Chapter 832 Xu Qiu's Wisdom
Xu Qiu stared at the patient's family, wondering for a moment whether the son wanted his mother to die or really had the same idea.
But after a moment, he retracted his gaze.
This guy really believed what his mother said...
"Are you also a Buddhist?" Xu Qiu asked.
The man pretended to be indifferent and said proudly: "That's right. My mother taught my brother and I to be vegetarians since we were young. My father is the only one in our family who doesn't believe in Buddhism."
It's true... Xu Qiu pondered for a moment, then asked: "The Buddhist scriptures say that there are 84,000 insects in a bowl of water. How do you usually drink water?"
"Recite the water purification mantra."
"That's easy. I'll give you the antibiotics first, and you recite the bacteria purification mantra first. In this way, the bacteria will be transcended, and the antibiotics will have nothing to do with it."
The man was stunned for a moment and didn't react for a while.
When he understood Xu Qiu's meaning, he turned to ecstasy, thanked Xu Qiu, and left in a hurry, leaving a sentence: "It's worthy of being Dr. Xu, you are so wise! I'll go and ask for the bacteria purification mantra now!"
Bang
The door of the office closed again, and the man's voice became faster and faster.
In the office, Xu Qiu and Shi Lian looked at the closed door at the same time and fell into silence.
"This... Teacher, you really have a way!" Shi Lian was the first to break the silence, with a tone of admiration.
"Just get used to it." Xu Qiu was calm as usual.
Shi Lian touched his chin: "You say, such a paranoid Buddhist, since she doesn't even take antibiotics, will she be unwilling to have surgery at that time, because removing the tumor is also a cause and effect?"
Xu Qiu's calm expression jumped a little, and his mouth twitched... According to Liu Wenqing's thoughts and logic, the probability of this happening is close to 100%!
"Otherwise, Dr. Xu, can you ask them to prepare another tumor purification spell?" Shi Lian drew inferences from one example.
Xu Qiu shook his head: "It won't work. The water purification spell, etc., seeks psychological comfort, can only purify invisible things, such as insects, microorganisms and bacteria in the water; but cutting the tumor in front of them, a water purification spell is not very effective."
Shi Lian patted his forehead, looking collapsed.
Fortunately, I met my own teacher...
If this kind of patient is sent to other hospitals, there is only one sentence, "either go away or get treated."
In fact, in the tense clinical work, no medical staff has the leisure to consider these unreasonable requests. The time wasted with them is enough to save three or four more people.
So the answer is likely to be "If you leave our hospital, we can save a few more people, which is a great merit."
There are very few doctors with patience like Xu Qiu.
But Xu Qiu shook his head and said: "In my judgment, the patient is likely to have signet ring cell carcinoma, which cannot be delayed. If the patient is allowed to make trouble, she will completely lose the opportunity for surgery."
In other words, if the patient is refused, it will not be considered for surgery until next month, but the urn will be chosen.
A day later, the pathological examination finally came out.
Under the microscope, it was found that in addition to normal cells, many cells taken from the patient's stomach were round or oval, with rich cytoplasm and mucus. Sometimes obvious nucleoli were visible, and the chromatin increased, and the nucleoli were clearly visible...
The cells were full of mucus, and the nucleus was squeezed to one side, shaped like a ring!
This is a typical manifestation of signet ring cell carcinoma.
Diagnosed as signet ring cell carcinoma of the gastric angle.
"Let the family come over." Xu Qiu ordered.
Shi Lian did not dare to delay and hurried to call the family.
After a while, two or three people came to the office. In addition to the patient's son last time, there was also the patient's daughter.
"Where is the patient's husband?" Xu Qiu asked.
Strictly speaking, the spouse is the closest person and the one who can make the most decisions for the patient.
The patient's son smiled bitterly and said, "Because my father is not a Buddhist, my mother said he couldn't come, otherwise he would jump off the building to teach him a lesson..."
Is your family always taught you a lesson like this?
Xu Qiu complained in his heart, but didn't say much, and pushed the pathology test results over.
Seeing the five words "signet ring cell carcinoma" at the end, the patient's son was somewhat happy.
"Signet ring? It sounds quite Buddhist... Buddhism also talks about a Buddhist seal."
Xu Qiu said silently: "Signet ring cell carcinoma is highly malignant and cannot be treated with chemotherapy. It can only be removed by surgery at an early stage, and the prognosis is relatively poor."
The smile on the patient's son's face froze immediately.
"Then, what should we do!" The patient's daughter panicked first, and was so anxious that she was about to cry.
Xu Qiu gave a plan: "Now it has only infiltrated the seromuscular layer, and there is no extensive involvement. It can still be removed surgically. If it is delayed, there will be no therapeutic significance."
"Is there a way to avoid surgery?" The patient's son said anxiously.
The patient's daughter added: "My mother is a Buddhist!"
Xu Qiu had already thought of a way to deal with it, and said calmly: "Although it must be removed, I will carve a Buddhist scripture on the inner wall of the patient's digestive tract. In this way, the dead tumor can be saved... In addition, it doesn't matter what she eats in the future, she will be saved directly after eating it."
Shi Lian on the side widened his eyes and his mouth was about to open into a circle... Is it possible?
The two family members opposite were also confused.
Carve Buddhist scriptures on the inner wall of the digestive tract, and save what you eat?
After a long silence, the patient's son suddenly asked: "Doctor, can you carve one for me too?"
The patient's daughter was also somewhat tempted and swallowed her saliva: "I... I want it too..."
...
This operation was soon praised by the patient Liu Wenqing.
The inner wall is engraved with Buddhist scriptures... With such a high value, is there any Buddhist more devout than her?
Even cutting a tumor requires salvation on the spot, this is the true love for all things!
After talking with Xu Qiu, Liu Wenqing expressed his heartfelt gratitude and willingly entered the operating room.
In the operating room.
Tracheal intubation, general anesthesia, routine catheterization, disinfection and draping...
After the basic preparations, a 1cm incision was made in the middle of the upper abdomen from the xiphoid process to below the navel.
Then, the abdomen was entered layer by layer to explore the abdominal cavity, and the liver, gallbladder, spleen, abdominal wall and pelvic cavity and other parts were found.
"No metastasis." Xu Qiu said lightly.
Everyone in the operating room breathed a sigh of relief... No metastasis is the best result.
Then, Xu Qiu took the knife again and cut the gastrocolic ligament at the upper edge of the transverse colon, and found that the posterior wall cell carcinoma of the stomach had extensively invaded the transverse colon mesentery.
After separating the posterior wall of the stomach and the transverse colon mesentery, Xu Qiu found that the cell carcinoma had invaded the head of the pancreas, and there were also multiple enlarged lymph nodes in the liver hilum.
There was no way to radically remove it here, so the details of the surgical plan were modified, and it was further decided to perform palliative gastrectomy + distal subtotal gastrectomy + Billroth II anastomosis. As for the lymph nodes that could not be treated in the liver hilum, anhydrous alcohol injection was performed to kill the tumor through interventional therapy.
…
Separate the posterior wall of the stomach and pancreatic tissue, free the root of the right gastroepiploic artery, and cut and ligate the right gastroepiploic artery from the root of the pancreaticoduodenal artery branch…
Free the lesser omentum, cut the lesser omentum at the lower edge of the liver, clean the hepatoduodenal ligament and the lymph nodes beside the common hepatic artery, and cut the right gastric artery…
Then, cut the duodenum about 4 cm to the right of the pylorus…
Use 2-0 sutures to make full-thickness continuous sutures and silk seromuscular layer interrupted sutures to close the duodenal stump, and then cut the left gastric artery and vein.
At this point, the treatment of the stomach is completed.
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