Soon, the mobile phone vibrated, Shi Hua sent the patient''s medical record.


    Wu Mian turned on his cell phone and smiled bitterly. Shi Zhonghua is not a doctor after all. He doesn''t know what is important and what is unimportant in the medical record description.


    He had a copy of the inpatient medical record in hand. One page was missing and he sent it all to himself. Some unnecessary information was also sent along.


    Wu Mian watched while Shi Zhonghua sent. At Wu Mian''s hand speed, he watched it for nearly 10 minutes.


    "Secretary Shi is also very attentive." Chu Zhixi said, "brother, what''s the situation?"


    "The patient has a problem." Wu Mian said solemnly, looking through the test sheet.


    "Hmm? Isn''t it confirmed?"


    "It''s not a diagnosis, it''s a suspicion. The patient underwent enteroscopy twice and saw a tumor. He took a pathological biopsy, but he didn''t see cancer cells. Moreover, the patient''s CA125 increased. The cancer hospital diagnosed colon cancer with a question mark."


    Diagnostic band "?" is a diagnostic method highly suspected by doctors but not supported by objective test results.


    "Oh, then go and have a look." Chu Zhixi didn''t continue to ask in detail, holding his mobile phone and chatting with Zhang Lan. Wu Mian looked up and saw that they were full of interest. Chu Zhixi occasionally gestured in front of him, like talking about the size of clothes.


    OK, Wu Mian smiled.


    If you sit here by yourself, you really don''t have much to say to your mother. I wish the girl could have a little girl in the future, but don''t want a son. It''s useless. When it comes to taking care of the elderly, it has to be a girl.


    Wu Mian thought and got up and left the ward.


    The medical record sent by Shi Zhonghua was interesting. Wu Mian pondered as he walked.


    The patient is a 26 year old female. Two years ago, she suddenly had unexplained intermittent dull pain in her left lower abdomen. The abdominal pain intensified during defecation. The left lower abdomen can touch the mass, and the mass disappeared after defecation.


    If you just look at these, most people will think it is a fecal mass, and the medical record also describes that the patient thought so at that time. But there is another suspicious point. The patient emphasizes that the stool is not formed.


    At that time, she didn''t pay attention to it. It was just a small problem with her intestinal tract.


    Six months ago, the patient suddenly began to have intermittent bloody stool. He went to the provincial cancer hospital for examination. The tumor marker CA125 increased. Enteroscopy showed that the sigmoid colon was obviously narrow, and the endoscope could not pass. He was highly suspected of sigmoid colon cancer.


    Tumor markers are elevated and typical stenosis can be seen by endoscopy. No wonder doctors in cancer hospital will judge it as colon cancer. The intestinal cavity is blocked like this. What else can it be if it''s not cancer.


    But it is strange that the cancer hospital made a biopsy when it first saw the tumor, and there were no tumor cells in the pathological report.


    Such a big tumor, whose diameter should be 3cm-5cm, didn''t take out the tumor tissue?! Wu Mian doesn''t believe it.


    However, this is an objective fact. When the disease progresses to this stage, it can only be judged as false negative. After all, if the puncture needle goes in and takes pathological tissue biopsy, it is likely to only penetrate into normal tissue.


    All clinical test evidence points to colon cancer. Even if the pathological examination is negative, the diagnosis still has no change. At most, a "?" is added after it.


    But Wu Mian lowered his head and recalled the course of disease written in the medical record again and again. He always felt something was wrong.


    What''s wrong? Wu Mian couldn''t say it.


    Colonoscopy has seen the tumor. The tumor is very large. Colonoscopy can''t pass smoothly.


    Wu Mian is very clear about what this situation means, and the tumor marker CA125 rises synchronously. It is said that there should be no problem in the diagnosis of the provincial cancer hospital.


    But Wu Mian just felt wrong.


    Wu Mian bowed his head and hurried out of the jianxie hospital. Someone came up, "section chief Wu."


    "Oh?" Wu Mian looked up and smiled when he saw that it was trinket.


    "I finished the work, and Wang Chengfa finally bowed to admit his mistake with a black face." Wei Dabao briefly described.


    "Oh, please," Wu Mian said.


    Trinket was stunned when he saw his absent-minded greeting and continued to move forward. He had no idea of staying and saying a few words to himself.


    "Section chief Wu, where is the film?" Wei Dabao said nothing.


    "Give it to me. I''ll put it in the car." Wu Mian said.


    "Are you..."


    "A civil servant in the district diagnosed colon cancer and wanted to jump off a building." Wu Mian said, "I think something''s wrong. Go and see the situation."


    "Is the diagnosis clear?" Wei Dabao guessed that as long as he talked about the patient''s condition, section chief Wu would not drive himself away, so he went up and asked.


    "I saw it through enteroscopy. The tumor was very clear, and biopsy was taken for pathology." Wu Mian said as he walked, "but the pathological examination was negative."


    "Pathology can be trusted," said Wei Dabao contemptuously.


    "Oh? Why do you say that?" asked Wu Mian.


    "Chief Wu, let me tell you something." David started gossiping. "I didn''t work in the emergency department, but in the upstairs ward. We also accept patients with advanced lung cancer or cancer transferred to the chest, resulting in a large amount of pleural effusion. It''s regarded as hospice care. We can''t let patients die. We don''t need any medicine at home."


    "Yes, indeed." Wu Mian nodded.


    "And the country people pay attention to here... They are not country people, and so are the city people," continued Wei Dabao. "Many people are not filial at ordinary times. When the last time comes, all the filial piety will come up and be shown to others. It''s still good to send them to the hospital. Many are suffocated alive at home, and then buried."


    "Chief Wu, you said that when you were alive, you were not filial, the scenery was great, and the dead couldn''t see it. Isn''t it for the living?" Trinket habitually nagged.


    "Say something." Wu Mian said in a deep voice.


    This kind of thing has been seen a lot, and it has long been strange. Wei Dabao was a little wordy.


    "Well, well," said Wei Dabao repeatedly, "the patient has a large amount of pleural effusion. Our bajingzi traditional Chinese medicine hospital has no chest bottle, so we can only do pleural puncture and draw out the pleural fluid. If we draw out a little, we can breathe comfortably for a day or two, and for a short time, we can be comfortable for an hour or two."


    "Well, then."


    "A few years ago, there were documents. All the tissues taken out had to be examined pathologically," said Wei Dabao. "The pleural effusion extracted from the chest also had to be done."


    "Exfoliated cells should be examined," Wu Mian said.


    "You should, but I sent 10 specimens of advanced cancer patients in half a year, and the pathology department of our hospital couldn''t find anything." Wei Dabao said.


    "Ha ha." Wu Mian smiled, but didn''t say much.


    "Later, a patient''s family asked me what the disease was. Don''t let the old man go unclear. I asked them to go to the provincial capital with chest water for examination. The result was positive."


    "Chief Wu, are you angry?" said David.