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The 88-year-old man suffers from stomach cancer and is struggling with whether to have surgery, and the doctor's words are lit up!

Zhejiang Great Health

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Some time ago, Chief Physician Xu Zhiyuan, Director of the Department of Gastric Surgery of Zhejiang Provincial Cancer Hospital, received a special letter of thanks from the patient's family: the letter described his impressive three smiles before and after the patient's treatment.

"These three smiles have given us strength at different stages." Ms. Cheng (pseudonym), who wrote the letter, said that her 88-year-old father was reluctant to undergo surgery at the beginning to now be able to buy groceries, cook and take care of his wife every day, and continue to play the role of a pillar at home...... These are inseparable from Xu Zhiyuan's warm encouragement.

What should I do if the "pillars" of the family fall?

Uncle Cheng had a stomach ulcer when he was young, and about two or three years ago, his stomach began to feel pain and other discomfort from time to time, and he lost weight from nearly 140 pounds to 120 pounds.

"My dad has always been in good health, and when he became thinner, we thought it was a side effect of the health supplements he had been taking, and he stopped for a while, but there was no change." Ms. Cheng said.

During this year's physical examination, Uncle Cheng deliberately did a gastroscopy, but unexpectedly, this examination found a big problem.

"He had a foreign body in his stomach and had a pathological section, which was malignant." Ms. Cheng did not hide her father, "My father has always been a very strong person, we didn't think about hiding it, and we couldn't hide it." ”

In the past few years, Ms. Cheng and her mother have not been in good health, and they have been sick one after another, Uncle Cheng is the pillar of the family, and he is responsible for housework, his wife's diet and daily life.

It is precisely because of this that after knowing his condition, Uncle Cheng's first reaction was to refuse the operation.

"My dad's biggest concern is that if he has surgery, there may be a series of complications, such as regurgitation, not being able to eat, if he collapses, what will my mother do?" Ms. Cheng can understand her father's concerns, "We also did PET-CT later, my father did not metastasize, I think his condition is not serious, it is best to have surgery, but I am also worried that he is so old, what if the quality of life is not high after surgery?" ”

The 88-year-old man suffers from stomach cancer and is struggling with whether to have surgery, and the doctor's words are lit up!

Photo courtesy of the interviewee

A "conference call" in an outpatient clinic

In the midst of the struggle, Ms. Cheng decided to consult a professional and reliable doctor first.

"I searched for Director Xu's information on the Internet, and I also saw the evaluation of him by some patients, and felt that this doctor was very skilled and very responsible, so I decided to register to have a look."

In the first outpatient clinic, Ms. Cheng went alone with her father's case, "I wanted to listen to the doctor's opinion first and bring my father directly, which was a bit of a force for him to make a decision." ”

Ms. Cheng was deeply impressed by this consultation.

After reading Uncle Cheng's case information, Xu Zhiyuan proposed to ask Ms. Cheng to call her father directly, saying that he could explain the condition and treatment to the two of them together.

"I was quite surprised, I thought this proposal was very good, and I also felt that this doctor was right, very serious and responsible." Ms. Cheng said.

"He is a low-moderately differentiated adenocarcinoma, middle and advanced stage, fortunately, there is no distant metastasis, and the old man has always been healthy and has no major problems, so there is still a chance for surgery." Xu Zhiyuan has always remembered Uncle Cheng's condition, "In his case, if he is treated conservatively, there will be intestinal obstruction and bleeding in the later stage, and the person will become weak and weak, and the quality of life will inevitably decline significantly." ”

In this "conference call", Xu Zhiyuan tried his best to explain to Uncle Cheng patiently in plain language, "From the doctor's point of view, I suggested that he should have surgery as soon as possible." ”

Uncle Cheng listened carefully on the phone, and from time to time he would say: I'm old, I don't have a few years, what are you doing with it.

"A lot of older people will say that, but no one can accept it." Xu Zhiyuan said that the most important thing is that if the surgery is abandoned, the effect of conservative treatment will only make people more guilty.

With a smile and an example, the uncle was relieved

After the first outpatient clinic, Ms. Cheng took Uncle Cheng to find Xu Zhiyuan again for a consultation. That day, Uncle Cheng made sufficient preparations and brought a small notebook, which was densely filled with questions he wanted to ask: What complications will there be after the operation? How are these complications treated? What happens if I don't have surgery?

Xu Zhiyuan answered one by one.

During this process, Uncle Cheng couldn't help muttering: "I'm 88 years old, can I afford the surgery?" ”

Xu Zhiyuan smiled and said to him: "There is an aunt in our ward who is now 93 years old!" ”

This laugh and an example, the tense Uncle Cheng also laughed.

"After that time, my dad made up his mind to have surgery." Ms. Cheng said.

At the end of July, before the operation, Uncle Cheng spent a long time settling down at home: explaining to his wife how to solve three meals a day; The vegetables grown in the yard, the small rabbits, chickens and ducks and other small animals raised are all handed over to the neighbors to help take care of them...... After that, he was admitted to Zhejiang Provincial Cancer Hospital.

Uncle Cheng underwent laparoscopic surgery, and everything went smoothly.

Ms. Cheng remembers what her father said after the operation: This operation is very good overall. "It dawned on him that the surgery wasn't that scary."

Before the operation, Uncle Cheng was worried about the side effects of chemotherapy, but after the operation, Xu Zhiyuan suggested that he could not do chemotherapy based on his condition. "Many people think that chemotherapy is necessary after cancer surgery, but this is actually decided on an individual basis."

Xu Zhiyuan analyzed that Uncle Cheng's condition can be solved by surgery 90% of the problems, after the tumor is removed, there will be no obstruction and bleeding, and there is no distant metastasis, and he can basically maintain a normal life.

He said he thanked the doctor for his "crucial stab"

On the 10th day after surgery, Xu Zhiyuan told Uncle Cheng during his ward rounds that he could be discharged from the hospital.

At this time, Uncle Cheng was a little hesitant, "Can I stay for a few more days?" ”

"In the hospital, the nurses take good care of me, and I can tell the doctor in time if I feel unwell, and my dad always feels at ease." Ms. Cheng explained.

Xu Zhiyuan shook his head with a smile, "You refused to let you be hospitalized at the beginning, and now you won't leave if you are discharged from the hospital." ”

This laugh and this sentence caused everyone in the ward to laugh, and the atmosphere suddenly became much more relaxed.

After being discharged from the hospital, Uncle Cheng's body gradually recovered, and he was still able to go out to buy vegetables every day, come back to cook, and then take care of the small vegetable garden and the small animals he raised, which was busy and fulfilling.

"My dad is almost back to the way he was before he got sick, and he can take care of not only himself, but also my mom."

This made Ms. Cheng feel a lot more at ease.

Some time after being discharged from the hospital, Uncle Cheng, accompanied by his daughter, came to Dr. Xu Zhiyuan's outpatient clinic again to express his gratitude. That day, she specially brought a bouquet of flowers and a card, on which a sentence was written: Every time I see you serious, I am very moved.

That's because Ms. Cheng always remembered that after her father's operation, Xu Zhiyuan came to the ward twice a day to make rounds, "very careful and serious." We have gone from hesitating at the beginning to making up our minds to undergo surgery, and now we are recovering so well, thanks to Director Xu's professionalism and patience. ”

Uncle Cheng sighed, "Many people say that there is only one chance to treat cancer, and I am lucky that there are no sequelae, and I am especially grateful to Dr. Xu for his crucial treatment." ”

Hearing this, Xu Zhiyuan smiled again. "For cancer patients, even if they are old, as long as they are detected and treated in time, the quality of life can still be maintained very high.

Source: Chao News reporter Wu Chaoxiang correspondent Ma Huajun Wang Yifeng

Editor: Liu Qian