Chapter five hundred and fifty second five-year-old patient
"Dr. Fang, is there really no need for surgery?"
After walking out of the ward, Niu Baohua couldn't wait to ask.
In the ward just now, when I heard Fang Le say that surgery might not be needed, Director Niu almost couldn't hold it back. He planned to wait until he came out before asking. Qi Yuanming examined the patient again, which was delayed for a while.
In just such a short time, Niu Baohua almost suffocated to death.
"Judging from the patient's condition, he is recovering very well."
Fang Le nodded and said: "For this period of time, I have been giving patients prescriptions that promote blood circulation and remove blood stasis, soothe the liver and relieve stagnation, promote qi and strengthen the spleen, soften hardness and disperse stagnation..."
Cirrhosis is the name of the disease in modern medicine. This disease involves relatively complex aspects in traditional Chinese medicine. In terms of symptoms, it involves jaundice, rib pain, bulging, bloodemia, edema, etc. It is a very complex disease.
Modern medicine names diseases based on their specific scope, but Chinese medicine classifies them based on their symptoms.
The clinical manifestations of liver cirrhosis include jaundice, ascites, edema, chest pain, etc. The symptoms are complex and mixed with deficiency and excess.
Fang Le examined the patient last time. He first treated the patient with prescriptions to activate blood circulation and remove blood stasis, soothe the liver and relieve stagnation, activate blood circulation and dissipate qi and strengthen the spleen, and soften hardness and dissipate stagnation. At that time, he was not very sure.
For severe cases, the diagnosis and treatment idea of traditional Chinese medicine is first to relieve the patient's clinical symptoms, and relieving pain is the first step of treatment.
Sometimes many complex diseases just find a breakthrough in the process.
At that time, when Fang Le was using the prescription, he was just giving it a try. It would be better if there was a turnaround, but if there was no turnaround, it would make the patient's condition better and be conducive to the operation.
Obviously, after these few days of treatment, the patient's condition has improved, and Fang Le plans to continue the treatment for a while.
Director Niu just went a little crazy.
From a doctor's perspective, patients can avoid surgery, which is a good thing.
Although Fang Le performed the first living donor liver transplant in Jiangzhong City, and the patient is recovering well, as of now, it has only been more than a month since the operation, and it is difficult to say what the future situation will be like.
Liver transplant surgery at this time is still a high-risk operation with considerable risks and unpredictable prognosis.
Being able to avoid surgery is equivalent to one more way out for patients. As far as the actual situation is concerned, if the patient's condition continues to improve, surgery can be avoided. If the patient's condition is uncontrollable, surgery can be continued. This is a very good thing.
But for Director Niu, who has been busy for so long and has been looking forward to it for so long, it feels a little disappointing.
For a moment, Director Niu was like a groom preparing to marry his beloved. Now that the wedding was approaching, his ex suddenly came back, and he suddenly became the spare tire...
If you stand from the perspective of the affectionate male protagonist, if you love her, you must fulfill her, and Director Niu should silently send you his blessings.
But from Director Niu’s own perspective, this period of busyness and dedication...
After all, the wedding photos have been taken, and all that’s left is to collect the certificate and hold the ceremony, okay?
Fang Le understood Niu Baohua's mood very well and said: "As doctors, we still have to consider the patient's perspective. After all, the purpose of surgery is to save people, not just for surgery."
"That's what Dr. Fang said."
Niu Baohua nodded. Everyone knows the truth. If you love her, you must fulfill her.
But Director Niu is really unwilling.
"It is relatively easy to find patients who meet the requirements for liver transplantation now. Maybe there will be new liver sources in the next few days."
Fang Le continued.
Niu Baohua nodded, then took a deep look at Fang Le, but there was something he didn't say.
Director Niu was a little scared. He was afraid that he finally had a liver source. Fang Le had seen the patient and then no surgery was needed.
Is this possible?
Absolutely.
As for the patient just now, Shanghai Hospital had previously conducted expert consultation and evaluation. In this era when almost no one can perform liver transplantation, who would be willing to consider liver transplantation if it were not the last step?
But for this kind of patient, Fang Le Leng gave the patient a glimmer of hope. Wouldn't a similar situation happen again?
For a moment, Niu Baohua couldn't help but sigh in his heart, Jiangzhou Provincial Hospital was so lucky.
Qi Yuanming beside him was trying to hold back his laughter.
Director Qi is a professionally trained doctor. He usually doesn't laugh unless he can't help it, and he can still hold it back now.
It has to be said that doctors like Fang Le are really rare and unique in the country.
He is a top expert in the field of extrahepatic surgery, and his level of Chinese medicine is comparable to that of national experts. When encountering such a surgeon, it is really easy to be disappointed if you have high expectations like Niu Baohua.
"Last time I heard from Director Niu that there are a few more patients. Can I take a look by the way?"
Fang Le also felt a little sorry.
It would be good for the patient not to perform surgery, but it really failed Director Niu’s expectations these days.
"Doctor Fang, please come this way."
Niu Baohua nodded and asked Fang Le to take a look first to avoid any accidents after finally finding the liver source.
While talking, Niu Baohua took Fang Le to another ward.
There are two other patients in the ward who are receiving treatment and waiting for liver sources.
One is a five or six-year-old child with severe liver failure, and the other is a female patient in her forties with advanced liver cancer.
Niu Baohua took Fang Le into the ward, and the patient's mother hurriedly stood up: "Director Niu, Director Qi..."
As soon as she shouted, the patient's mother burst into tears.
"Director Niu, do you have a suitable liver source?"
The child's father also stood up quickly and looked at Niu Baohua expectantly.
"not yet."
Niu Baohua opened his mouth, not wanting to tell the patient's family such news.
Niu Baohua really doesn't want to enter this ward these days.
Although in the eyes of doctors, patients are equal, the impact on adults and children is definitely different. When most doctors face children, their inner sympathy is definitely different than when they treat adults.
times.
Every time they enter the ward, the parents of the children will ask Niu Baohua the same question. They are full of expectations when asking, but they are full of disappointment after asking.
Sure enough, when Niu Baohua said there was no such thing for the time being, the child's parents showed disappointment, and their eyes dimmed.
"Let me introduce it to you."
Niu Baohua said hurriedly: "This is Dr. Fang Lefang from Xijing Hospital. He recently performed the first liver transplant in China at Jiangzhou Provincial Hospital. The patient is currently in good condition..."
Because the liver source could not be found, Niu Baohua did not bring Fang Le to see the child. This was also the first time Niu Baohua introduced Fang Le to the parents of the child.
"Doctor Fang!"
Upon hearing this, the parents of the child hurriedly greeted Fang Le.
As the only liver surgeon in China who has performed liver transplantation, Fang Le has broken away from age restrictions in the extrahepatic field.
No matter how young Fang Le is, Fang Le is the only hope in the eyes of patients and their families.
Because for now, in the country, in terms of liver transplantation, except for Fang Le, no one else can do such an operation. You have no choice at all. You are lucky to encounter him. What is the point of being young?
"Don't worry too much."
Fang Le nodded to the parents of the child and comforted him: "At present, there are few doctors in China who can perform liver transplant operations, and there are also few hospitals that can contact foreign experts. Although it is difficult to find a liver source, it is also difficult.
It’s not big, maybe there will be good news in two days.”
This is supply and demand.
It is true that it is difficult to find liver sources, but there are not many doctors who can perform this kind of surgery, so the demand is much smaller, and there are fewer people competing for it.
"Thank you Dr. Fang."
The child's father hurriedly said: "Doctor Fang, please sit down."
Although there is no liver source yet, if there is, Fang Le will definitely be relied upon for this operation. The parents of the child are naturally very polite to Fang Le.
Fang Le sat on the edge of the hospital bed and examined the child, and then gave some instructions. Without saying anything else in the ward, he and Niu Baohua walked out of the ward.
"Doctor Fang, how are you doing?"
After walking out of the ward, Niu Baohua couldn't wait to ask Fang Le.
For this child, Niu Baohua is very much looking forward to Fang Le saying that he does not need surgery. He is only four or five years old...
"The situation is not good. Although the patient only has liver failure, the liver and the internal organs are closely related. The focus is on the liver, but it is not just a liver problem..."
Fang Le said slowly: "The child is still young, and all the organs are not fully developed."
As far as modern medicine is concerned, liver failure is severe liver damage caused by multiple factors, leading to impairment or decompensation of liver synthesis, detoxification, metabolism and biotransformation functions, resulting in jaundice, coagulation disorders, hepatorenal syndrome
Wait for some clinical manifestations.
From the perspective of modern medicine, the patient's condition means that the liver function has been lost. The liver, an organ, has lost its ability. If you want the system to function normally, the liver needs to be replaced...
Clinically, liver failure is a continuum...mortality is very high.
In traditional Chinese medicine, liver failure falls into the categories of acute jaundice, plague jaundice, coma, etc. In terms of pathogenesis, it is caused by plague toxin. Dampness and heat accumulate toxins, and the plague toxin is raging, filling the triple burner, penetrating into the blood, and invading the pericardium.
.......
Whether from the perspective of traditional Chinese medicine or Western medicine, liver failure is a disease that is difficult to treat and has a high mortality rate.
Clinically, there are still some means of symptom relief and first aid, but it is not that difficult to stabilize symptoms and control the condition.
The child can reach the stage of liver transplantation, but the disease has reached an advanced stage...
"I'll make a prescription first, and then we'll see how it goes with the treatment."
Fang Le pondered for a moment: "The trouble now is that if the disease cannot be controlled in the short term, it will cause serious damage to the kidneys, and Director Niu of the liver source should also be concerned."
"I've been worrying about this."
Niu Baohua nodded, and then took Fang Le and Qi Yuanming to another ward.
The two patients were not arranged in the same ward.