What happened to Zhou Yisheng is also the journey that every doctor must go through.
Facing the results of failed treatment is unforgettable for a long time, but if you want to engage in this profession, you must learn to be rational and learn to let go. Because throughout your career, you will not only face one patient, but there will be thousands more in the future.
The appearance of the old man was like opening a scar, causing burning pain.
Although I feel uncomfortable, I also know that the pain will make me numb, but the human heart is always fleshy, and uncomfortable emotions are uncontrollable. The process from sensibility to rationality is not to abandon sensibility, but to learn to control sensibility. However,
Self-control is a difficult thing to cultivate, and it is a difficult journey of training.
The only way to comfort yourself on Monday is to 'experience things sooner and finish things sooner'. Long-term pain is worse than short-term pain.
Before the free medical consultation.
After Zhou Shouming felt that his grandson's condition was fine, he felt relieved and continued diagnosis and treatment.
As for Zhou Sheng, he wanted to avoid looking at the old man as much as possible, but couldn't help but want to look at the old man. The psychological conflict was very subtle. It was probably what people often call an occupational disease. His girlfriend, who is a nurse, always likes to rub the back of her boyfriend's hands to look for blood vessels.
, and the girlfriend’s slender clavicle protrudes, which is very tempting to her boyfriend, an orthopedic surgeon. He can’t help but think, ‘If such a beautiful clavicle is broken, I must have it done myself’.
When patients with apparent pathological characteristics appear, it is undoubtedly a great temptation for doctors——
I must see what's wrong with you!
In fact, even if the elderly do not have tracheal intubation, they are still eye-catching to ordinary people.
The electric wheelchair he is riding in is very high-end, probably the same model as the deceased Mr. Huo. The right armrest has a rocker forward operating device, and the left side is fixed with the 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 them, the old people will point their fingers to the iPad to respond vocally. The airway of tracheostomy patients is in the neck, and they cannot speak when the nose and throat are not ventilated.
, even if he wanted to speak, he would just make a "huchihuchi" sound.
If you are a long-term "tracheal intubation wearer", you can actually figure out a way to make sounds. Use your body movements to squeeze the airway tube to form a blockage, allowing the air to pass back to the throat, and you can make short sounds. What's more,
'Da Neng' has figured out a way to produce it continuously, and he is definitely a high-player group among tracheal players.
The old man in front of him obviously didn't learn how to make a sound, so he could only use his "money power" to replace it with technological products.
In addition, if you don’t mention the styling of the trachea, the old man’s hair is polished and shiny. He wears a white shirt under his upper body, with a snow-white collar that is brand new and decorated with a gold collar badge. He wears a cardigan wool vest with a wool combination pattern.
It's LV.
The corduroy trousers on the lower body should only be nine points. The exposed ankles are paired with pure wool stockings, which are deliberately pulled down to form pleats. Paired with slim round-toed black and white leather shoes, how can it be called "trendy".
The intern nurses on the side couldn't help but sigh: "Uncle is so luxurious, why does he come to the park to play mahjong?"
Zhou Shengsheng was not affected. No matter how gorgeous his appearance was, he could not stop his curiosity about the condition. Using the detection system was an inevitable result, but before using it, he had already developed the habit of diagnosing the disease by himself in order to improve himself.
dialectical ability.
Patients who require tracheostomy and intubation for breathing have pathological limitations, and the range that can be delineated is very small.
First of all, a rigid condition is that the condition hinders normal breathing. Obstruction of breathing in the lower trachea is obviously not established. If it is to relieve secretion retention after thoracoabdominal surgery and facilitate sputum suction to keep the respiratory tract open, then it is also certain that the condition is too severe.
, is not enough to support the old man to dress up in such a fashionable style and show off.
Then we can only look upward for the cause. Factors such as laryngeal inflammation, tumors, trauma, etc. can all cause difficulties and obstacles to respiratory function.
After the canal incision, the traumatic nodules were no longer visible, and there was no clue as to the inflammation or tumor.
Zhou Sheng kept looking up and finally found some small clues. The old man's left nasal cavity was obviously larger than the right side. Due to long-term swelling of the nose wing, dry and cracked sebum appeared after the metabolism of skin tissue.
"Unilateral nasal cavity tumor?! Cancer?"
It's very possible.
Nasal cavity tumors and cancer are two different diseases, but even benign tumors in the nasal cavity have a high probability of becoming cancerous. Therefore, in order to prevent canceration, surgical resection is definitely recommended to avoid canceration.
You must know that nasopharyngeal cancer is the malignant tumor with the highest incidence rate among ear, nose and throat cancers. 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 treatment, and he would naturally not need to use a trachea to assist breathing for a long time.
Of course, the doctor’s recommended ‘tumor-preserving survival’ treatment is not ruled out because the nasal cavity is rich in blood vessels and nerves. Taking into account the location of the tumor and the patient’s age and physical condition, a recommendation will be given not to remove it.
For example, for the elderly, who are already very old, the risk of resection is higher than the risk of death from cancer. The advice given by the doctor is definitely the most rational and scientific judgment.
At this stage of diagnosis, even the best doctors cannot give a diagnosis unless they witness the condition of the tumor with their own eyes.
For Zhou Sheng, this situation is like a question-answering game. The time has come to reveal the results, and it’s time for the system to give standard answers for scoring...
The special detection included in the B body scanning detection function was set by Zhou Yisheng in the nose and throat area.
The scanning frame in the field of vision flashed, and the results were arranged instantly.
Various human body index data were temporarily ignored by Zhou Sheng. His eyes instantly fell on the special test report——
"Stage II nasopharyngeal cancer (status: tending to be stable), the tumor on the left side of the nasal cavity is descending, severely blocking the respiratory trachea, and tracheotomy and intubation are available to assist breathing (effective); no lymph node metastasis or distant lymph nodes are found
Metastasis (symptom rating B); the effectiveness of radiotherapy is 63% (stable decrease). Although there is a tendency to eliminate cancer cells, in view of the patient's physical signs and age, local surgical removal is not recommended. Radiotherapy and auxiliary conservative treatment with traditional Chinese medicine can be considered."
"Note, symptom rating: C is passing line, the disease rate is less than 40%, B is good, the disease rate is less than 30%, A is excellent, the disease rate is less than 20%, please refer to the addition and subtraction items as appropriate."
Sure enough, it was nasopharyngeal cancer.
No matter what kind of cancer, it is terrible and fatal.
The old man's situation is already a blessing among misfortunes, and his stage 2 nasopharyngeal cancer has been stabilized.
The most feared thing about cancer is lymph node metastasis...and most metastases of nasopharyngeal cancer are located in the neck.
Most patients only need eight months to go from stage one to stage four. The most frightening 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.
Distant metastases are even worse, including bone metastases, lung metastases, and liver metastases. When this happens, you are basically waiting to die.
As for now, even the system has given a symptom rating, and the disease rate is as low as 30%. If you are lucky, it will not relapse in your lifetime, and you can enjoy your old age with endotracheal intubation.
Just like now, playing mahjong with friends and enjoying the lazy sunshine in the afternoon.
Zhou Sheng prayed silently for the old man in his heart, but temporarily put the previous unpleasant emotions behind him.
soon.
The free clinic queue reached the elderly group, but the nurse behind him didn't interrupt and allowed 'Mayu' beside him to introduce: "Dr. Zhou, right? Show it to Lao Chen, too. His problem is serious and he has to go to the hospital every now and then."
For any type of radiotherapy, you have to take traditional Chinese medicine. The smell of traditional Chinese medicine is so strong that even perfume can’t cover it up. It’s like a medicine jar.”
Grandpa smiled, looked at the old man in the wheelchair and couldn't tell his age, so he could only say: "Brother, can you still talk?"
The old man smiled and pointed at the iPad, clicked it, and the voice played naturally: "Yes."
Zhou Sheng stood up and took a look over. There were some simple words fixed on it, and there was also a handwriting board for the old man to take the initiative to say that his condition was definitely not going to work. He could only ask questions or ask the nursing staff.
Grandpa thought so too, and looked at the nurse again: "Can you give me a rough description of your condition?"
The nurse said: "I only know that it is nasopharyngeal cancer. Uncle Chen has not been here in Qinzhong for a long time, and I have just come to take care of him."
In this case, I can only ask the old man to guide...