I'm a god of medicine

Chapter 481 What Conditions Are You Asking For?

Knowing that today would be very busy, Yang Xi got into the operating room before eight o'clock.

Three routine operations were arranged in the morning, the first one was for a patient with thyroid cancer, and the other two were for breast cancer.

Thyroid cancer is said to be the first cancer to be conquered clinically.

With surgery and postoperative iodine 131 nuclide therapy, the five-year survival rate of the patient is over 90.00%, and the ten-year survival rate is also over 90.00%, while the 20-year survival rate is not much lower than the ten-year survival rate.

In other words, for every one hundred patients suffering from thyroid cancer, more than ninety people will survive 20 years safely, and cancer patients will not relapse or metastasize for 20 years, and they can rest assured in the following days that they will relapse The chances of retransfer will become very small.

It can be described as a blessing in misfortune.

However, it can be seen from the figures that about 5.00% of patients with thyroid cancer have an unsatisfactory prognosis. The reason for this situation is of course closely related to the level of doctors and the appropriateness of the treatment plan, but this is not the case. the most important reason.

The main reason lies in the patients themselves.

Thyroid cancer is divided into three types: symptomatic carcinoma, follicular carcinoma and medullary carcinoma.

Among them, symptomatic carcinoma and follicular carcinoma have relatively mild biological behaviors. If they have met similar doctors and received regular treatment, they should not have much problem living for 20 years.

However, medullary carcinoma is prone to cervical lymph node invasion and bloody metastasis, and the prognosis is poor.

If there is a relatively rare undifferentiated medullary carcinoma, you can only lament the injustice of God, because the fatality rate of this kind of cancer is extremely high, even if you find a top doctor like Yang Xi for the operation, the postoperative Exhausting all the most advanced treatment methods, it is difficult to survive for more than one year.

The patient Yang Xi accepted belongs to the kind of luck in misfortune.

The pathological type of the cancer is follicular carcinoma of the thyroid gland, and no lymph node metastasis is found in neck B-ultrasound examination, and the clinical stage is T2. Thyroidectomy was performed.

Regardless of whether it is total thyroidectomy or partial thyroidectomy, hesitating that its location is relatively superficial, so the difficulty is not too great.For head and neck surgeons, the only difficulty in this type of surgery is how to avoid damage to the superior laryngeal nerve and the recurrent laryngeal nerve.

Nerves are not like other organs and tissues. If they are accidentally damaged, they only need to be repaired. The postoperative does not have much impact on the patient.For example, Wu Ye, whose hepatic artery was so dangerously damaged, was repaired by Yang Xi, and now he is alive and kicking like a person who once wandered before the gate of hell.

Nerve damage is an irreversible damage.

If the superior laryngeal nerve or the recurrent laryngeal nerve is inadvertently touched during peeling off the cancer, complications such as hoarseness may occur in mild cases, loss of voice will occur in severe cases, and even death may result from suffocation.

However, for the kind of evildoer who can completely peel off the skin of a grape in 2 minutes... Will cutting the thyroid hurt the nerves?
Unless it is to discredit surgery!

If it wasn't for the first time to perform a surgery and happened to be in a hurry, Yang Xi would really be too lazy to take the position of chief surgeon.

At [-]:[-], Yin Wei completed the intravenous anesthesia.

At [-]:[-], Yang Xi picked up the scalpel.

At [-]:[-], Yang Xi finished the last stitch.

Almost at the same time, Yin Wei woke up the patient, led the patient to say a few words, made sure that there was no complication of hoarseness, and then directly arranged for the nurse to send the patient back to the department, and brought the second patient to the operating room by the way.

It's just so unreasonable.

The work that others can finish in an hour and a half, in the hands of Yang Xi, must be done within half an hour, and he is not willing to leave a way out for his colleagues.

"Boss, for the next two sets, you still..." Yang Xi originally wanted to tell Gao Yong that we are in a hurry, and that the next two sets will be operated by me, but from the corner of his eye, he suddenly caught a glimpse of Nie Yadi who had just entered the operating room, and couldn't help feeling , the words on the lips also stopped abruptly.

Nie Yadi entered the operating room before 08:30, but Yang Xi was undergoing surgery, so he couldn't disturb him.He also didn't want to wait in the waiting room, for fear of missing Yang Xi's opportunity to switch channels, so he waited outside the door of the operating room.

Seeing the itinerant nurse go to greet the nurses, Nie Yadi knew that Yang Xi's operation must have been completed, so he hurried into the operating room.

"Young Master Xi, let's discuss something with you." Nie Yadi came to Yang Xi's side with an apologetic smile.

The moment he saw Nie Yadi's figure, Yang Xi had already realized the old guy's intentions. He left the free clinic in the outpatient department and ran to the operating room, which meant that the old Miao's idea yesterday had gone bad.

"There is no need to talk about it. If you have any instructions, please ask the leader." Yang Xi smiled and followed up: "However, no matter how important it is, I have to wait until I finish the operation."

Taking advantage of the time when Nie Yadi was stunned, Yang Xi said to Gao Yong again: "Boss, you will be the chief surgeon for the next two operations, and I will let the old man help. One hour and a half, before twelve o'clock, I am still capable." It's all over."

Hearing this, Nie Yadi felt as if he had been slapped in the face. Ma De, this kid is like a mirror in his heart. Before he even said a word on his side, he blocked all the roads on his side.

What's more terrible is that Gao Yong is not a fun thing, he even said to Dong Lian: "Old man, how about letting you be the chief knife?"

Although Lian Xiangdong didn't quite understand what was going on, but the brothers had been together for a long time, and their hearts still had a little bit of connection, so he nodded seriously and said: "If you let me make one, I'm afraid it won't be until one o'clock in the noon." It's done."

Ma De, one o'clock at noon...

Are the patients in the outpatient clinic going to explode?

If you don't do some kind of free clinic, it can be justified. No matter how unreasonable the patients are, they can't drag Yang Xi out of the operating room.

However, the banner of the free clinic was hung out, and the experts lined up in a row, which caused a misunderstanding for the patients to hide Yang Xi intentionally.

Depend on!
It's all to blame for that old Miao, who is so old that he thinks so recklessly.

"Then what, Young Master Xi, for the sake of our old brothers getting along well, please help..." Nie Yadi moved closer to Yang Xi, put his mouth next to Yang Xi's ear, and whispered: "Outpatient clinic The old Miao over there can't hold back anymore, you have to show up quickly."

Yang Xi nodded seriously, and wondered: "But the surgery here..."

Nie Yadi hurriedly beat Yang Xi's shoulders, and said with a smile: "You come to be the chief surgeon, and it will be done at ten o'clock."

Yang Xi shook his head slowly.

Nie Yadi hastily followed: "If you need any conditions, just ask!"

(End of this chapter)