Doctor of Healing

For a moment, Ji Xiang thought of Colonel Wang's bald head.

"There are so many people looking for her to see a doctor. I can't get in the queue. Fortunately, she is still visiting a private hospital. It's just a little more money. It's a trivial matter. When I went to the doctor, she prescribed me some external medicine. It’s been more than a month and I haven’t seen any improvement, what the hell.”

"What happened next?" Ji Xiang asked.

"I knew that the disease could not be delayed, so I went to the army hospital, thinking that the old military doctor must be reliable. I also specially found an old military doctor, who had no hair at all, and was shiny like a light bulb. kind."

"After reading it, he said there was nothing wrong with it, and gave me some medicine for external use, saying that it would definitely be fine in a few months."

"Three months, I still haven't seen him well. He wasn't there when I came back for a follow-up visit. A young doctor was there, and he didn't say anything after seeing it. But brother, you know that I'm in business, and observing words and emotions is the most basic skill."

"I can tell right away that something is wrong!"

"What's wrong?" Ji Xiang's heart moved, and he asked quickly.

"He hesitated to speak, hesitated and hawed! Although he didn't tell me clearly, but I know that as long as this is the case, it means that he already has a definite answer. Some things are hard to say, and if he says it, he will have no friends."

"!!!" Ji Xiang was silent.

He is very clear about this situation, the NPC of the system once told him something similar when he felt the pain of kidney self-amputation, but that incident was completely different from what the man in front of him said.

"Following the blood test and biopsy, when the results came out, the doctor wrote CA. I knew it was an abbreviation in English, which means cancer. When I saw this symbol, my mind was buzzing."

"..." Ji Xiang didn't know how to comfort him.

The man smoked the cigarette to the filter, but still reluctantly took another puff.

"Smoking like this is not good." Ji Xiang said.

"I may be dying." The man sighed, "What else should I pay attention to. The operation was done, and I was useless. The doctor said that I was already in the middle and advanced stages. Although squamous cell carcinoma was not fatal, I had a total resection and bilateral inguinal lymph nodes. Operations such as cleaning...

Alas, no matter if I can live or not, I won't be able to pee standing up anyway. "

As he spoke, tears flowed from the man's eyes.

"As long as you can live, that's fine."

"Brother, let me tell you the truth, I envy you too much." The man choked up and said, "It's different from the usual envy and hatred. I really envy you. If I met a doctor who understands earlier , do it when you are just starting to get white, and you can also do your spell."

"Partial resection, plus lengthening surgery, I don't know if I can be happy in the future. Although the doctor said it's okay, but... at least I can pee standing up."

The man said it vulgarly, but the words standing and peeing hit Ji Xiang's heart like a hammer.

"Let's put it this way, if I could go back and do it again, I would even spend half of my family property on such an operation."

"Why not all the family property?" Ji Xiang asked.

"Wife and children still have to live, let's forget about all the family property." After the man confides, his face looks a little better, "Brother, you are well, the doctor told me about your illness specially."

"What did you say."

"It's because it was diagnosed early and part of it can be resected. Although it's a little short, it can be lengthened. I used to think that lengthening was an unscrupulous operation, and it was only done by those ducks.

Looking at it now, it would be great if I had the opportunity to do lengthening surgery. "

There was deep envy in the man's tone. That kind of envy was not something that Jixiang usually understood. It was rooted in his bones, similar to some kind of obsession.

Ji Xiang didn't know what to comfort him, and he seemed to be showing off a little anyway, after all, he could do partial resection... No, to put it simply, he could pee standing up.

Just this is enough to make the man in front of him turn red with envy.

Ji Xiang can only smoke a cigarette with him, trying to relieve his anxiety and discomfort with companionship.

Suddenly, light and shadow flickered, and Ji Xiang returned to the system space.

When he saw the system NPC, Ji Xiang was taken aback for a moment. He didn't expect that he didn't need to undergo surgery this time to empathize with him.

"I'm back." The system NPC bowed his hands and smiled slightly.

"I'm back, teacher." Ji Xiang's memory was still stuck in the last second when the man was envious of being able to pee standing up, and he was a little stuck.

"Tell me, what did you experience."

"Teacher, is that Doctor Zhou Zhou Congwen you mentioned?" Ji Xiang asked.

"Why are you gossiping like Shen Lang?" The system NPC glanced at Ji Xiang.

"It's just curiosity, and the attitude and views of the first Dr. Yang I have experienced towards patients is different from that of Dr. Zhou." Ji Xiang said frankly, although he was also concerned about whether that was Zhou Congwen.

"It's him." The system NPC didn't hide anything, "Many models are based on the clinical experience of members of our working group. Zhou Congwen is young and strong, and has rich clinical experience."

Having said that, a smile appeared on the corner of the system NPC's mouth.

"Teacher, what are you laughing at?" Ji Xiang felt weird.

"Zhou Congwen's class is busy, so he has more experience." The system NPC said, "Don't talk about this, what else have you experienced."

"Standing up to pee is basically an obsession of cancer patients, a very deep obsession."

"Of course, partial resection + lengthening surgery can't be done in general tertiary hospitals. I don't know if your second affiliated hospital can do it."

Ji Xiang was silent for a while.

The operation is actually not difficult, and of course there are disadvantages. Partial resection will cause more blood loss than cutting it all at once, and the degree of complexity is higher.

But compared with the quality of life of patients, that is nothing.

Chapter 214

"Teacher, is the operation stable?" Ji Xiang asked.

If the tumor is allowed to grow just to preserve the possibility of peeing while standing, then the surgical procedure might as well not exist.

Surgery is still a cure.

"In the surgical treatment of early DTC, different surgical measures can be selected according to the location, size, and stage of the lesion, such as partial penile resection and total penile resection, inguinal lymph node dissection, etc."

"General surgical resection of diseased tissue should be performed at a distance of more than 2 cm from the tumor edge, so patients often lose the ability to stand up and urinate, and normal sexual life is also very difficult, and it brings greater psychological barriers to patients."

"It happened to you just now, I guess you have your own experience of the patient's mood."

"Yes, teacher." Ji Xiang nodded, "My own feelings are second to none, because I can do partial resection + lengthening. The patient in the next bed dragged me to smoke, envious of my ability to pee standing up .”

"When you have seen more patients, you will have a new experience." The system NPC said, "Because small cancer may cause cancer cell metastasis, some patients choose total resection in order to avoid tumor metastasis and reduce tumor recurrence."

"There are related reports about the question you asked."

"Teacher, I don't read much." At this time, Ji Xiang understood the reason why he hates to use prescriptions as much as books.

"Simply speaking, the study compared the clinical outcomes of partial resection plus lengthening versus total resection.

The research found several caveats.

First, under the two surgical methods, the operation time of the study group was longer than that of the control group, and the blood loss during the operation was higher than that of the control group, which means that the difficulty of partial resection is higher. It’s not that ordinary surgeons don’t want to do it, but they can’t do it. arrive.

However, the postoperative pain score of the study group was lower than that of the control group, suggesting that in the partial resection plus lengthening operation, although the operation time was longer and the intraoperative blood loss was more, the postoperative trauma to the patient was less. The postoperative pain is less, which is more conducive to postoperative recovery. "

"second……"

"..."

"The eighth point is also the last point. Under the two surgical methods, none of the patients had wound infection or urethral stenosis after surgery, and the patient's urinary function was not affected by the surgery.

Total resection combined with ostomy, the patient squatted to urinate normally, and the partial resection had no effect on the voiding function, and the patients all stood up to urinate normally. "

"Basically, there is no significant change in the probability of metastasis after surgery, but the quality of life will be very different."

"Teacher, the operation is not difficult." Ji Xiang hesitated.

"Basic level LV5 surgery can be done, but after all, there is a possibility of transfer if it is not done cleanly." The system NPC explained, "So most doctors choose to cut it out directly."

"..."

"After all, cancer is uncommon, and the level of doctors varies. Coupled with various social problems, there is no way around it." The system NPC sighed.

"Teacher, wouldn't it be better if it could be trained?"

"This is the purpose of the system." The system NPC did not hide it, and said lightly, "Are there any other questions?"

"No more." Jixiang roughly understood what he was going to do and what he could do, and he planned to practice the operation after returning home.

Say goodbye to the system NPC and return to reality.

……

……

"If you think about it with your prostate, you will know that the director may turn his back on what you have received." Mr. Wu's voice came.

Ji Xiang was slightly taken aback.

This……

Having been in the system for too long, the previous conversation between President Wu and Lu Kai seemed strange as if countless years had passed.

They were talking about Lu Kai going back to his hometown county hospital to give gifts to the director and asking Mr. Wu to throw knives. Ji Xiang tried his best to recall, and finally remembered the previous conversation.

"The directors won't be so shameless if they turn their faces and refuse to admit it." Lu Kai asked.

"These days, whoever has shame will suffer." Mr. Wu said contemptuously, "If you are pushed to the ground by the society, you will know what's going on after killing seven people."

"Mr. Wu, how did you get killed?"

As soon as this kind of thing was mentioned, Lu Kai was very happy, and his eyes shone yellow.

"I had good academic performance back then. Let's put it this way, I didn't even need a postgraduate quota for me from the school."

"Why?" Lu Kai's jaw almost didn't drop from fright.

For him, postgraduate insurance is a good thing that can't be expected.If you have this kind of opportunity, you can never give up.

"Oh, my heart was higher than the sky at that time." Mr. Wu sighed, "My score in the postgraduate entrance examination is quite high, 395!"

Lu Kai stared and gave a thumbs up.

"As a result, I was squeezed out by a person with a score of more than 330 in the re-examination." Mr. Wu said, "Fortunately, I had a relatively high EQ back then, and our director didn't dislike me. That's why I adjusted the school or something."

It is also the first time for Ji Xiang to know Mr. Wu's experience. It is really unacceptable that a high-achieving student with a score of 395 is squeezed out.

"Mr. Wu, you are really...the ones who are killed will not be left behind." Lu Kai sighed, "If I were you, I would probably be depressed. No, if it were me, I would have to jump off the building. Fortunately, I The grades are not good, and I don’t want to take the postgraduate entrance examination.”

"I was the same at the beginning, and then the director took me..."

"Mr. Wu, wait a moment." Lu Kai stopped Mr. Wu, "Are you the director's graduate student?"

"Yes."

"Then why not call him Director or Boss?"

"The director thinks these titles seem to be for business. He doesn't even allow him to be called the teacher, so he calls him the director. He also says that he is an official fan."

"Hahaha, what is there?" Lu Kai laughed, "What did Director Liu do with you?"

"I took care of a few patients who underwent total cancer surgery, changed their dressings every day, and communicated with the patients. Originally, this job does not belong to us. Psychological counseling is the job of a psychologist, but the director asked me to follow five patient."

"Since then, I've looked away." Mr. Wu sighed, "This person is alive with a full beard and tail, and living healthy is better than anything else. Look at those people who babble all day long, they are hypocritical , how do you say that sentence?"

"Bitch is hypocritical."

"Bitch is hypocritical."

President Wu and Lu Kai said in unison.

They are really two people full of love, Ji Xiang smiled.

The words are rough, but the reasoning is not rough. Ji Xiang just chatted with the patient in the system and felt his depression, and he still can't extricate himself.

A simple thought - stand up to pee, then have a wife and kids.

No idea is more important than that.

Mr. Wu is right, at least he met Director Liu, so he can go to graduate school and stay in the First Affiliated Hospital.

Having had that experience, it's no wonder Mr. Wu would squat in front of the patient and speak softly to comfort him.

Although Mr. Wu has never felt the same way, he has experienced more and can understand the difficulties of patients.

Chapter 215 I Still Suggest Cutting Everything

"Mr. Wu, what happened to those patients?" Ji Xiang asked.

"Although it is squamous cell carcinoma, the general lymph nodes have not metastasized, but all of them can be removed... It can be said that the total resection of small cancer is the most severe operation for patients." Mr. Wu said, "After the operation, the patient is downcast... …By the way, Doctor Xiaoji, I saw a picture some time ago.”

"Is there a website?" Lu Kai asked.