In the hospital, doctors often did not care too much about the hardness, dryness, or thinness of the stool, but they cared more about its color.
In the eyes of doctors, stool usually had seven colors, which were similar to a rainbow.
Normal stool was yellow and brown. It was not novel, and the public did not pay much attention to it. It was a normal stool that rarely appeared in questions. Bleeding stool had a full spectrum from bright red to dark red. The brighter the color, the closer it was to the exit. Conversely, it meant that it was further away from the exit. Therefore, bright red stool often indicated hemorrhoids and other perianal bleeding, while dark red or dark red stool often indicated gastrointestinal bleeding.
The most beautiful and safe stool color was green. Usually, it meant … that you ate too much or digested too quickly, and you should not eat so healthily in the future.
In comparison, black stool indicated constipation or other gastrointestinal diseases, which could be said to be normal.
The color of stool that people did not want to see the most should be grayish-white or clay. It often meant that the intestines were blocked, so bile could not enter. This was what Yu Yuan saw in the lunch box. Combined with what she saw in the report, the possibility of intestinal cancer was very high.
"Are you Xue Guiren? Sixty-six years old this year? "Yu Yuan looked down at the old man's examination report and habitually checked his name and age.
The old man pursed his lips and said, "Xue Guiren is my younger brother. My name is Xue Guixiao."
The corner of Yu Yuan's eye twitched. She asked, "What's your age?"
"Sixty-eight years old." Old Xue Guixiao sighed and said as if he was chatting, "At my age, it's normal for my body to be sick. The previous examination didn't make a definite diagnosis even though they mobilized a lot of people, right? I was thinking, since you're also doctors from Yun Hua, why don't you take a look at me again? The technology in the county hospital is really not good … "
Yu Yuan forced a smile. She could guess that the county hospital would definitely be very careful when they encountered patients like the old man who were suspected to have cancer. They could not be too confident. After all, the gold standard for cancer was a biopsy. Without a colonoscopy, there was a possibility that it was not colon cancer.
If they were in a big hospital, they could still speak more directly. However, it was hard to say that in a county hospital, they might be too tactful to the elderly.
As Yu Yuan thought about this, she pointed at the name and age on the examination form and said, "The name and age are your younger brother's, but you did the examination, right?"
Xue Guixiao hummed in acknowledgment and said, "My brother can be reimbursed. I've always used his name to see a doctor. It won't affect you? That's what we do here. If you can do it, I'll do two more examinations. If you can't, I'll open fewer. Money doesn't fall from the sky. Don't you agree? "
"We can't use other people's names for the examination." Yu Yuan gave a slightly stiff answer.
Using someone else's name and medical insurance to see a patient was no longer feasible in tertiary Grade A hospitals, but it still existed in rural hospitals with imperfect systems. This was especially true for those township hospitals that had an unlimited amount of medical insurance. They had no motivation to improve the system.
Xue Guixiao snorted in dissatisfaction and said, "What's the difference? Examinations are examinations, and you've gotten the money. Reimbursement is my business."
"The leader of our hospital has a request." Yu Yuan did not really explain the medical insurance rates and reimbursement, and she did not talk about the risks and so on.
Xue Guixiao understood a little. "The leaders nowadays are also worried about nothing. It's not their family's money that's used for reimbursement, and they're very lenient."
Yu Yuan changed the topic and asked, "Didn't the previous hospital ask you to stay in the hospital for observation?"
"There's no need for that. I'm fine." Xue Guixiao continued, "Besides, they can't use my younger brother's name when they're hospitalized, but I can't stay there. It costs a hundred RMB a day …"
"How about this? Please wait for a while. We'll see the results of this examination." Although Yu Yuan said that, she had already predicted the results of the examination.
Yu Yuan arranged for Xue Guixiao to sit by the window. There was a chair and a cup of tea, so he was basically satisfied. He even commented, "The service here is not bad. So, a person's height and appearance are not important. What's important is the beauty of the heart!"
Yu Yuan had just walked in front of Ling Ran and was about to report when she stepped on Zuo Cidian's foot and pinched it hard.
Zuo Cidian only felt that his foot was touched by a cat's paw. He could not help but smile. The wrinkles on his face gathered, and he looked like an old demon from Black Mountain who came down the mountain to buy food.
"Doctor Ling, this patient has been examined once before. It's suspected that he has colon cancer. Should we transfer him to the General Surgery Department for colonoscopy?" Yu Yuan still followed the original plan. Colon cancer was a type of cancer with a higher survival rate. If the surgery was done in time and the patient was lucky enough, the probability of living for more than five years was still very high.
Although the Emergency Department could also perform colonoscopies on their own, Yu Yuan felt that patients with suspected cancer should be handed over to the General Surgery Department for diagnosis.
Ling Ran looked at the report and agreed. "Sure. Which General Surgery Department do you want to transfer him to? "
Yu Yuan could not help but be stunned. Right now, most of the doctors in the Bazhaixiang hospital branch were from the General Surgery Department. There were no doctors from Yun Hua Hospital. She really had to think about which hospital to transfer him to.
Yu Yuan turned around and glanced at the old man sitting in front of the window. She sighed and said, "The patient's family doesn't seem to be very well off. Why don't I ask which General Surgery Department can reduce some of the fees, and then transfer him to that hospital?"
Ling Ran ate the peeled grapefruit that had no outer membrane. He nodded and said, "Sure, but we have to ask the patient first. Zuo Cidian, make a few phone calls …"
Zuo Cidian immediately agreed.
At the same time, the system also jumped out.
[Mission: Treat a patient and save a patient]
[Mission Details: Treat Xue Guixiao and help him maintain his ability to live with dignity]
[Mission Reward: Left hemicolectomy or right hemicolectomy]
Ling Ran raised his head a little. This was the first time he encountered a selective mission reward.
However, compared to that, the mission this time was also more meaningful.
"Ask this patient, what's his daily source of income?" Ling Ran still asked Zuo Cidian. He was not good at chatting, and he did not want to try to break through.
Zuo Cidian did not immediately agree this time. He only whispered, "Doctor Ling, when it comes to the patient's daily life, the situation will often become very complicated."
"Hmm?" Ling Ran raised his head in puzzlement.
"It's very expensive to take care of a person, but it's even more expensive to take care of a patient." Zuo Cidian could guess some of Ling Ran's thoughts, and he whispered with the intention of persuading him, "Think about it, after a surgery, even if we can reduce most of the surgery fees and the various expenses during the perioperative period, the remaining amount will not be less than a few tens of thousands RMB. If we include the patient and his family's living expenses, as well as the loss of working time, it will be a bottomless pit."
Ling Ran said noncommittally, "Let's ask first."
Zuo Cidian sighed. "I'm just afraid that I won't be able to get rid of it. Alright, I'll ask."
"Also, consult a few doctors who can perform the surgery." Ling Ran gave another reminder.
"Alright." Zuo Cidian did not say anything else. He shook his head and went to work.
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