Jian Guohua walked into the special needs ward No. 102 with ease.
This is the ward of Academician Qi Zhengyang. Academician Qi is an internationally renowned physicist. He studied abroad in Eagle Country in his early years, made great achievements in the field of theoretical physics, and won the Nobel Prize in Physics. He returned with full honors twenty years ago and settled in his hometown of Hainan. city.
A few years ago, early symptoms of pancreatic cancer were detected during a physical examination. Originally, if the cancer was in its early stage, surgery could cure it. However, Academician Qi was 80 years old and was not in good physical condition. Therefore, with the insistence of his family, he has been Conservative treatment with a combination of radiotherapy and drugs.
At first, the effect was okay, the condition was suppressed, and the body gradually improved.
Only half a year ago, it was suddenly discovered that the tumor had become larger and the cancer cells showed signs of metastasis, so he immediately moved into the special needs ward of Ruiji Hospital, where the director of the oncology department, Jian Guohua, was responsible for the treatment.
By this time, the patient's health had deteriorated a lot, and the risk of surgery had also increased dramatically.
The family members are even more afraid to undergo surgery easily.
As we all know, pancreatic cancer is a common malignant tumor and is known as the king of cancers. The main reason is that pancreatic cancer is very malignant and difficult to treat. If surgical treatment is not possible, the average survival time for pancreatic cancer is about three months to half a year. Even if surgical treatment is available, the five-year survival rate is not high.
Radical surgery for early-stage pancreatic cancer is mainly pancreaticoduodenectomy. This operation is also the largest operation in general surgery. The operation is very traumatic and the postoperative recovery is very difficult. Many pancreatic cancers are diagnosed in the middle and late stages and lose the opportunity for surgical treatment. Generally, the treatment effect is not good, the degree of deterioration is very high, and the survival time is not long.
Therefore, since Jian Guohua took over Academician Qi's case, he has been working hard to find a specific drug that can target pancreatic cancer. Unfortunately, so far, no drug that is clinically effective against malignant pancreatic tumors has been found.
Now, he finally had a harvest, so he hurriedly came to report the good news.
Jian Guohua walked briskly and greeted with a smile as soon as he entered: "Hello, Academician Qi, how are you feeling today? Are you feeling better?"
The ward is neat and clean, with a white hospital bed in the middle. There are more sofas, cabinets and other furniture around it than in an ordinary ward. The overall look is similar to a hotel room.
An old man with white hair lay half-lying on the hospital bed. His face was sallow and thin. His face became increasingly wrinkled, and he looked weak.
His eyes were half-open and half-closed, as if he was watching the news on TV in a daze.
Sitting on the sofa next to him was a middle-aged man and woman in their fifties, who were obviously family members taking care of him. Their faces were filled with sorrow and they were talking in a low voice.
Seeing Jian Guohua walk in, Qi Yeting and his wife gave out a forced smile at the same time and stood up to respond.
"Hello, Director Jian, it's your ward round again today. Hey, my dad has been feeling worse and worse these days, and even taking medicine doesn't work."
"Is there any change from yesterday?"
Mrs. Qi thought about it carefully, shook her head and said: "Last night, the old man had pain in his abdomen. The pain lasted until he fell asleep in the middle of the night. His urine and urine were very yellow. He still felt nauseous and vomited when he woke up in the morning. He couldn't eat. He couldn't even eat half a bowl of water this morning. I haven’t even finished the porridge.”
Qi Yeting asked very worriedly: "Why doesn't the medicine work? Director Jian, do you think there is anything we can do?"
Jian Guohua picked up the case and various examination reports, looked at them carefully for a while, and then stepped forward to examine the patient.
After pondering for a moment, he said with a serious face: "Let's go out and talk."
The two looked at each other, nodded, and walked to the corridor outside together, talking in low voices.
"Judging from the patient's current condition, the disease is progressing relatively quickly. The CAT scan shows that the tumor has grown much larger and may spread."
"Before, I considered that the patient was older, the trauma of the surgery would be greater, and the prognosis was unpredictable, so I had been using chemotherapy and drug-assisted treatment, but now it seems that the effect is not obvious. If no further treatment is given, the condition may worsen. .”
The Qi couple were stunned for a moment and asked anxiously: "Then how should we carry out follow-up treatment?"
Jian Guohua said sternly: "The main thing is surgical resection, but Academician Qi suffers from pancreatic cancer. This organ is quite special, it is located deep, and there are many blood vessels and nerves around the pancreas. There are also important organs such as liver and kidneys, so the operation is more difficult. big."
"And to tell you the truth, Academician Qi is eighty years old and in poor health. Really, even if I do this surgery, I'm not very sure. But if I don't do the surgery, the tumor will get bigger and bigger. What if? Once the transfer starts, it will be really difficult.”
The two looked at each other and asked sadly: "Is surgery necessary? The old man is so old, what if, what if he doesn't get off the operating table?"
Jian Guohua sighed and said: "This is what I am worried about. No one can guarantee this, and it is not a matter of whether the medical skills are good or not. Even if Academician Qi gets off the operating table safely, we still have no idea about the prognosis. I don’t dare to guarantee it.”
Qi Yeting was so anxious that he stamped his feet and said, "Director Jian, you are the director of the oncology department of Ruiji Hospital. Are you not sure?"
Mrs. Qi said with a face full of anxiety: "Yes, if something goes wrong during the operation, none of us can bear the responsibility."
Jian Guohua was silent for a moment and said: "Academician Qi's status is important, and our doctors can only provide possible treatment plans. Generally speaking, it is still up to the family to decide whether to perform surgery or not."
Mrs. Qi grabbed his hand and begged: "Director Jian, aren't there any imported drugs that are suitable for the disease? I heard that there is an anti-cancer drug that costs only one million per injection. Just one injection is enough. This can cure the disease." Is the old man sick?"
Jian Guohua shook his head: "That's Xinmei's anti-cancer injection, right? Our oncology department did cure a case some time ago, but the patient had lymphoma, not pancreatic cancer, so it was not symptomatic. There is currently no case of pancreatic cancer at home and abroad. Special medicine.”
Mrs. Qi's face was filled with grief, she covered her face and choked with sobs.
Qi Yeting also looked desperate and said: "Director Jian, what should we do? Are we just going to watch him leave like this?"
Jian Guohua hesitated and said: "Actually, it's not completely impossible, but as Academician Qi, I'm afraid if I say it..."
When the two heard this, they immediately asked anxiously: "What is the solution? Please tell me quickly!"
Jian Guohua said with a desperate expression: "That's it. A domestic pharmaceutical company in Kunming has developed a new broad-spectrum anti-cancer drug. It is very effective in treating all types of cancer. Many patients with advanced cancer have completely recovered after taking it." It’s cured. So I think Academician Qi’s condition should also be effective.”
Qi Yeting heard the sound and urged: "Then what are you waiting for? Why don't you prescribe medicine for my dad?"
Jian Guohua hesitated before speaking: "It's just that this drug is still in the third phase of clinical trials and has not been officially launched yet, so I must seek your opinion first."
A look of disappointment suddenly appeared on Qi Yeting's face, and he waved his hands and said: "It's not on the market yet? That's no good. You don't know if this new medicine is effective. And what if there are any side effects or something goes wrong after taking it?" "
Mrs. Qi's expression also became cold: "You just said it was a domestic pharmaceutical company? That's not okay. Who knows where it comes from. It's not that I'm discriminating against domestic drugs. It's just that my dad has an important status. This special anti-cancer drug is guaranteed to be imported. some."
Jian Guohua sighed inwardly, but still wanted to struggle: "The effect of this drug should be no problem. We have reached an authorization cooperation with Pfizer and will soon be launched both domestically and overseas."
Mrs. Qi immediately asked, "Oh, has it been launched in Eagle Country? Has it passed the FDA?"
Jian Guohua suddenly became speechless, shook his head and said: "Not yet, maybe it will take a few months."
Mrs. Qi sneered and said: "Director Jian, we know that you are also trying every means to treat the old man's illness, but you can't seek medical treatment in a hurry. You can't recommend any of the new domestic medicines to us. You can't use dignified academicians as test medicines. Just a guinea pig."
Qi Yeting nodded repeatedly: "Yes, Director Jian, we must take regular medicine. Money is not an issue, but we cannot listen to scammers outside."
Jian Guohua had nothing to say and nodded: "I took it for granted. I'm really sorry. It seems that the only treatment option is surgery. I've told you the specific plan before, but you insist on conservative treatment. Now at this point, I don’t have any better way.”
"Let's do this. Your family members will think about it carefully first and then notify me after a decision is made. We will also make preparations in advance. What do you think?"
The two looked at each other and Qi Yeting whispered: "Director Jian, the truth is, the old man won the Medal of the Republic a while ago and will attend the award ceremony in two weeks. This is the greatest honor in his life. We We can’t let anything happen to him before attending the ceremony, you understand.”
Jian Guohua was shocked and immediately understood why the other party was so difficult to decide on surgical treatment.
He nodded slowly and said, "I understand, thank you for your honesty."
Qi Yeting hesitated to speak: "Actually, my dad also knows that it is difficult to get better, but he doesn't want to miss the award ceremony. Can you see if you can prescribe some painkillers or other medicines to help him survive the past two weeks? . The operation will be performed after he comes back, so that even if he can't get off the operating table, his wish will be fulfilled and he can leave with peace of mind."
Jian Guohua solemnly promised: "No problem, we will definitely meet Academician Qi's request."
