I Can See Health

   Chapter 449 Not Mother

   Just exchanged for the intermediate skill book of "CT image reading", Lu Chen's reading ability has been greatly improved.

   After carefully studying the whole film, he felt that a malignant situation could not be ruled out.

   Therefore, on the CT report, there will be opinions on regular review and further inspection.

   After about ten minutes, Fan Yujing returned to the doctor's office.

  Lu Chen immediately transferred the chest CT of the patient two months ago.

   "Mr. Fan, look at this patient's previous CT."

   Fan Yujing's face turned ugly as soon as he glanced at it.

   "Lu Chen, please check, which doctor in our department was in charge of this patient before?"

   She has also seen that the lungs on the patient's CT are occupying space, which is not a good thing!

  Lu Chen found the doctor's signature in the medical record, "The signature is Dr. Wang Renyong, he just got off the night shift today..."

  Fan Yujing immediately took out her mobile phone and made a call.

   "Hey, Doctor Wang, I'm Fan Yujing..."

After some conversation, Fan Yujing frowned and hung up the phone: "Before the patient was discharged from the hospital, Dr. Wang had suggested that the patient undergo further examinations, but the patient and his family refused. In the end, she had to come to the outpatient clinic for regular chest CT examinations, but it seemed that did not come."

  Lu Chen felt a little helpless, the doctor really had nothing to do with such a patient who did not follow the doctor's orders.

   "Lu Chen, what kind of disease do you think the patient has?" Fan Yujing said suddenly.

  Lu Chen paused before slowly saying: "It's not clear yet, but the patient's mental state is abnormal. First of all, cerebrovascular accidents are not excluded, but according to the patient's current CT condition, tumor-related brain diseases are not excluded."

   "Then how do you judge the patient's condition?" Fan Yujing was a little puzzled, "It's just because the patient's mental state has changed, what if she is really just tired and wants to sleep?"

"No!" Lu Chen resolutely said, "I asked the patient's family, and she has never done this before. Moreover, I called the patient several times. Through her reaction and physical examination, I basically determined her drowsy mental state. ."

  Fan Yujing raised her brows and looked at Lu Chen in front of her, thinking, this student is interesting!

   is completely different from those students before, who only know the typical signs of the disease.

   In the face of clinical changes in the condition, there is no coping strategy.

   "Okay, when the patient's condition is a little better, you can take her to the outpatient clinic to review the chest CT." Fan Yujing said.

"Ok, no problem."

  …

In the    office, Lu Chen taught Wang Defa to write a medical record.

   He didn't expect that this junior and brother had been in the clinic for so long, and he didn't even know how to record the medical records.

   "Junior brother, the chief complaint and the history of the current illness need to correspond! The number of the chief complaint needs to be in Arabic numerals, not in Chinese!"

   "The past history must be detailed. What disease you have suffered, how to treat it, and what the prognosis is, you must write it down!"

   After teaching Wang Defa painstakingly, Lu Chen also gained a little gratitude.

After   , when the patient's condition improved a little, Lu Chen took him to the CT room.

   CT last night, the results came out soon.

   When Lu Chen opened the CT image, his pupils shrank slightly.

   Sure enough, the space occupied by the previous lung CT has become larger!

   And the size is not a star and a half, but has doubled, reaching about 2CM!

   More importantly, there are many "spur signs" around the lung mass.

   This is a typical change of lung cancer!

   "This space-occupying, burr-like edge is probably a malignant tumor in the chest!"

   In addition to the chest CT, Lu Chen also scanned the head and abdomen.

   I don't know if I don't check it, I'm shocked when I check it!

  A new mass-occupying nodule appeared on the patient's head and liver.

  Lu Chen was shocked, he immediately took out the patient's previous CT report for comparison.

   "That's true!" Lu Chen thought, "It seems that the tumor has metastasized to the head and liver! This is why the patient has symptoms of drowsiness!"

   However, Lu Chen had 10,000 reasons in his heart.

   In just two months, why did the patient's chest CT change so much?

  …

   Back to the first ward of the Department of Respiratory Medicine.

  Fan Yujing also learned the news at the first time.

   "I think 80% of it is a tumor." Fan Yujing saw the chest CT film for the review, "I have to communicate with the patient's family about the condition again!"

   Outside the ward.

   Fan Yujing had called the patient's daughter-in-law, and Lu Chen followed behind her.

   "What!" The voice of the patient's daughter-in-law finally became louder, "You said...it might be lung cancer? How could it be possible? Didn't my mother have a CT scan two months ago! At that time, the doctor said it was only pneumonia..."

"You said it yourself, that was two months ago! At that time there was not only pneumonia, but nodules. In addition, we are just guessing at the moment, and there is a high probability that it is a bad thing." Fan Yujing said, "If you agree to the diagnosis, then I need a bronchoscopy!"

   "Yes, but..." At this time, the patient's daughter-in-law hesitated again.

   She rubbed the corners of her clothes with her hands and looked in a trance.

   "Aren't the immediate family members here yet?" Fan Yujing frowned and looked at Lu Chen beside him.

   "Already notified." Lu Chen shook his head, "Come over tomorrow at the earliest."

  Daughter-in-law, after all, is not an immediate family member, so she can't make up her mind.

   On the phone, she communicated with her son, but she couldn't say why she came out.

   "Why didn't you come for a review a month ago?"

   At this time, Fan Yujing asked suddenly.

   "On the CT report, it clearly states that the patient should be re-examined in one month!"

   The patient's daughter-in-law first opened her mouth and wanted to say something, then swallowed it back, and then hesitantly said, "My mother said she's healed, so she doesn't need to come over for a re-examination."

"Your mother said..." Fan Yujing frowned, "she doesn't understand the old man, don't you understand? The doctor must have communicated with you before he was discharged from the hospital. I also called Dr. Wang just now. It was suggested that you do further examinations, but you refused..."

   Fan Yujing was interrupted by the patient's daughter-in-law before she could finish her sentence, "Doctor, I didn't reject it! It's my mother herself. She doesn't want to come for a review. Can I still tie her up?"

  Fan Yujing sighed slightly in her heart, after all, she was not her own mother.

   "Okay, then wait for your husband to come over tomorrow, and I'll talk to him later."

   "Okay." The patient's daughter-in-law nodded and left.

  …

   Back to the doctor's office.

  Lu Chen and Fan Yujing were both silent.

   Even Wang Defa, who was usually active, was silent at this moment.

   The patient's chest CT progressed so rapidly in two months that it even shifted.

   This is something no one could have imagined!

   The most distressing thing is that the doctor has warned in advance, but it is still useless after all.

   Plus will start tomorrow

   (end of this chapter)