I can see the status bar

Chapter 805 Painful Journey
B-ultrasound is a fairly common examination method in the emergency room, but in the comprehensive diagnosis center, this kind of examination is not easy-Takeda Pharmaceutical does not know whether it is intentional or unintentional, and has not equipped the comprehensive diagnosis center with mobile bedside B. Ultra instrument.

The operation of finding liver abscess is not what emergency doctors usually do. They use B-ultrasound to roughly understand whether unconscious patients sent to the emergency room have internal bleeding and other emergency problems.To carefully judge whether the organ is diseased or not, it is best to let a professional operate it.

In the Fourth Hospital, the Department of Radiology generally refers to the Department of Radiology under the Department of Nuclear Medicine.The ultrasound room is specialized in B-ultrasound examination.The ultrasound room generally accepts outpatients and inpatients.Few have collaborated with doctors in emergency departments and general diagnostic centers.

Yuan Pingan volunteered to take Qian Ziwen for a B-ultrasound examination, and then lost face in his own hospital very shamelessly.In the end, he looked at the signs on the ground and asked two doctors working in the outpatient clinic before sending him to the ultrasound department.

The ultrasound department had already prepared the examination room, and even specially selected a children's ultrasound room that was painted pink.During the B-ultrasound examination, the monitor on the right side of the examination bed is the monitor that the sonographer looks at, and a TV is hung from the ceiling above the left side of the examination bed.It plays "Tom and Jerry" on loop while the doctor examines it.

Under this setting, the only factor that may affect the inspection is the laughter caused by children watching cartoons.At other times, most of them can tolerate B-ultrasound examination, and they don't even need to be accompanied by their parents.

In fact, there is an unwritten rule in the Pediatric Ultrasound Department-parents can accompany, but not dad.The reason... During the examination, the doctors found that some fathers even liked watching "Tom and Jerry" more than their own children.

Yuan Ping'an was waiting for the examination outside the door. At the same time, because he was wearing a white coat, he became the first choice for consultation with patients around him.After a while, a group of patients gathered around Yuan Ping'an, and they all asked Yuan Ping'an how to go to each department.Even Yuan Ping'an who asked was a little apprehensive.

"I'm not a doctor here, and I don't know how to go to those departments..." Yuan Ping'an was really anxious by the quarrel, so he tried to tell the truth to calm himself down a little.But this voice did not bring the "quietness" he expected. Instead, a voice asked, "Doctor, how can I get to the Comprehensive Diagnostic Center?"

Yuan Pingan followed the voice and found a young girl.Standing among a bunch of people, she seemed a little out of place.But when he saw Yuan Ping'an, his expression seemed to be seeing a savior.

Although you can get lost in the ultrasound department in your own hospital, Yuan Pingan still knows how to get to the department where you have to go to work every day.After pointing the way very kindly, Yuan Ping'an asked, "Are you visiting a patient?"

"No." The young girl shook her head, "My mother is hospitalized in the affiliated hospital, and the doctor there suggested that I take her to the Comprehensive Diagnostic Center..."

Yuan Ping'an suddenly realized that this was a business.He quickly said, "Well, you wait for me here for a while, there is a kid inside who is doing an examination. After the examination, we are going to go back there. We can go together when the time comes."

"Are you a doctor at the Comprehensive Diagnostic Center?" The girl suddenly became excited. She fumbled out a bunch of documents from her bag, and stuffed them into Yuan Ping'an's hands. She stuffed them and said, " Please, please help my mother...she has been ill for a long time!"

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Ji Xiuying is 59 years old this year.Seeing that her 60th birthday was approaching, she was always thinking in her heart that she might as well die.

The reason why this middle-aged and elderly woman, who has not seen her daughter in a wedding dress, is thinking about dying is her cough and fever that have not healed for a long time.

Since five years ago, Ji Xiuying has become a frequent visitor to the local hospital.In the summer five years ago, Ji Xiuying was hospitalized for examination because of low fever, cough and white sputum.Under the CT examination of the local hospital, nodules of different sizes and cluster shadows were found in both lungs.Subsequently, a PET-CT examination in another hospital revealed multiple soft tissue shadows and active metabolism in both lungs (the maximum SUV was 14.9).

After seeing the results of the examination, the local doctor tactfully suggested that Ji Xiuying go to the capital or Shanghai to see a doctor.The image of this examination generally means multiple metastases in both lungs.And there is a certain possibility of metastasis through the lymph nodes - but the multiple soft tissue nodules in other parts of her body are more likely to be benign lesions of the lymph nodes.

Worried that she might have lung cancer, Ji Xiuying and her husband went to the capital to see a doctor.They were very careful not to tell their daughter who was a freshman in the capital.After arriving in the capital, the old couple first lied that they were visiting the capital.Then I played with my daughter for two days before pretending to leave the capital, but in fact I went to the hospital to start the examination.

Ji Xiuying received CT-guided percutaneous lung biopsy in two hospitals.The result obtained for the first time in a hospital affiliated to Capital University was that "only a few tissues in the lung tissue could identify the alveolar structure, and most of them showed organized pneumonia." It is "a small piece of striated muscle and chronic inflammation of lung tissue, see epithelioid cell granuloma."

Regardless of the actual significance of these two results, at least for Ji Xiuying, the hospital in the capital proved that she did not have lung cancer.This is a great thing.According to the diagnostic opinion of the hospital behind, Ji Xiuying should be suffering from tuberculosis.

The treatment plan for tuberculosis is relatively simple—isoniazid, rifampicin, and ethambutol are combined for anti-tuberculosis treatment.This time, hospitals in the capital are more cautious.They didn't let Ji Xiuying go home to take medicine after prescribing a treatment plan.Instead, she was hospitalized in the capital for a full month and a half.One month after the start of anti-tuberculosis treatment, the capital hospital performed another chest CT examination for Ji Xiuying.The imaging examination showed that her lung lesions showed signs of improvement.Now, the hospital in the capital and Ji Xiuying are relieved, it seems that the disease should indeed be tuberculosis.

However... the development of the matter was beyond the expectations of the doctors and Ji Xiuying.A month after her nine-month anti-TB treatment ended, Ji Xiuying had a fever and cough again.

No one could have imagined that the more than one year of examination and treatment was just a prelude—a treatment and diagnosis that took five years and is still going on... makes people seriously consider "or die "The painful "journey".

(End of this chapter)