Kang Hong is busy working in the office.

Deputy Director Chang Qiu walked in and said to Kang Hong: "Xiaokang, are you okay in the morning?"

"It's okay, is the director okay?"

"If you don't have any other arrangements, you'll have a surgery with me. You're a patient with liver cysts. Conservative treatment is ineffective and you're ready for laparotomy."

"Yes, no problem."

"Then you go and prepare quickly. Have the surgery in half an hour. You go see the patient and then send the patient to the operating room."

Kang Hong was a little puzzled, how could Chang Qiu stop the temporary order?

This is not Kang Hong's bed-manager. Chang Qiu suddenly asked him to participate in the operation. I wonder why?

Chang Qiu seemed to see his thoughts: "I think you did a good job in the surgery. I hope you can follow me and have more opportunities to exercise."

I always feel that this logic is wrong?

I said before that I did a good job in the surgery, and then I gave me more opportunities to exercise. Shouldn’t it be me who followed her and she felt more at ease?

However, he is not good at liver abscess, and the perfect surgical skills he is good at are just liver trauma and liver tumor resection.

But it’s okay to be an assistant. A lot of contents of liver trauma and liver tumor resection have covered the surgery for liver abscess. After all, they are all in the liver area, and a lot of knowledge is intersected.

Kang Hong is responsible for sending the patient to the operating room with the nurse.

He brought Haiyin to the ward.

The patient came from the countryside and was lying on the hospital bed.

The family looked at the doctor coming in with sad eyes, their eyes full of anxiety.

The family of every patient who undergoes the operation has this kind of look.

Kang Hong comforted him and said, "Don't worry, the operation was done by our deputy director and it will definitely succeed."

The patient's wife said: "My husband was diagnosed with liver abscess half a year ago. At that time, we said that the surgery was needed. The doctor said no, saying that this liver abscess can be cured by antibiotics and puncture treatment. As a result, it is now sick again. I knew that the surgery would have been done half a year ago, so I would not have delayed it for so long."

The patient's family has become a doctor after a long illness, and can still tell some tricks about her husband's illness.

Kang Hong nodded, not discussing the patient's condition.

Nurse Haiyin began to change the surgical gowns for the patient, and Kang Hong helped, and Kang Hong inadvertently touched the patient's abdomen.

He exclaimed, stopped his hand, and pressed it a few more times. Haiyin was a little surprised and said, "What's wrong?"

Kang Hong did not answer, and he asked the patient's family and said, "Did the patient have done B-ultrasound and CT? Where is the film? Show me."

The patient's family quickly took out the b-ultrasound and CT scan of the abdomen from the drawer.

Kang Hong looked carefully at the window and found that there was a lump of about seven centimeters in the left inner lobe of the liver, which was an uneven and strong echo group with clear boundaries and irregular shapes. You could see multiple low echo areas with varying shapes and sizes.

He thought for a while and said to Haiyin: "You keep preparing, I'll go back and check the medical record."

Haiyin agreed, Kang Hong quickly returned to the office, retrieved the patient's medical record electronic file, and quickly started reading.

The patient had a puncture and drew a small amount of bloody fluid, but no bacteria were found.

Three years ago, the patient was admitted to the Provincial Hospital for radiating the shoulder with high fever due to persistent dull pain in the upper right abdomen. The doctor at that time was Chang Qiu, who was diagnosed with liver abscess. He performed liver abscess under the b-ultrasound of the abdomen and drew out 400 ml of pus for conservative treatment. Antibiotics and puncture were used to treat the abscess. The abscess shrank greatly to almost disappear, and was discharged from the hospital and transferred to outpatient treatment.

Two months ago, there was another dull pain in the upper right abdomen similar to the previous one. As a result, I was admitted to the hospital. After abdominal B-ultrasound and CT examination, it was still diagnosed with liver abscess. Because the conservative treatment failed, I decided to have a laparotomy.

Kang Hong looked carefully at the B-ultrasound and CT scans on his abdomen. While he was busy, Chang Qiu appeared in the doctor's office and said, "Xiaokang, why haven't you prepared for the operation yet?"

Kang Hong quickly stood up and said, "Director Chang, come and see. I think there is something wrong with this patient."

"Oh, what's the problem? Come to my office."

Seeing that Kang Hong was about to speak but stopped, she felt something was wrong, so she called Kang Hong to her office.

Director Chang and Kang Hong returned to their office. Chang Qiu turned on the computer, recalled the medical record and said, "What's the problem?"

Kang Hong pointed to the CT scan and said, "From the CT image, I think this is more like liver cancer than liver cysts. Because its necrotic area has a high CT value, and its edges are irregular and have nodular shapes, which is different from liver abscess."

Chang Qiu asked in a deep voice: "Do you think this is not a liver abscess but liver cancer?"

“From the image point of view, that should be the case.”

"But the patient was diagnosed with a liver abscess three years ago. He had a liver puncture at that time, and a pus was extracted, and a pathological test was performed. The diagnosis was undoubtedly confirmed. This time it should have relapsed."

Kang Hong said: "It is because he had a liver abscess before that he formed a mindset for the director, thinking that it was a recurrence of liver abscess. The symptoms of liver abscess and early liver cancer are very similar, and the imaging difference is not very big, so it is not easy to distinguish. It is easy to fall into the previous mindset and mistakenly think that it was a recurrence of liver abscess.

I looked at the medical record and only a small amount of bloody fluid was drawn out in the puncture this time, and there was no pus, and no bacteria were found. Liver abscess is generally effective. However, almost all antibiotics were used for two months after the patient was admitted, and there was no effect, which means that it was not a recurrence of liver abscess but liver cancer."

Chang Qiu looked at the screen and kept switching information. After a while, he nodded slowly, looked back at Kang Hong and said, "You made a lot of sense. It seems that I was wrong in judgment."

"It's still time to correct it, and there's no surgery yet."

"Yes, I told the patient that he had liver cancer after surgery, and the patient would not be able to bear it. This means that we have misdiagnosed. If the diagnosis results are adjusted and the surgery is prepared, this problem will not exist. Thank you Xiaokang, you helped me a lot this time, and I almost made a mistake this time. Let's do this, go and call the patient over, and I will communicate with other people's family members for a new condition. Maybe we need to determine the surgical plan again."

Kang Hong agreed and went to call the patient's family.

The patient's wife sat opposite Chang Qiu in fear and restrained. Chang Qiu said, "I'm sorry, I may want to tell you a bad news. After our re-consultation, we found that your husband was not suffering from a recurrence of liver abscess, but... liver cancer."

These two words are devastating.

The patient's wife's whole body suddenly became tense, her face turned bloodless, and her lips trembled: "How is it possible...! Why is it liver cancer? Isn't he a liver abscess? He had a liver abscess three years ago, so he made a mistake!"

"Now we are just tending to think that it is not a liver abscess, but liver cancer. Whether it is a liver abscess or liver cancer, we think that we need laparotomy and exploratory surgery accordingly based on the results of the investigation."

"Is it liver cancer or liver abscess? These two are different. Liver cancer is a terminal illness and cannot be cured. It is equivalent to being sentenced to death!"

Chang Qiu said: "That's not, many cancers can be treated and can be completely cured. If discovered early, the treatment effect will be very good. Some of the liver cancers themselves are not very dangerous, so you don't need to be too anxious. We will know after the operation."
Chapter completed!