Chapter 425 Defeat doubts with professionalism(1/2)
As soon as Chen Qi finished speaking, the scene suddenly became quiet.
There are more question marks on the man in the suit, "I have lung cancer?"
The more he thought about it, the angrier he became, and the more he thought about it, the more he thought about it. He grabbed Chen Qi's collar and started to spray, and his saliva flew into Chen Qi's face:
"I have lung cancer? What the hell are you talking about? Aren't you supposed to be coughing to death with lung cancer? Just look at me and cough a few times, and you say I have lung cancer? What's wrong with my blushing? I blush because I drink alcohol all the time.
What does lung cancer have to do with it?
You, tell me clearly, if you don’t tell me clearly, I will beat you to death today, okay, you intellectuals like to beat around the bush when you curse, don’t you just hate me for cutting in line? Do you need to curse me like this? What?
Bullshit doctor, how old are you before you dare to say you are a doctor?"
As soon as the man in the suit said this, many people around him nodded slightly.
In the minds of ordinary people, what are the most important clinical characteristics of lung cancer?
That's a cough, and it's a violent cough that can't be stopped.
Not only does the patient have a cough, but the patient's physical condition is also very poor. They often have a sallow face and thin muscles, and have no strength to even speak. They look sick at first glance.
Looking back at the man in a suit, half an hour has passed since he entered the telephone service building, and he has basically not been heard coughing.
Not only did he not cough, but looking at the way he had just fought and cursed, he could have beaten a tiger to death, how could he look like a lung cancer patient?
This is actually a misunderstanding among ordinary people. The clinical manifestations of lung cancer are diverse, and it is definitely not just severe coughing.
There may be two reasons for this misunderstanding. One is that medical care was underdeveloped in the 1980s. Because there was no symptom of "severe cough", many people did not know even if they had lung cancer, and died inexplicably.
Another reason is also due to insufficient medical conditions. The lung cancer patients seen by ordinary people are often in the advanced stage and are about to die when diagnosed. Most of these people have severe coughs and sallow complexions.
So everyone mistakenly thinks that all lung cancers are the same disease, but they never thought that lung cancers in different periods and parts will have different clinical manifestations.
But from a clinical perspective, lung cancer is definitely not the only thing to be careful about if you have a severe cough.
For example, the facial features of the man in a suit in front of Chen Qi are actually something to be suspicious of.
Now that he has become a "villain", Chen Qi decided to speak clearly.
"Comrade, don't be anxious. Take your hands away from my collar first. I am saving your life. If you think I am insulting you, then just hold on. After all, your body is your own.
of."
What Chen Qi said made the man in the suit not sure. After all, getting cancer is no joke, so he put down his hand angrily, but still cursed:
"Okay, tell me, if you can't tell Ziwu Maoyou today, I'm not done with you. I'm going to your work unit to complain against you!"
Chen Qi smoothed the clothes on his chest, thinking that he still suffered from his age. If he were a white-haired grandfather doctor, he would definitely not encounter such doubts today.
"Anyway, everyone is ruling it out, so let me explain a few more words. When it comes to lung cancer, everyone thinks of an irritating dry cough, accompanied by fatigue, sometimes chest pain, and even blood in the sputum."
p>
The onlookers nodded their heads.
Even the employees of the Post and Telecommunications Bureau who were doing business at the counter stopped what they were doing and listened to the young doctor's lecture.
Chen Qi shook his head, pointed at his chest and said:
"Then you are all wrong. Cough is only the main symptom of lung cancer, but it is definitely not the only symptom. When lung cancer is in the advanced stage, patients will have intrapulmonary symptoms and extrapulmonary symptoms. The main symptoms of intrapulmonary symptoms are wheezing and difficulty breathing.
Just like this."
Chen Qi performed a live performance of a terminal lung cancer patient looking out of breath.
"I think most comrades thought that I might have asthma, or a bad heart, or pulmonary heart disease, like those elderly people with chronic bronchitis, or coal workers who had pneumoconiosis, so I walked a few times.
Can't you breathe for half a day?
In fact, you are wrong. This is because you have a malignant tumor in your lungs. As the lung cancer grows larger, it begins to compress and block the airways, leading to a decrease in lung function, causing chest tightness, suffocation, and difficulty breathing.
.
Also, cancer will metastasize to distant places in its late stages. My dear, the symptoms are even more bizarre. For example, when cancer cells metastasize to the brain, patients will experience dizziness and headaches.
p>
When lung cancer metastasizes to the liver, the patient will suffer from epigastric pain, chest tightness, and loss of appetite; when it metastasizes to the head, the patient will suffer from headaches, nausea and vomiting; when lung cancer metastasizes to the bones, it will cause damage to the bones and even cause pathological fractures, as well as systemic symptoms.
Pain, etc.
What does this mean? Let me give you an analogy. You have lung cancer and you don’t care because you don’t have a severe cough for a long time. But then you find that your head hurts more and more, and you can’t stop it even after taking painkiller powder.
It may be lung cancer and it has metastasized to the head.
The sad thing is that our current medical level is not high and the examination equipment is not enough. You can't make a diagnosis. After all, if you say you have a headache, you can't possibly check your lungs, right? So many people die inexplicably."<
/p>
Chen Qi talked for a long time, and most people half understood and half didn't understand.
But there are also many intellectuals who understand.
"Little doctor, do you want to say that many people don't know they have lung cancer, and then they will have various symptoms all over their body, which are actually caused by lung cancer."
Chen Qichong gave the man with the eyes a thumbs up: "This big brother understands."
The onlookers immediately started talking. When Chen Qi said this, everyone felt that their various aches and pains could be related to lung cancer. Many people began to worry about their health.
At this time, the man in the suit quit, maybe because he was afraid, and his tone was a little anxious:
"Hey, little doctor, you didn't explain the symptoms you just mentioned to me. Tell me, what's going on with me? Why do you suspect that I may have lung cancer?"
"Yes, yes, this little doctor, please tell me about his situation."
"If you are really right, if we encounter this kind of situation in the future, we can give an early warning."
The onlookers also urged Chen Qi, but the man in the suit stopped: "Bah, you were the one chosen."
Seeing that these people were about to quarrel again, Chen Qi quickly made a hand gesture to signal everyone to be quiet:
"Why do I think you may have lung cancer? This should be discussed separately. For example, look at this blush. Is the complexion here different from that of a normal person? Is the blush different from those who are drunk, drunk, or excited about an argument?"
p>
The onlookers turned their heads and said, "Yes, it's different."
Chen Qi then explained:
"This is because lung tumors release different vasoactive substances, such as 5-hydroxytryptamine, bradykinin, bradykinin and catecholamines. Endocrine disorders cause blood vessels to dilate, resulting in facial flushing. This is called carcinoid syndrome."
Oh~~~
There was a soft cry from the crowd. In fact, no one could understand it. It sounded professional anyway.
The man in the suit became even more anxious when he heard this, "What do you mean, what's wrong with my eyes?"
Chen Qi asked rhetorically:
"When you look in the mirror, don't you notice that your right eyelid is droopy? Also, look at your eyeball, is it sunken compared to your left eye?"
"Yes, I found it, but my wife said it might be facial paralysis. An old lady in our hospital had facial paralysis like this. I even went to the hospital to see her. The doctor gave me some medicine and asked me to do acupuncture.
."
"No, this is not facial paralysis. Facial paralysis will cause unilateral forehead lines, paralysis of eyelid muscles and facial expressions. That is to say, as we all know, patients with facial paralysis will have drooping of the corners of the mouth, drooling, leakage when brushing teeth and gargling, slurred speech, etc.<
/p>
And you have no other symptoms of facial paralysis except eyelid ptosis? Come on, whistle and listen. Look, you can whistle. The corners of the mouth cannot be closed tightly with true facial paralysis, so the possibility of facial paralysis can be ruled out."<
/p>
At this time, a teller asked: "This doctor, can you tell me the reason for his droopy eyelids?"
"Not only did he have ptosis, but he also had miosis and enophthalmos. These three symptoms perfectly explained that he had Horner syndrome, which is caused by malignant tumors compressing the cervical sympathetic nerves."
Oh~~~~
Another burst of exclamations erupted from the crowd, and everyone turned their sympathetic eyes to the man in the suit.
The man in the suit suddenly cried:
"Really or not? I'm only 45 years old, I'm still young, how could I get lung cancer? I don't want to die, wuwuwu~~~"
The crowd of onlookers also sighed. When I went out to make a long-distance call, the call came out with lung cancer. No one could bear it.
The man in the suit suddenly became excited and strangled Chen Qi's arm with both hands:
"Doctor, listen to me, doctor, which hospital are you from? You treat me, I have money, I have a lot of money, as long as you cure the disease for me, you can pay as much as you want. You can save me."
Save me, save me."
Chen Qi shook off the man in the suit. Thinking that this action was too rude, the man had a nervous breakdown, so he patted the man on the shoulder:
"Don't be anxious. Before there is a diagnosis in medicine, it can only be said to be the conclusion drawn by doctors based on their own experience. Didn't you hear what I just said was maybe? So you'd better go to the province as soon as possible.
Check up at the hospital, focusing on a CT scan."
"Okay, okay, save the first hospital, right? I'll go now, I'll go right away!"
The man in the suit was at a loss for words at this time. His previous arrogance was completely gone, and his moussed hair was messy. He picked up his bag and ran towards the door.
Everyone in the telephone service building watched the unfortunate guy leave, with eyes full of sympathy.
To be continued...