"Nay cancer," Lachlan assured him right off the bat. When a patient asks you that question, and/or whether they're dying, you don't beat around the bush in answering them. "My name's Dr Lachlan Campbell, you can call me whatever you feel comfortable with. I'm a hematologist, and they called me in on consult from the ER when you presented with the large bleed and distinct anemia. You had signs of that in the wake of being shot, but considering blood loss with that, it wasnae an immediate concern and your levels picked up with the blood transfusions at the time. There were a few anomalies with your blood results, which could be understandably factored to complications with the bulimia. I want you to know straight up that the results of the scopes and scans arenae caused by the bulimia, okay? What has been happening is that the bulimia has been exacerbating another underlying condition and aggravating it."
He opened Ajay's file and showed him some print-outs of the CT scans and camera imaging from the endoscopies. "See these patches in the lower intestine into the larger? It's inflammation caused by a condition called Crohn's Disease. The intestinal stenosis, or bowel obstruction, you had a wee while back would have been caused by the Crohn's, but at the time, the scans showed no distinct indication of it. Between now and then, it's gotten worse. It looks like your belly was aggravated by the inflammation which has become infected. With the purging and ingestion the large amount of laxative, it caused a bleed in the worst of the lesions in your bowel. You have probably been experiencing symptoms for some times, but the bulimia masking them. Most commonly, diarrhea which you might have just felt was ill eating habits, fever, fatigue, abdo pain and cramping, reduce appetite and weight loss. To cut a long story short, buddy, if we dinnae get your bulimia under control and get you eating a diet to encourage healing in your gut, you could run into all sorts of nasty complications that could lead to serious bowel surgery and colostomy bags. I dinnae want to scare you, but we need to get you on meds to heal this inflammation and work together to try to battle the bulimia to get you on a meal plan rich in iron and fibre. How are you feeling? Belly pain's completely understandable with what's going on inside at the moment."
no subject
He opened Ajay's file and showed him some print-outs of the CT scans and camera imaging from the endoscopies. "See these patches in the lower intestine into the larger? It's inflammation caused by a condition called Crohn's Disease. The intestinal stenosis, or bowel obstruction, you had a wee while back would have been caused by the Crohn's, but at the time, the scans showed no distinct indication of it. Between now and then, it's gotten worse. It looks like your belly was aggravated by the inflammation which has become infected. With the purging and ingestion the large amount of laxative, it caused a bleed in the worst of the lesions in your bowel. You have probably been experiencing symptoms for some times, but the bulimia masking them. Most commonly, diarrhea which you might have just felt was ill eating habits, fever, fatigue, abdo pain and cramping, reduce appetite and weight loss. To cut a long story short, buddy, if we dinnae get your bulimia under control and get you eating a diet to encourage healing in your gut, you could run into all sorts of nasty complications that could lead to serious bowel surgery and colostomy bags. I dinnae want to scare you, but we need to get you on meds to heal this inflammation and work together to try to battle the bulimia to get you on a meal plan rich in iron and fibre. How are you feeling? Belly pain's completely understandable with what's going on inside at the moment."