Chapter 258: Why didn’t you tell me earlier about caesarean section?

Author: Jiangbian Yuweng

Chapter 258: Why didn’t you tell me earlier about caesarean section?

He began to press on various parts of the patient's abdomen.

When pressing the middle area of ​​the upper abdomen near the right side, the patient made a grunting sound.

"It hurts, it hurts!"

she shouted hurriedly with a vibrato.

Zhou Can did not stop the pressure pain test, but continued to press the surrounding area, and the patient had no pain reaction.

After he finished pressing, he returned to the tender area. While pressing, he closed his eyes and felt it carefully.

If not for the serious look on his face, the family members would have thought that this doctor was dishonest and was taking advantage of their daughter.

"Okay, her lesion area can basically be identified as the jejunal segment of the small intestine. This is also consistent with the results of the gastrointestinal angiography. Duodenal lesions are generally caused by inflammation and ulcers. In addition to inflammation and ulcers, the ileum is also prone to

Bleeding. Only the jejunum segment has the highest probability of malignant disease in clinical practice."

Dr. Chi, who is also a doctor, immediately understood something when he heard what Zhou Can said.

Sometimes, even if the cause of the patient's disease has been found, you should be as tactful as possible when telling the patient the diagnosis. Telling the patient directly that you have a terminal illness can easily cause the patient's psychological collapse.

Many patients are very nervous when they go to the hospital for treatment.

In this case, their psychological endurance should be taken into consideration.

"Doctor, what disease does my daughter have?"

When the family members heard that Zhou Can's words were wrong, their faces suddenly turned pale.

I pity the hearts of parents in the world.

The love for your children is like the flesh on the tip of your own heart.

When they heard that their daughter might be seriously ill, the family members were extremely panicked.

"It's just a preliminary diagnosis right now, and there's not much we can do. Don't be too nervous. I think she's in pretty good condition right now. She only has a strong tenderness reaction in one part. This is a good thing. It means the disease was treated promptly and it's still in its early stages.

stage."

Zhou Can explained to the family members.

Now he finally understood why the monks in the temple always liked to practice Zen.

Telling some things directly to the person concerned will not be acceptable to the other party. Let the other party understand it on their own, which will be more kind.

"Dr. Chi, I suggest that the patient undergo an exploratory laparotomy. Of course, if possible, you can discuss it with your family before the exploratory surgery. If surgery is needed, we can do it together at that time. This can minimize the patient's surgical harm.

."

Zhou Can's next suggestion, not to mention the family members, even Dr. Chi was shocked.

Exploratory laparotomy is an invasive exploration, and it is only done when facing some critical and malignant diseases.

"Can't I do a colonoscopy?"

Dr. Chi asked seriously.

"I'm afraid not. If colonoscopy can detect it, the cause of her disease will not be difficult to diagnose. I personally recommend a laparotomy." Zhou Can's resolute attitude made Dr. Chi become serious.

He knew Zhou Can's abilities well.

Zhou Can would never have made such a firm request for an exploratory laparotomy if he was not sure.

"Dr. Zhou, could you please tell me the basis for doing this examination?" Dr. Chi would definitely not agree rashly.

He decided to listen to Zhou Can's inspection evidence first.

"Doctor, my daughter is still so young and unmarried. If she undergoes a laparotomy, it will leave ugly scars, which will affect her future marriage and life. Please make a careful decision and try to avoid it if you can."

The family members begged weakly beside him.

For family members, they actually have no right to change the examination and treatment decisions made by the doctor.

It's usually the doctor who has the final say.

Family members and patients are in a vulnerable position because they do not understand the medical profession.

When you get to the hospital, you basically have no choice but to trust the doctors and nurses and put the right to life in the hands of the medical staff.

Generally speaking, the vast majority of doctors and nurses are just, kind, and very compassionate. I believe that as the law continues to improve, the supervision and crackdown on that small group of 'rat shit' will become increasingly strict.

The more severe it is.

Some well-established hospitals have a large number of veteran comrades who spontaneously protect the red line of medical ethics from being trampled on.

For example, this is the case with Tuya Hospital.

Those with poor medical ethics will find it difficult to develop in Tuya Hospital.

"Let's go outside to discuss it, so as not to affect the patient's rest."

Zhou Can glanced at the girl on the hospital bed and walked out first.

"When I performed the tenderness test and palpation just now, I already knew that there may be hard nodules or tumors in her abdomen. In addition, some of her symptoms are close to malignant tumors. In addition, I have come into contact with some similar diseases in the Department of Critical Care Medicine.

Many patients with the disease are discovered too late and miss the opportunity for surgery. This patient is exactly the same age as Hua. I think life safety is far more important than leaving a scar on the abdomen."

Zhou Can's words were not only for Dr. Chi, but also to tell the family members that your sister's disease is likely to be a malignant tumor.

He called Dr. Chi and his family members to talk outside the ward in order not to cause psychological burden to the patient.

"Doctor, what disease does my daughter have? What does malignant tumor mean?"

The girl's mother asked nervously.

No matter how stupid the family members are, they can still feel that something is wrong in the atmosphere.

By this time, they must have realized that the problem might be very serious.

It's just that Zhou Can is very young, and his family members have doubts about his medical skills and diagnosis and treatment experience. The family members still have great luck in their hearts, thinking that their daughter is so young that it is impossible to have a serious disease.

"Malignant tumors are what people often call cancer. In medicine, we classify tumors into benign and malignant. Benign tumors are less dangerous. As long as malignant tumors spread, it will almost enter the countdown to life."

After Dr. Chi explained this, the girl's mother's face turned pale, without a trace of blood, her body swayed, and she almost collapsed to the ground.

Fortunately, I was supported by my husband next to me.

"It's just a preliminary diagnosis now. You don't have to be too pessimistic before the final test results come out. And Dr. Zhou also said just now that your daughter sought medical treatment in time. Even if the test results are really bad, it's not the worst.

That step.”

Dr. Chi quickly comforted the family members.

"Then according to your opinion, my daughter must undergo a caesarean section? Is it dangerous to cut open the abdomen?"

At critical moments, men can still resist.

Although the girl's father was also frightened by this shocking news, he still tried to stay calm and shouldered the responsibility of being the head of the family.

"Any invasive surgery has risks, but the technology for laparotomy in our hospital is very mature, and the probability of an accident should be one in a million. Moreover, before the exploratory surgery, a professional anesthetist will assess the patient's physical condition.

Conduct a risk assessment and agree to perform exploratory surgery only if it is deemed relatively safe."

Dr. Chi tried his best to allay the family members' concerns, but at the same time he did not say anything to death.

If something happens, I'm sorry, your daughter is not lucky enough to be like this 'one in a million'.

If a doctor doesn't know how to trick someone, he really can't do it.

"Isn't the colonoscopy you mentioned earlier also possible?"

The girl's father is still making last-ditch efforts.

"If the tumor is in the intestine, it can definitely be detected through colonoscopy. If the tumor is outside the intestine, colonoscopy cannot detect it. Especially some malignant tumors in their early stages are extremely secretive. Because of your daughter's condition

It was quite complicated, and I was worried about misdiagnosis or missed diagnosis, so I invited Dr. Zhou to come over for consultation."

Dr. Chi said.

"I have something to say, please don't mind asking you two doctors! Dr. Zhou looks very young, can he see accurately? Can you please ask an older doctor to come over and help you look at it?

After all, I have to make an incision on my daughter’s stomach, so it’s better to be cautious about this.”

The girl's father finally raised questions about Zhou Can.

Zhou Can is indeed very young.

A young man in his twenties does not look like he is at an age where he has great medical skills.

"Hmm... that's okay. I'll ask an older chief physician to come over and take a look later."

Dr. Chi agreed.

"Dr. Zhou, thank you for coming to help today. I will ask Director Shang or Director Zheng to take a look at it later and then give you an answer. I will definitely convey your diagnostic opinions to them."

The family members' doubts made Zhou Can somewhat embarrassed, and Dr. Chi tried hard to eliminate the embarrassment.

"You're welcome. If you have any questions, Dr. Chi can come to me at any time. This patient's illness must not be delayed. I'll go back and get busy. Goodbye."
To be continued...