Chapter 23 Treatment Plan (Spring Festival plus 2nd Update)

Zheng Jun's condition was very critical, and both Xiang Wen and Bai Yiyuan were worried that he might not be able to wait for the biopsy results to come out for so long, and he had to deal with it immediately. However, it is very risky to treat the tumor rashly without determining the nature of the tumor, which will aggravate the patient's condition and have unpredictable consequences.

Jiang Tao, director of the oncology department, was also very concerned about this matter, and also stayed in the hospital to wait for the results, at that time, for the discharge of Chen Qian and Zheng Jun, Bai Yiyuan made trouble with Xiang Wen, and he personally went to appease and mediate, so he was impressed. In the evening, when he heard that Zheng Jun's results came out, he called Xiang Wen over and discussed them alone.

"Xiao Xiang, the patient's condition is too dangerous now, if you don't operate immediately, once the liver bleeds, and the tumor occupies a mass and jaundice, I'm afraid it will be difficult to control it again, have you drawn up a treatment plan now?" Jiang Tao asked with concern.

"I want to go directly to surgery and remove the tumor, but I can't wait for the pathology report anyway, it's too late. Xiang Wen was a little anxious, he already felt that it was too reckless to let Zheng Jun and his wife be discharged from the hospital before.

"Don't panic, no matter what the situation, you have to make a plan to be foolproof. After all, Jiang Tao is the director of the department, and he is not chaotic in the face of danger, and his years of experience in dealing with doctor-patient relationships made him remind, "If you remove the tumor now, if it is malignant and you don't do debridement, it will be easy to metastasize; ”

Xiang Wen was a little helpless, listening to the director's words and drooping his head alone, with his professional knowledge, he naturally knew what Jiang Tao said. If it is benign, you only need to remove it and do nothing, but if it is malignant, you need to remove the nearby liver, including lymph nodes to prevent metastasis. However, this practice will have an impact on the patient's quality of life in the future, at least the liver function will be seriously reduced, but this is a necessary measure for cancer surgery, and it is important to save life first. On the other hand, if it is not a malignant tumor, but the doctor removes the liver and lymph nodes from the good end, it must not be allowed.

Xiang Wen thought for a long time, calmed down, and his head became much clearer, he stood up directly and said firmly, "Director Jiang, in our examination of the patient two months ago, we did not find any lesions in his liver, which shows that this tumor forms and develops very quickly in a short period of time, and benign tumors will not grow so quickly." Moreover, the patient also has jaundice, often dizziness, will turn into hepatic encephalopathy at any time, and AFP is even higher, all of which shows that the patient's body is a malignant tumor, which will develop rapidly and lead to these serious symptoms!"

Jiang Tao nodded, thinking that he was worthy of being a high-achieving student, and his analysis was indeed reasonable, "So Xiaoxiang, can you be sure that he has liver cancer?"

"I can be sure, at least we have never seen such a rapid development of a benign tumor in a few months, even if there is no pathology report, I can be 99% sure that it is liver cancer!" replied Xiang Wenxin.

"Well, since you have always been in charge of this patient, you are the attending doctor, I have no opinion, you go and prepare for the operation, as long as the family agrees, we will operate on him according to the standard of liver cancer. Jiang Tao ordered to go out, he actually knew very well that medical diagnosis requires 100 percent, but the matter is urgent, the patient really can't delay, and he also has a lot of trust in Xiang Wen's ability, so he took the risk to make a decision, but the premise of doing so is that the family still has to sign the informed consent, otherwise no one can afford the responsibility.

"Okay, thank you, director, but the family ......" This made it difficult for Xiang Wen, at the beginning, he said that Zheng Jun was not sick, and now Chen Qian must be very complaining and distrustful of himself, how to get the family to agree to his surgical plan?

"Hey, don't worry, I'll tell Lao Bai, you just go and get the operation ready. Jiang Tao immediately understood Xiang Wen's distress.

Bai Yiyuan was naturally very worried about Zheng Jun's situation, but when he received Jiang Tao's notice that he would operate before the biopsy pathology results came out, this made him even more relieved. However, as a doctor in the Department of Psychology, he knew that his understanding of tumors was far less than that of Jiang Tao, and Chen Qian was also very anxious and wanted to have surgery earlier, so he didn't say anything more and agreed.

With Bai Yiyuan's persuasion, Chen Qian, who was already a master of the six gods, quickly agreed to sign the operation notice, she didn't even take a good look at the content on the notice, of course she couldn't understand it. Now Chen Qian wants the doctor to cure her husband quickly, and after so many days of delay, she is also very anxious and can't bear it anymore.

But the careful Bai Yiyuan also thought that since Zheng Jun had been found to have a tumor, Chen Qian, who also showed cancer in his hypnosis and the detection of the three recorders, might have the same experience, but it had not been shown yet.

Therefore, after Chen Qian signed the operation notice, Bai Yiyuan mentioned the matter, but Chen Qian was not very willing to cooperate, she was in a bad mood, and she was even more distracted, and she had no time to care about her husband.

With the experience of the past, Bai Yiyuan did not compromise, and insisted on persuasion, "Zheng Jun has already entered the operating room and has been sent to the operating room, the oncology department will definitely go all out to save him, don't worry, I will take you to check first, in case there is any problem, don't be like your husband, make it so serious and then treat, it will definitely not be good." ”

Chen Qian's eyes never moved open the door of the operating room, and replied blankly, "Doctor Bai, I know that you are a good person, but I have no other thoughts, when Lao Zheng's operation is over, I will go and check it out." ”

"His operation is very early, in a situation like this, it will take at least half a day, you can't be exhausted first, after he comes out, you have to take care of him, don't you?" Bai Yiyuan continued to persuade.

"I'm really fine, my head is not dizzy and my stomach hurts, I am just a little tired. Chen Qian just didn't let go.

Bai Yiyuan had no choice for a while, so he simply called Xiao Ping and persuaded him together. Maybe there is something in common between women, Xiao Ping, who has never been good at words, actually has an effect under the good talk. Chen Qian finally agreed that she could leave for a while, go and draw the blood, and take a color ultrasound of the abdomen, but she resolutely refused to do other examinations for a longer time, so Bai Yiyuan had to give up for the time being.