It took nearly ten minutes, and Yu Zhiming gave the old man Gu a detailed examination of his heart and body.

He withdrew his hand and got up, and the voice of the old man chasing after him sounded in his ears.

"Zhiming, I am suffocated to death by moving in this acre and three points of land all day long."

The old man who got up shook his arms, kicked his legs, and twisted his waist, showing Yu Zhiming the vitality of his body.

"Zhiming, I have gained fifteen or sixteen pounds, I have eaten a lot, and I feel full of strength, can I leave here and go shopping?"

In view of the inspection just now, Yu Zhiming nodded and said, "In good weather, you can." ”

"However, you need to keep warm, avoid colds, don't get tired, and you need to pay attention to your diet."

Hearing this, the old man Gu was frowning, happy like a child.

"Wife, Qingran, did you hear that? Zhiming said that I can go out and let off steam. ”

"Tomorrow morning, arrange a car for me."

Gu Qingran replied helplessly, and then said goodbye to Yu Zhiming and left, joined Zhou Mo and Duan Yi, who were waiting outside, and went to the confinement center together.

After walking more than a dozen steps, Gu Qingran suddenly said: "Zhiming, my cousin grandfather, who was diagnosed with a bad heart last time, didn't wake up again at noon today, taking a nap after dinner." ”

Yu Zhiming sighed lightly.

Gu Qingran sighed lightly: "After knowing your diagnosis, this Spring Festival, his descendants have rushed back no matter where they are, and have a lively and reunited Spring Festival." ”

"If you go like this, you can be regarded as passing away with a smile......"

At the confinement center, Yu Zhiming adjusted the fetal position of three pregnant women in labor.

Then, he went to Ning'an Lake, the best inpatient building of Ning'an Hospital, and did a physical examination for Meng Fan.

Check the results, it's still good.

No cancer was found, and the degree of recovery of the body exceeded Yu Zhiming's expectations.

However, at this time, can he survive the intense side effects of CAR-T treatment with the blessing of ginseng life-sustaining pills?

"I can't judge."

Yu Zhiming looked at Meng Fan, who was emaciated and weak on the hospital bed, and said frankly to Teng Jian, the chief oncologist on the side, and others: "I can't judge the time node when I started CAR-T treatment, and you need to make your own decision." ”

Dr. Teng and several colleagues made eye contact, but they were silent.

They also know that for Yu Zhiming, clinical experience is very lacking, and it is indeed difficult to determine the time node of the next treatment.

However, they are also not sure to make a suitable time node decision.

As far as the current situation is concerned, the longer it drags on, the better Meng Fan's body recovers, and the more confident he is of surviving the violent physical reaction during CAR-T treatment.

However, more and more cancer cells will multiply in his body, and he may take root in some part of his body, giving birth to new cancerous tissue, so that the cancerous tissue can resist the attack of CAR-T therapy.

It's really hard to determine this time......

Gu Qingran was inevitably disappointed when he saw that the oncologists in his hospital were silent.

He also understands that this is indeed a big problem.

Also, the level of these oncologists in their own hospital is like that, and they are still a lot away from the top.

Gu Qingran didn't embarrass them.

"I will invite several experts from Huashan Hospital to make a comprehensive judgment on Mr. Meng's physical condition......

After leaving Meng Fan's ward, Yu Zhiming conducted physical examinations on the other ten advanced cancer patients who were undergoing rehabilitation treatment one by one.

After the inspection, they were a very expectant inquiry about Yu Zhiming.

Will they be able to receive systemic treatment for his cancer, as Mon Fan did?

Yu Zhiming is telling the truth.

They are either weak in physical condition, or their organs have been completely infected by tumors, and they cannot withstand his treatment plan.

At this time, it was past eight o'clock in the evening.

Yu Zhiming followed Gu Qingran into a luxurious double room and met a couple in their forties.

The man's name is Zhao Hui, 44 years old; The woman's name is Yu Jiana, and she is forty-three years old.

Both of them are wearing hats, and the man is about 1.8 meters tall, and his figure is slightly thin.

The woman was very emaciated, her eye sockets were sunken, she looked unenergetic, and she was lying weakly on the hospital bed.

To Yu Zhiming's surprise, the couple were both cancer patients.

Zhao Hui, who got up to greet him, coughed and introduced: "Dr. Yu, five years ago, my husband and wife sold out the technology company and related technology patents that we started together to the Penguin Group for more than 600 million. ”

"I wanted to live a happy, carefree retirement, but I didn't expect it to backfire, and bad luck continued."

"My wife was diagnosed with breast cancer first, and I was diagnosed with lymphoma a few months later."

This is really a couple who share hardships together.

Yu Zhiming sighed in his heart, and saw Zhao Hui sit down in his wife's hospital bed, hold his wife's somewhat skinny hand, and then introduced.

"After several years of anti-cancer treatment, my wife discovered that the cancer had metastasized six months ago, and there were lesions in the lungs and liver."

"As for me......"

Zhao Hui smiled bitterly and sighed softly: "I first received CAR-T therapy, and the effect was very good, and I thought that lymphoma had been completely cured. ”

"I didn't expect that during an examination two months ago, tumor lesions were also found in the lungs and liver."

Zhao Hui's eyes fell on Yu Zhiming, and he said expectantly: "Doctor Yu, you are the last hope of our husband and wife." ”

"Let's have a physical check-up first!"

Yu Zhiming replied without emotion, put on surgical gloves, and checked Yu Jiana's body on the hospital bed.

Yu Jiana's mammary gland has been completely removed.

During the examination, Yu Zhiming found that in addition to the cancerous metastasis of the lungs and liver, her axillary lymph nodes and subclavian lymph nodes also metastasized and cancerous.

The situation is not optimistic.

Then, Yu Zhiming gave Zhao Hui a physical examination.

The results of the examination made his brow furrow a little tighter.

"Ms. Yu, your body is too weak."

"And you, Mr. Zhao, the four lobes of the five-leaf liver have all appeared cancerous to varying degrees."

Yu Zhiming said bluntly: "I must regret to tell you that neither of you is suitable for my system therapy. ”

After a brief silence, Zhao Hui became excited.

"How is that possible? How can it be! ”

Zhao Hui was short of breath and said, "Doctor Yu, are you making a mistake in your investigation?" Are all four lobes cancerous? ”

"So fast? Impossible. ”

Zhao Hui suddenly thought of a little, and asked eagerly: "Doctor Yu, it's not that the liver is powerful, it has a strong compensatory function, and it can grow back after cutting." ”

"Only one leaf of healthy liver should be enough to support the body's needs, right?"

Yu Zhiming slowly shook his head in the face of Zhao Hui's expectant and longing gaze.

The liver is the largest substantial organ of the human body, with strong compensatory ability, and the normal liver is reddish-brown and soft and brittle.

If the texture of the liver is better, only about 30% of the liver is needed to meet the needs of the human body.

Therefore, in a parental liver transplant, the donor generally contributes 60 to 65 percent of the liver.

These 60 to 65 percent of the liver, transplanted into the recipient, do not cause small liver syndrome.

In this case, the safety of the donor and the safety of the recipient can be guaranteed.

However, there is a premise for this, that is, the texture of the liver is good, and its function is not damaged much.

When the texture of the liver is affected by diseases, such as hepatitis B, hepatitis C, alcoholic liver, fatty liver, drug liver, etc., liver fibrosis and cirrhosis.

If the lesion persists for a long time and causes damage to the liver, or even reaches the decompensated stage of cirrhosis, the function of the liver is significantly reduced.

If a part of the liver is removed, it is easy to develop insufficient liver function and risk of liver failure.

Yu Zhiming explained: "Mr. Zhao, you have a relatively serious fatty liver, and the loss of liver function is not small, according to my estimate, at least 50% of the liver must be preserved to maintain your body's needs. ”

"And now you only have one lobe of the liver that has not metastasized and become cancerous, less than 20 percent."

Yu Zhiming could see the light in Zhao Hui's eyes, extinguishing little by little.

But the next moment, he grabbed Yu Zhiming's arm.

"Liver transplant? Is it possible to have a liver transplant? ”

"What I have is money, and nearly 300 million funds, I can only live, and I can spend it all."

Yu Zhiming's arm was a little painful when he was clutched by Zhao Hui, obviously this was the other party's emotions out of control.

He took a step away from his arm before explaining, "A liver transplant requires a significant reduction in your own immunity, which causes cancer cells in your body to bloom all over your body. ”

After a pause, Yu Zhiming said again: "In this way, I will draw the location and extent of the cancerous changes in your liver." ”

"Ask a liver surgeon to see if they can save more liver."

Surgical methods for liver cancer resection can usually be divided into regular resection and irregular resection.

Among them, regular liver resection can be divided into resection of the left lateral lobe, left hepatic hemi, and left trilobe, as well as right anterior lobe, right posterior lobe, right hemiliver, right trilobe, and middle lobe.

Irregular liver resection refers to local resection, including wedge resection, fusiform resection and enucleation of liver cancer.

Generally speaking, cancer resection is used to enlarge resection that is wrong and does not let go.

In addition, the removal of whole lobes of the liver is less difficult to operate, and the patient's recovery speed is also faster.

Irregular resection of the liver has only gradually emerged in recent years with the advancement of surgical techniques.

In view of the great richness of the hepatic blood vessels, it has very high requirements for the skills of the surgeon.

Yu Zhiming's words made Zhao Hui hope again.

"Doctor Yu, Dean Gu, I must invite the most powerful liver surgery experts in China to come for consultation!"

"No, the best in the world."

"What I have is money!"

At this moment, Yu Zhiming heard a whisper.

"Dr. Yu......"

He followed the sound and looked at the hospital bed.

Yu Jiana's lips moved slightly, "Doctor Yu, I want to gamble once, I would rather die on the operating table than wait for death in the hospital bed like this......

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)