Young Dai was still in a semi-conscious state. His wife, Young Feng, fetched a basin of hot water and carefully wiped his feet and hands.
She looked up at her husband from time to time as if she wanted to say something, but Young Dai never opened his eyes.
"Sit down and rest for a while." A nurse walked up to Young Feng and spoke softly. Then, she felt her throat itch, and she coughed a few times.
Speaking softly was a rare skill among the nurses in the ICU.
Did they have a gruff voice? Fierce and bad-tempered were the true characteristics of ICU nurses. It was only because they truly sympathized with Young Feng that the nurses subconsciously lowered their volume.
"Thank you." Young Feng stood up reluctantly. She knew that the nurse treated her very well, so she forced a smile and whispered, "When Young Dai first entered the ICU, I hoped that he would get better soon and go home as soon as possible. In the end, I always went home by myself …"
"Isn't the surgery already arranged? After the surgery, he might be able to go home after staying here for a while. "The nurse did not know how to persuade her.
Some of the patients in the ICU went home happily, but most of them left in silence.
It was common for the nurses to see this.
However, the nurses, who were also female, could not help but pity a patient's family member like Young Feng.
She gave up her rich family and bravely eloped with her lover. She built her own small family, worked hard, and finally built a career. Then, the news of her husband's stomach cancer came …
The nurses looked at Young Feng, and their hearts ached.
"It's better for your husband to find a mistress. At least he can leave the family with nothing, and he can keep the money." The old nurse sat at the nurse's desk and watched Young Feng's back from afar.
"Then I'd rather my husband die." The young nurse next to her pouted. She was not satisfied with the old nurse's plot.
"It's better to die from a car accident. Not only will he keep the money, but he will also get compensation." The senior nurse sighed. She seemed to have thought about it very thoroughly.
"Can't you think of something better?" Doctor Yan, the attending physician of the ICU, could not even listen to it anymore.
"It's best if he doesn't fall sick. We won't see him anyway." The young nurse said half-jokingly, "Actually, it's fine if he can be cured. I think the couple has some savings. I heard that they run a wholesale business. Sigh, it's good enough if they don't run out of talent. I'm afraid they still need capital for business. "
Doctor Yan did not understand what was going on. He smiled and said, "It's not that simple."
As he spoke, Doctor Yan's gaze fell on Ling Ran, who had just entered the room.
Ling Ran had just taken a hot shower and blow-dried his hair. The ends of his hair were slightly fluffy, and he looked like a young lion who had just woken up.
Doctor Yan shuddered and snapped out of his daze.
He did not dare to be negligent in front of Ling Ran. He quickly cleared his throat, went forward, and said, "Doctor Ling is here for a ward round again."
"Hmm, how is Xiao Dai?" Ling Ran directly called out the patient's name. He did not call out the patient's bed number because the surgery for liver metastasis from gastric cancer was big enough.
When Young Feng heard the commotion, she stood up and looked at Ling Ran in panic.
To her, every doctor's arrival was worrisome.
Doctor Yan glanced at him and said, "His condition is stable. He did a plain CT scan this morning, and the surface area has increased slightly."
"Let me take a look." Ling Ran did not do anything himself. He just craned his neck and looked at the screen in front of him.
A nurse immediately took out Xiao Dai's CT scan and adjusted it to an angle that was convenient for Ling Ran.
"The pupillary sign is very obvious." Ling Ran looked at the plain CT scan with a solemn expression.
Due to the high metabolism of tumors with liver metastases, the blood supply was relatively insufficient, and there would be signs of necrosis in the early stage. In the center of the lesion, a large number of tumor cells would starve to death, and this would lead to a low-density shadow in the center.
Because the tumor cells in the center of the lesion died, the gray scale would be different, and the tumor with a larger area would have a different gray scale compared to normal cells. Therefore, in the CT scan, this kind of tumor lesion was called the pupillary sign, which meant that the lesion looked like a pupil.
If the area of necrosis in the center was larger, and the necrosis area was larger than the tumor, the CT scan would show the doughnut sign.
If the area between the two was in between, it would be called the bull's eye sign.
Xiao Dai's liver metastasis was not very extensive, and this was also the basis for him to be able to perform surgery. However, the tumor did not stop growing …
"Did you undergo chemotherapy once?" Ling Ran asked in a low voice.
"Yes."
"Let's see if we can make some adjustments, and try to start the surgery tomorrow." Ling Ran did not immediately request for surgery. For cases with liver metastases from gastric cancer, it would be better to first receive a certain degree of chemotherapy before surgery.
Doctor Yan had also read up on related articles over the past two days. He nodded in agreement, glanced at Young Feng, and said to Ling Ran, "Doctor Ling, the patient's family member is in front of you. Do you want to say something to him?"
"Say what?" Ling Ran's question was straightforward and simple.
Doctor Yan was stunned and said, "Talk before the surgery?"
"Zuo Cidian has already talked to him." Ling Ran paused for a moment and said, "The family member chose the surgery because he wants to prolong his survival time, right?"
"That's for sure." Doctor Yan sighed as he spoke. He understood what Ling Ran meant.
Combined liver and pancreatic radical surgery was said to be a radical surgery, but it was unlikely to cure the disease completely. Only a few people could miraculously live for a long time. And for most ordinary patients, even if they received this surgery, their three-year survival rate would be infinitely close to zero. There was no need to even calculate the five-year survival rate.
However, compared to waiting for death in the ICU or dying in a coma in the blink of an eye, there was a certain probability of survival for two years, and a higher probability of survival for one year. This was the significance of this surgery. However, the money and energy spent on this, as well as the pain caused to the patient, depended on the choice of the patient and his family member.
Doctor Yan could not help but look at Young Feng and Young Dai. He thought, 'For them, even if it's only one year, they'll still be happy.'
Ling Ran also looked at them for a while before he continued his ward round. The patients who received hepatectomy a few days ago had not been discharged yet. For these patients, a single hepatectomy was also a close call, and they would not know what happened in the past.
* Beep, beep … *
As expected, the monitor on one of the hospital beds rang.
Ling Ran shifted his legs and stepped over it. He took a look and said, "ST elevation, myocardial infarction. Inform the Cardiology Department."
As he spoke, Ling Ran started to perform chest compressions.
"Is Doctor Ling still performing CPR on his own now?" At this time, Wang Chuanwen's younger brother came in to visit Wang Chuanli, and he saw that Ling Ran was already performing chest compressions without holding back.
Effective CPR required a lot of chest compressions, and in-hospital resuscitation was the most efficient. Naturally, Ling Ran performed it right away.
The young nurse beside him was also familiar with CPR. She cupped her hands and said, "Because Doctor Ling's CPR is the best."
"The most effective." Another nurse quietly changed the patient's dressing. Her eyes wandered a little, and she said in agreement.
"It's really good." The senior nurse who knew Wang Chuanwen deliberately emphasized.
Wang Chuanwen smiled and seemed to be thinking about something.
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