I Can See Health

Vol 2 Chapter 387: PET-CT

   Chapter 387 PET-CT

   After several days of consideration, Lu Donghua finally brought his father to Jiangcheng.

During the    period, he also visited large and small hospitals in Binh Duong City.

   Almost all doctors say that there is no problem, and regular follow-up is enough.

   However, Lu Donghua still felt inappropriate, after all, the possibility of malignancy was not completely ruled out.

   In addition, he told his father the actual situation.

   Because without the cooperation of Lu Chaoming, some follow-up examinations and treatments could not be completed.

  The First Affiliated Hospital of Jiangcheng University.

  Lu Donghua brought his father, Lu Chaoming, to the outpatient building.

   "Dad, we are looking for Professor Fang Rushui from the Department of Respiratory Medicine."

  Lu Donghua held a note in his hand, on which was written the department where Fang Rushui was.

   "Donghua, are you saying that Xiaochen suggested that I come to Jiangcheng University Hospital for further examination?" Lu Chaoming wondered.

   "Yes." Lu Donghua nodded slightly, "The reason why he asked you to go for a physical examination was because he heard about your lung problems."

   "Hey, I'm getting old, so it doesn't matter if I have a disease." Although Lu Chaoming said this, he was a little worried in his heart.

  People, the older you get, the more you are afraid of death. This is true.

  Lu Chaoming has been at home these few days, he can't sleep well and eat badly.

   This is one of the reasons why Lu Donghua came to Jiangcheng.

   "Dad, don't worry too much." Lu Donghua said, "It is said that the possibility of benign is high. We came to Jiangcheng mainly for peace of mind."

   "Okay, I'll listen to you." Lu Chaoming nodded.

  …

  The First Affiliated Hospital of Jiangcheng University, Professor Fang Rushui, Department of Respiratory Medicine, is a major expert in the province.

   is almost NO1 in the field of lung tumors in the province.

   His outpatient number, but the big scalpers are fighting for it, and it is hard to get the number one.

  Lu Chen was fortunate to have studied in Professor Fang Rushui's group.

  Although Professor Fang Rushui forgot about him, Lu Chen still took the name of Professor Fang through his classmates at Jiangcheng University.

  The fourth floor of the outpatient building, the department of respiratory medicine.

  Lu Chaoming and Lu Donghua waited outside for most of the day, and finally entered the consultation room at eleven in the morning.

   "Professor Fang, we were introduced by an acquaintance."

   As soon as he entered the door, Lu Donghua introduced himself.

  Professor Fang Rushui frowned, put on his glasses, and said solemnly, "I don't have any acquaintances or strangers here."

  Lu Donghua was stunned for a moment, his face a little embarrassed, this old professor really has a personality!

   "Who is the patient? What kind of disease?" Fang Rushui raised his eyebrows.

  Lu Donghua immediately took out the CT film made in Pingyang, "Professor Fang, this is my father's CT film, please take a look."

   After finishing speaking, the assistant beside Professor Fang took the film and put it aside to put it on the reading machine.

  Fang Rushui took a look at the CT scans of both eyes, his face was as usual, and then he asked, "Is there any discomfort in the patient himself?"

   "I just cough a lot." Lu Chaoming replied.

   "Is there any phlegm? What color is the phlegm?"

   "Do you usually smoke?"

  …

  Lu Chaoming found that the question asked by Professor Fang Rushui seemed to be the same as what Lu Chen asked before.

   "I'll listen to your lungs." Professor Fang pulled out the stethoscope.

   "Okay, let's trouble Professor Fang."

  Lu Chaoming nodded and took off his jacket.

   After a while, Professor Fang picked up the stethoscope.

   "There is a problem with this position." Fang Rushui pointed to a position on Lu Chaoming's back.

  Lu Donghua didn't react, but Lu Chaoming was stunned. Isn't this the same as what Xiaochen told him?

   Aware of Lu Chaoming's abnormality, Lu Donghua hurriedly said, "Dad, what's the matter?"

   "No, it's nothing." Lu Chaoming shook his head slightly, "Even Lu Chen told me about it before, and he also said there was a problem here."

   "Really?" Lu Donghua was startled and began to re-examine his nephew.

   Fang Rushui also heard the conversation between the two.

   "Is there a doctor at home?"

"Well, my brother and his son are both doctors." Lu Donghua said, "but my nephew discovered the problem of my dad's lungs. He was an undergraduate in clinical medicine at Jiangcheng University, and this year he went to Jinghua for graduate school. ."

   "Well, yes, you can hear it by auscultation, your nephew is not bad." Fang Rushui nodded, then handed Lu Donghua a checklist, "Make an appointment for a chest CT scan."

  Lu Donghua took the checklist and whispered, "Professor Fang, is this my dad's possibility of being malignant? I was in our local tertiary hospital, and the doctors said it was benign, so regular checkups are enough."

Fang Rushui said: "A piece of film certainly cannot diagnose benign and malignant, but from the picture you brought, I feel that malignant cannot be completely ruled out, and further examination is necessary. How can I say... some very The professional thing is this film, the location and size of the pulmonary nodule, as well as the relationship with the surrounding tissue, there is a possibility of malignancy."

   "Can't you check regularly?" Lu Donghua asked.

"No, if it is malignant, it will delay the treatment time." Fang Rushui shook his head, "In the process of tumor treatment, time is very precious. Unless it is some relatively indolent tumor, it will be delayed for two or three months. If the tumor metastasizes, the treatment effect will be poor at that time.”

  Because it is an expert number, Fang Rushui's explanation is very patient.

   "Then... what should we do next?" Lu Donghua said.

   "Because the location of this pulmonary nodule is relatively deep, it is not easy to puncture, so I do a chest CT enhancement first." Fang Rushui Road, "After the examination, wait for the results to come out, and then make a further diagnosis and treatment plan."

   "Okay, thank you Professor Fang."

  Lu Donghua nodded and left with Lu Chaoming.

   He didn't immediately go to make an appointment for a chest CT scan, but made a call to Lu Wenguo.

  …

   Today, Lu Chen has left Pingyang by train and returned to the Jinghua Second Hospital.

   As soon as he got off the train, he received a call from his father Lu Wenguo.

   "Xiaochen, your second grandfather went to Wuhan today to find a professor to watch the film. The professor suggested an enhanced chest CT. Your Uncle Donghua asked me to ask you your opinion."

   Actually, when Lu Wenguo received a call from Lu Donghua, he was a little surprised.

Before   , Lu Donghua was hesitant, mainly because Lu Chen was just a student.

  Why did you take the initiative to call and ask today?

  Lu Chen didn't think about it so much, and said directly: "Okay, it's okay to do chest enhanced CT, but..."

   "But what?" Lu Wenguo said quickly.

   "If Uncle Donghua agrees, you can do a PET-CT directly." Lu Chen said.

   "PET-CT...Okay, I'll tell him." After Lu Wenguo said a few words, he hung up the phone.

  Lu Wenguo is a senior doctor. Of course, he knows what PET-CT is. By scanning the whole body with PET-CT, it is possible to find the space occupying any position, and it can show whether the tumor is benign or malignant, and whether the tumor has metastasized, and where on the body it has metastasized.

  The only downside is that it is expensive!

   A PET-CT costs about 8,000 to 9,000 yuan, and medical insurance is not reimbursed.

   Ordinary families really can’t afford it.

  The reason why Lu Chen suggested Lu Chaoming to do PET-CT was because he was afraid that if it was lung cancer, it was likely to have metastasized!

   There is no metastasis and surgery can be done.

   But once the tumor metastasizes, it means advanced stage, and basically there is no value for surgery.

  PET-CT is expensive, but it can be done in one step, saving many steps in the middle

  Lu Wenguo told Lu Donghua what Lu Chen said.

   The next thing is not something that Lu Chen can worry about...

  …

   Until the third day after Lu Chen returned to Jinghua, news came back from Jiangcheng.

  Lu Chaoming was diagnosed!

  PET-CT results show that lung cancer!

   Make up for the day before yesterday

  

  

   (end of this chapter)

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