Chapter 611 Scope
Qi Yuquan's liver cancer was detected at an early stage. He had no symptoms or feelings at all. In terms of shape and size, it was a relatively small liver cancer (less than 5 centimeters in diameter).
According to the guidelines, such small liver cancer is also the most effective in treating it.
Qi Yuquan's good habit of regular physical examinations, or in other words, good income has brought certain rewards.
However, judging from the condition of the avatar cut open by Ling Ran, Qi Yuquan's luck was not so good.
For liver cancer cells that invade the portal vein in the early stage, there is about a half chance that Qi Yuquan will be affected. For liver cancer cells that invade surrounding liver tissue, there is about a half chance that Qi Yuquan will be affected. For those with satellite lesions, there is about a 40% chance that Qi Yuquan will be affected.
bingo.
Overall, Qi Yuquan is among the unluckiest 10% of patients with small liver cancer.
Coupled with his age and underlying diseases, it was quite difficult for Qi Yuquan not only to get a good prognosis, but also to cut out the liver tissue invaded by cancer cells and then get off the operating table smoothly.
Ling Ran performed a rough dissection on the avatar, confirmed the extent of the cancer, and quickly ended the first attempt.
Before the human body glowing with blue light disappeared, the system displayed a line of words:
"Virtual Man" (Master Level) has 3 hours and 52 minutes remaining.
Just to find out the general extent of the cancer, Ling Ran spent 5 minutes doing the dissection.
Ling Ran shook his head secretly. He was still a little too disciplined. He did the anatomy of the avatar according to the anatomy teacher's method, which wasted some time.
"Doctor Zuo, please send over all Qi Yuquan's examination information." Ling Ran did not activate the avatar again, but decided to take a look at the information first.
Qi Yuquan has undergone quite comprehensive examinations in the private hospital, from simple
The green retention rate, etc. were also completely done.
Regardless of whether it is for making money, the private hospital's approach is very helpful in describing Qi Yuquan's physical condition. For senior surgeons, or senior physicians who can do surgery, through all the imaging data and biochemical reports, they should
In his mind, he constructed the situation inside Qi Yuquan's abdominal cavity: the approximate range of cancer cells, the current status of the invaded tissue...
If you dig a little deeper, you can also guess the differentiation speed of cancer cells, the possibility of tissue invasion, etc.
However, it is very difficult for a young surgeon like Ling Ran to achieve half of this through non-intuitive methods.
In fact, even to the extent of He Yuanzheng, director of the Hepatobiliary Surgery Department of Yunyi Hospital, many indications will be ignored.
A master in the capital, like Professor Feng, might be able to figure it out if he studies it carefully... This does reflect the benefits of private hospitals. They have plenty of time and doctor-patient ratios to carefully study the patient's condition.
If one person is not enough, if a few people are not enough, if a few people are not enough, then we need to invite foreign aid... The most important thing is to ask for foreign aid. Public hospitals cannot freely invite foreign aid, but private hospitals are too casual. They often give directors of public hospitals how much money they give.
The annual salary ranging from 10,000 yuan to more than 100,000 yuan is provided from time to time, so that you can ask for advice at any time when needed.
Of course, the wool comes from the sheep. The patient's film is sent for a "consultation". The hospital does not have much cost, but the patient has to shell out tens of thousands of yuan in expenses. The performance is quite good.
However, after all the examinations are completed, if the results are really not good and a difficult case is encountered, the private hospital will still push the patient out without hesitation and refer the patient to a public hospital, and maybe he can make another profit.
Private hospitals will not reject low-risk cases, no matter how troublesome and complicated they are, as long as they pay for them.
For high-risk cases, private hospitals will be selective.
Even a rich man like Qi Yuquan was eventually used as a missile by Meng Shan and launched towards Yun Yi Lai.
At this time, the various examinations performed on Qi Yuquan became the motivation to push him out.
If Ling Ran was not good enough and could not find outside help, it would be easy to make mistakes in Qi Yuquan's complex surgery.
In fact, Qi Yuquan's case was sent to the capital, and the final conclusion was reached by finding talented people. However, for Yun Medical, which has a weak level of hepatobiliary surgery, Ling Ran could not find any powerful foreign aid for consultation within the hospital.
He is the strongest person in the Hepatobiliary Surgery Department of Yunyi Hospital.
As far as this aspect is concerned, Meng Shan's move can be regarded as hitting a painful point.
"Doctor Ling, do you really want to operate on Qi Yuquan?" Zuo Cidian personally sent the information. When he handed it to Ling Ran, he was still full of worry.
Zuo Cidian didn't know how complicated Qi Yuquan's condition was, but considering Meng Shan's presence, he didn't feel at ease.
Ling Ran said "En" and said: "Qi Yuquan's situation is indeed complicated, but it is within the controllable range."
Zuo Cidian didn't believe in such things as "controllable" and advised: "Dr. Ling, if you want to perform liver cancer surgery, just grab people from the hepatobiliary surgery department. Why accept patients sent by doctors with ulterior motives?"
"The patient himself is not at fault." Ling Ran paused and said: "This patient's liver cancer is exactly what I can handle. The hospital beds in the team are also available, and the operating room is not full. There is no reason to turn people away.
…”
Zuo Cidian thought to himself that "danger" was the reason for keeping people away.
However, now that he was familiar with Ling Ran, he knew that this would not convince Ling Ran, so he could only say from a medical point of view: "You didn't do liver cancer surgery before. How confident are you if you do it now?"
"This patient, Qi Yuquan, I'm afraid it will be difficult to find a more suitable doctor than me." Ling Ran answered with certainty.
Zuo Cidian was speechless for a moment.
He even looked behind him carefully to avoid being overheard.
"You are so confident..." Zuo Cidian felt helpless and admired at the same time.
Ling Ran nodded affirmatively.
Without the virtual human skills, Ling Ran probably would not have accepted Qi Yuquan, at least not immediately.
If the patient is admitted but cannot be given good treatment, then from Ling Ran's point of view, admitting the patient is not only useless, but also harmful. Especially for liver cancer patients like Qi Yuquan, under normal circumstances, his survival period is at least one year.
It can even last longer. To use the conservative words of doctors, it would be more than 6 months.
But if the operation fails, there is a possibility that you will not be able to get off the operating table on the spot, and there is also a possibility that three or four months of chemotherapy will completely destroy the patient's immune system and cause the patient to die...
In this regard, the gap between excellent surgeons and ordinary surgeons may be more than five years in life, and between top surgeons and ordinary surgeons, it may extend to ten years or even longer.
If there is no virtual person, Ling Ran is sure to be excellent, but it is hard to say whether he can be top-notch. In that case, Ling Ran would rather introduce the patient to He Yuanzheng. Since Ling Ran started to undergo liver resection for intrahepatic bile duct stones,
He Yuanzheng gradually became more interested in liver cancer surgeries, and he was able to do them well.
Alternatively, if Qi Yuquan is allowed to go to the capital for medical treatment, he will certainly be able to receive very good treatment given his conditions.
However, with the help of the avatar, Ling Ran not only became more confident, but in fact, his strength also increased greatly.
He is a master in liver resection. He has an incredibly high success rate in dealing with non-cancerous liver tissue, and the prognosis is extremely good. It can be said that he has few rivals in the country.
Regarding liver cancer, although Ling Ran could not change his life and completely cure the cancer, for the 73-year-old Qi Yuquan, what he needs most may not be to eliminate the cancer, but two somewhat contradictory requirements: The first
First, cut away as much tissue as possible that is infected by cancer cells; second, cut as little tissue as possible.
His age and physical condition precluded him from undergoing extensive resection.
Unfortunately, his cancer cells have spread widely, so it can be said that such a patient is very difficult to treat.
However, with the help of virtual humans, Ling Ran became more confident.
If everything goes well, Ling Ran estimates that he should be able to extend Qi Yuquan's life by about 10 years, and it will be ten years with a relatively good quality of life.
Qi Yuquan is 73 years old. If he can live to the age of 83 with high quality, the impact of cancer on him can be said to be minimal. In terms of medical effect, it is probably equivalent to liver resection for intrahepatic bile duct stones.
Chapter completed!