doctor magician

Chapter 143 Remnant Stomach Cancer

The female doctor put down the materials and said: "My syndrome turned into pruritus vulvae, kidney blood deficiency, and internal dampness and heat, so I chose to clear away heat and dampness, nourish blood and expel wind. Unfortunately, after taking the medicine, it didn't have any effect. Please tell me, my syndrome differentiation and treatment. Is there something wrong? Do you have a better way?"

This girl didn't target Xiao Ying, so Xiao Ying wouldn't take the initiative to speak first, and the other old doctors rushed to offer ideas.

Hearing that everyone was talking about it, Dong Guigui said: "Mr. Xiao has not said anything, has he already thought it over?"

Xiao Ying had already found out the medical record, and knew from the medical record that the patient was cured in the end. He smiled and said, "I heard everyone said that it makes sense. Director Dong, I saw you smiling all the time. You must have already figured out what is wrong with this medical record, can you let us hear it?"

Dong Guigui smiled slightly and said: "Okay, then I will tell everyone to confirm each other. - The patient is over half a century old with kidney qi deficiency, the liver and kidney are of the same origin, both essence and blood are deficient, and the vulva is atrophied as seen in the gynecological examination. It shows local malnutrition, so I think that the patient is mainly caused by deficiency of liver and kidney yin, and also has the evil of dampness and heat. What do you think sir?"

Xiao Ying understood that the correct treatment plan recorded in the medical record database was conceived by Dong Guigui. He smiled slightly, waved his folding fan and said: ""Jingyue Quanshu on Treatment" says that "if the treatment is not good, the remedy will not be able to cure it." Emptiness, attack cannot be removed from reality, and there are few people who do not mislead others.' The main supplementary attack, the combination of internal and external, the work will be completed naturally."

Of course, the essay Xiao Ying quoted was not memorized by him.He didn't know much about Chinese medicine. This passage was recorded in the medical record in his mind. It was a sentiment that the female doctor wrote down in the medical record after she found the correct treatment plan and cured the patient.

After hearing Dong Guigui's previous exposition, the female doctor had suddenly realized, nodded repeatedly, and was even more admirable when she heard Xiao Ying quoting this exposition. Xiao Ying expressed emotion first, which made her feel like a confidant to Xiao Ying.

So the girl said gratefully to Xiao Ying: "Mr. Xiao has a wide range of knowledge and memorization, which is very admirable."

If Xiao Ying's evaluation of medical records or writing of prescriptions were not enough to convince those doctoral students, but now Xiao Ying is able to come up with the most appropriate and accurate interpretation of a classic medical treatise on a specific disease. The original work really impressed these nerdy doctoral students who studied hard, and the disdain and jealousy on their faces turned into admiration or awe at this moment.

Dong Guigui also admired Xiao Ying's notes to him, nodded repeatedly, glanced at Lao Wang in the peaked cap next to him, and said with a smile: "It's a pity that Mr. Xiao doesn't go to graduate school, you are a good material for research. ah!"

Next, the case they discussed was a benign tumor found in the stomach of a patient, but considering that it might become cancerous, they discussed whether to perform surgery to remove most of the stomach, or to treat it conservatively.

Xiao Ying didn't speak this time, but just looked at them with a fan.Because of the patient's medical record in his mind, the patient underwent surgery to remove most of his stomach.Unfortunately, a few years later, the patient developed gastric remnant cancer and died soon after.

Therefore, when the majority of opinions finally agreed that a subtotal gastrectomy should be performed, Xiao Ying finally spoke up. He said: "If the gastric lesion is benign, it is best not to perform a subtotal gastrectomy, because the patient has a high probability of undergoing a subtotal gastrectomy." Cancer will develop in the stomach after a few years, therefore, the best conservative treatment for benign lesions of the stomach can be treated conservatively."

Xiao Ying's point of view is not mainly from the medical records in his mind, but from the many medical papers he read in the Ministry of Health in his previous life.Among them, there are statistical reports about the significantly increased incidence of gastrointestinal cancer after more than half of the gastrectomy.

It's just that similar reports appeared in large numbers after the 90s, and at that time, there were few reports in this area, which did not attract widespread attention, and certainly did not attract the attention of these famous Chinese medicine experts.

Dong Guigui was very interested in Xiao Ying's conclusion, and said, "Mr. Xiao, is there any statistical data to support this?"

"No."

At this time, Yan Guoqing, the director of surgery who was sitting opposite, said: "What the **** said is good. Without investigation, you have no right to speak. Since you have not been investigated, you should not express these misleading opinions."

Although this is a college of traditional Chinese medicine, it mainly uses traditional Chinese medicine for treatment, but it does not completely exclude western medicine. Not only the testing methods have advanced equipment, but also western medicine surgery.

Since examples are needed, of course it is more convincing to use the other party's.Because everyone had a seat sign on their seat, Xiao Ying knew the other person's name, and searched for relevant information in the medical record database in his mind, and he used Yan Guoqing as the chief surgeon and added gastrectomy as the keyword to search, and soon , many cases were found.He searched again with gastric remnant cancer as a keyword, and immediately found three cases.

Xiao Ying said: "Although I haven't conducted systematic research on this issue, I have some medical records in my hand to prove it, including Dr. Yan's."

Everyone was surprised, Yan Guoqing stared at Xiao Ying, smiled and said, "My medical record?"

Xiao Ying nodded: "Three cases of subtotal gastrectomy for benign tumors that you performed on patients developed stomach remnant cancer. One was named Jin Yongxiang, the other was named Wu Zhilong, and the other was named Lin Wen. The latter two were already dead. And they When cancer of the remnant stomach occurred, it was performed at the Oncology Department of the Second Provincial Hospital. If you don’t believe me, you can go to the Oncology Department of the Provincial Hospital to obtain relevant medical records, and you will know if I am talking nonsense.”

Yan Guoqing was dumbfounded. He had an impression of the three people Xiao Ying mentioned, and they were patients with benign gastric tumors who had undergone surgery.Although their tumors were all benign, in order to prevent malignant transformation, he advised the patient and his family members to undergo subtotal gastrectomy.

Yan Guoqing said with a sullen face: "This kind of thing can't be joked."

"I'm a visiting doctor in your hospital. I won't come this time. You can investigate. If what I said is wrong, you can blame me next time! If what I said is right, I hope You should reflect on it. The doctor made a decision, and if he makes a mistake, it will bring lifelong pain to others."

Several old doctors of traditional Chinese medicine talked about it in a hurry, saying that they always insist on using conservative Chinese medicine treatment for benign gastric tumor patients, which seems to be right.Xiao Ying's thesis and the cases of gastric remnant cancer that he pointed out just now strongly proved their point of view. These three old Chinese doctors immediately took a liking to Xiao Ying.

While talking and talking, a female doctor sitting in the second row of auditorium adjusted her glasses and said to Dong Guigui: "Professor, I have also read related case reports abroad. There are similar cases abroad. According to the investigation report of medical records, their research conclusion is that subtotal gastrectomy changes the structure and function of the stomach, which significantly increases the incidence of cancer, but it has not been supported by pathology. It is just some statistical data.”

Dong Guigui nodded and said to Xiao Ying: "This is my doctoral student named Pan Qiuping. Her articles are still very good. Several articles have been published in core medical journals at home and abroad."

Xiao Ying looked back carefully, and saw that the girl had a pretty appearance, especially a pair of bright and big black eyes that were watery, wearing a pair of glasses, she looked very gentle, and her figure was not bad, if she hadn't already known that she was Doctor of Chinese medicine, I thought she was a star who loves to read.

The peaked cap compression cap on the side, Lao Wang, smiled and said to Dong Guigui: "If what Mr. Xiao just said is confirmed, this is a very important topic."

Dong Guigui nodded.Said to Xiao Ying: "Yes, I also think this topic is very valuable. Mr. Xiao, since you are very interested in this topic and have a lot of research, you and Xiao Pan, you two should cooperate and set up a project as a project. How about our college's key scientific research projects?"

Xiao Ying said: "This is no problem, but I may not have time to start writing. I can provide some ideas or something, and she will mainly write."

"It's okay, you can be the team leader, assign work to her, and let her carry out the specific execution. She is still very good at writing papers, and the shipment is also very fast."

Pan Qiuping was very happy.Hurrying up and bowing to Xiao Ying, he said with a little shyness on his face, "Mr. Xiao, please give me some advice."

Xiao Ying quickly waved his hands and said, "I'm just an undergraduate, how can I teach you? You are a doctor. And you seem to be younger than me!"

He originally thought that a Ph.D. student must be older than him, but seeing the childish face of the other party, he felt that she should be younger than him.

Dong Guigui smiled and said, "She is only 22 years old this year, so she should be a little younger than you. She is a child prodigy, the number one scholar in science in their province. She went to university at the age of 15. She is my new doctoral candidate this year." Turning to Pan Qiuping, he said, "You are right to call him Mr. Xiao. Although he is only an undergraduate student, his level is definitely better than yours, even as good as any of our old Chinese medicine practitioners here. This is not an exaggeration. Just now he has It proves it."

Many old Chinese doctors present nodded frequently, thinking that Dong Guigui's words were not too exaggerated.Although there are quite a few people who are not convinced, they still admire Xiao Ying's level of Chinese medicine. They may not surpass themselves, but they are almost the same.

Pan Qiuping was very happy, nodded frequently, and said with a blushing face: "I am honored to be able to conduct research on this topic with Teacher Xiao, and I must learn from Teacher Xiao."

Dong Guigui glanced at Yan Guoqing who was sitting there staring at Xiao Ying with a gloomy face, and then told his student Su Yaqin, "By the way, just now Mr. Xiao said that there are three patients in the Second Provincial Hospital who were treated here a few years ago. Those who have undergone subtotal gastrectomy, you should check it out, and if there are any, transfer their medical records over, this is a very good information, very useful for the paper!"

(End of this chapter)