6kv Chapter 482 - 227: Tumor Undetectable by CT, Angiography_3
Chapter 482 - 227: Tumor Undetectable by CT, Angiography_3
Li Jingsheng held her, facing each other.
"That’s something to talk about after we get married. We’re not husband and wife yet."
She refused again.
"Did you encounter some troubles?" Li Jingsheng swallowed this sentence, ultimately not asking it.
Because he was worried about hurting her self-esteem.
"Alright then, if you need money, you can come to me anytime. If you really don’t want to accept it as a gift, you can treat it as a loan. Borrow as much as you can, and if you can’t pay it back, you can pawn yourself to me as a wife."
Li Jingsheng said in a joking tone.
Hehe!
"You always have such mischievous ideas!" She covered her mouth and giggled continuously.
The time they spent together always seemed to be so joyful, Li Jingsheng could always make her laugh happily.
...
Around eight o’clock, Director Lian Tao sent a message to Li Jingsheng again.
"Through angiography, it shows multiple liver lesions, a mass at the body and tail of the pancreas, with calcification in the middle. It seems my intuition and initial diagnosis were correct, there is indeed a problem with the patient’s pancreas. Just didn’t expect it at the tail, ultrasound couldn’t detect it."
Lian Tao was very excited about successfully identifying the lesion.
Diagnosing this case was indeed very difficult, fasting blood sugar, liver, kidney, pancreas ultrasound, routine checks of blood, stool, and urine were all normal.
Who could tell that there were some lesions in the liver?
Then a mass appeared at the tail of the pancreas.
"I’m afraid the patient’s tumor has metastasized!"
Li Jingsheng replied.
"You’re amazing, you’re right again. Body-tail pancreatic lesions, multiple liver lesions, bone scan shows multiple bone metastases. Currently suspecting a glucagonoma of the pancreas body and tail, a very rare tumor. We in gastroenterology can’t handle it anymore, it’s arranged for emergency transfer to surgery overnight."
At this point, the cause of the illness was completely revealed.
However, the treatment outcome is quite worrisome.
With multiple metastases, the effect of surgical treatment remains a big question mark.
This patient is definitely in the late stage.
"Jingsheng, do you know why neither CT nor ultrasound detected the pancreatic tumor?"
"Enlighten me. If I had to guess, it should be because the tumor’s density is similar to the pancreas."
Li Jingsheng could only think of this result.
This kind of situation is rarely encountered, but he had encountered a case during his time in the pneumology department.
However, that patient had a tumor in the liver.
At that time the patient was coughing, and the superior doctor took an X-ray after which it was treated as a lung infection.
The result was no effect despite treatment.
And on the third day, the patient started coughing blood.
Later the patient died, the family believed the First Hospital was negligent and demanded an autopsy.
The autopsy revealed a tumor in the patient’s liver, which had metastasized to the lungs.
The patient’s death was not due to late-stage cancer, but rather respiratory failure accompanied by asthma.
The lawsuit was lost by the First Hospital, reportedly paying over eight hundred thousand in compensation.
Li Jingsheng only knew that for more than two months thereafter, that assistant deputy chief physician had a gloomy face. Any trivial matter would cause him to lose his temper. Later on, Li Jingsheng resigned and no longer had to endure that deputy chief physician’s mood.
The First Hospital probably bore a portion of the compensation, but that deputy chief physician definitely paid a considerable amount too.
Otherwise, for mere tens of thousands or a few thousand, he wouldn’t remain gloomy for over two months.
Being a doctor is a high-risk profession, which can be seen in part from this, decades of hard-earned income might be lost because of one problem with a patient.
Lian Tao sent a thumbs-up emoji directly.
"You guessed it right again. Director Jin from the Oncology Department said that this pancreatic neuroendocrine tumor couldn’t be detected by CT and ultrasound because its density is the same as the pancreas. In the future, if you encounter similar cases, remember to be extra vigilant."
Through this case discussion and exchange, Li Jingsheng learned a lot.
A doctor’s life is one of perpetual learning, due to the vast array of diseases.
There are all kinds of strange and bizarre illnesses, unimaginable.
Ou Qinglan accompanied him in the clinic, and he really hoped to marry her soon, so they could be always together like this every day.
It’s truly hollow living alone in a spacious clinic.
Sometimes, there is a feeling of emptiness in the heart.
If he could marry her, they could live in the clinic together, then have two or three kids, and a new family would be perfect.
"By the way, Qinglan, let me teach you how to practice sutures and knots!"
"Sure! During the surgery today, I finally got a chance to stitch the skin from Professor Wu. But the stitching was poor, and I got harshly criticized in public."
She seemed a bit frustrated talking about this.
It’s pretty much how every novice doctor comes through.
"Then you need to practice well. Once you’re proficient, you’ll give them a big surprise."
The worst of Li Jingsheng’s suturing skills was already at the Master Level.
In Professor Wu’s group, he was definitely top-tier.
It can only be said that Professor Wu and others’ suturing skills are truly unreliable.
Taking out tweezers, suturing needles, needle holders, and suture lines, Li Jingsheng started teaching her suturing hands-on.
Having a competent boyfriend makes all the difference, teaching her interrupted sutures, and in less than two hours of practice, her skills improved remarkably.