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Chapter 113 Making a Chemotherapy Plan
Huang Su and Wei Lai walked into the conference room together behind Professor Sun Guizhi.

In the conference room, both sides of the conference table were already full of doctors.

"This is Huang Su, Dr. Huang. It's the doctor who treated the patient Zou Wenzhi." Sun Guizhi pointed to the two empty seats at the bottom of his hand and said, "Huang Su, sit there with Wei Lai."

The doctors in the conference room all looked at Huang Su in unison, carefully examining every part of his body up and down.

In the last month, everyone knew that Professor Sun was accepting new doctoral students.

However, many people have only heard of Huang Su's name, and have never seen the real person with their own eyes. Today they were able to see the true face of Lushan Mountain.

After Huang Su and Wei Lai sat down, Sun Guizhi said, "Dr. Huang, please introduce the patient's current situation."

Huang Su opened the medical record and said: "After a month of conditioning with Ginseng Guipi Decoction, the patient's heart and spleen deficiency has improved greatly, sleep has improved, heart palpitations and shortness of breath have eased, appetite has increased, and food intake has increased. Stool The frequency returned to normal, no looseness, but still shapeless. The physical strength has also been greatly improved, and the patient can walk around alone."

Speaking of this, the doctors in the conference room couldn't help covering their mouths and giggling. Zou Wenzhi's reputation in the oncology inpatient department is too great. All the medical staff know that an optimistic old man with stage IV stomach cancer has come to the oncology inpatient department. He looks for someone every day Plays chess, but his chess skill is very poor. He belongs to the type who is good at playing and loves to play.

"Gastroscopy, the ulceration on the surface of the patient's tumor has healed." Huang Su looked at Sun Guizhi and said, "Professor Sun, I have already introduced the patient's basic situation."

Listening to Huang Su's introduction, the doctor below opened the documents in his hand and took out Zou Wenzhi's gastroscope to check.

"Dr. Huang has already introduced the patient's basic situation." Sun Guizhi picked up Zou Wenzhi's laboratory report and introduced: "Let me talk about the patient's physical examination results, hemoglobin 100g/L, white blood cells 4.8×109/L, platelets 89.5×109/L L, blood routine, liver and kidney function and other tests are in line with chemotherapy standards, now we can discuss the patient's chemotherapy plan."

A doctor put down the film in his hand and said: "According to the patient's gastroscopy and biopsy pathology, the patient belongs to gastric adenocarcinoma, and the tumor area is very large. We cannot rule out the possibility of adhesion between the tumor site and the surrounding tissue. The good news is that there is no spread. My suggestion is chemotherapy with fluorouracil."

Gastric adenocarcinoma is a type of gastric cancer, which is caused by malignant transformation of gastric gland cells, so it is called adenocarcinoma.The incidence rate of gastric adenocarcinoma accounts for 95% of gastric malignant tumors. It is a very easy to spread tumor. The tumor spreads along the mucosal surface or infiltrates in the wall. It is often the most likely to form adhesions with surrounding tissues, which is difficult to remove by surgery. glandular tumors.

Listening to the doctor's analysis of Zou Wenzhi's condition, Huang Su's face was full of confusion, as if she was listening to a scripture, and she couldn't understand anything. She guessed that this fluorouracil should be a drug for treating cancer.

Seeing Huang Su's appearance, Wei Lai approached Huang Su's ear and whispered: "The location of the tumor is different, and the chemotherapy drugs we choose are also different. Fluorouracil, cisplatin, and docetaxel are commonly used chemotherapy drugs for gastric cancer. "

Huang Su listened to Wei Lai's explanation humbly, and began to record continuously with his pen.

"Fluorouracil and cisplatin combined with fluorouracil are the first-line chemotherapy regimens for gastric cancer. If the cancer cells metastasize to a small extent, you should choose cisplatin plus fluorouracil plus docetaxel. If the tumor has significant metastasis, you can choose a single drug Docetaxel for treatment." Wei Lai leaned close to Huang Su's ear, and explained several commonly used chemotherapy regimens for gastric cancer to Huang Su in detail.

While listening to Wei Lai's explanation, Huang Su carefully recorded every word Wei Lai said.

I thought to myself: It seems that the doctoral candidates applying for Professor Sun Guizhi are not as simple as I imagined, and some knowledge seems to have to be learned from scratch.

Sun Guizhi nodded and said: "The patient's tumor area is large, and his health has just improved. I am going to adopt a more conservative intravenous drip method and give a small dose of fluorouracil for chemotherapy, 250mg each time, once every other day. After a course of treatment, according to the tumor situation, further treatment."

The dosage of intravenous infusion of fluorouracil is 0.25-0.75g once a day or once every other day, and the total amount of a course of treatment is 8-10g.

Wei Lai explained to Huang Su: "The so-called intravenous chemotherapy is the intravenous injection of chemotherapy drugs. Up to now, the administration methods of anti-tumor drugs can be roughly divided into intravenous injection, oral administration, intramuscular injection, subcutaneous injection, intracavitary injection and arterial injection. Of these, intravenous injection is the most commonly used method."

"Because fluorouracil is a cytotoxic drug, intravenous chemotherapy drugs are often used as the preferred drug delivery method, and its therapeutic window is relatively narrow. Among several systemic drug delivery methods, intravenous chemotherapy drugs can directly enter the blood circulation. , can minimize the impact of individual differences on the absorption of chemotherapy drugs, so as to ensure that the drug reaches the whole body in sufficient doses, while oral drug delivery methods may be greatly affected by individual differences in patients."

Huang Su quickly recorded what Wei Lai said.

Sun Guizhi said to Huang Su: "Doctor Huang! You are a doctor who treats the patient. You should pay attention to the adverse reactions during chemotherapy, and promptly prescribe traditional Chinese medicine according to the patient's syndrome to regulate the patient's body."

Huang Su put down his pen and said, "Professor Sun, I see."

Fluorouracil is a cytotoxic drug that can damage normal human cells while killing tumor cells.Explained with the theory of traditional Chinese medicine, it is to damage the vitality of the human body.

Just as there are often a series of adverse reactions during chemotherapy.

For example: loss of appetite, nausea, vomiting, stomatitis, gastritis, abdominal pain and diarrhea and other gastrointestinal reactions.Or leukopenia, thrombocytopenia.

Seeing that Huang Su agreed, Sun Guizhi asked everyone, "Do you have any other suggestions for the treatment plan?"

Wait a moment and see that no one has made a suggestion.

"Since everyone has no suggestion, let's close the meeting and start chemotherapy for the patient tomorrow." Sun Guizhi closed Zou Wenzhi's medical records, glanced at Huang Su and said, "Huang Su, you stay first."

After all the doctors left, only Sun Guizhi and Huang Su were left in the meeting room.

Sun Guizhi asked: "How does it feel to participate in this chemotherapy regimen discussion meeting?"

Huang Su said embarrassingly: "I feel that I still have a lot to learn. If Wei Lai was not there to help me popularize science, I feel that I would not understand anything."

"There is a specialty in surgery, so it's normal not to understand." Sun Guizhi first comforted Huang Su, and then continued: "During this month's observation, I am very satisfied with your Chinese medicine skills. But, if you Admitted to my doctoral student, modern oncology is the course you need to make up urgently."

Huang Su nodded and said, "Professor Sun, I see!"

Sun Guizhi continued to ask: "I am very satisfied with your performance in internal medicine. I will give you two opportunities to choose. First, you can end your work in internal medicine now and start working with me in oncology. Three months of work in the internal medicine department, and then come to the oncology department to follow me."

Huang Su replied without hesitation: "Professor Sun, I still need to complete three months of work in the Department of Internal Medicine, and then study with you. I have to be responsible for the patients in my hands from beginning to end. Besides, I am now familiar with modern oncology medicine." I don't know anything about the knowledge, and I don't understand anything when I study with you. I just took advantage of these two months to learn some basic knowledge of oncology, so that I won't appear again when I hold a treatment plan seminar. Can't understand."

When Sun Guizhi heard Huang Su's words, a satisfied expression appeared on his face, and he looked at Huang Su with soft eyes and admiration.

Seeing Sun Guizhi's expression, Huang Su didn't know. This is Professor Sun Guizhi testing whether he has the heart of perseverance as a doctor, and whether he puts the heart of helping the people first for fame and fortune.

Chinese medicine teaches that those without constant virtue cannot be doctors.What's more, if one's intention is to benefit the world, one's studies will become brilliant day by day; if one's only living for food and clothing, one's knowledge will eventually be limited to vulgarity.

If Huang Su chooses the first one today, he abandons his patients, only for fame and fortune.

Even if Huang Su's medical skills are good, Professor Sun Guizhi will not recruit himself as a doctoral student.

Seeing that he has seen through his own test, and Huang Su's face does not show any displeasure of young people being teased, Sun Guizhi is even more satisfied.

Sun Guizhi took out a book from under the table and pushed it to Huang Su: "Since you want to understand tumor medicine first, you should read through this book on modern oncology. At least you must know what kind of medicine is used for which tumor and the dosage of the medicine."

Huang Su took the book handed over by Sun Guizhi, and said very humbly: "Thank you, Professor Sun, I understand."

Looking at the book in his hand, Huang Su thought: It seems that Professor Sun came prepared today.

Sun Guizhi instructed Huang Su to get up and leave the meeting room after he gave some instructions on the key points of study.

　We are now at No. 42 on the new book monthly ticket list. Book friends voted monthly, and we are still 190 votes away from the top ten. The top ten plus one more chapter

　　
　
(End of this chapter)