Chapter 625 This is liver cancer, the worry of Ocean Hospital(1/2)
Li Quan subconsciously picked up the patient's medical record and looked at it. Wang Juan, 51 years old.
Unexpectedly, this woman, who is only in her twenties, is over fifty years old.
At the age of fifty, I can still maintain such a good figure, such as liposuction, plastic surgery, and beauty. There is only one possibility, which is to be highly self-disciplined and insist on a lot of fitness exercise every day.
"Hello, Mr. Dean! I accidentally sprained my ankle two months ago, causing a fracture of the arch and snake bone. It was not particularly serious. After taking the cast, I took some medicine and recuperated at home for six weeks. Then I went to the hospital to remove the plasterboard and had a follow-up examination. Callus had grown and healed well. The doctor suggested that I do some rehabilitation training.
After a few days of getting used to it, I felt nothing was wrong.
I have always liked exercise.
Retirement at home for nearly two months, I've been suffocated. Now that my left foot is already healed, I can't help but exercise.
Maybe I was a little overexercised, and the next day I felt that the muscles in my legs, waist, and arms were particularly sore. I thought this was caused by a long time of exercise and then suddenly overexercising.
So I didn't care.
The next day, I endured the pain and continued to exercise.
Because based on experience, sudden excessive exercise causes muscle soreness, as long as you keep exercising, you can recover in three or five days.
Who knows that my experience is not effective this time.
On the third day, the soreness had spread to multiple parts of the body, and even breathing would be painful.
It was delayed until the fifth day, not only did it not improve, but it became even worse. There was no way, so I went to the hospital for treatment."
The woman told her illness.
Li Quan nodded slightly.
"Based on what you just described, I judge that you should be just the most common local muscle ache caused by excessive accumulation of lactic acid."
Lactic acid is an intermediate product produced during exercise and the metabolism of glucose in the body. Due to the 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. The supply of oxygen is insufficient and anaerobic metabolism is formed, which leads to a large amount of excessive product lactic acid, which forms a accumulation in the body.
Lactic acid buildup can cause local muscle aches.
Under normal circumstances, the sore symptoms caused by excessive lactic acid accumulation can quickly promote the decomposition of lactic acid and the pain symptoms disappear.
"Is it my first consultation here?" Li Quan asked.
"Uh... no! I first visited Ocean Hospital because my home is closer to there. I was treated there for four days, and there was no effect at all. I was worried about something wrong. I happened to hear that your Huier Hospital is very high and won the first place in the national medical competition. So I asked to transfer to your hospital for treatment."
The woman was honest enough and said it all.
Another patient transferred from another hospital.
Recently, Huier Hospital has been able to treat 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 come for treatment.
In a hospital, the number of medical treatments directly determines life and death.
The quality of diagnosis and treatment determines whether a hospital can develop in the long term.
"Have you had a lactate test?" Li Quan continued to ask.
Huier Hospital and Ocean Hospital have always been enemies. Li Quan is happy to be able to seize the patients of Ocean Hospital.
And as long as this case is confidently cured, it can be hyped up to death.
It was widely publicized and reported, slapped the Ocean Hospital in the face.
"I have done it, and the lactic acid content in my muscles is seriously exceeding the standard. Director Zhou Canghai of Ocean Hospital prescribed me a treatment medicine and asked me to inhale more oxygen. He also hired a professional nurse to help me massage, but the effect was not obvious."
After listening to the woman's statement, Li Quan felt that there was no problem with the treatment method of Ocean Hospital.
Any qualified hospital will basically give priority to treating excessive lactic acid accumulation.
Continuous aerobic exercise can promote the excretion of lactic acid from the body as energy metabolism accelerates.
Oxygen inhalation and massage can indeed ensure the accelerated discharge of lactic acid.
But it has no effect at all, which itself is very telling.
Ocean Hospital is considered a parade explorer for Huier Hospital.
"Ms. Zhao, I'll take your pulse first!" Li Quan tried to take the woman's pulse, and performed the surgery at the same time as the surgery was performed when hearing the diagnosis.
The pulse is stiff and slightly floating.
The so-called pulse stagnation refers to the small pulse shape and poor communication. In the human body, it is responsible for stagnation of qi and blood stasis, and damages the essence and blood.
It seems that this woman has other problems.
"This way, you do an MRI first, and then I will do the next diagnosis based on your test results."
Li Quan issued her an application for inspection on the spot.
The family members pushed the patient to pay the fee and did an examination.
Professor Tang didn't say anything beside him.
Now that the patient and his family have left the clinic, he can't help asking.
"Dean, what did you find out?" He made some discoveries from Li Quan's expression.
After dealing with Li Quan more often, Professor Tang was somewhat familiar with some of Li Quan's subtle expressions.
Whenever Li Quan showed such calm expression, he had probably diagnosed the patient's lesions.
"Let's wait patiently for the result!" Li Quan smiled mysteriously.
"No, I have an important interventional bypass surgery later. Dean, please don't suck my appetite, just talk." Professor Tang smiled with a shy face.
At this moment, Professor Tang did not have the majesty and aloofness of the director of the University of Internal Medicine?
He is completely an old naughty boy.
"Well... Since you have opened this mouth, I must give you this face. But the ugly words are mentioned first. If my diagnosis is wrong, you are not allowed to make a joke. This lady has too much lactic acid in her body, which causes poisoning reactions. On the first day of the first day, it was caused by sudden excessive exercise, but I took her pulse just now, but she found that her pulse was a little sluggish and slightly floating.
There is obvious qi and blood stasis in the body, especially in the liver.
The liver is the organ that our human body can tolerate the most.
Because it has no pain nerves.
Whether we get angry, drink, or eat toxic food, the liver will silently endure it and break down the toxic and harmful substances for us.
Patients with liver cancer basically have advanced stages as long as they are diagnosed.
Because in the early and middle stages of liver cancer, patients can hardly feel abnormalities.
This lady's liver may have had malignant tumors. However, it should not be in the late stage. This sudden physical exercise caused the accumulation of lactic acid in the body and became a fuse.
In fact, even if she did not have this excessive exercise, if she had a check-up in the hospital, her lactic acid level in her body would definitely be seriously exceeding the standard.”
Li Quan analyzed the pathology and cause and reason for these people in the internal medicine department.
It is very detailed, logical, and the application and dialectical application of medical knowledge amazed everyone.
They feel ashamed of themselves.
"Oh, why didn't I think of this? When cancer is cancer, malignant tumor cells generally have an inherent anaerobic glycolytic activity, so when tumor cells are present in large quantities, the overall lactic acid production increases. LA related to most cancers is seen in malignant tumors of the hematologic system, or extensive liver infiltration of tumors. LA in cancer patients is mostly due to increased lactic acid production in tumor cells, accompanied by liver and renal insufficiency or sepsis, which impairs the uptake and utilization of lactic acid and protons.
The female patient's face turned yellow, which is actually a sign of liver problems!
Dean, although you are much younger than me and have very shallow qualifications, you are a master in medicine. Thank you for teaching me a lesson today.
This time I got the answer, and when I did the next interventional bypass surgery, I wouldn't feel itchy.
Otherwise, I always wonder what the lady is sick?”
Professor Tang's words made everyone smile.
"Okay, I'll ask the dean to treat the patient just now. I have to leave!" Professor Tang waved his hand and said goodbye to Li Quan. Then waved to Wang Sungui, who was still in shock.
"Sun Gui, I'm leaving. This interventional surgery is extremely difficult. You can study hard later."
Wang Sungui is a disciple selected by Professor Tang. Professor Tang is now old and spares no effort to teach this disciple.
Li Quan looked at Professor Tang, Wang Sungui and others who were leaving, and his face turned dark.
Being fooled.
He was invited by Professor Tang to be the top team for free.
But who said he was the dean?
He was in charge of the entire hospital, and he made the most contributions after making achievements.
There was no choice but to pinch your nose and recognize it.
Half an hour later, Ms. Zhao came back after the inspection.
As expected, just like the results of Li Quan's diagnosis, the liver has a malignant tumor, which is already in the early and middle stages.
Fortunately, the discovery was prompt and no cancer cells were found to spread and metastasize to other organs.
As long as the tumor is removed immediately, it should be able to save your life.
When Ms. Zhao, who was fifty-one but had a figure in her twenties, learned that she had liver cancer, she was shocked. Then, she couldn't help crying loudly.
To be continued...