"Tell me, how many cherries did you eat?"
"About several dozen pounds over the past two weeks."
Qin Feng heard this answer and immediately broke out in a cold sweat!
Holy shit!
Dozens of pounds?
Eating several pounds a day, even a god couldn't handle that!
Even if cherries are cheap, wholesale is still twenty pounds a pound, that's a couple hundred bucks a day!
How can you not get sick of eating like this?
Unbelievable!
There are two types of iron poisoning, acute and chronic.
Acute poisoning usually involves upper abdominal pain, nausea, vomiting, diarrhea with black stools, bluish lips, easily agitated or sleepy, and in severe cases, it can even cause acute bowel necrosis or perforation, leading to shock and even death.
Chronic is somewhat better, it's just that a large amount of iron deposits in the liver and spleen organs, easily causing cirrhosis, osteoporosis, calcification, and brown-black skin discoloration.
Clearly, this girl in front of me should have chronic poisoning, otherwise eating so much for two weeks, most people wouldn't be able to handle it.
"Okay, go get a liver CT and a chest X-ray."
Qin Feng handed the examination form to the boy and said.
"CT? X-ray?" The boy took the form and was immediately stunned, growing increasingly anxious as he asked,
"Doctor, what's wrong with my girlfriend? Why does she need a CT and X-ray? Is it very serious?"
"Don't panic yet, I basically suspect your girlfriend has consumed too many cherries, which contain a large amount of iron. This iron gets into the body and can deposit in the organs, causing damage with intestinal motility.
These tests are to confirm the condition, hurry up and go."
As Qin Feng finished speaking, the girl was dumbfounded.
"How... how is that possible?"
"How can it be the cherries? They're imported cherries!"
"No... it can't be...."
Boyfriend: ...
Qin Feng: ...
"Go quickly, don't delay."
Qin Feng pointed to the girl and said to the boyfriend.
The boy nodded and dragged the girl out for the examination.
Qin Feng delayed his lunch by an hour waiting for them, and only then did the boy help the girl back.
The test results showed, without a doubt, iron poisoning!
There's also both acute and chronic conditions, with hemoglobin very low in the blood counts, elevated red blood cells, and significant fluid loss.
The liver CT showed increased liver density and abnormal elevation of tissue iron.
"How is it, doctor?"
The boy wiped his sweaty forehead and quickly asked.
"That's right, it's indeed iron poisoning, and the situation is not good."
Qin Feng put down the examination report and said helplessly,
"Your girlfriend has been consuming a large amount of cherries over a long time, but fortunately, her organs are still in the tolerance phase. From now on, she can't eat anything that contains high iron content, including cherries and spinach.
I'll prescribe some medicine, make sure she takes it consistently when she goes home, this can only gradually remove the iron from the body, got it?"
The girl heard his diagnosis and completely lowered her head, realizing her problem.
When they left, tears flowed from the girl's eyes as she clung tightly to her boyfriend.
This is probably going to leave a lifelong shadow about cherries.
...
After lunch,
Qin Feng finally had a chance to rest a bit, squinting for a moment before returning to the clinic.
He had just sat down, not even having a chance to take a sip of water, when a patient burst in.
"Doctor! Doctor!"
A pair of parents carrying a 12-year-old girl rushed into the clinic,
"Doctor, please save our daughter~"
Qin Feng quickly got up and looked at the little girl in the man's arms, her face pale and dull, eyes dim and unfocused.
Her big eyes weakly looked at Qin Feng in front of her, her whole body powerless.
Looking at the little girl, Qin Feng couldn't help but think of Qiao Yiyi back then, feeling a twinge of heartache.
"Doctor, please take a look at my daughter, you must save her!"
The girl's mother, seeing her daughter in this state, couldn't help but burst into tears.
The father also had tears in his eyes but was holding back, his face full of urgency.
"Don't worry, put the child down first, let me check her over."
Qin Feng pointed to the nearby bed, instructing the father to lay the girl flat on it,
"Tell me, what's the situation?"
"Doctor, my daughter has been vomiting a lot for the past two days, feels nauseous at everything, doesn't want to eat, and has severe diarrhea....."
Hearing the woman's words, Qin Feng's brows furrowed again.
Another case of delaying treatment after discovering a problem.
"This situation has been going on for two days, why are you only bringing her in now?"
"Doctor, you don't understand, we've been working out of town, and our daughter has been living on her own, her grandma visits frequently..."
The woman urgently and helplessly said,
"We just got back yesterday and noticed something was wrong with her. Her grandma said it's just kids feeling a bit unwell, so we waited until now."
"How can the adults not have any sense of urgency? When you notice something's off, why not bring her in immediately?"
Hearing this, Qin Feng was speechless and a bit angry.
"We... we're often not home, we didn't know what was going on, and her grandma said so, so we listened, and when we saw it got more serious today, we rushed to the hospital."
The couple lowered their heads after Qin Feng's stern scolding, the man helplessly explained.
"Big brother... don't blame them, they work hard~~~"
A small hand pulled at his white coat and said weakly.
Qin Feng looked at the little girl on the bed, his heart softened, and he sighed, a smile returning to his face.
"Little girl, you're very brave. Now, big brother needs to check your body to see where it feels uncomfortable, okay?"
"If it hurts when I press somewhere, just tell big brother."
The little girl weakly nodded.
What an understanding child!
Qin Feng gently placed one hand on her abdomen and began to press according to the order of diffusion...
After examining all the internal organs, everything was normal except for the liver area in the upper abdomen, where the little girl's face showed a painful expression.
"The liver?"
Qin Feng frowned slightly.
The little girl clearly has abdominal pain, but the real pain seems to be in the liver.
If it's not gastroenteritis, then her symptoms of vomiting, diarrhea, and loss of appetite seem somewhat unreasonable!
However, the liver is an organ in the body without substantial pain nerves, only the hepatic capsule has pain nerves.
So even with liver hemangioma or liver cancer, many people might be unaware without examination.
Because it doesn't hurt!
But if liver lesions stimulate the hepatic capsule, such as acute or chronic hepatitis, or tumor bleeding necrosis in the liver, it may cause noticeable liver pain.
And as the lesions worsen, the pain symptoms and frequency of episodes will gradually increase, potentially leading to severe liver pain in critical cases.
When people feel the pain, it often means the condition has progressed to the mid-late stage...
This is why many liver cancer patients find out only during diagnosis that it's too late to turn things around.
"Could it be hepatitis or a liver tumor?"
This thought flashed through Qin Feng's mind, but he immediately dismissed it.
After all, this little girl is only 12 years old, making the environment and age probability for liver tumors very low.
Moreover, from the general pathogenesis of liver tumors and liver cancer, the incidence of liver cancer in children is very low.
But this is just his own idea, every necessary checkup must be done.
Doctors can make their own judgment on the condition, but must not be arbitrary!
Swish, swish, swish~
Qin Feng printed out the examination forms and handed them to the woman.
"Go get the blood test, urine test, ultrasound, and chest CT done, and I've added a liver MRI for enhancement.
First, pay the fee and complete the examinations, then bring the report back."
"Okay, okay, okay!"
The girl's parents nodded repeatedly, picked up their daughter, and rushed out, their steps flying.
...
About an hour or so later,
Qin Feng was seeing a new patient when a mixture of footsteps echoed from the hallway.
"Make way, make way, thank you!"
It was the voice of that girl's mother.
Qin Feng finished with the patient in front of him and waved at the couple outside the door.
The father hurried in with the little girl in his arms.
"Doctor, please look at her quickly, she just vomited again...."
Qin Feng let the little girl lie flat on the bed and took the examination report from the woman's hand.
On top was the ultrasound: multiple solid hepatic lesions, suspect liver Ca.
Seeing this, his complexion slightly changed.
This situation doesn't seem right!
Swish, swish, swish~
He immediately pulled out the enhanced liver MRI and chest CT scan.
Conclusion: A huge mass in the right lobe of the liver, suspect liver Ca.
Conclusion: Suspected tumor in the lower right lobe of the liver...
Liver cancer!
For a moment, Qin Feng was at a loss for words; this result was beyond his expectations.
"Doctor... how... how is it?"
The father seemed to sense something wrong and asked with a trembling voice.
Qin Feng glanced at the little girl, smiled at her, then pulled the man and woman aside to speak softly.
"I hope you won't be too anxious about this result. All examination results are out now, and we can confirm the diagnosis.
Your daughter has liver cancer!"
Crack!!!!
The couple froze in place upon hearing his words.
Like a bolt from the blue!
"Liver... liver cancer?"
"How... how could this be?"
The couple seemed completely unable to accept this result.
Cancer, a word that changes colors, synonymous with death.
Who hasn't lost a relative or friend to cancer in recent years?
Thud!
"Doctor~ Doctor~ please, you must save her, we're begging you!"
Tears streamed down the man's face as he clung to Qin Feng's leg and knelt down abruptly.
Qin Feng quickly stood up and pulled them both up,
"Please stand up, though she has liver cancer, we will do our utmost to save her, rest assured.
There are still some issues we need to verify to determine the cause and formulate a treatment plan.
Okay?"
"Okay, okay, okay!"
The woman nodded frantically like a pecking chick,
"We... we will definitely... definitely cooperate!"