After raising a cat, the goddess doctor became popular in the interstellar

Chapter 369 Esophagotracheal Fistula

What the old man got was indeed esophageal cancer, but it was more than that.

As the name suggests, esophageal cancer is naturally a tumor that grows on the esophagus.

When it develops to an advanced stage, the cancer will gradually erode and destroy the wall of the esophagus, opening a hole in it.

After that, if the cancer continues to invade outward, it will damage the trachea and cause the wall of the trachea to break.

The human trachea is just in front of the esophagus, and the two are closely connected, like a pair of good brothers.

Since they are good brothers and a fistula tract is opened next to each other, resources can be shared—this is the esophagotracheal fistula that makes endoscopists very troublesome.

When you think about it, food, water, or digestive juices in the esophagus can leak into the trachea or chest cavity, and secretions from the trachea can leak into the chest, or block the esophagus, leading to aspiration pneumonia and other infections.

Not to mention, the occurrence of esophageal tracheal fistula itself has already shown that the patient's esophageal cancer must be at an advanced stage. Even if he can barely undergo surgery, his life has already entered the countdown.

Tao Le looked at the old man who was still rejoicing.The clothes on his body have been worn for an unknown number of years, and they have faded. The same is true for the sneakers on his feet, which are so old that they can't see their original appearance at all.

The boy's condition is better than his. The clothes and pants are probably still new, but they are obviously a bit big when worn on the body, and they may have been weeded out by others.

Tao Le couldn't help but sighed again.

It wasn't that she suddenly paid more attention to clothes and family background, it was mainly because of this uncle's disease, at least two operations were required, and the cost was not low.

First, a membrane-covered stent should be placed under the endoscope to isolate the trachea and esophagus and improve the quality of life.

The cost of this bronchial fistula blocking stent is very high, at least 5 yuan.

Surgery for advanced esophageal cancer is even more expensive, with a base of 10 yuan, not including the cost of hospitalization and chemotherapy.

The point is, even if the operation is successfully completed, it will not be able to regain much time in front of death.

After thinking about it, she asked the guiding nurse for a pen and paper, and first wrote down her mobile phone number and handed it over, and then asked for the old man's contact information.

She was wearing a white coat, so she was naturally convincing, and it was said that it was for the convenience of returning visits, so the old man didn't suspect him at all.

The surgery in the afternoon was actually not complicated. Tao Le and Ai Yuan cooperated with each other and completed it quickly and well, benefiting each other.

After leaving the operating room, Tao Le deliberately returned to Corey.

When passing through the waiting area, she didn't see the grandparent and grandson again.

She consulted the information of the patients who came for gastroscopy in the afternoon, and soon found the old man.

The esophagotracheal fistula detected this afternoon is just such a case, so it is natural to know it immediately.

The patient's name is Wu Jun, 61 years old. Under the gastroscope, it can be seen that the esophagus is 15 cm to 26 cm away from the incisors, and there are plaque-like protrusions growing into the cavity. The lesion has clear boundaries, rough and uneven surfaces, and small areas of ulceration.

At the same time, an esophagotracheal fistula appeared from the seventh cervical vertebra to the first thoracic vertebra.

The doctor who did the examination was Wang Fushan, a resident doctor. He had already extracted multiple pieces of tissue from the esophagus for biopsy, but the specific conclusion could not be drawn until the pathological results came out.

Tao Le found Wang Fushan and went in to talk while he finished a gastroscope.

"Doctor Tao? Why do you come here when you have time?" Wang Fushan was a little surprised.

Naturally, he recognized Tao Le, and the teaching operation a few days ago was so amazing that it was hard for him not to remember it.

The attending doctor from the Third Hospital of Hai City humbly asked for advice in front of Tao Le. As a resident doctor, he dared to put on airs.

"Just now I saw an old man outside, coughing up rice grains." Tao Le briefly explained the past, and then asked, "Is it you who did the gastroscope for him?"

"I did it." Wang Fushan also had a fresh memory of this old man.

"Esophagotracheal fistula has appeared, and it is such a large cancer, whether it can be operated or not depends on the later pathology." He shook his head:
"I immediately sent the picture to Dr. Miao, who was receiving the consultation. She said that the patient should go to her immediately, and the hospital must be arranged immediately to replace the trachea."

When Wang Fushan said this, he pushed his glasses, with a look of doubt on his face: "You are asking this because you want to?"

Tao Le hurriedly explained: "It's nothing, I just think I hit it off with this grandparent and grandson."

She also talked about the situation of the old man with the child alone, which aroused Dr. Wang's sighs - because he also knew very well that this patient's time was running out.

I can only hope that besides grandpa, there are other relatives who can help take care of the child, right?

Tao Le got up and said, "I'll go to General Internal Medicine to ask Dr. Miao about the situation. Doctor Wang, please go ahead."

"Well, just tell me if you need me!" Doctor Wang sent her out of the endoscopy room.

General internal medicine is on the third floor, and Tao Le found Dr. Miao Yanmiao very smoothly.

"Wu Jun? He hasn't come down yet." Dr. Miao frowned, "When I saw the endoscopy results just now, I knew something was wrong, and I've been waiting here for him."

She clicked a list on the table with her hand: "Look, the hospitalization notice has been filled out, but after waiting for half an hour, people don't know where to go!"

"He is not young at this age, and he doesn't know the seriousness at all. He is simply joking with his own life!"

Tao Le understood that Dr. Miao's words were all angry, but she was actually worried about the patient, just like herself.

"I think he may have other concerns." Tao Le told what he had learned before, as well as his own speculation: "Probably because of money on the one hand, and worry on the other hand that the child will not be taken care of. "

Dr. Miao was silent for a while.

"Xiao Tao." She asked, "You are still young. There are some things, no matter how hard we are, it is difficult for us to help every patient."

"I know." Tao Le said.This is not the first time someone has said this to her.

"However, I still want to try. If I can help one, it is one."

She stood up: "Thank you, Dr. Miao. I just asked for Wu Jun's contact information, so I'll make a phone call and ask. Maybe he was delayed by something!"

Dr. Miao raised his head, looked at the closed door, and lost his mind for a while.

She suddenly remembered that when she was young, Deputy Director Lin from Corey.

She is a postdoctoral fellow of a famous overseas university, her family background is good, and her face and body are full of humanitarian brilliance.

At that time, Deputy Director Lin strongly advocated the establishment of a fraternity fund in Keli, and took the lead in donating 10 yuan.

She herself was also young and passionate at that time, and she donated 5000 yuan, and other people in Corey also donated more or less money.

The fraternity fund has indeed played a role and helped many people, but it was soon unable to make ends meet, and later, it was exhausted.

After all, how much iron can be hammered with just a dozen nails in their core?
After that, Deputy Director Lin left the First Hospital and went to Haishi, and the Foundation was never mentioned in the First Hospital again.

Just now, she actually saw the shadow of Deputy Director Lin when he was young in Doctor Tao.

This enthusiasm is really good, but sooner or later it will be chilled by reality.

Dr. Miao shook his head and called in the next patient.

(End of this chapter)