sinovels Chapter 442 Are You Scared To Death By Yourself?
Chapter 442 Are You Scared To Death By Yourself?
The husband and wife are in their early 50s and have a good mental outlook. The husband is wearing a suit and has a slightly wealthy figure with the temperament of a superior, while the wife is thin and pale.
Wearing a Chinese cheongsam with a windbreaker over the cheongsam.
In addition to the vicissitudes of the years, the wife's face can also see the outstanding demeanor when she was young.
"Please sit down."
"Where does it hurt?"
Consultation begins in summer.
The wife sat down, and the husband said, "Doctor, my wife has eczema. Take a look at what's going on."
eczema?
General eczema is called Chinese medicine, Western medicine is generally called dermatitis.
but……
Different names do not affect the consultation.
Xia Tian asked: "In what part? Show me."
"here."
Aunt opened the collar, from the back of the ear to the back of the neck, there was a series of red rashes, small pimples that were dense or scattered, blisters that were hard to see with the naked eye, behind the ears, there was less oozing, and it began to dry and scab , the surface has scales mixed with scabs, and the color is darker or hyperpigmented.
Xia Xia pointed to the position behind his ear and said, "This piece should have been around for a while, right?"
Aunt sighed and said quietly.
"Almost a year."
"I went to see a lot of Chinese medicine practitioners and prescribed a lot of medicines, but they all said it was eczema."
In the summer, write in the notebook: go to other places to see.
"What medicine did you take before?"
Aunt answered truthfully: "I took Chinese medicine first, and then went to see a Western doctor. I used prednisone, combined with hydroxychloroquine, for half a year, and it got better at first, but after a long time, it was useless. ."
"Last week, we went to a dermatology hospital."
"The doctor said I had lupus erythematosus."
"I heard that lupus erythematosus is incurable, so I was so frightened that I hurried back to the provincial hospital to have a look. Doctor, do I have lupus erythematosus?"
When he heard the words 'lupus erythematosus', Xia Tian subconsciously glanced at Han Meiji.
Han Meiji was working at the desk and did not notice the two of them.
Summer took a deep breath and calmed down.
Continue to ask: "Apart from the skin, what other symptoms are there?"
Aunt sighed.
"I don't sleep well, I can't eat, I have a cough, my heart is racing, and sometimes I have trouble breathing."
"Also, there's depression."
"This problem has tormented me for more than a year. Although it is not painful or itchy, I think about it every day, and my heart is anxious and unspeakable."
Coughing, difficulty breathing, and inability to eat.
Summer wrote down these three key questions.
Continue to ask: "Do you have chest pain, joint pain, or muscle weakness?"
Aunt shook his head: "No."
Xia Xia said, "Let's do a basic inspection."
Aunt nodded: "Okay."
Blood routine, liver function, kidney function, and anti-nuclear antibodies, the list was issued, and the husband and wife took the list for examination.
After the couple left.
Two more sutured patients were done in the summer.
Busy for a while, 4:30 in the afternoon.
The couple is back.
Aunt handed the list to Xia Xia: "Doctor, it's checked out, please take a look."
Summer in turn.
Body temperature: 37.7°
Blood pressure: 160/89mmHg.
Heart rate: 125 beats/min.
The rash on the neck and shoulders was V-shaped with erythema and itching.
Blood routine: increased white blood cells, mainly neutral.
Liver function: normal.
Renal function: normal.
Antinuclear antibodies: normal.
Body temperature, blood pressure, and heartbeat were slightly high, but they were not serious.
At this time.
Aunt opened his mouth and said, "Doctor, I checked online, and my symptoms are likely to be amyopathic dermatomyositis."
"It is said on the Internet that this disease is easy to be misdiagnosed and not easy to diagnose."
"Do you know about this disease?"
Xia Tian nodded: "I know."
"Your symptoms do have something like amyopathic dermatomyositis."
"but……"
"You said you were having trouble breathing, didn't you?"
Aunt nodded: "Because of this disease, I often can't sleep, I have insomnia, and after a long time, I start to feel uncomfortable, my heartbeat also accelerates, and my breathing is not smooth."
"Hey...it's useless when people get old."
"It's not enough to stay up all night."
"However, I checked on the Internet, and dermatomyositis has such symptoms, shortness of breath and rapid heartbeat."
"It shouldn't be a big problem, right?"
Big problem! ! !
In general, 15%-27% of patients with dermatomyositis have cancer.
Plus Aunt was out of breath.
Xia Xian had a chest CT and said to Aunt, "Do a chest X-ray and take a look at the lungs."
Aunt was stunned.
He asked blankly: "I just have bad skin. What do I do with my lungs? Besides, I don't smoke."
"Because you said, there is a situation of shortness of breath."
"Just to be on the safe side, get your lungs checked."
"If the lungs are okay, it's okay."
Summer didn't tell Aunt about the 15%-27% cancer rate.
Try not to scare the patient away until a diagnosis is made.
Aunt was a little unhappy.
White summer look.
It seems to be saying: This boy, can you do it? Won't fool us with money?
But Aunt is very disciplined.
Nothing was said.
Reluctantly took the list and went to check.
Five thirty in the afternoon.
The two returned.
Aunt handed the list to Xia Xia: "Look at it."
Sweep the summer.
There were nodules and patchy shadows in the lungs. PE-CT showed lung cancer with mediastinal and hilar lymph node metastasis.
For a moment.
Xia Tian frowned immediately, and a disease popped up in his mind.
Small Cell Lung Cancer! ! !
Xia Tian immediately said: "There are nodules in the lungs, do a puncture check."
As soon as they heard the puncture, the expressions of the two people changed instantly.
The husband asked weakly, "Doctor...why did the puncture? Is it cancer?"
Summer looks serious.
"It takes a puncture to do a pathology to confirm the diagnosis, but... From the CT point of view, the results may not be very good."
Doctors can't just settle for cancer without a diagnosis.
Only 'not so good' can be used to imply the patient.
The faces of the husband and wife changed rapidly.
Aunt's face turned pale for a moment, and then he covered his face and cried bitterly.
"I obviously have eczema... How can I get cancer?"
"Also, I've never smoked in my life."
Cigarette patients account for 80% of lung cancer. Therefore, when it comes to lung cancer, the first thing that comes to mind is smoking.
However, 20% of non-smokers still develop lung cancer.
Such as kitchen fumes, formaldehyde, etc...
In life, in addition to cigarettes, there are still many things that can cause cancer.
No smoking ≠ healthy lungs.
Summer was just about to speak a word of comfort.
I see.
Aunt has a huge red exclamation mark above his head.
Xia Tian panicked: "Little baby, use a life countdown on Aunt."
[Zhang Yuhong, female, 53 years old, advanced small cell lung cancer, has metastasized, and died 40 days later. 】
"This……"
Sure enough, it's small cell lung cancer! ! ! !
Moreover, it is already late transfer.
"Can't this be cured?"
【It can't be cured! 】
Hey……
Xia Xia sighed. 80% of cancers are cured in the early stage, 40% in the middle stage, and about 15% in the late stage. Although the probability is low, there is still hope.
Bad luck for this Aunt...
but……
Xia Tian found a problem: "Little baby, something is wrong?"
"When Aunt first came in, there was no exclamation mark on her head, indicating that she could live more than three months, and the cancer was already in her body. Why is there only 40 days left to live now?"
"Could it be that going to the emergency room shortened her life?"
[Before she knew about cancer, she could live a little longer, and now...there are only forty days left. 】
Summer: o((⊙﹏⊙))o
"What do you mean...because she knew she had cancer, she was under great psychological pressure and shortened her life time."
【Yes! 】
"This……"
This is a legend, are you scared to death by yourself?
"How long does she have to live before she has cancer?" Xia Xia asked in a hoarse voice.
[This is not important. 】
"I would like to know."
[Knowing that it is not good for the host. 】
"Go ahead, tell me."
"How long?"
【Two years and 10 months. 】
! ! ! !
Summer: My mind has collapsed...