Live Surgical Broadcast

Chapter 1840 Unable to Let Go

In the provincial capital, in the thoracic surgery ward, Xia Hua sat quietly. (Note 1)

He had tried his best, but fate was not in his favour.

The father was lying on the hospital bed, so thin that he had almost no fat. Because of the esophageal tumor, I have not eaten for a long time, and the person has entered the terminal stage.

Originally, when the disease was first discovered last year, it was diagnosed as advanced lung cancer. Xia Hua's father firmly refused surgery, chemotherapy, and targeted drug therapy.

He wants to see the great rivers and mountains of the motherland.

Under the care of Xia Hua and his wife, the old man got his wish.

It took three months to travel to seven or eight provinces intermittently. After he returned to the provincial capital, he thought about leaving like this.

Xia Hua was not reconciled, he found Gao Shaojie, and wanted to try the least traumatic method to see if he could prolong the old man's life.

A small amount of chemotherapeutic drug perfusion chemotherapy + radiofrequency ablation, the tumor tissue shrinks. Although he has not recovered, he can see that his life expectancy can be extended by another year or so.

This is the result Xia Hua needs.

But an unexpected situation appeared.

Two months ago, Xia Hua's father was diagnosed with esophageal cancer. (Note 2)

The cruelest thing is not to fall into the abyss of despair from the beginning. But after giving a certain amount of hope, things seem to get better, but in fact they get worse in an inadvertent moment.

It is Xia Hua's bottom line that he can die of illness but not starve to death.

The old man refused radiotherapy and chemotherapy, and this time he even refused the subsequent operation on the lungs, although the radiofrequency ablation did not bring him any substantial harm.

When people are in despair, they will always give up on themselves, hoping that all these bad things will end as soon as possible.

He refused all treatments, not even sugar and salt water.

Mr. Xia was already in a coma. Only then did Xia Hua leave him with a PICC channel. He always felt that there was still a way. If it ends like this, Xia Hua will feel unwilling.

Although letting go is a good way, and the elderly can suffer less, but as long as the children have the strength, no one is willing to let go like this.

"Dangdang~" There was a knock on the door.

Xia Hua wiped his face with his hands to refresh himself. Standing up and opening the door, seeing that it was Gao Shaojie, he forced a smile and whispered, "Professor Gao, let's talk outside."

"Xiao Xia, I've watched the film." Walking out of the ward, Gao Shaojie said, "It's a bit late, and the old man still has heart disease, so it's very difficult to remove the esophageal stent."

"Professor Gao, how sure do you think you are?" Xia Hua asked.

"If you can accept sudden death on the operating table, I can try it." Gao Shaojie said.

Xia Hua was a little confused.

As a doctor, he has said this way to the patient's family countless times.

But when he became a family member of a patient and his identities were exchanged, he immediately felt that this kind of explanation was simply the most asshole kind of communication.

But this is the truth, Gao Shaojie is telling the truth, he knows it in his heart.

Long-term malnutrition, cardiopulmonary failure, and a malignant tumor of the esophagus located near the heart.

The esophageal stent is opened, and the malignant tumor will definitely touch the heart.

A small squeeze can lead to cardiac arrhythmias, among other complications. These are what Professor Gao Shaojie Gao said.

Xia Hua's face was ugly. He didn't relax and take a rest for too long, exhausting his energy and physical strength.

"Xiao Xia, just try your best. But you should take a good rest, don't make you sick." Gao Shaojie patted Xia Hua's shoulder lightly, comforting him.

"Professor Gao, I know. As for the risk..." Xia Hua just wanted to say that he could bear it, but he stopped at the last moment.

Gao Shaojie also knew Xia Hua's psychology, he sighed and said, "I'll ask Lao Liu, what do you think?"

"Professor Liu Zewei Liu? Where did he go?" Xia Hua asked.

"I went to Boss Zheng's place for further training. It was the doctor you met on the plane last year when you took your old man out to play." Gao Shaojie said.

For the past six months, Xia Hua has devoted all his energy to his father's treatment and care, and he doesn't know much about other things.

"Then I will trouble you." Xia Hua said gratefully.

Although he had doubts in his heart about how a professor of Liu Zewei's level should continue to study, but it was only a flash of thought, and he stopped thinking about such things that had nothing to do with him.

Gao Shaojie comforted Xia Hua a few more words, then took a photo of the photo and sent it to Liu Zewei.

Lao Liu has been studying for a few months, and his level may have skyrocketed. Gao Shaojie's mood was a little complicated, should he go to study?

...

...

"Boss Zheng, Lao Gao sent me a film, would you take a look at it?" Liu Zewei felt a headache after watching the film, and he thought it was difficult to treat.

But after staying in the imperial capital for a long time, he habitually gave up the right of final diagnosis to Zheng Ren.

"Oh? What patient?" Zheng Ren asked after listening to Liu Zewei's words after basking in the sun and reading in the system library in the afternoon.

"Advanced lung cancer, advanced esophageal cancer." Liu Zewei said concisely first, and then sent the film to Zheng Ren.

Zheng Ren took the phone and opened the video file.

Lung CT showed that the patient's lung cancer treatment seemed to be good, and tumor reduction surgery was performed.

The so-called tumor reduction surgery refers to a method that cannot be surgically removed to reduce a part of the tumor and prolong the patient's survival by 6-12 months.

Mediastinal lymph nodes have already metastasized. Zheng Ren judged that the survival period is about 6 months, which is the longest expectation.

The advanced stage of lung cancer is not fatal now. What is fatal is that there is a 6×3cm tumor in the middle and lower part of the esophagus, which has almost blocked the esophagus.

For upper gastrointestinal radiography, instead of using barium that is difficult to swallow and has poor fluidity, oral diatrizoate meglumine is used.

Even if it is liquid, it is not very smooth. There is only a small gap, and it is hard to say whether the ultra-smooth guide wire can pass through this narrow gap.

If it is completely blocked, the esophageal stent will definitely not go in.

This patient can struggle and hesitate for a short time, at most only about 1 week.

And 1 week is a relatively reluctant statement. Zheng Ren didn't see the medical records and didn't know when the patient's tumor grew.

If it is a more aggressive esophageal tumor, the esophagus may be completely blocked in about 3 days, and there is no chance of getting an esophageal stent.

Of course, this is only one of the problems. The main problem is that the tumor is near the heart, and after the stent is put in, the tumor will have a certain impact on the heart.

Note 1: In chapter 172, Boss Zheng went to the imperial capital for the first time, the doctor he met on the plane with the elderly with advanced lung cancer.

Note 2: It is an old patient of mine who underwent lung cancer surgery in early 2011 and esophageal cancer surgery in June 2011. After the operation, he recovered well, but he climbed mountains in 2017, at an altitude of 4,000 meters, which damaged his cardiopulmonary function, and now he has asthma.

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