Gou is practicing medicine in the clinic

"Director Zhang, the patient is so lucky to meet you. You always think about the patient."

The circuit teacher praised sincerely.

"Isn't this what we medical staff should do? It's a pity that our capabilities are limited, and we are powerless to deal with the difficulties of many patients."

Director Zhang didn't think much of his efforts.

There are many doctors who are seeking fame and reputation.

There is also someone like Director Zhang who has lofty medical ethics. He looks fierce, but he actually has a bodhisattva heart.

Because human nature is kind, generally speaking, doctors and nurses with high medical ethics make up the majority.

This also has a lot to do with the atmosphere of the hospital.

In some hospitals, as long as you walk to the door and start registration, you can feel the strong "social atmosphere".

In short, it’s just one sentence that sounds nice.

It is best to leave immediately and register for medical treatment elsewhere.

Especially some private hospitals,

"Director Zhang's integrity is really admirable." Li Jingsheng is really not flattering, but he admires such a chief physician from the bottom of his heart. "Are there many patients with recurrence of tumors like this?"

"More. No matter which hospital in Jiangli City is currently treating cancer patients, the recurrence rate is high and the five-year survival period is short. This is the main feature. Cancer is still a medical problem that our major hospitals need to overcome."

Director Zhang said.

"What is the main reason for recurrence? Incomplete surgical removal, or insufficient radiotherapy and chemotherapy?"

Li Jingsheng is not deeply involved in tumors.

However, when sitting in a clinic, we often encounter some cancer patients.

Some are very young, only a few years old, eleven or twelve years old. It is the same age as flowers.

All he could do was to advise the family to take the child to a large hospital for treatment.

Now seeing what happened to this lung cancer patient made him realize for the first time that big hospitals are not omnipotent.

If a disease cannot be cured in a clinic, the patient may still end up with a bad outcome after being pushed to a large hospital.

"There are various reasons. For example, after this patient's first lung cancer surgery, the side effects of chemotherapy were too severe and he could not tolerate it. In the end, he had to switch to radiotherapy to consolidate the curative effect. But after radiotherapy, his body was still Can not bear.

This may also be a reason for the recurrence of lung cancer in a short period of time. "

Radiotherapy is generally performed about six weeks after surgery.

If it's early, it may start about four weeks after surgery.

For example, some patients have non-healing wounds after surgery, and early radiotherapy is needed at this time.

The normal procedure would be more reasonable to have chemotherapy first and then radiotherapy to consolidate the curative effect.

However, every patient's situation is different, which makes it impossible to rigidly implement radiotherapy and chemotherapy procedures.

"Then what should I do if he still can't withstand radiotherapy and chemotherapy after this operation?"

Li Jingsheng asked.

Generally, chemotherapy is given first, then radiotherapy, and then chemotherapy...

Take turns in this way, alternately.

The patient cannot withstand neither chemotherapy nor radiotherapy, which is really fatal.

"There is no good way now. I can only take it one step at a time. I will ask Corey's nurse to develop a good nutritional plan for him and try to help him become stronger.

Able to tolerate chemotherapy and radiotherapy. "

Director Zhang can only do his best.

After surgical treatment, the incision is clean, and sometimes there are cases of successful cure without radiotherapy and chemotherapy.

Therefore, it is not necessary to do radiotherapy and chemotherapy after surgery.

……

Three weeks passed in the blink of an eye, and the lung cancer patient's postoperative recovery was pretty good.

The pathology results have already come out.

The type of lung cancer is basically the same as the first tumor removed.

In other words, it is possible that the incision was not clean last time, or that a second lesion formed after spreading.

And as Dr. Tang analyzed, the patient's cancer cells probably spread to another lung lobe through lymph nodes.

This is a bad signal.

After cancer cells have infiltrated into the lymph, it is difficult to completely remove them with surgery.

If this patient wants to avoid recurrence, it is very necessary to undergo radiotherapy and chemotherapy.

Director Zhang has arranged the first chemotherapy for the patient.

The side effects that appeared on the patient this time were even more severe than the first time.

The patient not only experienced vomiting, diarrhea, and nausea, but also experienced abnormal reactions of liver and kidney function.

This is a very serious side effect.

Everything seems to be going the same way as last time.

If not done well, the patient will go through the same old path again.

If it recurs for the third time, it is likely that it is no longer in the lungs, but may have metastasized to other parts of the body.

At the invitation of Director Zhang, Li Jingsheng took time to visit the inpatient ward at noon.

I saw patients who were thin and had swollen faces.

The patient's wife was standing guard by the hospital bed.

The patient's old father and young children were not seen.

Children need to go to school and cannot stay by the hospital bed.

"This is Dr. Li Jingsheng. He deserves a share of the credit for performing the surgery on you last time."

Director Zhang introduced it to patients and their families.

"I saw you at the door of the operating room that night. Thank you for helping my husband operate!"

The woman quickly stood up and thanked Li Jingsheng.

"You have such a good memory!" Li Jingsheng smiled and nodded.

"I heard that your husband had severe side effects after his first chemotherapy treatment. I came here specially to take a look."

"I'm giving you trouble!"

The woman needs to help her husband sit up.

"Don't touch him, I'll just check him out. The main thing is to ask about his condition." Li Jingsheng persuaded the woman.

"Dr. Li is not only proficient in orthopedic surgery, but he is also very good at diseases in the digestive tract. I saw that your husband was vomiting a lot and couldn't eat after chemotherapy, so I wanted to ask Dr. Li to come up with a solution."

Director Zhang gave a timely introduction.

"Do you vomit whatever you eat now?"

Li Jingsheng asked the patient himself.

"Yes! Sometimes even just drinking water makes me gag."

The patient looked haggard.

Because the side effects were too strong and I felt uncomfortable, I definitely didn’t have a good rest.

The bags under my eyes look very big.

"Will you vomit if you don't eat?"

"Yes. I'll have acidic water coming out for a while, and then I'll vomit."

The patient appears weak when speaking.

Chemotherapy has strong toxic side effects on cells throughout the body, and many cancer patients fail at this level.

Even a strong man weighing [-] pounds will lose weight in a month or two at most.

But because of the use of hormones, the face looks puffy and fat.

"Can you sleep tonight?"

"Before chemotherapy, my sleep was okay. After chemotherapy, I couldn't sleep for the whole two days. I was obviously a little sleepy, but I couldn't fall asleep. I couldn't tell, it was just that my whole body felt very uncomfortable."

This situation of the patient is a relatively common reaction after chemotherapy.

While they were chatting, the patient's son walked in from outside.

Carrying two lunch boxes.

"Hello, Grandpa Doctor! Hello, Uncle Doctor!"

The little boy saw Li Jingsheng and Director Zhang and said hello to them first.

Then he walked to the bed and said, "Mom, it's time to eat."

He handed a lunch box to his mother.

Then he put down another lunch box and looked at the man on the bed.

"Dad, can I feed you now?"

"it is good!"

The man probably didn't really want to eat and had no appetite.

But seeing his son, he nodded in agreement.

After the woman took the lunch box, she did not eat immediately. Instead, she put the lunch box on the bedside locker.

"It's okay, you eat your food, I'll watch and chat casually. And I can just observe his reaction after eating."

Li Jingsheng knew that the woman saw the doctor questioning her, so he did not eat immediately.

Instead, he planned to wait until Li Jingsheng finished asking before eating.

"Director Zhang, you are a busy man, so go ahead and do your work first! I will first understand the patient's condition, and if I find a solution, I will come back to you."

"Then thank you for your hard work! I really have a lot of things to do. I have admitted another critically ill patient. The condition is very serious. I have to keep an eye on him."

Director Zhang is the director of cardiothoracic surgery and the chief physician, so he has great responsibilities.

If there is any trouble among the patients admitted, his nerves must be tense.

Li Jingsheng moved a stool and sat down next to him.

"Kid, do you cook all the food?"

"Well, I did it."

The little boy nodded.

He skillfully ran to the end of the bed, shook the head of the bed, and then put a towel on his father's chest and started feeding the patient.

"You know how to help your parents share the burden at such a young age. You are very sensible! What will you do when you go to school?"

Li Jingsheng looked at this sensible little boy, and he especially hoped that the family could remain intact.

As long as the patient is helped to overcome the biggest difficulty of radiotherapy and chemotherapy, there will be great hope that the patient's lung cancer can be cured.

"My school is very close to here. After feeding my dad, I will go back to school and go to class. It won't delay my studies."

His hair was soaked with sweat.

Her face is also red.

"Dr. Li, you don't know. Sometimes I feel like I can't hold on any longer. Seeing my son so sensible makes me feel empowered. The same goes for his father. It can be said that my son is the hope of our family. "

The woman interjected from the side.

This family seems to have fallen into an abyss of darkness. The sensible son is the light of hope that illuminates the two of them.

Let them have firm faith.

It's a spiritual pillar.

"You are worthy of being proud of having such an outstanding son. Don't worry, lung cancer is not as scary as you think. All diseases should be defeated. Especially you, lung cancer is discovered very early, and the hope of cure is very high. big."

Li Jingsheng encouraged the patients.

"It is not difficult to cure early-stage lung cancer. After surgical removal of the lesions, the patient has firm confidence and remains optimistic and open-minded. This is enough. You fully meet these conditions." (End of Chapter)