Zhao Yuan then followed Ling Zhen to the next ward to conduct a preoperative examination for another patient.
This patient’s condition is quite normal!
He suffers from a mediastinal tumor and the area is relatively large. If he were an ordinary doctor, he might have to do a thoracotomy, but with Zhao Yuan's ability, laparoscopic and tubeless surgery would be enough.
The patient's family members knew a lot in order to find a suitable doctor. They knew that Zhao Yuan was even more powerful than Mori Kawasaki, so they racked their brains to hire Zhao Yuan.
Now and then, the consultation patients Zhao Yuan is now in contact with usually have connections and unusual identities.
He also wants to do more to help the strong and the weak.
But as his reputation becomes more and more famous and his strength becomes stronger, the proportion of patients with family difficulties is actually gradually decreasing.
However, Zhao Yuan believes in fate very much. Once he encounters someone, he will not only try his best to save him, but also try his best to help the other person financially.
When I reached the position of department director, I already had some funds in my hands that could be used flexibly.
He has a clear understanding and there seems to be a lot of funds, but the number of people he can help is still limited.
Only by going further and higher can we be able to bring the gospel to more people.
Zhao Yuan initially communicated the details of the operation to the patient, then said goodbye and left.
Ling Zhen paid attention to Zhao Yuan silently.
The biggest impression is that the younger brother's character is too calm.
No matter what kind of patient he is, he can remain neither humble nor arrogant.
When they arrived at the dean's office, the man who hosted the banquet was already waiting. When he saw Zhao Yuan and Ling Zhen appear, he stood up instantly.
"Director Zhao, when my father met with you just now, he spoke rudely. I apologize to you on his behalf."
Zhao Yuan thought to himself that the patient's son had a very high emotional intelligence.
He waved his hand with a serious expression, "I can understand why he had that reaction. It is closely related to his illness."
When Ling Zhen heard what Zhao Yuan said, he frowned and fell into deep thought, then his eyes lit up.
Ling Zhen is a Yangtze River Scholar in Thoracic and Cardiac Surgery. Although his main research field is not lung tumors, he is also an experienced top expert.
He is usually busy, so he doesn't have much contact with patients. Many things are handled by the people below, so sometimes oversights are inevitable.
"You mean, his lung tumor has metastasized?" Ling Zhen asked tentatively.
Zhao Yuan looked serious, "Yes, it should have been transferred to the brain. However, according to my judgment, it should be an isolated brain transfer, and the process is relatively short, and the occurrence time is not long."
Although the patient's son does not know what brain metastasis Zhao Yuan is talking about, normal people know that once the tumor metastasizes, it means that the tumor has entered the middle and late stages, which means that the degree of deterioration is high and the difficulty of radical cure is low.
He looked at Zhao Yuan nervously, "What should we do?"
Zhao Yuan comforted him, "Don't worry, let's do a checkup first."
Ling Zhen called Liang Hongbin into the office and ordered, "Let the old man in the advanced ward have a more detailed examination, especially on the brain."
Liang Hongbin's eyes widened, "Do you want to check for brain metastasis?"
Ling Zhen said, "There was no troubleshooting before and there was a mistake. In the future, you still have to think more carefully and thoroughly when considering the problem."
In the early stage after brain metastasis occurs, it is not easy to detect it with conventional CT MRI, but some uncomfortable symptoms such as pain, nausea, and vomiting will appear.
Brain metastases from lung cancer often occur silently.
At this time, it is necessary to judge through cerebrospinal fluid puncture, etc., which will be accompanied by an increase in pressure and protein.
Liang Hongbin was skeptical because the probability of lung tumors metastasizing before the mid-term was relatively low.
Waiting for the latest test results, the man looked a little restless.
Ling Zhen also became silent.
Zhao Yuan took his mobile phone and studied the patient's information.
Liang Hongbin soon appeared in the office with the report. His expression was as complicated as his mood. He said with difficulty, "As analyzed by my junior uncle, the patient's lung tumor has brain metastasis."
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The man asked excitedly, "What does brain metastasis from a lung tumor mean? Is it hopeless?"
Ling Zhen looked at Zhao Yuan calmly.
Zhao Yuan knew that Ling Zhen was waiting for him to explain the treatment method. He compared the two CT scans and said reassuringly, "There are many cases of lung tumor and brain metastasis, but your father's case is relatively mild. He is lucky, except for the brain metastasis." Apart from the two lesions, it has not metastasized to other locations.”
Among the metastasis sites of lung cancer, the most common sites are the brain, including intracranial brain tissue metastasis and meningeal metastasis. Data show that 20% to 65% of lung cancer patients will develop brain metastasis during the course of the disease.
The man's expression became much more relaxed, "Director Zhao, please cure my father."
Zhao Yuan nodded, "Tomorrow's operation will proceed as normal. However, a neurosurgery operation will be added."
Liang Hongbin looked at Zhao Yuan in surprise. He knew that Zhao Yuan planned to perform surgery to remove brain lesions at the same time.
Some people say that anyway, they all have brain metastases, the tumors are in advanced stages, and they are terminally ill. If they are discovered early and late, the result will not make any difference.
This idea is wrong. If intracranial lesions are detected early and there is no obvious brain edema, complete intracranial remission can be achieved through precise radiotherapy.
A few patients can even choose surgery if their systemic lesions are well controlled.
Although the man's father was not among the few patients, Zhao Yuan was confident that he could remove the brain metastasis in one operation.
You must know that the junior uncle is also a master of neurosurgery.
After the patient's son left, Liang Hongbin expressed confusion, "Uncle, how did you determine that the patient had brain metastasis?"
Zhao Yuan explained, "When I checked with the patient, I found that his mood fluctuated severely, and he even showed symptoms of Alzheimer's disease. Generally, Alzheimer's disease is related to brain atrophy, but there is also a high probability that it is closely related to brain metastasis. Related."
Ling Zhen glanced at Liang Hongbin indifferently, "Are you saying that your junior master uncle is not awesome?"
Liang Hongbin recovered from his surprise and said, "Awesome, really awesome."
Many people in the ward only pay attention to the old man's harsh tone of voice and irritable mood, but do not connect it with the development of the disease.
But Zhao Yuan observed this detail.
To be honest, if it weren't for Zhao Yuan's unexpected discovery, although this operation could still be completed, it would be unfair to the patient and his family.
If brain metastases are not treated in time, they will quickly turn from mild to severe. Even if the tumor development can be controlled with chemotherapy and other methods, there is still a high risk of recurrence.
Sometimes this is where the difference between a good surgeon and a bad surgeon lies.
It seems that they all had a physical examination, but the diagnosis was different and the extent of the resection was different.
Ling Zhen had a completely new view of Zhao Yuan.
See the big from the small!
Starting from the physical examination, he showed his unique strength.
Despite being in an unfamiliar environment, I was able to find my feet immediately.
This kid has a natural ability to make people trust him.
