Doctor: It's reasonable to perform surgery on yourself.

Can't give?

These three words stunned the young doctor. He thought for a long time before saying in an uncertain tone: "The guidelines recommend this treatment..."

Old man Lin said with some regret: "Doctors can't just look at the guidelines to treat diseases. They must adjust according to the actual situation at any time. Of course, there are very few cases of roundworm infection. Doctors nowadays may not have seen it. It is reasonable that they don't know how to treat it."

After that, he gave an explanation and said: "If this is Union Hospital, then this combination therapy can be used.

"Because after taking albendazole and levamisole, a large number of worms will die in the body. The disintegration products produced by the death of the worms will induce a more intense and severe inflammatory response in the central nervous system!

"Union Hospital has advanced drugs and medical methods, but the county hospital does not have the conditions for rescue."

"..."

After saying this, the young doctor immediately understood the pros and cons.

It's not that this treatment is wrong, but that his hospital is not capable of controlling it...

He thanked Old Man Lin and left in a hurry, finding the director of the emergency department and others.

The top management of the county hospital soon learned about the incident and held an emergency consultation, but found that their own hospital was indeed unable to save the patient.

First, the infection was too severe and developed too quickly. In order to control the progression of the disease, they could only kill the insects, but their hospital had no way to fight the more serious inflammatory response after the insects died.

Second, the patient had too many symptoms, including headaches, vomiting, high intracranial pressure, etc. Each disease had to be controlled, which was not something a county hospital could handle.

"Contact the hospital for transfer immediately!" The director of the infectious department of the county hospital made a decision immediately.

In the afternoon, Xiaojie was transferred to Jing'an People's Hospital.

This is the closest tertiary hospital to Xinxiang County and the top infectious disease hospital in the city.

Jing'an First Hospital is strong in neurosurgery, the Second Hospital is strong in tumors and digestive departments, and the People's Hospital mainly focuses on infectious diseases and dermatology.

The old man in the vest followed the ambulance to Jing'an People's Hospital.

He stood in front of the hospital gate, a little dazed for a while.

He had left his footprints in many corners of this city and built many high-rise buildings, but on the day they were built, these buildings were also places he could only look up to.

The magnificent and brand-new hospital building in front of him also made the old man in the vest feel inferior.

The essence of this inferiority complex is the fear of the value under the packaging... He didn't have much savings, and his monthly pension was only a little over 100 yuan. He also had few sources of income. How long could the money he could take out stay in such a place?

But before he could think about it, a young nurse from the emergency department of the People's Hospital stood at the door and shouted in a fierce voice: "Where are the family members! Where are the family members of the child!"

Many parents outside the hospital suddenly became nervous.

The nurse hurriedly added: "Where are the family members of the child who was transferred from Xinxiang County Hospital just now!"

The old man in the vest came to his senses, quickly put out the cigarette in his hand, and rushed into the hospital in a hurry.

Six hours later.

The director of the infectious department sat in the conversation room with a heavy face, and opposite him was the old man in the vest with a dull look in his eyes.

"Your child's condition is not optimistic." As soon as he came up, the director of the infectious department said straight to the point.

He spread out several examination sheets and said: "Look, the patient's liver function has serious abnormalities. In addition, CT found that there are a large number of adult and larval roundworms in the intestines, especially in the sigmoid colon. The number of worms gathered is very large, and intestinal perforation is likely to occur.

"In this case, surgery is almost impossible.

"In addition, brain edema is getting more and more serious, and the patient's intracranial hypertension is also getting worse. Next, it may cause brain hernia... This is also an area we dare not operate on!"

The old man in the vest widened his eyes, and the expression on his face was almost numb, and he couldn't say anything.

When he was in the county hospital, Xiaojie had a short period of lucidity.

He thought his grandson was about to get better, but his condition worsened again during the transfer. After arriving at the hospital, after various rescue measures, he got better for a while, but now he has fallen into a coma again.

Could that short period of lucidity be a flash of life?

With this thought, the old man in the vest could no longer remain calm... He had already sent his son to the crematorium himself, so could he send his grandson away too?

Just when he was about to collapse, the director of the infectious department suddenly said: "Maybe... maybe there is another place with a solution."

The old man in the vest's eyes changed immediately, he leaned forward and said quickly: "Where, tell me!"

The infectious doctor said solemnly: "Linhai City First Hospital, Director Xu Qiu."

...

"Doctor Xu, the patient's series of information is complete, and the body has been adjusted to the minimum state to meet the requirements of the operation."

In the meeting room of the emergency department, oncologists, orthopedic surgeons, respiratory surgeons and others carefully read the information at hand.

This is Jiang Dong'er's condition change and various examination reports.

The patient chose limb-saving surgery for osteosarcoma, but in order to perform this operation, he must be fully prepared and meet various demanding requirements.

The first thing is to improve X-rays, CT, MRI, bone scans and DSA, etc., to perform surgical staging of the tumor and evaluate the blood supply.

To accomplish this, we compare the various examination data before and after neoadjuvant chemotherapy to evaluate the biological behavior of the tumor and whether chemotherapy can control it.

Finally, there are the specific surgical details to confirm whether the tumor can be safely removed and whether the conditions for reconstruction and soft tissue repair are met after removal.

"Can tumor necrosis be achieved through chemotherapy?" the orthopedic surgeon said after thinking for a long time.

For this type of surgery, if neoadjuvant chemotherapy cannot achieve tumor necrosis after implementation, delaying the surgery will actually reduce the survival rate.

Because tumors continue to grow and reproduce, once chemotherapy fails to achieve the desired effect, tiny lesions will gradually develop to the point where it is difficult to control.

Therefore, although preoperative chemotherapy can increase the success rate of limb rescue, there is a prerequisite for this - chemotherapy is effective.

The current regimens used are DDP, ADR, MTX-CF and CTX, namely cisplatin, doxorubicin, methotrexate-tetrahydrofolate and cyclophosphamide. The highest metastasis-free survival rate of these drugs can reach Eighty-nine percent, and the number of cases without metastasis after five years of follow-up also reached 70%.

Compared with previous traditional chemotherapy methods, the metastasis-free survival rate has increased by 20 to 30%, and the probability of no metastasis in five years has increased by about 40%.

The oncologist stood up and said excitedly: "The chemotherapy plan given by Dr. Xu is very complete. After a period of preoperative chemotherapy treatment, the development of the patient's cancer has been well curbed!"

"You mean you can wait a little longer?"

"Since chemotherapy is effective, there is no need to rush for surgery. It will not be too late to control the tumor again."

Everyone also showed joy.

But at this time, Xu Qiu's voice sounded: "We can't delay it any longer."