bookmarkrole Chapter 392
Chapter 392
Chapter 392
The new patient walked into the consulting room.
This is a 28-year-old woman, white-collar worker, still young and beautiful.
When I walked in, he made a coughing sound.
“Doctor Lin…”
“what’s the situation?”
“Cough… I’ve been coughing, for nearly a year… Basically every day…”
Lin Feng nodded.
Coughing every day for a year is considered a chronic cough.
Lin Feng asked the student Chen Qingru: “Tell me, what are the common causes of chronic cough?”
Chen Qingru thought about it: “The most common causes of chronic cough are: cough variant asthma, gastroesophageal reflux cough, postnasal drip syndrome, eosinophilic bronchitis, allergic cough, etc. Five causes account for about 80% of chronic cough-causes…”
Lin Feng nodded,
This answer is quite satisfactory.
Lin Feng asked the female patient: “Have you ever seen a doctor?”
Female patient: “I have visited 2 hospitals and took a lot of cough medicines, but it was useless…”
Lin Feng: “Is there an inspection report? Show it to me?”
Female patient: “I didn’t bring…”
Lin Feng: “……………………”
If there is no inspection report, it may cost a lot of money to conduct the inspection.
There are too many reasons for coughing. Lin Feng can name 30 common causes of coughing in one minute.
“Is it a sudden cough? Or is it because of some disease?”
“Suddenly coughed.”
“Is there any sputum?”
“Most of the time there is no, sometimes there will be a little white sputum…”
I asked some others and found nothing special.
At this time, Lin Feng ruled out pneumonia first,
Because this patient has been coughing for a year, pneumonia is usually of acute course, and chronic pneumonia is rarely said.
Lin Feng listened to his heart and lungs,
Sure enough, I didn’t hear the wet rales that pneumonia must have.
“Go for a chest CT, after all, with such a long cough, there must be some problems with the lungs, which can provide clues.”
“OK……”
Lin Feng issued an order,
Important CT must be done, besides, blood routine must be checked, anyway it is cheap.
…
Next,
Busy until the end of the afternoon,
After Lin Feng diagnosed the patient, he stretched his muscles and bones.
Sudden,
He thought of the young female patient.
“what happened?”
“That female patient, why hasn’t he come to see me? According to reason, the inspection report should have come out?”
With doubts, Lin Feng turned on the computer and entered the patient information system.
Recall the inspection result:
The results of the two inspections are all out.
·Blood drawing: White blood cells are normal, and other items are also normal…… (Time: 16:12)
·CT: The lungs are 3cmX2CM in size and high-density shadows with irregular edges. Consider malignant tumors… (Time: 16:34)
Lin Feng saw the CT results,
All of a sudden frowned!
The worst has happened!
The imaging department turned out to be a malignant tumor!
“Why don’t the patients come to me? Can’t you think about…?”
Thinking of this, Lin Feng quickly picked up the phone and dialed the patient’s mobile number.
Ling Ling Ling~~~~~
After a long time,
Just connected.
“Hey…who?”
On the other side, the female patient’s voice was hoarse, and she probably cried for a long time.
Lin Feng: “I’m Lin Feng…Where did you go? The inspection report came out, why didn’t you find me?”
The female patient was weak: “Dr. Lin…I’m dead, anyway, lung cancer can’t be cured…”
Lin Feng is ‘very angry’: “Who said you have lung cancer? Fooling around, come back quickly, the imaging department’s diagnosis can’t explain anything…”
“Huh? Doctor Lin…I…”
The tone of the female patient became pleasantly surprised.
“What am I? Come back quickly, I’m going to get off work…I saw your CT, there are seven or eight possibilities, not necessarily lung cancer…”
Lin Feng said rudely.
“Okay, I’ll go back right away…”
0 ········Find flowers·····
The hope of life filled the voice of female patients with aliveness.
soon,
The female patient ran all the way, tears in her eyes and hope on her face, and ran into Lin Feng’s clinic.
“Doctor Lin, am I really okay?”
“CT is only a reference, it is not a pathology, not a final diagnosis, so this lung cancer is just suspicious, don’t worry about it…”
Although CT is very accurate, it is only an imaging method after all and can only be used as a reference.
So what method can be definitely lung cancer?
pathology!
Only take the tissue out and go for pathology!
This can really prove whether it is lung cancer!
0 ……. 0
“Then how to get it?”
“It can be operated on, or bronchoscopy…or direct PET-CT… However, although PET-CT is non-invasive and painless, it is very expensive, tens of thousands of yuan at a time. I recommend surgery or bronchoscopy.”
Lin Feng explained the details of the three methods.
At first, the female patient felt that PET-CT was painless and good, but as soon as it heard that it would cost tens of thousands of yuan to do it, she could not be reimbursed, so she gave up.
“Let me choose a bronchoscope…”
“good.”
A bronchoscope is similar in principle to a gastroscope.
billing,
Ask the patient to pay, and then go to the respiratory medicine department and ask the respiratory department to do it for her.
It happened that Lin Feng did a favor to the Department of Respiratory Medicine in the morning, so the Department of Respiratory Medicine happily agreed.
Human relations are reflected here.
…
In the Department of Respiratory Medicine, it took 10 minutes to enter the location of the right lung mass.
“Hey, this doesn’t look like a tumor…”
The doctors in the Department of Respiratory Medicine have rich experience. As soon as they saw the pictures taken by the laser microscope, they felt that it was not a tumor.
The patient with local anesthesia heard the doctor in the Department of Respiratory Medicine say so, he cried with excitement, lying on the bed, tears streaming down.
Take out the tissue…
Send for inspection…
…
……again.