Chapter 625: This is liver cancer, Yuanyang Hospital’s worries

  Li Quan subconsciously picked up the patient’s medical record and looked at it. Wang Juan, 51 years old.
  Unexpectedly, this woman, who was only in her twenties, was actually over half a hundred years old.
  I'm fifty years old, and can still maintain such a good figure, it is impossible to do any liposuction, plastic surgery, and beauty. There is only one possibility, that is, a high degree of self-discipline and a lot of fitness exercises every day.
"Hello, Mr. Dean! I accidentally injured my foot two months ago, causing a fracture of the scaphoid of my foot. It was not very serious. After a cast, I took a little medicine and recuperated at home for six weeks. Then I went. The hospital removed the gypsum board and reviewed it. The callus had grown and healed well. The doctor advised me to do some rehabilitation training.
  After a few days of getting used to it, I feel okay.
  I have always liked sports.
  Having been recuperating at home for nearly two months, it has long been suffocated. Now that my left foot is healed, I can’t help but exercise
  I may have exercised a little too much, and the muscles in the legs, waist, and arms were particularly sore the next day. I thought it was caused by not exercising for a long time and then suddenly over exercising.
  So he didn't care.
  The next day, I endured the soreness and continued to exercise.
  According to experience, sudden excessive exercise caused muscle soreness. As long as you keep exercising, you can recover in three to five days.
  Who knows that my experience is not good this time.
  On the third day, the soreness has spread to many parts of the body, and even breathing will be painful.
   dragged to the fifth day, not only did not get better, but worse. No way, I only went to the hospital for treatment. "
  The female hair told her story again.
  Li Quan nodded slightly.
  "According to what you just described, I think you should just be the most common local muscle soreness caused by excessive accumulation of lactic acid."
  Lactic acid is due to the intermediate product produced in the process of glucose metabolism in the body during exercise. Due to the relative 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 time. The insufficient oxygen supply leads to anaerobic metabolism, which leads to a large amount of excessive product lactic acid in the body. Form a pile.
  Lactic acid accumulation can cause local muscle soreness.
  Under normal circumstances, this kind of sore symptoms caused by excessive accumulation of lactic acid, as long as continuous aerobic exercise can quickly promote the decomposition of lactic acid, and the pain symptoms disappear.
  "Is this the first visit to us?" Li Quan asked.
"Uh...no! I first went to the Yuanyang Hospital because my home was closer to it. After four days of treatment there, there was no effect at all. I was worried that something might go wrong. I just heard that the level of your Whale Hospital is very high. I won the first place in the national medical competition, so I asked to be transferred to your hospital for treatment."
  The woman is honest enough to say it all.
   is another patient transferred from another hospital.
  Recently, Whale Hospital has been able to receive many such patients every day.
  This also made Li Quan realize how important a hospital’s reputation is.
  Whale Hospital won the first place in the National Medical Skills Competition. After this sign was erected, it attracted many patients to come for medical treatment.
  In a hospital, the number of consultations directly determines life and death.
  The quality of diagnosis and treatment determines the long-term development of a hospital.
  "Have you had a lactic acid test?" Li Quan continued to ask.
  Whale Hospital and Yuanyang Hospital have always been enemies. Li Quan is happy to be able to patients from Yuanyang Hospital.
  And as long as this case is cured with confidence, it can be hyped to death.
  Large propaganda reports, slapped Yuanyang Hospital in the face.
   "I have done it. The content of lactic acid in my muscles is seriously exceeding the standard. Director Zhou Canghai of Yuanyang Hospital prescribed me therapeutic drugs and asked me to take more oxygen. I also asked a professional nurse to help me with massage, but the effect was not obvious."
  After listening to the woman’s account, Li Quan felt that there was nothing wrong with Yuanyang Hospital’s treatment methods.
  Any qualified hospital that treats excessive accumulation of lactic acid will basically use this method as a priority.
  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 can explain the problem.
  Ocean-Ocean Hospital is regarded as a pathfinder for Whale Hospital.
  "Ms. Zhao, let me get the pulse for you first!" Li Quan tried to get the pulse of the woman, performing both the observation and auscultation techniques.
  The pulse is astringent and slightly floating.
  The so-called astringent pulse means that the pulse shape is small and the communication is not smooth.
  It seems that this woman has another illness.
   "Let's do it, you first have an MRI examination, and then I will make the next diagnosis based on your examination results."
  Li Quan opened an inspection application for her on the spot.
  The family members pushed the patient to pay the bill and do the examination.
  Professor Tang remained silent beside him.
  Now that the patient and family members left the outpatient room, he couldn't help asking.
   "Dean, what did you find out?" He found something from Li Quan's expression.
  After dealing with Li Quan more often, Professor Tang is somewhat familiar with some of Li Quan’s subtle expressions.
  Whenever Li Quan showed such a calm expression, most of it had already diagnosed the patient's disease.
   "Let's wait patiently for the result!" Li Quan smiled mysteriously.
   "Don't, I will have an important interventional bypass surgery in a while, the dean, don't tarnish my appetite, talk about it." Professor Tang smiled with a sullen face.
  At this moment, Professor Tang, how can there be a trace of the majesty and coldness of the director of the University of Internal Medicine?
   is completely an old naughty boy.
"Well... Since you opened this mouth, I must give you this face. But the ugly thing is at the front. If my diagnosis is wrong, you are not allowed to laugh. This lady has too much lactic acid in her body, which causes a poisoning reaction. At first glance, it was caused by a sudden over-exercise, but when I got her pulse just now, I found that her pulse was astringent and floated slightly.
  There is obvious qi and blood stasis in the body, especially in the liver.
  Liver is the most tolerable organ in our body.
  Because it has no pain nerve.
  Whether we are angry, drink alcohol, or eat poisonous food, the liver will endure it silently and break down those poisonous and harmful substances for us.
  Patients with liver cancer are basically at an advanced stage as long as they are detected.
  Because in the early and middle stages of liver cancer, patients hardly feel abnormalities.
  This lady’s liver is likely to have a malignant tumor. But it should not have reached the late stage yet. This sudden physical exercise caused the accumulation of lactic acid in the body, which became a fuse.
  Actually, even if she hadn’t over-exercised this time, if she was checked in the hospital, the lactic acid level in her body would definitely be seriously exceeded. "
  Li Quan analyzed the pathology and etiology for these people in the internal medicine department, as well as the basis for inference.
  Simply detailed, rigorous logic, and the use and dialectics of medical knowledge, everyone is amazed.
  They are ashamed.
"Oh, why didn't I think of this? In cancer, malignant tumor cells generally have inherent anaerobic glycolytic activity enhanced, so when tumor cells are present in large numbers, the overall lactic acid production increases. It is related to most cancers. LA is seen in hematological malignancies, or tumors with extensive liver infiltration. LA in cancer patients is mostly due to increased production of lactic acid by tumor cells, accompanied by liver and kidney dysfunction or sepsis, which impairs the uptake and utilization of lactic acid and protons.
  The female patient's face is yellowish, which is actually a manifestation of liver problems!
  Dean, although you are much younger than me and have very little qualifications, you are a teacher in the field of medicine. Thank you for teaching me a lesson today.
  I got the answer this time. When I do the next interventional bypass surgery, I won’t be itching anymore.
  Otherwise, I always wonder what is wrong with this lady? "
  Professor Tang’s words made everyone smile.
   "Okay, I just asked the dean for the treatment of Ms. Zhao just now, I have to go!" Professor Tang waved and said goodbye to Li Quan. Then he waved to Wang Sungui who was still in shock.
  "Sun Gui, let’s go. This interventional operation is extremely difficult. You will study hard in a while."
  Wang Sungui is the mantle disciple selected by Professor Tang. Professor Tang is now very old and has spared no effort to teach this disciple.
  Li Quan looked at the leaving Professor Tang, Wang Sungui and others, his face blackened.
be cheated.
   was invited by Professor Tang to be a free top leader.
  But who called him the dean?
  The whole hospital is under his control, and he has made the best achievements.
  There is no way, I can only pinch my nose to recognize it.
  Half an hour later, that Ms. Zhao returned from the checkup.
  Sure enough, the results of Li Quan’s diagnosis are the same. He has a malignant tumor in the head of the liver, which is already in the early and mid-term.
  Fortunately, it was discovered in time. For the time being, no cancer cells have spread to other organs.
  As long as you have an immediate operation to remove the tumor, you should be able to save your life.
  When the 51-year-old Ms. Zhao, who has the figure of a girl in her twenties, was shocked when she learned that she had liver cancer. Afterwards, she couldn't help crying loudly.
  A young man of about 30 years old next to her is her family member, holding her to persuade and comfort him.
  Li Quan thought this young man was the son of Ms. Zhao.
  As a result, after listening to the conversation between the two, he couldn't help but feel ashamed.
  It turned out that this young man turned out to be the third husband of this Ms. Zhao.
  Li Quan could not help but sigh that men are indeed visual animals. When an old man marries a young girl who is ten and twenty years old, everyone will not be surprised, at best, it will be a little envious.
   But an old woman married a man in her twenties, this kind of thing is extremely rare.
  ……
  In the large conference room of Yuanyang Hospital, Dean Jia had a sullen face, sitting there, smoking a stuffy cigarette.
  The atmosphere in the conference room is very depressing.
  "Who received this female patient named Zhao Zihong?" Dean Jia asked knowingly.
  Which doctor received the patient can be found by just a check.
  Because the medical records of the hospital are now connected to the computer.
  It is very simple to query patient information.
  "It's...me!" A middle-aged male doctor in his forties, of medium height, overweight, and a short beard on his face.
  He slowly raised his hand, but his eyes did not dare to look at people.
   Slightly lowered his head, like a kid who did something wrong.
  "Director Zhou, you have treated this patient for five days, but it has not been effective. Now it's alright, they ran to Whale Hospital for treatment, and after a check, Li Quan found out the real cause of the disease.
  You look at today’s newspapers and the headlines of various media, and they all praise the excellent medical skills of Whale Hospital.
  Although they did not explicitly scold the medical of our Yuanyang Hospital, those who saw the news would definitely add what the media wanted to scold but did not say.
  Yuanyang Hospital's medical waste, even the cause of it cannot be found out. "
   Dean Jia fiercely extinguished the remaining half of the cigarette, as if he wanted to smash Director Zhou Canghai to death like this cigarette, and this was the answer to his hatred.
   Zhou Canghai shivered, lowered his head, and stuttered in defense.
   "It's not that I couldn't find it, but I didn't think about 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.
   Finally climbed to the high position of the chief physician of internal medicine, he didn't want to be kicked down by the dean.
  Even if it just put him in the cold palace, it was enough to make it difficult for him to stand out.
  "There is another time? Huier Hospital originally won the first place in this national medical competition. Now, there have been cases of patients who could not be cured by our Ocean Hospital who were transferred to the Huier Hospital and healed quickly.
  It turns out that Li Quan of the Whale Hospital is another cunning villain, and he will definitely make hype every time.
  He’s fine, and Whale Hospital can gain a wave of popularity every time, but what about us? It has completely become his stepping stone and a foil. "
   Dean Jia patted the table and roared.
  In fact, today’s meeting is not aimed at Director Zhou Canghai alone, but at several chief physicians in the hospital.
  Because Yuanyang Hospital and Whale Hospital fought against each other in the air, they were already losing ground and losing ground. If this continues, I am afraid that it will be finished sooner or later.
  Look at the Whale Hospital again. Not only the business volume continues to skyrocket, but also the hospital is expanding.
  There is a sharp contrast between the two hospitals. This contrast is too strong.
  I can't make it right, he, the dean, has to dismiss his get out of class.
  "Dean, don’t be too anxious. We know exactly how the Whale Hospital is. No matter how famous it is now, it is so illusory that it will be beaten back to its original form in a short time.
  Didn’t our Yuanyang Hospital have spent a lot of money and introduced a batch of advanced medical equipment?
  As long as we don’t mess around with ourselves and settle down and fight steadily, Whale Hospital will soon show a disadvantage. At that time, it should be our turn to show off. "
  Director Xin of the Department of Hematology said calmly and confidently.
   "I hope so!" Jia Yuan sighed, don't think he, the director of the hospital, is the most powerful person in the hospital, but he is not strong enough to fight against multiple chief physicians.
  Not only one department has the problem, but many departments have recently had cases similar to Ms. Zhao.
  In the final analysis, Li Quan from Whale Hospital is too enchanting.
  Many ocean hospitals, even the No. 1 Hospital in Beijing, could not cure diseases. Li Quan was able to find out the cause of the disease and cure the patient.
"Dean, do you have to be confident. At the beginning, Niu B of the Whale Hospital said that it had developed a Chinese medicine method for treating leukemia, and it was very high-profile in the media. But now? Isn't it still the half-dead? The same? The hematology department of our Yuanyang Hospital has not been affected much."
Director Xin has nothing else but Tsundere.