Free Web NovelChapter 1045: Chapter 1045: No One Dares to Guarantee a Surgery
Communication is key in relationships, so Liu Banxia values and enjoys occasional family gatherings. Chatting with people like Qiu Huaili offers different insights every time.
Qiaoqiao simply loves the hustle and bustle; it allows her to temporarily forget the heavy burden of carrying two babies. It’s not easy, for sure, and these two babies are definitely not easygoing.
The next morning, Qiao Xuezhi took Tang Dou and the family of five for a walk, while Liu Banxia drove to the emergency center.
"Teacher Liu, Teacher Liu, the professor’s wife says we should buy a bigger house. What should we do?"
As soon as he walked in, he was stopped by Liu Yiqing and Xu Yino.
"It’s up to you. A bigger house would be more comfortable to live in. Girls tend to accumulate clothes and shoes over time, so having a room for a walk-in closet would be great." Liu Banxia said with a smile.
"Don’t worry about the down payment. As your professor’s wife said, when help is needed, you can’t hesitate, or it wouldn’t be fair to call her the professor’s wife."
"Hehe, I’m a bit embarrassed." Xu Yino said with a smile.
"Why are you so happy if you’re embarrassed?" Liu Banxia said helplessly.
"Actually, it’s true that it wouldn’t be worthwhile to buy a small house as Old Qiu suggested. Think it over yourselves; it’s where you’ll be living, so I won’t interfere."
"Just don’t worry about the money. With your skills, in two or three years, you’ll be doing more surgeries and earning a bit more money."
"Then let’s get a big house. We might as well." Liu Yiqing decided.
Liu Banxia was amused and left them to prepare for the day’s work.
"Are you free later? Join me to see my patient." Wei Yuan came over just as he finished changing.
"Sure, no need for formalities. At least add a dish to lunch," Liu Banxia said with a smile.
"At the very least, we should have some pork trotters." Wei Yuan joked.
This is also a testament to building connections. Currently, Liu Banxia needs more NOSES surgeries to build a reputation.
Even if he only specializes in rectal cancer, it’s still remarkable.
Though it seems not many around have rectal cancer, the number is significant once you’re in the hospital. NOSES surgery is selective with patients and is a new technique, making early promotion a bit challenging.
Most general surgeons at the emergency center are helping to spread the word, which is significant. Without past relationships, who would help you with this?
Arriving at the clinic with Wei Yuan, they met a 43-year-old male patient. His wife and daughter were with him, and his wife was wiping tears.
"Okay, that’s enough. The doctor said last time it wasn’t too serious. Now that he’s here, let’s see what to do." The patient said.
"Yes, this is Director Luo from our emergency center, skilled in radical rectal cancer surgery. The new surgical method he’s researching offers a higher success rate for sphincter preservation in low rectal cancer." Wei Yuan said.
"Dr. Wei, wouldn’t the surgery be needed regardless? We have to see the situation during surgery, right?" the patient asked.
Wei Yuan nodded, "That’s correct. We explained last time that there are many uncertainties during surgery, and whether sphincter preservation is possible depends on the tumor’s progression."
"However, our goal is the same, to preserve as much as possible. We talked about this last time; there are many methods for radical rectal cancer surgery, including traditional laparoscopic surgery and new methods."
"Director Liu is conducting research in this area. Specimens can be removed directly through the anus without an abdominal incision, which benefits prognosis."
"Dr. Wei, will it recur in the future?" the patient’s daughter asked.
"It depends on the tumor’s condition. Generally, the five-year prognosis is quite good, and the chances of survival for ten or fifteen years are also high." Wei Yuan said.
"Director Liu, please take a look at these test images. The physical indicators are suitable, reaching the NOSES standards, and the location is favorable."
Liu Banxia nodded and examined them carefully under the reading light.
"The tumor is relatively large; regardless of the surgery type, it should be done sooner to prevent rapid progression." After reviewing the images, Liu Banxia said.
"Given the current condition, a TaTME through a TEM platform is possible. There’s no abdominal incision, which classifies it as a NOSES surgery. We’re in the promotion period at our hospital, which offers some financial discounts."
"However, even with discounts, it doesn’t mean you’re being treated as experimental subjects or used for practice. It doesn’t mean that at all."
"In a typical laparoscopic surgery, we operate from top to bottom and remove the mass through manipulation inside the abdominal cavity. Then we make an incision in the abdominal wall to extract the removed specimen."
"The method we recommend now, however, is from bottom to top, where we expand the anal opening to provide space for operation. By performing the operation inside the anal opening, we can then extract the removed specimen."
"Doctor, the anal area is so small, is it even possible? Can it be removed cleanly?" the patient asked with some concern.
Liu Banxia nodded with a smile, "It’s precisely because of the high difficulty of the operation that it hasn’t been widely adopted in other hospitals."
"But looking at the specimen extraction area and the postoperative prognosis, it’s still very good. Actually, you’re not the first case. Not long ago, there was a female patient with endometriosis, and it had spread to her rectum."
"However, no matter how good the surgical technique, complications cannot be completely avoided. The location of this mass, while not an ultra-low site, might still affect the perianal nerves."
"Both laparoscopic surgery and NOSES surgery could lead to similar postoperative complications. But with some pelvic floor exercises, significant improvements can be made."
"If I tell you there’s no impact at all and you can go ahead with peace of mind, we both might get fired. Every surgery has risks, there’s no such thing as a guaranteed outcome."
"Dad, let’s go with what this director suggests, won’t it lead to a quicker recovery?" the patient’s daughter chimed in.
"Oh, I didn’t take it too seriously. You help your mom outside first; let me talk to the doctor in more detail about the surgical procedure. With her groaning here, I can’t even think of what to ask," the patient said.
"It wasn’t a big deal initially, but this has kept me sleepless for two nights. I’m afraid I’ll be fine, and she’ll end up in poor health, and then we both would need hospitalization,"
"I’m just scared, they say it’s no big deal, but what if something happens?" the patient’s wife said.
"Mom, come with me outside. Let Dad talk to the doctors," the patient suggested.
The patient’s wife didn’t say anything else and went out with her daughter.
The patient glanced outside, and his expression became serious, "Director, Dr. Wei, you’ve seen the situation in our house. If something happens to me, she might go before me."
"Be honest with me, what’s really going on with my cancer? How hopeful is it to come out okay? The surgery must be done, but I need to plan ahead."
Wei Yuan looked at Liu Banxia, as Liu was the lead surgeon, the situation needed to be explained by him. freewebnσvel.cøm
"Looking at the current situation, your mass is considered stage II. But I must be truthful; it’s based solely on imaging and my judgment." Liu Banxia said.
"Your mass is quite big, having already penetrated the muscle layer and invaded the subserosa. The likelihood of metastasis is low, but that doesn’t mean it’s nonexistent."
"During surgery, we will also be taking samples for pathological examination. If there’s any upward or downward metastasis, we will need to proceed with further chemotherapy or surgical intervention."
"As I just mentioned, we can’t make guarantees because we can’t see the disease’s progression with the naked eye. It’s not like a dislocation where I can assure you there’ll be no problem fixing it."
"So, if my wife asks, you guys just tell her there’s no problem." the patient considered for a moment before saying.
"She’s always been very timid, and she’s been crying these past two days. I’ve honestly been suspecting something wasn’t right, but was worried she couldn’t handle it, so I never went for a check-up."
"Let’s go with the director’s method that involves less cutting. If I end up bedridden for a long time, she won’t be able to handle it. If I recover, and she breaks down, that’s not going to work either."
Liu Banxia nodded, "Alright, just get admitted then. We’ll do all the necessary tests today and perform the surgery tomorrow morning."
"Ah, so soon?" the patient asked, a bit surprised. ƒгeeweɓn૦vel.com
"After all, it’s our director here. Adding a surgery slot isn’t an issue. Plus, he’s skilled, and the surgery will be quick, not taking up too much time," Wei Yuan said.
"Otherwise, if we wait for my surgery day, it’ll be two more days. You have no idea how many patients want this surgical procedure, but their bodies don’t qualify."
"You’re just about suitable; if the mass were any bigger, it wouldn’t be easy to extract through the anal opening, and even if you wanted the procedure, it wouldn’t be possible."
The patient smiled and nodded, "Alright, I guess I’m a bit lucky. Let’s settle it then."
"This patient has a good mindset; they’ll surely recover faster. So, want to join me in the operating room?" Liu Banxia asked once the patient had completed the admission procedures.
"I don’t need to. I don’t want to waste resources, and I don’t have that much experience. Being able to handle regular laparoscopic surgery smoothly is satisfying for me," Wei Yuan said with a smile.
Liu Banxia was about to say something else but was taken aback, noticing Xu Yino and the group gathered, whispering about something unknown.
