Chapter 415: Preliminary formulation of radiotherapy and chemotherapy protocols
"Dr. Zhao, then I'll talk to her when I go back."
Sun Xin was pleased to see that Zhao Heng had agreed, and immediately said with some joy.
Although intellectually speaking, Sun Xinxin knows that advanced malignant tumors such as Ewing's tumor are actually treated in the same way.
But because of her own experience, Sun Xinxin always felt that there seemed to be a glimmer of possibility on Zhao Heng's side.
With Zhao Heng's approval, Sun Xinxin stood up and left the office happily.
After Sun Xinxin left, Zhao Heng also sighed slightly.
There used to be such a couplet in front of a pharmacy [I hope there is no disease in the world, I would rather have medicine on the shelf]
The general idea is that there is no disease in the world, everyone is healthy, and naturally there is no need to buy medicine, so the medicine in the pharmacy will be dusty. If there is no business in the pharmacy, the life of the people who open the store will be a problem, but I would rather live a hard life and let everyone live a healthy life.
Although curing diseases and saving people is Zhao Heng's ability to eat, sometimes Zhao Heng really thinks that if there is no disease in this world, he would rather be unemployed.
But is this world really just a matter of disease?
The human heart is probably the biggest disease in the world!
Three o'clock in the afternoon.
In the central consultation room.
In the consultation room, Liu Meng stood behind Zhao Heng.
Before waiting for tomorrow, in the afternoon, Sun Xinxin took her little sister Wu Yiming and Wu Yiming's parents to see Zhao Heng together.
"Yiming, uncle and aunt, this is Dr. Zhao."
Sun Xinxin sat next to her and introduced Zhao Heng to Wu Yiming and her parents.
"Doctor Zhao."
The little girl Wu Yiming was pale, looked at Zhao Heng with hopeful eyes, and said hello a little timidly, which was completely different from the appearance of the so-called [Little Witch] when she was in the team before.
Think about it, eighteen or nineteen years old, it is the age when flowers bloom, at such an age, but with osteosarcoma, a terminal disease, as a promising top skier, but still have to face the extremely cruel thing of amputation, even if you are optimistic, you will be affected.
Seeing his daughter like this, Wu's father and Wu's mother, who were standing behind, also sighed.
Sometimes the two also wonder why, such a terminal illness fell on their flower-like daughter.
"You've done all the tests at the Friendship Hospital, right?"
Zhao Heng nodded and asked routinely.
"Well, Dr. Zhao, the results are here."
Father Wu handed a paper bag containing the results of the examination to Zhao Heng.
Zhao Heng took the bag and began to look at it carefully, this time, he sighed slightly in his heart, sure enough, there was no luck, all the examinations, including the biopsy, showed that the girl in front of her was indeed suffering from Ewing osteosarcoma, which was undoubted.
When Sun Xinxin said it before, Zhao Heng still thought that if it was a misdiagnosis or something, now that he looks at it, there is no problem in diagnosis.
"Dr. Zhao, is there a problem with the diagnosis?"
Seeing Zhao Heng's solemn expression, Father Wu couldn't help but ask with a glimmer of hope.
Although he also understands that the chance of having a problem with the diagnosis is very small, after all, he was treated in a friendship hospital before, and the medical level of the friendship hospital, in general, is not comparable to that of the Oriental Hospital.
"There is no problem with the diagnosis."
Zhao Heng shook his head slightly and said.
"Ugh.
」
Hearing Zhao Heng say this, Wu Yiming's originally hopeful eyes immediately darkened, and Wu's father and Wu's mother also let out a faint sigh.
"Dr. Zhao, can we go to the lower hospital first? I've heard people say that you're the best place to treat incurable diseases."
Father Wu said to Zhao Heng again.
After Sun Xinxin told him about Zhao Heng, of course Dad Wu learned some things about Zhao Heng, and after understanding, Dad Wu thought that on Zhao Heng's side, maybe there was still a glimmer of hope, so he arrived
Come over here.
"Yes."
Zhao Heng nodded, although the cure rate of Ewing's sarcoma is very low in clinical practice, but in terms of the collective technology mastered by Zhao Heng, maybe there is still a glimmer of hope.
"Thank you, Dr. Zhao."
Hearing that Zhao Heng should come down, for no reason, Father Wu breathed a sigh of relief, he was really afraid that Zhao Heng would refuse, in this case, he really didn't know what to do.
During this time, he consulted a lot of doctors, and he actually knew about adolescent patients with Ewing's sarcoma.
The only difference and difference may be the way of waiting for death.
"Dr. Liu, take them to the hospital."
Zhao Heng turned his head and said to Liu Meng.
"Okay, Director."
Liu Meng nodded, although it was said that Ewing osteosarcoma, a bone cancer, should be admitted to orthopedics or oncology, but Liu Meng knew that for Zhao Heng, who was proficient in multidisciplinary treatment, no matter what kind of patient he was, he could be admitted.
Soon, Liu Meng took Wu Yiming and Wu's father and mother to the hospital together, and on the way to the inpatient department, Wu Yiming suddenly asked Liu Meng, "Sister, this doctor brother can cure Sister Xinxin, can he also cure me?"
"I'm going to give it a try anyway, for now, the director's side can be said to be the most powerful doctor in the country."
Liu Meng saw the girl's expectant eyes, thought about it, and said very objectively.
When she said this, it was not an exaggeration at all, after all, Zhao Heng's level has been widely recognized, and there is no need to prove anything.
Let's just say that the current ward is actually very difficult to live in, if Sun Xinxin hadn't found Zhao Heng directly, just to be hospitalized, at least it would have to be queued for about a month.
Since Ma Jianteng's son Ma Xiaochen is in sight to be cured, many people who don't know where to get the news have sent patients with incurable diseases to the center, but with the current size of the center, it is actually difficult to accept so many patients.
Therefore, only a small number of patients can be admitted to the center, and as for the rest of the patients, they are all triaged to various departments.
Of course, the level of doctors in other departments of Dongfang Hospital is also among the top in the country.
"Uh-huh."
Hearing Liu Meng say this, Wu Yiming and Wu's father and mother were all bright-eyed.
Soon, Liu Meng took Wu Yiming to the hospital.
An hour later.
In the ward, Zhao Heng and Li Haiyang from the oncology department stood in front of Wu Yiming's bed.
Since Liu Shangming became the dean, Li Haiyang, as a close disciple of Liu Shangming, has naturally risen and is now the deputy director of the oncology department.
Of course, Li Haiyang is also fully qualified to be the deputy director of the oncology department.
In terms of tumor treatment, although Zhao Heng can also be said to be proficient, he has always handled more patients with Li Haiyang, and in terms of treatment plan, he still has to refer to the opinions given by Li Haiyang, after all, he is the deputy director of the professional oncology department.
"I don't know if you've considered surgical excision?"
After looking at the case and the test results, Li Haiyang thought for a while and asked Wu's father and Wu's mother.
In his opinion, Wu Yiming's situation is already very dangerous, and if there is no surgery, the cancer cells will definitely spread quickly.
Of course, even if surgery is performed, it is possible that the transplanted tumor cells will only spread within a certain range.
"Is the surgery going to be amputated?"
Dad Wu asked.
As soon as she heard the word "amputation", Wu Yiming's little face was full of rejection, it can be said that as a top athlete, even if she died, she would not choose to amputate.
Even if she died, she would die in a sound way.
"It is possible to have a partial amputation, not a full amputation."
Li Haiyang naturally also understands that Wu Yiming is a top athlete, so for Wu Yiming and his family
He is also very empathetic.
"Mom, Dad, I don't amputate my limbs!"
Wu Yiming looked at his parents very stubbornly, his eyes were firm, and his willpower was very strong.
The training of athletes is very hard, and as an athlete who can enter the national team, the amount of training is even more imaginable, so although Wu Yiming looks like a little girl on the outside, she is actually very strong on the inside, and her psychological quality is very strong.
"Okay, okay, no amputation, we don't amputate!"
When Wu's mother saw her daughter like this, tears flowed out of her eyes and she hugged her daughter.
"Doctor, if I don't have an amputation, will I have to do radiotherapy?"
Father Wu asked Li Haiyang very nervously.
"In the early stage of treatment of Ewing's sarcoma, chemotherapy is relatively sensitive, and a combination of multi-agent chemotherapy and radiotherapy with local control measures may have a certain effect."
"However, radiotherapy and chemotherapy are relatively damaging to the body, especially in the current case of cancer cell infiltration, the dose required is very large, and after radiotherapy and chemotherapy, it may cause gastrointestinal reactions such as nausea, vomiting, abdominal pain, bone marrow suppression and bleeding, as well as liver damage, especially hair loss, these symptoms will be more obvious."
Li Haiyang said slowly.
Before radiotherapy and chemotherapy, these side effects must be clarified.
Radiotherapy and chemotherapy, to put it bluntly, are a kind of treatment methods that kill 3,000 enemies and self-inflict 800 damages, and at present, the treatment of cancer cannot be very accurate.
Although Zhao Heng used a very precise nano treatment method for Ma Xiaochen's glioma treatment before, there are so many types of cancer, even if Zhao Heng encounters a cancer patient, it is impossible to develop targeted precision nano treatment methods every time he encounters a cancer patient.
Not to mention whether this method can be developed, the vast majority of patients cannot afford to wait.
can cure Ma Xiaochen, it can only be said that the time, place and people are all right.
Clinically, sometimes it takes a little luck, which is the luck of the patient and the luck of the doctor.
"Dr. Zhao?"
Hearing Li Haiyang say this, Father Wu couldn't help but look at Zhao Heng, as if asking for his opinion.
"Dr. Li is the deputy chief physician of the Department of Oncology, and he is very authoritative in radiotherapy and chemotherapy, so at present, the only way to delay the growth of cancer cells is to use radiotherapy and chemotherapy to buy a little time, and then I will think about whether there is any other way."
Zhao Heng comforted Father Wu and said.
"We listen to Dr. Zhao, Dr. Li, I'm sorry for you."
Father Wu has always seen the world and quickly made a decision.
"In this case, the first phase of treatment is to use ifosfamide combined with foot acetylone, and multi-wash paclitaxel combined with gemcitabine, so that the early effect should be more obvious."
Li Haiyang nodded, thought about it and said.
"A certain amount of bone marrow stem cells can be prepared for injection, so that the damage to the bone marrow can be minimized."
Zhao Heng thought for a while and said.
"That's okay, I almost forgot, you are currently the most proficient in stem cell therapy in China."
Hearing Zhao Heng's words, Li Haiyang's eyes lit up and said.
Hearing the conversation between Zhao Heng and Li Haiyang, Wu's father, Wu's mother and Wu Yiming were all inexplicably relieved, and it can be seen from the dialogue and attitude of these two people that the level of the two is indeed the kind of medical experts.
This made Wu Yiming's family have some hope in their hearts.
After the consultation, the plans for radiotherapy and chemotherapy were formulated, Li Haiyang and Zhao Heng also came to the office, Zhao Heng made a cup of coffee for Li Haiyang and himself, and the two sat on the sofa, chatting while drinking coffee.
"Doctor Zhao, no, I should call you Director Zhao now, your center is really famous now, I heard that the inpatients are now waiting for a month."
Li Haiyang said to Zhao Heng with great admiration.
"Aren't you also Director Li?
」
Zhao Heng glanced at Li Haiyang and said.
With Li Haiyang's teacher Liu Shangming becoming the dean, Li Haiyang's status in the East Hospital can be said to be a rising tide, not to say sideways, it is almost the same.
However, Li Haiyang, as Liu Shangming's closed disciple, is also very competitive, and in terms of medical level, it is more than enough to be qualified as the deputy director of the oncology department.
After all, I have been following an old man like Liu Shangming for more than ten years, not to mention ten percent, seven or eight percent of the skills and technologies, that is also learned.
"I, the director, still have to be close to you, in fact, I think that our two departments can jointly set up a stem cell therapy center, after all, the application of stem cell therapy is too wide."
Li Haiyang said with some sighs.
Although I don't know how Zhao Heng did it, at present, in terms of stem cells and nanotherapy, Zhao Heng can be said to be the only level in China.
"I don't have time to set up another center.
」
Zhao Heng said disappreciatively.
He has enough things on him now, how can he have any extra time to engage in a stem cell therapy center.
"I'll leave this matter to me, you don't have to worry about it, you just need to come and do the technical guidance."
Li Haiyang said.
He really hopes to set up such a center, because now the treatment of tumors has reached a bottleneck period, and looking at the world, there is no big breakthrough in the treatment of tumors.
Therefore, stem cell therapy, strengthening itself to fight tumor cells, can be said to be a new way of treatment, which has great prospects for development.
"Technical guidance is no problem, as long as you don't be like someone and catch my strong man every day."
Zhao Heng nodded and said, as for the person he said who often arrested his strong men, of course, it was Liu Ziang, the deputy director of the Department of Brain Surgery.