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W: | How are you now? |
M: | Not too good. |
W: | Are you still getting the pain? |
M: | Yes. |
W: | Well. The X-ray doctor found irritability and distortion of the duodenum although there was no actual ulcer visible on the X-ray. This does not necessarily mean that you have no duodenal ulcer. We have to decide the best way of treating it. There are two ways: medical and surgical. In young people, we try to avoid operations and we hope that medical means will help. Now, you did have a spell in hospital and it disappeared but now it started again. Has anyone in your family had an ulcer? |
M: | Yes, my father had one but it cleared up. |
W: | Well, this could be relevant as ulcers may run in the family. The other factors of course are smoking, worry and anxiety, irregular meals or over-tiredness, overwork and stress. These all will affect an ulcer. Unfortunately, you have a lot of stress and worry at home, so I feel despite your being so young, putting you to bed for a few weeks isn't enough. I'd like you to see Mr. Oakes, he has a great deal of experience with ulcers. And if he feels an operation is the answer, I think we should take his advice. Now, have you managed to do anything about your smoking? |
M: | I smoke about 50 a day. |
W: | How often do you get the pain now? |
M: | Every day. |
W: | Have you lost time form work because of it? |
M: | Yes. Nowadays here and there. |
W: | Well, make an appointment to see Mr. Oakes, and I'll write to him and to your doctor. |
M: | Thank you, doctor. |