I can see health

Chapter 449 is not a mother
It happened that Lu Chen's ability to read films has been greatly improved after he exchanged the intermediate skill book of "CT Scanning".

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

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

About 10 minutes later, Fan Yujing returned to the doctor's office.

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

"Teacher Fan, take a look at the previous CT of this patient."

As soon as Fan Yujing took a look, her face became a little ugly.

"Lu Chen, check it out, which doctor in our department took care of this patient before?"

She has also seen that the lung occupying space on the patient's CT is not a good thing!
Lu Chen found the doctor's signature in the course record, "The signature is Dr. Wang Renyong, who just left the night shift today..."

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

"Hi, 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 further examinations, but both the patient and the family members refused. In the end, she had to come to the clinic for regular chest CT examinations, but it seems that there is no did not come."

Lu Chen felt a little helpless. The doctor really couldn't do anything about this kind of patient who didn't follow the doctor's advice.

"Lu Chen, what disease do you think the patient is?" Fan Yujing asked suddenly.

After a pause, Lu Chen said slowly, "It's not clear yet, but the patient's mental state is abnormal, first of all, a cerebrovascular accident cannot be ruled out, but according to the patient's current CT condition, a tumor-related brain disease cannot be ruled out."

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

"No!" Lu Chen said firmly, "I asked the patient's family members, and she had never done this before. Moreover, I called the patient several times, and through her reaction and physical examination, I basically confirmed her lethargic mental state. .”

Fan Yujing frowned, looked at Lu Chen in front of her, and thought, this student is interesting!
It's not like the 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 take her to the outpatient clinic for a reexamination of chest CT." Fan Yujing said.

"Ok, no problem."

……

In the office, Lu Chen taught Wang Defa to write the course records.

He didn't expect that this junior 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 present 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 diseases have been suffered, how to treat them, and what the prognosis is, all must be written!"

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

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

CT last night, the results came out quickly.

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

Sure enough, the space occupied by the previous lung CT became larger!
And the size is not a little bit, but doubled, reaching about 2cm!

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

This is a typical change in lung cancer!
"This kind of space occupation, with burrs on the edge, is probably a malignant tumor in the chest!"

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

I don’t know if I don’t check it, I’m shocked if I check it!
New space-occupying nodules suddenly appeared on the patient's head and liver.

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

"Sure enough!" Lu Chen thought in his heart, "It seems that the tumor has metastasized to the head and liver! This is why the patient has symptoms of lethargy!"

However, Lu Chen had 1 reasons in his mind.

Why did the chest CT of the patient change so much in just two months?

……

Back to the first ward of respiratory medicine.

Fan Yujing also learned the news immediately.

"I think it's probably a tumor." Fan Yujing saw the re-examination of the chest CT film, "I have to communicate with the patient's family about the condition again!"

outside the ward.

Fan Yujing had already 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 just pneumonia..."

"You said it yourself, that was two months ago! At that time, there was not only pneumonia, but also nodules. In addition, we are just guessing at the moment, and it is probably something bad." Fan Yujing said, "If you agree to confirm the diagnosis, then Need to do electronic bronchoscopy!"

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

She was rubbing the corners of her clothes with her hands, looking dazed.

"Isn't the immediate family here yet?" Fan Yujing frowned and looked at Lu Chen who was on the side.

"It has been notified." Lu Chen shook his head, "Come tomorrow at the earliest."

The 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 tell why.

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

At this time, Fan Yujing suddenly asked.

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

The patient's daughter-in-law first opened her mouth, wanted to say something, then swallowed it back, and then stammered: "My mother said she is already well, so there is no need to come over for a review."

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

Before Fan Yujing could finish speaking, she was interrupted by the patient's daughter-in-law, "Doctor, I didn't refuse! It was my mother herself. She doesn't want to come for a follow-up examination. Can I still tie her here?"

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

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

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

……

Go back to the doctor's office.

Both Lu Chen and Fan Yujing were a little silent.

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

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

No one could have imagined this!
The most distressing thing is that the doctor has warned in advance, but it is still useless after all.

　Add more from tomorrow

　　
　
(End of this chapter)