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Chapter 240 Bronchoscopy(1/2)

Seeing Dr. Lai’s appearance of losing his composure, this is a profound lesson for him. Don’t think that a doctor is the best in the world every day.

Everyone returned to Alef's bedside, and Fei Su explained to Bilige: "The patient is recovering well now. In the next step, our drug treatment will focus on kidney and marrow filling. Given that the patient's spinal cord has recovered well, we will find an orthopedic doctor.

Come here and develop a correction surgery for the patient's spine."

"Doctor Huang, we all listen to you."

Seeing his son's condition getting better day by day, Bi Lige agreed very readily with joy on his face.

After five years, I finally saw the hope of healing his son.

Huang Su said to He Hui behind him: "He Huiji Prescription, Morinica 15g, Fairy Spleen 15g, Cuscuta 20g, Deer Antler Gum 12g, Turtle Gum 12g, Roasted Astragalus 30g, Wolfberry 30g, Whole Angelica 15g, Red Peony 6g

, 6g of large Chuanxiong, 12g of purple Salvia miltiorrhiza, 15g of cooked Rehmannia , 30g of Cistanche , 20g of Sichuan , 20g of mulberry parasitic , 20g of Sichuan Achyranthes , 15g of Golden Retriever Dog Ridge , 15g of Prince Ginseng, 12g of tender cinnamon twig, 30g of chicken blood vine."

After taking the prescription He Hui handed over, Huang Su was given a check to Li Yan and told him: "Drink this medicine once a day; decoct each dose twice, decoct a total of 400 ml of it together, twice a day,

Take two hundred milliliters orally each time.”

Li Yan took the prescription from Huang Su, added it to the patient's treatment file, and updated the original prescription.

Seeing that the matter had been explained clearly, Huang Su walked to Dr. Lai and asked, "Expert Lai, do you still continue to check with us?"

Ahem!

Dr. Lai coughed gently twice, straightened his back, and said with confidence: "Of course, I am responsible for the assessment of traditional Chinese medicine business, and round checking is also one of the assessment items. I will naturally follow you to continue round checking."

Where did you look like you were just hit and you have regained your arrogant look? If a doctor did not have this shameless spirit, he would not be able to steal other people's credit in 2003. After the development of self-media in 2019, everyone knew that

In the clear case, they were not good at stealing credit openly, but they still did not give up and kept doing some deceitful things, and used all their strength to pour dirty water in their backs. They posted short videos, slander, and

Making a movie.

"Expert Lai, since it is a matter of hospital rating inspection, our Chinese medicine department must have the right to cooperate." Huang Su said slightly, "Expert Lai, please."

During the subsequent rounds, Dr. Lai seemed to have really entered the role of an expert in appraisal. After entering the ward, he did not say a word, but took out a notebook to quickly record some things.

Liang Anguo’s ward was the last ward to be examined today.

When he walked into the ward, he saw Liang Anguo lying on the bed wearing a hospital gown, and Chen Huixiu was accompanying him next to the bed, holding an apple in his hand and peeling it.

During the consultation yesterday, because she was wearing thick clothes, Feng Su did not pay attention to Liang Anguo's belly.

Now, Liang Anguo was wearing a hospital gown and blocking his hospital gown without a quilt. He could clearly see his bloated belly, just like he was pregnant for five months, as if he was stuffed into half a basketball, and he stretched his hospital gown round.

.

Seeing Huang Su and his group come in, Chen Huixiu put down the apple and fruit knife in her hand, stood up and asked, "Director Huang, you are here, sit down!"

As he said that, he reached out and placed the chair he had just sat on next to Feng Su's side.

"I won't sit, you can continue to sit." Huang Su refused Chen Huixiu and asked politely: "Did the patient drink the Chinese medicine I prescribed now?"

"I've already drunk it. I finished the hospitalization procedures yesterday and the nurse had already decocted the medicine. I drank it once yesterday, I drank it once this morning, and I drank it twice."

As he was talking, Chen Huixiu's face showed a hesitant look.

Looking at Chen Huixiu's desire to stop, Huang Su asked: "Family, please tell me if you have any questions or doubts."

Chen Huixiu then said carefully: "Director Huang, either I don't believe me, or since I took the medicine you prescribed, my husband has been using the toilet continuously. From the first time I took the medicine yesterday, I have been urinating twenty years.

I've been peeing many times, my husband won't have anything to do."

After saying that, Chen Huixiu stared at Huang Su's eyes nervously, afraid that Huang Su would say something bad news, and her husband could no longer withstand the torture of the disease.

Huang Su explained with a smile: "Family, don't be nervous. It is a good thing for patients to urinate too much. Urination is to eliminate excess water in the body under the action of drugs."

"As your husband's current physical condition is not able to withstand the harm of chemotherapy, so we must first restore the patient's positive energy and improve the physical condition. If you want to improve your physical condition, the first thing is to treat the patient's pleural effusion, so I'm in the prescription

Chinese medicine for treating pleural ascites and ascites and diuresis are added to the seeds. The current situation of your husband means that the medicine has begun to work."

"So that's the case. I'll feel relieved after you say that."

After listening to Huang Su's explanation, Chen Huixiu let out a long sigh, and her anxiety and nervous mood finally calmed down.

Feng Su walked to the edge of the hospital bed and said to Liang Guoan: "I'll check your bleed."

Seeing Liang Guoan nodding slowly, Huang Su reached out to unbutton the patient's hospital gown.

I saw that from the patient's chest, the chest and abdominal cavity were already round, and the cyan blood vessels were supported on the belly, which were as hideous and twisted as centipedes, and the navel was also protruded by the effusion in the chest and abdominal cavity.

Looking at the patient's right chest to the bottom of the clavicle, many small bumps of irregular shape protrude, like bunches of grapes, layered, with a diameter of about three or four centimeters.

Feng Su reached out to touch her gently, and the surface was extremely hard.

That Risong also walked to Huang Su's side and carefully observed the situation of Liang Anguo.

Huang Su has always seen the recent changes in that Risong. It seems that he is serious about planning to specialize in traditional Chinese medicine tumors this time.

Fei Su pointed to the tumor that raised his right chest and explained to Na Risong: "Lung cancer is very prone to lymphatic metastasis, but the tumor that raised from the patient only stops on the right chest, which means that the patient has not metastasized yet. If the lung cancer appears, the same

If there is lateral transfer, surgery should be considered first, and after the surgery, then consolidation treatment should be carried out with traditional Chinese medicine and efficacy."

As he said that, flavin explained the various conditions of lung cancer metastasis to Na Risong in detail.

The first lymph nodes that metastasize lung cancer are the hilar lymph nodes on the ipsilateral side. For example, lung cancer in the right lung may metastasize to the lymph nodes on the right hilar lymph nodes. If they only metastasize to the ipsilateral side, surgery can be performed.

However, if lung cancer metastasizes to the contralateral hilar lymph node, to the mediastinal lymph node, or to the supraclavicular lymph node, or even further away to the axillary lymph node, it means that a relatively distant metastasis occurs, and such a patient may undergo surgery

It is very difficult. If the surgery cannot be done, the effect of chemotherapy and targeted drugs will be greatly reduced. It is best to do traditional Chinese medicine treatment and chemotherapy at the same time, use traditional Chinese medicine to regulate and consolidate the body, and then perform multiple chemotherapy to achieve the ideal effect.

That Risong also took out a notebook and recorded it carefully.

Seeing that Risong was so serious, Fei Su continued to say: "In addition, lymph node metastasis in lung cancer is also related to the type of lung cancer itself. If it is small cell lung cancer, the degree of malignancy is very high. Even if there are very few lymph node metastasis, the subsequent

The treatment effect will be very difficult. If non-small cell lung cancer, even if there is ipsilateral hilar lymph node metastasis, if radical lung cancer is undergoing radical lung cancer surgery, supplemented with Chinese medicine, chemotherapy or targeted treatment after the operation, the effect will be very ideal.

.”

After the examination, after Chen Huixiu buttoned Liang Anguo, Huang Su said, "Go downstairs together and go for a fiber bronchoscopy."

Fibrobronchoscopy is a tumor of lung cancer, trachea and bronchial tract. The manifestations of the trachea and bronchial mucosa, as well as the degree of stenosis, tumor size and morphology can be directly observed through fibronrochoscope.

Fibrobronchoscopy can not only directly observe the pathological structure, but also perform tumor cell biopsy sampling through the bronchoscopy to obtain the pathological diagnosis basis for tumor cells.

Flavin asked Liang Anguo to undergo a fiber bronchoscopy, one to see the patient's lung cancer structure, and the other to do biopsy sampling.

Because Flavin did not see the biopsy report in the patient's medical record, I don't know if it was not done or it was lost.

Huang Su and his group and the patients came to the examination team of the research team.

When I walked into the office, I had all the inspection equipment here. The People's Hospital of Grassland City purchased a batch of state-of-the-art inspection equipment for the new building, and this batch of equipment projects was formed to be a person who used it.

Director Mei saw Huang Su bringing a group of people in and quipped, "Isn't this Director Huang? What wind has blown you, a busy man."

"I received a new lung cancer patient yesterday and came to take him to have a fiber bronchoscopy and did a biopsy."

As he said that, Feisu looked around the examination room.

Seeing Huang Su looking for someone, Director Mei asked, "Director Huang, what are you looking for?"

Huang Su said: "Where is Dr. Liu?"

Dr. Liu is the leader of the research team.

Director Mei pretended to be angry and said, "What, Director Huang, you don't believe me, you have to ask Dr. Liu."

Seeing Director Mei’s confident look, Huang Su raised his thumb and said, “Director Mei is amazing! You are the first doctor in our city hospital who can do fiber bronchoscopy.”

Seeing Huang Su making fun of himself, Director Mei gently patted Huang Su's arm and joked: "I have also asked you Director Huang to treat several lung cancer patients. Only then can I learn how to do it under the guidance of Dr. Liu.

Now.”

As a second-grade hospital, the People's Hospital of Grassland City did not have fiber bronchoscopy equipment before, but now it is added to evaluate the third-grade hospital.

Huang Su continued to ask: "Director Mei, you are the only person in our hospital who can use this equipment. You won't be transferred to the respiratory department in the future. You are the department director of the ultrasound diagnosis department!"

Tracheoscopy belongs to the respiratory department and is a branch of the internal medicine department.

Director Mei gave Huang Su a blank look and said, "You can't hope that I can order good. Can't you set up a medical imaging department?"

Looking at Director Mei's confident attitude, Huang Su knew that this matter was definitely a matter of certainty.

Huang Su bowed and said, "Then I'll congratulate Director Mei here!"

Director Mei smiled and said, "I am not the blessing of you to Director Huang Da. Not only have I learned bronchoscopy, but I also learned other imaging equipment."

While the two were chatting, Liang Anguo was already lying on the clinic bed.

Seeing that the patient was in place, Huang Su said: "I have witnessed Director Mei's superb skills."

Director Mei gave Huang Su a white look again and walked to the clinic bed.

Seeing that Liang Anguo was already lying flat, he first disinfected the camera camera.

Then, Director Mei stood at Liang Anguo's head, held the control part of the mirror body with his left hand, and controlled the adjustment button with his thumb. He sent the lens into his nasal cavity with his right hand.

The display screen instantly shows the structure in Liang Anguo's nose, and every nose hair is clearly visible.

Director Mei stared at the display screen while continuing to operate the machine, allowing the lens to continuously penetrate into the nasal cavity. This nasal feeding is the same.

When the catheter has been inserted about fifteen centimeters, a leaf-shaped object appeared on the monitor, which is an important part of the throat - epiglottis.

The epiglottis is a leaf-like structure on the front of the larynx composed of epiglottis cartilage and mucosa.
To be continued...
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