Chapter 237 A white lie, finding out the cause of the female lawyer’s illness

Author: Jiangbian Yuweng

Chapter 237 A white lie, finding out the cause of the female lawyer’s illness

In fact, the vast majority of people are very responsible, kind-hearted and honest.

This female patient had a strong sense of self-esteem and would rather go hungry than eat the meal sent by Zhou Can in vain.

How wonderful it would be if it were not someone who was entrusted to someone else!

She was tortured and abused at a young age and became like this. If she could escape from that devilish man in time, she might not end up like this.

In this era when there are more men than women, given her conditions, she can definitely find a good and reliable man and live a happy life.

Zhou Can comforted her and said nothing more.

After eating in the cafeteria, I brought her a packed meal back.

"Chen Xiaohong, I don't know if these meals are to your taste. Before your mother comes, I can only make do with it."

Zhou Can put the food on her bedside table.

Although her current condition is very weak, she has no problem taking care of herself.

This is why the inpatient department agreed to admit her into the ward when she had no one to accompany her.

"You...why did you really buy me food? I, I don't have any money now, can I give it to you then?"

The female patient was so moved that she could not speak coherently.

A doctor's obligation is to see and treat patients, and he has no obligation to take care of patients at all.

"It hurts my feelings to ask for money! When your illness is cured, I will go to your hometown if I have the opportunity. If you treat me to a nice meal, wouldn't it be even? Eat quickly! You are hungry.

After a meal, do you know what will happen to the tumor in your stomach?"

Zhou Can asked her seriously.

"What will happen?"

She would get up, open the food box, and when she saw the hot food, her nose would feel sore and her eyes would fill with tears.

But I feel extremely warm in my heart.

It's been a long time since anyone cared about her like this.

"Every time you starve for one meal, the tumor in your stomach will grow one-tenth. If you starve for ten meals, it will double in size."

Zhou Can made up a white lie seriously.

It is true that skipping meals will make your body weaker, your immunity will decline, and cancer cells will spread faster.

As for the tumor doubling in size after ten meals, this is purely made up by Zhou Can.

"It turns out that skipping meals can have such serious consequences!" She obviously believed it.

"The actual consequences may be more serious than this. So, from now on, you must eat on time and have a reasonable nutrition. Let me tell you, in this world, except life and death, everything else is trivial. Your stomach tumor is still there

It’s only stage II. As long as you receive the correct treatment in time, the effect will definitely be very ideal. Come on!”

Zhou Can encouraged her.

"Um!"

She bit her lip tightly, trying not to cry.

Zhou Can walked towards bed 79.

At this time, there was a middle-aged woman about the same age as the female lawyer in front of the bed. Whether it was an illusion or not, Zhou Can actually sensed the doctor's aura from this woman.

Is she also a medical worker?

"This is my good friend Cao Shan. She heard that I was hospitalized here, so she came here to see me."

The female lawyer smiled and took the initiative to introduce the woman's identity to Zhou Can.

"Hello, Ms. Cao!"

Zhou Can politely greeted the middle-aged woman.

Cao Shan stood up and reached out her hand, "Hello! Nice to meet you, an enthusiastic young doctor!" After the two shook hands ceremoniously, Zhou Can was about to ask the female lawyer if she had diarrhea.

Cao Shan lowered her voice and said, "I have never seen in medical journals or scriptures a statement that ten meals of hunger will double the size of the tumor! The doctor paid for the patient's meals himself, and also used white lies to deceive the patient.

When she eats, you are the most heart-warming doctor I have ever seen."

He is indeed a colleague.

I just don’t know which hospital she is a doctor from?

He shouldn't be a doctor from Tuya Hospital.

Otherwise, she should wear the hospital uniform.

"You're honored!"

After Zhou Can responded lightly, he looked at the female lawyer again.

"Ms. Gong, I would like to ask you if you have had diarrhea recently?"

Now that she has finished her meal, it shouldn't be inappropriate to ask.

"Diarrhea occasionally occurs. Especially a while ago, I would have diarrhea almost every once in a while. Later I bought antidiarrheal medicine and took it, and the situation got much better."

She didn't mention this during the medical history collection.

Many patients ignore this problem.

Only when you have diarrhea when you seek medical attention will you take the initiative to report it to the doctor.

Moreover, it must be continuous diarrhea to arouse the patient's alertness. If you have diarrhea once or twice occasionally, most patients will not take it seriously.

Zhou Can got the answer he wanted, and without further delay, he quickly returned to the ward to supplement the patient's information.

At one o'clock in the afternoon, I will follow Director Shang to the outpatient clinic for a consultation, so I must seize the time.

"Another symptom of diarrhea is added. What is the real cause of this female lawyer's illness?"

Zhou Can racked his brains to speculate on the real cause of her illness.

While thinking hard, a cause whose symptoms matched the disease suddenly flashed into his mind: portal vein thrombosis.

This is a relatively rare disease.

Portal vein thrombosis can occur in any segment of the portal vein.

The cause of the vast majority of cases is unknown.

Judging from current clinical experience, this disease may be related to purulent portal phlebitis, cholecystitis, adjacent lymphadenitis, pancreatitis, and liver abscess due to systemic or local infection.

Portal vein thrombosis is also thought to be associated with varicose veins.

Diagnosis of this disease is quite difficult.

Many old doctors may ignore its existence.

B-ultrasound and CT can theoretically detect this disease. At least some experienced doctors can see some clues.

However, to confirm the diagnosis, angiography or MRI must be done.

Angiography is generally preferred.

Depending on the location, splenic portal venography or superior mesenteric artery angiography can be performed. Through the venous phase of the angiography, it can be confirmed whether the patient has portal vein thrombosis.

Compared with common cardiovascular artery and cranial artery thrombosis, portal vein thrombosis is more like a silent silent killer.

After a blood clot occurs, some patients are more tolerant and may even take a long time to go to the hospital for treatment.

There are also acute and severe cases. After a blood clot occurs, the patient is sent directly to the hospital for rescue.

Such patients will experience paroxysmal severe abdominal pain around the umbilicus, often accompanied by obvious nausea, vomiting, blood in the stool, vomiting blood, diarrhea and other emergencies.

The female lawyer has been ill for at least more than a month, and she only seems to have some mild symptoms that are not particularly serious.

Zhou Can was not sure whether she had this disease.

I'll be able to sit in with Dr. Shang for a consultation later. I'll look for an opportunity to discuss it with him, and maybe I can get the answer.

The patient can at least be advised to undergo an angiogram.

When diagnosing such difficult and complicated diseases, hospitals will basically not consider whether the tests prescribed are excessive. As long as the attending physician believes that doing relevant tests is beneficial to diagnosing the cause and will not have a serious impact on the patient, he can apply for it.

Zhou Can thought that it would take an afternoon to go to the outpatient clinic. The gastric cancer patients in 77 beds and the liver cirrhosis patients in 79 beds were not in critical condition, and their physical signs were stable, so there was no need to worry too much.

71 patients with esophageal anastomotic leakage and anastomotic segment occlusion are a factor of instability.

Zhou Can decided to be more diligent and go to the ward to check on the situation.

If there is no problem, at least you can feel relieved.

Arriving at the ward, the nurse was giving nutritional injections to the 71-bed patient. Intravenous nutrition is the only way this patient can currently support his life.

Because the section from his esophagus to his jejunum was blocked, he couldn't eat anything.
To be continued...