Medical road ahead

"That's a good question."

Liu Ming smiled, and simply sat down beside the hospital bed, intending to have a good chat with Wu Li.

He treated many patients with liver cancer, but no one ever asked him detailed questions about the treatment.

"It seems that your mind is still clear." He said with a smile again.

Wu Li pouted, "I'm sick in the liver, but not in the brain."

Seeing that he is in good condition today, Liu Ming felt relieved and began to educate him about some methods of treating liver cancer.

"Generally speaking, when a patient has a tumor, it should be removed to prevent the cancer from spreading. But the situation is different for various types of cancer, especially for liver cancer. In the early stage, liver resection and liver transplantation are the delays for patients. The best way to live, but you are now at an advanced stage, and the number of tumors is not small, the largest one has reached 11 centimeters in diameter, so the above two methods are not suitable."

Wu Li then expressed his guess: "It means, no matter whether it is resection or transplantation, my current liver can't bear it, right?"

"Pretty much what you mean."

Liu Ming nodded, and continued: "So, we chose interventional therapy, and this method is also a method that has a relatively palliative effect on patients with advanced liver cancer."

"What is palliative care?"

Wu Lu was in a fog.

I haven't figured out what interventional therapy is yet, so how come there is a "palliative effect"?
Liu Ming explained: "The palliative effect refers to the effect of palliative treatment. There are many views on palliative care. In Europe and the United States and other countries, it is called 'palliative care', while in Japan and Taiwan, it is translated as palliative medicine. In mainland China It is currently translated as palliative care.

In short, for your current situation, anticancer treatment is no longer beneficial, so palliative care, as the main method, can be used to relieve symptoms, relieve pain, improve quality of life, and ultimately prolong life.This is the ultimate goal of interventional therapy. "

"I understand."

Wu Li nodded clearly, "It's just to make me feel more comfortable and live longer."

"That sums it up well."

Liu Ming smiled and praised, and then said: "Interventional therapy, also known as interventional radiology, is a new discipline that has developed rapidly in recent years and integrates imaging diagnosis and clinical treatment. It is developed in the digital subtraction angiography machine, CT Under the guidance and monitoring of imaging equipment such as ultrasound and magnetic resonance, the general term for a series of technologies that use puncture needles, catheters and other interventional equipment to introduce specific instruments into human lesion parts through natural orifices or tiny wounds for minimally invasive treatment .”

"It's just a needle?"

Wu Li frowned, then touched his upper right abdomen, "What about after piercing in? Killing the cancer cells one by one?"

"I'm not Nanny Rong."

Liu Ming gave him an angry look, and explained: "The cancer cells are not so easy to be stabbed to death, but they are inserted into the hepatic artery through the femoral artery, and then injected with embolism and anticancer drugs."

"Does that hurt?" Wu Li asked again.

Liu Ming said, "Local anesthesia will be administered."

Wu Li nodded reassuringly, "That's good, I thought inserting the needle directly would be like an infusion."

Then, he continued to ask: "I heard you mentioned some poop treatment, and what kind of treatment is that? Why didn't you use that first?"

"Papa treatment?"

Liu Ming couldn't help laughing, "Take some time to dig out your ears."

"Forehead?"

Wu Li didn't know why, so he subconsciously stretched out his little finger and dug it into his ear, and with a "pop" sound, a big lump of earwax flew out, "Tsk! There's really earwax."

Seeing this, Liu Ming was speechless in shock, and decided to suggest him to take a bath in Haosheng later.

"Isn't it Papa's treatment?"

After cleaning out the earwax, Wu Lu looked at Liu Ming again.

"cough!"

Liu Ming pushed the glasses frame and corrected, "It's targeted therapy."

"Oh, so it's called targeting."

Wu Li finally heard it clearly, and then asked again: "What does this targeted therapy mean? Is it like hitting a target? biubiubiu"

While talking, he made a gesture of aiming and shooting, which made Liu Ming speechless again.

Why is this guy so rich in imagination?

"Isn't it?"

Seeing Liu Ming bowing his head and supporting his forehead, Wu Lu showed doubts.

"No."

Liu Ming shook his head, took a deep breath, and then introduced: "Targeted therapy is a treatment method aimed at the cancer-causing site that has been identified at the cellular molecular level (the site can be a protein molecule inside a tumor cell, or it can be It is a gene fragment). This kind of treatment can design corresponding therapeutic drugs, let the drugs enter the body, and specifically select oncogenic sites to combine and take effect, resulting in the specific death of tumor cells without affecting the normal tissues around the tumor cells, so it is also known as a 'biological missile'."

"It's fixed-point elimination!" Wu Li said immediately.

Liu Ming thought for a while, then nodded and said, "Well, that statement is also true."

Wu Li said again: "I feel that targeted therapy is more targeted, why don't you just give me this kind of treatment?"

Liu Ming explained: "Actually, strictly speaking, interventional therapy is a type of targeted therapy. However, in clinical applications, targeted therapy is often referred to as molecular targeted therapy by default, which refers to targeting at the molecular level. It is a method to treat the mutated molecular target. Interventional therapy refers to a way of diagnosis and treatment of tumors with interventional devices under the guidance of imaging. That is to say, molecular targeted therapy is microcosmic. , while interventional therapy is at the macro level.

The reason why you choose interventional therapy and non-targeted therapy in the early stage is precisely because you need to carry out large-scale treatment for the canceration of your entire liver area. After the first stage of treatment is over, the subsequent treatment method will be determined according to the effect.

Our treatment methods for cancer patients are not static. We will treat the symptoms according to the treatment conditions of each stage of the patient. If the treatment effect at the macro level is better, we will carry out the treatment at the micro level. "

"So it is."

Wu Lu suddenly felt enlightened and had a comprehensive understanding of his own treatment process and methods.

"Then come and treat. Vomit!"

Before he finished speaking, he couldn't help but spit it out, impartially, and it happened to spit on Liu Ming's white coat.

"Just treat it as my tuition fee."

Wu Lu scratched his head embarrassingly, laughing and joking with what he thought was humorous.

"Oh, thank you very much!"

Liu Ming was so angry that he wanted to roll his eyes, he immediately took off his white coat, gathered them into a pile, turned and left the ward.

Qi returns to Qi, but before he left, he did not forget to tell the nurse to prescribe the right medicine for Wu's digestive tract complications, so as to control it so as not to aggravate the symptoms.

"Vertebral vascular malformation presents mottled high-intensity shadows and empty flow images on T1 images; spinal vascular malformation shows local blood vessel thickening with mixed signals and empty flow images inside; circular empty flow images can be seen around the pulp, It is more obvious on several or axial images."

After receiving the results of Meng Hui's MR examination, Zhou Xiaolan came to Yang Yang's office, explained the situation in detail, and analyzed: "This large tumor must be removed first. If it can be removed, it is equivalent to the tumor on Meng Hui's back Digging a big hole and then filling it up, although it sounds simple, is actually very risky in operation.”

"You are right."

Yang Yang nodded in agreement, "Because there are not many successful cases of Cobb, there is no best treatment method at present. According to past experience, in order to prevent postoperative complications, surgical resection is not the first choice, but interventional embolization is mostly used. But the tumor on Meng Hui's back is really too big, and this method alone cannot completely and effectively cure it, so it can only be done together with interventional therapy and surgical resection."

"It's a major operation, and comprehensive treatment is required," Zhou Xiaolan said again.

"Correct!"

Yang Yang frowned and nodded, and ordered seriously: "You go to contact the colleagues in the Department of General Surgery, Nutrition, Vascular Surgery, and Cardiology. After lunch break, go to the small conference room No. 3 for a comprehensive consultation."

"Okay, I'll go right now."

Zhou Xiaolan took the order and followed it immediately.

And not long after she left, Yang Yang received a call from Huang Yiming, saying that he would take Li Leyue back to the hospital for surgery tomorrow.

"Isn't that right!"

Yang Yang smiled, and immediately told Zhou Xiaolan the good news.

"The wedding is not as important as the treatment of the disease. Only when you are not sick can you get married with peace of mind."

Thinking of this, Yang Yang looked up at the calendar on the table, and found that the Spring Festival would soon be here, "Xiao Chen and Tu Tu have been together for about half a year, right? Do you want them to have a pre-marital checkup?"

"Ah! Ahh!"

Hu Tu, who had just stepped out of the women's toilet and was about to return to the consultation room, suddenly sneezed twice, and then felt chills all over the place.