Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

In order to comfort the man's emotions, Wu Jiang 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, Lin Yi walked over involuntarily.

Seeing Lin Yi coming, Wu Jiang seemed to see a savior, and before Lin Yi could ask questions, he said directly:
"Lin Yi, this patient mainly came here with a cough that got worse for half a year. He doesn't usually have any medical history."

"The cough has become more severe in the past half month. It is an involuntary cough, and occasionally there is bloody sputum. I usually have a history of smoking, but it will not exceed one pack a day."

"Occasionally, there will be a low-grade fever, usually not exceeding 38 degrees. After he came, he had a chest CT. This is the picture, you can take a look."

Seeing another doctor coming, the young man stopped begging Wu Jiang.

He looked at Lin Yi eagerly, waiting for his conclusion.

Lin Yi took a chest CT scan 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 Lin Yi, after watching the film, he didn't speak, and hurriedly turned his goal to him.

Looking at Lin Yi with a sad face, 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.

Lin Yi looked at the terrified and helpless young man and pondered for a moment.

Lin Yi did not answer the young man's words, but said to Wu Jiang:
"From his film, it is true that lung cancer is very likely. But I think he should be given a fiberoptic bronchoscopy and a biopsy of his pathological tissue."

"Wait for 100% diagnosis before considering his follow-up treatment."

Wu Jiang immediately nodded and said:
"I thought the same thing, and I've told him, but he doesn't believe it. He always thinks he's 100% lung cancer, and it's beyond hope."

Now that Wu Jiang has thought of doing a fiberoptic bronchoscopy for the man.

Then Lin Yi won't 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.

But it is also possible that something went into the lung bronchus, and it will also be displayed in this way.

Everything still has to be checked first.

Seeing that the young man was still looking at him eagerly, Lin Yi turned to comfort him:

"You don't have to worry too much. This film can't explain what it is right now. After you finish the fiberoptic bronchoscopy, the condition may not be what you imagined."

"So before the result comes out, put your heart in your stomach first, don't think so much."

Of course, Wu Jiang thought that what Lin Yi 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.

Lin Yi and Wu Jiang were chatting about the young man's lung cancer when a nurse broke in and shouted:

"The ambulance immediately brought a critical patient, Dr. Lin, please see him!"

"it is good!"

Wu Jiang grabbed the stethoscope and hurried out the door.

Lin Yi followed behind and also hurried out.

As soon as I was 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, 53 years old, fever for two days, unconsciousness for one hour, 5 days ago due to left knee injury, simple debridement and sutures were done in the clinic, now it seems that the wound has signs of infection, blood pressure 60/40mmHg. Patient Preliminary consideration of the situation may be septic shock."

"Quick, push to the emergency room!"

Wu Jiang shouted hastily.

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

Pushing the patient to the emergency room, Wu Jiang 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.

Wu Jiang became anxious when he saw this situation.

"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, Wu Jiang 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!"

Wu Jiang gritted his teeth and said.

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