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Medical center.
Rooftop roof.
"What are we waiting for here?"
An intern asked.
"The Presbyterian Hospital sent a 10-year-old girl with abdominal leiomyosarcoma, which was inoperable."
The little man who led the team stood in front, looked into the distance, explained one sentence, and then asked: "Louis, tell me about your understanding of abdominal leiomyosarcoma!"
"Yes."
The intern Louis, who opened his mouth, was surprised and quickly said: "Leiomyosarcoma is a malignant mesenchymal tissue tumor originating from the smooth muscle of the intestinal wall, the vascular smooth muscle of the intestinal wall, or the mucosal muscle of the intestinal wall..."
"This kind of tumor mostly occurs in middle-aged and elderly people, as well as young people, but 10-year-old children are really rare."
Another intern answered, "Besides, you can't operate, so why should you send it to us?"
"Is it absolutely impervious to surgery? They said nothing."
Another intern intervened: "Dr. Duncan has seen it, and it's only after he has said it."
"coming!"
The little man interrupted their conversation.
Everyone looked at the medical helicopter that flew quickly.
The little man took his trainees and sent the little girl into the ward.
When Adam walked in, he nodded at the little man.
"Torui has abdominal leiomyosarcoma, which surrounds her abdominal artery, splenic artery, and her left gastric artery."
The little man began to introduce the condition: "This type of tumor is difficult to remove."
"It's difficult, but not impossible."
Among the family members around the little girl’s bed, the grandmother spoke first, looking at Adam expectantly: "Is that right? Dr. Duncan?"
"We will do everything we can."
Adam didn't have a big deal, he said cautiously.
Child surgery is always troublesome.
A little carelessness can cause intense emotional reactions from parents.
"If you are not sure, you must speak up."
The little girl’s uncle looked at Adam’s face and frowned, “We’ll fly to San Francisco right away. Dr. Stu over there is an expert in this area...”
"Well, I'm not sure."
Seeing this, Adam combined the medical record and handed it to the little man: "Arrange for her transfer."
After speaking, he was ready to leave.
Such a parent, such a case, he does not want to waste time.
He is not a god.
emmm.
At least not yet.
When other famous doctors said that there was no way to perform the operation, even if he had a way, he was definitely not sure!
confident?
Even if any major surgeon is faced with any minor surgery, he dare not accept the confidence that parents say.
"What is your attitude?!"
The little girl's uncle exploded.
"Sir, please calm down."
Adam frowned and said, "I'm pretty sure I can't meet the requirements you want.
So in accordance with your requirements, I will tell you the results in advance, without wasting your time.
Give Torre more time to treat according to your ideas.
Any questions? "
"Luke, shut up!"
The little girl Torrey’s grandmother yelled: "Apologize to Dr. Duncan!"
"mom!"
Luke didn't want it.
"apologize!"
Tori's grandma increased her tone.
"I'm sorry, Doctor Duncan."
Luke apologized reluctantly.
"Doctor Duncan, Luke is impatient."
Torre's grandma laughed and said: "He is just too worried about Torre. We have gone to so many hospitals and met so many doctors.
We know the rules.
No one is 100% sure!
Not to mention Torrey’s condition...we just hope you can take a good look at Torrey and give you a surgical plan. "
Having said this, she held up a box and said with an expression of kindness: "Fudge, would you like? I made it myself."
"..."
Adam was speechless.
This is both soft and hard.
Such a child patient, such a family, it is too difficult to deal with.
"Melendez, take Torrey to do abdominal enhanced CT."
Adam glanced at the little girl who looked at him apologetically, shook his head in his heart, and ordered the little man.
Such parents are not the first and will not be the last.
As long as he is willing to cooperate, Adam does not want to shut them out.
After all, he may be the last hope of this little girl.
Enhanced CT room.
"Okay, now insert the catheter into the celiac artery, inject fluorine, and inject dye."
The little man introduced to the intern while operating.
When the contrast image appeared on the screen, the interns took a breath.
"Everything okay?"
The little girl Torrey smiled reluctantly: "Isn't it bad?"
"It's okay."
The little man calmly said: "Notify Dr. Duncan to go to the film room."
Movie room.
"The tumor surrounds five arteries and it looks really bad."
Dr. Burke also came over, took a closer look, and immediately shook his head.
"Three hospitals rejected this operation."
The director of surgery stood by and looked at Adam: "Adam, do you want to pick it up?"
Adam did not answer, just stared at the CT film.
Seeing this, the director of surgery also understood that Adam reconstructed the patient's body structure in his mind and deduced the operation plan, so he did not continue to ask questions, but looked at Dr. Burke.
"We can try to cut along the stomach..."
Lexi said.
"No, the only way is to take out the stomach. Someone has done a living body autotransplant."
Dr. Burke frowned, "But the liver and kidney have to be taken out together.
This is a completely different two-way blood supply, and the feasibility is too low.
Even Adam and I operated together. "
"We can only take out the part of the organ whose blood supply is blocked by the tumor."
Adam's main mind retreated from the consciousness starry sky: "Clamp the aorta and take it out one by one. As long as we are fast enough, the feasibility will be greatly improved."
"You are risking other organs."
Dr. Burke reminded.
"How long can she live without surgery?"
Adam shook his head and said, "This is the surgical plan with the highest success rate I have ever deduced.
Give them the opportunity to make their own decisions. "
meeting room.
"what?"
The patient’s family members were shocked: "You want to take out all her abdominal organs?
Intestines, stomach...all?
Take it out all at once? "
"Yes it is."
Adam nodded: "We will put the organ on ice and remove the tumor at the same time.
Then use artificial transplantation to connect the blood vessels and transplant back to the original organ..."
"Why didn't Gorman and Fischer in Washington propose this plan?"
The patient's grandmother couldn't accept such a bold surgical plan that broke through traditional thinking, and hesitated: "Their medical skills are also superb!"
"Because there hasn't been this kind of surgery before."
The director of surgery answered, "This is a new operation tailored for Torrey by Dr. Duncan..."
"Because it is a new theory of surgery. UU reading "
Adam took the shot: "So the risk is very high, every step may go wrong.
So please consider carefully.
If you can’t accept it, please arrange a transfer immediately and go to Dr. Stu in San Francisco according to your previous thoughts.
Must be fast!
Torrey's situation is terrible, and it doesn't take long to delay. "
"Oh~"
Tori's mother and aunt choked directly.
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