Chapter 981 Could It Be... I'm Good at Making Phone Calls? (Big Chapter)

The young couple who sent the old man were not natives of the capital.

The old man's name is Zhao Kai. He is 77 years old this year. His wife left seven or eight years ago and lives alone.

He has two sons and two daughters, both in the capital.

The old man was also capable when he was young. He also made a lot of money when he opened a factory in Langfang.

I also tossed a few houses in the capital and caught up with a good time.

In the past, the houses were all small square meters, and a family of six could not live in it at all. At that time, large flat floors were not popular. The old man bought a community with two houses on one floor, which was undoubtedly a lot more convenient.

Really want to say rich, not so rich.

Later, when the child got married, the house was given to the child, and he left the old house to live in.

First, it is an old community, and his son and girls don't like it. Second, he knows it well, and when the child is older, he doesn't like to guard him.

After his wife left, the old man simply tidied up the house and vacated a house and rented it out, otherwise he would not be popular and would be troublesome.

But the renting out caused trouble. First, the eldest came back and cried, saying that the eldest grandson was going to study abroad, and the family had to repay the loan for the new house he bought, and the economy was strained.

The old man was soft-hearted, thinking that he would be them when he got old anyway, so he asked the tenant to call his son directly for the rent.

The second child also knew about this, and the two girls also came.

There was a commotion, and the old man was helpless, so he could only receive one year's rent for each of his two sons, taking turns.

This is a big problem when it comes to money.

Two years ago, the old man could not live alone, and an old friend was going to introduce him to a wife.

He said that this person should not be too lonely when he is old, and it is easy for a person to leave early.

After such a discussion, a few old friends are going to introduce an old lady to the old man.

This kind of thing, the old man also refused at first, after all... It feels the same as the second marriage.

As a result, after getting along with each other, I found that it was pretty good, so the two of them didn't get the certificate, and they lived together as a partner, but the life stopped.

But after being found out by several children, he came back to Zhao Kai and said.

"Dad, people are just greedy for our house. Our community is a good location. An inch of land is expensive, and it will cost more than 200,000 yuan per square meter when demolished!"

"Yes, you can't get the certificate. The old lady has three sons. It is said that one of them is not married yet. What should I do if I depend on our family?"

"Yes! Dad, you can't be confused!"

"That's right, how sad my mother is to know!"

These four people talked and made trouble, making the old lady, who was in her 70s, cry angrily, and left overnight.

Annoyed, Zhao Kai yelled at everyone: "You bastards just forced me to die, right? It's better to die when the house happens to be demolished, so you can still get a sum of money for the demolition, right?"

Because of this, the old man was seriously ill.

But after this incident, the old man and the children were also estranged.

Or the children also took the opportunity to distance themselves from the elderly.

However, this Zhao Kai has also learned shrewdly since then. He has a commercial pension and a corporate pension, which is a lot of money a month.

He couldn't use it alone, but this time it was in his hands.

After all, what the old people say is very reasonable.

Now Zhao Kai can still jump, jump and move, but looking at these children, he is afraid that they will be stuck and unable to get rid of them.

...

...

The police contacted the family members, but they did not arrive late.

But the old man's test results came out.

Chen Cang pushed the old man to do an abdominal CT scan. As soon as the result came out, Chen Cang was diagnosed with acute pancreatitis.

A CT scan of the abdomen revealed a well-circumscribed mass in the second part of the duodenum, an enlarged pancreas, and a slightly dilated main pancreatic duct.

This result made Chen Cang and Li Yue a little confused!

Pancreatitis is for sure, but... what is this mass?

tumor?

Not like!

Li Yue frowned and looked at the doctor in the radiology department: "What's the situation? Tumor?"

The radiologist frowned: "It doesn't look like it, if the tumor...is it that big?"

After Chen Cang saw it, he suddenly said, "Doctor Wang, you can sweep a few more layers up!"

The radiology doctor nodded immediately after hearing it!

It didn't take long for the results to come out!

There also seems to be morphological abnormalities in the stomach, but it is not clear exactly what is going on.

CT NMR is not a panacea, and the things that can be seen are limited.

Chen Cang looked at the dozen or so videos on the computer, and suddenly fell into deep thought!

At this time, Chen Cang was pleasantly surprised because he discovered a magical thing!

The perfect abdominal imaging + 4D model of the human body produced a magical response!

Chen Cang can actually combine the structure of each layer on the film to restore the patient's intra-abdominal condition.

this moment!

Chen Cang almost jumped up excitedly.

He stared at the four-dimensional map carefully, and then used the information fed back from each CT to continuously redo it to form a structure of the upper abdomen.

at this time!

Time passed by minute by minute.

Chen Cang looked at this strangely shaped gastrointestinal tract and suddenly thought of a special disease!

An intussusception of the duodenum and stomach!

This gastrointestinal intussusception is very rare.

At this time, Li Yue looked at Chen Cang with a happy expression, and couldn't help asking, "Xiao Chen, what do you see?"

Chen Cang nodded: "Well, I guessed something, but the patient needs a gastroscope to confirm it."

Hearing Chen Cang's words, the two of them turned around and stared at Chen Cang: "Oh? What's the situation?"

Chen Cang pointed directly at a few pictures on the computer and said, "Look at these five pictures together."

"This could be an atypical presentation of gastroduodenal intussusception, also called ball valve syndrome, which is a rare condition!

look here! In fact, it is caused by the prolapse of the pedunculated gastric wall lesion into the duodenum. "

Everyone was stunned when they heard about this rare disease.

Radiologists have also heard of this disease, but really don't know much about it.

But Li Yue is different. As an experienced surgeon, Li Yue frowned and asked, "But, I know about the ball valve syndrome, but why does it compress Vater's ampulla? Also, what is the condition of this bulge?"

When Chen Cang heard Li Yue's words, he took a deep breath and said sharply, "If I guessed correctly...it might be a tumor, look carefully, this thing is actually different from the signal at the tail, I suspect this It's a tumor in the tail."

"And this is also the culprit that causes many conditions in patients!"

"Gastroduodenal intussusception from gastric cancer tends to occur in the distal part of the stomach, mainly in the antrum, and less commonly in the body, fundus, and anastomosis.

But the downward traction of the intussusception on the duodenal wall may have distorted and obstructed Vater's ampulla.

The invaginated head reaches the second part of the duodenum, so that the patient has a special shape!

This results in compression of the ampulla of Vater and is associated with acute pancreatitis and biliary obstruction. "

Chen Cang's remarks made Li Yue and the radiologist a little lost!

In fact, every imaging doctor is a "modeler"!

They combine the flat CT scans, and they need to form a map of the anatomy in their minds.

This requires more than just a lot of reading ability!

It also requires an excellent anatomical foundation, a sense of space, etc...

Soon, after the two watched it back and forth twice, Li Yue's brows also relaxed. If it was really like what Chen Cang said, everything could be explained!

As an emergency surgeon, this diagnostic ability is really too strong!

There is a saying in the medical circle:

What is the best performance of a surgeon?

The answer is: become a physician!

What does that mean?

Physicians are better at diagnosis and treatment than surgeons, because after all, there are specialties in the field of surgery.

But at this time, Chen Cang insisted that his diagnostic ability was not inferior to that of a physician.

Of course, Chen Cang's ability to watch movies is logically better than "Doctor Watching Movies!"

At this time, the doctor of the radiology department couldn't help but say, "Dr. Chen, you are too amazing!"

"It's better than a professional movie watcher like me! Do you have any skills?"

Chen Cang coughed: "Without him, only skilled."

...

...

Pretending to be a coercion, Chen Cang quickly took Li Yue to the CT machine to "fetch" the patient.

After all, the old man has no family to help him now, so they can only do it.

And only the radiologist stayed there, feeling that he had heard this sentence before, but couldn't remember it.

After pushing the old man out, Zhao Kai seemed to have some relief from the pain, and couldn't help but say, "Doctor, what's wrong with me?"

Pushing the bed, Chen Cang said, "Don't worry, it's acute pancreatitis and biliary obstruction, so you have stomach pain and nausea and vomiting. Don't worry."

After hearing Chen Cang's words, Zhao Kai not only did not relax, but sighed.

Suddenly, he said slowly and leisurely, "Hey... I actually know my situation. It's been more than a year that I haven't eaten much, and I've lost 20 to 30 pounds in the past year."

"Doctor, don't lie to me. When my wife was alive, she was a doctor, and I knew a lot. I felt that I might have a bad disease."

"Actually, let's go. I'll be honest, I'm not afraid. People are rare in their seventies. At my age, I should enjoy the blessings, and see all the things I should see!"

Chen Cang did not interrupt when he heard the old man speak slowly.

The rules of the old man's speech are very clear, and the education level is quite high.

However, this kind of sadness is not desirable, Chen Cang simply changed the subject: "Master, you should be quite literate, right? What are you doing?"

The old man originally sighed, but when he heard Chen Cang's question, he couldn't help but stunned for a while, then he calmed down and said, "I have not lived in vain in this life, I have experienced the surrender of Xiaoyue, and I know that Lao Jiang went to the bay, Later, when I saw the founding of the People's Republic of China with my own eyes, at that time... I was so excited!"

"Follow the chairman, we've had enough to eat, and everyone started... Later, when the reform and opening up, I was bold, and I followed the wind, and went to Langfang to open a soda factory, orange-flavored soda, at that time, ah, We have quite a lot of good soft drinks in China, such as Arctic Ocean, Shanhaiguan... and the formula is shared, and there is no patent. In the 1990s, Pepsi and Coca-Cola bought them..."

An old man who is about to be seventy-seven, born in 1943, is really a witness of the new China.

Listening to the old man's words, Chen Cang and Li Yue thought that it might be a matter of signing for a while.

It is risky for a 77-year-old to have a gastroscope. Who will sign when his family is not there?

Older people can do it too, right?

Generally speaking, although the law stipulates, the signature of the person and his immediate family is sufficient!

However, the patient himself, especially the 77-year-old at risk like the old man, even if he signed the signature, the family members still brought trouble.

In other words, in fact, sometimes, the patient himself has only the right to disagree with the operation, but not to decide the operation.

The old man now has acute pancreatitis, acute biliary obstruction, and only duodenal intussusception, and there may be tumors.

Perhaps many people do not understand why patients can cause acute pancreatitis.

This is actually a matter of anatomy!

The common bile duct and pancreatic duct open together in the ampulla of Vater in 80% of cases, and enter the duodenum after confluence!

However, at this time, the high pressure in the duodenal cavity causes the duodenal juice to flow back into the pancreatic duct and activate pancreatic enzymes to produce acute pancreatitis.

Therefore, in this way, it leads to acute biliary obstruction and acute pancreatitis.

In fact, this is the same as autoimmune disease.

Your own immune cells kill your own tissues and cells.

And this pancreatitis is that your own digestive juice digests your own pancreas, causing lesions.

In fact, the human body is really complicated.

After returning, nurse Yang Jie said directly: "I contacted the police station, but... I still can't come now, what should I do?"

In one sentence, Li Yue and Chen Cang were a little anxious!

When will it not come.

At this time, the test results also came out.

Chen Cang took a look: "white blood cell count 17200/μL; aspartate aminotransferase level 183U/L; alanine aminotransferase level 81U/L; bilirubin level 3.60mg/dL; amylase level 3686 U/L."

Basically the condition can be diagnosed clearly.

But...the most important cases, acute pancreatitis, biliary obstruction and gastroduodenal intussusception caused by gastric cancer.

Family talks are required.

Chen Cang couldn't help but say: "How many calls, I'll call!"

Yang Jie reported the eldest son's phone number.

Chen Cang hit him directly.

After the phone call, Chen Cang said directly: "Hello, you are Mr. Zhao Kai's son, Zhao Zhiteng, right? I have to talk to you about something. Your father's condition is very dangerous now, and there may be a tumor. You need to improve gastroscopy and medical examinations, you have to come here!"

After hearing the stomach cancer, the man was stunned for a moment: "Okay, doctor, I'll be right now!"

Chen Cang was stunned!

So nice to talk about?

He has already held back his big move and prepared a long speech, but he didn't expect... it's so simple?

Afterwards, Chen Cang made three or four calls next to each other, and all of them were notified. As a result, after learning that the old man had stomach cancer, all of them came!

Chen Cang was stunned!

Could it be that... I also hung up when I called?

After hanging up the phone, Chen Cang shrugged: "Everything is coming!"

Even the people around were stunned.

Yang Jie was even speechless: "I'm better than you said, but why didn't you come?"

At this time, the young man in the tenant said, "Because the doctor said the old man has cancer, so..."

Suddenly, everyone was stunned!

This sentence is very meaningful...

...

ps: Two in one, ask for a ticket~