at his old partner, feeling sad.He didn't persuade, it's all fucking like this, do you still care about a cigarette?
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