Chapter 909 The Best

Xiao Dai was still in a semi-comatose state. His wife Xiaofeng 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 she never waited until Xiao Dai opened her eyes.

"You can also sit and rest." A nurse walked up to Xiaofeng and said something softly, then felt itchy throat and coughed twice.

The skill of speaking softly is very rare for ICU nurses.

Rough voices, vicious, and bad temper are the real characteristics of ICU nurses, that is, they really sympathize with Xiaofeng, which makes the nurses unconsciously lower the volume.

"Thank you." Xiaofeng stood up reluctantly, and knew that the nurse was very kind to her, so she forced a smile and said in a low voice: "When Xiao Dai first entered the ICU, I hoped that he would be able to come back sooner." Get well, go home early...it turns out that I go home by myself every time..."

"Isn't the operation already arranged? After the operation is completed and you stay for a while, maybe you can go back." The nurse didn't know how to persuade her. Among the patients in IU, some went back happily, but more left in silence.

If it is commonplace, nurses are also commonplace.

However, the family members of patients like Xiaofeng can't help sympathizing with the female nurses.

Abandoning a wealthy family, bravely eloping with his lover, building a small family of his own, working hard, and finally establishing a career, and then news of her husband's stomach cancer came...

The nurses looked at Xiaofeng and felt distressed.

"It's better to let my husband find a mistress, at least leave the house and leave the money." The old nurse sat at the nurse's desk, looked at Xiaofeng's back from a distance, and babbled a few words.

"Then I'd rather let my husband die of illness." The little nurse next to her pouted, dissatisfied with the plot set by the old nurse.

"It's refreshing to be killed by a car crash. Not only the money is kept, but also the compensation." The senior nurse sighed, looking very thorough in her research.

"Can't you think of something better?" Dr. Yan, the attending doctor of the ICU, couldn't listen anymore.

"It's best not to get sick, and we won't see each other." The little nurse half-jokingly said: "Actually, it's okay if it can be cured. I think the young couple still have some savings. I heard that they are in the wholesale business. Hey, don't be a talent Two airs are not bad, they have to have capital turnover to do business."

Doctor Yan didn't understand, so he smiled: "It's not easy to cure.

"

While talking, Doctor Yan's eyes fell on Ling Ran who had just entered the door.

Ling Ran, who had just taken a hot bath and had his hair blow-dried, was slightly fluffy at the ends, looking like a young lion just waking up from sleep.

Dr. Yan was shocked and woke up.

Facing Ling Ran, he didn't dare to be negligent in the slightest now. He quickly cleared his throat and stepped forward, "Doctor Ling is here for rounds again."

"Well, how is Xiao Dai's situation?" Ling Ran directly called the patient's name, but did not call the bed number, because the surgery for liver metastasis from stomach cancer was large enough.

Xiaofeng who heard the movement also stood up, and looked at Ling Ran with some panic.

For her, every doctor's visit is worrying.

Dr. Yan glanced at it and said, "The condition is stable. I had a plain CT scan this morning, and the area has increased slightly."

"Let me see." Ling Ran stretched his neck and looked at the screen in front of him without making a move.

A nurse immediately retrieved Xiao Dai's CT scan, and then adjusted it to a convenient angle for Ling Ran.

"The pupil sign is obvious." Ling Ran looked at the plain film with a solemn expression.

Tumors with liver metastases have relatively insufficient blood supply due to their vigorous metabolism, and they will have symptoms of necrosis at an early stage. It is the center of the lesion, where a large number of tumor cells will starve to death, resulting in low-density shadows in the center.

Because the tumor cells in the center are dead, they have different gray scales, and the larger tumors have different gray scales from normal cells. Therefore, such tumor foci are called pupil signs on CT scans. , that is, the lesion is like the pupil.

If the area of ​​central necrosis is larger, so that the area of ​​necrosis is larger than that of the tumor, the CT scan will show the donut sign.

Anything in between is called the bull's eye sign.

Xiao Dai's liver metastases are not very extensive, which is the basis for his ability to undergo surgery, but the tumor is obviously not stagnant...

"Have you had chemotherapy?" Ling Ran asked in a low voice.

"yes."

"See if we can make further adjustments, and try to start surgery tomorrow." Ling Ran didn't ask for surgery immediately. For cases of stomach cancer with liver metastasis, a certain degree of chemotherapy first, and then surgery will have a better effect.

Dr. Yan also made up relevant articles in the past two days. He nodded in approval, took another look at Xiaofeng, and said to Ling Ran, "Dr. Ling, the patient's family is right here. Would you like to say a few words?"

"Say what?" Ling Ran asked straightforwardly and simply.

Dr. Yan was stunned for a moment, and then said, "Talk before the operation?"

"Zuo Cidian has already talked to him." Ling Ran paused for a moment, and said, "The family members chose the operation because they hope to prolong their survival time, right?"

"That's for sure." Doctor Yan sighed and understood what Ling Ran meant.

Combined radical gastrectomy is said to be a radical cure, but it is unlikely to be a radical cure. Only a very small number of people have a miraculously long survival time, and most ordinary patients, even after this operation, have a three-year survival rate It is also infinitely close to 0, and the five-year survival rate is not even necessary for statistics.

However, compared with waiting to die in the ICU, or even dying in a coma, there is a certain probability of surviving for two years, and a higher probability of surviving for one year, which is the significance of this operation. It's just that the money and energy spent and the pain brought to the patient depend on the choice of the patient and their family members.

Doctor Yan couldn't help looking at Xiaofeng and Xiaodai, and thought, "For them, even if it's only a year, they should be happy."

Ling Ran also looked there for a while, and then continued to check the room. The patients who underwent liver resection in the past few days have not yet been discharged from the hospital. For these patients, a liver resection operation is also a near-death experience, an experience that is unknown before.

Didi...

A monitor on a hospital bed rang without any surprise.

Ling Ran leaned his leg, so he stepped over, took a look, and said, "ST elevation, myocardial infarction, call the cardiology department."

With that said, Ling Ran began to perform chest compressions.

"Doctor Ling is still doing cardiopulmonary resuscitation by himself now?" Wang Chuanwen changed his brother to come in at this time, and when he visited Wang Chuanli, he saw that Ling Ran was already pressing with all his strength.

Effective cardiopulmonary resuscitation requires extremely high chest compressions, and in-hospital rescue is the most efficient, so Ling Ran naturally started it directly.

The little nurse next to her was also familiar with CPR, holding her heart in both hands: "Because Dr. Ling's CPR is the best."

"The most effective." Another nurse silently changed the patient's dressing, and said something approvingly, her eyes fluttering slightly.

"It's really good." The senior nurse who knew Wang Chuanwen emphasized it specially.

Wang Chuanwen smiled thoughtfully.