MTL - Doctor Chen, Don’t Be a Coward!-Chapter 315 find opportunities

  Chapter 315 Find a chance

   Time passed.

   On this day, after Chen Nan took over his shift in the morning, he was sitting in the office, flipping through a notebook in his hand.

   This is a rubbing version of an ancient Chinese medicine book given to him by his teacher Gu Siming. This book has no name, and the cover has long been lost due to historical reasons.

  But Gu Siming told Chen Nan that this book should belong to the series of notes collected by ancient imperial doctors. Although there is no title, there are some rich medical records in it.

   Later, Mr. Gu Siming found some historical records about cancer from some ancient books.

  For example, in the pre-Qin period, "Zhou Li" recorded a specialist doctor related to the treatment of tumor diseases - "ulcer doctor".

   It said: "The sore doctor palms the swollen and sore... all together."

  The "swelling and ulcer" he treats mainly includes the current clinical tumors, and advocates a combination of internal and external treatment, in which internal treatment "attacks with five poisons, nourishes with five, treats with five medicines, and adjusts with five flavors".

In the "Huangdi Neijing", there are also related introductions about tumors. Diaphragm" and other descriptions are similar to the symptoms of certain tumors in modern medicine, such as "choking on the diaphragm, unable to drink" is similar to the obstruction symptoms caused by tube and cardia cancer.

  During this time, Chen Nan has been thinking and analyzing the key to the treatment of tumor patients.

  Actually, a tumor is nothing more than an abnormal change in the environment of qi, blood, yin and yang of the human body, thus forming an organic disease of the viscera.

  The reason is nothing more than that the weakness of righteousness, the invasion of external evils, and the internal injuries of the seven emotions are all related.

   "People in the void and evil, stay but don't go...the accumulation of interest".

   "Lingshu Nine Needles" says: "The guests of four seasons and eight winds are in the meridians, and they are tumors." It is believed that the invasion of external evils can cause tumors.

"Lingshu·The Beginning of All Diseases" says: "Internal injury caused by sorrow and anger will cause Qi to go up, and if Qi goes up, the six channels will be blocked, the temperature will not work, the coagulated blood will accumulate in the inside and will not disperse, and the body fluid will permeate and will not go away. Accumulate everything.”

   Refers to poor emotional will, which is easy to suffer from tumor diseases, which is consistent with modern clinical understanding of the etiology of tumors.

  The treatment principles proposed in the "Internal Classics", such as "thickness cuts it" and "knots loose it", still have guiding significance for the prevention and treatment of tumor diseases today.

   But Chen Nan's notes on the side at this time also recorded a large number of medical records and medication records.

  Each disease is summarized with different prescriptions.

  Although it is said that many medical records are old and may not be usable, but... what if there are some unexpected gains?

  Chinese medicine, Chen Nan has never had too many unrealistic fantasies about this subject, but...he doesn't think he is inferior to other subjects.

   Only the status quo of being behind, he understands, cannot be changed overnight.

  But... it is not a place where you can start.

  Chen Nan really found some things that can be studied in depth.

   That is "return".

  Chinese medicine and modern medicine have completely different concepts in some places.

  Western medicine is microscopic medicine.

   Traditional Chinese medicine belongs to macro medicine.

  The development of Chinese medicine was limited by the level of science and technology at that time, which made it impossible to have a sufficient microscopic understanding of visceral tissues, so they began to seek a deeper understanding of human body functions.

  For example, the kidney in Chinese medicine is not as simple as two kidneys in modern medicine. The kidney represents a function. The kidney governs the bones, produces the marrow, and communicates with the brain. It is the innate foundation. The kidney governs water...

wait!

  The advantage of traditional Chinese medicine lies in its sensitivity to the relationship between viscera and internal organs and to the changes of yin and yang in the patient's internal qi and blood.

  See Weizhi's works to express guilt.

   Therefore, Chen Nan feels that starting from the function, it may also have its own unique advantages, such as... intervening and preventing tumor development!

From the macro-medicine perspective of Chinese medicine, we can observe which viscera of the patient has a problem, and at the same time take into account whether other viscera will be affected at the same time, or have already been affected, because we can predict which viscera will be involved at the same time .

   This is a trend of traditional Chinese medicine to prevent diseases!

  The horror of tumors lies in their uncontrollability.

   And if we dialectically use this kind of thinking of traditional Chinese medicine, can we effectively do early intervention?

  From the beginning of treatment, the future development of cancer will be considered at the same time, so preventive work has been done in advance.

  For example, when we treat colorectal cancer, we protect the liver first, because we think that if the cancer gets worse, the first place will be metastasized to the liver, which is liver cancer!

  Western medicine treats colorectal cancer. Every time after surgery and chemotherapy, the patient will get liver cancer and die. This is to tell you clearly that Western medicine cannot prevent it from transferring to the liver and becoming liver cancer. Even if it knows, there is no way to do it.

  However, Chinese medicine can do it!

  So at the beginning, if Chinese medicine is used to treat cancer, it can make the cancer confined to a dead corner and cannot extend outwards. In addition, it can strengthen the patient's physical strength and prevent pathogenic factors from entering. This is a kind of treatment idea.

   This is an experience that Chen Nan has researched in the past few days, called tumor prevention and intervention medicine.

  Chen Nan also called this thing "return". This point can be studied in depth.

at this time…

  Suddenly there was a knock on the door.

"Come in."

  The head nurse Xia Lianping pushed the door in and said to Chen Nan with a smile: "Director Chen, I didn't bother you."

  Chen Nan smiled: "Head nurse, just make a phone call if you need anything."

  Xia Lianping smiled slightly: "Just now Director Lou said that when you read a book, you like to mute the sound. I'm afraid you won't be able to see it, so I came to knock on the door."

  Chen Nan put down the book: "Head nurse, what's the matter?"

  Xia Lianping nodded: "Yes!"

   "Good job!"

   "Our acupuncture anesthesia, combined with Haifu Knife surgery, the effect has been affirmed and recognized by the hospital."

   "This is not... a lot of people have paid attention to it."

   "Professor Gulba Deren in the external laboratory of our hospital wants to perform a Hi-knife operation on his father."

   "I want to use our acupuncture anesthesia technique."

   "However... for the operation, he invited outside experts to do it."

"can you look?"

   Chen Nan frowned slightly upon hearing the sound:

   "Are you going to be hospitalized in our department?"

  Xia Lianping shook her head: "No, he is... wanting you to give him anesthesia."

   Chen Nan heard the words, and after thinking for a moment, he directly refused.

   "Forget it, I don't have time to go out and make throwing knives recently."

   "Let's just say... I'm a Chinese medicine doctor, and I don't have the qualifications to practice medicine outside the hospital, let alone anesthesia qualifications."

   "So, I'm sorry."

   "If you want to have an operation, you can come to our department."

  Xia Lianping didn't expect Chen Nan to be so decisive, she couldn't help but smiled: "Director Chen, you are really awesome!"

   "But... To be honest, this Professor De Lun is not bad."

   "The laboratory of our hospital has been in the laboratory for more than ten years, and has made a lot of achievements."

   "The leaders of the hospital are selling his face."

  Chen Nan smiled: "One size fits one size."

   "The specialty of our department is the combination of acupuncture and medicine anesthesia + Haifu surgery. If they are separated, who will come to us?"

  Xia Lianping nodded and smiled: "You still think well."

   "By the way, there is a couple of young people in the lobby outside, who seem to be looking for you."

   "Do you want to meet?"

   "They said they were looking for you in the outpatient clinic, and the results of the medical examination came out."

  After hearing the results of the medical examination, Chen Nan stood up abruptly.

  Just because he doesn't care about Professor Gulbadrun doesn't mean he doesn't care about that girl!

   No, not that.

The key is…

  The girl who was crying and held a marriage certificate to treat herself to a wedding candy really touched his heart too much.

  Chen Nan got up quickly: "Oh, they are looking for me."

   While speaking, he walked outside first.

   Leaving Xia Lianping standing there a little surprised.

  …

  In the hall.

  A pair of young men and women are sitting next to each other on a bench, a white down jacket and a black down jacket, like two pages of black and white wings, supporting and cuddling each other.

  It's only...you can hear it when you get closer. The two are whispering something, and occasionally see a smile on their face, and then they look at each other complainingly with eyes full of happiness.

  Chen Nan walked over with a smile:

   "The inspection result came out?"

   Chen Nan's voice seemed to interrupt the two of them.

   After the girl looked up and saw Chen Nan, she stood up quickly:

   "Well, Doctor Chen... not... Director Chen, hello!"

   "The inspection results are out."

  The boy on the side also stood up. He was wearing a mask. He didn't look handsome, but he looked very sincere and frank.

  Chen Nan nodded: "Well, come to the office with me."

   "Well, your name is Zhang Tianzhen, right?"

  The boy's eyes were somewhat clouded, he nodded: "Well, yes."

   "Your girlfriend's name is... Tian Qiaoqiao, isn't it?"

  The boy blushed and nodded: "Well... yes."

  The **** the side quickly shook her head: "Doctor...you know..."

   "Girlfriends can't sign."

   "I'm his wife now."

  Chen Nan glanced at the two of them speechlessly. How does it feel to eat dog food in the hospital?

have to say…

  The condition of the two is still very good.

  At least, the boy didn't look too desperate.

  While walking towards the office, Tian Qiaoqiao kept holding Zhang Tianzhen's hand, and she even dragged him into the office.

  Chen Nan said: "Sit down."

   "Show me the result."

   Then began to analyze various image data, as well as laboratory and pathological results.

  Chen Nan looked seriously, but the man's expression remained silent.

  Let the girl hold her hand, lower her head, and keep silent.

   It can be seen that compared to the blazing and enthusiasm of the girl, the man's eyes are more complicated and entangled...

  He considered a lot.

  For him, the result has never been a problem that can be solved with two marriage certificates.

   That is a lifetime responsibility.

  Seeing this, Chen Nan was about to confess, but Zhang Tianzhen suddenly said to the girl, "Qiao Qiao, wait for me outside."

   "I'll have a chat with Dr. Chen alone."

  The girl froze for a moment, looking at the man, her eyes turned red all of a sudden:

   "I can't listen to what you have to say!"

   "Zhang Tianzhen, I am your wife."

   "Even if you are going to die, only I can sign it, you know?!"

"I do not go!"

  However, the boy at this time was extremely determined.

   After hesitating for a moment, the girl stood up, but... she stared at the man resolutely, and whispered in her ear:

   "Zhang Tianzhen, let me tell you, don't even think about abandoning me!"

   "If there is anything, I will be with you!"

   After finishing speaking, Tian Qiaoqiao got up and left the office.

  After she went out, Zhang Tianzhen seemed relieved, and he let out a long breath.

   "Thank you, doctor."

   "I'm ready, tell me."

   The boy seemed to muster all his courage.

  Actually, not only for him, but also for this world, cancer... is an extremely terrifying term.

  Talking about the discoloration of cancer is not a story, but a **** lesson.

  Chen Nan said seriously: "It's okay, I have a good news and a bad news for you."

   "Bad news, let me tell you first."

   "The bad news is that the pathological examination results showed lung cancer and adenocarcinoma."

   "You have been diagnosed with lung cancer."

  Hearing these words, the other party trembled visibly to the naked eye, and his pupils changed significantly. Then, he clenched his hands tightly, as if he was making a decision.

   After a short silence...

  The boy suddenly said: "Doctor...how long can I live?"

  Chen Nan was taken aback for a moment, then continued:

   "Too serious!"

   "Let me tell you the good news."

   "The good news is that the tumor grew and was limited to the mucosal layer, and no significant metastasis occurred, which belongs to the category of early lung cancer.

   For carcinoma in situ of the lung, surgical resection is the first choice to achieve the goal of radical cure. After surgical resection, theoretically, the goal of clinical cure can be achieved, and its survival period will not be affected! "

   "This is theoretical."

   "That is to say, if you discover it early and treat it in time, it will not affect your survival at all."

"so…"

   "You should know what I mean?"

  The man was completely dumbfounded by Chen Nan's words.

  What is great joy and great sorrow?

  In the past few days, his mental pressure was too great.

  He thinks a lot!

  Even if he had to die, he was unwilling to cause him any trouble...

  However, when Chen Nan suddenly told him that he could be cured, the boy suddenly cried.

  His eyes were red, his nose was sore, and he stood up excitedly.

  He stood up excitedly and looked at Chen Nan: "Doctor...are you kidding me?"

   "Can I really be normal?"

"I…"

"Really?"

   While speaking, the man's tears began to flow down uncontrollably.

  Since a few days ago, he has been carrying a heavy burden in his heart.

  He is so afraid of death!

  He was afraid that he would die, and no one would take care of Qiao Qiao.

  That silly girl, why is she really so stupid?

  In order to lie to myself, knowing that I may have cancer, and I don’t have much time, I still go to marry myself...

  He is so stupid!

   Whenever he thinks of these things, the boy feels heavy inside.

   Chen Nan smiled and said, "I'm serious."

   "Your life is still in your hands."

   "Surgery as soon as possible."

   "I keep you because I want to tell you to cherish your wife. Such a girl is worth more than anything else."

   "With such a wife, what kind of disease cannot be overcome?"

   "I would say that the psychological factor is very important, you need to overcome the fear of disease."

   "Cancer is scary, but... many patients are scared to death by themselves."

   "Your problem is not serious, surgery as soon as possible, the problem is not serious."

  Zhang Tianzhen got up and nodded seriously to Chen Nan: "Thank you, Director Chen!"

   "Okay, go and call your lover in, he may be in a hurry."

  At this time, Tian Qiaoqiao outside was already impatient. After running in, she stared at Zhang Tianzhen, who was full of tears, and burst into tears instantly.

   "Why are you crying!"

   "I've said it all, I'll be with you."

   "Zhang Tianzhen, listen to me, don't be afraid."

   "Afraid of what?"

"and me!"

   "I will give you a son in the future, and we will accompany you."

   "Even if you die, I won't remarry..."

   "Why are you crying?"

   "Can you please stop crying? I beg you, what happened?"

  …

   "Qiao Qiao, the doctor said, I can still be saved! I have stage 0 carcinoma in situ, and early surgery...survival will not be affected."

   "I will not die!"

   "I want to be with you and treat you well for the rest of my life."

   "Trust me...I won't let you down..."

  The boy held the girl's face in his arms, his eyes met, and all four eyes were full of tears.

   Chen Nan breathed a sigh of relief seeing this scene...

  Perhaps, this is already the most happy ending, right?

  …

  …

  However, on the second day, an elderly foreigner was sent to the oncology department.

   Along with him came Cao Younian, the vice president of the hospital, and several foreigners, among whom Gulba Delun should be.

   "Director Chen, this is Professor Gulba Deren, an internationally renowned expert in molecular biology, who is currently in charge of our hospital laboratory."

   "This is Professor De Lun's father, Old De Lun."

   Cao Younian introduced to Chen Nan.

  Chen Nan was also very polite, and shook hands with a smile: "Hello, Professor Gulba."

   "Sorry, I didn't meet your request."

  Gulba spoke Chinese, and said with a smile: "No, Professor Chen, I made things difficult for you."

   "No... I took my father over."

   "Hope you can have surgery."

   "However... there is something, I need to trouble you..."

   "My brother is also an expert in tumor surgery. He is the chief tumor surgeon at New York Presbyterian Hospital in the United States."

   "He wants to come over and perform this operation himself, and I hope you don't refuse."

   "Don't worry, I've already arranged things for the hospital... just treat it as inviting an expert to perform the operation."

   "I also hope Director Chen doesn't mind."

   "By the way, let me introduce you, my brother Bashar Deren."

   Chen Nan looked at Bashar in front of him and nodded.

   It's just... this guy's eyes are a bit cold, but after all, he is asking for help, so he nodded with Chen Nan alone, and shook hands:

   "Acupuncture anesthesia is very powerful."

   "I hope we can cooperate."

  Chen Nan smiled: "Happy cooperation."

  For the old Mr. Derren who was transferred suddenly, the hospital still caused a small commotion.

   Not because of Gulba, but because of... Balsa.

  As the chief oncologist of the Presbyterian Hospital, Balsha was attached great importance to his arrival by the hospital.

   Actually invited the other party to give two lectures.

   Give me enough face!

   And Yu Jinhua seems to have some relationship with the other party, and has been following around these days.

  Even the operation...Yu Jinhua has to act as an assistant for the other party.

  For patients like Old De Lun, Chen Nan is not worried.

  Because he is not required to be responsible from the beginning to the end.

  My son is an expert, and there are people around, and Yu Jinhua helps before and after the run.

  China-Japan Friendship is an international hospital after all, and the quality of the nurses is also good. There are nurses who are good at foreign languages ​​to take care of the daily care.

but…

   Within a few days, I ran into trouble.

   "Sorry, we don't need traditional Chinese medicine care."

   "No need really."

   "After the operation, we will leave as soon as possible."

  Balsha rejected all the routine nursing and traditional Chinese medicine preparations prescribed by the hospital to Old Delun.

  This prescription was created by Chen Nan himself.

  The old man has pancreatic cancer, and Haifu Knife surgery is convenient.

  But... Lao Delun is a VIP patient after all, and Chen Nan is also doing his best.

  It's a pity... I didn't expect Balsha to reject all of Chen Nan's treatment plans.

the next day!

   Surgery performed today.

  Chen Nan made another diagnosis on Old Barron.

  Old Delun was easy to talk to. Every time Chen Nan made his ward rounds, he would curiously ask about some knowledge of traditional Chinese medicine.

  Pancreatic cancer in the elderly is relatively serious. Due to the problem of anesthesia and surgery, the incision has been delayed. If it hadn’t been a critical point and had to be operated on, it would not have rushed to China in such a hurry.

  The main symptom of the other party is abdominal pain, followed by severe weight loss, accompanied by mild jaundice.

   These are the accompanying symptoms of pancreatic cancer, understandable.

but…

  When Chen Nan observed his tongue pulse, he felt that the patient's pulse was heavy and thin, but when he closed the pulse with his left hand, he could feel the astringency like the strings of a piano.

  This kind of astringency is like stagnation of qi, stagnation of liver qi, and knot of poison.

   This made Chen Nan suddenly worried!

  He observed the tongue image again, but also saw something strange in the tongue image.

  The tongue body is light and fat with tooth marks, but the tongue color is blue and purple, and the tongue coating is accompanied by damp heat accumulation of poison.

  The patient itself has a constitution of spleen deficiency and damp heat.

  Although there is no word for pancreas in traditional Chinese medicine, it is recorded in "Spleen and Stomach Treatise": "The spleen is long enough to cover one foot, and it covers a large warehouse."

   is talking about the pancreas.

  Chen Nan feels that the functions of the spleen and stomach have covered the physiological functions of the pancreas.

but…

  The key is that the patient's spleen and stomach are abnormal. The spleen belongs to earth, while the liver belongs to wood, and wood restrains earth. This is a normal behavior.

   At this time, the patient's spleen appeared abnormal, and the pancreatic cancer cells proliferated.

  This is not a good sign!

  The rustic atmosphere takes advantage of the wooden atmosphere instead.

this means…

   Is it going to be transferred?

  Thinking of this, Chen Nan's face suddenly changed.

soon…

  Old Mr. Deren is about to be sent for surgery.

  Chen Nan is capable now, but he can't help.

   A group of people simply walked towards the operating room, and Chen Nan decided to remind him.

  Haifu knife operating room.

  Chen Nan didn't change his clothes either.

   itself is an anesthesia, and there is no need for an operation, but it saves trouble.

But…

   Today's operation was performed by Balsa Deren himself, and many people came to observe it.

   As an assistant, Yu Jinhua also attracted much attention.

  In the room, many people were paying attention to this operation.

   After pondering for a moment, Chen Nan reminded Balsha:

   "Mr. Balsha, I think...you need to pay more attention to old Mr. Deren after the operation."

   "I feel that his condition may cause liver metastasis."

   "Surgery now, although it can solve the problem of the pancreas."

   "But I feel... the liver problem will also be a problem."

   Chen Nan's words made Balsa frown slightly.

   "You said he has liver metastases?"

   "The video data was just shot, didn't you see it?"

  Chen Nan shook his head: "Any transfer was not supported by imaging data in the early stage."

  Balsha said with a smile: "It seems that Director Chen really doesn't have much research on tumors!"

"hehe…"

   "The metastasis of pancreatic cancer is not like this."

  Yu Jinhua also looked at Chen Nan at this time and said:

   "Director Chen, you may not know much about it."

   "Pancreatic cancer often metastasizes locally through direct spread, lymph node metastasis through lymph nodes, and hematogenous metastasis through blood channels."

   "In the early stage of pancreatic cancer, local metastasis is mostly through direct spread. Pancreatic cancer directly infiltrates into other surrounding tissues through pancreatic tissue, such as stomach and duodenum, transverse colon, common bile duct, etc."

   "This is early performance."

   "You say that it is transferred to the liver, there is no theoretical basis at all."

  “Moreover, even if it is lymph node metastasis, it is metastasized to the subgastroepiploic lymph node group through lymph nodes, and cancer of the body of the pancreas and pancreatic tail cancer metastasizes to the pancreatic splenic artery lymph nodes and para-aortic lymph nodes through lymph nodes.”

   "There is no possibility of metastasis to the liver."

   "Okay, let's anesthetize quickly, and operate as soon as possible."

  Balsha on the side glanced at Chen Nan with a smile: "Director Chen, the metastasis of the tumor is actually...not irregular."

   "I think... transferring the liver should not be a big problem."

   "However, thank you for reminding me."

   Chen Nan couldn't help shaking his head when he saw that Balsha didn't care.

  He reminded me kindly, since you don't care about it yourself, then I don't care about it either.

  Chen Nan didn't even think about it, and started acupuncture anesthesia directly.

  …

  ps: From the 29th to the 31st, it seems to be a double monthly pass, big guys, please!

  At this time, one vote is better than two!

  Thanks to "LOSTANGEL" for the 5,000 tip, and to "Flowing Water" and "C Blue" for the 1,500 tip.

  Thanks for the "no noodles" tip.

thank you all.

  (end of this chapter)