When doctors have a simulated operating room
Chapter 39
However, Huang Meiying has not thanked Zhang Yi yet.
Just when Huang Meiying felt that the atmosphere was a little awkward.
Zhang Yi began to explain the old lady's condition as if nothing had happened.
"Director Huang, the patient has abdominal pain, but the tenderness is not in the gastrointestinal area and the liver, gallbladder, pancreas and spleen area. It is initially suspected that there is a problem with the uterus."
After hearing this, Huang Meiying took the old man to the next examination room.
Soon, the test results came out.
The results of Huang Meiying's colposcopy were not very good, so she directly did TCT and HPV tests for examination.
The CT and color Doppler ultrasound recommended further cervical cancer screening.
In short, it is highly suspected to be cervical cancer.
Looking at the examination list, the two old people panicked.
"Doctor, what is my disease? Cancer?" the old lady asked in a trembling voice.
Zhang Yi did not say it directly, but said: "It is suspected at present, and we need to do the next test to confirm it. But I still suggest that you call your children over, in case you need to be hospitalized for something, it will be convenient to take care of you."
"Also, we doctors have to communicate with the family members about the condition, so it will be more reassuring to let your children come to our hospital."
When they heard that they wanted to let their children come, the eyes of the two old people darkened.
"What's wrong?"
Zhang Yi thought that the two had no children.
In the end, the old man sighed and said:
"My son and daughter are very busy... We don't want to trouble them. I am also a family member. You just tell me, don't contact them."
Zhang Yi frowned:
"How can that be possible? How can parents not tell their children when they are sick, and it is such a serious illness?"
"This..."
The old man looked at the old lady hesitantly.
His eyes were full of entanglement.
"Doctor... do I really have cancer?" Suddenly, the old lady heard Zhang Yi's serious tone and couldn't help asking.
"It's hard to say. We have to wait for the results of several other tests to make a diagnosis. Let's go sit outside first. I'll notify you when the results come out."
"But during this period, you'd better contact your family members and ask them to come and take care of you. I know you definitely don't want to trouble your children, but if I were your son, I would definitely hope that your parents would be healthy and live long, right?"
"So I still suggest you notify them."
The two old people nodded with red eyes and went out.
Not long after, the TCT and HPV results came out.
Pathogens:
1. Fungal infection hint: Yes
2. HPV infection hint: Yes
3. Squamous cells: Yes
Diagnostic opinion: Atypical glandular cells, tumor change.
Additional opinion: HPV-DNA test is recommended.
This test list is basically confirmed.
It is indeed cervical cancer.
Zhang Yi found two old people, but they were still considering whether to ask their children to come.
Zhang Yi said helplessly:
"Auntie, you have been diagnosed with cervical cancer and you need to arrange surgery immediately. You are already 65 years old, and this surgery is considered dangerous. Why don't you notify the children to come over?"
The two old couples' eyes were red, and they responded:
"Okay... I will call my daughter right away."
"Okay, you call. If you can't explain it clearly, I can help you explain it."
The old man looked at Zhang Yi gratefully and started to call.
No one answered the first time.
Only the third time did he answer.
"Xiao Qiong, what are you doing?"
"Really? Mom... I have something to tell you..."
"I... I... Forget it, I'll let the doctor tell you."
The old aunt choked up, and handed the phone to Zhang Yi for fear that she couldn't explain it clearly.
"Hello?" Zhang Yi picked up the phone.
"Hello? What happened to my mother? Are you a doctor?"
"Yes, I'm a doctor at Tianhe People's Hospital. Your mother was diagnosed with cervical cancer here. She needs to be hospitalized for surgery immediately."
"It's currently in the middle stage. If you have surgery, it can still be cured. Do you think you can come to the hospital quickly? It's not convenient for two lonely elderly people to stay in the hospital if something happens."
"What?! Cancer? Cervical cancer?!"
The woman's voice on the other end of the phone rose a lot.
It was obviously hard to believe this.
"That's right, don't worry, I'm not a liar. You will know when you come to Tianhe People's Hospital."
"Okay, I know, I will come back as soon as possible tomorrow or the day after tomorrow."
After hanging up the phone in a hurry, Zhang Yi frowned and glanced at the old phone in his hand.
Who is it?
Tomorrow or the day after tomorrow? !
Shouldn't you come to the hospital right away?
My mother was diagnosed with cancer but she was still hesitating.
Zhang Yi returned the phone to the old lady: "Your daughter said she will come to the hospital tomorrow or the day after tomorrow."
The old lady nodded and asked with red eyes:
"Doctor, am I going to die soon?"
The old man next to her seemed to be in pain as well, holding the old lady's hand tightly, and the two of them looked at Zhang Yi in unison.
"You..."
Zhang Yi choked.
Oh.
What should I say.
After a long time, Zhang Yi said in a positive tone:
"Auntie, I will do this operation for you! Don't worry, I will definitely remove all the tissues in your body that are infiltrated and infected by cancer cells!"
"In this way, you will not have the possibility of recurrence or cancer cell metastasis!"
When removing tissues infiltrated by cancer, try to clear as much area as possible without leaving any room.
And it is also necessary to ensure that the cancer cells will not fall onto other tissues while being removed.
Otherwise, the cancer cells will begin to infiltrate and multiply again.
Zhang Yi was able to say this, which was actually a test for himself.
When he performed surgery on Wang Chuchu last time, he also tried to clean up a large area.
But Wang Chuchu is not as difficult as this old lady.
Wang Chuchu is only in the early stage, and it was discovered quite early.
This old lady is already in the middle stage, and the cancer cells have infiltrated the uterine cavity and ovaries.
The difficulty of the operation is more than a little greater than that of Wang Chuchu.
Although it is not certain whether what Zhang Yi said is true or false.
But the old couple was still very grateful when they heard Zhang Yi say this.
"Thank you, Dr. Zhang."
[Gratitude points +100! 】
That night, Zhang Yi lay down and began to practice surgery as soon as he returned to the dormitory.
He did not get the hysterectomy with total adnexectomy.
So he could only practice the hysterectomy with the sentinel lymph node surgery.
Zhang Yi kept practicing all night.
…
Early in the morning of the third day.
The results of the HPV gene sequencing of the old lady came out, which was a typical infection of human papillomavirus type 16 and 18.
The results of the biopsy also confirmed that it was cervical cancer.
The results of the enhanced CT showed that the cancer cells spread to the uterine appendages.
A hysterectomy and adnexectomy can be performed.
And the sooner the better.
But at this time, the patient's family members had not come yet.
The only one who signed the informed consent form was the old lady's husband.
Zhang Yi came to the gynecologist's office.
He wanted to discuss something with Huang Meiying.
"Director Huang."
Huang Meiying looked at Zhang Yi: "Just tell me if you have anything to say. I didn't have time to thank you for the last operation."
Zhang Yi waved his hand: "That's not a big deal, but... Can I be the main surgeon for the hysterectomy and adnexectomy of patient Wang Xueling?"
Huang Meiying raised her eyebrows.
Oh, are you here to grab a job in the gynecology department?
But it's not impossible.
Zhang Yi's skills...
are better than her own...
"Okay, the surgery will be scheduled for 1pm, you can prepare yourself."
Huang Meiying agreed.
At the same time.
On the highway from Baoshan City to Tianhe City.
A black BMW is speeding.
In the car, a man in his early 40s is driving.
On the passenger seat is a Mediterranean uncle in his 50s.
"Boss Gu, you...you can drive slower."
The Mediterranean uncle trembled as he adjusted his glasses.
The man driving the car looked serious and nervous:
"No, Director Huang, this car can't be slow. My mother must have surgery for cervical cancer. I finally invited you, the ace gynecologist of the provincial hospital, and I dare not delay it for a moment!"
"If I delay for a minute, my mother will be in danger!!"
"And my sister called and said that it seems that the surgery will be done this afternoon. I am so anxious!"
"I don't want those little doctors in Tianhe City to operate on my mother!"
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