I'm a god of medicine
Chapter 388 You came to see me empty-handed like this
Chapter 388 You came to see me empty-handed like this
Yang Xi continued with a wry smile and said, "It's only been three days since our Department of Oncology Surgery was established, and more than half of the 30 hospital beds have been vacated. If there are patients who take the initiative to come to our door, is there any reason not to accept them?"
The couple looked bewildered, yes, we have all seen it, the entire department has less than 10 patients, why would you not want to operate on our mother?
Yang Xi sighed softly, picked up the CT film, pointed at the lesion, and explained to the couple: "Look, your mother's lesion is here, a small solitary lump, and the other places are pretty clean. Said that the operation is not difficult. However, surgery is not the best choice for her elderly."
how to say?
The couple were still at a loss, but there was a little more expectation in their expressions.
"The tumor is not too big, it looks like 3 by 3, but the part it grows is very annoying. You see, this is called the hilum of the lung. What is the hilum of the lung? Literally, it means the door of one lung. The lung on the other side cannot be kept. And your mother’s tumor lesions happened to grow in the lower part of the main bronchus. If you want to cut it clean, you can’t keep the lung on this side. If you want to keep the lung, it can only be palliative resection. And if you want to choose unilateral total lung resection, at this age, whether the elderly can withstand the blow of surgery, let alone whether it is worthwhile or not, I don’t think surgery should be chosen.”
It was impossible for the couple to fully understand what Yang Xi said, but they still roughly understood what Yang Xi said.
The old man said: "Doctor Yang, in your opinion, how should my mother be treated?"
Yang Xi replied: "My opinion is to choose Gamma Knife treatment..."
The woman couldn't help but said: "Gamma Knife? Isn't that still surgery?"
Yang Xi couldn't help laughing, and explained: "The reason why the Gamma Knife is called a knife is just a visual name, and it is intended to express that its precision is like a scalpel in the hands of a surgeon. In fact, The Gamma Knife is nothing more than a precision radiotherapy device."
The old man was a little disappointed and said: "That's still radiotherapy! Dr. Yang, I heard people say that radiotherapy has little effect, but the side effects are not small..."
The woman gouged out her husband's eyes and scolded, "You don't understand! What are you talking about? Can't Dr. Yang finish the sentence?"
Yang Xi smiled and continued: "The radiotherapy you have heard refers to the traditional ordinary radiotherapy. When the radiation is irradiated on the tumor lesion, it adopts the sun-drenched mode. At most, it just changes a few angles. This method is simply not suitable for killing tumor lesions visible to the naked eye, so it will give the common people the impression that the treatment effect is not great but the side effects are not small."
The man gave his wife a look back, how about it, your husband is right, even Dr. Yang admitted my point of view, and said that I just interrupted! ?
"The radiation mode of Gamma Knife is completely different from that of ordinary radiotherapy. Have you ever played with a magnifying glass? Under the sun, if you use a magnifying glass to focus the sunlight, it can burn the paper. How high is the temperature at the focus point?" What about it?" Yang Xi gestured with his hand to look like a magnifying glass, put a piece of paper on the table, then put his other hand between the so-called magnifying glass and the paper, and continued: "The temperature of the focus is very high, Putting your hand on it will definitely cause a big blister, but what about in the middle? Will there be any problems with putting your hand here?"
The couple shook their heads and said there was no problem.
Yang Xi continued: "Gamma Knife uses the principle of ray focusing to position the focus of ray focusing on the tumor lesion. If one point is not enough, then two points are not enough. If two points are not enough, then multiple points are needed. Burn the whole lesion once. But the normal tissue of the human body is between the focal point and the 'magnifying glass', so the damage suffered is minimal. In this way, it can not only kill the tumor lesion, but also effectively protect the normal tissue. "
The man couldn't help but wanted to interrupt again, but the woman pointed her finger and shouted, "Shut up and just listen!" Then, she smiled apologetically at Yang Xi and said, "Doctor Yang, leave him alone, you can continue explain."
Yang Xi responded with a smile, and continued: "For your old mothers, choosing Gamma Knife treatment can basically achieve the effect of surgery and avoid the pain of that knife. Obviously, it is a treatment that has more benefits than harm. plan."
The woman nodded and said, "I understand, Doctor Yang, thank you, but I still have a question to ask you."
Yang Xi said, "Say it."
The woman smiled shyly, and said, "Does our hospital have Gamma Knife?"
Yang Xi shrugged his shoulders and said regretfully, "I'm sorry, but the state is very rigid about this kind of large-scale medical equipment. Jiangbei also introduced Gamma Knife to the Jiang Medical Affiliated Hospital and the Mine General Hospital. The equipment in the Jiang Medical Affiliated Hospital is very Old, not as advanced as that of the General Hospital of the Mine, so I recommend you to go to the Gamma Knife Treatment Center at the General Hospital of the Mine."
The woman asked: "Is Dr. Yang familiar with them? What, my cousin just graduated, so he is not familiar with doctors from other hospitals."
Although it is a fallacy to find acquaintances when seeing a doctor, individuals cannot shake the trend and have to adapt.The woman's intentions were obvious, but Yang Xi didn't recognize the doctor at the Gamma Knife Treatment Center even though he had been an intern at the General Hospital of the Mining Industry for a year.
"I'm not familiar with them... How about this, you go to the Orthopedics Department of the General Hospital of Mining to find Dr. Wang Mingxing Wang, I will tell you his phone number, and you just say that he is an acquaintance of my Yang Xi, and let him arrange for you to find a gamma knife The doctor is fine."
The couple got Wang Mingxing's phone number, thanked them a thousand times, and left the office.
I don't know when there was another young man in the office. After the couple left, this young man immediately came to Yang Xi.
"Doctor Yang, do you think that my father's disease should also be treated with gamma knife? My father is not yet 50 years old this year, and he also suffered from lung cancer."
Yang Xi couldn't control the craving for smoking, so he lit a cigarette at the risk of committing crimes. Seeing that young man was empty-handed, he couldn't help frowning and asked, "You came to see me empty-handed like this?"
Light a cigarette first, then complain about empty hands...
The young man understood Yang Xi's hint in seconds, and quickly said: "Doctor Yang, wait a moment, I'll buy you cigarettes right away."
Yang Xi couldn't help laughing, and grabbed the young man.
"What are you thinking? I mean, have you brought your father's inspection materials over?"
The young man rubbed the back of his head embarrassingly, and said: "My father is still in his hometown, and I work alone in Jiangbei. I only have some photos of the inspection report here." Then, the young man took out his mobile phone.
"Let's take a look first." Yang Xi took the phone, flipped through some laboratory test reports, and finally stayed on the picture of the CT film on the phone. "It's very unclear! The image is slightly enlarged and blurred. In this case, it is difficult for me to make a judgment."
(End of this chapter)
Yang Xi continued with a wry smile and said, "It's only been three days since our Department of Oncology Surgery was established, and more than half of the 30 hospital beds have been vacated. If there are patients who take the initiative to come to our door, is there any reason not to accept them?"
The couple looked bewildered, yes, we have all seen it, the entire department has less than 10 patients, why would you not want to operate on our mother?
Yang Xi sighed softly, picked up the CT film, pointed at the lesion, and explained to the couple: "Look, your mother's lesion is here, a small solitary lump, and the other places are pretty clean. Said that the operation is not difficult. However, surgery is not the best choice for her elderly."
how to say?
The couple were still at a loss, but there was a little more expectation in their expressions.
"The tumor is not too big, it looks like 3 by 3, but the part it grows is very annoying. You see, this is called the hilum of the lung. What is the hilum of the lung? Literally, it means the door of one lung. The lung on the other side cannot be kept. And your mother’s tumor lesions happened to grow in the lower part of the main bronchus. If you want to cut it clean, you can’t keep the lung on this side. If you want to keep the lung, it can only be palliative resection. And if you want to choose unilateral total lung resection, at this age, whether the elderly can withstand the blow of surgery, let alone whether it is worthwhile or not, I don’t think surgery should be chosen.”
It was impossible for the couple to fully understand what Yang Xi said, but they still roughly understood what Yang Xi said.
The old man said: "Doctor Yang, in your opinion, how should my mother be treated?"
Yang Xi replied: "My opinion is to choose Gamma Knife treatment..."
The woman couldn't help but said: "Gamma Knife? Isn't that still surgery?"
Yang Xi couldn't help laughing, and explained: "The reason why the Gamma Knife is called a knife is just a visual name, and it is intended to express that its precision is like a scalpel in the hands of a surgeon. In fact, The Gamma Knife is nothing more than a precision radiotherapy device."
The old man was a little disappointed and said: "That's still radiotherapy! Dr. Yang, I heard people say that radiotherapy has little effect, but the side effects are not small..."
The woman gouged out her husband's eyes and scolded, "You don't understand! What are you talking about? Can't Dr. Yang finish the sentence?"
Yang Xi smiled and continued: "The radiotherapy you have heard refers to the traditional ordinary radiotherapy. When the radiation is irradiated on the tumor lesion, it adopts the sun-drenched mode. At most, it just changes a few angles. This method is simply not suitable for killing tumor lesions visible to the naked eye, so it will give the common people the impression that the treatment effect is not great but the side effects are not small."
The man gave his wife a look back, how about it, your husband is right, even Dr. Yang admitted my point of view, and said that I just interrupted! ?
"The radiation mode of Gamma Knife is completely different from that of ordinary radiotherapy. Have you ever played with a magnifying glass? Under the sun, if you use a magnifying glass to focus the sunlight, it can burn the paper. How high is the temperature at the focus point?" What about it?" Yang Xi gestured with his hand to look like a magnifying glass, put a piece of paper on the table, then put his other hand between the so-called magnifying glass and the paper, and continued: "The temperature of the focus is very high, Putting your hand on it will definitely cause a big blister, but what about in the middle? Will there be any problems with putting your hand here?"
The couple shook their heads and said there was no problem.
Yang Xi continued: "Gamma Knife uses the principle of ray focusing to position the focus of ray focusing on the tumor lesion. If one point is not enough, then two points are not enough. If two points are not enough, then multiple points are needed. Burn the whole lesion once. But the normal tissue of the human body is between the focal point and the 'magnifying glass', so the damage suffered is minimal. In this way, it can not only kill the tumor lesion, but also effectively protect the normal tissue. "
The man couldn't help but wanted to interrupt again, but the woman pointed her finger and shouted, "Shut up and just listen!" Then, she smiled apologetically at Yang Xi and said, "Doctor Yang, leave him alone, you can continue explain."
Yang Xi responded with a smile, and continued: "For your old mothers, choosing Gamma Knife treatment can basically achieve the effect of surgery and avoid the pain of that knife. Obviously, it is a treatment that has more benefits than harm. plan."
The woman nodded and said, "I understand, Doctor Yang, thank you, but I still have a question to ask you."
Yang Xi said, "Say it."
The woman smiled shyly, and said, "Does our hospital have Gamma Knife?"
Yang Xi shrugged his shoulders and said regretfully, "I'm sorry, but the state is very rigid about this kind of large-scale medical equipment. Jiangbei also introduced Gamma Knife to the Jiang Medical Affiliated Hospital and the Mine General Hospital. The equipment in the Jiang Medical Affiliated Hospital is very Old, not as advanced as that of the General Hospital of the Mine, so I recommend you to go to the Gamma Knife Treatment Center at the General Hospital of the Mine."
The woman asked: "Is Dr. Yang familiar with them? What, my cousin just graduated, so he is not familiar with doctors from other hospitals."
Although it is a fallacy to find acquaintances when seeing a doctor, individuals cannot shake the trend and have to adapt.The woman's intentions were obvious, but Yang Xi didn't recognize the doctor at the Gamma Knife Treatment Center even though he had been an intern at the General Hospital of the Mining Industry for a year.
"I'm not familiar with them... How about this, you go to the Orthopedics Department of the General Hospital of Mining to find Dr. Wang Mingxing Wang, I will tell you his phone number, and you just say that he is an acquaintance of my Yang Xi, and let him arrange for you to find a gamma knife The doctor is fine."
The couple got Wang Mingxing's phone number, thanked them a thousand times, and left the office.
I don't know when there was another young man in the office. After the couple left, this young man immediately came to Yang Xi.
"Doctor Yang, do you think that my father's disease should also be treated with gamma knife? My father is not yet 50 years old this year, and he also suffered from lung cancer."
Yang Xi couldn't control the craving for smoking, so he lit a cigarette at the risk of committing crimes. Seeing that young man was empty-handed, he couldn't help frowning and asked, "You came to see me empty-handed like this?"
Light a cigarette first, then complain about empty hands...
The young man understood Yang Xi's hint in seconds, and quickly said: "Doctor Yang, wait a moment, I'll buy you cigarettes right away."
Yang Xi couldn't help laughing, and grabbed the young man.
"What are you thinking? I mean, have you brought your father's inspection materials over?"
The young man rubbed the back of his head embarrassingly, and said: "My father is still in his hometown, and I work alone in Jiangbei. I only have some photos of the inspection report here." Then, the young man took out his mobile phone.
"Let's take a look first." Yang Xi took the phone, flipped through some laboratory test reports, and finally stayed on the picture of the CT film on the phone. "It's very unclear! The image is slightly enlarged and blurred. In this case, it is difficult for me to make a judgment."
(End of this chapter)
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