The most enlightened doctor

It took nearly ten minutes for Yu Zhiming to conduct a detailed examination of Mr. Gu's heart and body.

He retracted his hand and stood up, and then he heard the sound of the old man chasing after him.

"Zhi Ming, I'm almost suffocated to death from being active in this three-thirds of an acre of land all day long."

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

"Zhi Ming, I have gained fifteen or six kilograms, I eat a lot, and I feel full of strength. Can I leave here and go shopping?"

In view of the inspection just now, Yu Zhiming nodded and said: "As long as the weather is good, yes."

"However, you need to keep warm, avoid catching a cold, don't overwork yourself, and pay attention to your diet."

When the old man heard this, he was beaming with joy, as happy as a child.

"Honey, Qing Ran, did you hear that? Zhi Ming already said that I can go out for some fun."

"Arrange a car for me early tomorrow morning."

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

After walking for more than ten steps, Gu Qingran suddenly said: "Zhi Ming, my cousin who you diagnosed with a bad heart last time took a nap after dinner at noon today and did not wake up again."

Yu Zhiming let out a light oh.

Gu Qingran sighed softly: "After learning about your diagnosis, this Spring Festival, his descendants came back no matter where they were and had a lively and reunited Spring Festival."

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

At the confinement center, Yu Zhiming adjusted the fetal position for three pregnant women in labor.

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

The inspection results are still good.

No cancer was found, and the body's recovery 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 help of Ginseng Xuanming Pills?

"I can't judge."

Yu Zhiming looked at the thin and weak Meng Fan on the hospital bed, and said frankly to the chief oncologist Teng Jian and others: "I can't judge the time point to start CAR-T treatment. You need to make your own decision."

Dr. Teng and several colleagues made eye contact, but all remained silent.

They also knew that Yu Zhiming lacked clinical experience and it was indeed difficult to determine the time point for the next treatment.

However, they are not sure to make a suitable time point decision.

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

However, more and more cancer cells will multiply in his body, and they may take root somewhere in the body, giving birth to new cancerous tissue, allowing the mass of cancerous tissue to resist the cellular attack of CAR-T therapy.

This time point is really difficult to determine...

Gu Qingran was inevitably disappointed when he saw the oncologists at his hospital being evasive.

He also understood that this was indeed a big problem.

Also, the level of the oncologists in our hospital is just that, far from the top.

Gu Qingran didn't embarrass them anymore.

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

After leaving the ward where Meng Fan was located, Yu Zhiming conducted physical examinations one by one on the other ten terminal cancer patients undergoing rehabilitation treatment.

After the inspection, they asked Yu Zhiming eagerly.

Can they, like Meng Fan, accept his systemic cancer treatment?

Yu Zhiming told the truth.

They either have a weak physical condition or their organs have been completely infected by tumors and cannot withstand his treatment plan.

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

Yu Zhiming followed Gu Qingran into a luxurious double room and met a couple in their forties.

The man's name is Zhao Hui, forty-four years old; the woman's name is Yu Jiana, forty-three years old.

Both of them were wearing hats. The man was about 1.8 meters tall and slightly thin.

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

What surprised Yu Zhiming was that the couple were both cancer patients.

Zhao Hui stood up to greet him, coughed, and introduced: "Dr. Yu, five years ago, my husband and I sold the technology company and related technology patents we started together to Penguin Group for more than 600 million."

"I originally wanted to live a happy and carefree retirement life, but unexpectedly, things backfired and bad luck continued."

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

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, holding his wife's skinny hand, and then introduced him.

"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 first received CAR-T treatment, and the effect was very good. I thought the lymphoma was completely cured."

"Unexpectedly, during 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 couple's last hope."

"Let's do a physical examination first!"

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

Yu Jiana's breasts have been completely removed.

During the examination, Yu Zhiming found that in addition to cancerous metastases in her lungs and liver, her axillary lymph nodes and subclavian lymph nodes also had metastatic cancers.

The situation is not optimistic.

Then, Yu Zhiming performed a physical examination on Zhao Hui.

The examination results made him frown even more tightly.

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

"And Mr. Zhao, four of the five lobes of your liver have cancerous changes of varying degrees."

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

After a brief silence, Zhao Hui became excited.

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

Zhao Hui breathed rapidly and said: "Doctor Yu, did you do the wrong test? Is there cancer in all four lobes of the liver?"

"So fast? Impossible."

Zhao Hui suddenly thought of something and asked eagerly: "Dr. Yu, don't you mean that the liver is powerful and has a strong compensatory function, and it can grow back after it is cut off."

"With only one healthy liver, it 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 solid organ in the human body and has strong compensatory capacity. Normal liver is reddish brown and soft and brittle.

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

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

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

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

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

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

If the disease persists for a long time and causes damage to the liver, and even reaches the decompensated stage of cirrhosis, the function of the liver will decline significantly.

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 serious fatty liver and the loss of liver function is considerable. According to my estimation, at least 50% of the liver must be retained to maintain your body's needs."

"And now you only have one lobe of the liver that has not metastasized to cancer, which is less than 20%."

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

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

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

"I have plenty of money, and nearly 300 million in funds. I can spend it all as long as I can survive."

Yu Zhiming's arm was a little painful from Zhao Hui's grip. It was obvious that the other party had lost control of his emotions.

He first freed his arm, took another step away, and then explained: "Liver transplantation requires a significant reduction in your own immunity, which will cause cancer cells in your body to bloom everywhere in the body."

After a pause, Yu Zhiming added: "In this way, I will map the location and extent of cancer in your liver."

"Invite liver surgery experts for consultation to see if they can save more of your liver."

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

Among them, regular liver resection surgery can be divided into resection of the left lateral lobe, left hemihepatus, and left three lobes, as well as resection of the right anterior lobe, right posterior lobe, right hemihepatus, right three lobes, and middle lobes.

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

Generally speaking, the methods used for cancer resection are enlarged resections with certain killing errors and no spare parts.

Moreover, resection of the entire liver lobe is less difficult and the patient recovers faster.

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

In view of the great richness of liver blood vessels, it places very high demands on the skills of the surgeon.

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

"Dr. Yu, President Gu, must invite the most powerful liver surgery experts in the country for consultation!"

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

"I have plenty of money!"

At this moment, Yu Zhiming heard a whisper.

"Doctor Yu..."

He followed the voice and looked at the hospital bed.

Yu Jiana moved her lips lightly, "Dr. Yu, I want to make a bet. I would rather die on the operating table than wait for death in such pain on the hospital bed..."

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