My medical skills are a billion points

"A lottery draw?"

Xiao Chu was overjoyed.

"lottery!"

This is the second chance to draw since getting the system.

He almost forgot when the first lottery draw was.

With an interval of more than two months and a huge gap in the number of patients received, it seems that the lucky draw opportunities presented by the system are not regular.

"Ding! Congratulations to the host for winning the radical operation for pancreatic cancer."

"The radical surgery for pancreatic cancer is world-class, it can perfectly solve the problem of pancreatic adhesion, the tumor is radically eradicated, and it has special effects. Pancreatic cancer surgery performed by the host will not recur.

hiss!

Xiao Chu took a deep breath.

This radical operation for pancreatic cancer is huge!

Pancreatic cancer is one of the malignant tumors. Once pancreatic cancer is diagnosed, the patient will not have long to live.

Pancreatic cancer has a high mortality rate, a high recurrence rate, and a five-year survival rate of less than 5%.

And now Xiao Chu got the radical surgery for pancreatic cancer, and it has special effects, so it won't recur after radical surgery.

This is a unique ability in the world.

After receiving this reward, Xiao Chu's mood is like drinking ice-cold Sprite in the dog days, his heart is cool and his heart is flying.

Taking advantage of the absence of patients, Xiao Chu went back to the doctor's office to drink some water and rest for a while.

I saw a 35-year-old young man holding Zhou Ziqiang's arm and pleading.

"Doctor Zhou, I have seniors and children, I can't die, you must save me!"

The man looked sad and fearful, and he held on to Zhou Ziqiang's arm tightly.

Zhou Ziqiang sighed quietly, slowly let go of the man's hand and said softly:

"According to your chest ct scan, you only suspect lung cancer, but now it has not been diagnosed, so you don't have to be so afraid!"

In fact, Zhou Ziqiang said this against his will.

Who doesn't know that as long as you can see a general idea in the film, it is almost qualitative.

Zhou Ziqiang said this just to comfort the man.

Unexpectedly, the man became even more excited after hearing Zhou Ziqiang's words.

"Doctor Zhou, you don't have to lie to me. Your doctors are always ambiguous. In my case, as long as the CT scan shows that it is suspected to be lung cancer, basically you can't escape.

And I also checked in Baidu, as long as it is found to be cancer, it is basically in the late stage.

Dr. Zhou, I am still young now, and I have older and younger children.I can't die so early, Doctor Zhou, please, you must find a way to keep me alive. "

When the man talked about the excitement, he even got a little out of breath, and then coughed violently after a while.

It took a long time before he stopped coughing, and his face had turned a little pale.

The uncontrollable cough aggravated his fear of cancer.

Zhou Ziqiang had to comfort the man again.

"I've already told you, don't believe what is said on the Internet. You are just suspicious of the film now, and the final diagnosis requires a pathological tissue biopsy. It may not be cancer by then, maybe.

Besides, even if it is diagnosed as lung cancer, it is not impossible to treat it now. You can perform surgical treatment first, remove the diseased lung, and then perform radiotherapy or chemotherapy. "

In order to comfort the man's emotions, Zhou Ziqiang also had to speak against his conscience.

If lung cancer is really diagnosed, there is no such thing as a cure!

It's just delaying the disease and prolonging a certain life.

Generally speaking, as long as the diagnosis is lung cancer, the 5-year survival rate is only more than ten percent, and it is difficult to exceed 20%.

That is to say, even after surgery for lung cancer, no more than 5% of people will be alive after [-] years.

No wonder the man was terrified and helpless.

Hearing the man's begging, Xiao Chu walked over involuntarily.

Seeing Xiao Chu approaching, Zhou Ziqiang seemed to have seen a savior, and before Xiao Chu could ask questions, he said directly:

"Xiao Chu, this patient mainly has a cough that has worsened for half a year, and he has been here for half a month. He doesn't usually have any medical history.

In the past half month, the cough has become more severe. It is an involuntary cough, and occasionally bloody sputum.There is usually a history of smoking, but not more than one pack a day.

Occasionally, it will be accompanied by low-grade fever, generally not exceeding 38 degrees.After he came, he had a chest ct scan, the film is like this, you can take a look. "

Seeing another doctor coming, the young man stopped begging Zhou Ziqiang.

Looking at Xiao Chu eagerly, waiting for his conclusion.

Xiao Chu took a chest CT and looked at it, and found that at the bottom of the man's left lung, there was a shadow the size of a dime, and there seemed to be burrs around it, and the boundary with the surrounding tissue was unclear.

Judging from the man's chest ct film alone, the first consideration is lung cancer, and it is peripheral lung cancer.

Combined with the man's symptoms, cough, hemoptysis, and smoking history, the possibility of lung cancer is very high.

It's no wonder that this man, when he heard that he had lung cancer, almost broke down emotionally.

When the man saw Xiao Chu, he didn't speak after watching the film, but hurriedly turned his attention to him.

Looking at Xiao Chu sadly, he said: "Doctor, am I seriously ill? I beg you to find a way to save me. I can't die."

As a doctor, as long as you watch such a film, you will be diagnosed with lung cancer in all likelihood.

If the diagnosis is 100%, further pathological examination is definitely needed.

But regardless of whether there was a final inspection or not, based on this film alone, the young man has basically been sentenced to death.

Even if he has a chance of surgery, even if he has no metastasis, the survival rate after 5 years is extremely low.

Xiao Chu looked at the terrified and helpless young man, the 3D medical intuition image ability was automatically activated, and he looked at his whole body.

When Xiao Chu looked at the whole body of the young man, especially his lungs, he couldn't help but burst out laughing.

From the film, this man can basically be diagnosed with lung cancer, but the actual situation is not.

Chapter 71

Xiao Chu didn't answer the young man's words, but said to Zhou Ziqiang:

"Brother Zhou, but judging from his film, it is true that the possibility of lung cancer is very high. But I think we should give him a fiberoptic bronchoscopy and take a biopsy of his pathological tissue. After the diagnosis is 100% confirmed, we can consider it again." His follow-up treatment."

Zhou Ziqiang nodded and said, "I think so too, and I've told him, but he doesn't believe it. He always thinks that he has 100% lung cancer, and there is no cure for it."

Now that Zhou Ziqiang had already thought of doing a fiberoptic bronchoscopy for the man.

Then Xiao Chu will not remind him any more.

Because this young man only needs to check the fiberoptic bronchoscope, then the truth of his condition will be revealed.

At that time, it will be a shocking news for the man.

However, fiberoptic bronchoscopy is not just done.

Right now, young men still have to endure some psychological pain.

The shadow of the man's lungs is highly suspected to be lung cancer on the film.

In fact, it was his lung bronchi that choked a piece of pepper skin the size of a fingernail.

Due to the long time, the shadow looks like lung cancer on the film.

But as long as you check the fiberoptic bronchoscope, you can see this pepper skin.

When the time comes, take it out directly, and the man's condition will be cured.

However, although Xiao Chu was clear about this situation, he couldn't tell the patient, nor could he tell Zhou Ziqiang.

Because once Xiao Chu mentioned the specific cause of the disease, he couldn't explain how he diagnosed it.

In order to prevent unnecessary troubles, Xiao Chu of course chose not to speak out.

Since Zhou Ziqiang had already thought of using fiberoptic bronchoscopy, the man's condition would be diagnosed sooner or later.

It doesn't have any effect on men either.

Seeing that the young man was still looking at him eagerly, Xiao Chu turned his head and comforted him:

"You don't have to worry too much. The film doesn't seem to be a big problem. After you finish the fiberoptic bronchoscopy, the condition may not be what you imagined.

Maybe there will be a surprise for you.So you put your heart in your stomach now, and wait until after the examination, okay? "

Of course Zhou Ziqiang thought that what Xiao Chu said was just to comfort the man.

Immediately, he also put on a sincere look and looked at the man.

"I'll make an appointment for a bronchoscopy for you first, and you can have an examination in the afternoon. We'll make a conclusion after the examination. Maybe it's not a big problem."

The young man knew in his heart that the two doctors were probably just trying to comfort him.

But he had already talked about this, and he couldn't entangle him any longer, so he left anxiously, waiting for the fiberoptic bronchoscopy in the afternoon.

Xiao Chu and Zhou Ziqiang were chatting about the young man suffering from lung cancer, when the nurse rushed in and shouted: "The ambulance will bring a critical patient right away, which doctor is on duty today?"

"I!"

Zhou Ziqiang grabbed the stethoscope and rushed out the door.

Xiao Chu followed behind and also hurried out.

As soon as I stood at the gate of the emergency department, the ambulance came roaring.

After the emergency doctor got off the car, he hurriedly introduced the simple condition.

"Male, 50 years old, fever for two days, unconscious for one hour, 5 days ago due to left knee injury, the clinic did a simple debridement and suture, now it seems that the wound has signs of infection, blood pressure 60/40mmHg. The patient Preliminary consideration of the situation may be septic shock."

"Quick, push to the emergency room!"

Zhou Ziqiang shouted hastily.

"First use dopamine 200 mg intravenous infusion to correct blood pressure, continue intravenous infusion of dextrose and succinylated gelatin injection..."

After pushing the patient to the emergency room, Zhou Ziqiang hastily issued a series of emergency medical orders.

Septic shock is also a very dangerous disease.

Now the patient has developed shock. The main treatment principles are anti-shock, replenishing blood volume, raising blood pressure, and anti-inflammation.

However, after 2 minutes, the nurse still did not apply the fluid.

The patient's consciousness is becoming more and more blurred.

Zhou Ziqiang suddenly became anxious.

"What are you eating? I haven't had the needle yet, so does the patient still need medicine?"

The nurse who gave the needle was not a newcomer, but an old nurse who had been working for several years.

The doctor reprimanded her and didn't dare to answer back, but explained in a low voice: "His blood pressure is too low now, and the blood vessels are completely flattened, so he can't get in!"

Seeing that the patient was getting sicker and sicker, but the needle could not be inserted, and the medicine could not be infused, Zhou Ziqiang was also furious.

But what the nurse said was true, but he was helpless.

Doctors generally don't know how to give needles, even if they are not as good as nurses.

"If it doesn't work, please ask the anesthesiologist to come over and do a deep vein catheterization!"

Zhou Ziqiang gritted his teeth and said.

A deep venous catheter is a catheter placed in a central vein.

It is generally used for blood transfusion and infusion of critically ill patients, as well as patients who are difficult to puncture peripheral veins due to various reasons but need long-term intravenous infusion.

This operation is not a surgery, but it can be regarded as a basic skill of a doctor.

However, most doctors in the hospital can't do it.

Only those doctors in special departments, such as the anesthesiology department and the intensive care unit, will perform this catheterization.

Although Zhou Ziqiang is a surgeon, he has never done this deep vein catheterization.