Dumped At The Start, The First Surgery Shocked The World
Chapter 48 What If I Don't Agree?
Ultrasound: Color Doppler flow imaging, which has shown the lesion.
CT: Image of a 3.5cm?? 6.9cm tumor on the patient's liver.
Magnetic resonance imaging: abnormal blood supply to tumors.
Looking at several indicators.
Xia Xia suppressed the excitement in his heart and asked the patient's family.
"Does the patient have symptoms of epigastric fullness, indigestion, nausea, vomiting, diarrhea, etc.?"
The patient's family was stunned for a moment: "Yes!"
"It was about a year, but it was not serious. My dad always thought that he was getting older and his health was not as good as before."
Ask again in summer.
"Does the patient have a habitual fever in the afternoon? The degree is not high, generally it will not exceed 39 degrees."
The patient's family nodded.
"That's right."
"I often have a fever. I went to the hospital a few times before, and the doctor prescribed some antipyretics."
"Doctor, how are you?"
"What the hell happened to my dad?"
"Is it a serious illness?"
"Since my father retired, his health has not been as good as before. He always has some small problems from time to time, but isn't it the same when he is older?"
Family members have been brainwashing themselves.
When you are older, your body is not as good as before.
It is precisely because of this idea that some diseases are exacerbated.
Xia Tian pushed the myopia mirror and said to the patient.
"Preliminary judgment, the patient is liver cancer."
"As for several stages of liver cancer, further examinations are needed."
what!
The patient's family members turned pale.
Talk about cancer discoloration!
Almost everyone hears of cancer, which means death. In fact, early cancer is very easy to cure. However, most people do not cherish their bodies and ignore small problems.
There is also an ostrich mentality.
As long as you don't go to the hospital, you won't get sick.
lead to serious illness.
"Doctor, my dad is only 61 years old this year. He has always been in good health. Are you mistaken?"
"There is no family history of cancer in our family."
The man is the patient's son.
He looks young, less than 30 years old.
Wearing a pair of glasses, gentle, when I heard the word cancer, it was as if the sky was falling, and my whole body trembled.
Xia Xia was afraid that he would fall down in the next second.
"You sit down first."
"Without a history of cancer, it doesn't mean you won't get cancer."
"But I can be sure that the patient has cancer."
"The top priority now is to immediately hospitalize the patient, do a biopsy, and see what stage the cancer is. If it is early, it can be treated very well."
Under the comfort of summer, the young man gradually calmed down and ran out to discuss with a middle-aged woman for a while.
Then, hospitalized.
Consultation with Director Qi Changfeng of the Department of Oncology.
"It should be liver cancer."
"Dr. Xia's diagnosis is accurate."
"Prepare to do a biopsy on the patient."
Biopsy, as the name suggests, is to use an 18G or 16G liver puncture hollow needle to remove a small piece from the tumor for pathological examination.
Two days later.
In the summer, I personally went to the laboratory to get the biopsy report.
Phase III Type A.
There was vascular invasion without extrahepatic metastasis.
Xia Xia immediately found Director Qi Changfeng with the report.
"Director Qi, the lesion has not completely metastasized. If the operation is clean, can it be cured?"
A few days ago, in the summer, I got a fourth-stage liver cancer treatment.
Stage 4 can be cured, and stage 3 can also be treated.
Summer has already begun to rush.
Director Qi Changfeng glanced at the report and fell into deep thought.
He said quietly:
"Although the lesion has not completely metastasized, the aortic vessels are completely invaded and surrounded, and the risk of surgery is high."
"A detailed surgical plan needs to be done."
Stage III liver cancer is a major surgery.
Zhang Ming, Qi Changfeng, and two other doctors in the oncology department consulted at the same time to study this operation.
"The patient is 61 years old, and if conservative chemotherapy is used, it may not be cured, but the patient can survive for at least three years."
"If you have surgery, there is hope for a cure, but the risk of surgery is too high. The tumor wraps the aorta. If it remains, the cancer will be incurable. If the aorta is damaged, the patient may not be able to get off the operating table."
"What do you think?"
Conservative, or surgery.
is a false proposition.
No one has a choice for the patient, but doctors can improve the success rate of surgery.
"Director Qi, what is the success rate of the operation?"
Summer opened his mouth to ask.
Qi Changfeng glanced at Xia Xia, and he didn't find that the intern was actually there. Generally, in such a meeting of chief physician consultation, let alone a small intern, a resident doctor is not qualified to come in.
Glancing at Zhang Ming, Qi Changfeng understood.
He answered summer's question.
"I'm 65 percent sure."
65% is too little.
Let the patient's family choose, they will definitely choose conservative.
At this time, a doctor mentioned.
"I heard that Professor Tan is currently in Jiangnan City. He is an expert in this field. We can ask Professor Tan to operate."
Qi Changfeng nodded.
"I also thought of Professor Tan just now."
"However, we have to ask the patient's family what they want to see if they are willing."
"Xiao Xia, go ask if you want to hire experts or not, Professor Tan is a master of Taishan Beidou in this regard, but the cost will be more expensive, and the professor's money cannot be reimbursed, it may cost two or three thousand more. cost of."
"If they want, I'll call Professor Tan tonight."
"Okay!" Summer nodded.
He informed the patient's family about the appointment of the professor, and the patient's family agreed without saying a word.
Money doesn't matter as long as the disease can be cured.
Xia Xia conveyed the meaning of the family to everyone.
Qi Changfeng nodded: "Okay, I'll go ask Professor Tan tonight and give you an answer tomorrow."
"Everyone get busy."
After the meeting, Xia Xia followed Zhang Ming and walked towards the emergency room.
Xia Tian frowned along the way, Zhang Ming glanced at him, and asked a question.
"You want to have this surgery?"
"think!"
Xia Xia answered without hesitation.
"Then go." Zhang Ming said lightly.
Xia Tian's brows did not relax, and he said quietly: "But I am just an intern. This patient has been transferred to the oncology department. If it is an emergency patient, I can follow you to the stage."
"Now... let alone on stage, I can't even enter the operating room."
Summer is a little sad.
I finally met a patient with liver cancer, because his level was too low to even enter the operating room.
This is like, a beautiful woman who has been dating online for a month finally came out to meet, but the beautiful woman came to her aunt and had oral ulcers, which is simply frustrating...
Zhang Ming smiled.
"Go up if you want, don't worry, you can go up when I'm here."
Summer's eyes lit up and excitedly said.
"Director, are you also on stage?"
If Zhang Ming takes the stage, he can bring Xia Xia along.
"I'm not going." Zhang Ming shook his head.
"Then..." Summer didn't understand.
"I can talk to Qi Changfeng and ask you to be the third assistant."
"What if he doesn't agree?"
"Disagree?" Zhang Ming put his hands behind his back, cleared his throat, and said, "If I disagree, I will cry until he agrees."
Summer: Σ( ° △ °|||)︴
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