Doctor Started a Plug-in

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At this time, a youngster just came in.

“Mom? Not finished yet?”

The woman turned to look at her son and said, “This Doctor said that I am not a disease of the lungs. It may be that the thyroid gland presses the nerves, causing a dry cough.”

Hearing mother’s words, the youngster froze for a moment and glanced at the Doctor: “Doctor … what happened? Can the thyroid cause dry cough?”

After Chen Cang heard it, nodded: “Well, I just performed a thyroid palpation on Aunt. I can be sure that she has swelling on both the left and right sides, and there are nodules. What needs to be done Look at Color Doppler Imaging.”

Hearing Chen Cang’s words, the youngster froze for a moment: “Then trouble you to open a list.”

Chen Cang nodded gave a Color Doppler Imaging sheet for the thyroid gland.

youngster suddenly asked: “Doctor, by the way, give us a CT of the lungs. I am afraid that when I go to see Dean Qin tomorrow, people will not recognize the film in our place.”

Chen Cang hesitated and suddenly asked an off-topic question: “Does your mother often make movies?”

The young man hesitated for a while, and hesitated for a moment: “My mother is Teacher, and has more work at the desk, so she has had cervical spondylosis for all these years. Last year, she had more problems and often went to Hospital. It was her Teacher who coughed, not one or two times, so she often did lung examinations.”

Hearing the man’s words, Chen Cang sighed: “So, you go for Color Doppler Imaging of the thyroid gland, and you don’t have to do the CT film first.”

The man hesitated: “Here… we came to see Dean Qin specifically for lung disease, so please do me a favor.”

Chen Cang said: “Your 10000 Anxian film will do. The machine is pretty good, no need to shoot another film.”

The man got up and took his mother out.

Chen Cang watched the two people leave. Although not sure, he felt that Aunt most likely was thyroid cancer.

Radiation damage is very fatal to the thyroid.

As a relatively weak glandular tissue, the thyroid gland is not wrapped and protected like many other glands, but is located in the neck.

Therefore, when taking x-rays and CT films, these radioactive examinations are damaged by radioactive rays, and it is easier to induce thyroid cancer.

Even now research shows that the damage of radioactive rays has become one of the factors with the highest proportion of thyroid cancer.

Chen Cang watched the time approaching the end of get off work, hesitated, and did not leave directly.

He decided to wait for these 2 patients.

Generally speaking, Doctor Color Doppler Imaging will not directly tell him that he has thyroid cancer and so on, most will only tell him to go to the doctor to see.

Moreover, depending on whether the thyroid cancer depends on the puncture results, Dr. Color Doppler Imaging will not say irresponsible words.

In the Color Doppler Imaging room, there were not many people in the afternoon, but the results were relatively quick.

At around 6:1, there was no one in the corridor anymore. The only difference was that there was a long queue at the registration office. Many people stayed up late to wait for tomorrow’s registration.

There are even familiar faces.

Chen Cang was idle and bored, opened his phone to search for thyroid cancer resection.

Thyroid surgery is not difficult, but the precision is very high, and the blood vessels and nerves of the neck tissues and organs are very messy. You need to be very careful when performing surgery.

The demands on the surgeon are also very high.

If it is difficult, it is not difficult to be precise.

At this time, Aunt and the men outside came back last night to check that there were few people in the corridor, and the Doctors were off work, and they were a little worried. After all, they didn’t understand the report, they could only look at the Doctor, and Color Doppler Dr. Imaging told them to have the doctor show it.

Are you looking for Dean Qin tomorrow?

When passing by, I suddenly found that Chen Cang’s office was still open, and I was suddenly happy!

After the old Aunt came in, he suddenly laughed: “Doctor, sorry, please wait a long time, thank you!”

“But… Doctor, this… what’s the situation written on it? The doctor who checked the examination asked me to show it to the doctor.”

Chen Cang took the report and saw the signature. Director Bai came out.

Ultrasound findings: bilateral thyroid gland is large, the capsule is not smooth, the parenchymal echo is thickened, uneven…

Ultrasound impression:

Thyroid parenchyma rebounded and thickened, uneven

Multiple nodules can be seen on the right, type T1-RADS-4b

……

After Chen Cang saw 4b, the complexion changed suddenly, which meant that the probability of malignancy was already very high. This is a common indicator of Hospital. Patient can understand it to avoid unnecessary panic, and Doctor basically understands it.

generally speaking ，甲状腺结节分类的话，1类是正常甲状腺，2类是良性结节，3 类是很可能良性结节（80%良性），4a类是（恶性5~10%），4b（恶性10~80%）；5类：很可能恶性结节（恶性80%）。

Looking at 4b above, Chen Cang understands that this may mean that the probability of malignant nodules is high, that is, malignant tumors.

And looking at the irregular nodules on the report, the blood flow is good, and the echo is uneven…

Although B-ultrasound is uncertain, Chen Cang feels a biopsy away from the diagnosis!

The next step is to think about how to communicate with the Patient!

Telling the tumor directly, he must be worried that he cannot accept it.

Thinking about it, Chen Cang said: “Aunt, you don’t need to go to OPD tomorrow. You go directly to the inpatient department. The thyroid result returns that the nodules are likely to be malignant. What we need next is a biopsy. Whether it is benign or malignant, and then improve the relevant examination, the best thing is to have a timely operation!”

Hearing Chen Cang’s words, as expected, both people were dumbfounded.

Old Aunt hesitated: “Doctor… are you talking about cancer?”

In this era of cancerous discoloration.

Chen Cang felt that delaying the condition was more troublesome, so he said: “Don’t worry, I just said that it has this probability, but in the end, it still needs a biopsy to confirm the diagnosis, and you don’t have too much burden. The current treatment effect of thyroid cancer is particularly special. , The 100-year survival rate is more than 90/1, and many patients take medicine for a long time, which basically does not affect it.”

Hearing Chen Cang’s words, the old Aunt was silent.

Who knows a cough check out thyroid cancer.

And… this is still good luck.

If you have been in 10000 Anxian County, you may not understand it until you die.

When the man saw his mother’s fear and panic, Unable to Bear asked: “Doctor, my mother is usually very good, why is there a thyroid problem?”

Chen Cang thought about it and said, “My suggestion is to use something to cover the neck when taking CT. The cervical spine film should take NMRI instead of ct as much as possible. ct is very damaging to the thyroid.”

……

ps: The above sentence is also for everyone. Now that the disease is getting more and more, it has a lot to do with radiation damage.