medical treatment

Chapter 669 I Have Money

After nearly 10 minutes, Yu Zhiming made a detailed examination of the old man's heart and body.

He closed his hands and got up, and the sound of the old man chasing after him sounded next to his ears.

"Zhiming, I'm almost suffocated to death by being active in this three-acre land all day long."

The old man who got up shook his arms, kicked his legs, and twisted his waist, showing his vitality to Yu Zhiming.

"To Ming, I gained fifteen or six catties, and I ate a lot. I feel full of strength. Can I leave here and go shopping?"

In view of the inspection situation just now, Yu Zhiming nodded and said: "In good weather, yes."

"However, you need to keep warm, avoid catching a cold, and don't get tired. You also need to pay attention to your diet."

The old man who heard this was elated, as happy as a child.

"My wife, Qing Ran, did you hear that? I have already said it until tomorrow, and I can go out and let the wind go."

"Arrange a car for me tomorrow morning."

Gu Qingran replied helplessly, then said goodbye to Yu Zhiming and left, and joined Zhou Mo and Duan Yi who were waiting outside, and went to the confinement center together.

After walking more than a dozen steps, Gu Qingran suddenly said: "Zhiming, my cousin who you diagnosed with a bad heart last time, took a nap after dinner at noon today, and didn't wake up again."

Yu Zhiming let out a soft sigh.

Gu Qingran sighed softly: "After knowing your diagnosis, this Spring Festival, no matter where he is, his descendants rushed back, and had a lively and reunion Spring Festival."

"Leaving like this can be regarded as passing away with a smile..."

In the confinement center, Yu Zhiming adjusted the fetal positions of three pregnant women in labor.

Then, he went to Ning'an Lake, the inpatient building with the best facilities in Ning'an Hospital, and gave Meng Fan a physical examination.

The test results are still good.

No cancer was found, and the degree of recovery of the body exceeded Yu Zhiming's expectations by a lot.

However, at this time, can he survive the severe side effects of CAR-T treatment with the blessing of Ginseng Xuming Pill?

"I can't judge."

Yu Zhiming looked at Meng Fan who was thin and weak on the hospital bed, and said frankly to the chief oncologist Teng Jian and others, "I can't judge the timing of starting CAR-T treatment. You need to make your own decisions."

Dr. Teng made eye contact with several colleagues, but they were all silent.

They also knew that for Yu Zhiming, clinical experience was very lacking, and it was indeed difficult for him to determine the time point for the next step of treatment.

However, they were not sure about making a suitable time node judgment.

As far as the current situation is concerned, the longer the delay, the better Meng Fan's body will recover, and the more confident he will survive the severe physical reaction during the CAR-T treatment.

However, there will be more and more cancer cells multiplying in his body, and it may take root in some part of the body, giving birth to new cancerous tissues, so that the clustered cancerous tissues can resist the cell attack of CAR-T therapy.

It's really hard to determine this time point...

Gu Qingran was inevitably disappointed when he saw the oncologists in his hospital evading and saying nothing.

He also understands that this is indeed a big problem.

Also, these few oncologists in their own hospital are of the same level, and they are still far from the top.

Gu Qingran didn't make things difficult for them anymore.

"I will invite several experts from Huashan Hospital to make a comprehensive judgment on Mr. Meng's physical condition..."

After leaving the ward where Meng Fan was located, Yu Zhiming then performed a physical examination on the other ten terminal cancer patients undergoing rehabilitation treatment.

After the inspection was over, they asked Yu Zhiming with great anticipation.

Can they accept his systematic cancer treatment like Meng Fan?
Yu Zhiming is telling the truth.

They were either in weak physical condition, or their viscera had been completely invaded by tumors, and they could not bear his treatment plan.

At this time, it was past eight o'clock in the evening.

Yu Zhiming followed Gu Qingran into a luxurious double room, and saw a couple in their 40s.

The man's name is Zhao Hui, 44 years old; the woman's name is Yu Jiana, 43 years old.

Both are wearing hats. The male is about 1.8 meters tall and has a slightly thin body.

The woman was very thin, her eye sockets were sunken, she looked listless, and was lying on the hospital bed weakly.

To Yu Zhiming's surprise, the couple are both cancer patients.

Zhao Hui, who got up to greet him, coughed and introduced: "Doctor Yu, five years ago, my husband and I sold the technology company we started together and related technology patents to Penguin Group for more than 6 million yuan."

"I wanted to live a happy and carefree retirement life, but I didn't expect it to be counterproductive, and bad luck continued."

"My wife was diagnosed with breast cancer first, and I was diagnosed with lymphoma a few months later."

This is really a couple who share weal and woe.

Yu Zhiming sighed in his heart, and saw Zhao Hui sitting down on his wife's hospital bed, held his wife's skinny hand, and continued to introduce.

"After several years of anti-cancer treatment, my wife discovered cancer metastasis six months ago, and lesions appeared in the lungs and liver."

"As for me……"

Zhao Hui smiled bitterly, and sighed softly: "I received CAR-T treatment first, and the effect was very good. I thought the lymphoma was completely cured."

"I didn't expect that in an examination two months ago, tumor lesions were also found in the lungs and liver."

Zhao Hui cast his eyes on Yu Zhiming, and said expectantly, "Doctor Yu, you are our husband and wife's last hope."

"Let's do a physical examination first!"

Yu Zhiming replied without emotion, put on surgical gloves, and checked Yu Jiana's body on the hospital bed.

Yu Jiana's mammary glands have been completely removed.

During the examination, Yu Zhiming found that in addition to the metastasis of lung and liver cancer, her axillary lymph nodes and subclavian lymph nodes also had metastases.

The situation is not optimistic.

Then, Yu Zhiming gave Zhao Hui a physical examination.

The result of the examination made him frown even tighter.

"Ms. Yu, your body is too weak."

"As for you, Mr. Zhao, the four lobes of the five-lobed liver all have cancerous changes to varying degrees."

Yu Zhiming said bluntly: "I have to tell you with regret that neither of you are suitable for my systemic therapy."

After a brief silence, Zhao Hui became excited.

"How is it possible? How is it possible!"

Zhao Hui breathed heavily and said, "Doctor Yu, did you make a mistake in the investigation? Cancer has appeared in the four lobes of the liver?"

"Such a speed? Impossible."

Zhao Hui suddenly thought of something, and asked eagerly: "Doctor Yu, didn't you say that the liver is powerful and has a very strong compensatory function, and it can grow back after cutting it off."

"Only one leaf of healthy liver should be enough to support the body's needs, right?"

Facing Zhao Hui's hopeful and longing eyes, Yu Zhiming slowly shook his head.

The liver is the largest substantive organ in the human body and has a strong compensatory capacity. A normal liver is reddish-brown, soft and brittle.

If the texture of the liver is good, only about 30% of the liver is needed to meet the needs of the human body.

Therefore, in a donor liver transplant, the donor generally contributes 60% to 65% of the liver.

The 60% to 65% of the liver is transplanted into the recipient, so small liver syndrome will not occur.

In this case, the safety of the donor and the recipient can be guaranteed.

However, there is a prerequisite for this, that is, the quality of the liver is good, and its functionality has not been damaged much.

When the texture of the liver is affected by diseases, such as liver fibrosis and cirrhosis caused by hepatitis B, hepatitis C, alcoholic liver, fatty liver, drug liver, etc.

If the lesion exists for a long time and causes damage to the liver, or even reaches the decompensated stage of liver cirrhosis, the function of the liver will obviously decline in this case.

If part of the liver is removed, there is a risk of insufficient liver function and liver failure.

Yu Zhiming explained: "Mr. Zhao, you have a relatively serious fatty liver, and the loss of liver function is not small. According to my estimation, at least 50.00% of the liver must be preserved to maintain your body's needs."

"And now you only have one lobe of liver without metastatic cancer, less than 20.00%."

Yu Zhiming could see the light in Zhao Hui's eyes go out bit by bit.

But the next moment, he grabbed Yu Zhiming's arm.

"Liver transplant? Can I do a liver transplant?"

"All I have is money, and I still have nearly [-] million in funds. I can only live, and I can spend it all."

Yu Zhiming's arm hurt a little from Zhao Hui's grip, obviously the other party's emotions were out of control.

He freed his arm first, and then took a step away before explaining: "Liver transplantation needs to greatly reduce your own immunity, which will cause cancer cells in your body to bloom everywhere in your body."

After a pause, Yu Zhiming said again: "In this way, I will map out the location and extent of the cancerous changes in your liver."

"Let's consult with liver surgery experts to see if they can save some more liver for you."

Surgical methods for resection of liver cancer can usually be divided into regular resection and irregular resection.

Among them, regular liver resection can be divided into resection of left outer lobe, left hemihepatic lobe, and left trilobe, as well as resection of right anterior lobe, right posterior lobe, right hemihepatic, right trilobe, and middle hepatic lobe.

Irregular liver resection refers to local resection, including wedge resection, fusiform resection, and enucleation of liver cancer.

Generally speaking, cancer resections are performed with extended resections that do not miss out.

Moreover, the resection of the whole liver lobe is relatively less difficult, and the patient's recovery speed is also faster.

Irregular liver resection has only gradually appeared in recent years with the advancement of surgical techniques.

In view of the great abundance of liver blood vessels, it has very high requirements on the skills of the surgeon.

Yu Zhiming's words ignited Zhao Hui's hope again.

"Doctor Yu, Dean Gu, definitely invite the most powerful liver surgery experts in the country to consult!"

"No, I want to invite the best in the world."

"I have money!"

At this moment, Yu Zhiming heard a whisper.

"Doctor Yu..."

He followed the voice and looked towards the hospital bed.

Yu Jiana's lips moved slightly, "Doctor Yu, I want to bet once, I would rather die on the operating table than wait to die in such pain on the hospital bed..."

　Ask for monthly tickets, recommendation tickets and other support! ! !
　　
　
(End of this chapter)