Chapter 885 Humanities

In hospitals, doctors often don't care much about the softness, hardness, and dryness of stool, but care more about its color.

The stool in the doctor's eyes usually has seven colors, which is similar to a rainbow.

Normal stools are yellow and brown. They have no novelty and do not attract the attention of the public. They are common stools that rarely appear in inquiries. Bleeding stools have a full spectrum from bright red to black and red. The brighter the color, the closer to the exit, and vice versa, the farther away from the exit. Therefore, bright red stools often indicate perianal bleeding such as hemorrhoids. Dark red or black stools often indicate gastrointestinal bleeding.

The most beautiful and safe stool is green. Generally speaking, it means... It means that you have eaten too much food, or digested it too quickly, and you should not eat so healthy in the future.

In contrast, black stools suggest constipation or other gastrointestinal problems, which can be said to be unremarkable.

As for the color of stool that everyone is least willing to see, it should be off-white or clay color, which often means that the intestines are blocked, so that bile cannot enter, which is exactly what Yu Yuan saw in the lunch box. Combined with what she saw on the report card, the possibility of bowel cancer was very high.

"Is your name Xue Guiren? You are 66 years old this year?" Yu Yuan looked down at the old man's inspection report again, checking his name and age habitually.

At this time, the old man curled his lips and said: "Xue Guiren is my younger brother, my name is Xue Guixiao."

The corners of Yu Yuan's eyes twitched, and she asked, "How about your age?"

"The full count is 68." The old man Xue Guixiao sighed, as if chatting, and said: "At my age, it is normal for me to be sick. The previous examination was so motivating, isn't it impossible to make a diagnosis? ? I thought, you are also doctors from Yunhua, so just show me again, the technology of the county hospital is really not good..."

Yu Yuan forced a smile. She could guess that when the county hospital encounters a suspected cancer patient like the old man, it must be more careful, and it is impossible to talk too much. After all, the gold standard for cancer is biopsy, and it is possible that it is not bowel cancer without a colonoscopy.

In a large hospital, everyone can speak more directly, but it is difficult to talk about the "humanities" of the county hospital, and it is possible to be too tactful to the elderly.

Thinking so, Yu Yuan pointed to the name and age on the checklist, and said, "The name and age belong to your younger brother, but you did the checkup, right?"

Xue Guixiao gave an "en" and said: "My brother can be reimbursed, and I use his name to see the doctor. Doesn't it affect it? We do it like this here. If you can do it, I will do two more. One inspection, if it doesn't work, just open a few less, no one's money just fell from the sky, you say so."

"We can't use someone else's name for the test." Yu Yuan gave a slightly stiff answer.

Using someone else's name and medical insurance to see a doctor is no longer feasible in tertiary hospitals, but it still exists in township hospitals with imperfect systems. Especially those township hospitals with endless medical insurance quotas have no motivation to improve the system.

Xue Guixiao snorted dissatisfied, and said, "What's the difference? Inspections are all inspections, and you have received the money. Reimbursement is my business."

"The leaders of our hospital have requirements." Yu Yuan didn't really explain the medical insurance rate and reimbursement, let alone talk about risks and so on.

On the contrary, Xue Guixiao understood a little bit: "The current leader is also eating radish and not worrying about it. The reimbursement is not his family's money, and he is very lenient."

Yu Yuan skimmed over this topic, and then asked: "Didn't the previous hospital ask you to stay in the hospital for observation?"

"No need,

I'm fine. "Xue Guixiao continued: "Besides, they can't use my brother's name when they are hospitalized, so I can't stay here. It costs a hundred and ten yuan a day..."

"Well, wait a moment, let's see the results of this inspection." Yu Yuan said so, but in fact, she had already predicted the results of the inspection.

Xue Guixiao was arranged by Yu Yuan to sit by the window, and the chairs had tea, but she was basically satisfied, and commented: "The service here is not bad, so the appearance of a person is not important, the important thing is the beauty of the heart! "

Yu Yuan, who had just walked up to Ling Ran and was about to report, stepped on Zuo Cidian's foot and twisted it hard.

Zuo Cidian only felt that his feet were touched by the cat's mat, and a smile could not help showing on his face, the creases all over his face gathered together, like an old black mountain demon descending the mountain to eat.

"Doctor Ling, this patient was checked once before, and he was suspected of having bowel cancer. Should he be transferred to a general surgeon for a colonoscopy?" Yu Yuan still followed the original plan. Colon cancer is a type of cancer with a relatively high survival rate. If the operation is performed in a timely manner and the patient is lucky enough, the probability of surviving 5 years is still very high.

Although the emergency department can also perform colonoscopy by itself, Yu Yuan thinks that patients with suspected cancer should be referred to general surgery for diagnosis.

Ling Ran looked at the report and agreed, "Yes. Which general medical institution do you want to transfer to?"

Yu Yuan couldn't help being taken aback. In the current Bazhai Township branch, the doctors who come most often are from the general surgery department. The only one who doesn't have Yunyi, so she really has to think about who to transfer to.

Yu Yuan glanced back at the old man sitting in front of the window, sighed secretly, and said again: "The patient's family conditions don't seem to be very good, why don't I ask which general surgery company can reduce the fee, and then transfer it to Which one?"

Ling Ran ate the peeled grapefruit without even a trace of outer membrane, nodded, and said, "Yes, but we need to ask the patient first. Let Zuo Cidian make a few phone calls..."

Zuo Cidian immediately responded.

At the same time, the system also jumped out:

Mission: Healing and saving lives

Task content: Rescue Xue Guixiao and make him maintain his ability to live and live with dignity.

Mission Reward: "Left Colectomy" or "Right Colectomy"

Ling Ran raised his head slightly, it was the first time he encountered selective mission rewards.

However, compared with this, this mission is also more meaningful.

"Ask this patient, what is his usual source of income?" Ling Ran still said to Zuo Cidian. He himself is not good at chatting and heart-to-heart talk, and he doesn't want to try to break through.

Zuo Cidian didn't immediately agree this time, but only whispered: "Doctor Ling, when it comes to the patient's daily life, the situation will often become very complicated."

"En?" Ling Ran raised his head in confusion.

"It's very expensive to raise a person, but it's even more expensive to raise a patient." Zuo Cidian guessed part of Ling Ran's thoughts, and whispered in a persuasive tone, "Think about it, an operation can only be done in one operation." After all, even if we can reduce most of the surgical fees and various perioperative expenses, the rest cannot be settled with a few tens of thousands of yuan. If you include the living expenses of patients and their families, and lost wages, this is a bottomless pit. "

Ling Ran said noncommittally: "Ask first."

Zuo Cidian sighed: "I'm afraid that if it gets stained, I won't be able to shake it off, well, let me ask."

"For doctors who can perform surgery, consult a few more doctors." Ling Ran reminded him one more time.

"Yes." Zuo Cidian stopped talking, shook his head, and went to work on his own.