Chapter 1841

Xia Hua sat quietly in the thoracic surgery ward in the provincial capital. (Note 1)

He had done his best, but fate did not favor him.

Father was lying on the hospital bed, thin and almost without fat. Because of esophageal tumors, people have entered the end stage without eating for a long time.

When the disease was first discovered last year, it was diagnosed as advanced lung cancer. Xia Hua's father firmly refused surgical treatment, subsequent radiotherapy, chemotherapy and targeted drug treatment.

He wants to see the great rivers and mountains of his motherland.

Under the care of Xia Hua and his wife, the old man achieved his wish.

It took three months to go through seven or eight provinces intermittently. When he returned to the provincial capital, he wanted to go like this.

Xia Hua is unwilling. He finds Gao Shaojie and wants to try with the least traumatic means to see if he can prolong the old man's life.

A small amount of chemotherapeutic drugs perfusion chemotherapy + radiofrequency ablation reduced the tumor tissue. Although it has not recovered, it seems that the life expectancy can be extended by another year or so.

This is the result Xia Hua needs.

But an unexpected situation happened.

Two months ago, Xia Hua's father found out that he had esophageal cancer again. (Note 2)

The cruelest thing is not to fall into the abyss of despair from the beginning. But after giving some hope, things seem to get better, but they get worse in a casual moment.

Xia Hua's bottom line is that he can die of illness and not starve to death.

The old man refused radiotherapy and chemotherapy. This time, he even refused the next lung surgery, although radiofrequency ablation did not bring him any substantial damage.

When people are in despair, they will always abandon themselves, hoping that all these bad things can end early.

He refused all treatment and didn't even want to order sugar and salt water.

Mr. Xia was already in a coma. At this time, Xia Hua left him a PICC pipeline. He always thought there was a way. If it ends like this, Xia Hua is unwilling.

Although letting go is a good way, the elderly can suffer less, but as long as children have a share, who is willing to let go.

"Dangdang ~" the knock sounded.

Xia Hua wiped her face with her hand to cheer herself up. He stood up, opened the door and saw Gao Shaojie. He forced out a smiling face and whispered, "Professor Gao, let's talk outside."

"Xiao Xia, I saw the film." Out of the ward, Gao Shaojie said, "it's a little late. The elderly still have heart diseases. It's very difficult to get the esophageal stent."

"Professor Gao, how sure do you think?" Xia Hua asked.

"If you can accept sudden death on the operating table, I can try." Gao Shaojie said.

Xia Hua is a little tangled.

As a doctor, he has talked to the patient's family countless times about this way of explanation.

But when he became a patient's family member and changed his identity, he immediately felt that this kind of explanation was the most bastard communication.

But this is the truth. Gao Shaojie is also telling the truth. He knows it in his heart.

Long term malnutrition, cardiopulmonary failure, esophageal malignancy is located near the heart.

When the esophageal stent is opened, the malignant tumor will certainly touch the heart.

A small squeeze can lead to arrhythmias and other complications. These are what Professor Gao Shaojie said.

Xia Hua's face was ugly. He didn't relax and have a rest for too long, which overdrawn his energy and physical strength.

"Xiao Xia, just try your best. You should have a good rest. Don't make you sick." Gao Shaojie patted Xia Hua on the shoulder and comforted him.

"Professor Gao, I know. As for the risk..." Xia Huagang wanted to say he could bear it, but he stopped at the last moment.

Gao Shaojie also knew Xia Hua's psychology. He sighed and said, "let me ask Lao Liu, what do you think?"

"Professor Liu zewei? Where has he been?" Xia Hua asked.

"I went to study with boss Zheng, the doctor you met on the plane when you took your old man out last year." Gao Shaojie said.

Xia Hua has spent all her energy on her father's treatment and care for more than half a year. She doesn't know much about other things.

"Please." Xia Hua said gratefully.

Although he had doubts about how a professor at Liu zewei's level would study, he just thought for a moment and stopped thinking about things that had nothing to do with himself.

Gao Shaojie comforted Xia Hua a few more words, then photographed the film and sent it to Liu zewei.

Lao Liu has studied for several months. I'm afraid his level has soared. Gao Shaojie's mood is a little complicated. Do you want to study?

……

……

"Boss Zheng, Lao Gao sent a film. Can you give it a slap?" Liu zewei had a headache after watching the film. He thought it was difficult to treat.

But after a long time in the imperial capital, he habitually gave the right of final diagnosis to Zheng Ren.

"Oh? What patient?" Zheng Ren spent the afternoon basking in the sun and reading in the system library. After listening to Liu zewei, he came out and asked.

"Advanced lung cancer, advanced esophageal cancer." Liu zewei spoke briefly and then sent the film to Zheng Ren.

Zheng Ren took his mobile phone and opened the video data.

Lung CT showed that the treatment of lung cancer seemed to be good, and the tumor reduction surgery was carried out.

The so-called tumor reduction surgery refers to a way that can not be surgically removed, reduce part of the tumor body and prolong the survival time of patients by 6-12 months.

Mediastinal lymph nodes have metastasized. Zheng Ren judged the survival time of about 6 months, which is the longest expectation.

Advanced lung cancer is not fatal now. The fatal thing is that there is a 6 in the middle and lower esophagus × 3cm tumor has almost blocked the esophagus.

For upper gastrointestinal radiography, barium with difficulty in swallowing and poor fluidity was not used, but oral meglumine diatrizoate.

Even if it's liquid, it's not very smooth. It's hard to say whether the super sliding guide wire can pass through this narrow section.

If it is completely blocked, the esophageal stent will not go in.

This patient can tangle and hesitate for a short time, only about 1 week at most.

And one week is a reluctant statement. Zheng Ren didn't see the medical record and didn't know the time of tumor growth.

If that kind of relatively fierce esophageal tumor, the esophagus may be completely blocked in about 3 days, and there is no chance to remove the esophageal stent.

Of course, this is only one of the problems. The main problem is that the tumor is near the heart. After the stent goes in, the tumor will have a certain impact on the heart.

Note 1: in Chapter 172, when boss Zheng went to the imperial capital for the first time, he met the doctor with the elderly with advanced lung cancer on the plane.

Note 2: I am an old patient who underwent lung cancer surgery in early 2011 and esophageal cancer surgery in June 2011. The postoperative recovery was good, but I climbed the mountain in 17 years, 4000 meters above sea level, damaged cardiopulmonary function, and now I have asthma.