Chapter 367: Esophageal tracheal fistula

The old man did have esophageal cancer, but it was more than that.

As the name suggests, esophageal cancer is naturally a tumor that grows on the esophagus.

In advanced stages, the cancer will gradually erode and destroy the wall of the esophagus, creating a hole in it.

After that, the cancer continues to invade outward, which will damage the trachea and cause the trachea to break.

The human trachea, which is located right in front of the esophagus, is close to each other, like a pair of good brothers.

Since they are good brothers and have a fistula next to each other, they can share resources - this is the esophageal tracheal fistula that is a headache for endoscopists.

Think about it, food, water, or digestive juices from the esophagus can leak into the trachea or chest, and secretions from the trachea can leak into the chest, or block the esophagus, causing aspiration pneumonia and other infections.

Not to mention, the appearance of esophageal tracheal fistula itself has shown that the patient's esophageal cancer must be at an advanced stage, and even if he can barely do surgery, his life has entered the countdown.

Tao Le looked at the old man who was still rejoicing. The clothes on his body have been worn for I don't know how many years, they have faded a little, and the sneakers on his feet are the same, so old that they can't be seen at all.

The boy's situation is better than him, and the clothes and pants are still eighty percent new, but they are obviously a little big on the body, and they may have been eliminated by others.

Tao Le couldn't help but sigh again.

It's not that she suddenly values her well-dressed family, it's mainly because of the uncle's disease, which requires at least two surgeries, and the cost is not low.

The first step is endoscopically inserting a stent with a membrane to isolate the trachea and esophagus and improve quality of life.

This kind of bronchial obstruction stent is very expensive, at least 50,000 yuan.

Surgery for advanced esophageal cancer is even more expensive, with 100,000 yuan as a foundation, not counting the cost of hospitalization and chemotherapy.

The point is that even if the operation is successfully completed, it will not be able to save much time in front of death.

She thought about it, so she asked the nurse who was guiding her for a pen and paper, first wrote her mobile phone number and handed it over, and then asked for the contact information of the old man.

She was wearing a white coat, so she naturally had a sense of convincing, and I heard that it was to facilitate the return visit, and the old man did not suspect him at all.

The afternoon operation was actually not complicated, Tao Le and Ai Yuan worked together, and it was completed quickly and well, and both benefited each other.

Out of the operating room, Tao Le deliberately returned to Corey.

When she passed through the waiting area, she didn't see the grandfather and grandson again.

She checked the information of the patients who came for gastroscopy in the afternoon, and soon found the old man.

The esophageal tracheal fistula detected this afternoon is such a case, which is naturally known at first examination.

The patient, 61 years old, named Wu Jun, was 15 cm to 26 cm away from the incisors in the esophagus, with plaque-like protrusions growing into the cavity, clear boundaries of the lesions, rough and uneven surfaces, and small areas of ulceration.

At the same time, in the position of the seventh cervical vertebra to the first thoracic vertebrae, esophagotracheal fistula appeared.

The doctor who did the examination was resident doctor Wang Fushan, who had extracted multiple pieces of tissue from the esophagus for biopsy, but the specific conclusions could not be reached until the pathological results came out.

Tao Le found Wang Fushan, took advantage of him to end a gastroscope, and went in to talk.

"Doctor Tao? How do you have time to come? Wang Fushan was a little surprised.

He naturally recognized Tao Le, and the teaching operation a few days ago was so amazing that it was difficult for him to remember it or not.

The attending staff from the Third Hospital of Haishi humbly asked for advice in front of Tao Le, where did he, a resident doctor, dare to put on a shelf.

"I saw an old man outside just now, choking on rice grains." Tao Le briefly told him about the past, and then asked, "You made a gastroscopy for him, right?" ”

"I did it." Wang Fushan also remembers this old man vividly.

"There is an esophageal tracheal fistula, and it is such a big cancer, whether it can be operated on depends on the pathology in the later stage." He shook his head:

"I immediately sent the picture to Dr. Miao, who received the patient, and she said that the patient should go to her immediately, and she had to arrange for hospitalization immediately to fill the trachea."

When Wang Fushan said this, he pushed his glasses, and his face showed doubts: "You ask this, do you think?" ”

Tao Le hurriedly explained: "It's nothing, I think it's quite close to this grandfather and grandson." ”

She also talked about the situation of the old man alone with the child, which caused Dr. Wang to sigh more than - because he also knew very well that this patient's time was running out.

I can only hope that in addition to his grandfather, the child has other relatives who can help take it, right?

Tao Le got up: "I'll go to the Department of Internal Medicine to find Dr. Miao to ask about the situation, Dr. Wang, you are busy first." ”

"Well, if there's anything you need me to do, just say it!" Dr. Wang sent her out of the endoscopy room.

General Internal Medicine was on the third floor, and Tao Le found Dr. Miao Yan Miao very smoothly.

"Wu Jun? He hasn't come down yet. Dr. Miao frowned: "As soon as I saw the endoscopic results just now, I knew that it was not good, and I have been waiting for him here." ”

She clicked on a list on the table with her hand: "Look at it, the hospitalization notice has been filled out, but I waited for half an hour, and I don't know where it went!" ”

"He's not too young at this age, and he doesn't know the severity at all, he's just joking with his own life!"

Tao Le understands that Dr. Miao is talking angrily, but she is actually worried about the patient, just like herself.

"I think he may have other concerns." Tao Le told what he had learned before, as well as his own speculation: "Probably because of money on the one hand, and worry about no one to take care of the child on the other hand." ”

Dr. Miao was silent for a while.

"Xiao Tao." "You're still young," she asked. There are some things, no matter how hearty we are, it is difficult to help every patient. ”

"I know." Tao Le said. This is not the first time someone has said this to her.

"But, I still want to try, and I can help one by one."

She stood up: "Thank you, Dr. Miao." I just asked for Wu Jun's contact information, so I'm going to call and ask. Maybe he's delayed! ”

Dr. Miao raised his head, looked at the closed door, and was stunned for a while.

She suddenly remembered that when she was young, the deputy director Lin who came from Corry.

She is a postdoctoral fellow at a famous overseas university, with a good family background, and her face is full of humanitarian brilliance.

At that time, Deputy Director Lin strongly advocated the establishment of a fraternity fund in Corey, and also took the lead in donating 100,000 yuan.

She herself was also young and enthusiastic at that time, and then donated 5,000 yuan, and the rest of the department also donated money to a greater or lesser extent.

The fraternity fund did play a role and helped many people, but it soon exceeded its means, and later, it ran out.

After all, how much iron can they beat with just a dozen nails in their Corey?

After that, Deputy Director Lin left the First Courtyard and went to Haishi, and the Foundation or anything was never mentioned in the First Courtyard again.

Just now, she actually saw the shadow of Deputy Director Lin when he was young from Dr. Tao.

This enthusiasm is really good, but sooner or later it will be cold by reality.

Dr. Miao shook his head and called in the next patient.

(End of chapter)