Start with an emergency physician

He Jianyi sighed and shook his head.

Zhou Yuan then remembered his unresolved total gastrectomy.

"Teacher, maybe you can try total gastrectomy."Zhou Yuan said

"No. It's already in the advanced stage of gastric cancer, and the adjacent organs have also been invaded by gastric cancer. There is no point in doing a total gastrectomy."

He Jianyi frowned:"Moreover, total gastrectomy is a level 4 operation, which is extremely difficult. Only senior chief physicians dare to perform it."

"The ultrasound shows that only part of the nearby organs are affected. We can remove the affected organs together."Zhou Yuan handed over the abdominal ultrasound picture.

Before the two finished discussing, Yang Wei's wife crossed her hands and made an X shape,"No! Without a stomach, what will my husband eat in the future! He will die immediately!"

Zhou Yuan explained helplessly.

"The function of the stomach is indeed very important, but it is not very important to your husband. In fact, the stomach only provides the mechanical function of temporarily accommodating and grinding food, and also has a negligible digestion and absorption function."

��This is a misunderstanding many people have about total gastrectomy.

Zhou Yuan said:"Food digestion mainly depends on the small intestine. Even after total gastrectomy, hunger will still occur, and the digestive function of the intestine will not be affected. After total gastrectomy, there are many ways to rebuild the digestive tract."

"Can I... leave a little bit?" Yang Wei's wife asked cautiously.

Zhou Yuan shook his head helplessly:"We can only consider the long-term effect. Your husband discovered gastric cancer too late, and now we can only consider total gastrectomy."

"What will happen to my husband?……"Yang Wei's wife wiped her tears.

Zhou Yuan hesitated for a moment, but decided to tell the truth.

"Patients with advanced gastric cancer will have a significantly reduced quality of life. They may then experience vomiting blood and black stools, along with symptoms such as anemia and weakness in the limbs."

"I had asked him to go to the hospital a long time ago! He wrote that novel every day, and he vomited blood but still said he would update it! Woo woo woo……"Yang Wei's wife sobbed

"Besides these, what else is there?"Yang Wei's wife was ready to take all the blows at once.

"In addition, there is persistent upper abdominal pain, followed by distension and edema. In the late stage, there are symptoms such as loss of appetite, nausea, vomiting, and difficulty swallowing."

Of course, Zhou Yuan still had some things to say.

In the late stage of gastric cancer, the cancer cells will spread directly to the adjacent pancreas, liver, and transverse colon nodes, and may also metastasize to the perigastric lymph nodes and distant lymph nodes through the lymph nodes. This can be judged by touching the hard and inactive lymph nodes above the left clavicle.

In addition, cancer cells can also be transferred to the liver, brain, bones, ovaries, etc. through the blood circulation, resulting in symptoms such as ascites, jaundice, hepatic ascites, and large ascites.

The increase in the tumor itself can also cause complications such as gastric perforation, bleeding, necrosis, and obstruction.

In any case, in the late stage of gastric cancer, Yang Wei's life was basically over.

Total gastrectomy is just to prolong life and improve the quality of life in the final stage.

Zhou Yuan mentioned again:"The five-year survival rate after total gastrectomy is about 20%, or you can choose chemotherapy to delay tumor recurrence and control tumor progression, but given your husband's current condition, chemotherapy is not very meaningful. If you don't have a total gastrectomy, I'm afraid you won't be able to hold on for too long."

"I understand. Can I discuss this with my husband?" Yang Wei's wife lowered her head.

The door of the ward was closed again. Zhou Yuan saw Yang Wei sitting up in pain and making a face at him.

"Teacher, what is your decision?" Zhou Yuan asked

"There is a director in the gastroenterology department who is good at total gastrectomy, but he was invited to another province to perform surgery on a cadre."He Jianyi was a little embarrassed.

In the hospital, interns only receive a few hundred yuan in subsidies a month, and some inferior hospitals even ask interns to pay for it. Resident doctors only make two or three thousand yuan, and those with more seniority can get several thousand yuan.

Experts like this who fly around the country can get a salary of ten or twenty thousand yuan for a consultation, which is a big difference.

Zhou Yuan looked at his three intermediate treasure chests and said,"Teacher, maybe I can."

He Jianyi's desire to be an assistant ignited in his eyes,"You can?!"

He didn't understand.

Can you do total gastrectomy, but not gastroscopy?!

"You kid, you want me to practice gastroscopy to test my level, right?"He Jianyi was instantly amused and guessed.

Zhou Yuan chuckled and said,"You are my teacher, how dare I do that!"

"Can you really complete a total gastrectomy?"After laughing for a few times, He Jianyi became serious.

Seeing Zhou Yuan nod, He Jianyi also nodded.

He Jianyi had seen too many miracles in this disciple, and now he was a little numb.

""Okay, call Haiyang over." He Jianyi said quickly.

It was time for He Jianyi's team of doctors to study again.

After completing the preoperative examinations one by one, Yang Wei's body was completely fit for total gastrectomy.

Zhou Yuan also quietly opened the system panel.

The three intermediate treasure chests disappeared, and a new icon lit up.

"Get it! Master Total Gastrectomy!"

————

The fifth update is here, and the sixth update is about to begin. Please give me the data!