When it comes to tumors, to be honest, doctors have not made much progress in the past 20 to 30 years. There is no leapfrog development like in the early years.
To use a simple metaphor, in the face of tumors, surgeons dig out the flesh, physicians prevent poisons, and radiologists grill them! A few decades ago, not much had changed.
That is to say, there are more types of drugs, slightly more surgical methods, and the dosage of radiation has changed. Most of the outcomes are that the tumor cells are not killed and the patient has died.
Therefore, the old ancestors of China have already made this most important issue of disease treatment clear a few years ago. Bian Que, written by Han Stuttering, made it clear when he met King Cai.
In the treatment of diseases, prevention is better than cure!
However, bone tumors are different. Just as their material is different from that of most other tissues in the body, their disease mechanism is also different from that of most other tissues.
In medicine, when a doctor faces a disease, he often has four things in his mind: 1. Cause (how does this thing come about), 2. Symptoms (how does this thing appear), 3. Treatment (should it be meat or meat? It’s time to take medicine), 4. Result (cured, not cured).
And when it comes to bone tumors, all doctors think about is amputation? No amputation?
Because there is no organization that can explain clearly how this disease came about!
If we talk about the surgical results of other tumors, patients may not be particularly clear about them. At most, they can touch their stomachs in the dead of night and wonder: "It seems like there is a piece missing inside!"
However, bone tumor patients can clearly feel it. The later it is discovered and treated, the more obvious the feeling will be! He would often touch the missing arm or leg and ask questions like, "Where is my leg!"
In the operating room, Zhang Fan was the surgeon, and the director of the second department of orthopedics, Lao Wang, was the first assistant, Lao Gao was the second assistant, and Chen Qi was the third assistant. They were able to get on the stage. It can almost be said that all the doctors with the highest level of orthopedics in Chasu City Hospital are here.
Not to mention Lao Gao and Lao Wang, Chen Qi, the director of the old brand, did not underestimate him either. Even though he was thinking about RMB every day, his level was not comparable to that of Xu Xian, Wang Yanan and the others.
Under the table, Xue Fei prepared various equipment. This kind of surgery requires a lot of instruments, from hammers to electric drills, from rongeurs to ear pick-like bone keys, and an instrument table is set up.
Wang Yanan, Xu Xian, and Zhou Guofu have all washed their hands and are always ready to provide support.
There is no need to talk about the lineup of the anesthesiology department. From the director to the apprentices led by Dr. Xia, everyone is here.
Nurses, from the general nurse to the junior nurses in the operating room, are all on standby.
Do we need so many people? unnecessary! However, everyone felt as if they were holding back a pain that they couldn't swallow or spit out.
I always want to do something for Dr. Xia.
The operation begins.
Zhang Fan took the knife and started to extend it along the protruding wound on the bone.
The blade of the knife cut across the old lady's leg like a red line. The legs, which didn't have much flesh in the first place, looked like they were wearing a pair of red-lined tight-fitting yellow long johns.
"Try to make the incision as large as possible!" Zhang Fan didn't know whether to say it to himself, to others, or to the numb Doctor Xia.
The blade slid past, and blood slowly overflowed from the incision like beads.
"Electrosurgical knife!" Under the curl of green smoke, Dr. Xia's right lower limb was like a down jacket that had been pulled open, and the underwear underneath was exposed.
Broken bones are not visible.
Normal bones, general fractures, and more than three scattered bone fragments can be called comminuted fractures.
The broken ends of Dr. Xia's bones were scattered among the wrapped muscles like tofu dregs. The bones were corroded by the tumor like slices of thin potato chips, without any hard feeling.
"Tweezers!" Taking the tweezers, not only Zhang Fan was holding tweezers, but also Lao Wang, Lao Gao and even Li Qi.
The four of them were like children eating a mat, constantly looking for the sesame seeds in the meat.
One after another, he clamped the broken bone fragments out from among the bloody muscles.
Tumor surgery pays attention to thoroughness. Generally, during debridement and excision, normal tissue is removed away from the tumor tissue.
It goes without saying that these broken bone fragments are definitely carrying tumor cells. They are like seeds. If they are accidentally left in the body, it will not take long for the patient to relapse.
Forty-eight, Lao Gao, Lao Wang, and Chen Qi are all fifty. Under the shadowless lamp, the pieces of yellow teeth are really like the crumbs of potato chips. They keep pinching and pinching!
Not only were my eyes extremely sore, but even the fingers holding the tweezers began to feel sore.
"High Court, let me go!" Wang Yanan gently wiped the sweat from Lao Gao's forehead and said in a low voice.
"No need, this is probably the last major surgery in my life, and it's still being done by Lao Xia. I can stand to the end no matter what!"
Lao Gao wanted to smile, but he couldn't.
After almost forty minutes, the potato chip-like bone debris was finally removed and was no longer visible to the naked eye. Zhang Fan stuffed his hands into his muscles and closed his eyes.
Just like a blind man touching an elephant, he touched it from beginning to end.
Clamping clean pieces, there's the hard stuff. The tumor on the bone is like a house that has not been lived in for many years, and the walls are full of signs of moisture and mold.
This kind of thing is the most difficult to deal with. Sometimes it is scraped onto the cement surface, and there seems to be some. In fact, bone tumors are similar to this situation.
Just like a carpenter, Chen Qi hugged his legs, and Zhang Fan took Lao Gao and Lao Wang from tweezers to bone keys. One spoon after another, he kept digging out the marks of the tumor attached to the bone surface.
This kind of mark is very difficult to deal with. If you use less force, you won't be able to dig. If you use more force, you might be able to break the corroded bones.
Use a bone spoon for large areas and an electric drill for small areas.
There was a squeaking sound, and blood foam overflowed in the operating room.
…
Outside the operating room, Ouyang has driven away all the doctors surrounding him. The old lady gets annoyed when she sees anyone now.
Ren Li coordinated the young doctors to start drawing blood. Ren Li kept choosing who was in good physical condition and who could rest recently.
Dean Ju and the doctors from the oncology, internal medicine and radiology departments have already begun to discuss postoperative radiotherapy and chemotherapy.
"Teacher Xia is old, and the radiation dose is too high!"
"The dose must be larger in the early stage, otherwise the effect will not be good. Please ask the internal medicine doctor to find a way to adjust Teacher Xia's body, and the first round of radiation must be completed!"
Doctors in the Department of Medical Oncology and Radiology were in a quarrel.
Chen Sheng was already waiting for Teacher Xia’s daughter at the Chasu Airport.
Because Chasu Hospital is getting better and better, the relationship between the airport and the hospital is getting better and better. When the leaders here heard that Chen Sheng was going to pick up someone, they immediately let him go.
Let Chen Sheng's 120 enter the airport. On a normal day, Chen Sheng would definitely brag about it in his QQ group, but today, Lao Chen had no such intention.
Thanks to the reputation of Chasu Hospital, many major cities now have direct flights to Chasu. Unlike before, I would take a plane and sometimes spend the night in other cities.
The plane descended slowly and the cabin door opened. Dr. Xia's daughter ran off the plane with her husband and children as if trotting.
"Uncle Chen, my mother, how is my mother!" The woman's face was already filled with tears.
Lao Chen felt uncomfortable looking at the girl he had watched grow up, but he still wanted to say nice things so that she shouldn't worry too much.
"Don't worry, don't worry, Zhang Yuan performed the surgery himself, and all the orthopedic directors in the hospital went to the operating table. It will be fine. Let's go back to the hospital first!
Why don't you let your husband go home first? "
The woman was already crying and couldn't do anything. "Uncle, let's go to the hospital together and see my mother first! We were worried when we went home!" The woman's husband also called Uncle Chen Sheng after his wife.
120 When you enter the hospital, the world will not stop without one person, although the doctors and nurses in the hospital today seem to have the face of not allowing strangers to enter.
But there are still a lot of people going to the hospital to see patients, coming in and out.
Dr. Xia's son-in-law was holding the child and supporting his wife with one hand. The woman was almost reduced to a pile of mud.
When they arrived at the operating room, they didn't know if they were remembering the days when they were young and working with their mother, or if they were remembering that their mother had helped them buy a house in a big city in the past few years, and she thought that her mother didn't help her take care of the children. I have some small comments.
"Wow!" cried out. The child beside him didn't know why his mother was crying so sadly. He grabbed his father with his little hand, and kept wiping his mother's tears with his other hand.
"Mom, mom, I'm back, your girl is back! Mom!"
Ouyang was originally in the lounge of the operating room. When she heard crying, she ran out.
Originally he wanted to curse, but when he saw the scene in front of him, Ouyang's eye circles turned red involuntarily.
"Yan, stop crying. The doctors inside are operating on your mother. Don't affect them. Don't worry, the doctors inside will not give up on your mother!"
"Aunt Ouyang!" The woman threw herself into Ouyang's arms, crying so heartbroken that her lungs were broken and her heart was broken.
Cancer, when non-medical people hear this word, their hearts will probably tremble, let alone my own mother.
Dr. Xia's wife was also taken to the hospital. Although the old man didn't cry loudly, his beard was stained with teardrops. It could really be said that he was crying.
Time passed by little by little.
In the operating room, Chen Qi's legs were wrapped and his face was blue. But he gritted his teeth and remained silent.
The bones had been repaired one after another by Zhang Fan. The round bones were like the rice pops that naughty boys ate when they were children.
He licked his eyes everywhere with his tongue, and even called him Xiao!
"The tumor has almost reached the knee joint. Zhang Yuan, can I save my leg?" Lao Gao asked softly.
