Chapter 624 This is liver cancer, the worries of Yuanyang Hospital
Li Quan subconsciously picked up the patient's medical record and took a look. Wang Juan, 51 years old.
I didn’t expect that this woman who looked only in her twenties was actually over fifty.
At the age of 50, she can still maintain such a good figure. Liposuction, plastic surgery, and beauty treatments are all impossible. There is only one possibility, that is, high self-discipline and a lot of fitness exercises every day.
"Hello, Mr. Dean! I accidentally sprained my foot two months ago and fractured the navicular bone of the arch of the foot. It was not particularly serious. After putting on a plaster, I took some medicine and rested at home for six weeks. Then I went to the hospital to remove the plaster board and have a follow-up examination. Bone callus had grown and the healing was going well. The doctor recommended that I do some rehabilitation training.
After a few days of slowly getting used to it, I felt fine.
I have always liked sports.
I have been resting at home for nearly two months and I am tired of it. Now that my left foot has healed, I can't help but exercise.
Maybe I over-exercised. The next day, I felt sore muscles in my legs, waist and arms. I thought it was caused by not exercising for a long time and then over-exercising.
So I didn't care.
The next day, I endured the pain and still insisted on exercising.
Because according to experience, sudden excessive exercise causing muscle soreness will recover in three to five days as long as you keep exercising.
Who knew my experience wouldn't work this time.
On the third day, the pain had spread to many parts of my body, and even breathing was painful.
By the fifth day, my condition had not improved but had become worse. I had no choice but to go to the hospital for treatment.”
The girl recounted the story of how she became ill.
Li Quan nodded slightly.
"Based on your description, I believe you just have the most common local muscle soreness caused by excessive accumulation of lactic acid."
Lactic acid is an intermediate product produced during the metabolism of glucose in the body during exercise. Due to relatively excessive exercise, which exceeds the intensity of aerobic exercise, the lactic acid produced in the body cannot be further decomposed into water and carbon dioxide in a short period of time, and the oxygen supply is insufficient, resulting in anaerobic metabolism, which leads to the accumulation of a large amount of excessive lactic acid in the body.
Lactic acid accumulation can cause local muscle soreness.
Under normal circumstances, the soreness and pain symptoms caused by excessive lactic acid accumulation can be quickly relieved by continuous aerobic exercise, which can promote the decomposition of lactic acid and eliminate the pain symptoms.
"Is this your first visit here?" Li Quan asked.
"Uh... no! I first went to Yuanyang Hospital for treatment because my home is closer. I was treated there for four days, but there was no effect at all. I was worried that something might go wrong. I happened to hear that your Huier Hospital is very good and won first place in the national medical skills competition, so I asked to be transferred to your hospital for treatment."
The woman was honest enough and told everything.
Another patient transferred from another hospital.
Recently, Huier Hospital sees many such patients every day.
This also made Li Quan realize how important the reputation of a hospital is.
Huier Hospital won the first place in the national medical skills competition. After this sign was erected, it attracted many patients to seek treatment.
In a hospital, the number of patients seeking treatment directly determines life and death.
The quality of diagnosis and treatment determines whether a hospital can develop in the long run.
"Have you done a lactic acid test?" Li Quan continued to ask.
Huier Hospital and Yuanyang Hospital have always been enemies. Li Quan was very happy to snatch patients from Yuanyang Hospital.
Moreover, as long as there is certainty that this case can be cured, it can be hyped to death.
The reports were widely publicized and severely slapped the face of Yuanyang Hospital.
"I did, but the lactic acid content in my muscles was seriously exceeded. Director Zhou Canghai of Yuanyang Hospital prescribed me some medication for treatment, told me to breathe more oxygen, and hired a professional nurse to help me with massage, but the effect was not obvious."
After listening to the woman's story, Li Quan felt that there was nothing wrong with the treatment methods of Yuanyang Hospital.
Any qualified hospital will basically give priority to this method for treating excessive lactic acid accumulation.
Continuous aerobic exercise can accelerate the excretion of lactic acid from the body along with energy metabolism.
Oxygen inhalation and massage can indeed accelerate the excretion of lactic acid.
But there is no effect at all, which in itself is very telling.
Ocean Hospital can be regarded as a pathfinder for Huier Hospital.
"Ms. Zhao, let me feel your pulse first!" Li Quan tried to feel the woman's pulse, performing both the inspection and smell diagnosis techniques at the same time.
The pulse is sluggish and slightly floating.
The so-called sluggish pulse refers to a thin and poorly flowing pulse, which in the human body causes qi stagnation and blood stasis, and damages the essence and blood.
It seems that this woman has another illness.
"How about this, you do an MRI first, and then I will make the next diagnosis based on your test results."
Li Quan applied for an examination for her on the spot.
The family members pushed the patient to pay the fees and get checked.
Professor Tang remained silent.
Now that the patient and his family have left the outpatient clinic, he couldn't help but ask.
"Dean, what did you find out?" He made some discoveries from Li Quan's expression.
After dealing with Li Quan many times, Professor Tang became more or less familiar with some of Li Quan's subtle expressions.
Whenever Li Quan showed this calm and composed expression, it probably meant that he had diagnosed the patient's disease.
"Let's wait patiently for the results!" Li Quan smiled mysteriously.
"No, I have an important interventional bypass surgery to perform soon. Dean, please don't keep me in suspense. Just tell me." Professor Tang said with a shy face and a smile.
At this moment, Professor Tang still had a trace of the dignity and aloofness of the director of the Department of Internal Medicine.
He is totally a naughty old boy.
"Well... since you've asked me to do you this, I have to give you this favor. But let me be frank. If I make a wrong diagnosis, you are not allowed to laugh at me. This lady has too much lactic acid in her body, which has caused a poisoning reaction. At first glance, it seems to be caused by sudden excessive exercise, but when I took her pulse just now, I found that her pulse was astringent and slightly floating.
There is obvious stagnation of Qi and blood in the body, especially in the liver.
The liver is the most tolerant organ in our body.
Because it has no pain nerves.
Whether we are angry, drink alcohol, or eat poisonous food, the liver will endure silently and break down those toxic and harmful substances for us.
Liver cancer patients are basically diagnosed with the late stage.
Because in the early and middle stages of liver cancer, patients hardly feel any abnormalities.
This lady's liver may have developed a malignant tumor, but it is not in the advanced stage yet. This sudden physical exercise caused lactic acid accumulation in the body, which became a fuse.
In fact, even if she hadn’t over-exercised this time, if she had been checked in the hospital, her lactic acid level would have been seriously exceeded.”
Li Quan analyzed the pathology and causes of the disease, as well as the basis for his inferences, to the internal medicine doctors.
It is meticulously written, logically rigorous, and the application and dialectics of medical knowledge amazes everyone.
They feel inferior to them.
"Oh my, why didn't I think of this? In cancer, malignant tumor cells generally have an intrinsic increase in anaerobic glycolysis activity, so when tumor cells are present in large numbers, overall lactate production increases. LA associated with most cancers is seen in hematological malignancies or tumors with extensive liver infiltration. LA in cancer patients is mostly due to increased lactate production by tumor cells, accompanied by liver and kidney dysfunction or sepsis, which impairs the uptake and utilization of lactate and protons.
The female patient's complexion is yellowish, which is actually a sign of liver problems!
Dean, although you are much younger than me and have little experience, in the medical field, the most experienced people are your teachers. Thank you for teaching me a lesson today.
Now that I got the answer, I won't be too nervous when I undergo the next interventional bypass surgery.
Otherwise, I would always wonder what is wrong with this lady? "
Professor Tang's words made everyone smile.
"Okay, I'll leave Ms. Zhao to the dean for treatment. I have to go now!" Professor Tang waved goodbye to Li Quan. Then he waved to Wang Sungui who was still in shock.
"Sun Gui, let's go. This interventional surgery is extremely difficult. You should study hard for a while."
Wang Sungui is Professor Tang’s chosen disciple. Although Professor Tang is now old, he still spares no effort in teaching this disciple.
Li Quan's face darkened as he watched Professor Tang, Wang Sungui and others leave.
Got fooled.
Professor Tang invited me to come and serve as a free cover person.
But who asked him to be the dean?
The entire hospital is under his charge, and he has made the greatest contribution to the achievements made.
There is no choice but to accept it.
Half an hour later, Ms. Zhao came back after the examination.
As expected, the result was the same as Li Quan's diagnosis. The liver had a malignant tumor, which was already in the early to middle stages.
Fortunately, it was discovered in time and the cancer cells have not yet spread to other organs.
As long as the tumor is removed through immediate surgery, his life should be saved.
When Ms. Zhao, who is 51 years old but has the body of a girl in her twenties, learned that she had liver cancer, she was shocked and then she couldn't help crying loudly.
A young man in his thirties next to her, who was her family member, hugged her and kept persuading and comforting her.
Li Quan originally thought that this young man was Ms. Zhao's son.
After listening to the conversation between the two, he couldn't help but feel ashamed.
It turned out that this young man was Ms. Zhao’s third husband.
Li Quan couldn't help but sigh, men are indeed visual animals. If an old man marries a girl who is ten or twenty years younger, people won't be surprised, at most they will just be a little envious.
But it is extremely rare for an old woman to marry a man who is more than 20 years younger than her.
…
In the large conference room of Yuanyang Hospital, President Jia sat there with a gloomy face, smoking silently.
The atmosphere in the meeting room was very depressing.
"Who treated this female patient named Zhao Zihong?" Dean Jia asked this question even though he knew the answer.
You can find out which doctor saw the patient with just a simple check.
Because the hospital's medical records are now all connected to the computer network.
It is very easy to query patient information.
"It's... me!" A middle-aged male doctor in his forties, of medium height, slightly fat, with a short beard on his face.
He slowly raised his hand, but didn't dare look at anyone.
He lowered his head slightly, like a child who had done something wrong.
"Director Zhou, you treated this patient for five days, but there was no effect. Now he is better. He went to Huier Hospital for treatment. After a checkup, Li Quan found out the real cause of the disease.
If you look at today's newspapers and news headlines in various media, you will find that they are all praising the superb medical skills of Huier Hospital.
Although they did not openly criticize our Yuanyang Hospital for its poor medical skills, people who saw the news would definitely add what the media wanted to criticize but did not say.
The medical skills of Yuanyang Hospital are rubbish, and they can’t even find the cause of the disease.”
Dean Jia fiercely put out the half-smoked cigarette, as if he wanted to kill Director Zhou Canghai like the cigarette, only then would he feel relieved.
Zhou Canghai shuddered, lowered his head, and protested with a slight stammer.
"It's not that I couldn't find it out, but I didn't think it was liver cancer, so I didn't do the corresponding examination. Dean, I will pay attention next time." Zhou Canghai has a strong desire to survive.
He had finally climbed to the high position of chief physician of internal medicine, and he didn't want to be demoted by the dean.
Even if he was just banished to the cold palace, it would be enough to make it difficult for him to make a success again.
"Will there be a next time? Huier Hospital has already won first place in this national medical competition. Now there are cases where patients who cannot be cured by our Yuanyang Hospital are transferred to Huier Hospital and cured quickly.
But Li Quan from Huier Hospital is a cunning villain who always makes a big fuss every time.
He is fine, and Huier Hospital can gain popularity every time, but what about us? We have completely become his stepping stone and foil. "
Dean Jia slammed the table and roared.
In fact, today's meeting is not aimed at Director Zhou Canghai alone, but at many chief physicians of the hospital.
Because the Ocean Hospital and the Huier Hospital have been fighting each other in the air, they have been losing ground step by step. If they continue like this, they will be doomed sooner or later.
Let’s take a look at Huier Hospital. Not only has its business volume continued to surge, but it is also undergoing massive construction to expand the hospital.
The two hospitals form a sharp contrast, the contrast is too strong.
If things go wrong, he will have to resign as the dean.
"Dean, please don't be too anxious. We are very clear about the past of Huier Hospital. Even if it is very famous now, it is just a lie. It will soon be exposed.
Didn’t our Ocean Hospital spend a lot of money to introduce a batch of advanced medical equipment?
As long as we stay calm and take steady steps, Huier Hospital will soon be at a disadvantage. Then, it will be our turn to shine."
Director Xin of the Hematology Department said calmly and confidently.
"I hope so!" Dean Jia let out a long sigh. Even though he was the most powerful person in the hospital, he was not strong enough to go against several chief physicians.
It's not just one department that has problems, but multiple departments have recently seen cases similar to Ms. Zhao's.
The bottom line is that Li Quan from Huier Hospital is too evil.
Li Quan was able to find out the cause of diseases that many overseas hospitals and even the First Hospital in Beijing could not cure, and then cure the patients.
"Director, you have to have confidence. At the beginning, Huier Hospital was so proud that it said it had developed a traditional Chinese medicine treatment for leukemia. It was hyped up in the media and was very high-profile. But now? Isn't it still the same half-dead state? The hematology department of our Yuanyang Hospital has not been greatly affected."
Director Xin is nothing but tsundere.
