Lin Yongzhen obviously didn't expect the old man to be so stubborn and treat Western medicine chemotherapy surgery as a tiger.

Willing to go without treatment and unwilling to undergo Western medicine surgery chemotherapy regimen.

Are there any risks associated with surgical chemotherapy options?

Lin Yongzhen, who is a Western doctor, still has the right to speak on this point.

Even if he has not been in the hospital for a few years, as a master's student in a medical university, he has seen many cancer patients, and he often hears his parents mention who has cancer, and I am afraid that he will not have long to live.

He'd heard too much about things like that, and he'd seen a lot of them in the hospital.

There is no doubt that chemotherapy is risky, and it is extremely risky, and even The Lancet has warned that chemotherapy is risky.

When it comes to chemotherapy, Lin Yongzhen met Lao Xu, a family member of such a patient, in the Department of Gastroenterology of the Second Provincial Hospital a year ago.

Talking about his wife, Lao Xu cried bitterly, he said that the most regrettable decision he made in his life was to let his wife undergo chemotherapy.

She suffered not to mention, and after only four cycles of chemotherapy, she died.

Before chemotherapy, it was fine, but after chemotherapy, the condition of the person is getting worse and worse, and the tumor not only does not shrink, but gets bigger and bigger.

Regarding chemotherapy, many people believe that cancer cannot be cured at all, and chemotherapy only increases the suffering.

So, if you have cancer, do you need chemotherapy?

The famous medical journal "The Lancet" once published a study, which looked at 23,000 breast cancer patients, and nearly 10,000 patients with non-small cell lung cancer, of which 1,383 patients died after receiving chemotherapy, so it was a reminder: "Chemotherapy is risky, and it needs to be used with caution".

Nowadays, many hospitals, many doctors do not have strict indications for the use of chemotherapy, and we must always remember that chemotherapy is a double-edged sword, chemotherapy can kill cancer cells, and it can also kill normal cells.

Chemotherapy is not 100% effective for cancer, and the effective rate of chemotherapy is only about 30%, but if you do not grasp the indications, regardless of whether the patient can tolerate chemotherapy or not, you can directly use chemotherapy to the patient, which not only cannot receive benefits, but also may accelerate the disease and aggravate the patient's pain.

And......

First, not all cancer patients are candidates for chemotherapy

Chemotherapy is not suitable for people who are extremely weak, cachexia, severe infection, severely low white blood cells or platelets, poor coagulation function, and obvious abnormalities in liver and kidney function.

At this point, chemotherapy not only does not save lives, but also accelerates the patient's death.

Second, for advanced cancer, the indications for chemotherapy should be strictly grasped

For advanced cancer, it is undoubtedly the most abused stage of chemotherapy, and many doctors think that it is already advanced anyway, and a dead horse should be a live horse doctor! Even in order to increase the economic income, patients are given chemotherapy.

This is completely wrong approach, so far, there is no way to cure advanced cancer, chemotherapy for advanced cancer patients, should be more cautious, cautious, and cautious, should fully assess the patient's physical condition, fully communicate with patients and their families, and strictly grasp the indications of chemotherapy, so as to be the greatest responsibility for cancer patients.

However, it is also irresponsible for patients to leave cancer alone because chemotherapy is a huge risk.

What's more, the patient is still his cousin's own grandfather, Lin Yongzhen feels that he can't ignore it, and he must take care of it.

Thinking of this, Lin Yongzhen's face became extremely serious and serious: "Grandpa Lu, I know that you treat chemotherapy like a tiger, but since there is something wrong with your body, then we have to actively treat it, right?" You can't just give up chemotherapy because it's risky, right?

Your condition is not serious and you may be able to recover with just surgery. ”

Can I be cured by surgery?

Lu Qinian scoffed at this: "Yongzhen, it's not that I speak badly, now people who are suffering from cancer, once they go to the hospital, how can they only undergo surgery?"

The tumor is cut off, and it doesn't matter if it spreads, chemotherapy is arranged for you anyway, I'm old now, and the surgery can still survive, but the taste of chemotherapy, even if I haven't felt it, I heard several old friends who passed away also mentioned before, life is better than death, and long-term chemotherapy is accelerating death.

Naturally, it's all a death, why do I have to be stabbed like that? Why do you go to chemotherapy to find yourself pain?

At most, I usually pay attention to it, and I may be able to live a few more years, but if I go to the hospital, maybe I will be gone in a year and a half, and I will be left with no money and no money. ”

The old man is too stubborn.

Lin Yongzhen sighed in his heart.

He was about to speak, when Lin Fangling, who was on the side, saw that the old man was about to give up without even treatment, and hurriedly persuaded him: "Dad, you can't just give up treatment because of other people's conditions!"

Yongzhen also said just now, your condition is not serious, if you really need to actively treat, the possibility of recovery is very high, but if you don't treat, isn't that just letting the cancer cells develop?

You really have to listen to us about this, listen to Yongzhen, he is a doctor in the Second Provincial Hospital, is it difficult to harm you? ”

"I know you won't hurt me, but I don't want surgery for chemotherapy." Lu Qinian shook his head, still insisting on his plan.

Sister-in-law Lu Ran also persuaded her: "Dad, just listen to your sister-in-law." ”

Lin Yongzhen said: "Old man, I learn from the heart, you may not be credible when you say it, just a few days ago I had friends with a deputy chief physician of the Department of Gastroenterology of our hospital, he is a good friend of our teacher, I will send him your situation to see, let him tell you." ”

Saying that, Lin Yongzhen directly took out his mobile phone, and after getting the inspection report from Lu Ran, he quickly sent it to the other party.

The other party may not be too busy at this time, and it didn't take long for him to reply to the voice message.

"He returned."

Lin Yongzhen directly turned on the voiceover.

"I can understand that your old man is worried about this, so I will popularize some knowledge in this area for the old man first, and maybe the old man will know what to decide.

In general, various tumors occur in the small intestine because cells are constantly dividing, and the histological classification of malignant tumors in the small intestine mainly includes neuroendocrine tumors, adenocarcinoma, malignant lymphoma, and sarcoma (i.e., GIST, leiomyosarcoma)

In terms of frequency, neuroendocrine tumors are the most common, followed by adenocarcinoma.

Adenocarcinoma of the small intestine is defined as one of the primary adenocarcinoma of the duodenum, jejunum, and ileum in addition to papillary carcinoma.

Adenocarcinoma of the small intestine accounts for less than 0.5% of all malignant tumors and less than 5% of all malignant tumors of the digestive tract, making it an extremely rare tumor.

Adenocarcinoma of the small intestine occurs frequently in the first half of the small intestine, with about 45% occurring in the duodenum, 35% in the jejunum, and 20% in the ileum.

Early-stage cancers are mostly asymptomatic. In the case of lesions on the anal side of the deep duodenum, most patients are found in a state of high deterioration due to symptoms such as positive occult blood test, worsening anemia, abdominal pain due to intestinal stricture, and intestinal obstruction because it is not possible to observe it through an endoscope as usual.

When duodenal lesions progress, in addition to the above symptoms, it can also block the bile outlet and cause jaundice.

The old man's condition was discovered relatively early, many patients are basically in the advanced stage when they go to the hospital for examination when they have symptoms, and we generally recommend not to treat such patients, especially for elderly patients, no treatment is much better than treatment.

And the old man is surprising, if you actively treat it, the possibility of cure is still relatively high.

Tell the old man, if you want to be treated, I will talk to Director Xue and arrange a time for the old man to diagnose and diagnose. ”

Speaking of this, Lin Yongzhen looked at Lu Qinian: "You also heard it, people are laughing at the deputy director of the Department of Internal Medicine, who is the first deputy of Director Xue, as long as there is surgery, this ironclad kind, and many times it is operated by this deputy director, what he says is always more convincing than what I say, right?" ”

Lu Qinian shook his head slightly, not that he didn't believe Lin Yongzhen, nor did he think that what the other party said was false.

It's just that there are too many examples around me, and after experiencing it, people are numb.

Nowadays, when many people hear about cancer, there are basically few who do not change color.

Lu Qinian is also a human being, when he knew from Lu Ran's mouth that he had cancer, his whole spirit was almost gone, fortunately, he had seen a lot, and several old friends who had passed away reminded him that he really wanted to have cancer one day, and he said that he should not go to chemotherapy if he said anything, that thing was too hurtful.

It's nothing if it can be cured, and the patience is over.

But the key is that chemotherapy does not play much role in cancer at all, and the cancer cells should still spread, and even because of chemotherapy, the resistance of the person itself is also low, giving cancer cells the opportunity to invade other parts of the body.

In many cases, a cancer that does not kill metastasized to the liver or even the whole body after treatment, and people who could live for five or six years without treatment may disappear in a few months.

Even if people are gone, they still leave in torment and pain, and they have no dignity at all.

Although Lu Qinian is afraid of death, he doesn't want to leave this world without dignity one day.

Therefore, after knowing that I have cancer, I have already made up my mind in my heart, saying that I will not undergo surgery and chemotherapy, and it is a big deal to pay attention to it, at most, I will ask if there is a more powerful Chinese medicine doctor, and find a Chinese medicine doctor to recuperate, and I can live a few more years.

Anyway, let him lie on the operating table, he won't do it.

Lu Qinian was thinking about it, when the voice rang again:

"I've said it, I'll talk to the old man about the treatment. It doesn't matter if you don't understand, although Xiao Lin didn't study gastroenterology, but he knows a little bit about these, if you really don't understand, ask me or search the Internet directly.

For stage I to III, "excision of the lesion" is the mainstay of treatment.

In stage I, endoscopic resection is performed if it is determined that the tumor has not advanced to the deep part, and surgical resection is performed for those who are not suitable for endoscopic resection even in stage I, as well as in stage II to III, including lymph nodes around the tumor.

For adenocarcinoma of the small intestine, the effectiveness of postoperative treatment aimed at preventing recurrence by radical surgery, in which no tumor remains visible and can be resected, has not yet been established.

In other words, surgery is usually all that is needed, and chemotherapy can be omitted, but it is necessary to have frequent tests to prevent the cancer from spreading.

In addition, in the case of recurrence after stage IV and surgery, the whole body is treated with chemotherapy in consideration of the condition that the tumor spreads throughout the body.

Regarding chemotherapy for small bowel adenocarcinoma, several reports in the past have shown that one of the treatments for colorectal cancer, "pyrimidine fluoride + oxaliplatin therapy" (CAPOX therapy or FOLFOX therapy), has a good therapeutic effect.

Moreover, besides, the old man's situation is only the early stage, and there is no need for a combination of treatment plans later, which makes the old man feel 10,000 hearts. ”

"Dad, you also heard it, everyone else said so." When the voice ended, Lu Ran immediately opened his mouth to persuade.

"You're going to have to take me to the hospital, to the operating table, and give them a snack, right?"

Lu Qinian was a little angry, blew his beard and glared: "I also know that the initial active treatment effect is good, but as far as I know, the vast majority of people will spread after treatment, and at that time, it will not be unreasonable chemotherapy, chemotherapy."

Death has already won the first place in the world, and chemotherapy is still being continued.

I don't believe that a treatment that everyone is afraid of can be a good way? If chemotherapy can really cure cancer, isn't it cancer?

The old man of the Li family, you know, in the advanced stage of stomach cancer, he has undergone several chemotherapy treatments, and four years have passed, and now his hands and feet are still wooden, the green tendons of his body are still bursting, nerve endings are necrosis, and varicose veins are bursting up.

Lao Li also sent me a WeChat message some time ago saying that it was terrible, and I didn't know how much poison I had infused at that time.

Fortunately, he left the hospital decisively after the operation, and he returned home and adopted other methods, slowly replenishing and carefully adjusting, and his body slowly recovered. If he had continued to be treated in the hospital, it would have been hung up a long time ago.

Any treatment that either revolves around the restoration of the patient's body's original motivation and either improves the patient's immunity is a blind treatment.

Look at the others, they are all the same set of chemotherapy that has been walking, how many of them have lived for more than three years? Look at your Grandpa Li again, how many thoughts have you had until the diagnosis, it has been five years since you calculated carefully, and now you are in very good health, if you really have to be in the hospital for chemotherapy, I am afraid that a few years ago people will be gone.

You don't need to persuade me, I won't cure it. ”

Lu Qinian shook his hand and sat directly on the sofa, his face gloomy.

Several people immediately looked at each other.

It was Lu Xuan, who was overjoyed when he heard the old man's words, the old man regarded chemotherapy as a tiger, which was a good thing for him!

He was worried that the old man would still resolutely choose the plan of Western medicine, and he had already thought of countless ways to persuade the old man in his mind, and even how to deal with his parents.

But now it seems that there is no need to think about it!

The old man doesn't use Western medicine, so he is always willing to take Chinese medicine.

(End of chapter)