Doctor Peerless

Chapter 54 Nasopharyngeal Cancer

The experience of Zhou Sheng is also the only way for every doctor.

Faced with the failed treatment results, it is hard to forget for a long time, but if you want to engage in this profession, you must learn to be rational and let go.Because in the whole career, what I have to face is not just one patient, but there are thousands of follow-up patients.

The appearance of the old man was like uncovering a scar, which was burning and painful.

Although I am uncomfortable, I also know that the pain will be numb, but the human heart is always fleshy, and the uncomfortable emotions are out of control. The process from sensibility to rationality is not to abandon sensibility, but to learn to control sensibility. Self-control is another difficult thing to cultivate, and this is a difficult journey of sharpening.

The only direction that Zhou Sheng can comfort himself is to "experience early and finish things early", long-term pain is worse than short-term pain.

Before the clinic.

After Zhou Shouming felt that his grandson's condition was fine, he was relieved and continued to diagnose and treat.

As for Zhou Sheng, he wanted to avoid his eyes as much as possible, but couldn't help but want to look at the old man. The psychological conflict was very subtle, and it was probably what people often call an occupational disease.The girlfriend who is a nurse always likes to rub the back of her boyfriend's hand to find blood vessels, and her thin and protruding collarbone is very attractive to her boyfriend who is an orthopedic doctor. I can't help but think, "If such a beautiful collarbone breaks, I must do it myself. Go finish da'.

When patients with apparent pathological features appear, it is undoubtedly a great temptation for doctors——

I must see what's wrong with you!

In fact, even if the old man does not have an endotracheal tube, it is enough to attract the attention of ordinary people.

The electric wheelchair he is riding in is very high-end, it should be the same model as Mr. Huo who passed away. The armrest on the right has a rocker forward operating device, and the left side is fixed with a latest ipad tablet.

In the eyes of wheelchair users, this wheelchair is a proper 'luxury car'.

The function of the ipad is obviously not for fun. After hearing the conversations between the old men and women around, the old people will point their fingers on the ipad to respond.The airway of patients with tracheotomy is open in the neck, and they cannot make a sound when the nasal cavity and throat are not ventilated. Even if they want to speak, it is only the sound of "wheezing and wheezing".

If you are a long-term "endotracheal intubation wearer", you can actually figure out a way to make a sound. Use your body movements to squeeze the airway intubation to form a blockage, so that the air can be re-passed to the throat, and it is feasible to make a short sound. 'Da Neng' has figured out a continuous method of occurrence, and is definitely a high-playing group among trachea players.

The old man in front of him obviously didn't learn how to make a sound, so he could only use the 'money ability' to replace it with technological products.

In addition, if you don’t mention the style of the trachea, the old man’s hair is polished and shiny. He is wearing a white shirt inside his upper body. The collar is white and brand new with a golden collar button decoration. It's LV.

The corduroy trousers on the lower body should be only nine points, and the exposed ankles are paired with pure wool stockings, which are deliberately pulled down to form folds, and paired with slim black and white leather shoes with round toes.

The intern nurse on the side couldn't help feeling: "Uncle is so luxurious, why does he come to the park to play mahjong?"

Zhou Sheng was not affected, and no matter how gorgeous his appearance was, he couldn't stop his curiosity about the illness.Using the detection system is an inevitable result, but before using it, he has already developed the habit of diagnosing himself first, so as to improve his dialectical ability.

Patients who require tracheotomy and intubation have pathological limitations, and the range that can be delineated is very small.

First of all, a hard condition is that the disease hinders the normal breathing. The lower tracheal respiratory obstruction is obviously untenable. If it is after thoracoabdominal surgery to store secretions and facilitate suction to keep the airway unobstructed, then it is certain that the condition is too severe. It's not enough to support the grandfather to dress up in such a foreign style.

Then you can only look upwards for the cause. Factors such as laryngeal inflammation, tumors, and trauma will all cause difficulties and obstacles to respiratory function.

After incision of the tube, no symptoms of trauma can be seen, and there is no clue about the deliberation of inflammation and tumor.

Zhou Sheng kept looking, and finally found some small clues. The left nasal cavity of the old man was obviously larger than the right. Due to the long-term swelling of the nose, dry and cracked sebum appeared after the skin tissue was metabolized.

"Unilateral nasal cavity tumor?! Cancer?"

Very likely.

Nasal cavity tumors and cancers are two different diseases, but even benign tumors in the nasal cavity have a high probability of becoming cancerous. Therefore, in order to prevent cancer, surgery is definitely recommended to remove them for treatment to avoid cancer.

It should be known that nasopharyngeal carcinoma is the malignant tumor with the highest incidence rate of ear, nose and throat cancer types, and it is extremely lethal.

Since the old man did not undergo resection, he must have encountered cancer. Otherwise, the tumor would disappear after resection, and there would be no need to use the trachea to assist breathing for a long time.

Of course, the doctor's suggested "tumor preservation" treatment is not ruled out, because the nasal cavity is rich in blood vessels and nerves, considering the location of the tumor and the age and physical condition of the patient, it is also recommended not to remove it.

For example, the elderly are already very old, and the risk of resection is higher than the risk of cancer death. The advice given by the doctor is definitely the most rational and scientific judgment result.

At this stage of the dialectic, unless you witness the state of the tumor with your own eyes, even a powerful doctor will not be able to give a diagnosis.

For Zhou Sheng, this situation is like a question answering game. It is time to reveal the result, and it is time for the system to give a standard answer for scoring...

B. The special detection with the human body scanning detection function was set by Zhou Sheng in the nose, throat and throat area.

The scanning frame in the field of vision flashed, and the results were instantly arranged.

The data of various human body indicators were temporarily ignored by Zhou Sheng, and his eyes fell on the special test report in an instant——

"Phase II nasopharyngeal carcinoma (status: tending to be stable), the tumor on the side wall of the left nasal cavity is a descending type, which seriously blocks the breathing trachea, and tracheotomy and intubation have been used to assist breathing (effective); no lymph node metastasis and distant Metastasis (symptom grade B+); radiotherapy is 63% effective (decreasing steadily), although there is a tendency to eliminate cancer cells, but in view of the patient's physical symptoms and age factors, local surgical removal is not recommended, and radiotherapy and traditional Chinese medicine-assisted conservative treatment can be considered."

"Note, symptom rating: C is the pass line, the lesion rate is less than 40%, B is good, the lesion rate is less than 30%, A is excellent, the lesion rate is less than 20%, plus or minus items for reference."

Sure enough, nasopharyngeal carcinoma.

No matter what kind of cancer, it is terrible and deadly.

The condition of the old man is already a blessing in misfortune, and the stage II nasopharyngeal cancer has stabilized his condition.

The most feared thing about cancer is lymph node metastasis...and the multiple metastasis of nasopharyngeal carcinoma is located in the neck.

It only takes eight months for most patients to go from stage I to stage IV. The most terrifying thing is that the lymph nodes on both sides of the neck are swollen like two apples hanging, and the neck is thicker than the head.

And distant metastasis is even worse, such as bone metastasis, lung metastasis, and liver metastasis. If this situation evolves, it is basically waiting for death.

As for now, even the system has given a symptom rating, and the lesion rate is as low as 30%. If you are lucky, you will not relapse in your lifetime, and you can enjoy your old age with tracheal intubation.

Just like now, playing mahjong with friends and enjoying the lazy afternoon sunshine.

Zhou Sheng silently prayed for the old man in his heart, but temporarily put the previous unpleasant emotions behind him.

soon.

The free clinic team lined up with the old people, but the nurse behind him didn't interrupt, and let the "Mayou" beside him introduce: "Doctor Zhou, right? You can show Lao Chen, his problem is serious, and he has to go to the hospital every now and then. For radiotherapy, you have to take traditional Chinese medicine, and the smell of traditional Chinese medicine can't be covered by perfume, and the whole medicine jar is full."

Grandpa smiled, looked at the old man in the wheelchair and couldn't hold back his age, so he could only say: "Old brother, can you still talk?"

The old man pointed to the ipad with a smile, clicked it, and the voice played naturally: "Yes."

Zhou Yisheng got up and went over to take a look. There were some simple vocabulary fixed on it, and there was also a handwriting board, so that the old man could take the initiative to say that his condition must be fatal, and he could only ask questions, or just ask the nurses.

Grandpa thought so too, so he looked at the nurse again: "Can you give me a general description of the condition?"

The nurse said: "I only know it's nasopharyngeal cancer. It hasn't been long since Uncle Chen came to Qinzhong, so I just came to take care of him."

In this case, I can only ask the old man's guide...

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(End of this chapter)