Chapter 152 of the main text volume is residual gastric cancer

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The female doctor put down the information and said: "I have changed my syndrome to itching, kidney blood deficiency, and internal dampness and heat, so I choose to clear heat and remove dampness, nourish blood and dispel wind." ◇↓But unfortunately, there is no effect after the use of medicine, please advise everyone, is there any problem with my syndrome differentiation and treatment? Is there a better way, guys? ”

This girl didn't target Xiao Ying, so Xiao Ying wouldn't take the initiative to speak first, and the other old doctors came up with ideas.

Listening to everyone's discussion, Dong Cabinet said: "Mr. Xiao hasn't spoken, has he already thought about it!" ”

Xiao Ying had actually found out about this case, and he also knew from the case that the patient had been cured in the end, so he smiled and said, "I heard everyone say that it makes sense. Dean Dong, I see that you have been smiling and silent, I think you have already thought about what is wrong with this case, can you let us hear about it? ”

Dong Cabinet smiled slightly and said, "Okay, then I'll say it to everyone and confirm each other." -- The patient is more than half a hundred years old with kidney qi deficiency, liver and kidney homologous, both essence and blood loss, and the vulvar atrophy seen in the gynecological examination indicates local malnutrition, so I think that the patient belongs to the liver and kidney yin deficiency, and the evil of dampness and heat. I think the priorities are reversed. What does Mr. Siu think? ”

Xiao Ying understood that the correct treatment plan in the record database was thought up by Dong Cabinet, and he smiled slightly, shook the folding fan and said: ""Jing Yue's Complete Book on Treatment" says, 'If you can't cure it well, you can't make up for it, and you can't go to the real thing. 'The main complement and the attack, the combination of internal and external, the work is natural. ”

Of course, the exposition quoted by Xiao Ying was not memorized by him. He only knew a little about Chinese medicine, and this passage was recorded in the case in his mind, after the female doctor found the right treatment plan to cure the patient. A feeling written in the medical record while sighing.

After the female doctor heard Dong Cabinet's previous discussion, she suddenly realized, nodded again and again, and was even more amazed when she heard Xiao Ying quote this paragraph, which is of course not surprising. Because she also felt this way later, but Xiao Ying sighed first, which made her feel like a confidant of Xiao Ying.

So the girl said to Xiao Ying gratefully: "Mr. Xiao is well-read and has a strong memory, which is very admirable. ”

If Xiao Ying had judged the case or written a prescription before, it would not be enough to convince those doctoral students, but now for a specific disease, Xiao Ying can come up with the most appropriate and accurate interpretation of the classic original medical discourse, which really impresses these nerdy doctoral students who study hard. The disdain and jealousy on his face now turned into admiration or awe.

Dong Cabinet was also greatly admired by Xiao Ying's notes to him, nodded again and again, glanced at the peaked cap Lao Wang next to him, and said with a smile: "It's really a pity that Mr. Xiao doesn't study graduate school, you are a good material for research!" ”

Next, they discussed a case in which a benign tumor was found in the stomach of a patient, but considering that it could become cancerous, they discussed whether to perform surgery to remove a large part of the stomach. Or conservative treatment.

Xiao Ying didn't speak this time, just shook the folding fan and looked at them. Because he had in his mind the record of the patient's illness. The patient underwent surgery to remove most of his stomach. Unfortunately, a few years later, the patient developed residual stomach cancer and died soon after.

So, when the majority opinion finally agreed that a large gastrectomy should be performed, Xiao Ying finally spoke, he said: "If the stomach lesion is benign. It is best not to do a large gastrectomy because there is a high probability that the patient will develop cancerous changes in the stomach and intestines after several years, so it is best to treat benign gastric lesions conservatively. ”

Xiao Ying's point of view mainly does not come from the medical records in his mind, but from many medical papers he read in the Ministry of Health in his previous life. Among them, there are relevant statistical reports on the significant increase in the incidence of gastrointestinal cancer after gastrectomy for more than half a year.

Merely. Similar reports only appeared in large numbers after the 90s, and at this time, there were few reports on this area, which did not attract widespread attention, and certainly did not attract the attention of these Chinese medicine experts.

Dong Cabinet was very interested in Xiao Ying's assertion, and said, "Mr. Xiao, is there any statistical support for this?" ”

"Nope."

At this time, Yan Guoqing, the director of surgery who was sitting opposite, said: "** is a good point, there is no right to speak without investigation." Since you have not been investigated, you should not make these misleading opinions. ”

Although this is a Chinese medicine college, which mainly uses traditional Chinese medicine for treatment, it does not completely exclude Western medicine, not only with advanced equipment for testing, but also for Western medicine and surgery.

Since examples are needed, of course, it is more convincing to use the other party's. Because everyone has a seat tag on their seat, Xiao Ying knows the name of the other party, and searches for relevant information in the mental case database, and he uses Yan Guoqing as the chief surgeon and adds gastrectomy surgery as a keyword to search, and soon, many cases are searched. He searched with the addition of residual stomach cancer as a keyword, and immediately found three cases.

Xiao Ying said: "Although I have not conducted a systematic investigation on this issue, I have some medical records in my hand to corroborate, including Dr. Yan. ”

Everyone was surprised, Yan Guoqing stared at Xiao Ying, smiled and said, "My medical case? ”

Xiao Ying nodded: "Three of the gastrectomy operations you have done for patients due to benign tumors have residual gastric cancer. One is called Jin Yongxiang, the other is Wu Zhilong, and the other is Lin Wen. The last two are already dead. Moreover, when they had residual gastric cancer, they were all undergoing surgery for residual gastric cancer in the oncology department of the Second Provincial Hospital. If you don't believe it, you can go to the oncology department of the provincial hospital to get the relevant medical records, and you will know if I am talking nonsense. ”

Yan Guoqing was dumbfounded, he had the impression of the three people Xiao Ying said, they were patients with benign tumors in the stomach that he had undergone surgery. Although their tumors were benign, in order to prevent malignant transformation, he built a large gastrectomy for the patient and his family.

Yan Guoqing said with a gloomy face: "This kind of thing can't be a joke. ”

"I'm a visiting doctor at your hospital, I won't come this time, you can investigate, if what I said is wrong, you can accuse me next time! If what I'm saying is right, I hope you will reflect on it. Doctors make a choice, and if they make a mistake, it can cause lifelong pain to others. ”

Several old Chinese medicine practitioners have been talking about it, saying that they have always insisted on using conservative Chinese medicine treatment for patients with stomach tumors with benign lesions. Xiao Ying's assertion and the case of residual stomach cancer just pointed out strongly proved their point of view, and these three old Chinese medicine doctors immediately had a good impression of Xiao Ying.

While he was talking, a female doctor sitting in the second row of the auditorium lifted her glasses and said to Dong Cabinet: "Professor, I have also read relevant case reports abroad. There are similar cases abroad, and their research conclusions are that gastrectomy changes the structure and function of the stomach, which significantly increases the incidence of cancer, but it has not been supported by pathology. Just some statistic jù. ”

Dong Cabinet nodded and said to Xiao Ying, "This is my doctoral student's name is Pan Qiuping. Her article is still very good. Several articles have been published in core medical journals at home and abroad. ”

Xiao Ying looked back and took a closer look, and saw that this girl looked delicate, especially a pair of bright and dark eyes, with a pair of glasses, she looked very gentle, and her figure was not bad.

The peaked cap compression cap on the side said to Dong Cabinet with a smile: "If what Mr. Xiao just said is confirmed, this is a very important topic. ”

Dong Cabinet nodded. said to Xiao Ying: "Yes, I also think this topic is very valuable. Mr. Xiao, since you are very interested in this topic and have a lot of research, how about you cooperate with Xiao Pan and the two of you to set up a project as a key scientific research topic of our college? ”

Xiao Ying said: "This is no problem, but I may not have time to write, I can provide some ideas or something, mainly she writes." ”

"It's okay, you be the team leader, assign her a job, and she will carry out the specific implementation. She is still very good at writing papers, and the shipment is very fast. ”

Pan Qiuping was very happy. Hurriedly came up and bowed to Xiao Ying, and said with a little shyness on his face: "Hello Teacher Xiao, please give me more advice." ”

Xiao Ying hurriedly waved his hand and said, "I'm just an undergraduate, how can I teach you?" You're a doctor. And you seem to be younger than me! ”

He originally thought that he must be older than himself when he studied for a doctorate, but looking at the other party's childish face, he felt that she should be younger than himself.

Dong Cabinet smiled and said, "She is only 22 years old this year, so she should be a little younger than you." She was a child prodigy, and she was the top science student in their province that year. I went to college at the age of 15. This is my new PhD student this year. He turned to Pan Qiuping and said, "It's right that you call him Mr. Xiao, although he is only an undergraduate, his level is definitely better than yours, even no less than any of our old Chinese medicine doctors here, this is not a boast, he has proved this just now." ”

Many of the old Chinese medicine doctors present nodded frequently, feeling that Dong Cabinet's words were not too exaggerated. Although there are many people who are a little unconvinced, they are still impressed by Xiao Ying's level of traditional Chinese medicine, not necessarily more than themselves, but about the same.

Pan Qiuping was very happy, nodded frequently, and said with a red face: "I am honored to be able to conduct research on this topic with Mr. Xiao, and I must learn from Mr. Xiao well." ”

Dong Cabinet glanced at Yan Guoqing, who was sitting there staring at Xiao Ying with a gloomy face, and explained to the student Su Yaqin and said: "By the way, Mr. Xiao said just now that there are three patients in the Second Provincial Hospital, who had a large gastrectomy with us a few years ago, you go and check, if there is really one, transfer their medical records, this is a very good information, very useful for papers!" ”