Chapter 37 Pancreatic cancer, the king of all cancers

Jian Guohua walked into the special needs ward of No. 102 with ease.

This is the ward of Academician Qi Zhengyang. Academician Qi is an internationally renowned physicist. He studied in Eagle Country in his early years and made great achievements in the field of theoretical physics. He was awarded the Nobel Prize in Physics. city.

A few years ago, early symptoms of pancreatic cancer were detected during a physical examination. Originally, if the cancer was early, surgery could cure it. However, Academician Qi is 80 years old and his health is not in good condition. Conservative treatment with a combination of radiotherapy and drugs.

At the beginning, the effect was not bad, the condition was suppressed, and the body gradually improved.

Only half a year ago, it was suddenly discovered that the tumor had grown larger and the cancer cells showed signs of metastasis, so he was immediately moved into the special ward of Ruiji Hospital, where Jian Guohua, the director of the oncology department, was in charge of treatment.

At this time, the patient's health has deteriorated a lot, and the risk of surgery has also increased sharply.

The family members are even more afraid to perform surgery lightly.

As we all know, pancreatic cancer is a common malignant tumor, known as the king of cancer. The main reason is that pancreatic cancer has a very high degree of malignancy and is very difficult to treat. If surgical treatment is not possible, the average survival period of pancreatic cancer is about three months to six months. Even with surgical treatment, the five-year survival rate is not high.

Surgical radical surgery for early pancreatic cancer is mainly pancreatoduodenectomy. This operation is also the largest operation in general surgery. The operation trauma is very large, and postoperative recovery is very difficult. Many pancreatic cancers are found in the middle and advanced stages, and the opportunity for surgical treatment is lost. Generally, the treatment effect is not good, the degree of deterioration is high, and the survival time is not long.

Therefore, since Jian Guohua took over the case of Academician Qi, he has been working hard to find a specific drug for pancreatic cancer, but it is a pity that so far, no specific drug for pancreatic malignant tumors has been found clinically.

Now, he finally had a harvest, so he hurried to announce the good news.

Jian Guohua walked briskly, and greeted with a smile as soon as he entered: "Hello, Academician Qi, how do you feel today? Are you feeling better?"

The ward was tidy and clean, with a white bed in the middle, surrounded by more furniture such as sofas and cabinets than in ordinary wards, the overall look was similar to a hotel room.

A white-haired old man lay half-lying on the hospital bed, his complexion was sallow, described as thin, his face became more and more deeply wrinkled, and he looked weak.

His eyes were half-closed, as if he was staring at the news on TV in a daze.

A middle-aged man and woman in their fifties sat on the sofa next to them. They were obviously family members who were taking care of them. Their faces were full of worries and they were talking in a low voice.

Seeing Jian Guohua walk in, Qi Yeting and his wife forced a forced smile at the same time and got up to respond.

"Hello, Director Jian, today is your ward round again. Hey, my dad feels worse and worse these days, and the medicine doesn't help."

"Is there any change from yesterday?"

Mrs. Qi thought about it carefully, then shook her head and said: "Last night, the old man had a pain in his abdomen, and he didn't fall asleep until the middle of the night. I haven't finished the porridge yet."

Qi Yeting asked very worriedly: "How come it doesn't work after taking medicine? Director Jian, do you think there is any way?"

Jian Guohua picked up the medical records and various inspection reports, checked them carefully for a while, and then walked forward to check the patient's body.

After pondering for a moment, he said with a serious face: "Let's go out and talk."

The two looked at each other, nodded, and walked to the corridor outside together, talking in low voices.

"Judging from the patient's current condition, the disease is developing relatively quickly. The CAT scan shows that the tumor has become much larger and may spread."

"Before, I considered that the patient was relatively old, the surgical trauma would be relatively large, and the prognosis was unpredictable, so I have been using chemotherapy plus drug-assisted treatment, but now it seems that the effect is not obvious. If there is no further treatment, the condition may worsen. .”

The Qi couple was stunned for a moment, and asked anxiously: "Then how should we carry out follow-up treatment?"

Jian Guohua said sternly: "It is mainly surgical resection, but Academician Qi is suffering from pancreatic cancer. This organ is quite special, the location is relatively deep, and there are many blood vessels and nerves around the pancreas. There are also important organs such as the liver and kidney. The operation is more difficult. big."

"And to tell you the truth, Academician Qi is eighty years old, and his physical condition is not good. Really, even if I perform this operation, I don't have much confidence, but if there is no operation, the tumor will grow bigger and bigger. It will be really difficult if the transfer starts later.”

The two looked at each other, and asked sadly: "Is it necessary to have an operation? The old man is old, what if, what if he doesn't get off the operating table?"

Jian Guohua sighed and said, "That's exactly what I'm worried about. No one can guarantee this, and it's not a matter of medical skill. Even if Academician Qi gets off the operating table safely, we don't know the prognosis. Don’t dare to pack the ticket.”

Qi Yeting stomped anxiously and said, "Director Jian, you are the director of the oncology department of Ruiji Hospital, are you not sure?"

Mrs. Qi said anxiously: "Yes, if something goes wrong in the operation, none of us can afford it."

Jian Guohua was silent for a moment and said: "Academician Qi's status is very important, and our doctors can only provide possible treatment plans. Generally speaking, it is up to the family members to decide whether to have an operation."

Mrs. Qi grabbed his hand and begged: "Director Jian, isn't there any imported medicine that is suitable for the disease? I heard that there is an anti-cancer drug that costs one million per injection. One injection is enough. This can cure the disease." Is the old man sick?"

Jian Guohua shook his head: "That is Xinmei's anti-cancer injection. Some time ago, our oncology department did cure a case, but that patient was lymphoma, not pancreatic cancer, so it was not suitable for the disease. Pancreatic cancer is currently not available at home and abroad. special medicine."

Mrs. Qi had an uncontrollable grief on her face, and she choked up sobbing while covering her face.

Qi Yeting also said with a look of despair: "Director Jian, what should we do? Should we just watch him leave like this?"

Jian Guohua hesitated and said: "Actually, it's not completely helpless, but as Academician Qi, I'm afraid..."

The two asked anxiously when they heard the words: "What is the solution? Tell me quickly!"

Jian Guohua said with a desperate expression: "It's like this. A domestic pharmaceutical company in Kunming has developed a new broad-spectrum anti-cancer drug, which is very effective in treating all types of cancer. Many patients with advanced cancer are completely cured after taking it. Healed. So I think Academician Qi’s illness should also be effective.”

Qi Yeting urged: "Then what are you waiting for? Why don't you prescribe medicine for my dad?"

Jian Guohua hesitated to speak: "It's just that this drug is still in the third phase of clinical trials and has not yet been officially launched, so I must ask for your opinions first."

A look of disappointment suddenly appeared on Qi Yeting's face, and he waved his hands again and again: "It's not on the market yet? That's no good, this new drug that just came out doesn't know if it will work, and what if there are any side effects, what if something happens to you if you take it. "

Mrs. Qi's expression also turned cold: "You said just now that it is a domestic pharmaceutical company? That's not okay, who knows why, it's not that I discriminate against domestic medicines, it's just that my father has a great status, and this special anti-cancer drug is guaranteed to be imported some."

Jian Guohua sighed inwardly, and still wanted to struggle: "This medicine should be effective. It has already reached an authorized cooperation with Pfizer, and it will be launched both domestically and overseas soon."

Mrs. Qi immediately asked: "Oh, is it on the market in Eagle Country? Has it passed the FDA?"

Jian Guohua was dumbfounded, shook his head and said, "Not yet, maybe a few months."

Mrs. Qi sneered and said: "Director Jian, we know that you are trying every means to treat the old man's illness, but you can't go to the doctor in a hurry. If you recommend us any new domestic medicine, you can't treat the dignified academician as a test medicine. Little white mouse."

Qi Yeting nodded again and again: "Yes, Director Jian, we must take regular medicine. Money is not a problem, but we can't listen to scammers outside."

Jian Guohua had nothing to say, nodded and said: "I took it for granted. I'm really sorry. It seems that the only treatment is surgery. I have told you the specific plan before, but you insist on conservative treatment. Now that you have reached this point, I have no other choice."

"How about this, your family members should think about it carefully first, and let me know after making a decision. Our side should also make preparations in advance. What do you think?"

The two looked at each other, and Qi Yeting said in a low voice: "Director Jian, it's actually like this. The old man won the Republic Medal a while ago, and he is going to attend the award ceremony in two weeks. This is the greatest honor in his life. We Can't let him have an accident before the ceremony, you understand."

Jian Guohua was startled, and immediately understood why the other party had such a hard time choosing surgery.

Slowly nodded and said: "I understand, thank you for your honesty."

Qi Yeting hesitated to speak: "Actually, my dad also understands that the condition is difficult to get better, but he doesn't want to miss the awarding ceremony. Can you prescribe some painkillers or other medicines so that he can survive the two weeks first?" The surgery will be performed after he comes back, so that even if he can’t get off the operating table, his wish will be fulfilled and he can leave with peace of mind.”

Jian Guohua solemnly agreed: "No problem, we will definitely meet Academician Qi's request."

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